2019
ANNUAL
REPORT
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VISION
To be the premier Native American healthcare delivery system empowered to serve the lifelong needs of our people.
MISSION
To provide high-quality healthcare and improve the health of the Gila River and Ak-Chin Indian Communities.
PROMISE
We promise to treat you with dignity and respect.
VALUES
• Accountability • Commitment • Patients & Families • Culture • Quality • Self-Governance • Trust
Board of Directors
Myron Schurz Wanda Manuel Rachel Hernandez, MBA Katherine Lewis, MSW Pamela Johnson
Chairman Vice-Chairwoman Treasurer Secretary Member
Executive Leadership Team Derrick Glum, MBA, FACHE Ellamae Dayzie, MSW Judith Roth, CPA, MBA Anthony J. Santiago, MD Susan Kelley, RN, MS, NEA-BC Priscilla Foote, LMSW
Interim Chief Executive Officer Interim Chief Operating Officer Chief Financial Officer Chief Medical Officer Chief Nursing Officer Chief Behavioral Health Officer
Cover photo: Lisa Antone - Digital Media Coordinator Gila River Health Care Location: Mar5
Board of Directors Message
Dear Gila River Indian Community, The Board of Directors is pleased to present the FY2019 Annual Report. We would like to highlight the past year’s accomplishments that have enhanced the healthcare of our patients. Peritoneal Dialysis Centers for Medicare & Medicaid Services (CMS) Compliance Alternative Therapies Program Dental Expansion MRI CT Scan Increased Gila River Indian Community (GRIC) member employment The work done to get to these accomplishments have been carried out by the hard work of the Gila River Health Care (GRHC) staff, Executive Leadership Team, working with the support and guidance from the Board of Directors. The organization strives to achieve the mission, vision and promise set forth from previous leaders of GRHC. With the vision we follow, we have engaged in recruiting providers in a highly competitive market so our patients receive quality care. We have created partnerships with local healthcare organizations, and strengthened our own processes, all with the desire to constantly improve our services. It is an honor to serve our Community and we take great care and diligence with our work. We extend respectful appreciation to our elected leadership for providing the Board the support and guidance in our common goal of improving the healthcare of our patients. Respectfully, Gila River Health Care Board of Directors
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TABLE OF CONTENTS FINANCIAL DATA Revenue and Expenses
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HEALTH DATA OUTCOMES
4
Gila River Health Care System-Wide Total Visits Hu Hu Kam Memorial Hospital Ambulatory Komatke Health Center Ambulatory Hau’pal (Red Tail Hawk) Health Center Ambulatory Ak-Chin Clinic Ambulatory Gila River Health Care Community Outreach Behavioral Health Services Alternative Therapy Program Integrated Medical Services Inpatient Department Total Patient OUR PATIENTS
8
GRHC Patient Visits Year-over-Year Patient Stories STRATEGY 10 FY19 Strategic Goals A Model for Self-Governed Tribal Healthcare Raising Awareness Through Outreach Behavioral Health Services FOCUS 14 GRIC Career Advancement and Opportunities Navigator Program Enhancing Human Resource Systems Hau’pal (Red Tail Hawk) Health Center Tobacco Tax Initiatives Komatke 10 Year Anniversary The Caring House Life Center Physical Therapy S.A.N.E. Program Medical Imaging Advancement Audiology Services GROWTH 24 Emergency Medical Services Building a Brand of Trust Construction Projects
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Vision Forward
30
Our Window to the Future
32
Gila River Health Care 2019 Annual Report
FY 19 FINANCIAL DATA
Medicaid (AHCCCS) $ Medicare $ Private $ Net Patient Revenue $ Indian Health Services Compact $ Tribal Funding - Tobacco Tax $ Tribal Funding - Dept of Corrections $ $ * Grant Revenue Tribal and Grant Revenue $ Medicaid/Medicare Payment (Cost Reimbursement) $ Cafeteria & Vending Machine $ Lab Outreach Services $ Contracted Services $ Discounts & Rebates $ Miscellaneous Revenue $ Other Revenue $ Operating Revenue $ Salaries, Benefits & Taxes $ Contracted Services $ Medical Supplies $ Non Medical Supplies $ Repairs & Maintenance $ Utilities $ Rent and Leases $ Other Expenses $ Operating Expenses Bef Depreciation $ Depreciation $ Operating Expenses Aft Depreciation $ Operating Margin/(Loss) $ Operating Margin Combined Net Patient Revenue Medicaid Medicare Private Payor 3-Year Financial Trend Operating Profit $ * Grant Revenue
GRHC
The Caring House Combined
106,013,935 $ 3,302,885 18,844,299 $ 1,741,121 10,747,434 $ 41,417 135,605,668 $ 5,085,423 65,468,900 $ 5,181,100 4,582,494 $ 4,000,000 568,811 - 4,965,351 - 75,585,556 $ 9,181,100 2,420,139 $ 965,016 348,586 155,271 38,456 49,440 $ 3,976,908 $ 215,168,132 $ 119,166,929 $ 17,819,506 $ 15,976,497 $ 2,207,906 $ 6,291,077 $ 3,537,639 555,414 3,208,386 $ 168,763,354 $ 12,044,766 $ 180,808,121 $ 34,360,012 $ 15.97%
$ 109,316,820 $ 20,585,420 $ 10,788,851 $ 140,691,091 $ 70,650,000 $ 8,582,494 $ 568,811 $ 4,965,351 $ 84,766,656
1,001,665 $ - $ - $ - $ - $ 89,618 $ 1,091,283 $ 15,357,806 $ 13,865,835 $ 691,982 $ 691,741 $ 782,092 $ 560,454 $ - $ - $ 79,233 $ 16,671,337 $ 208,178 $ 16,879,515 $ 1,521,709 $ -9.91%
3,421,804 965,016 348,586 155,271 38,456 139,058 5,068,191 230,525,938 133,032,764 18,511,488 16,668,238 2,989,998 6,851,531 3,537,639 555,414 3,287,619 185,434,691 12,252,944 197,687,636 32,838,303 14.24%
2018 80% 9% 11% 2017 2018 29,368,199 $ 32,898,793 $
2019 78% 15% 7% 2019 32,838,303
Special Diabetes Program for Indians Regional Behavioral Health Authority Tribal Opioid Response Methamphetamine and Suicide Prevention Initiative State Targeted Response to the Opioid Crisis First Things First - Home Visiting Sexual Assault Nurse Examiner First Things First - Maternal, Infant and Early Childhood Home Visiting (MIECHV) First Things First - Teen Parents Small Rural Hospital Improvement Arizona Coalition for Healthcare Emergency Response Grants Revenue Note: FY19 financial data included in this annual report is unaudited
$ $ $ $ $ $ $
2,382,222 1,715,910 198,234 175,632 174,800 146,077 87,765
$ $ $ $ $
38,031 33,055 7,054 6,571 4,965,351
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HEALTH DATA OUTCOMES
SYSTEM-WIDE TOTAL VISITS Department
* Dental
Dialysis Emergency Department Optometry Physical Therapy Podiatry ** Primary Care
Ambulatory
2018
26,084 29,692 34,218 14,965 17,605 17,264 89,010
2019
30,774 29,951 28,945 16,470 19,841 19,483 98,787
% Change 18.0% 0.9% -15.4% 10.1% 12.7% 12.9% 11.0%
* Dental and Mobile Unit Visits are combined ** Primary Care (Audiology, Nephrology, Pediatrics, Family Planning, Family Practice, Women’s Health, and Internal Medicine)
Key Services
Laboratory Tests Medical Imaging Pharmacy Prescriptions
2018
255,865 24,088 721,506
2019
285,552 29,624 723,670
% Change 11.6% 23.0% 0.3%
HU HU KAM MEMORIAL HOSPITAL VISITS Ambulatory
Department
Dental Dialysis Emergency Department Optometry Physical Therapy Podiatry Primary Care Women’s Health
2018
18,562 19,025 34,218 10,094 12,009 13,583 56,544 7,982
2019
% Change
16,290 -12.2% 19,339 1.7% 28,945 -15.4% 9,302 -7.8% 11,699 -2.6% 12,360 -9.0% 55,069 -2.7% 7,534 -5.6%
* Dental and Mobile Unit Visits are combined ** Primary Care (Nephrology, Pediatrics, Family Planning, Family Practice and Internal Medicine)
Key Services
Laboratory Tests Medical Imaging Pharmacy Prescriptions 4
2018
206,817 19,581 564,065
Gila River Health Care 2019 Annual Report
2019
210,630 21,694 518,668
% Change 1.8% 10.8% -8.0%
HEALTH DATA OUTCOMES
KOMATKE HEALTH CENTER VISITS Ambulatory
Department
Dental Dialysis Optometry Physical Therapy Podiatry Primary Care Women’s Health
2018
2019
% Change
2019
% Change
7,097 7,759 9.3% 10,667 10,612 -0.5% 4,385 4,215 -3.9% 5,247 5,037 -4.0% 3,205 3,660 14.2% 17,283 15,618 -9.6% 2,998 2,767 -7.7%
* Primary Care (Nephrology, Pediatrics, Family Practice and Internal Medicine)
Key Services
Laboratory Tests Medical Imaging Pharmacy Prescriptions
2018
45,870 4,313 151,652
41,306 4,267 141,182
-9.9% -1.1% -6.9%
HAU’PAL (RED TAIL HAWK) HEALTH CENTER VISITS Department
Dental Optometry Physical Therapy Podiatry * Primary Care Women’s Health
Ambulatory Aug - Sept 2018 425 486 345 248 1,056 288
2019
6,725 2,953 3,098 3,145 11,561 3,697
% Change N/A N/A N/A N/A N/A N/A
* Primary Care (Audiology, Nephrology, Pediatrics, Family Planning & Internal Medicine)
Key Services
Laboratory Tests Medical Imaging Pharmacy Prescriptions
Aug - Sept 2018 3,178 194 5,789
2019
32,723 3,663 63,820
% Change N/A N/A N/A
Note: Hau’pal (Red Tail Hawk) Health Center Opened August 2018
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HEALTH DATA OUTCOMES
AK-CHIN CLINIC VISITS Ambulatory
Department
2018
Physical Therapy Podiatry Primary Care Women’s Health
2019
4 228 2,781 6
% Change
7 75% 318 39.5% 2,540 -8.7% 1 N/A
INPATIENT SERVICES Service
Admissions Observations
2018
79 70
2019
% Change
94 19% 91 30%
ALTERNATIVE THERAPIES PROGRAM VISITS Service
Chiropractor Massage Therapy Acupuncture
2018
1,695 745 1,718
2019
% Change
2,213 30.6% 1,144 53.6% 1,865 8.6%
INTEGRATED MEDICAL SERVICES VISITS
Service
Wound Care Infusion Clinic
2018
4,013 2,814
2019
4,852 20.9% 3,015 7.1%
Community Outreach Visits
Clinical Department
2018
Emergency Medical Services 17,326 Life Center 19,829 Medical Transportation Services 154,565 Public Health Nursing (Home Visit/In-office) N/A School Health Services 14,550 * EMS Service Calls and Transfers are combined ** Represents partial data
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Gila River Health Care 2019 Annual Report
% Change
2019
15,834 24,284 194,077 21,656 13,834
% Change -8.6% 22.5% 25.6% N/A -4.9%
HEALTH DATA OUTCOMES
BEHAVIORAL HEALTH SERVICES Unit of Service
2018
2019
% Change
Outpatient Sacaton (HHKMH)
48,954
42,682
-12.8%
Outpatient Shegoi (KHC)
10,687
12,244
14.6%
Outpatient Addictive Substance Intervention Services (OASIS)
87,474
97,431
11.4%
Youth Services
7,826
6,334
-19.1%
Regional Behavioral Health Authority (RBHA) Case Management Enrollment
2,013
2,071
2.9%
Residential Treatment Center (RTC) Bed Days 14,769 14,057 -4.8% Admissions 115 113 -1.7% Successful Completions (Discharges) 59 62 5.1% Hau’pal (Red Tail Hawk) Health Center Total BHS Outpatients 1,676
17,844
N/A
* Represents partial data (March - September 2018)
Drug of Choice for RTC clients Drug
Alcohol Methamphetamine Opioids
2018
2019
58 57 30 37 7 11
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OUR PATIENTS Patient Visits Year-Over-Year
2018 Total 228,838
33%
2019 Total 255,714
GRIC -153,321
GRIC - 157,202
Non GRIC - 75,517
Non GRIC - 98,512
39%
67%
61%
2019 GRIC
2019 GRIC Patient
Total 15,781
Total 157,202
Visits By Age
Patients By Age
Ages 50+ - 3,043
19%
Ages 18-49 - 6,711
38%
Ages 18-49 - 62,888
39%
Ages 0-17 - 6,027
Ages 0-17 - 33,191
40%
43%
Tribal Affiliation Percentage of Total Visits Gila River Indian Community
67% 61%
10% 13%
Navajo Nation
9% 10%
Tohono O’Odham Nation Ak-Chin Indian Community
3% 3%
Pascua Yaqui
2% 3%
Other Tribes
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Ages 50+ - 61,123
21%
FY 2018 FY 2019 9% 10%
Gila River Health Care 2019 Annual Report
OUR PATIENTS
Patient Stories Gila River Health Care’s path to service excellence in the patient experience is made possible by a series of dynamic, positively reinforcing actions by our employees. Maintaining a high-level of service excellence is paramount to the longevity and growth of GRHC. Meet Mr. Phillip Ahmsaty and Mr. Chris Montano. They each have a story to share about their patient experience at Gila River Health Care. We invite you to read about it.
Phillip Ahmsaty Patient GRIC member Phillip Ahmsaty was diagnosed with diabetes more than a decade ago. “I’m from the Community and knew about the hospital… I originally came in for my yearly physical but I chose GRHC for my diabetes care because this is the place to be! The services are the best, and wait times are much less than before”. “The staff and providers have been most helpful for me and I feel my care is their priority. They are courteous and ask “How May I Help You?’” The Life Center Nurse Practitioner has clearly explained what I need. My doctor sits down and explains my medications, and the types of classes the Life Center offers. I get support from other group members that are going through the same issues.” “After you understand yourself, you can breathe and take time for yourself. With all I learned about my health, it motivated me to go back to school and in five years I obtained a Bachelor’s and Master’s in Social Work!”
Chris Montano Patient “I feel my care has been a priority to the Life Center staff. I’m a diabetic and was recently placed on Dialysis. I’ve had to change my ways of eating. There was a time I would drink a six-pack of soda in about an hour and a half without even realizing it! I haven’t had a soda in the last 5 years and I don’t miss it.” “Consistency in eating and small changes have made a huge difference. Moderation is what matters. My girlfriend has a family member that is also on dialysis, she knows what I should eat and what meals to cook. I eat turkey bacon and sausage now.” “In the past year I’ve lost over 250 pounds; I used to be 480 pounds, now I’m at 208. A lot of people thought maybe I was doing drugs! But, no, I changed my diet. The most important thing I’ve learned at the Life Center is that I can eat healthy with diabetes.”
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STRATEGY FY19 Strategic Goals
Service Excellence and Patient Experience
• Focus on enhancing the patient experience with Service Excellence Initiative • In FY19, approximately 1,100 employees participated
Service Excellence Initiative was developed to revitalize our employees. The training serves as a reminder to employ compassion and customer service in all we do. 10
Gila River Health Care 2019 Annual Report
STRATEGY
Patient Advocates (L-R) Marceline Brooks, Shayne Madrid, Danielle Enos
A Model for Self-Governed Tribal Healthcare
A focused and strategic plan has now established Gila River Health Care as a trusted partner within the healthcare industry, federal, state, and tribal governments and among general and Native American business communities. Engaging in dialogue, sharing best practices and hosting tours allows GRHC to showcase our strides in clincal excellence achievement while reinforcing our brand and industry presence. In 2019, GRHC hosted tour for hospital partners, government officials, tribal nations, and educational institutions.
Tara Sweeney, 13th Assistant Secretary – Bureau Indian Affairs for the U.S. Department of the Interior, visits Gila River Health Care. (June/2019)
The Nyamba Buru Yawuru native people of Western Australia visit Hau’pal (Red Tail Hawk) Health Center. (October/2018)
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STRATEGY
Raising Awareness Through Outreach
GRHC providers and executive leadership host an exhibit promoting services at Hau’pal (Red Tail Hawk) Health Center during the Diamondbacks Native American Recognition Day. (June/2019)
65 Parade Volunteers 123 Fair Volunteers 492 Volunteer Hours
2019 Mul-Chu-Tha - GRHC Employees celebrate and advocate Self-Care. (March/2019)
Governor Lewis visits the GRHC exhibit at Talking Stick Resort Arena during the Native American Basketball Invitational (NABI) tournament finals. (June/2019) 12
Gila River Health Care 2019 Annual Report
Dr. Ivey and several providers visit the Sacaton Boys & Girls Club and hoola-hoop with the children during the holidays. (December/2019)
Behavioral Health Services
STRATEGY
Opioid Awareness • Opioid overdose prevention and overdose kits with Narcan are available through GRHC. • Over 220 Narcan kits were distributed. Yes 2 Life! (Y2L!) Outreach • 1,530 participants during September’s Suicide Prevention Awareness Month. • Two new Yes to Life! Public Service Announcements featuring members of the GRIC Health & Social Standing Committee. • 4,723 Yes to Life! promotional items with crisis line information were distributed at outreach events and door-to-door. • Outreach included distribution of Winter Self-Care bags and Elder Love bags that contained mental health information and stress reduction items. At schools, youth were given muffins with self-esteem and suicide prevention messaging “Muffin Compares to You”. Prevention Activities • 4,061 people attended a BHS Prevention Program activity, training, or received information such as crisis door hangers or visited our booths. • 59 trainings were provided. • 672 individuals received training in Suicide Prevention or Mental Health Training.
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F O C U S GRIC Member Career Advancement and Opportunities GRIC Members Employed by GRHC FY 2018 FY 2019
1,742
In 2019, GRHC launched the Members Only recruitment campaign targeting GRIC members exclusively. The campaign messaging, look, and feel were created to resonate with Community members.
1,903
377 GRIC Members Employed
• Customer Service Representative: Dialysis
• Fellow, Administrative Fellowship Program • Navigator
The Gila River Health Care Administrative Fellowship Program offers selected qualified Community member the opportunity to acquire the necessary field experience, behavioral attributes, and knowledge in a comprehensive program. Through this program, Mr. Torres established GRHC’s newest business resource group, a forum for GRIC employees to learn about personal and professional development.
• Customer Service Representative (general)
Total Native Americans Employed
Mario V. Torres Jr. Administrative Fellow
• Dialysis Technician (Non-Certified)
• Administrator in Training (AIT)
677
726
Total GRHC Employees
FY19 GRIC Exclusive Positions • Community Health Representative
347
Mr. Torres (District 3) joined GRHC as an Administrative Fellow during the summer of 2019. He holds a Bachelor of Science, Emphasis in Management from Haskell Indian Nations University and a Master of Business Administration from Baker University, Kansas. As part of his assignments and training, he has participated and contributed to special initiatives and projects. Mr. Torres will spend time learning GRHC’s most fundamental positions from EVS up to director leadership responsibilities. In the upcoming months, Mr. Torres will spend time with each department and division leadership executives to learn the operations of GRHC’s healthcare system.
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Gila River Health Care 2019 Annual Report
FOCUS
Navigator Program
The purpose of the Navigator Program is to provide an avenue for the upward mobility of aspiring Community Members desiring career paths in healthcare. Gila River Health Care is committed to increasing and advancing the employment of GRIC members. To meet this goal, the program is designed to recruit, interview and select GRIC members for placement in a six-month training program that will prepare them to meet the minimum qualifications of designated healthcare positions.
Isabelle Duran Behavioral Health
Melvin Sanderson, Jr. Revenue Cycle
Phillip Ahmsaty Case Manager
Malaquias Soatikee Information Technology
Rosemary Wickey Dental
Danielle Whempner Human Resources
EMS First Responder Cadet Program
GRHC EMS’ First Responder Cadet Program (previously a Workforce Innovation Opportunity Act Program) targets GRIC youth ages 14 to 18. EMS, together with the Gila River Police and Fire Departments, have served as instructors in the program for the last three years. The First Responder Cadet Program has become a prelude to and fosters participation in GRHC’s Navigator program which offers an introduction to healthcare while encouraging the study of health sciences.
Cadet Training at Sacaton Middle School
Cadets Presenting to GRIC Council
First Responder Cadet Program Assembly 15
F O C U S Enhancing Human Resource Systems
Implementation of new technology for applicant tracking and recruitment
New Recruitment Software & Platforms
TextRecruit is a candidate and employee engagement platform that leverages text, chat and other communication technology to optimize our hiring strategy. • TextApply helps to attract talent anywhere by letting applicants text-to-apply to our job openings. • Connect provides GRHC with an easy way to attract and engage candidates who may not be ready to apply for a job posting, but who are interested in GRHC. This allows GRHC to build a pipeline of candidates that we can consider when the right job becomes available.
Learning and Development
An interactive platform was introduced to support clinical and non-clinical training and development for the entire employee population. Benefits include flexibility in developing curriculum; subscribing to content developed by subject matter experts; ability to house the performance evaluation process giving leaders and employees the latest technology in employee performance.
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Gila River Health Care 2019 Annual Report
FOCUS
Hau’pal (Red Tail Hawk) Health Center
The opening of Hau’pal (Red Tail Hawk) Health Center has dramatically enhanced access to care by GRIC members and urban Native Americans. Accessibility, well-trained, highly motivated employees, and their commitment to providing the best care and patient experience possible are all factors that have resulted in the popularity and growth of the facility. Gila River Health Care’s strategy for successful growth included a comprehensive marketing approach that has established brand (name) recognition while promoting the location and services offered. Greater market visibility was garnered through a combination of strategies.
FY19 Marketing Strategy
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F O C U S Tobacco Tax Initiatives HEALTHCARE SERVICES
GRIC Tobacco Tax funds make it possible for Gila River Health Care to plan, develop, and administer services for GRIC members.
Dental Orthodontics Program
Eyeglass Assistance Program
Dental orthodontic services provided to children who are Community members.
Provides one pair of eyeglasses per year to Community members. Provides assistance to those with low vision in acquiring low vision devices to maximize their remaining vision.
Hearing aids, battery replacement, and assistive devices for Community members with impaired hearing.
Mobile MRI
Alternative Therapies
The Caring House
MRI imaging for GRIC members at RTHHC.
Alternative holistic therapy includes acupunture, massage, and chiropractic services.
Ensuring access to long-term care services for GRIC members.
Dialysis Advocacy Program
Non-Emergent Medical Transportation Services
Resources for dialysis patients and their families.
Medical transportation services for Community patients that are not AHCCCS eligible or for trips not reimbursed by AHCCCS.
Durable Medical Equipment (DME) DME for Community members who otherwise would not have the means to obtain it.
Sineca Jackson
Peritoneal Dialysis First year funding for Peritoneal Dialysis (A type of dialysis used to remove excess fluid, correct electrolyte problems, and remove toxins. Treatments can be done at home, work, or while traveling.)
School Health Services Implementing health education behavioral wellness and nursing assessments that encompass the physical, emotional, and cultural needs of students and families. SHS promotes healthy lifestyles through case management of students’ health care needs.
Behavioral Health Services Behavioral Health School Counselors:
School based Behavorial Health Services at Community schools.
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Hearing Aids
Gila River Health Care 2019 Annual Report
Suicide Prevention Program: Population health programming to increase awareness and establish systems to connect GRIC members to resources for suicide and/or mental health concerns with respect to the culture and heritage of GRIC.
2009 - 2019
Komatke Health Center Opened on January 23, 2009.
Larry Croll, Pharmacist
Lt. Governor Robert Stone
Gila River Basket Dancers
Dr. Peter C. Wagner Jr. and Susanna Osife, Jr. Miss Gila River 2019-2020 19
F O C U S The Caring House
The Caring House Employee Recognition
Service Outcomes
Employees were recognized by leadership for achieving regulatory compliance and continue to work diligently to build a culture of compliance. A CMS surveyor was impressed with the accomplishments achieved in the short period of time, declaring The Caring House in “substantial compliance.� This achievement reaffirms employee commitment to focus on maintaining standards while further improving operations to ensure a high level of service is the goal of each employee.
Expansion Of Services In FY19, The Caring House eliminated contracted physical therapy services and expanded services from HHKMH. TCH provides physical therapy, occupational therapy and inpatient speech-language.
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Gila River Health Care 2019 Annual Report
F O C U S Life Center
Diabetes, Endocrinology and Wellness Services include: • Interdisciplinary care team (Endocrinologist, Nurse Practitioners, Registered Nurses, Registered Dietitians, Nutritionists, Diabetes Counselors, Fitness Staff, Life Style Coaches) • Comprehensive care model with attention to blood sugar, cholesterol, kidney function, bone density, dietary education and fitness coaching. • The providers at Life Center collaborate with other GRHC medical specialists (e.g. Optometry, Cardiology, Women’s Health, Pain Management, etc.) to fully manage all aspects of Diabetes. • Transportation for program participants • Extended hours Monday through Saturday Motivated Patients Utilize More Services Lifegrowth Center Patient (46.1% in usage sinceVisits FY17) 2017 2019 2017 - 2019 46.1% Growth Since 2017
FY 2017
16,621
FY 2018 FY 2019
David Van Druff, Garden Project Manager, Life Center HHKMH
Life Center Garden Project activities include Community member garden tub installation, GRHC department garden collaborations, and Community education and outreach. FY19 Outreach: • D2 Composting site in development • D3 Green house renovations complete and Elderly Complex garden planning • D6 Community garden established • D5 Community garden site identified • Life Center and Caring House garden maintenance • 2019 Mul Chu Tha garden display at fairgrounds
19,829 24,284
Dr. Roopa, Endocrinologist and Medical Director for the Life Center, addresses other endocrine concerns and advocates for patient resources (i.e., more medication options, monitoring devices). Dr. Roopa also writes a monthly editorial column published in the Gila River Indian News promoting awareness about diabetes and other endocrine concerns.
Dr. Prabhushankar Roopashree (Dr. Roopa)
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F O C U S Physical Therapy
The Physical Therapy department provides outpatient and occasionally in-patient services with the goal of preventing disability and pain; restoring function; promoting healing, and assisting patients in the adaptation to physical challenges. With dedicated and service-oriented staff, the Physical Therapy department provide excellent patient care and comprehensive rehabilitation services to the Community. Our experienced staff can evaluate and treat a variety of musculoskeletal injuries and conditions as well as post-surgical cases.
James Justice, Physical Therapist, assists patient with stretching at HHKMH Physical Therapy Department.
Therapeutic Dry Needling
In 2019, the Physical Therapy department introduced Therapeutic Dry Needling (TDN) as an alternative treatment for patients reporting pain. Dry needling, also known as myofascial trigger point dry needling, is an alternative medicine technique similar to acupuncture.
Therapeutic Dry Needling
Dry needling is mainly used to treat myofascial trigger point related pain, but it is also used to target connective tissue, neural ailments, and muscular ailments. The service was rolled out at all three outpatient Physical Therapy clinics. All 12 outpatient physical therapists are certified and include two physical therapists who perform TDN treatments at The Caring House.
S.A.N.E. Program
A Sexual Assault Nurse Examiner (SANE) performs a comprehensive health exam for survivors of sexual assault. A Sexual Assault Nurse Examination is also referred to as a Medical Forensic Exam. The exam is completed by medical providers (typically Registered Nurses) with advanced education in caring for both acute and long-term consequences of sexual violence, abuse, and neglect. Future program service exams include strangulation, domestic violence, child abuse, elder abuse, and sex trafficking. This program is a partnership between Gila River Police Department and GRHC.
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Gila River Health Care 2019 Annual Report
F O C U S Medical Imaging Advancement
Medical Imaging has added two new modalities to its service line, CT and MRI. • Each scanner has its own properties and the type of images needed determines whether a CT scan or an MRI scan is the better imaging choice. • Patients may now recieve this advanced diagnostic service at GRHC.
CT scanner at Hu Hu Kam Memorial Hospital
MRI scanner at Hau’pal (Red Tail Hawk) Health Center
Audiology Services
Hau’pal (Red Tail Hawk) Health Center The audiology program helps Community members receive testing and hearing aids, minimizing the need to travel outside the GRHC system. In FY19, GRIC members were provided 127 hearing aids, assistive listening devices and accessories.
Board Certified, Audiologist, H. Andrew Couch, Au.D.
Employee Valenda Catha testing out audiology equipiment.
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G R O W T H Emergency Medical Services • EMS procured two state-of-the-art vehicles. • EMS continues to be very active in the Community. Our outreach program staff attends many events throughout the year, such as school programs, job fairs, carnivals and Community events. • EMS’ CPR Outreach program trained over 1,700 Community members and employees from GRIC tribal departments last year. • EMS focuses on innovations that help improve patient outcomes, prevent provider injuries, and increases operational efficiencies. With the purchase of the new Powerload gurneys, EMS improves operator and patient safety by supporting the cot throughout the loading and unloading process. The reduction in spinal load helps to prevent cumulative trauma injuries.
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Gila River Health Care 2019 Annual Report
G R O W T H Building a Brand of Trust New corporate branding promotes GRHC’s image of trust. Corporate logos were placed on vehicles, facility signage, and scrubs worn by patient care staff.
Emilia Zamorano - MA
Anna Tapia - RN
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G R O W T H Hu Hu Kam Memorial Hospital
The U.S. Department of Housing and Urban Development (HUD) awards funding to Native American communities throughout the country to support a wide-range of community development. In FY19, this award allowed GRHC to renovate approximately 8,750 square feet showcasing ten adult exam and procedure rooms, and four pediatric exam rooms. Upon completion, there will be larger patient waiting areas, a designated room for private discussions with patients, and technological upgrades to enhance care delivery.
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Gila River Health Care 2019 Annual Report
G R O W T H North East Expansion Construction Project (NOREX)
1
2
ICV
3
A-0
4
A-1
5
A-2
6
A-4
A-5
A-6
BUILDING OUTLINE ABOVE
E
5 A401 ROOF DRAIN
ROOF OUTLINE ABOVE
102
STAIRS
109
101
FLOOR LINE ABOVE
FLOOR LINE ABOVE
103
ADA EXAM 18
RECEPTION 133
164
OFFICE
134
135
129
130
132
ROOF DRAIN
114
Cons
OFFICE (2)
MA WORKSPACE (10)
107 5' - 11 3/8"
CORR.
25' - 8 7/8"
PATIENT
STAFF
105
106 lockers
10' - 0"
CORR.
OFFICE
STAFF
169
6' - 0"
2 A401
131
3 A401
CORRIDOR
11' - 11 7/8"
117
163
165
170
EXAM 13
EXAM 12
142
143
EXAM 16
EXAM 15
EXAM 14
136
137
138
139
EXAM 6
EXAM 7
EXAM 8
EXAM 9
EXAM 11
STERILE STG
I.T.
149
148
147
EXAM 10
146
145
144
120
121
162
CORR. 140
161
OPEN OFFICE
RECEPTION
172
160
ROOF DRAIN
118
IS
C-1
STG
SOIL
119
141
WORK ROOM
ORTHOTICS LAB
EXAM 17
CORRIDOR
CORRIDOR
150
125
WOMEN 174
C-2
STAFF LOUNGE
115
116
128
CORRIDOR
168
6' - 0"
C-0-2
TRIAGE
OFFICE
OFFICE
OFFICE
C
OFFICE (3)
167
10' - 0"
LIMITS OF CONSTRUCTION
When completed in 2021, the NOREX construction project will expand Hu Hu Kam Memorial Hospital space by 33,000 square feet and become an expanded integrated medical services clinic.
HOUSEKEEPING
104
MEN
WOMEN CORR.
2 HOUR WALL
CORR. 111
ARTWORK LOCATION
LOUNGE
Expansion Timeline - GRHC Construction
OFFICE (2) 108
166
BUILDING OUTLINE ABOVE
AV STG
1 A401
RECEPTION COUNTER
100
RECORDS D
OFFICE (3) 113
DRINKING FOUNTAIN
LOBBY WHEELCHAIR STG
C-3
RN MGR
WAITING
C-2-2
112
110
C-4
S
OFFICE (3)
DIRECTOR MEETING ROOM
ELEV.
ELECTRICAL 122
V A D
MECHANICAL CORRIDOR
OFFICE
173
171
MEN
EXAM 1
EXAM 2
EXAM 3
X-RAY
157
156
155
154
EXAM 4 CLEAN 153
152
123
EXAM 5
STAIRS
151
C-0 C-0-1
124
175
2 HOUR WALL
E
2 HOUR WALL
EXISTING STRUCTURAL GRID
19
E5
LIMITS OF CONSTRUCTION
B
Purchased Referred Care
Purchased Referred Care
EXISTING BUILDING
A-3
Podiatry
Admin
EXISTING BUILDING
No.
Admin
1ST FLOOR PLAN
Issue
1/8" = 1'-0"
Proje Scale Draw Chec
MAIN HOSPITAL
A
Shee
Key Plan 3/16" = 1'-0"
1
March 2020
2
3
4
KHC Women’s Health
5
6
Expansion of services and increased patient privacy.
January 2021
HHKMH New Parking Lot
Additional 200 parking spaces for patients and staff. March 2021
Expansion of services for Purchased Referred Care, Podiatry, Women’s Health, and administrative offices.
BHS Expansion
Three story replacement building (New Beginnings) allowing expansion of services, conference rooms, outdoor area with amphitheater.
HHKMH Phase II North East Expansion
Shee
1
9/3/2019 3:26:33 PM
KHC Podiatry
Renovation of 2,750 square feet to include a waiting area, four private exam rooms, and provider offices.
1 C:\Users\SYazzie\Documents\18-050 NorEx TI 2020 - Central_styazzie.rvt
Future Developments
Podiatry
January 2022
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Vision Forward
Modern healthcare continues to become more technologically advanced, in some cases more difficult to access, and the quality isn’t always consistent. In order for us to meet these challenges, we have to address complex issues in how we provide the most medically competent, respectful care to as many people as possible in an efficient and cost-effective way. This next year gives us an incredible opportunity to address those complexities in a very strategic and forward-thinking way. As we forge ahead, we look forward to the opening of a state-of-the-art expansion of our podiatry and women’s health specialty clinics at Hu Hu Kam Memorial Hospital. This new expansion will add almost 33,000 additional square feet of space for these incredibly important clinical services. Additionally, construction plans include breaking ground on a new Behavioral Health Services facility that will essentially triple the size of our current facility, New Beginnings. Further, we have plans for aggressive provider recruitment for Primary Care and other specialties. Leadership and consistency continue to be the hallmarks of quality healthcare delivery today. We remain committed to ensuring our staff, providers, and clinicians have the best resources available to meet the needs of our patients every day. As we invest in our staff, we know that investment has started to pay off with greater consistency in care and better health outcomes for the Community. As we continue to grow and evolve our inpatient services, the Community can look forward to receiving higher-acuity care in our hospital. These developments are ongoing and will continue significantly this year. The leadership team and staff at GRHC consider it a pleasure to serve the Gila River Indian Community and look forward to many wonderful years to come. Respectfully, Derrick Glum MBA, FACHE Interim Chief Executive Officer
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(RED TAIL HAWK) H E A LT H C E N T E R
Our Window
to the Future... Hau’pal Ki’
(O’otham for House of the Red Tail Hawk) The Hau’pal Ki’ is the large red rectangular structure located at Hau’pal (Red Tail Hawk) Health Center in District 4 of the Gila River Indian Community. For most, the Ki’ (home) represents a place of hope, unity, and dreams. The Hau’pal Ki is dedicated to the Hau’pal (Red Tail Hawk) that is frequently seen soaring in the sky above the Gila River Indian Community. The Hau’pal is known as the protector of our people, and his red color amplifies the importance of the Hau’pal’s message of goodwill and health.
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