Teton Valley Health Care Annual Report 2014

75

years of service 2014 Community Report

Teton Valley Health Care, Inc. 120 East Howard Avenue Driggs, Idaho 83422 208.354.2383 www.tvhcare.org TVHC, Inc., Current Board of Directors

Where we’ve come important as 2014 Community Report + healthcare vision survey

Bob Benedict, Chair Steven Dietrich, Chairman Emeritus Keith Gnagey, TVHC CEO, Vice Chair Aaron Hansen, Treasurer Gil Hundley, Secretary Nathan Levanger, DO, Medical Staff Director Duncan Moore Robert Whipple, DVM, MD, MMM

TVHC, Inc., Hospital Administration Keith Gnagey, Chief Executive Officer Wesley White, Chief Financial Officer Angela Booker, Chief Nursing Officer Teton Valley Hospital is a federally designated Critical-Access Hospital.

Driggs Health Clinic and Victor Health Clinic are federally designated Rural Health Clinics.

Teton Valley Health Care, Inc., owns and operates Teton Valley Hospital and both clinics in accordance with Internal Revenue Service private nonprofit statutes.

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I TA L V I S

2014 COMMUNITY report

Teton Valley Hospital’s First Nurse, Mary Ann Thatcher 1939

Teton Valley Hospital Expansion Groundbreaking 1998

TVH opened its doors May 7, 1939, built on a foundation of Works Progress Administration funds and community donations. More than 75 years later, Teton Valley Hospital continues to grow and change with our valley.

Teton Valley Hospital leaders used golden shovels to break ground on a major hospital expansion in 1998. Community members donated over $1 million toward the $2.2 million project.

Computed Tomography Scanner 16 2012

from is as where we’re going.

2014

The current 16-slice CT scanner was installed in 2012 as part of Teton Valley Health Care’s ongoing promise to provide technologically advanced diagnostics for patients. An upgrade from the 4-slice CT scanner purchased in 2004, the unit is housed in a newly renovated exam room in Teton Valley Hospital.

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12,000+ I TA L V I S

Chemotherapy Hood 2013

Telemedicine 2014

Teton Valley Health Care began offering infusion therapy services in 2012, giving patients access to IV therapy in Teton Valley. A specialized ventilation unit for mixing and packaging chemotherapy medications, purchased in 2013 through a grant from the CHC Foundation, enabled specific forms of chemotherapy to be available as well.

Through an affiliation with University of Utah Health Care, our hospital entered the era of telemedicine and now offers 24/7 telestroke and teleburn patient support from specialists.

Driggs Health Clinic also provides telepsychiatry services from Portneuf Medical Center. www.tvhcare.org

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Meet our specialists: not pictured: Stuart D. Marshall, DDS

Jennifer Majersik, MD Amalia Cochran, MD, MA UUHC Teleneurology UUHC Teleburn

Travis Riddell, MD Pediatrics

Maura Lofaro, MD OB/GYN

George Linhardt, MD General Surgery

Marc Porot, MD Anesthesia & Pain Management

CHANGES IN 2014

Dr. Blake Wachter Keeps it Beating

Paging Dr. Responder

A New Backbone For a critical access hospital like ours, the X-ray

You now have one more expert on your healthcare

equipment serves as the backbone for diagnostic

Hearts matter. Prior to 2014, people who suffered

team. Introduced in 2014 to assist with specific

testing. The unveiling of our new digital X-ray

from heart conditions had the added prospect of

traumas (and named by a local 7-year-old

and fluoroscopy suite marked a high point for

driving an hour or more to visit with a cardiologist.

elementary school student), Dr. Responder brings

our patients and our healthcare team. The suite

We believe that your specialist should travel to

top doctors from University of Utah Health Care

underwent a complete renovation from floor to

see you, not the other way around. Our visiting

to your exam room. In real time, specialists in

ceiling to accommodate the new equipment and

cardiologists agree. In affiliation with Eastern Idaho

neurology, burns and psychiatry can view and speak

create a higher level of comfort for our patients. The

Cardiology Associates and the Idaho Heart Institute,

with patients and their primary-care physicians

new suite was jointly funded by a grant from the

you can schedule a visit with Dr. Patrick Gorman,

as added support for assessment, diagnosis and

M.J. Murdock Charitable Trust, Teton Valley Hospital

Dr. Blake Wachter or Dr. Douglas Blank.

treatment planning.

Foundation and Teton Valley Health Care.

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2014 service report

Kevin Lee, MD Orthopedics

Maurice “Mo” Brown, MD Orthopedics

William Hazle, MD Telepsychiatry

Adam Williamson, LCPC Mental Health Counseling

Blake Wachter, MD Cardiology

Patrick Gorman, MD Cardiology

The Lab Gets Results Last year, our laboratory performed more than 23,000 tests to help

Douglas Blank, MD Cardiology

Bradford Talcott, MD Neurology

fiscal year 2014

support preventive health screenings and diagnoses. Generous

10/01/2013 – 09/30/2014

contributions from our community and Teton Springs Foundation have

Total number of employees..................... 160

allowed funding for sophisticated equipment and software to expand

Total gross revenue. ................... $18,313,066

our lab services, improve accuracy and decrease the wait time for many types of lab results. As an added bonus, Teton Springs Foundation awarded a grant to literally brighten up our blood draw room with new paint and furnishings, including a comfortable, adjustable draw chair.

Salaries, other compensation, employee benefits. ........................ $6,279,304 Payroll taxes..........................................$633,183 Total expenses.................................. $9,939,028

People Who Need People

Contributions to our Community

Under most circumstances, a visit to the clinic or hospital can be stressful. At TVHC, we make every effort to ensure your experience is a positive one. From organization-wide customer service training and physician peer review to transparent quality reporting, we’re focused on person-to-person care and communication. In 2014, clinic patients gave us a 97% satisfaction score and surgical patients rated us at 98%. What’s our goal? 100%, of course.

Medicaid............................................$278,943

A Place to Heal Teton Valley is a place of stunning natural beauty. We believe that

Community health improvement. ................................... $72,508 Financial assistance at cost......... $37,889

our hospital and clinics should be a reflection of our environment.

Contributions for community benefit. ....................... $14,895

Beginning in 2014, we’ve adopted some of the proven tenets

Subsidized health services.......... $11,032

of evidence-based design for healthcare to build a template for facility-wide cosmetic renovations. Starting with a nature-based color palette and an eye toward better functionality for patients

Total community contributions....$415,267 Amount to reinvest in TVHC.........$288,079

and our staff, we’ve taken the first steps toward creating a healing environment for patients and their loved ones.

www.tvhcare.org

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quality metrics 2014

It all adds up to exceptional care.

2014 Facts & Figures

10/01/2013 – 09/30/2014 Medical Infection Rates

.025% Goal: 0%

Surgical Infection Rates

.05%

15,598 6,469

1,691 ER Patients

Clinic Patients

Hospital Outpatients

Goal: 0%

Readmit to ER within 72 hours

.095% Goal: <2%

Readmit to Hospital within 30 days

517 351 1,100

2,421

421 85 421

949

+

Ambulance Runs

X-Rays

Flu Shots

MRIs

6.87% Goal: <12%

Clinic Patient Satisfaction

96.25% Goal: 100%

Inpatient Satisfaction

97% Goal: 100%

Surgical Patient Satisfaction

98.25% Goal: 100%

Ultrasounds

23,356 Lab Tests

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2014 COMMUNITY report

Colonoscopies

Mammograms

130

Sports Physicals

213

CT Scans

Tdap Vaccines

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We’re small on the outside and bigger on the inside.

One community hospital.

Two health clinics.

More than 18 specialties.

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Without the professional care and effort put forth at TVH during the first hour of my heart attack, I would not be here today.

Due to the short amount of time it took to receive the proper care, tests, medications, transport and definitive care, my life will return to normal.

I have lived in Teton Valley since 1977 and have never been a patient in the local hospital before, so I would like to comment on the care given to me while I was in your hospital recently.

I could not have received any better care anywhere.

I had a significant skiing accident in which I broke my shoulder, with multiple fractures. Thank you all for your kindness and comforting me when I was so far from home.

You have a top notch facility and I would not hesitate telling everyone what a wonderful hospital you have.

You all should feel proud of the great service you do in our valley, and after three weeks with you, we can tell you that we have never experienced more loving care.

Earlier this month, I experienced a heart attack.

I was delivered to the ER by ambulance and the hospital staff quickly triaged and stabilized me and sent me on my way via air ambulance to EIRMC where two stents were placed. I am told that only 8% survive this type of cardiac event. I believe the only reason I survived is because of the excellent care of the EMTs and ER team at Teton Valley Hospital. Our community should know the kind of work our hospital can and does perform as part of their routine day.

…the level of care was astounding.

Medical, and more impressively, nursing care was professional, skilled, attentive and caring; as good or better than I’ve ever seen in 30 years of nursing. I saw nothing but best practices in place and truly respect all those with whom I came into contact.

I hardly know where to begin with my praise for Teton Valley’s health care! From the receptionists to the friendly and helpful housekeeping staff, I was so pleasantly impressed while I recovered from knee surgery.

The personal care I received was beyond all expectations.

www.tvhcare.org

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Teton Valley Hospital Foundation

This is your story.

120 East Howard Avenue Driggs, Idaho 83422 208.354.6317, ext 181 www.tvhfoundation.org Board of Directors Ray Howard, President Julie Whitlock, Vice President Mark Anderson Tammy Brown Keith Gnagey, TVHC CEO Carrie Snoey John Unland

Staff Diane Tauer Temple, Past Executive Director Ann Loyola, Interim Executive Director Scott G. Lambertsen, Development Director Milissa West, See N’ Save Manager

THE TOSS of a coin Everyone knows

about the ripple effect; about how one decision can affect an entire lifetime. Maybe you don’t know about one particular day in the lives of a local family and how you may have been a part of their story.

It was a family gathering of relatives that started out as a barbecue and picnic.

A child went missing. Family members searched and called out his name. He was found in a stream, under water. Relatives jumped in and carried him out. The ambulance arrived. EMTs and paramedics worked to resuscitate him while they hurried to Teton Valley Hospital.

Family and friends formed a group at the hospital. It was late. Some people were wet from the rescue. Hospital employees opened the doors of the See N’ Save thrift store and gave them warm clothing and blankets. In the emergency room, nurses and doctors worked to find a pulse and get the child’s lungs to start working again. A medical helicopter was called. Specialists at an out-of-state facility were contacted and sent test results in real-time online so they could be prepared for the young patient being flown their way.

This story has a happy ending. The boy was returned to his family, whole and healthy. The word “miracle” has been used.

Sometimes, the difference between life and death hinges on the toss of a coin.

How were you involved in the lives of this family? If you’ve ever made a donation to See N’ Save, you were on the team. Sales from the thrift store support our hospital foundation. If you’ve made a financial contribution to our foundation through the Tin Cup Challenge, one of our fundraising events, or given a gift in someone’s honor, you’re a part of this story.

Over the years, gifts of all amounts – from $1 to $100,000 – have allowed the purchase of ambulance equipment, pediatric emergency crash carts, electronic sharing of medical records, emergency diagnostic equipment, cardiac monitors and more.

Sometimes, the difference between life and death hinges on the toss of a coin.

Maybe your coin will start the next ripple effect.

Please give your support to Teton Valley Hospital Foundation.

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2014 COMMUNITY report

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Healthcare Climate Change Ray Howard Teton Valley Hospital Foundation, Board of Directors President

With the current healthcare climate in the US, it’s

2014 Events 1 92-Hole Golf Til You Drop tournament 2 Remodeled lab room ribbon cutting 3 Tee it Up for the Tetons: Fighting Breast Cancer in Teton Valley golf tournament

4 Art & Wine Auction

becoming more and more difficult for small community hospitals to survive.

Since 2013, 48 rural hospitals have had to close their doors. Another 160 to 180 rural hospitals are operating on the edge of closure, with one in Texas announcing recently that it was closing its doors and one in New Jersey filing for bankruptcy. In July 2015, hospitals in the state of Hawaii laid off 128 healthcare workers in order to stay in business.

It’s alarming to see rural areas struggle to provide needed hospital services for their communities. We all know that time is critical when it comes to receiving emergency care. It’s also easier to receive medical care with help from a circle of loved ones nearby.

But maintaining a small community hospital like ours requires support from all of us. It’s the mission of our Hospital Foundation to assist with the development, improvement and expansion of Teton Valley Health Care, Inc. Support can come in many ways. We have people in this valley who contribute time and/or money to help support our mission (and no donation is too small to be appreciated). Others support our hospital by utilizing our facilities and physicians for their healthcare needs rather than making the long drive to Idaho Falls, Jackson or Rexburg. This has become easier as physicians regularly visit us offering specialities in cardiology, neurology and other services within our walls so our patients don’t need to travel for follow-up or screening visits. We appreciate these physicians who make the journey so you don’t have to.

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Tweaks in healthcare reform and industry regulations will continue to have an impact on how we deliver and receive care in the United States, with a disproportionate share of challenges falling on rural hospitals. I look forward to meeting with many of you this year and learning more about how to strengthen our foundation so that we can continue to meet the medical needs of generations to come.

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Please feel free to share your ideas and questions with us at info@ tvhfoundation.org. www.tvhcare.org

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Joining in the pursuit of community 2014 sponsorships

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2014 COMMUNITY report

health and happiness.

What’s your vision for healthcare in Teton Valley, Idaho / Wyoming?

Fill out this form and drop it in the mail, or fill it out online at tvhcare.org I would like TVHC to offer:

Top (l-r): 1. Teton Valley Balloon Rally 2. Community Foundation of Teton Valley, Tin Cup Challenge 3. Fitzgerald’s Bicycles race team 4. Teton County Idaho Search and Rescue training 5. Teton Valley Education Foundation school enrichment program

o More medical services such as ___________________________________ o More surgical services such as ___________________________________ o More specialists such as ________________________________________ o Fewer services such as reducing _________________________________ o A different hospital location o A new hospital o Specific technology such as _____________________________________ o Electronic access to my medical records o Ability to export my medical records to other providers o Electronic messaging between me and my healthcare team o Online scheduling and prescription refills o Online access to my statements and online bill pay o Online request for financial assistance o Ability to complete forms online prior to my appointment o More rehabilitative services such as ______________________________ o Longer clinic hours o A stronger focus on overall community health o More nontraditional health services such as ________________________

Help plan our hospital’s future.

middle (l-r): 1. Teton Valley Foundation, Kotler Ice Arena 2. Teton Valley Recreation Association youth softball league team 3. Teton Valley High School athletics program 4. Teton Indoor Sports Academy

____________________________________________________________

Bottom (l-r):

Your chance to win a great raffle prize!

1. Teton Valley Foundation, Teton Valley Great Snow Fest skijoring competition

Share your contact information below, and we’ll enter you in a raffle for a chance to win a certificate from Stillwaters Spa & Salon at Teton Springs Resort or a one-person, sit-on-top kayak. Must be 18 or older to enter.

2. Teton Valley Mental Health Coalition, Mental Health First Aid program

Share your forecasts and suggestions

3. Teton Valley Rodeo Company

by taking part in the survey at right.

Winners will be announced January 30, 2016.

Name _______________________________________________________________________________________________________________________________________

4. Teton Valley Foundation, Music on Main not pictured: Distinguished Young Women of Teton Valley

Address ____________________________________________________________________________________________________________________________________ City __________________________________________________________________________ State ____________ Zip ______________________________________ Ph ___________________________________________ Email ________________________________________________________________________________________

www.tvhcare.org

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Teton Valley Hospital opens its doors in 1939.

120 E Howard Ave Driggs, ID 83422 Nonprofit Org

US Postage PAID ECRWSS Permit #18

Postal Customer Local

Driggs, ID 83422

Cover art: “Beard’s Wheatfield” oil on canvas by Kelley Coburn, Teton Valley Health Care pharmacist

@tvhealthcare