Pikeville Medical Center (PMC)

Physician practices:currently, more than 400 credentialed healthcare providers; including physicians, advanced practice registered nurses, and physician assistants, are members of Pikeville Medical Center's Medical staff. During fy 2023, Pikeville Medical Center (pmc) welcomed 21 physicians, eight nurse practitioners and one certified registered nurse anesthetist to the organization. The physicians recruited during this time consist of one anesthesiologist, one cardiothoracic surgeon, four cardiologists, one critical care physician, two electrophysiologists, two hospitalists, one otolaryngologist/facial trauma surgeon, one pediatric hospitalist, one pediatrician, one podiatric surgeon, one internal medicine physician, one rheumatologist, three acute care surgeons and one vascular surgeon. Pmc's 11-story clinic building located on the hospital's main campus houses the majority of the organization's physician practices including trauma surgery, general surgery, bariatric and weight loss surgery, endocrinology, interventional radiology, gastroenterology, urology, orthopedic trauma surgery, orthopedic surgery, hand surgery, podiatry, sports medicine, obstetrics/gynecology, infectious disease, nephrology, neurology, neurosurgery, physiatry, pulmonology, ophthalmology, optometry, otolaryngology, audiology, rheumatology, sleep medicine, Medical oncology, hematology and surgical oncology. Pmc offers more than 400 services, including most major specialties and many sub-specialties and provides the team of, highly skilled, dedicated physicians with the state-of-the art technology and highly motivated support staff necessary to provide quality comprehensive healthcare to the region.in addition to physician practices found in the clinic, pmc offers: pediatrics in Pikeville (ky); pediatric psychiatry in Pikeville (ky), plastic surgery in Pikeville (ky); dermatology in Pikeville (ky); cardiothoracic and vascular surgery in Pikeville (ky); cardiologygeneralinvasiveinterven... in Pikeville, whitesburg, prestonsburg, south williamson (ky) and grundy (va); radiation oncology in Pikeville (ky); neurology in whitesburg, south williamson, and prestonsburg (ky); primary care medicine in Pikeville, prestonsburg, and south williamson (ky); obstetrics/gynecology in Pikeville (ky); urgent care services in Pikeville and prestonsburg (ky); school telehealth services in pike county (ky); applied behavior analysis services in Pikeville (ky) and prestonsburg (ky); psychology; wound care; cardiac rehabilitation and pulmonary rehabilitation in Pikeville (ky).pmc also offers emergency medicine services, palliative care services, and utilizes around-the-clock hospitalists, intensivists and neonatologists who devote their professional time to the care of hospitalized patients.pmc physicians completed 301,439 patient clinic visits during fy 2023. Physician practice locations with notable activity during the year: ava Center practice-pikeville completed 13,685 learner visits, ava Center practice-prestonsburg completed 2,328 learner visits, cardiology practice-pikeville completed 20,983 patient visits, oncology practice-pikeville completed 10,907 patient visits, pediatric practice-pikeville completed 12,422 patient visits, primary care practice-pikeville completed 11,886 patient visits, primary care practice-prestonsburg completed 7,378 patient visits, primary care practice-south williamson completed 3,932 patient visits, rheumatology practice-pikeville completed 5,374 patient visits, school telehealth program completed 371 telehealth patient visits, urgent care practice-pikeville completed 21,067 patient visits and urgent care practice-prestonsburg completed 8,652 patient visits. The Pikeville Medical Center heart and vascular institute of eastern Kentucky (hvi) is comprised of a team of cardiac specialists with a broad range of expertise; that expertise, coupled with cutting-edge technology has resulted in a comprehensive heart care program for the people of the region that is second to none. The hvi is accredited by the american heart association and the american college of cardiology in heart attack treatment, cardiac cath lab percutaneous coronary intervention (pci) accreditation, and chest pain with pci, in addition to offering an aacvpr certified cardiac rehabilitation program. The heart and vascular institute team provides a wide range of services to address various cardiovascular concerns, from routine check-ups to the management of complex heart conditions, guiding the patient through every step of their heart health journey. Cardiac services offered by pmc include general cardiology, invasive cardiology, interventional cardiology, electrophysiology, cardiothoracic surgery, vascular/endovascular surgery, echocardiography, and cardiac rehabilitation. The pmc heart and vascular institute occupies 49,000 square feet of recently renovated space located on the hospital's main campus. The area provides a functional flow for improved patient access including a new registration area, 29 exam rooms, two waiting rooms and includes three new state-of-the-art interventional cardiac catheterization (cath) labs, two new electrophysiology cath labs, six pre/post-operative bays and a multipurpose case conference room. The capital investment in the heart and vascular institute renovation and expansion was more than $35.2 million.pikeville Medical Center's mettu children's hospital opened during fy 2022. The newly renovated 13,400 square feet of space houses eastern Kentucky's only children's hospital, offering both inpatient and outpatient pediatric services. The children's hospital fills a gap in providing much-needed pediatric healthcare for the region, allowing families to stay close to home for specialized pediatric care, thus greatly reducing the financial burden that comes with traveling to hospitals hundreds of miles away. The children's hospital is staffed by pediatric hospitalists and pediatric nurses specially trained in inpatient pediatric care. Inpatient services are located in an 8,130 sq ft area consisting of a family-friendly waiting room, 10 private patient rooms (including two isolation rooms), a consultation room, a treatment room, medication room, nourishment room and more. The outpatient service area is located in a 5,290 sq ft area consisting of separate sick and well child waiting rooms, check-in and registration areas, 13 exam rooms, a medication room, and a nurse's station. This new pediatric facility has provided pmc with the capacity to offer pediatric cardiology, pulmonology, bmi, and plastics specialty services through a cooperative agreement with the university of Kentucky children's hospital at the mettu children's hospital located on pmc's main campus in Pikeville, ky. These new pediatric services bridge the gap to ensure all children and families have adequate access to specialized pediatric care. The capital investment in the children's hospital was more than $6.3 million.the pmc appalachian valley autism (ava) Center is a certified autism Center by the international board of credentialing and continuing education standards spectrum disorder (asd). As the first comprehensive Center of its kind in eastern Kentucky, the ava Center, with locations in Pikeville, ky and prestonsburg, ky, offers applied behavior analysis (aba) therapy, speech therapy, occupational therapy, physical therapy, and feeding therapies for children on the autism spectrum between the ages of 2 and 12. The program strives to identify children at the earliest signs of detection, provide integrated care to support the best possible quality of life for children with asd and their families and help children with asd reach their full potential. The specialized early intervention and treatment provided by the specifically trained therapists at the ava Center have proven effective in increasing communication skills, improving attention, and decreasing problem behaviors. The pmc ava Center Pikeville campus occupies more than 25,000 sq ft of space in the health & well-being learning Center and has the capacity to serve up to 100 learners. A new outdoor sensory activities area has been constructed at the ava Center Pikeville campus, this area contains sensory-friendly play and learning activities to help learners relax and focus, which promotes natural play and the development of social learning skills such as negotiating, planning, and sharing. Adaptive equipment, included in the sensory activities area, designed for children on the autism spectrum also enhances social interactions, communication, motor control and coordination or physical health, which supports the overall therapy process. (continued on sch o)

Oncology services: Pikeville Medical Center's lawson cancer Center (lcc) has the expertise and leading-edge technology to fight cancer today. With capabilities to provide full-service cancer treatment and follow-up care, the lawson cancer Center is one of a select few cancer centers in Kentucky to hold accreditation from the commission on cancer with commendations. Lcc is staffed by expert oncologists, surgical specialists, nurses, pharmacists, patient navigators, and many other highly trained healthcare professionals providing services in a convenient and compassionate setting, allowing patients across the region to receive advanced cancer care close to home. This multidisciplinary approach brings together a diverse group of patient care providers to examine and discuss the patient's diagnosis, Medical history, preferences, and emotional needs to collaborate and tailor specific treatment plans unique to each patient. The lawson cancer Center is located on the pmc main campus which allows enhanced access and convenience for the patient by providing all their services and providers in one location including imaging, diagnostics, chemotherapy, infusion, and radiation therapy; as well as genetic counseling, financial counseling and patient navigation. Having all services in one location allows for not only efficiency for clinicians, but also ease of access for patients, which can improve outcomes. As a result of the increased demand for cancer treatment services, pmc completed an additional 7,085 square feet expansion of the lcc on the main campus to make available 14 private chemo suites, 10 open chemo treatment bays, nursing support space, and additional diagnostic capabilities. The pmc lcc main campus expansion was completed during fy 2023 and totaled $3.7 million.the lawson cancer Center at Pikeville Medical Center is using innovative technology to treat patients whose treatment plans call for radiation therapy. Pmc has purchased and installed two new varian rapidarc true beam linear accelerators and brain lab exactrac dynamic systems. The true beam radiotherapy systems provide a variety of treatment techniques to address a broad range of cancer cases, in addition to allowing pmc to deliver lifesaving radiation two to eight times faster than conventional forms of radiotherapy. The brain lab exactrac system is an all-in-one revolutionary new thermal-surface camera technology that works in tandem with real-time x-ray tracking to achieve submillimetric radiotherapy positioning and monitoring accuracy. Advanced imaging and high precision dosage control with the latest true beam technology that produces a radiation beam that is continually shaped and reshaped according to the size, shape and position of the tumor, protecting healthy, surrounding tissue, ensures radiation delivery conformality with built-in patient safety features that allow clinicians to navigate the complexities of radiation therapy treatment delivery with confidence. The capital investment in the varian true beam linear accelerator and brain lab exactrac equipment, including installation-related renovation totaled more than $8.4 million.

Imaging services:pikeville Medical Center's imaging services division offers some of the most advanced Medical imaging available in the modalities of diagnostic imaging, nuclear medicine, magnetic resonance imaging (mri), computed tomography (ct), positron emission tomography (pet), mammography, and ultrasound. Pmc's imaging services has received three-year accreditation from the american college of radiology, recognized as the gold standard in diagnostic imaging. This accreditation certifies the imaging services division's commitment to image quality, equipment performance, safety standards for staff and patients, quality assurance and quality control programs, as well as strict personnel qualifications for both physicians and technologists. Current diagnostic imaging equipment includes two 3d mammography machines, a digital pet/ct scanner, one 3t mri, two 1.5t mri scanners, two flash ct scanners, two 64 slice ct scanners, three ultrasound units, six general x-ray units and three nuclear medicine scanners.pmc's diagnostic Center provides a location for patients to obtain a full range of advanced outpatient diagnostic imaging services in an "all-in-one" setting for imaging services, lab work, and ekgs with extended service hours and convenient parking. Since opening, the diagnostic Center has gone through several periods of renovation to accommodate new equipment and technology, the most recent of which was completed in 2023. The front lobby of the diagnostic Center was expanded to increase seating capacity for patients and a hologic horizon a bone density scanner was installed to monitor a patient following the administration of certain medications or to measure the success of various treatment techniques. In addition, a newly remodeled breast care area will offer the latest technology in 3d mammography, including the installation of a third 3d mammography system and state-of-the-art ai technology software to rapidly and accurately analyze each 3d mammography image to identify potential cancerous tumors with pinpoint accuracy is scheduled to open during 2024. The total anticipated capital investment in this phase of the diagnostic Center expansion including equipment is $2.1 million.pmc's imaging services has recently reached another milestone by performing the region's first pet scan designed specifically to detect prostate cancer. This latest in pet scan technology utilizing illuccix radioactive isotopes on the newly installed philips vereos digital pet/ct scanner is particularly beneficial to urologists treating patients who are at high risk of or suspected of having prostate cancer by offering an advanced tool to expedite a cancer diagnosis and treatment, leading to improved patient outcomes.during fy 2023 pmc purchased two epiq cvx ultrasound systems, the epiq provides premium 3d echo, delivering an uncompromised level of clinical performance. The systems utilize a leading-edge anatomical intelligence platform designed for the most demanding of cardiology applications, signifying pmc's commitment to continually upgrade technology and equipment to provide specialized, advanced, and comprehensive care in an ever-advancing diagnostic imaging healthcare environment. This equipment investment totaled $507,398.

All other programs: Pikeville Medical Center is a comprehensive healthcare provider of tertiary healthcare services through its licensed 348-bed acute care and inpatient rehabilitation hospital, level ii trauma Center, outpatient diagnostic Center, occupational, physical and speech therapy Center, sleep lab, home Medical equipment, level ii advanced neonatal intensive care unit, cancer treatment Center, and multi-specialty physician practices. Pmc offers more than 400 services, including most major specialties and many subspecialties, which has resulted in pmc being recognized as a regional referral Center throughout central appalachia for smaller community hospitals that have patients with complex needs whom they cannot serve. With more than 3,000 employees and over 400 credentialed providers who represent more than 45 home counties in Kentucky, Virginia and west Virginia; pmc strives to be the provider and employer of choice for healthcare across the region we serve, which includes the eastern Kentucky counties of pike, floyd, johnson, letcher, magoffin, and martin; buchanan county, Virginia; and mingo county, west Virginia. Pmc's recorded total inpatient admissions during fy 2023 of 10,789 and received 2,999 transfers in from smaller hospitals throughout the region during the year.the u.s. bureau of labor statistics projects that employment in healthcare occupations will increase by 15% by 2029, adding more jobs than any other occupational group. Pikeville Medical Center's primary, secondary and tertiary market areas have economically declined over the past decade due to various regulatory and other economic situations adversely affecting the employment rate, this decline has resulted in an outmigration of the region's workforce, creating a shortage of skilled healthcare labor to fill the increasing need for nursing and other skilled clinical staff required to provide care for the aging population of the region. Pmc is a primary driver of the economy within the region it serves and has spearheaded an initiative titled "project heart" (healthcare employment around regional training) to address the growing shortage of a skilled healthcare workforce. Along with an exceptional team of collaborative partners, pmc has developed multiple strategies to increase training, further develop the healthcare workforce and provide career opportunities for as many as possible across the region. Pmc has worked with big sandy community and technical college, galen college of nursing, university of Pikeville elliott school of nursing and american national university to expand campus space and increase class sizes. The university of Pikeville (upike) and pmc have partnered to offer the rural health nursing fellowship program educational opportunity to students eager to pursue a career in nursing, the program allows students to earn an associate degree in nursing from upike and potentially graduate debt-free by making a commitment to work for pmc upon becoming a licensed rn. Pmc has also partnered with the Kentucky community and technical college system (kctcs) to offer the trains program for the positions of patient care technician, Medical office technician, and certified nursing aid; the trains program provides customized training for employers to build and sustain their talent pipeline, at no cost to the student. Additionally, pmc project heart partnered with soar, a regional nonpartisan nonprofit that champions local programs and advocacy for the 54 arc mandated counties in eastern Kentucky, to fill the economic gaps left by the decline of the coal industry. The soar collaborative has resulted in the development and deployment of the eastern Kentucky healthcare action plan to help members of the community learn how to stabilize eastern Kentucky's hospitals and protect our region's future. Pmc invested more than $1.2 million in education assistance relating to project heart initiatives during fy 2023.pmc is a certified Kentucky cabinet of health and family services department of public health level ii trauma Center and has also received level ii trauma verification from the american college of surgeons. Pmc is the only level ii trauma Center in the commonwealth of Kentucky and is the designated hospital for all trauma cases in eastern Kentucky. As a verified trauma Center, pmc is equipped and staffed to provide comprehensive emergency care to patients suffering traumatic injuries. Pmc provides patients 24-hour immediate coverage by trauma surgeons, orthopedic surgeons, neurosurgeons, anesthesiology, emergency medicine, critical care and other surgeons specializing in traumatic injuries. The continuum of care encompasses the pre-hospital phase through the rehabilitation process. Pmc's trauma Center service significantly increases the chance of survival should an individual be seriously injured within the pmc multi-county service area. Pmc provided emergent, potentially life-saving trauma care to 1,173 patients during fy 2023. Pmc's critical care units (ccu) are comprised of 53 total beds in service and staffed by board-certified physician specialists and dedicated staff to provide 24/7 care to patients with a wide variety of severe illness or injury. Pmc has 69 adult ventilators and 35 pediatric/nicu ventilators immediately available for service with 1,454 patients requiring ventilator management during 2023. Pmc is also one of the few hospitals in the state and the only hospital in the region to provide the extracorporeal membrane oxygenation (ecmo) life support. Patients requiring ecmo have a severe, life-threatening illness that prevents their heart or lungs from working properly. This technologically advanced lifesaving machine replaces the function of the heart and lungs, and pumps blood from the patient's body to an oxygenator that works as an artificial lung. Pikeville Medical Center's inpatient physical rehabilitation hospital is a comprehensive program dedicated to helping patients who are disabled by disease or injury. A team of well-trained rehabilitation specialists; including physical, occupational and speech therapists, rehabilitation nurses, case managers, social workers, and dieticians, in addition to, highly skilled, board-certified physical medicine physicians help patients achieve their greatest level of independence possible based on their physical and mental abilities. The 20-bed inpatient rehabilitation facility offers a full range of intensive rehabilitation services for ill and injured patients, allowing those patients to remain close to home and family while receiving rehabilitative care. The 23,000 square foot facility is designated exclusively for rehabilitation use, including a dining hall, fully equipped kitchen, laundry facilities, an apartment-like room to practice daily living skills, and a therapeutic gym with unique equipment specifically suited for patients working to regain motor functions from injury or illness, such as stroke.pmc's neonatal intensive care unit (nicu) is a licensed 16 bed level ii advanced care facility that provides around-the-clock care for newborns who require intensive nursing and Medical care. As the only level ii advanced nicu in the region, pmc neonatologists and staff are trained and equipped to care for babies born as early as 28 weeks in the mother's pregnancy. Having this specialized service at pmc allows many families to stay close to home and close to their newborns while receiving compassionate care from the team of specialized Medical providers. The pmc nicu had 124 newborn admissions and 2,369 patient days of care during fy 2023.the pmc specialty pharmacy is proud to be the only specialty pharmacy in the region accredited by both accreditation commission for health care (achc) and the utilization review accreditation commission (urac). Specialty drugs generally require special administration and are defined as expensive medications used to treat conditions such as cancer, rheumatoid arthritis, and multiple sclerosis. Specialty prescriptions are sometimes difficult to navigate for those who need them the most and pmc is committed to assisting patients through this process. Prior to pmc opening the specialty pharmacy, patients often had to search for ways to receive their specialty medication. Now, a team of dedicated professionals at pmc assists patients with prior authorizations and insurance questions in addition to dispensing the specialized medication. Pmc utilizes efficient procedures, overnight shipping, and medicine delivery to expedite the process, allowing patients to receive needed specialty medication more quickly. Pmc's specialty pharmacy filled 9,121 prescriptions during fy 2023, nearly twice the volume of the prior year. (continued on sch o)