ANNUAL REPORT TO OUR COMMUNITY
Carson Valley Medical Center
LETTER
TO THE COMMUNITY As the world of healthcare continues to change around us, one thing remains constant: Carson Valley Medical Center’s dedication to strengthening our community by providing accessible, affordable and high-quality healthcare. We are unwavering in this fact; we are here to serve you, our community. We accomplish that through living our values – respect, integrity, compassion and excellence – in each and every interaction we have with our patients. We are extremely proud of our accomplishments over the past year, many of which you can see in the following pages. Especially notable is the strong support of our community through generous donations to our foundation, our organization’s commitment to community service and giving back to those most in need, and welcoming new healthcare providers to our community to meet the growing demand for primary care physicians. The coming year will undoubtedly bring new headlines about healthcare nationwide and spark much debate – but for us at Carson Valley Medical Center, our mission is clear: to care for your health and wellness. We invite you to come on this path with us as together we build a stronger, healthier community.
Sincerely, Shannon Albert Interim CEO/Director of Development & Outreach Carson Valley Medical Center
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On the cover: Photo by Justin Livingston, CVMC Materials Aide
CVMC: YOUR COMPREHENSIVE COMMUNITY HEALTHCARE SYSTEM
LE T TER TO OUR COMMUNIT Y Expanded Access: Primary Care In 2017, CVMC added four new primary care providers to its five clinics located around Carson Valley. Additional providers to care for the community mean shorter wait times, convenient scheduling and improved access to care for patients of all ages.
Critical Access: Emergency Room/Hospital CVMC houses a 24/7 emergency room, a 23-bed acute care hospital and an ICU in its main Gardnerville campus building south of town. Our partners at Care Flight are also stationed at CVMC’s main campus when the need for emergency helicopter transport arises.
Convenient Access: Urgent Care The CVMC Urgent Care is located at 897 Ironwood Drive in Minden and can accommodate those issues that aren’t an emergency, but can’t wait for treatment. Since opening in 2014, the CVMC Urgent Care has received more than 19,000 visits. It has extended days and hours beyond a traditional physician’s office and offers X-ray and lab services for patients on-site.
Complete Access CVMC’s wide range of services also includes surgery, advanced diagnostic imaging, a full-service lab, an infusion center, physical and occupational therapy, nutrition counseling, respiratory care, speech therapy, senior mental health and wellness, wound care and occupational health and travel medicine. Specialists including cardiologists, endocrinologists, neurologists and pulmonologists are available via telemedicine so that patients can receive care without the need to travel out of town. 33
MEET
OUR NEW PROVIDERS Kim Chi Nguyen, MD Dr. Nguyen joined the staff of primary care providers at Carson Valley Medical Center in November following a 20-year stay on Maui. She is practicing out of Ironwood Primary Care in Minden. She earned her bachelor’s degree from the University of Michigan and received her medical degree from Wayne State University in Detroit. While in Hawaii, she worked in nursing home care, geriatric care and with the developmentally disabled. Prior to that, she worked in outpatient medicine. “I want to know people’s goals for their health and offer my recommendations on how they can get there,” she said. “I view the doctor-patient relationship as more of a collaboration, not just, ‘Here, do this because I say so.’”
James Gocke, APRN Gocke (pronounced Go-Key), brings 22 years of healthcare experience to Carson Valley – including 11 years in emergency medicine. “My favorite role has been in primary care,” Gocke said. “Establishing relationships with folks, trying to keep them on a healthy path.” Gocke, his wife and two sons moved to Carson Valley at the close of August 2017, after he spent more than 40 years in northern Los Angeles County. He attended the University of Southern California and has his board certification with the American Academy of Nurse Practitioners. He, along with Dr. Nguyen, practices at Ironwood Primary Care.
4 | ANNUAL REPORT 2017
Lara St. John, PA-C St. John comes to Carson Valley from Incline Village, where she was working for a family practice. “I really liked the rural feel here and it just seemed like a good fit for me,” St. John said. She graduated from the University of Nevada, Reno and attended Touro University in Vallejo, California for her physician assistant studies. St. John is fluent in Spanish and is eager to get to know the community. St. John is practicing at Job’s Peak Internal Medicine & Family Practice and CVMC Senior Care in Gardnerville.
Catherine Fuller, FNP A longtime Carson Valley resident and family nurse practitioner, Fuller’s career has spanned a wide variety of focuses, from physical therapy and public health to obstetrics and teaching, among many other areas. “I love living and working in this community,” Fuller said. “I don’t mind seeing people at the grocery store or the car wash. I’m passionate about taking care of my neighbors, and that’s why I chose to work for Carson Valley Medical Center instead of any place else.” Fuller, who moved to Carson Valley in 1993, has a degree in physical therapy along with her RN and master’s in nursing education. She instructed more than 300 nursing students over the course of six years at Western Nevada College during her career there before going back to school in 2014 to become a family nurse practitioner. Fuller is practicing at Minden Family Medicine.
Your Comprehensive Communit y He althcare S ys tem
23 SPECIALTIES | 130+ PROVIDERS | ONE GOAL = YOUR HEALTH
P R O V I D E R S | M E D I C A L S TA F F L E A D E R S H I P
Photo by Zack Beitler, CVMC Surgery
M e di c al S taff L e a d e rship Anesthesiology Heber Becker, MD Aja Bjerke, MD Joshua Cartinella, MD Nicholas Cirac, MD Jo Ann Ellero, MD Daryl Fenio, MD Dirk Fletcher, MD Jeffrey Gladding, MD Wes Irwin, MD Brian Landreth, DO Michael Markosian, MD Robert Mason, DO Jerry Matsumara, MD John Mortensen, MD Chaika Nakanishi, MD Melvin Nutter, DO Nariman Rahimzadeh, MD Shaina Richardson, MD Danny Rogers, MD Daniel Sorensen, MD James Stansbury, MD Ryan Stites, MD Brett Winthrop, MD Erin Zurflu, MD Anesthesiology & Pain Management Peter DiGrande, MD Randall Goode, MD Alfred Grimes, MD James Sullivan, MD Cardiology Anu Agarwal, MD Anisha Mandava, MD
David Prothro, MD Laura Sullivan, MD Christopher Wilson, MD Emergency Medicine Amy Anton, MD Steven Astengo, DO Allison Brewer, MD Lars Ensign, MD Kathi Glauner, MD Michael Habicht, MD Aubrey Hoye, DO Thomas Jantos, MD Clayton Josephy, MD Dennis Martinez, MD Michael McLaughlin, MD Corey McLeod, MD Taylor Myatt, MD Targhee Oeveraas, MD Lance Orr, MD Peter Protell, MD Raymond Stillwell, MD Timothy Tonini, DO Kandra Yee, MD Family Medicine Ronna Alcartado, APRN Joanne Araki, APRN Celeste Callinan, PA-C Carrie Emory, PA-C Catherine Fuller, APRN James Gocke, APRN Colleen Kriss, DO Tilda Martin, APRN Leslie McGraw, APRN Kim Chi Nguyen, MD
Timothy O’Neill, PA-C Judith Rosso, DO Evan Rowley, PA-C Lara St. John, PA Debra Tomaszewski, PA-C
Neurology Michael Sullivan, MD
General Surgery Mark DeMar, MD Kraig Knoll, MD
Occupational Medicine Carol Coats, MD Kara Cole, APRN
Hospitalist Gurpreet Chahal, MD Ileana Deftu, MD Milliam Elzi, MD Timothy Hockenberry, MD Christopher Igtiben, MD Mohammad Jaradat, MD Mark Lopez, DO Katherine McClanahan, DO Timothy Musick, MD Ayodele Okunola, MD Olumide Olagunku, MD Matthew Pappy, MD Trevor Phan, MD Warren Thai, MD
Oncology Mohammad Alamgir, MD Lillian Morton, APRN Jorge Perez-Cardona, MD
Internal Medicine Steven Brown, MD Evan Easley, MD Innocent Ezenwa, MD Garrett Schwartz, MD Glenn Thorp, MD Nephrology Arika Gupta, MD
Obstetrics/Gynecology Gary Willen, MD
Oral & Maxillofacial Surgery Edward Gray, DMD Keith McGruder, DDS Orthopedic Surgery Jason Call, PA-C Jeffrey Cummings, MD Nicholas Dirig, DO Jeromy Dyer, PA-C Kyle Erkkila, PA-C Paul Fry, MD Damian Garza, PA-C Jonathan Hagen, MD Marco Mendoza, MD Andrew Odland, MD Jeffrey Orr, MD Daniel Robertson, MD Roger Rogalski, MD Robert Rupp, MD Scott Southard, MD Keith Swanson, MD
Kyle Swanson, MD Edward Tapper, MD Stephanie Tonn, PA-C Otolaryngology Erin Burns, PA Alexander Caten, MD Paul Manoukian, MD Karl Romaneschi, MD Palliative Medicine Nita Schwartz, MD Pathology Roderick Turner, MD Plastic Surgery Kent Gabriel, MD Podiatry Sean M. Betesh, DPM Keith Card, DPM Victoria Melhuish, DPM Psychiatry Dwarakanath Vuppalapati, MD Radiology Tyson Hale, MD Leonard Holmgren, MD Paul Knight, MD Robert Silk, MD Urgent Care Kenneth Gibb, MD Sandra Poelker, PA-C 5
E X PA N D E D
SERVICES Mobile X-Ray Technology Carson Valley Medical Center recently added a portable X-ray machine to its advanced medical imaging & diagnostics department, which allows for bedside imaging and diagnostics throughout CVMC’s emergency room, acute care hospital and ICU. “For us, it is a state of the art upgrade to our critical services,” CVMC Medical Imaging Manager Michael Jones said. “It affords patients and our physicians immediate access to diagnostic tools that can be used bedside. Now, our physicians will be able to diagnose bedside before the X-ray technician even leaves the room.” The machine will be used in critical and emergency care situations, as well as alleviating the need to physically move a patient when faced with a possible dislocation or fracture. It can also be used to assist in the placement of an internal venous line. Robotic UV Light CVMC’s newest technology is the state-of-the-art Optimum-UV Enlight cleaning system by Clorox Healthcare. This robotic device will use ultraviolet technology to disinfect our operating room following procedures. This cutting-edge system will be an exciting addition to our line of defense, providing patients the safest, cleanest environment possible. The purchase of this new technology was made possible by the CVMC Hospital Foundation.
Por table X-ray Machine
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EEG The CVMC Neurodiagnostics lab has added electroencephalogram (EEG) technology to its array of services. An EEG is a safe, painless test that measures the electrical activity of the brain. It can monitor changes in brain wave activity, which may be helpful in diagnosing epilepsy or evaluating brain tumors, head injuries, sleep disorders and dementia.
In 2017, the CVMC Hospital Foundation received $126,000 in charitable contributions. These funds go directly back into the community by supporting CVMC in the acquisition of life-saving healthcare equipment like the Optimum-UV Enlight system and expansion of healthcare services. Foundation funds will also be directed toward an upcoming expansion of the Minden Family Medicine rural health clinic.
C V M C Fo un dat i o n S ch o l arship s
Participants compete in the annual CVMC Hospital Foundation Fall Classic Golf Tournament while a deer grazes on the greens.
CVMC Hospital Foundation Board of Trustees Dan Dykes, Board Chair
2017 marked the first year the foundation awarded its two scholarship programs designed to assist local students in pursuing careers in healthcare.
Nita Schwartz, MD, Vice Chair
The Journey Begins scholarship ($1,000) goes to a Douglas County high school student pursuing a degree in a healthcare field.
Linda Birdwell
The Journey Continues scholarship ($2,000) goes to a resident of Douglas County who has already completed a year or more of a higher education, healthcare-related degree and is working toward the successful completion of his or her program.
Krissie Thornhill
P ink F un d In 2016, the CVMC Foundation established the Pink Fund, dedicated to providing aid for patients receiving care at CVMC facilities for breast cancer diagnosis and treatment. Fully funded by community support and donations, 100% of the money raised stays local and impacts the lives of patients within our community. The Foundation was able to provide its first aid package in 2017 and will continue to grow this important program in the coming years.
E X PA N D E D S E R V I C E S | H O S P I TA L F O U N D AT I O N
C V M C H o sp ital Fo un dat i o n
Drew Aguilar, Secretary/Treasurer Lars Ensign, MD
If you are interested in serving on the CVMC Hospital Foundation board or in getting more involved with your community healthcare system, call the Foundation office at 775-782-1512.
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BY THE NUMBERS 200,237
12,120
OUTPATIENT VISITS
EMERGENCY ROOM VISITS
1,316
SURGERY CASES
K E Y A R E AS O F G ROW TH I N 2017
4,555
91st percentile at year-end in patient satisfaction for overall hospital care in a nationwide comparison.
5,966
EKGs (up 8.92% from 2016)
Four-Star: Patients’ overall rating of hospital stay and staff responsiveness as of year-end 2017.
13,870
Urgent Care visits (up 5.78%)
Rehabilitation Therapy visits (up 4.41%) Silver Syringe/Healthy People 2020 Award winner for seasonal influenza vaccination rates among its healthcare workers.
119,814
47,750
Lab Tests performed (up 3.64%)
Primary Care visits (up 3.51%)
1,660
Mammograms (up 2.47%)
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1,139
Patients admitted to CVMC Hospital (up 3.17%)
21,665
Diagnostic Imaging Exams (up 2.14%)
CVMC was named Carson Valley’s Business of The Year in 2017 by the Carson Valley Chamber of Commerce for its continued service and contribution to the community.
In 2017, CVMC’s total community benefit was
$12.8 million Community Health & Wellness
$516,205
COMM U N I T Y
BENEFIT Stay Hydrated In 2017, CVMC launched the Stay Hydrated program, geared toward encouraging the community toward proper hydration. We provide bottled, purified water to our visitors and patients at key locations throughout our campus, and deploy the “Hydration Station” at community events.
BY THE NUMBERS | COMMUNIT Y BENEFIT
Carson Valley Medical Center’s vision is to strengthen our community by providing accessible, affordable, high-quality healthcare to all.
Community Wellness Program CVMC provided health fairs, free and low-cost screenings, free and discounted sports physicals, health education, wellness services and support groups.
Community Support
$78,000 CVMC is proud to support many local organizations who work to improve the health and wellness of our community.
Uncompensated Care
$12,211,241
Hand in hand with our vision to strengthen our community by providing accessible, affordable, high-quality healthcare to all, CVMC constructed an annual Community Wellness Program focused on helping members of our community improve their health through affordable wellness screenings, health education courses and resources and youth- and senior-specific programs. These include “Know Your Numbers” monthly lab draws and wellness tests at discounted rates, special monthly screening packages, quarterly wellness seminars, online weekly wellness sessions, an annual community health fest, discounted youth sports physicals and our new “Silver Screenings” program – a partnership with local supporter Ironwood 8 Cinemas. Visit www.cvmchospital.org/wellness for more information. Top, Heather Fritsch, Chris Howell and Barbara Frazer show off the
CVMC is committed to providing care that is accessible to all in our community. CVMC offers a financial hardship assistance program geared toward helping those unable to pay for their necessary medical care.
new CVMC Hydration Station. Above, Amy Vidaurri and Judith Mosqueda of the CVMC lab assist with free bloodwork screenings during the Carson Valley Senior Health Fair.
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THANK YOU TO OUR 2017 DONORS! Individual Donors Tara Addeo JP and Shannon Albert Allan Alexander Alondra Alvarado Andrea Andersson Irene Arbeloa Shirley Ariztia Martin and Sandra Arraiz Sandra Bailes Carolyn Barger Christy Bateman Gary Beck Preston Becker John Bemis Joseph Bengoechea Pamela Biagini Toni Bicandi Linda Birdwell Jonathan Birulin Cathy Bombardier Laura Brewer Pat Bridges Kirsten Brien-Sheddy Lisa Broman Rose Brown Terry Brown L Bullard Rebecca Butler Pierre Calleja John Campbell Bill or Sherri Carslon Tonya Champa Dennis and Kathy Cocking John and Paula Corley Courtney Moore Vincent D’Ascoli Catherine Davis Cathy Davis Kevin Davis Mark Demar Sandy and Warren Dombrowski Cynthia Duhn Dan and Dee Dykes Evan Easley, MD 10 | ANNUAL REPORT 2017
Philip and Aline Elicagaray Mike Ellis Lars Ensign, MD Margaret Ewing Jeanne Fadem Stacy Fields Sarah Flanagan Mary Gardarian Sandy Garren Pauline Giordano Nicole Giron Allen Gosselin Pam Graham Jerry and Darlene Gregory Judith Hanson Valerie Harrell Steven Harvey Albert and Mary Hatala Andrew Haymart Andrea Highfill Daphne Hillyer Rene Hoogendijk Ian Houston Chris Howell Tina Jo Howell John and Marilyn Ithurburu Anita and Jean Izoco Randy Jacobs Michael Jones Billie Kale Kristi Kimball Sue Knight Lisa Kohbarger Jackie Kyhl Linda Lilleboe Linda Longinotti Lori McCaskill Nancy McDermid Leslie McGraw Lisa McKinney Don and Cindy Menesini Dale Miller Melissa Miller Ricky Miyashiro Mike and Jeanne Mocho
Scott Morgan Michelle Morris Rolly Motivo Frederick Nightser Johnny Olivas Natalie Oxoby Elizabeth Patton Greg Ponsness Tony and Marilyn Prestigiacomo Jesus and Mary Rey Emilia Rivera Patrick Roberts Heather Rodriguez Judith Rosso Katrine Rowe Evan Rowley Marilyn Sarasqueta Eugenio and Cathleen Sarratea Nita Schwartz, MD Morene Simon Linda and Richard Skroch Karen Smith Lynn Speir Amanda Stumbaugh Kyle Swanson Glenn Thorp, MD Jill Thurston Lisa Tremaine Rhonda Tremaine Roderick Turner, MD Jan Vandermade Bob Vibe Howard Vipperman Anthony Walker Cletus and Georgette Wandler Lisa Ward Jessica Weisser Dave Whitgob Jennifer Willing Kyler Witting Dan and Lois Wray Paula Yturbide Greg and Gina Zink Chuck Zumpft
Corporate Sponsors ABE Print & Copy Aurelius Golf Barton Health BioFilm Management Brookdale Care Flight/REMSA Carson Valley Accounting Carson Valley Import Auto Carson Valley Inn CHI/Optima CS McKee Designing Images Dixon Challenge El Tejon Sheep Co. First Independent Bank Gardnerville Health and Rehab Goldfish Partners Imagine Nation Books, LTD Infinity Hospice Care JCPenney Joyce’s Fine Jewelry Kindred Hospice M&D Aircraft Storage MEDNAX Services, Inc. MedPro Healthcare Staffing Minden Med Spa MKM Builders National Business Factors Nevada Overhead Door PrimeLending Pro Group Management Renown Health Servpro Sierra Nevada Medical Imaging Tahoe Emergency Physicians The Pink House The Foundation for Douglas County Recreation and Senior Center UltraGroup
Business Donors A Floral Affair Ahern Rentals Atlantis Casino Resort & Spa Camelot Carson Valley Golf Course Carson Valley Swim Center Creative Coverings Disneyland Resort Genoa Lakes Golf Course Harrahs/Harveys Resort Lagunitas Brewing Co. Lake Tahoe Cruises Lava Cap Winery Leah’s Perfect Rose Mammoth Mountain Ski Area Mazanita Glow Michael Hohl Minden Tahoe Airport Montbleu Resort Casino and Spa National Automobile Museum National Championship Air Races Need 2 Speed Pacific Park Peppermill Reno Pier 39 Record Courier Reno Aces Sacramento River Train Sacramento Zoo San Francisco Ballet Sanchez Ranch Meat Co. Six Flags Discovery Kingdom SMUIN Starbucks Roasting Plant Tahoe Tastings The Entertainer Total Wine & Spirits University of Nevada, Reno
IN MEMORIAM Our generous donors often want to leave a lasting legacy of their loved ones. The following individuals’ lives are honored on our Memory Tree, located near the front entry of the Carson Valley Medical Center’s main campus building.
Elizabeth Carlini Helen Louise “Sieliet” Chambers Theresa Clark Jack Cosbey Elaine Curcow Scott Doherty Violet Louise Evans Charles “Bill” Haymart Caroline Jennemann John Knight Kathy Kopitch
Carmen Lilleboe Daniel MacNeill John MacNeill Ruth MacNeill Nancy Mattinson Patricia Munoz Helen Chickie Oxoby James Donald Owen Mr. and Mrs. Edward Perry Jan Perry Clark N. Postal
Shirley Pulvers Warren Ramos Marcella Ratto Karen Renteria William “Bill” Salvador Jim Sesser Christy Smith Jeanne Spence Priscilla Sage Stalder Aaron Stewart Doris Svensrud
Kevin and Jocelyn “Jo” Sword Kathy Taylor Martha Thompson Mark Tracy Bob and Roberta VanAntwerp Hurtha Williams Al and Grace Whear Lita Venzon Vivian Von Dracek James S. Zunno
GIVING MORE & GIVING BACK
In Memoriam Frank and Marie Alfiero Bert Anderson Marion Barcus Claire Bauer Phyliss Bise Dorraine Blaising Paul and Ruth Boore Ron Bushey Lesley Anne Bustarde Irene Buyten
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Carson Valley Medical Center
w w w . c v m c h o s p i t a l . o r g
775-782-1500 | cvmchospital.org