Claxton-Hepburn Medical Center May 15, 2013

Our Location

Who We Are Founded in 1886 by the Grey Nuns of Ottawa 130-bed community hospital (non-profit) Located approximately 1 hour south of Ottawa Provides inpatient and outpatient care Specialty care: – Cancer – Renal – Wound Healing

Service Volumes Endoscopies: 2,819 Mental Health Center Admissions: 990 Cancer Treatments and Visits: 17,655 Renal Dialysis Treatments: 10,421 Surgeries: 3,290 Laboratory Procedures: 360,887 Radiology Procedures: 41,709 Health Center Visits: 33,700

CHMC Profile 67 beds – Medical/Surgical 10 beds – Intensive/Coronary Care Unit 10 beds – Obstetrics 15 beds – Acute Rehabilitation Unit 28 beds – Mental Health 130 beds

Active Medical Staff Specialties AnesthesiologyOphthalmology CardiologyOral Surgery DermatologyOrthopedic Surgery Emergency MedicineOtolaryngology Family Practice/I.M.Pain Management Gastroenterology/EndoscopyPathology General SurgeryPediatrics HospitalistPsychiatry Medical OncologyRadiation Oncology NephrologyRadiology NeurologyUrology OB/GYNAdvanced Practice Providers

Specialties & Services Cancer Treatment Center -Chemotherapy -Radiation Therapy --IMRT -- Respiratory Gating Cardiology -CT Angiography -EKG -Echocardiography -Fetal Echocardiogram -Holter Monitoring -Pediatric Cardiology Connection for Women/Breast Health Center Electroencephalography Emergency Care Endoscopic Procedures -Bronchoscopy -Colonoscopy -Esosphagogastroduodenoscopy Family Health Centers Gastric Manometry and PH Studies General Surgery -Laparoscopic Cholecystectomy -Laparoscopic Appendectomy -Exploratory Laparoscopy Gynecology Heart Clinics (adult & pediatric) Laboratory Services

Specialties & Services Mental Health Services Nephrology Neurology Obstetrics Ophthalmology -Laser Surgery -Pediatric Ophthalmology Orthopedics Otolaryngology (ENT) Pain Management Radioactive Implant Services Radiology -128-Slice CT Scan -DEXA -Digital Mammography/R2 Image Checker -MRI -Nuclear Medicine -PET with CT-PET Fusion -3D/4D Ultrasonography Rehabilitation Services -Aqua Therapy -Acute Care Rehabilitation Unit -Nerve Conduction Studies -Occupational Therapy -Physical Therapy -Speech Therapy Renal Center -Hemodialysis -Peritoneal Dialysis -Home Hemodialysis Respiratory Care -Pulmonary Function Testing Sleep Laboratory Urology - Lithotripsy Vein Ablation Wound Healing Center

Key Services Diagnostic Imaging Department -128-Slice CT Scan -Bone Densitometry (DEXA) -Digital Mammography/ R2 Image Checker -MRI -Nuclear Medicine -PET with CT-PET Fusion -3D/4D Ultrasonography

Key Services Richard E. Winter Cancer Center – Medical and radiation oncology services available under one roof – Linear accelerator with SmartBeam technology; respiratory gating – In 2006, invested $4.5 million in facility and technology upgrades – Certified patient navigator – Accredited by both the American College of Radiology and the American College of Surgeons’ Commission on Cancer – Breast Health Center – National Accrediting Program for Breast Centers

Key Healthcare Services – 24-station renal center – 2 on-site nephrologists – Hemodialysis and CAPD – Home Hemodialysis – Epogen clinic – MSW on staff to assist patients with financial needs and other support Dr. Ravinder N. Agarwal Renal Center

– Specialty trained physicians and nurses – 2 hyperbaric oxygen chambers – Cares for wounds that have not healed in 30 days or more – 97% heal rate – specialty trained to treat all types of non-healing wounds, including: diabetic ulcers pressure ulcers venous/arterial ulcers Post-operative infections surgical wounds gangrene/necrosis late effects of radiation Key Healthcare Services Rev. Thomas T. Patterson Wound Healing Center

Designations/Status Accredited by DNV American College of Surgeons’ Commission on Cancer accreditation with commendation for our Cancer Center Breast Health Center accredited by the National Accrediting Program of Breast Centers Breast Imaging Center of Excellence Nationally accredited echocardiography lab IHI Mentor Hospital for 4 clinical initiatives

2012 Services Accessed 62 Postal Codes Services accessed: – Obstetrics – Primary Care (Health Centers) – Dermatology – Medical Oncology – Surgical Services – Laboratory – Diagnostic Imaging – Physical Rehab – Mental Health Services

Canadian Patients Because of the cost of care, Canadians that are able to access our services usually have disposable income We have marketed our services in Ottawa, targeting residents with upper level incomes Strong relationship with the US Embassy in Ottawa

Canadian Experience Highest volume of Canadian patients occurred about 6 years ago when a chemotherapy drug was unavailable in Canada – OHIP paid to have Canadians treated in our Cancer Center – OHIP would contact our Cancer Center and request a quote for the type of care needed. Once approved, they paid for the patient’s care For other services, patient works with OHIP to try to get services covered

Most Requested Services* MRI – Brain = $3,375 – Abdomen = $3,910 CT Scan – Brain = $1,890 – Chest = $1,450 Breast Biopsy = $2,380 Sleep Study = $2,250 Colonoscopy = $1,100 Cancer = varies on type of treatment *prices subject to change; current pricing provided at time of request

Accessing our Services Call Amy Robinson at Describe services needed Amy will provide a quote that includes all services needed Amy can assist making appointments with providers Patients can establish themselves with a primary care physician on our staff Patients that require an overnight stay, the cost is included in the quote provided

Accessing our Services Many services require physician order – Can become a patient of a U.S. physician – In some cases, Claxton-Hepburn’s Chief Medial Officer will work with a Canadian physician to order tests/exam Accept American insurances, otherwise payment is required at time of service

Accessing our Services For most services, there is no wait time Check our website: You may also contact our Call Center: – Answered 24 hours per day, 7 days per week We invite you to tour our facility!

THANK YOU Laura Shea, MHA, FACHE Community Relations & Planning Amy Robinson Physician Liaison/Marketing Coordinator