2012 - 2013 Annual Report
Gearing up for the future
Clark Fork Valley Hospital & Family Medicine Network
10 Kruger Road . Plains, MT 59859 . (406) 826-4800 . www.cfvh.org
message to the the community community Message to
This past year has been particularly busy at your local hospital. We have made special efforts to continue to improve the quality of care you receive and the peacefulness of the environment on our campuses in which you receive that care. We believe striving for continual improvement in these two Mission: Clark Fork Valley Hospital areas will allow us to meet the misand Family Medicine Network will sion of CFVH for years to come.
partner with our communities to
We are in the middle of implementing a major electronic information improve the health of those we serve. system (Epic) that promises to streamline your care both in Sanders County and when referrals are needed to tertiary centers. This is one of the largest and most comprehensive changes CFVH has had to navigate in its history. Our staff has tackled the task with enthusiasm; driven by the desire that implementation of Epic on August 3 of this year will be as easy for our patients as possible, and more importantly, will improve overall patient care. This past year saw us hire five new providers including Dr. Ronald Black whose presence will allow us to continue to provide obstetrical services with Dr. Jeanne Williams and myself. After 19 years, Al Shear retired from Hot Springs. We miss him greatly but are excited that Nasreen Keyl, PA-C decided to join our team to serve the residents on the east end of the county from our new Hot Springs Family Medicine building. Robin Williamson, PA-C, Brian Rick, PA-C, and Frank Towsley, Hot Springs Family Medicine PA-C, all joined our ER team. With their addition chances are you will see a familiar Building Project Completed face when you are in need of ER services.
in March 2013
Dramatic changes will occur in healthcare in the coming 12 months. The Affordable Care Act will have a great deal of influence on the industry. Many of you are understandably anxious regarding these changes, so CFVH plans to develop educational outreach for our communities. We are committed to do our part to make the changes as easy as possible for you. Since 1971, CFVH has focused on delivering Quality Care Close to Home and over the years you have allowed us to serve you; our Sanders County communities. One constant in the way we will continue to do business is to maintain our commitment to do the best possible for you...after all, we are caring for our Families, Friends and Neighbors. - Dr. Gregory Hanson, President/CEO
community based board
2013
Board Members
Erika Lawyer, Chairperson . Plains, MT Erin McCarthy, Vice Chairperson . Plains, MT Jeanne Williams, MD, PhD . Plains, MT Craig Aasved . Missoula, MT Devin Huntley . Missoula, MT Denise Benson . Plains, MT Jerry Pauli . Thompson Falls, MT Bina Eggensperger . Thompson Falls, MT Sharon Nichols, DO, Chief of Medical Staff . Plains, MT Gregory Hanson, MD, President/CEO . Plains, MT
CFVH Foundation The Clark Fork Valley Hospital Foundation is an organization whose only charitable purpose is to support Clark Fork Valley Hospital and its related entities fulfill their mission to Sanders County residents. It has provided nearly $200,000 in donations over the past five years. In 2012 the Foundation donated $15,000 towards the purchase of industrial grade exercise equipment to outfit the new Pulmonary and Cardiac Rehabilitation Service lines that will start this Fall. To facilitate projects like these, the Foundation conducted two fundraising efforts in 2012; a Gala event in March and the Golf Classic in September. The Gala featured The Boomer Boys (a singing group from Polson) with a review of music from the ‘40s to the ‘60s in addition to an evening of food and fun at the Sanders County Pavilion for over 70 attendees. The Golf Classic, which was in its 5th year being sponsored by McGowan Grocery, was held on Sunday of Labor Day weekend and hosted 65 golfers for the day. Tremendous support from local businesses helped make it a successful tournament and over $12,000 was raised. Each year the Foundation seeks opportunities to fund hospital projects and services that are not covered in the budget for the year. Your tax-deductible donation does make a difference. Past purchases have saved lives and enhanced the care the hospital can provide. Please give thoughtful consideration to making an investment in the health of your friends, family and neighbors this year by placing a donation in the enclosed envelope. To learn about more investment opportunities, please visit www.cfvh.org.
Inside Look Financials quality as a- core value
2012
Gross Patient Revenue
Of each dollar in charges for healthcare services, CFVH collected approximately 70 cents after discounts to government and private payers, charity discounts and bad debts. Resulting Net Patient Revenue was used to pay expenses. Inpatient Services $4,560,025 Long Term Care Services $1,595,250
Physician Services $2,776,791
Emergency Department Services $1,562,792
CFVH is a non-profit organization Outpatient Services $10,924,097
Home Health & Hospice $408,400
Salaries, Benefits and Contract Labor comprise approximately two thirds of the hospital’s total operating expenses. Clark Fork Valley Hospital is the largest employer in Sanders County. 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.
2012
Operating Expenses
In addition to over $10 million in staffing related expenses, CFVH paid nearly $830,000 to local vendors for services and supplies during 2012. $515,279 $160,436
$762,723 $412,414
$232,127 $372,786 $9,954,581 $1,159,174
$1,781,665
Kassie Marjerrison, RN instructs REACH students in the ER at their onsite visit
Nearly $830,000 was paid to local vendors for services and supplies during 2012
2012 Quick Facts
36 Babies Born
1,148 CT Scans
568 Mammograms
33,211 Operating Room Minutes
209 Employees
2,718 Emergency Room Visits
3,430 632 Rehabilitation Echocardiograms Visits
17,014 Clinic Visits
45,276 Laboratory Tests
455 MRI Exams
197 Colonoscopies
firsthand handexperience experience First Primary Care Close to Home Patient Testimonial
As a patient who suffers from severe osteoporosis, COPD and congestive heart failure, I feel so fortunate to have found quality primary care close to home. I haven’t been coming to Plains Family Medicine for very long, but establishing care with Dr. Jeanne Williams has made a huge impact on my life. I lived in Plains years ago and recently returned from Colorado Springs, CO needing much more care than before as I am now 74 and have diseases in their progressed stages. Seeing healthcare providers regularly has become a regular part of my life and the hospital has grown so much since I first lived here that I can now get everything from primary to specialty care with the occasional spout of emergency and inpatient care whenever I need it. I can’t express enough what a world of difference it makes not to endure long travel to my appointments. Making appointments is easy and my care seems so much more coordinated within the framework of a smaller healthcare facility. Dr. Williams is among the best physicians I have seen. She really takes the time to listen to me and keeps me included in my care plan decisions. Her sincerity and compassion for her patients is evident in so many ways but I appreciate her never making me feel rushed. She expressed early on that she had time to answer my questions and wanted to ensure I fully understood my plan of care before leaving each and every appointment. This is a true luxury in the confusing world of medicine these days. - Elsie Callan . Plains, MT
Growing Families Choose CFVH Patient Testimonial
Ever since we became pregnant, we imagined delivering our baby naturally in a comfortable environment with resources readily available to handle any situation. Clark Fork Valley Hospital was that perfect combination. As soon as we arrived at our delivery suite we were welcomed with the relaxing scent of lavender, quiet music and dimmed lighting. Our nurse quickly placed the fetal heart monitor on my abdomen so we could hear our baby’s heartbeat. As my labor progressed, I took advantage of our private room’s jacuzzi tub, birthing ball and birthing bar to relax. Our labor and delivery experience was one of the most significant moments in our lives - it truly was a beautiful and miraculous blessing. The staff at CFVH were caring, supportive and most of all respectful of my wishes and birth plan decisions. - Elizabeth Copeland . Plains, MT
“We were welcomed with the relaxing scent of lavender, quiet music and dimmed lighting.”
beyond healthcare
2012
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 charity assistance and sliding scale discounts to low income patients which amounted to $624,157 in 2012. 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 2012, CFVH employees tracked over 620 hours of work time dedicated to various community activities. In addition, those same individuals identified over 1,800 hours of their own personal time supporting various community endeavors like:
Boy Scouts CADAA Cancer Network of Sanders County Chicks N Chaps Civil Air Patrol EMT Training Local Chambers of Commerce School Boards Youth Sport Leagues
Community Building Activities $10,845
Financial & In-Kind Contributions $44,962
Community Benefit Operations $5,616 Community Health Improvement Services $10,096
Health Professions Education $10,180 Cindy Andrews learns the ropes from PRC Rodeo Clown at the Chicks N Chaps Women’s Rodeo Clinic
Nearly $625,000 was provided in Charity Assistance and Sliding Scale Discounts in 2012
REACH Students Exploring Careers in Healthcare Students from across the county joined CFVH employees for a day on the job as part of the Montana Area Health Education Center (AHEC) REACH program in early Spring 2012. Students were given the opportunity to explore a number of fields in healthcare through a variety of hands on activities including laparoscopic surgery in the OR, intubation and IV placement of a dummy patient in the ER and performing an ultrasound on an expecting mother in labor and delivery. CFVH hopes experiences like these will spark an interest in Sanders County youth to pursue careers in the industry and possibly return to the area to work one day.
Quality as a core value
Hospital Average Mortality Rate All Montana Hospitals - 1.7%
How do we compare
CFVH - 0.1%
on quality indicators?
Source: Performance Improvement Network of MT
Hospital Acquired Infection Rate All Montana Hospitals - 0.8%
CFVH - 0.2% Source: Performance Improvement Network of MT
Readmission to Hospital (with same or similar diagnosis) All Montana Hospitals - 3.9%
CFVH - 1.3% Source: Performance Improvement Network of MT
Acute Care Inpatient Fall Rate All US Hospitals - 0.53%
CFVH - 0.05% Source: Medicare Hospital Compare
Long Term Care Resident Fall Rate All US Hospitals - 3.3%
CFVH - 1.5% Source: Medicare Nursing Home Compare
Laura Lanfear, Home Health RN After 18 years of working as a home health nurse, I have made many connections with my patients that I find to be sincere and often lasting. Working in a home setting and often being the only nurse caring for my patient at a time, I regularly am made to feel like family. It isn’t uncommon that I have cared for other family members and dear friends of my patients, creating an even greater sense of comfort and trust as I assist them to regain their independence or navigate an illness or difficult time in their life. I feel fortunate because I can make an impact on many people in a single case; care for my patient, help and teach caregivers and comfort friends and family all at once. My patients benefit from a coordinated care team all in one healthcare facility. It is easy for them and me to work with their primary care and rehabilitation providers quickly to ensure they get the care they need when they need it. In addition, we are well aware of what resources are available to them close to home.
Carlane Jensen, Mammography Technologist In the world of mammography, I oftentimes am an advocate for my patients as they navigate highly emotional real-life situations and fears. Whether the potential of cancer is even discussed, it is why we are here and what is always at the back of my patients’ minds. Every day is different and I like having the opportunity to meet new people, hear their stories and often be their confidant when they need it most. I appreciate the calm and comfortable atmosphere I can offer my patients here at CFVH. Patients can get the care they need close to home with the benefit of larger facility amenities and state-of-the-art equipment.
Family medicine network
Thompson Falls
Plains
(406) 827-4442
(406) 826-4810
Jennifer Strine, PA-C Family Medicine Women’s Health Raymond Nelson, MD Family Medicine Honani Polequaptewa, PT Physical Therapy
Hot Springs (406) 741-3602 Nasreen Keyl, PA-C Family Medicine Women’s Health Sally Baskett, FNP Family Medicine Women’s Health John Drye, MD Family Medicine Geriatrics Stan Stanhope, DPT Physical Therapy
Clark Fork Valley Cardiology (406) 826-4973 Sharon A. Nichols, DO, FACC Cardiology
Randy Mack, PA-C Family Medicine Terry Smith, DO Internal Medicine Geriatrics John Drye, MD Family Medicine Geriatrics Jeanne Williams, MD, PhD Family Practice Women’s Health Obstetrics Ronald Black, MD Obstetrics Gregory Hanson, MD Obstetrics Stan Stanhope, DPT Physical Therapy Kathryn Kovanen, DPT Physical Therapy Nicole Feliksa, PT Physical Therapy Mary Russell, OTR/L Occupational Therapy Elizabeth Johnson, MCSD, SLP Speech Therapy
Jessica Steinebach, Acute Care RN 2012 Employee of the Year Working at CFVH has allowed me the opportunity to build a career for myself while raising my family in the same great community I grew up in. The hospital supported me with a flexible part-time schedule as well as invested in me as an employee with a scholarship as I worked towards my nursing degree. Now as an RN, I feel I can truly make a difference in the care of my friends and neighbors. I enjoy being a part of the healing process and am fortunate to work for an organization that works together to provide outstanding care for their patients. Sanders County residents should feel proud of the healthcare facility they have here in CFVH. It provides a premier healthcare option with a comfortable environment and experienced staff.
quality services Audiology Acute Inpatient Care Post Acute Swing Bed Cardiology Cardiopulmonary Services Cardiac Monitoring
Sleep Studies CPAP/Home Oxygen Diabetes Education Full Service Medical Laboratory Home Health & Hospice Care Imaging Services CT/MRI Scanning Digital Mammography DXA (Bone Density) Ultrasound Long Term Care Neurology Nutrition Counseling Obstetrical Care Ophthalmology Orthopedics Pain Management
Plains, MT 59859
Lung Function Studies
PO Box 768
Echocardiography
Clark Fork Valley Hospital
Cardiac Stress Testing
Rehabilitation Services Aquatic Therapy Cardiac Rehabilitation Occupational Therapy Physical Therapy Pulmonary Rehabilitation Speech Therapy Surgical Services Cataract Surgery General Surgery Orthopedic Surgery Pacemaker Surgery Urology
Prenatal Classes Primary Care Diabetes Management Immunizations Internal Medicine Physical Exams Pre/Post Operative Exams Treatment of Illness Women’s Health
24 Hour Emergency Services Trauma designated facility since 2008