1) The document is an annual report and agenda from the District of Columbia Hospital Association that honors the heritage of DC hospitals in serving the capital for over 150 years since the US Civil War. 2) It discusses how DC hospitals evolved from temporary facilities during the Civil War to treat overwhelming numbers of wounded soldiers to modern hospitals. 3) The DCHA advocates on behalf of DC hospitals to ensure quality care for residents and visitors, and addresses issues like Medicaid reimbursement rates, nurse staffing ratios, and United Medical Center.

1. Annual Report 2014
Agenda 2015-2016
Honoring Our Hospitals’ Heritage in Serving the Nation’s Capital for Over 150 Years

2. Kurt Newman, MD
Chair
President/Chief Executive Officer
Children’s National Health System
Richard O. Davis, PhD
Chair-Elect
President
Sibley Memorial Hospital
Barry Wolfman
Secretary
Chief Executive Officer/
Managing Director
George Washington University
Hospital
Charles J. Baumgardner
Treasurer
Chief Executive Officer/
Managing Director
Psychiatric Institute of Washington
Richard Goldberg, MD
Immediate Past Chair
President
MedStar Georgetown University
Hospital
Robert A. Malson, Esq.
President
District of Columbia Hospital
Association
Jim Linhares
Chief Executive Officer
BridgePoint Hospital Capitol Hill
Kevin Chavez
Chief Executive Officer
BridgePoint Hospital Hadley
James Edwards
Chief Executive Officer
Howard University Hospital
John Rockwood
President
MedStar National Rehabilitation
Hospital
John Sullivan
President
MedStar Washington Hospital
Center
Amy Freeman, RN
President/Chief Executive Officer
Providence Hospital
Beth Gouse, PhD
Interim Chief Executive Officer
Saint Elizabeths Hospital
Brian Hawkins
Medical Center Director
Veterans Affairs Medical Center
Andrew L. Davis
Interim Chief Executive Officer
United Medical Center
At-Large
Board Members
Julius Hobson, Jr.
Senior Policy Advisor
Polsinelli
John Lynch, MD
Physician
Roderic Woodson, Esq.
Partner and Co-Chair, DC
Practice
Holland & Knight, LLP
The District of Columbia houses some of the most prominent hospitals and
health care systems in the nation, and they were indelibly shaped by the U.S.
Civil War. 2015 marks the 150th anniversary of the end of the Civil War with
General Lee’s surrender at Appomattox.
Prior to the War, there were five hospitals in existence in the District and they
were vastly different than the hospitals of today. At that time, hospitals were for
those without family to care for them or the means to pay for in-home visits from
physicians. Hospitals frequently included jails and workhouses.
Initially, many assumed the war would be easily won by the Union Army. But
in 1861, the Battle of Bull Run showed the Civil War would not end quickly.
To care for the overwhelming number of wounded soldiers and civilians, the
government turned churches, businesses and houses in Washington into hospitals.
During the War, the District housed 53 hospitals, including two thousand cots
on the floor of the Capitol Building.
Following the War, hospitals as we know them began to emerge. This Annual
Report celebrates the heritage of the District’s hospitals’ evolution from the Civil
War, and continued service to the patients in our Nation’s Capital.
Since its inception in 1978, the District of Columbia Hospital Association
(DCHA) has advocated on behalf of the District’s hospitals to ensure they are
able to thrive and provide residents and visitors of the District of Columbia with
the world-class care they deserve. We partner with agencies and legislators to
develop policies that have a positive impact on our patients and our hospitals.
With the continued changes in health care nationally, DCHA’s member hospitals
are collaborating with each other and key stakeholders across the District to
Letter from
Board Chair and President
“All the District’s hospitals
were created to meet the
changing needs of the city’s
varied citizens…”
raise quality and safety for all patients and their
workforces. DCHA member hospitals will achieve
this goal through a commitment to innovation,
collaboration and a focus on District-specific
issues and challenges.
Kurt Newman, MD
Chair
1
Robert A. Malson, Esq.
President and CEO
DCHA
Board of Directors
DCHA Staff
Robert A. Malson, Esq.
President
Dr. Jo Anne Nelson
Executive Vice President and
Chief Quality Officer
Valerie A. Parker
Chief Administrative Officer
Justin J. Palmer, MPA
Chief Government Relations and
Health Policy Officer
Jacqueline Reuben, MPH
Chief Epidemiology Officer
Brendan Sinatro, MPH
Chief Patient Safety Officer
NaTasha Williams
Professional Staff Member
JR Meyers, JD
Chief Government Relations
Consultant
Renee DuBiel, CPA
Chief Financial Consultant

3. • AmeriHealth Caritas District of
Columbia
• Aquilla Recovery
• Bank of Georgetown
• CareFirst BlueCross BlueShield
• D.C. Primary Care Association
• DECO, LLC
• Delmarva Foundation of the
District of Columbia
• Dixon Hughes Goodman
• Epstein Becker & Green, PC
• Jackson & Campbell, PC
• LifeStar Response
• Medical Society of the District
of Columbia
• MedStar Health
• Ober, Kaler, Grimes & Shriver
• Perkins+Will
• Polsinelli
• Powers, Pyles, Sutter & Verville, PC
Associate Members
Founded in 1978, the District of Columbia Hospital Association
(DCHA) is a non-profit organization whose mission is to
provide leadership in improving the health care system in the
District of Columbia, advocating for the interests of member
hospitals as they support the interests of the community.
William P. Powell, Jr. was one of the first of only thirteen African American doctors to
contract with the Union Army as a surgeon. Of the thirteen, only two received military
commissions. The balance were private physicians hired as contract surgeons.
Dr. Powell was assigned to the Contraband Hospital under the leadership of Major
Alexander Augusta in May 1863, who later became the Chief Executive Officer of
Freedman’s Hospital.
Mission
32
• Qualis Health
• Southeastrans, Inc
• Stericycle
• The Chappelle Group
• The Meyers Group LLC
• Trusted Health Plan
• Turner Construction Company
• Unity Health Care, Inc.
• Washington Regional Transplant
Community
• WasteStrategies LLC
• Wingate, Carpenter & Associates, P.C.
Contraband Hospital, c. 1862
Originally called Camp Barker, a swampy plot
of land located at 12th, 13th, R and S Streets
N.W. became known as Contraband Camp.
The Union Army constructed one-story frame
buildings and tents to house and provide care
for escaped slaves and black soldiers.
In May 1863, the appointments of Major
Alexander Augusta as surgeon-in-charge and
Dr. William Powell as assistant surgeon
marked the first time African Americans
served in leadership positions in a hospital in
the United States.
The hospital moved several times, eventually
establishing itself at Campbell Hospital and
becoming Freedmen’s Hospital.
To this end DCHA will:
• Represent and advocate for its member
hospitals;
• Provide a forum to solve common
problems and achieve common goals;
• Assist its members to meet community
health care needs; and
• Encourage health services research and
education.
The Association has been in the forefront of the debate on
a wide range of national health issues, and locally, DCHA
works closely with government and non-government officials
to meet community health needs.

4. Fighting Harmful Nurse Quota Legislation
On March 3, 2015, five members of the Council of the
District of Columbia introduced legislation that, if passed,
would cause great harm to hospital operations by imposing
strict nursing quotas on hospitals. Since 2013, when ten
councilmembers introduced similar legislation, DCHA has
worked to educate policy makers about the legislation’s
potential for adverse impacts on hospital operations and
flexible staffing. All District hospitals currently have staffing
models in place, carefully crafted to ensure safe, high-quality
care. These models
continuously adjust
staffing based on
patient need and the
experienced judgment
of nurses at the
bedsides of patients.
Storehouse, U.S. Sanitary
Commission, 15th and
F Streets NW, April 1865
F Street NW became a
center for medicine,
during and following the
war. Georgetown University
founded the School of
Medicine in 1851, which
was housed in a building
on F and 12th Streets NW
from 1851 to 1868.
President Abraham
Advocacy
Under current models, staffing is a collaborative process,
providing a care team with critical flexibility and opportunity for
innovation. The mandated, fixed ratio outlined in the proposed
legislation prohibits that flexibility and innovation. Furthermore,
there is no evidence supporting the assumption that mandated
staffing ratios improve quality of care. The District must stay
focused on implementing thoughtful, sustainable and proven
solutions if we are to continue to make significant improvements
in health care. DCHA will collaborate with legislators and our
regulatory partners to oppose mandated ratios and ensure
hospitals continue providing safe, high-quality care.
Medicaid Hospital Reimbursement
Methodologies
In 2014, the DC Department of Health Care Finance (DHCF)
sought and implemented new Medicaid reimbursement
methodologies for acute care and non-acute care hospitals.
As part of this methodology update, DHCF is transitioning
hospital inpatient reimbursements to an All Patient Refined
Diagnosis-Related Group system, a comprehensive system that
was designed to account for all payers, patients and ages.
Additionally, the Department is implementing the Enhanced
Ambulatory Patient Grouping system from 3M for outpatient
services.
DCHA will ensure that the implementation of these methodologies
is consistent with the modeling produced during consideration
of the proposed methodologies, and that they do not yield
unexpected, adverse effects on hospital payments or the
District’s budgets.
Eliminating the Bed Tax
In 2010, as a result of budget shortfalls, Mayor Adrian Fenty
began imposing an ever-increasing bed tax on hospitals to
preserve the District’s Medicaid program and prevent sharp
reimbursement reductions. DCHA fought to ensure an end to the
bed tax, and successfully worked with District leaders to ensure
the sunset of the bed tax at midnight on September 30, 2014.
By the end of the tax period, hospitals in the District paid
$55.4 million in bed taxes.
Increasing Reimbursement Rates
Working with the Department of Health Care Finance and the
Mayor’s office, DCHA was able to secure the first increase in
outpatient reimbursement rates in more than a decade. In
FY13, the outpatient reimbursement rate was 49% and was
raised for FY15 to 77%. With the 28% increase, the District’s
hospitals still lose, on average, $0.23 of every $1 spent on
delivering outpatient care.
In order to increase reimbursement rates to near cost, DCHA, in
cooperation with the executive and legislative branches of the
District Government, is seeking a provider fee mechanism.
Through this mechanism (which is already in effect in 38 states),
the District’s hospitals contribute to the District’s Medicaid budget,
which increases the amount of matching Federal Medicaid
funds that the District receives. This, in turn, enables the District
to strengthen the Medicaid program for its beneficiaries and
supplement insufficient hospital outpatient reimbursements.
Facilitating the ICD-9/ICD-10 Transition
Hospital billing begins with proper coding of procedures or
services performed. That coding is changing due to a federally
mandated transition to a new, more detailed set of billing
codes. Given the October 2015 transition deadline, DCHA
maintains a sense of urgency to support hospitals in managing
this transition.
DCHA has worked with the hospitals and our associate members
to identify various vendors who may be able to make the
process easier and less expensive for our members. DCHA has
partnered with the Medical Society of the District of Columbia
and the New Jersey Hospital Association to offer ICD-10
coding workshops for specialty specific practices throughout
2015 to assist District providers though this complex transition,
and we will work with the Department of Health Care Finance
Lincoln’s doctor, Robert King, lived and housed his medical office at the
corner of F and 14th Streets NW, the headquarters for the Medical Society
of the District of Columbia was built on F Street near the corner of 10th
Street NW in 1868, and Children’s Hospital opened in a twelve-bed facility
on F at 13th Street NW in 1870.
54
U.S. Sanitary Commission
Group, c. 1865
A non-profit, volunteer
organization, the U.S.
Sanitary Commission
provided support to the
military and built hospitals
during the Civil War.

5. Dr. Charles Leale, c. 1865
Dr. Leale was the first surgeon
to arrive at Lincoln’s box in
Ford’s Theater following the
shooting by John Wilkes Booth.
A 23-year-old surgeon, he was
in charge of the Wounded
Commissioned Officers' Ward at
the United States Army General
Hospital in Armory Square and
had graduated medical school
just six weeks earlier.
Dr. Carlos Carvallos,
c. 1862
Carlos Carvallo, MD was the
head of Douglas Hospital and
later appointed U.S. Assistant
Surgeon in 1867. He wrote an
account of his service called
Ten Days in the Army of the
Potomac. Researchers from
the Smithsonian Institution
discovered around 2010 that
he is buried in the Causten
Vault in the Congressional
Cemetery on Capitol Hill.
Douglas & Stanton
Hospitals, c. 1864
and the Medicaid Managed Care Organizations to facilitate a
smooth transition to ICD-10.
Protecting Access to Care at the United
Medical Center (UMC)
UMC is the only acute care hospital east of the Anacostia River
and serves the residents of wards 7 & 8 along with their neighbors
in Maryland. The District has invested heavily in the facility
both before and after the city purchased the hospital July
2010. The President of DCHA holds a seat on the hospital’s
Board and has collaborated with the hospital’s CEO, other
Board members and various public officials to successfully
stabilize the hospital’s operations and finances.
The District government is currently in the process of deciding
the future of the hospital. To this end, the District engaged a
consulting firm to develop and implement a plan to turnaround
the hospital’s finances. DCHA will remain involved in the
citywide conversation regarding the future of the hospital.
Fair Criminal Record Screenings Act
The Council of the District of Columbia explored ways to
address the reintegration of the growing number of ex-offenders
returning to the city. On January 7, 2014, Councilmember
Tommy Wells introduced the Fair Criminal Record Screening
Act of 2014. The bill prohibited employers from asking about
criminal history on an employment application, and only
permit criminal history questions after a conditional offer is
extended.
During the bill’s consideration, the District’s hospitals emphasized
their responsibility to provide care for countless District
residents from all walks of life with two things in common: they
are sick and they are in need. Working with the Council,
DCHA successfully spearheaded efforts to exempt facilities
providing direct care to minors and vulnerable adults from this
legislation in recognition of the especially vulnerable populations
they serve.
Minimizing Medicare & Medicaid
Disproportionate Share Hospital (DSH)
Funding Reductions
The Medicare and Medicaid DSH programs were designed to
provide vital financial support to hospitals that serve high
volumes of poor patients. Under the assumption that expanding
Medicaid and access to affordable insurance would reduce the
number of uninsured individuals accessing hospital care, the
Patient Protection and Affordable Care Act (ACA) called for
reductions in DSH payments. Unfortunately, the ACA also
allows states to expand
Medicaid at their discretion,
which jeopardizes the
ability of the law to reduce
the number of uninsured.
DCHA successfully advocated for Department of Health Care
Finance to fully fund the DSH program in 2014 and 2015,
and is committed to do so in the future.
Preserving Access to Institutions for Mental
Disease
For the past three years, DCHA member hospitals have been
able to transfer Medicaid Fee-for-Service patients who present
in their emergency departments (ED) and who need to be
hospitalized with a psychiatric disorder to Institutions for
Mental Disease (IMD) under a Federal Demonstration
Program. Unfortunately, this federal program ended on
April 30, 2015.
The program was created to enable health care facilities to
refer patients in the age group 21-64 with Fee-for-Service
Medicaid to free-standing psychiatric hospitals. Prior to this
program, free-standing psychiatric facilities were not
reimbursed due to a law created in the 1960s. As a result of
the completion of the program, our member hospitals are no
longer able to use IMDs as a resource to reduce the burden
on their EDs.
Even with this program, District hospitals have experienced
a significant increase in ED visits involving psychiatric
conditions creating significant placement delays and
overcrowding. DCHA and its members are concerned that
without the ability to refer these patients to IMDs our hospitals
will experience further over-crowding in their emergency
departments and lengthy delays for placements. Deputy
Mayor for Health and Human Services, Brenda Donald, is
working with our member hospitals to quantify the impact,
laying the groundwork for requesting a waiver from the
Centers for Medicare and Medicaid Services in the future.
76

6. Prior to the Civil War, there were no trained female nurses in the
United States. Military and societal protocols prohibited women from
field hospitals, though the increasing number of casualties created a
demand that required change. It is estimated that between
2,000-5,000 women volunteered.
Nursing was a gruesome job during the War, between a lack of
medical professionalism and primitive facilities. Early in the War,
women showed up at field hospitals to help. Following the Battle of
Bull Run in July 1861, Clara Barton and Dorothea Dix organized
a nursing corps.
Dorothea Dix, c. 1853
Dorothea Dix, a pioneer in reforming treatment for mental
illness, staged a march on Washington in April 1861 to demand
the government allow women to help Union soldiers. Soon after,
she was named Superintendent of Female Nurses for the U.S.
Army by Secretary of War Simon Cameron. Known for her
exacting standards, she was also compassionate and giving. Dix
and her nurses cared for Union and Confederate soldiers alike.
Clara Barton, c. 1863
Clara Barton worked at the U.S. Patent Office when the war
broke out. Acting on her own, she began to appear on
battlefields with clothing, medicine and supplies to nurse the
sick and wounded soldiers. She was nicknamed ‘Angel of the
Battlefield’, and in 1881 she founded the American Red Cross.
Hannah Ropes, Louisa May Alcott and the Union Hotel Hospital,
M and 30th Streets NW
A native of Maine, Hannah Ropes became Matron of the Union Hotel
Hospital in Georgetown in 1862. Known as a reformer and abolitionist
before the war, she used her social standing and connections to procure
supplies and necessities for the wounded soldiers. The Hotel, a tavern
hastily converted to a hospital like many of the buildings in the city, had
appalling conditions and she frequently butted heads with the military and
the hospital’s physicians.
Louisa May Alcott worked briefly at the hospital, and achieved literary
success with Hospital Sketches, a collection of letters she sent home where
she described her experience, including the mismanagement of the hospital
and the callousness of some of the surgeons. She described Matron Ropes as
bringing “… more comfort to many a poor soul, than the cordial draughts
she administered, or the cheery words that welcomed all, making of the
hospital a home.”
In January 1863, both women contracted typhoid pneumonia. Following
Matron Ropes’ death on January 20, Ms. Alcott returned home to Boston
and a lengthy recovery.
The Inestimable
Contribution of Nurses
98

7. The Board Quality Initiative capitalizes on hospital-specific efforts to raise quality while building collaborative networks among the
city’s key stakeholders that serve our patient populations. The primary goal is to improve outcomes while lowering costs.
The Board Quality Initiative starts with identifying and addressing specific issues unique to the region – while the District of Columbia
is compared to other states, we are a city with a broad diversity and disparity in both our hospitals and patient populations. Unlike
other states, all of our member hospitals are surrounded by hospitals located in two other states only a few miles, if not blocks,
away.
DCHA hospitals chose two areas of focus for working collaboratively to raise quality – behavioral health and heathcare-associated
infections.
Behavioral Health
Nationally, years of cuts to funds for behavioral health care have created a system in which patients fill emergency departments
(ED), rather than a medically appropriate facility. According to the American Hospital Association, mental health and substance
abuse account for 4% of ED visits, with almost 5.5 million visits per year.
In the District, the increase of ED patients seeking narcotic medications and those with complex psychosocial issues, e.g. homelessness
coupled with medical, psychiatric and substance abuse disorders, is creating a strain on member hospitals, their medical teams,
and patients. The results include repeated inpatient readmissions, disruption of care delivery, delayed patient discharge processes,
as well as the negative impacts on the patients, their families and the community.
DCHA and hospital members have created a cross-functional workgroup with medical directors, psychiatrists, psychologists, nursing
staff, case managers, social workers, and key stakeholders in the community. The workgroup is focused on solving District-specific
issues to reduce mental health readmissions and improving clinical outcomes.
Board of Directors’
Quality Initiative Healthcare-Associated Infections
Healthcare-associated infections (HAIs), those acquired during
treatment in a health care setting for a different condition,
result in increased costs and risks for patients and health care
providers. Nationally, organizations like the Centers for
Disease Control are increasing their focus on multi-drug
resistant organisms (MDRO).
Each year, over 2,000,000 infections occur from MDROs
with over 23,000 deaths. Carbapenem-resistant
Enterobacteriaceae (CRE), kills up to half of the people with
bloodstream infections.
District hospitals are committed to improving and optimizing
infection control and strategies for surveillance, prevention,
and control of healthcare-associated infections and multi-drug
resistant organisms. They are working together and with
multiple stakeholders to focus efforts and leverage best
practices to improve outcomes.
A collaborative hospital-wide Hand Hygiene Initiative has
been implemented to improve existing hospital efforts in
promoting and monitoring hand hygiene with the intended
outcome of reducing HAIs. DCHA, Delmarva Foundation
Washington, D.C., the Association for Professionals in
Infection Control and Epidemiology and the Department of
Health have formed a HAI Collaborative with the intention
of focusing efforts to design and implement initiatives and
improve infection control.
In 2015, member hospitals, District nursing facilities, the DC
Public Health Laboratory and the Department of Health
agreed to implement a point prevalence study to learn more
about CRE in our local population and patients. With this
study, and future efforts, these healthcare teams hope to learn
more about the scope of the challenge CRE presents locally,
the type of strains present, best treatments available for those
strains, and more about the transmission and prevention of
transmission and eradication of the organisms within our
healthcare facilities.
Ambulance Shop, Harewood Hospital, 1863
1110

8. Testimony in support of PR20-0523, the “Director of the
Department of Health Joxel Garcia Confirmation
Resolution of 2013” – The Committee on Health,
Councilmember Yvette M. Alexander, January 8, 2014
Letter providing comments on the “Fair Criminal Record
Screening Act of 2014” – The Committee on the Judiciary
and Public Safety, Councilmember Tommy Wells, February
17, 2014
Letter providing comments on the performance of the
Department of Health Care Finance in FY14 – The
Committee on Health, Councilmember Yvette M.
Alexander, March 8, 2014
Testimony for the Department of Health Care Finance’s FY15
Budget as submitted by the Mayor – The Committee on
Health, Councilmember Yvette M. Alexander, April 29, 2014
Letter providing comments on the Board of Pharmacy’s draft
proposed regulations concerning pharmacy technicians
– Daphne Bernard, PharmD, Rph, Chairperson, Board of
Pharmacy, May 29, 2014
Plan of the City of Washington,
Pierre Charles L’Enfant, 1792
View from U.S. Capitol, Armory Square Hospital (center) and Tiber Creek (Washington City Canal), 1863
Originally conceived as part of the L’Enfant Plan for the city of Washington, the canal was intended to be a key artery connecting the Potomac and
the Eastern Branch of the Potomac (Anacostia River) to the city center. The canal started at 17th Street NW and traveled along the Mall in front of
the White House, to the front of the Capitol Building, and turned south at 3rd Street toward the Anacostia. By the Civil War, the canal had become a
health hazard, with public buildings, including the White House and the Capitol, dumping its waste into it. The poet, Walt Whitman, called the canal
a ‘fetid bayou…reeking with pestilential odors.’
Typhoid, malaria and dysentery were the leading diseases of the war, due to both the lack of sanitation inside the hospitals and the surrounding areas.
By 1880, much of the canal had been covered. A stone lockkeeper’s house still stands at 17th Street and Constitution NW where a branch of the C & O
Canal connected to the Washington City Canal.
Testimonies and Comments
Testimony on B20-0289, the “Clinical Laboratory Practitioners
Amendment Act of 2013” – The Committee on Health,
Councilmember Yvette M. Alexander, July 2, 2014
Letter providing comments on B20-0757, the “Wage
Transparency Amendment Act of 2014” – The Committee
on the Judiciary and Public Safety, Councilmember Tommy
Wells, July 8, 2014
Letter commenting on B20-0573, the Sustainable DC
Omnibus Act of 2013 – The Committee on Transportation
and the Environment, Councilmember Mary M. Cheh,
July 10, 2014
Testimony on B20-646, the “Medical Imaging Assistants
Amendment Act of 2014” – The Committee on Health,
Councilmember Yvette M. Alexander, October 9, 2014
Letter committing the Association’s support to Mayor-Elect
Muriel Bowser’s mayoral transition – The Health, Human
Services & Homelessness Committee, Transition Office of
Mayor-Elect Muriel Bowser, Laura Meyers & Louvenia
Williams, Co-Chairs, December 2, 2014
Testimony on the Proposed Merger of Pepco Holdings, Inc.
and Exelon – Public Service Commission of the District of
Columbia, December 17, 2014
1312

9. Government Relations/Financial Policy
The Government Relations/Financial Policy Committee develops DCHA’s positions on legislative and financial policy matters before
the legislative or executive branches of the District government, advises on federal issues of interest, and monitors financial issues
that affect hospitals.
DCHA Staff: Justin Palmer, Chief Government Relations and Health Policy Officer
Co-Chair: Ruth Pollard, AVP Community Network and Government Relations, Providence Hospital
Co-Chair: Aarti Subramanian, Director of Government Affairs and Business Development, Psychiatric Institute of Washington
Human Resources
The Human Resources Committee looks at hospital employment issues, with special attention to health professional shortage
concerns, as well as licensure and regulatory difficulties.
DCHA Staff: Justin Palmer, Chief Government Relations and Health Policy Officer
Co-Chair: Matthew Lasecki, Vice President, Human Resources, Providence Hospital
Co-Chair: Queenie Plater, Vice President, Human Resources for the Johns Hopkins Medicine Community Division
Infectious Disease/Infection Control
The Infectious Disease/Infection Control Committee evaluates the latest scientific and medical positions on viral and biologic threats
and diseases, and develops response recommendations and protocols for the region.
DCHA Staff: Dr. Jo Anne Nelson, Executive Vice President and Chief Quality Officer
Co-Chair: Angella Browne, Infection Control Specialist, Howard University Hospital
Co-Chair: Mary McFadden, Director, Infection Control, MedStar Georgetown University Hospital
Committees
Harewood Hospital, c. 1862, was located on 7th Street NE on the
farm of W.W. Corcoran, founder of the Corcoran Gallery of Art.
Information Resources and Planning
The Information Resources and Planning Committee sets the
policies for the DCHA Patient Data Program and data releases
to government and other entities.
DCHA Staff: Dr. Jo Anne Nelson, Executive Vice President and
Chief Quality Officer
Co-Chair: Paul Shapin, Assistant Vice President, Information
Services MedStar Health
Co-Chair: Christine Stuppy, Vice President, Strategic Planning,
Community Division, National Capital Region, Johns Hopkins
Medicine
1514
Medical Directors
The Medical Directors Committee oversees clinical policy
concerns, patient safety efforts, physician licensure and other
related issues.
DCHA Staff: Dr. Jo Anne Nelson, Executive Vice President
and Chief Quality Officer
Co-Chair: Gary Little, MD, Medical Director, George
Washington University Hospital
Co-Chair: Lawrence Ramunno, MD, Vice President of
Medical Affairs and Chief Medical Officer, Sibley Memorial
Hospital
Quality and Patient Safety
The Quality and Patient Safety Committee focuses on a broad
range of issues—including health care quality, patient safety,
measuring outcomes and public reporting of results—to
elevate the quality, safety, efficiency and effectiveness of
patient care.
DCHA Staff: Dr. Jo Anne Nelson, Executive Vice President
and Chief Quality Officer
Co-Chair: Lisbeth Fahey, RN, MSN, Executive Director,
Performance Improvement, Children’s National Health System
Co-Chair: Judith Zdobysz, Quality Manager, MedStar
National Rehabilitation Hospital

10. U.S. Capitol Under Construction, 1860
The U.S. Capitol was turned into a hospital in 1862 from September to November with over two thousand cots in the Rotunda and the
House and Senate chambers. A section of the U.S. Patent Office was used as a hospital from October 1861 to March 1863, and a hospital,
set up on the grounds of the White House south of the Mansion, was called the Reynolds Barracks Hospital.
Acknowledgements
Angel Price • BlackPast.org • Carlton Fletcher • Civil War Saga • Civil War Washington • Civil War Women
History Net • Library of Congress • National Archives • U.S. National Library of Medicine
16
DCHA Financials
Notes:
1. The audited financial statements "fairly represent, in all material respects, the operations and financial condition of the District of Columbia Hospital Association."
2. The District of Columbia Hospital Association maintains a system of internal accounting controls and procedures to provide reasonable assurance that assets are
safeguarded and that transactions are authorized, recorded and reported properly. The system of internal safeguards is characterized by a control-oriented environment
that includes written policies and procedures, careful selection and training of personnel, and audits by a professional accounting firm.
3. The 2014 audited financial statements were accepted by the DCHA Board of Directors on July 23, 2015.
2010
$3.16M
2011
$4.17M
2012
$2.17M
2013
$2.50M
2014
$2.88M
0
$0.5M
$1M
$1.5M
$2M
$1.33M
$1.09M
$1.74M
$1.09M
$0.33M
$0.01M
$0.83M
$0.95M
$0.72M
$0.83M
$0.72M
$0.83M
$1.70M
$0.95M
$1.52M
Member Services
General and Administrative
Special Programs
Operating
Expenses
Hospital Dues
Associate Member Dues
Special Programs and Grants
Interest Income
Revenue
2010
$2.96M
2011
$3.89M
2012
$2.25M
2013
$2.53M
2014
$2.94M
0
$0.5M
$1M
$1.5M
$2M
$2.5M
$1.74M
$1.24M
$0.06M
$1.64M
$0.03M
$0.05M
$0.68M
$1.79M
$0.053M
$1.69M
$0.05M
$2.14M
$0.047M
$0.49M
$2.40M
$0.01M
$0.01M
$0.01M
$0.01M
$0.45M

11. 1152 15th Street NW
Suite 900
Washington, DC 20005
Phone: 202.682.1581
Fax: 202.371.8151
www.dcha.org