Report to the Community
2013
Key accomplishments 3 Putting patients first 5 Community connections 6 TMH financials 7The Memorial Hospital Medical Clinic
The Memorial Hospital Rehabilitation Center
Administration
John RossfeldChief Executive Officer
Tim Howard
Interim Chief Financial Officer
Beka Warren, RN
Chief Quality Officer
Jennifer Riley
Chief of Marketing and Business Development
Jill Spencer
Chief Human Resource Officer
Dr. Scott Ellis
Chief Medical Officer
Terri Jourgensen, RN, BSN, OMS
Clinic Practice Administrator
Chris Kalinowski, RN
Interim Chief Nursing Officer
Board of Directors
Don Cook, ChairForrest Luke, Chair Elect
Todd Jourgensen, Secretary/Treasurer
Gary Ellgen Cathrine Blevins Don Myers Alman Nicodemus
Department Leaders
Denise Arola Controller Amy Knights, RN, WCCDiabetes and Wellness Education
Katrina Geis Diagnostic Imaging/Cardiopulmonary Services Elizabeth Metcalf, RN Emergency Department Richard Nichols EMS Cindy Archuleta Environmental Services David Mucha Facilities Engineering Cindy Simpson Dietary Services Mary Hammond
Health Information Management
Kristine Cooper
Laboratory
Luke Schneider
Management Information Systems
Gerard Geis
Materials Management
Wendy Furman, RN, WCC
Patient Care Planning
Kyle Miller, PharmD
Pharmacy
Luke Geer, PT, DPT
Physical Therapy and Rehabilitation
Sandra Chamberlain
Revenue Cycle
Annette Saylor, RN
Surgical Services
We are proud to announce that we’ve once again earned the Joint Commission’s Gold Seal of Approval® for accreditation
in 2013! We voluntarily met national standards for healthcare quality and safety, which means you can rest easy when you or a loved one stays with us.
John Rossfeld, CEO
2013 was a year of growth for The Memorial Hospital. We continued to move forward with our goal of adding more services and providers for our patients, as well as expanding our community connections and education efforts.
Our driving goal has always been to provide a high quality care experience for patients. With that goal in mind, we made several improvements in 2013. In upcoming pages, you’ll read about our new electronic health record system in the Emergency Room that allows us to quickly access your health information so we can provide fast, efficient care. Hiring a nurse navigator for our women’s health services and cancer patients, and starting a suction clinic for young babies who need respiratory support, were also key accomplishments. Upon community request, improvements were also made in the way we deliver and bill our medical clinic and laboratory services.
In 2013, we provided over 17,000 direct patient care experiences in the hospital alone, with several thousand more at our medical clinic and physical therapy and rehabilitation center. In addition, we ran over 65,000 lab tests and completed over 5,000 radiology scans. You can read more on the breakdown of provided services in later pages.
Going forward, it is our sincerest desire to continue listening to you, the patient, and to meet and exceed your expectations of care. We are pleased that many of you have given us high marks in many areas. We’ve also taken to heart your requests for specific improvements that will make your stay even better. We look forward to a successful 2014.
In health and wellness, John Rossfeld, CEO
Words from the CEO
Mission
To improve the quality of life for the communities we serve through patient-centered care and service excellence.
Vision
To be the hospital of C.H.O.I.C.E. for patients, physicians and employees.
Values
C.H.O.I.C.E. - Compassion, Humility, Ownership, Integrity, Commitment, Excellence
2
Full-Time Staff Physicians
Volunteers
7
23
Nurses Employees64
223
**1: Family Medicine, 2: Pediatrician, 2: OB/GYN, 2: General Surgeon
Increased patient satisfaction with hospital
stays
TMH continues to see increased patient satisfaction with our in-house doctors, or hospitalists. Our hospitalists, board-certified physicians who specialize in hospital medicine, are in house 24/7 and always available to staff, patients, and families.
How hospitalists benefit patients:
Decreased wait times for transfer from ED to Inpatient floor
Lowered wait times for adjustments to pain medicines
Decreased physician response times for critical events
Improved Emergency Department
In 2013, several improvements were made in the Emergency Department, including:
• Implemented ePowerDoc, an electronic heath record
system, that allows staff and doctors to access
patient information in a more timely manner. In addition, physician orders are input directly into the system allowing departments like lab
and radiology to access them quickly. This means decreased wait times for patients.
• Increased staffing in the department to ensure patient care happens quickly and efficiently. This included hiring manager, Elizabeth Metcalf, RN. Elizabeth’s extensive experience in emergency department care will benefit staff and patients.
• Treated an average of 470 patients per month. Recently, TMH hired two fulltime ED physicians and is looking to hire another, bringing the total to four.
Created Nurse Navigator
Program
In order to provide exceptional care, TMH added a nurse navigator to its staff. Jackie Smith, RN, works with cancer patients out of Women’s Health Services. When a patient receives a cancer diagnosis, she is there to help them navigate their questions, decisions and resources from diagnosis to treatment to recovery. Women’s Health Services took on a “sweeter” approach to care including scents, soft music, low lighting and chocolate.
Implemented the Suction
Clinic
At the suggestion and direction of TMH Pediatrician Kelly Follett, parents can now bring their babies to the TMH Suction Clinic for deep suctioning to ease the symptoms of respiratory illness. A respiratory therapist evaluates and treats the child to ensure healthy breathing. The clinic is
open 24 hours a day, 7 days a week. Parents visit their doctor and get a prescription for the clinic. It can be used up to 4 times a day for a week, no appointment needed. The cost is much cheaper than an ED visit and is billed to insurance.
Enhanced Employee Input on Patient Care
As part of a journey to become patient-centered in every aspect of care we deliver, we asked at every level: What is in the best interest of the patients? How can we better serve patients? We went to those who know best, our employees. We have a large board in our hospital main hallway where employees, patients, families and visitors post suggestions on increasing patient safety and enhancing their care experiences. We’ve implemented some incredible changes to best serve our patients.
Key Accomplishments in 2013
3
1
2
“We are thrilled to have a group of dedicated, full-time ED physicians on staff. They are invested in TMH, and invested in people in our community.”
– Elizabeth Metcalf, RN, ED Manager
“Nurse navigators offer support at every step of the cancer experience. I am there after a woman is diagnosed and receives the news from her doctor. She hears she has cancer and thinks what now? I help answer that question and others, assuage her fears and help her understand the multitude of treatment options.” – Jackie Smith, RN, Nurse Navigator 4 3 5 OuTPATIENT SERVICES AT TMH 65,905 lab procedures 9,544 physical therapy treatments 5,656 ER Visits 5,695 radiology procedures 1,270 surgeries and scopes
Quality Efforts & Successes
TMH
National Average
4
Did you know that TMH’s
infection-free rates are much HIGHER than
the national average?
99%
96%
We take pride in keeping you safe.
How We Compare
According to HCAHPS, the Hospital Consumer Assessment of Healthcare Providers and Systems*, TMH receives higher marks than many hospitals in Colorado when it comes to key care issues. The data below represents the average “top-box” scores where patients responded “Always” to each of the ten HCAHPS measures at the state and national level.
TMH Top Box Scores
Care ItemCommunication with Nurses Communication with Doctors Responsiveness of Hospital Staff Pain Management
Communication about Medicines Cleanliness of Hospital Environment Quietness of Hospital Environment Discharge Information
Overall Hospital Rating Recommend the Hospital
TMH 85.3% 83.7% 80.9% 76.4% 72.7% 79.9% 69% 89.6% 63.4% 68% Colorado 79% 81% 69% 72% 65% 75% 63% 87% 74% 75%
*Data represents July 2012-June 2013 Source: www.medicare.gov/hospitalcompare
Did you know
100%
of our employed
physicians are
board certified?
TMH Physicians
William Baker, M.D. CardiologyShannon Becker, M.D. Family Medicine
Bryan Bomberg, M.D. Orthopedics
Timothy Byers, M.D. Ophthalmology
Amandeep Chadha, M.D. Hospitalist
Stacy Childs, M.D. Urology
Terry Clower, M.D. Hospitalist
X. Alexis Driggs, M.D.* General Surgeon
Scott Ellis, D.O.* OB/GYN
Kelly Follett, M.D.* Pediatrics
Sandra Guidry, M.D. Hospitalist
Jonathan Hamilton, D.O.* Family Medicine
Mark Hancock, M.D. Oncology
Howard Hezmall, M.D. Urology
George Holmes, M.D. Pathology
Diana Hornung, M.D. Family Medicine
Tinh Huyn, M.D.* Emergency Medicine
Fred Jones, M.D. Radiology
Roland Kafuuma, M.D. Hospitalist
Larry Kipe, M.D. Family Medicine
Robert Lile, M.D. Radiology
Katherine McClanahan, M.D. Hospitalist
Alexander Meininger, M.D. Orthopedics
James Merrell, M.D. ENT
Gerald Myers, M.D. Cardiology
Clay Pendleton, M.D. Urology
Andreas Sauerbrey, M.D. Orthopedics
Clay Schneiter, M.D. Hospitalist
Michael Sisk, M.D. Orthopedics
John Sharp, M.D. Gastroenterology and Internal Medicine
James Summers, D.O.* OB/GYN
Malaika Thompson, M.D. Radiology
Virginia Tjan-Wettstein, M.D. Oncology
Jamie VanOveren, M.D. Urology
Brook Wager, M.D.* Emergency Medicine
Susan Watson, D.O.* Emergency Medicine
Jeff Womble, M.D.* General Surgery
Kristie Yarmer, M.D.* Pediatrics *denotes physician employed by TMH
My recent experience changed my attitude about our local hospital. Thank you!” – Patient
“
Putting Patients First
5
I was treated like a queen. The nurses took great care of me, made me very comfortable and really cut down my stress level.
– Patient
“
”
Our Medical Clinic Just Keeps Getting Better…
Improvements in 2013
Quality and Patient Safety Highlights in 2013
Dedicated on-site lab
Added physicians and services
Easier billing options
Improvements to phone system
We have
high quality
doctors who enjoy a
high
quality
of life in Craig, and in
return they offer our community
high quality
care.
By the Numbers
13,709 patient visits in 2013 at
the TMH Medical Clinic
9,544 patient treatments in
2013 at the TMH
Rehabilitation Center
In 2013, key departments, including nursing and pharmacy, implemented nationally-known best practices that increase patient safety and satisfaction. Highlights include:
Medication Barcode Scanning – guarantees patients get the right medicine, in the right amount at the right time.
Nurse Navigator Program – a specially-trained nurse walks the cancer journey with patients.
“Patient safety is a top priority. We have several exciting new nursing initiatives that engage our nursing staff and promotes more time at the bedside.”
– Christine Marks-Neece, Inpatient Supervisor, Medical-Surgical and SCU Nursing
TMH Medical Clinic Team
Community
Partner
Spotlight: Moffat
County Schools
Superintendent Brent Curtice says having a trained medical professional on the sidelines is the epitome of quality service for our student athletes. In the fallof 2013, TMH launched the Sports Medicine Program with Moffat County School District to support their sport programs and give parents peace of mind.
“We have never had a dedicated sports trainer and we always wanted one for our athletic programs. We met with the hospital for ideas and they opened their doors completely. They took on the task and committed to having trained medical personnel on the sidelines for games and practices. It’s a huge commitment to the kids of this district,” Curtice says.
It’s reassuring to local parents who know that if they have a question about how to treat and tape a sprained ankle, treat a concussion, or care for a cut or bruise they’ve got an expert right on site to ask—before, during and after practices and games.
Moving forward, the hospital is offering First Aid and CPR classes to all coaches at a minimal fee. “We have always had a good relationship with the hospital, and the sports medicine program is just a start,” Curtice concludes.
Our Community Connections
6
Community
Connections
Bear River Young LifeBella Voce Musical Association Back-to-School Health Fair Boy Scouts of America
Bonfils Blood Center Blood Drives Christmas for Kids
Christmas for Seniors CNCC Career Fair Community Health Fair Connection for Kids Art Show Craig Boys and Girls Club Craig Chamber of Commerce Craig Daily Press Go Getters Craig Rotary Club
Craig Seasharks
Craig Youth Hockey Association EMS Community BBQ
Friends of Moffat County Education Hayden Chamber of Commerce Hayden Cog Run
Lifeline
Miner’s Clinic in conjunction with National Jewish Hospital
Missoula Children’s Theater Moffat County Cancer Society Moffat County Fair
Moffat County High School Career Fair Moffat County School District
Northwest Colorado Legal Services Northwest Colorado Regional EMS/ Trauma Advisory Council
Northwest Colorado VNA – Hospice Peabody Energy Leaders in Education Rally for a Cause
St. Michael’s Community Kitchen Steamboat Marathon
TMH Community Kitchen
TMH Community Education Seminars TMH Foundation Golf Tournament TMH Mammos and Margaritas TMH Men’s Health
TMH What To Expect Birthing Tour Yampa Valley Partners
“We have always had a good relationship with the hospital, and the sports medicine program is just a start. ”
– Brent Curtice, Superintendent, Moffat County School District
Recipients of community education:
Community connections and partners:
Signature education events during 2013
• Weekly Men’s Health Series, June
• Total Joint Replacement Seminars, October
• Mammos & Margs, breast health awareness, October
• Breast Health and Prevention Seminar, Dr. Womble, Dr. Summers and Dr. Malaika Thompson, October
Attendance of annual community health fair &
Back-to-school health fair :
150
40
TMH 2013 Financials
7
WIN-WIN
You spend… Your Tax $
Your tax $.… support TMH and Clinics
You get… Quality Healthcare Close to Home
The community gets… Positive Economic Impact • jobs
• local spending • tax revenues
employees directly employed by TMH indirectly support over
500
jobs in the communityin annual indirect state and local tax revenue generated by TMH operations
annual economic impact in the state’s economy, including
$30 million
in spending by the hospital. This supports another$40.7 million
in additional economic activity.Where it comes from:
Medicare reimbursements 17,881,917
Medicaid reimbursement 7,258,148
Private insurance 21,772,939
Self-pay 3,375,892 Other (donations, grants, county support, etc.) 2,510,306 TOTAL: $52,799,202
Deductions:
Insurance contract adjustments 13,535,300
Charity care 2,870,193
Self-pay bad debt 2,158,379
TOTAL: $18,563,872
Where it Goes:
Salaries & wages 13,340,239
Employee benefits & training 2,942,930
Purchased services & professional fees 5,173,917
Minor equipment 181,266
Supplies & other 6,663,944
Depreciation & Amortization 3,126,268
Interest expense 3,049,350
Loss on asset disposal 226,256
TOTAL: $34,704,170
NET INCOME -$468,840
TMH’s Financial Impact on Community
Tax Revenue
223
$3.5m
$70.7m
Amazing staff and facility.
Everyone was friendly and helpful. Excellent OB and surgery staff.
– Patient
“
”
Why Doctors Enjoy
Working at TMH
“What I really loveabout working for TMH is the people. I like the pride our staff has in their jobs. I like the people I take care of, and enjoy getting
to know them and their families. My patients’ lives remind me of the positives I had growing up in Oklahoma – cattle ranching, and the love of the outdoors.”
– Dr. Jon Hamilton, Family Medicine, joined TMH in 2013
“The people at TMH are some of the best in their specialty areas. We provide exceptional care in every department.” – Dr. Kristie Yarmer, Pediatrician, joined TMH in 2012 “The leadership at the hospital is great at providing physicians with the equipment that we need. We are thrilled to be able to offer the 4D ultrasound to
our expectant parents. This is really cutting edge equipment, and really enhances the care that we can give.” – Dr. Scott Ellis, OB/GYN,
Victory Way 40 40 Russell St Ya mpa Av e Co Rd 7 The Memorial Hospital Medical Clinic The Memorial Hospital
Rehabilitation Center H os pi ta l Loop The Memorial Hospital N 13 13
The Memorial Hospital Foundation
Our Mission:
To cultivate relationships and partnerships within our community to generate financial and related resources to enhance the hospital’s capacity to provide quality healthcare.
Foundation Highlights - 2013
Electronic Medical Records (EMR) system for the emergency department
Free bike helmet program for 200+ children Cardiac ultrasound for the emergency department Surgical equipment for orthopedics
Water heating and cooling pumps and pads for surgery
Crib for pediatrics
For more information about how to make a tax- deductible contribution, contact Eva Peroulis, Foundation Executive Director at (970)826-2424 or visit the Foundation’s website at www.
thememorialhospital.com/community/foundation.
Grants Received:
$50,000 Colorado Department of Public Health & Environment $25,000 Peabody Twentymile Coal Company
$10,000 Trapper Mining, Inc $5,000 Questar Corporation
$2,000 Nathan B. and Florence R. Burt Foundation $1,500 Rocky Mountain Radiologists
$1,000 Yampa Valley Electric (Helmets)
$1,000 Yampa Valley Electric (Therapy equipment) $1,000 City Market
Donors in 2013
Steve Martinson &
Jennifer Riley $2,600.00
John & Paula Kinkaid $2,000.00 New York Life -
Bill & Diane Terrill $1,600.00 Gerard & Katrina Geis $1,200.00 Frank & Tammie Hanel $1,000.00 Bryan & Michele Chalmers $850.00 Drs. Dennis & Pamela Kinder $ 850.00
Amy Knights $650.00 Christine Marks $650.00 Tinneal Gerber $600.00 Kathy Bailey $520.00 Mary Hammond $520.00 Amy Updike $520.00 Marie Kettle $520.00 Margaret Perez $520.00
Caplan and Earnest LLC $500.00 Bank of Colorado $500.00
Cook Chevrolet $500.00
Kahl Insurance Services, LLC $500.00
QHR $500.00
Jet Marketing $500.00
Corporate Benefits
Connection, LLC $300.00
Craig Daily Press $300.00 Mountain West Insurance $300.00 Best Western Deer Park Inn $300.00
Northwest Title $300.00
Richard & Lynn Nichols $280.00
Pat Padilla $260.00 Rebecca Warren $260.00 Karen Zimmerman $220.00 Bridget Sanders $210.00 Jackie James $200.00 Bob Johnson $200.00 Rebecca Moore $150.00 Layle Dees $120.00
American Legion Post No. 62 $100.00 Steamboat Orthopaedic
Assoc. PC $100.00
LPL Financial $100.00
Fiesta Jalisco $100.00
Jacksons Office Supply $100.00
Julie Jantz $30.00
Kim Welder $25.00
Todd Erickson $50.00
Clara Simones $20.00