2019 - 2020
ANNUAL REPORT
Time to Thrive A strong foundation and culture of quality are paving the way
10 Kruger Road . Plains, MT 59859 . (406) 826-4800 . www.cfvh.org
THE CORE OF CFVH Mission . Vision . Values Clark Fork Valley Hospital and Family Medicine Network will partner with our communities to improve the health of those we serve. We will create a caring and compassionate environment to deliver quality healthcare and meet our communities' needs. A culture of individual ownership will foster innovative ideas and excellence in customer service, professional growth and fiscal health. We will be recognized as the premier employer and the healthcare provider of choice in Sanders County. To achieve our vision, we believe our actions and behavior must demonstrate the following core values:
Respect for all we serve Accountability for our decisions
Quick Fact:
Integrity in our interactions
Over 5 times as many orthopedic
Safety as our highest priority
surgeries were done at CFVH in
Excellence in all we do
2019 (251 cases versus 49 in 2018) with the addition of Dr. Blease and a full-time orthopedic program. More than 180 surgeries have already been performed in 2020, even with a 5 week pause of elective surgeries due to Covid-19.
Dr. Blease, Orthopedic Surgeon talks about surgical procedures at OR Open House held in 2019
MESSAGE TO THE COMMUNITY As I write this, we are consumed with Covid-19 and all that has come with this unforeseen pandemic in 2020. Although a great deal of resources have been utilized to prepare for the worst, I know for a fact, we have been able to continue to thrive due to the solid foundation and financial position we have worked so hard to achieve over the last few years. Even in the face of adversity, our successes in providing quality care are evident as we review all that has taken place over the last year. With the addition of two new providers arriving in the last quarter of 2018, we had busy primary care clinics in 2019 that were able to focus efforts on improving preventative care. We continued to work with our national Accountable Care Organization (ACO) focusing on the goals of better patient experience, better outcomes, and lower costs. It appears our efforts will place us in the top performers from across the nation. Though final results are not released until September, there is no doubt the staff and providers in the Family Medicine Network are accomplishing their shared goals of providing high value care to the residents of Sanders County and always striving to do better. Dr. Blease joined us in January 2019, establishing a full-time orthopedic practice. He has greatly improved the availability of timely orthopedic care, and has brought a number of previously unavailable surgical procedures to CFVH. He completed specialized trauma training and with that knowledge has been able to repair complex fractures that previously needed to be sent to Seattle. His addition to the medical staff has contributed to our surgery department being busier than ever before. Our dedication to pregnancy and newborn care gained us national “Baby-Friendly� designation and we were recognized as being in the top 25% of critical access hospitals for delivery of quality clinical care. In addition, our Long Term Care was rated with 4 stars by CMS (Centers for Medicare and Medicaid Services). These examples recognized are just a few that represent our staff going above and beyond for our patients. We are again outgrowing our facilities. We lack space in our clinics and surgery department, among others, to allow for continued growth. Some spaces need an upgrade to better meet current care delivery needs. Recognizing this, the governing board has started the process to meet them. It does not seem that long ago (15 years) that we completed the last major construction, but the increased trust you have shown us, and the ongoing changes needed to deliver modern, high quality care, require us to embark on another such journey. Sanders County is a special place. We enjoy the majesty of the great outdoors, the benefits of living in small towns and the pleasure of having outstanding people as neighbors. We are privileged to work at an organization that is able to help our friends, families and neighbors during stressful times of life. We thank you for trusting us during these times and for allowing us the opportunity to serve you, and we look forward to doing so for years to come. - Gregory Hanson, President/CEO
COMMUNITY BASED BOARD 2020
Board Members
Mike Baxter, Chairperson . Thompson Falls, MT Erika Lawyer, Vice Chairperson . Plains, MT Don Damschen, MD, Chief of Medical Staff . Plains, MT Gregory Hanson, MD, President/CEO . Plains, MT Denise Benson . Plains, MT Erin McCarthy . Plains, MT James Gillhouse . Missoula, MT Bina Eggensperger . Thompson Falls, MT Ginny Holland . Hot Springs, MT Dan Claridge . Thompson Falls, MT Devin Huntley . Polson, MT
CLARK FORK ADVENTURE CHALLENGE 2020 VIRTUAL EVENT PLANNED FOR
SEPTEMBER 13, 2020 SINGLE RACERS AND TEAMS OF BOTH TWO AND THREE PARTICIPANTS WELCOME
REGISTER AT 8M RUN . 8M KAYAK . 15M BIKE CFVH.ORG LITE COURSE OPTION AVAILABLE TOO! Find us on Facebook for Event Details and Updates https://www.facebook.com/clarkforkadventurechallenge
CFVH FOUNDATION The Clark Fork Valley Hospital Foundation is a 501(c)3 non-profit organization whose sole purpose is to support CFVH and its related entities. These include our rural health clinics, home health and hospice programs, community education outreach efforts and our long term care resident living facility. Over the years we have been able to supply equipment and support programs that the operating budget didn’t have sufficient funds to purchase or support. We utilize a variety of functions and outreach activities to raise needed dollars to support these outstanding and needed “extras”. Now in its 14th year, the CFVH Foundation has raised over $470,000 and has purchased everything from woodworking tools to fetal heart monitoring equipment. Our projects are critical to delivering quality care close to home.
Clark Fork Adventure Challenge participant heads up mountain bike course at 2019 triathlon race.
The generosity of our participants, volunteers and sponsors has allowed us to raise funds for these special needed projects at Clark Fork Valley Hospital. In 2019 we provided $25,000 for the purchase of a point-of-care ultrasound machine for our anesthesia department.
Please give thoughtful consideration to making an investment in the health of your family, friends and neighbors this year by placing a donation to the CFVH Foundation in the enclosed envelope. To learn more about investment opportunities, please contact Barry Fowler, CFVH Foundation Director at (406) 826-4858 or visit www.cfvh.org.
YOU HAVE THE CHANCE TO WIN 1.) Like CFVH Facebook Page 2.) Complete Facebook Review You will be entered into a drawing to be held October 30, 2020. The winner will receive a set of Zero Gravity Lounge Chair Recliners.
INSIDE LOOK - FINANCIALS 2019
Gross Patient Revenue
Of each dollar in charges for healthcare services, CFVH collected approximately 63 cents after discounts to government and private payers, charity discounts and bad debts. Resulting Net Patient Revenue was used to pay expenses. Inpatient Services $10,175,643 Long Term Care Services $2,060,572
Clinical Services $3,988,034
Emergency Department Services $3,439,854
CFVH is a non-profit organization
Outpatient Services $21,701,107
Home Health & Hospice $518,352
Salaries, benefits and contract labor comprise approximately two thirds of the hospital’s total operating expenses. CFVH is the largest employer in Sanders County with 230 employees. When salary dollars are spent locally, it is estimated they generate a multiplier effect of six times as they circulate to support the local economy.
2019
Operating Expenses
In addition to nearly $17 million in staffing related expenses, CFVH paid over $1.9 million to local vendors in Western Montana for services and supplies during 2019.
$359,654 $230,253
$996,978 $952,481
$414,733
$1,744,747
$16,597,358
$4,105,710 Kirsten Locke, RN takes blood pressure of patient before getting her cast removed from a broken arm in October 2019
Over $1.9 million was paid to local vendors in Western MT for services and supplies during 2019
2019 QUICK FACTS
243,000 5 Lbs of Laundry
727 Mammograms
5 81,217 5 Dietary Dept Meals
1,114 Care 5 Coordination Visits
5
56
Increase or Decrease in comparison to 2018 Quick Facts
61,029 5 Laboratory Tests
5
20 Babies Born
1,934 CT Scans
6,129 Rehabilitation Visits
5
1,872 5 hospice days of care
22,883 Clinic Visits
523 5 Echocardiograms
676 5 MRI Exams
5
32,939 Total 5 Outpatient Visits
251 5 orthopedic surgeries
41,566 5 Operating Room Minutes
FIRST HAND EXPERIENCE Third Time Is a Charm with Total- Knee Surgery Patient Testimonial
After having two prior knee surgeries in my life, I was apprehensive about getting a third. Both had required large hospital stays post-surgery in addition to months of physical therapy and recovery time. Meeting Dr. Blease put all of my fears at ease. Every interaction I had with him, my surgical team and the many other staff members who cared for me, was wonderful. The Dietary department went above and beyond to meet some strict dietary needs of mine and I can’t say enough about the nurses who cared for me over the three days I recovered in the hospital. They were so caring and attentive. More than anything though, I appreciated knowing I could receive such high quality care close to home so my husband could be a part of my treatment before and after surgery. I would highly recommend Orthopedic services at CFVH. As a patient, I felt heard every step of the way. I couldn't have asked for a better experience. - Diane Walters, Plains Resident
Baby-Friendly Methods Assist in Exceptional Birthing Experience Patient Testimonial
From the time I found out I was pregnant, I knew CFVH was w delivering during the winter months and the amazing option
The implementation of the baby-friendly program stood out experience. The nurses made sure I was informed on ALL of feeding and infant care. The birthing education course as we videos I watched helped me prepare for baby.
When it came time to welcome our baby girl, the nurses that cared for me during and after delivery were amazing. They were hands on in helping me learn to feed baby and they did everything they could to make sure I was getting adequate rest and healing time before I was discharged. The weeks and even months following delivery proved no different when the follow up care continued with regular check-ins to ensure I had all the support and resources I needed to care for Tyler the best I possibly could. It was also an extra bonus to continue well-child check-ups where I delivered. Overall, my experience was everything I could have asked for and more. - Rheanna Fultz, Plains Resident
Peaceful Passing with Hospice
My husband Robert passed away earlier this year after his lungs and heart got progressively worse over the last four years. He had open heart surgery about 20 years prior and about four years ago his health really Patient Testimonial started declining. We were fortunate to have Home Health Care off and on for those four years to assist us with medication needs and regular vital checks. Robert adored all of his care takers. Any time we had a need, they addressed it right away. I have volunteered for a number of years at the Clark Fork Valley Hospital Long Term Care and care takers were able to stay with Robert when I was away. This was good for both of us. Because we were already utilizing Home Health services, when it came time for Robert to be on Hospice, the transition was seamless. The same nurses and care takers who had been with us the last several years helped us through this very difficult time of his passing. My husband was fearful of death and hospice care allowed him to go peacefully without a struggle. I remember vividly how gentle his nurses were with him. We had heard from others in the community that they were good but we were truly blessed with exceptional and compassionate care takers. - Jean Crismore, Plains Resident
where I wanted to deliver my baby. Recommendations from friends, proximity to home when ns for OB providers were all reasons I was confident in my decision.
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BEYOND HEALTHCARE 2019
Community Benefit
As a tax-exempt non-profit healthcare provider, it is an important part of our mission to maximize and measure the benefits we provide to the communities we serve. Some of the benefits we provide are more obvious in nature, such as financial assistance to low income patients which amounted to $462,198 in 2019. Other community benefits are not as well known, but are nonetheless diverse and include:
Community Benefit Operations Community Building Activities Community Health Improvement Services Financial and In-Kind Contributions Health Professions Education
During 2019, CFVH employees tracked over 1,100 hours of work time dedicated to various community activities. In addition, those same individuals identified nearly 2,200 hours of their own personal time supporting various community endeavors like:
Community Health Improvement Services $50,700
Ambulance and EMT Services Cancer Network of Sanders County Clark Fork Adventure Challenge Local Chambers of Commerce Local Volunteer Fire Departments Sanders County Arts Council Youth Sport Leagues
Financial & In-Kind Contributions $131,344
Community Building Activities $2,612 Local youth takes her turn at cauterizing at OR Open House held in 2019
Community Benefit Operations $1,884
Health Professions Education $232,156
Over $462,000 was provided in Financial Assistance to low income patients in 2019
Student Sports Physicals Program Encourages Physical Activity and Wellness Through Youth Athletics 2020 marked the ninth year CFVH donated 100% of its proceeds from the Student Sports Physicals Program to local Sanders County Booster Clubs. Clubs across the county benefitted from over $3,000 in monetary contributions this year amounting to over $29,000 since the program began. With childhood obesity and other serious health issues on the rise, CFVH wants to encourage community youth to get moving and make physical activity and wellness a focus in their lives earlier rather than later.
Baby Friendly Designation Leads to More CFVH Leaders of Baby Friendly Initiative asked to speak at National and State Conferences CFVH achieved the highly prestigious international Baby-Friendly designation in October after a rigorous review process conducted by Baby-Friendly USA, the organization responsible for bestowing this certification in the US. This distinguished honor demonstrates that CFVH is adhering to the highest standards of care for breastfeeding mothers and their babies. These standards are built on the Ten Steps to Successful Breastfeeding, a set of evidence-based practices recommended by the World Health Organization (WHO) and the United Nations International Children's Emergency Fund (UNICEF) for optimal infant feeding support in the precious first days of a newborn’s life. After receiving the designation, Certified Lactation Consultants Sara Nestor, RN, CFVH OB Care Coordinator, and Cassie Craft, CNA were invited to speak at the National Breastfeeding Conference in Scottsdale, Arizona and the Montana Breastfeeding Learning Collaborative held in Billings to share their leading methods of establishing successful breastfeeding practices in rural communities. Both were done virtually due to Covid-19 restrictions.
QUALITY AS A CORE VALUE Janie Hom, Community Health Improvement Specialist Inspiring people to make positive changes in their lives has been a continued theme in my life. I am passionate about health and wellness myself so sharing it came naturally to me and helped me pursue my career as a health coach. Now as, CFVH’s Community Health and Wellness Specialist, I have the opportunity to support individuals in my own community develop and reach their own health goals. Witnessing those I work with transform their lives is truly rewarding. In preparation for Covid-19, my work as a liaison between the hospital, local businesses and residents allowed me to connect with our communities in a much different capacity. I worked directly with community members in an effort to coordinate donated gowns, masks and other items that could be made here locally. I believe building these relationships and keeping our community connected is an essential piece of providing quality patient care here in Sanders County.
Paula Stobie, RN As a nurse, I am able to impact my community every day in a very real way. My career at CFVH began when I was a new grad right out of nursing school thirty four years ago. Initially, I worried about losing out on opportunities that would help me grow my career because I wasn’t working for a larger hospital. That feeling quickly faded when I realized I was facing much more challenging experiences than my fellow graduates early on in our careers. A rural facility provided me the opportunity to care for a wide range of patients in a number of settings and ultimately helped me become the well-rounded nurse I am today.
After a few years building my skills and knowledge in a hospital setting, I started working part-time at Hot Springs Family Medicine as well. I fell in love with caring for my friends and neighbors in the clinic setting and transitioned to full-time a few years later. The connection and relationships I was able to build on in this setting is part of why I love what I do so much. I've had additional training to perform limited x-ray procedures, blood draws for lab testing, EKGs as well as a number of respiratory treatments on-site. This is something quite unique in my profession and rural nursing but has been instrumental in reducing our patients' need to travel for these services. I never lose sight of the fact that it’s a privilege to be a nurse and have the trust of my community. I grew up in this community so I feel that I bring a level of understanding and rapport many of our patients appreciate.
Don Damschen, MD, General Surgeon Providers at CFVH are accountable to our patients through the personal connections we make, truly offering a different standard of care to those we serve here at Clark Fork Valley. With an emphasis on quality, establishing our trauma designation raised the bar throughout the institution. To me, surgical care rounds out the full spectrum of serving our patient’s needs. Without it here locally, we wouldn’t be able to support our community in the same way. I am very proud of the surgical team and the many accomplishments we have made over the 20+ years I have served here in Plains. We have had many instances over the years where our direct urgent impact has saved lives. In particular, I remember a young lady involved in a horrible motor vehicle crash many years ago who required urgent surgical stabilization to save her life. She underwent multiple subsequent surgical procedures at a level I Trauma Center. In that particular scenario, CFVH was the critical Link in her survival chain. What we are doing at CFVH matters. As someone who grew up in Plains, I couldn’t be more proud to be a part of this organization. I have always enjoyed the spectrum of general surgery that is afforded to me in a rural community and I enjoy the continuity of care as I see the patient throughout the course of their treatment and often over the course of many years.
24 HOUR EMERGENCY SERVICES Trauma Designated Facility Since 2008 - MT DPHHS From minor injuries to more complex medical emergencies and trauma care, CFVH is Sanders County's 24 Hour resource. Our hospital based medical staff provide coverage for the Emergency Department and Hospital inpatients at the same time. Combining ED (Emergency Department) Providers and Hospitalist roles has helped CFVH streamline operations and lower costs while enhancing quality of care and patient satisfaction.
Emergency Department (406) 826-4875 Benny Lindeman, DHSc, PA-C Emergency Medicine/Hospitalist Jessica Valentine, MD Emergency Medicine/Hospitalist Obstetrics Karyn Thornton, PA-C Emergency Medicine/Hospitalist Matt Madden, APRN Emergency Medicine/Hospitalist Ronald Black, MD Emergency Medicine/Hospitalist Obstetrics
Benny Lindeman, DHSc, PA-C, Hospitalist working in the ER in 2020 and taking special Covid-19 precautions by wearing a mask throughout his shift
These providers represent a combined total of
99 YEARS
of experienced patient care.
FAMILY MEDICINE NETWORK The Clark Fork Valley Family Medicine Network provides a comprehensive base of services to Sanders County residents through three easy to access Family Medicine Network office locations including an expansive rehabilitation program.
Mental and Behavioral Health Services are available from each of our Family Medicine Network offices across the county. Services include individual therapy for children, adolescents and adults as well as couples and family therapy.
Specialty Care Services offered from CFVH and the Plains Family Medicine office include Audiology, Cardiology, Neurology, Orthopedics, Psychiatry and Pulmonology. Many of these services are offered by consulting providers from other healthcare facilities to ensure these services are available close to home for Sanders County residents.
Plains (406) 826-4810
Thompson Falls (406) 827-4442
Nick Lawyer, PA-C Family Medicine
Jennifer Strine, PA-C Family Medicine
David Costner, APRN Family Medicine
Erik Nevatt, MD Family Medicine
Jeanne Williams, MD, PhD Family Medicine Obstetrics
Amanda Sandbloom, DPT Physical Therapy
Ronald Black, MD Obstetrics Jessica Valentine, MD Obstetrics
Nicole Feliksa, PT Physical Therapy
Hot Springs (406) 741-3602
Gregory Hanson, MD Obstetrics
Pamela Vecchio, APRN Family Medicine
Donald Damschen, MD General Surgical Services
Stan Stanhope, DPT Physical Therapy
Robert Blease, MD Orthopedic Services
Nicole Feliksa, PT Physical Therapy
Stan Stanhope, DPT Physical Therapy Marlys Bryan, DPT Physical Therapy Glenn Notsch, PTA Physical Therapy Katherine Latorraca, PT Physical Therapy Elizabeth Johnson, MCSD, SLP Speech Therapy
Mental and Behavioral Health Services Available at all FMN Offices
Kate Whipple-Kilmer, PsyD Mental and Behavioral Health Diana Reetz-Stacey, LCSW Mental and Behavioral Health
Care Coordination Services Available Upon Referral
Shelby Zenahlik, BSN, RN Care Coordinator
Audiology
NON PROFIT ORG US POSTAGE PAID PERMIT 569 MISSOULA, MT
QUALITY SERVICES Acute Inpatient Care
****ECRWSS**** Our Neighbor
ICU (Intensive Care Unit) Post Acute Swing Bed Cardiology
CPAP/Home Oxygen Echocardiography Lung Function Studies Sleep Studies Care Coordination Dermatology
Plains, MT 59859
Cardiac Stress Testing
PO Box 768
Cardiac Monitoring
Clark Fork Valley Hospital
Cardiopulmonary Services
Obstetrical Care
Skin Checks
Orthopedics
Lesion Removals
Prenatal Classes
Diabetes Education Emergency Services Full Service Medical Laboratory Home Health & Hospice Care Imaging Services
Primary Care Diabetes Management Immunizations Internal Medicine Medicare Wellness Visits
CT/MRI Scanning
Physical Exams
Digital Imaging (X-Ray)
Pre/Post Operative Exams
Digital Mammography
Preventive Health
DXA (Bone Density)
Screenings
Ultrasound
Treatment of Illness
Long Term Care Mental and Behavioral Health Services
Women’s Health Pulmonology
Counseling
Rehabilitation Services
Psychiatry
Aquatic Therapy
Neurology Nutrition Counseling
Occupational Therapy Physical Therapy Pulmonary Rehabilitation Speech Therapy Surgical Services Colonoscopy/Upper GI Endoscopy General Surgery Orthopedic Surgery Pacemaker Placement