In The News

April 14, 2008

CEO Faces Big Task

NEW LEADER OF JACK HUGHSTON MEMORIAL CHARGED WITH TURNING THE FORMER SUMMIT HOSPITAL AROUND

BY ANDREA V. HERNANDEZ - ahernandez@ledger-enquirer.com

 

Jim Matney is the new CEO of Jack Hughston Memorial Hospital in Phenix City.

Jim Matney is the new CEO of Jack Hughston Memorial Hospital in Phenix City.

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Hospital purchased by a group of Hughston Clinic doctors has struggled since 2006 opening.
When Jim Matney arrived at Jack Hughston Memorial Hospital for his first day as chief executive officer, he had plenty of challenges waiting for him.
To name a couple, the $36 million Phenix City hospital -- formerly known as Summit Hospital -- was struggling with unstable patient flows and fewer-than-expected on-site procedures.
Established in August 2006, the 70-bed facility also saw the closure of its labor and delivery unit, employee layoffs and a CEO resignation in its first year.
February marked a new beginning for the hospital. That month, a group of Hughston Clinic physicians bought the debt-stricken facility for $47.7 million from Nashville, Tenn.-based Ameris Health Systems LLC. And in came Matney.
"I think Jack Hughston had everything for the makings of a successful hospital," Matney said. "I think what I bring to the table is putting all those pieces together and making them run like a well-oiled machine."
Fittingly, Matney -- who has an accounting background -- has had extensive experience with hospital turnarounds.
"I don't really look at things as challenges," he said. "I look at things as opportunities."
Now, Matney has the opportunity to not only improve the hospital's financial situation, but also cultivate a company culture of confidence and stability.
Experience with turnarounds
A Grundy, Va., native, Matney began working in health care administration in 1984 as a staff accountant at Grundy's Buchanan General Hospital. From there, the 47-year-old has worked in health care administration at hospitals in Virginia, Indiana, Tennessee and Arizona, touting titles of chief financial officer, chief operating officer and chief executive officer.
Much of his accomplishments on his resume have to do with turning cash-strapped health care facilities around in short periods of time.
For example, during a four-year stint as vice president and chief financial officer at a Virginia hospital, Matney helped improve net income by 400 percent in 16 months, producing profit after a previous year's loss.
As chief operating officer at a Phoenix, Ariz. hospital, Matney was able to increase earnings by 30 percent over the prior year through tight cost controls.
Matney's past experience was a major selling point to Hughston Clinic physicians and administrators. "He has experience with hospital turnarounds, and I think both from an experience standpoint and from a personal skills standpoint, he's a perfect fit," said James McGrory, Hughston Clinic orthopedic surgeon. Drs. McGrory, Lyle Norwood, Patrick Fernicola, Thomas Bernard Jr., Glenn Terry, Carlton Savory and Ken Burkus make up the Hughston group that purchased the hospital from Ameris, which still owns 10 percent.
Matney came to Jack Hughston Memorial in January from Valley View Medical Center in Bullhead City, Ariz. There, he served as chief executive officer.
In a little more than a year, Matney helped bring the emergency room's ranking in patient satisfaction to No. 1, establish vascular surgery and cardiac cath programs, expand operating rooms from four to six, and establish the facility as a base station for all local EMS groups.

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March 07, 2008

Giving From The Heart

BY RICHARD HYATT --

One does good work. The other one does good deeds.
One is a nurse technician whose wages are small. One is a surgeon who does well on payday.
One walks to work. One sometimes charters private jets.
Now, one single act of kindness has made both men smile.
Names aren't what is important. This could happen to anyone, though unfortunately that is wishful thinking.
For the nurse tech, the story begins a couple of months ago when he gets a job at what was then Summit Hospital in Phenix City. Since he went there, its name has changed to Jack Hughston Memorial.
The man has been out of work for 18 months. He lives on the south side of Columbus; the hospital is on the north side of Phenix City. He doesn't have a car and hasn't since 2005.
He has no ride to work, but he has a job and is grateful. Leaving home at 4 a.m. and ending his walk at the hospital after 6 a.m. is -- to him -- a small price to pay.
"I had a responsibility," he said. "I have four kids to take care of, and I wanted to make them proud."
On the job, he is joyful. He thanks his superiors for putting him to work. He does his job and, if needed, does other people's too.
Every day he walks and every day he works. He doesn't know how far his walk is. Maybe he doesn't want to know.
On a biting cold night in February, Valentine's Day, it rains. He calls someone and offers $10 if the person will come and get him.
As he waits, the surgeon starts to his car. They have spoken to each other but have never had a conversation.
The surgeon knows the tech. His work around the operating room has caught the doctor's eye. He has heard that the younger man walks to work.
"I've been watching you," the surgeon said.
He watches some more and talks to others about the technician's work. They describe his smile and his attitude.
The doctor knows what he must do.
The nurse tech declines but others change his mind.
By that afternoon, he has a car of his own, paid for by a physician who took the time to do some off-duty healing.
"I bought something, but he did something," the surgeon explains.
Both of them feel good about what happened, and so do others who work in the operating room.
A "thank you" card is sent.
"You have magnified your deepest care and compassion for another man's struggles... Thank you and God for lifting another off the ground," someone wrote.
"God gives to those who give and your gift couldn't have gone to someone who deserves it more," wrote another person.
For the owner of the car, it might as well have been a Lexus or a BMW. He is still in shock. He can't believe it is his. He is proud and he is blessed.
And so is the man who gave the gift.
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NEWS RELEASE

February 14, 2007

 Surgeons at The Hughston Clinic Acquire Summit Hospital

 Columbus, Ga. (Feb. 14, 2007) — Surgeons at The Hughston Clinic, P.C., a well-respected orthopaedic practice based in Columbus, Ga., announced today that they have acquired Summit Hospital in Phenix City, Ala., from Ameris Health Systems, LLC. The seven surgeons are Carlton G. Savory, M.D., James E. McGrory, M.D., Lyle A. Norwood, M.D., Patrick J. Fernicola, M.D., Thomas N. Bernard, Jr., M.D., Glenn C. Terry, M.D., and J. Kenneth Burkus, M.D.

 “Through this acquisition, we are extremely excited about the future opportunities that lie ahead for our patients and the community,” said Carlton G. Savory, M.D, an Orthopaedic Surgeon at The Hughston Clinic. “We have desired a relationship with a hospital where we can make managerial decisions to better serve the needs of our patients. This is an exciting time for Hughston and the community. Welcome to a new era of health care in the Chattahoochee Valley.”

 To honor Dr. Jack C. Hughston, the founder of The Hughston Clinic in 1949, the surgeons have renamed the hospital the Jack Hughston Memorial Hospital

“It’s a great tribute to honor Dr. Hughston by naming the hospital for him,” said Savory, who will serve as Chairman of the Board of Jack Hughston Memorial Hospital. “Dr. Hughston was a true pioneer of orthopaedics and will always be an inspiration to us all. The mission of the Jack Hughston Memorial Hospital will always be to provide the highest quality medical care to the residents in the Chattahoochee Valley region.”

 The Jack Hughston Memorial Hospital provides the Hughston doctors with another conveniently located facility where they can perform surgeries and other procedures. The main campus of The Hughston Clinic will remain in Columbus at 6262 Veterans Parkway and will continue to serve patients from Columbus and around the region as it has for nearly 60 years. The Hughston Clinic consists of 18 orthopaedic surgeons who treat thousands of patients annually at nine facilities in the Southeast. 

“We are very excited about the potential of the Jack Hughston Memorial Hospital,” said Mark Baker, COO of The Hughston Clinic. “The purchase of the hospital is consistent with The Hughston Clinic’s expansion objectives and strategic plan. The Clinic is growing and expanding in markets throughout the Southeast. Over the past five years Hughston has invested millions of dollars to upgrade technology and renovate facilities with the ultimate goal of creating a more efficient and quality experience for our patients. The Hughston Clinic has always been on the cutting edge of innovation, education and patient care, and that will never change.” 

The surgeons have hired James L. Matney to serve as CEO of Jack Hughston Memorial Hospital. Matney has 24 years of experience in hospital administration and last served as CEO of Valley View Medical Center, a 60-bed hospital in Bullhead City, AZ.

Located in Phenix City, Ala., the Jack Hughston Memorial Hospital is an 110,000-square-foot facility with 62 private patient rooms.  Opened in August 2006, the facility is a general hospital providing a wide array of services such as a Surgery Department with outpatient, endoscopy and orthopaedics; and a Diagnostic Imaging Department with ultrasound, MRI and 64-Slice CT Scanner, one of the few scanners of its kind in the region. The hospital features wireless Internet access, 27-inch flat screen televisions in each patient room, a dining hall with outdoor terrace, and floor-to-ceiling windows providing natural light. The hospital received a National Pyramid Award in 2006 from the Associated Builders & Contractors for excellence in design and construction of a healthcare facility.

 ABOUT THE HUGHSTON CLINIC

Based in Columbus, Ga., The Hughston Clinic (www.hughston.com) is a full-service orthopaedic practice with nine offices in Georgia and Alabama. Founded in 1949 by Dr. Jack C. Hughston, The Hughston Clinic is a nationally and internationally recognized center of excellence for research, education, training, and the quality treatment of musculoskeletal injury and disease. Other facilities and services located on the campus of The Hughston Clinic in Columbus include The Hughston Foundation Inc., the Hughston Health Center, Hughston Rehabilitation, and Hughston Diagnostics.   

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February 09, 2008

Symposium Showcases Advances In Sports Medicine

BY BORDEN BLACK --

Special to the Ledger-Enquirer

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Dr. Dave Clark, an orthopedic surgeon from Alabama, recalled that while working as an Army surgeon in Heidelberg, Germany, years ago he needed a special tool and ended up buying a drill at the hardware store. The equipment, the techniques and the necessary skills for orthopedic surgery have changed a lot since then. More than a hundred doctors from three states took the opportunity Feb. 1-2 to learn about the latest methods and tools available to benefit their patients.

The First Annual Georgia-Alabama Sports Medicine Symposium was part of the Hughston Foundation's goal of providing education and research, according to Dr. Champ Baker, one of the conference's organizers.

"It introduces the doctors to techniques and shows them how to do procedures," he said.

One of the procedures attracting a lot of attention on the first day was a minimally invasive repair of the ACL (anterior cruciate ligament.) It is the second-most commonly injured knee ligament and is frequently damaged by athletes. Dr. Fred Flandry, of the Hughston Clinic, said the new technique for all-inside-repair, is one of the most minimally invasive.

"We used to make incisions. Now we are finding ways to drill tunnels and pass graphs through some puncture areas," he explained.

Flandry added that The Hughston Clinic has been pioneering such techniques as far back as the 1980s. "What were already minimally invasive arthroscopic procedures... we are making them even more minimally invasive."

The objective he said is quicker recovery, less pain and less hospitalization for the patient.

"Dr. Hughston always wanted this foundation to be a think tank, where ideas could be disseminated and people in the region, nationally and internationally could come to learn," Flandry said.

One of the attendees, Dr. Chris Piller of Rome Georgia agreed that such symposiums help doctors learn new methods, reinforce ideas and procedures they have already learned and get ideas from other doctors. "It's all about trying to stay on the cutting edge," he explained.

That's important at the rate Orthopedic Surgery is developing. Flandry said. "If you haven't seen what's out there in the last few months you're behind."

Four hundred new products for orthopedic surgery were put on the market last year alone, Flandry said. Surgeons come up with ideas of what they would like to see in instruments and then engineers at companies like Arthrex, which sponsored the symposium, develop the tools. Doctors with Arthrex demonstrate how to use them at the company's facility in Naples, Fla., or during symposiums like the one held at the Hughston Foundation.

"At things like this you pick up tips and tricks that may help with something you are already doing," said Dr. Randy Schwartzberg, who works with Arthrex.

That's what many of the doctors did between lectures practicing their skills on artificial joints set up in the conference area. "The innovative design of instruments provides better outcomes for patients," said Dr. James Guerra.

"There is no substitute for practice," he said.

In addition to practicing, the doctors watched live demonstrations performed on cadavers which were broadcast from an operating room into the auditorium.

"It wasn't too long ago that if you tore a shoulder you were gone. Now it can be fixed," Baker pointed out. "Surgeons are more skilled today and they have the advantage of these newer technologies."

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February 06, 2008

Hughston Brand Lives On

BY RICHARD HYATT --

Ledger-Enquirer

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Jack Hughston is gone, but his name certainly isn't.

We know the orthopedic clinic in Columbus that has carried his name since 1949.

We know the hospital on the back side of that campus that also bears his name.

Now it appears a hospital on the Phenix City side of the Chattahoochee will be named for the dapper doc with the bow tie and floppy hat.

Six orthopedic surgeons from the Hughston Clinic are buying Summit Hospital and the name on the brick façade will soon be changed to Jack Hughston Memorial.

Dr. Jack has been on my mind. A new knee was installed on my wife's left leg Tuesday morning at the hospital now called Summit. (That was the knee marked yes, not the one with the no on it.)

John Waldrop, who earned his spurs under Hughston, did the deed. He isn't one of the six who owns Summit, but he now replaces joints in Phenix City.

Like so many others, we trust these physicians' work because of the Hughston brand. It is built on the talent and the legend of Dr. Jack, a pioneer in sports medicine who started his career as a doctor for polio kids, back when that disease was every parent's fear.

I first met him on the practice field at Auburn University. The good doctor was a close friend of Coach Shug Jordan and served as team physician at a time when such jobs were scarce. This was an era when sportswriters wrote about knee injuries as simply knee injuries. No one knew you could tear an ACL. We didn't even know a person had an ACL.

When I planned to write about Hughston's lung cancer, he begged me not to. But on the Sunday morning the article appeared, he called me early to thank me for handling it with care.

Anyone who knew Hughston knew the devastation he felt when he and his colleagues were replaced by Auburn. The role of Jim Andrews in this decision added to the disappointment.

That's why I was interested in Chuck Williams' story on Andrews. Columbus knows the super surgeon. He studied under Hughston and watched his star rise at the local clinic.

He was a dynamo. Nothing he did was under the radar. He was part owner of the Red Stixx and most nights was in his box behind third base. When he divorced, the settlement was one of the largest in Muscogee County history.

Andrews was family, and when he left for Birmingham, Ala., Hughston was hurt -- and the wounds never completely healed. When Hughston died at the age of 87, I asked his colleagues whether Andrews would be at the funeral. They said no, but said he had called to speak to Mrs. Hughston.

In the weekend article, Andrews recalled a letter from Hughston that was scrawled on a sheet from a legal pad. Too bad the words weren't delivered in person, for they probably had much to say.

Jack Hughston was the mentor and Jim Andrews the protégé. Hughston was the father and Andrews the son. A reunion between them would have meant more than a name on the side of a building.

 

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January 28, 2008

Tainted Medicine
BY BRAD BARNES
bbarnes@ledger-enquirer.com


It was more than 20 years ago when a doctor told Sandra Taylor that she needed to put her son on steroids. There weren't public scandals about steroids then. No senator's report indicting pro baseball players. No disgraced Olympic athletes giving up their gold medals. No pro wrestlers with their artificially sculpted bodies going wacko.
"The only thing I'd ever heard with steroids was, on a farm, sometimes they use them with animals," said Taylor of Columbus. "You know, with racehorses."
So she was surprised that the doctors wanted to use the controlled substance to treat her son's asthma.
But steroid use didn't yet carry the stigma it does today — particularly in recent months, in light of Olympic champion Marion Jones' confession of steroid-assisted performance in her medal-winning games and Sen. George Mitchell's report naming 88 pro baseball players purported to use steroids to enhance their pitching or batting.
On Jan. 7, a Tampa, Fla., father was sentenced to six years in a federal prison for injecting his teenage son with steroids in an attempt to make him a stronger, more powerful in-line skater.
And in Time magazine's Feb. 4 issue Sylvester Stallone, star of the new ‘‘Rambo’’ movie, says said he used human growth hormone to bulk up for the film and defended its use.
As a result of all the negative publicity steroids have gotten, doctors are finding them a harder sell on people who legitimately need them.
"If you tell a patient you want to put them on steroids, they go, ‘Whoa, wait a minute,' " said Kurt Jacobson, an orthopedic surgeon at Columbus' Hughston Clinic.
But: "Across the spectrum of medicine, there are far more beneficial uses of steroids compared to the abuses of steroids,’’ he said.

A powerful tool
Without the ability to treat with steroids, Jacobson would lose a powerful tool in rehabilitating injuries or treating people with certain ailments.
They're used to combat inflammation from one-time injuries or chronic problems like arthritis, which is often caused by inflammation of the joints. Regular folks take steroids all the time. "‘There are probably a ton of people in Columbus who are on steroids for chronic arthritis,’’ Jacobson said.
Steroids are a derivative of cholesterol, and they're naturally present in the body. The ones we associate with bodybuilding are anabolic steroids. They were initially developed by studying testosterone in males, and today they're used medically to encourage bone growth and stimulate puberty. When taken in high doses, anabolic steroids are converted into testosterone and also improve the body's ability to make protein and increase the production of red blood cells.
The result is greater muscle mass, strength and power, which is what the abusing athletes are after.
So why are they banned by the governing bodies of professional sports?
"In the context of anabolic steroids, everybody that's looked at it has said the short-term gains you get are not worth the long-term damage," Jacobson said.
Steroids can elevate a person's blood sugar, eventually weaken his or her cell tissue, and lessen the body's ability to fight infection. They can cause infertility in men and cause women to grow more body hair. They can also impair the effectiveness of the heart and, if taken orally, damage the liver.
For an athlete who's taking steroids as a bid for eternal fame, "when you're 45 and 50, there's not going to be much left of your body," Jacobson said. "They don't look at it like that. They live for the day."

Clear choice
Taylor didn't think she had a choice when her son, Richard Smith, was diagnosed with asthma.
Asthma is an inflammation of lung tissue that makes it hard for a person to breathe, and steroids just happen to be extremely effective at knocking down swelling.
Likewise, when Smith had an allergic reaction to a bee sting, he was given an emergency steroid injection. ‘‘It saved his life,’’ she said.
Today, her son is 30 and has outgrown his asthma. So there's not much danger that he'll suffer any long-range effects.
But she's now well-versed in what those dangers are, and she was armed with information when doctors told her that her 9-year-old daughter, Hunter, needed steroids for juvenile rheumatoid arthritis.
"I was more shaken up by the amount they were going to give her," Taylor said. Still, the choice was black-and-white.
"I actually asked the doctor, ‘Will her legs ever look normal again?' She was so swollen and so disfigured," Taylor said. "At that point, my child had lost the ability to walk. Her legs were swollen, she was anemic.
"The doctor told us, it was either that or she'd be in the hospital."
Hunter will soon have a bone-density scan to make sure the heavy doses of steroids aren't showing signs of bone damage on her still-growing frame. Taylor would love to get her daughter off of them, if there weren't consequences specific to Hunter's condition.
So other people's cavalier attitude toward injecting anabolic steroids into their muscle tissue is alien to her. "I think it's crazy," she said. "It's crazy to do that to your body."