Community Report
120 East Howard Avenue Driggs, Idaho 83422 208.354.2383 www.tvhcare.org TVHC, Inc., Current Board of Directors Keith Gnagey • Chair, TVHC CEO Robert Whipple, DVM, MD • MMM Aaron Hansen • Treasurer Gil Hundley • Secretary Alice Boney • Director Duncan Moore • Director Michael Wine, DDS • Director Nathan Levanger, DO • Medical Staff Director Bob Benedict • Chairman Emeritus
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, Incorporated, owns and operates Teton Valley Hospital and both clinics in accordance with Internal Revenue Service 501(c)(3) statutes.
@tvhealthcare
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COMMUNITY report
This critical-access hospital offers more community-focused services than any other rural hospital we’ve visited. –Quorum Health Resources consultants
What is your perception of rural hospitals? For some people, the quantity of square footage is used as a measurement of quality services. Here are a few terms that are used most commonly to describe small-town hospitals: 1. Band-aid station
2. Farm Aid
3. See and Ship
When Quorum Health Resources consultants were impressed by the services we offer at Teton Valley Health Care, we took notice. This particular pair of consultants specializes in data collection and analysis of critical access hospitals across the United States. They know a thing or two about rural hospitals. Your community hospital and clinics are much more than band-aid stations. It’s our priority to be the best in care, quality and innovation for critical access hospitals, and to prove that to you every second that we’re open to care for you. After 77 years, the hospital has overcome profound challenges and today remains one of a handful of sustainable non-tax-supported critical access hospitals in our nation. This isn’t hyperbole. Rural hospitals continue to close at alarming rates throughout the 50 states. The facilities that are thriving have been able to do so through a variety of operational tactics including affiliations with larger hospitals, reduction of services and staff, and/or innovative changes to their operational model. In every example of a healthy rural hospital, the common denominator is a supportive, engaged community. It’s obvious that TVHC must continue to break away from small hospital stereotypes and explore new options to care for patients, families and our community at large. From the beginning, your opinions, survey responses and shared experiences have shaped our direction. Thank you. We’ve based our Community Report on current innovations, quality measures and community-outreach services. It’s our objective to continually redefine rural healthcare, and to do so in a manner that’s responsive to your expectations and the needs of future generations. Best wishes for health and wellness,
Keith Gnagey, CEO { I’ll get their signatures }
Angela Booker, CNO
Wesley White, CFO l-r: Keith Gnagey, Angela Booker, Wesley White
www.tvhcare.org
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quality fiscal year 2015 10/01/2014 – 09/30/2015 Total number of employees........................................... 145 Total net revenue.............................................. $16,324,958 Salaries, other compensation, employee benefits. ............................................. $8,117,382 Payroll taxes............................................................... $831,618 Total expenses..................................................... $15,490,823 Contributions to our Community
quality metrics 2015
19%
22%
4%
54%
1%
Medicaid.................................................................. $179,917 Community health improvement................. $62,194 Financial assistance at cost............................... $74,696 Contributions for community benefit........ $13,573 Subsidized health services................................... $4,278 Total community contributions.......................... $334,658 Amount to reinvest in TVHC............................... $469,261
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COMMUNITY report
.4% Goal: 0% Medical Hospital Acquired Infection Rate.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64% Goal: 0% Surgical Site Infection Rate.................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21% Goal: 0% Readmissions to ER Within 72 Hours of Discharge.. . . . . . . . . . . . . . . . . . . . 2.4% Goal: <2% Readmissions to Hospital Within 30 Days of Discharge. . . . . . . . . . 7.64% Goal: <12% Clinic Patient Satisfaction...................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97% Goal: 100% Inpatient Satisfaction........................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93% Goal: 100% Surgical Patient Satisfaction.................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96% Goal: 100% Overall Hospital Infection Rate............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weâ&#x20AC;&#x2122;re impressed by the outstanding medical staff and level of diagnostic technology offered at Teton Valley Health Care.
My grandson was able to visit me in my hospital room.
â&#x20AC;&#x201C;Tad Morley, MHA, FACHE / Executive Director of Outreach and Network Development, University of Utah Hospitals & Clinics
1,832 ER Patients
17,711 7,567
Clinic Patients
Hospital Outpatients
496 426 966
3,648
474 79 439
977
Ambulance Runs
Ultrasounds
25,465 Lab Tests
X-Rays
Flu Shots
MRIs
Colonoscopies
97
Mammograms
Sports Physicals
CT Scans
209
Tdap Vaccines
Instead of having to travel to another hospital for intensive care, Joe was able to stay at Teton Valley Hospital thanks to a TeleAcute Care partnership with the University of Utah Health Care System.
This service allows some patients to stay at TVH instead of
Instead ofto having to travel to being transferred distant facilities. another hospital for intensive Teton Valley Health Care offers more than 20 specialty services including,teleburn, teleacuteto care, telepsychiatry care Joe telestroke, was able stay at and a swing bed (long-term stay) program. Teton Valley Hospital thanks to a Visit tvhcare.org/services for a complete list of all the services with TeleAcute Care you have access to right here atpartnership home. the University of Utah Health Rural healthcare, Redefined Care System.
tvhcare.org
(208) 354-2383
This service allows some patients to stay at TVH instead of www.tvhcare.org being transferred to distant facilities.
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innovation
Collaborating to improve children’s healthcare Sam* is 15. He’s a high school freshman and he’s interested in becoming a scientist who could perhaps cure diabetes, a disease he’s suffered since childhood. Sam has also been diagnosed with a learning disability which results in levels of high anxiety and frustration, along with getting behind in his schoolwork. His parents keep track of Sam’s progress through separate communications with his high school counselor, special education teacher, physician, and endocrinologist. They worry about Sam’s ability to care for himself as he grows older. Youth with special healthcare needs often have challenges moving into adulthood. In rural areas, the parents of these children may face a lack of sufficient resources to guide them through this sensitive transitioning period. Driggs Health Clinic has partnered with the Children’s Healthcare Improvement Collaborative (CHIC), sponsored by the Idaho Department of Health & Welfare, to offer a team approach for these children and their families. Physicians, counselors, specialists, parents, and others involved in the health and well-being of the youth work together to implement an individualized transition plan. Communication between the team members and follow-up support are essential. This year, more than 50 youth and their guardians have been helped through this program.
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COMMUNITY report
Launching a pilot program for chronic disease management For the past six years, Robert* has struggled to control his diabetes, hypertension and weight. Within one year, he had five visits to the hospital E.R. due to complications from his multiple health issues. Then, Robert joined a pilot program at Driggs Health Clinic designed to help people better understand and manage their health. The program offers a treatment plan formulated by our medical professionals specifically for each patient along with a Nurse Care Coordinator who acts as the patient’s navigator for each facet of their care. The coordinator offers a one-stop source of information, guidance and encouragement. Other team members include the primary medical provider, a pharmacist representative to review and reconcile any medications, a medical assistant, a dietician, and any specialists involved in the individual’s care.
I had no idea I had no idea I had no idea I could I could seesee a a I could see a neurologist at TVH. neurologist at TVH. neurologist at TVH.
Ongoing monitoring and assessment of the patient’s progress helps assure that the treatment and services are adjusted as needed. Our 10 pilot participants have been essential for helping form this team-based model. We’re now expanding this service as a permanent alternative for patients.
Forming affiliations with centers of care excellence There are pros and cons to small town life. In terms of healthcare, it can be nearly impossible to access medical specialty care. New technology has opened doors to the specialty suites, however, bringing an elevated level of sophistication to local services and programs. By working closely with physician specialists and hospital leaders from University of Utah Health Care and Intermountain Health Care, your local hospital and clinics now offer telemedicine services that allow real-time responsive examinations, conversations, and treatment planning with respected specialists who are hundreds of miles away. Specialists work with your family doctor, adding their support for your treatment and recovery. Intermountain Emergency Physicians provide round-the-clock care every weekend for the E.R. at Teton Valley Hospital. All of the doctors from IEP are board-certified in emergency care. They work in tandem with TVHC nursing and ancillary staff, and they also provide physician-based weekend medical care for Driggs Health Clinic patients.
Expanding acute care services Julia* was admitted to the hospital to help recover from a serious case of influenza. To complicate matters, she had a total knee replacement just six weeks prior. Six months ago, Julia would have been transferred to another facility to receive a higher level of care for her multiple medical needs, displacing her from the immediate support of family and friends. TVHC’s continued affiliation with University of Utah Health Care has made it possible for our hospital to provide TeleAcute care. Hospital intensivists are available 24/7 to assist with patient oversight in real-time through Dr. Responder, TVHC’s onsite medical robot. Specialists can speak with patients, perform basic visual exams, and confer with local medical and nursing staff about diagnoses, treatment plans, and discharge planning.
*Names and details have been altered to protect patient privacy.
Jane was having debilitating Jane waswas having debilitating Jane having debilitating headaches. They became so headaches. They became so so headaches. They became severe, she knew see needed to severe, sheshe knew see see needed to to severe, knew needed see a specialist. Luckily, a friend seesee a specialist. Luckily, a friend a specialist. Luckily, told Jane that she could seea friend toldtold Jane thatthat she she could see see could Dr. BradJane Talcott, a neurologist, Dr. Dr. Brad Talcott, a neurologist, Brad a neurologist, right here inTalcott, Teton Valley, saving right here in Teton Valley, saving here Teton Valley, saving herright travel timeinand hassle. herher travel time and hassle. travel time and hassle. www.tvhcare.org
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This is our 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, Treasurer Mark Brannon Tammy Brown Keith Gnagey, TVHC CEO Alisha Horrocks
Teton Valley Hospital Foundation is dedicated to fundraising for Teton Valley Health Care. Specifically, our mission is: To promote and support TVHC through advocacy, fundraising and community outreach. Our goal is to bring state-of-the-art care and service to those who need it in Teton Valley. In the late 1960s, government funding for hospitals began to decrease. Over time, hospitals often received less reimbursement from insurance companies for services rendered. Costs of labor, medications and technology have continued to increase. Millions of uninsured or under-insured Americans need health care but simply cannot afford it. The result? An exponential increase in hospital cost and a significant lack of funding to pay for it. This is where the Hospital Foundation comes in. Our fundraising efforts for healthcare programs and facility improvements bridge the gap in funding for Teton Valley Health Care. This is why, every year, we reach out to you for help in making sure we are able to provide competitive patient care and up-to-date resources.
Carrie Snoey
Staff Jenny Wade, Executive Director Milissa West, See Nâ&#x20AC;&#x2122; Save Manager
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COMMUNITY report
The Foundation and You Teton Valley Hospital Foundation board members work as volunteers to raise awareness about TVHC priorities, including annual and capital agendas. The foundation also determines medical needs and goals by fostering open communication with hospital personnel and you, the residents served by Teton Valley Hospital and the Driggs and Victor clinics.
Art & Wine Auction 2016
A message from the Executive Director I am new to my position with Teton Valley Hospital Foundation and I am relatively new to Teton County. In the three years I have lived in this beautiful place, I have watched the Hospital grow, I have seen the facilities improve and, importantly, I have learned that Teton Valley Hospital has become a truly trusted resource in healthcare for the community. As such, I was excited to take on my new role with the Hospital Foundation.
Tee it Up for the Tetons: Fighting Breast Cancer in Teton Valley golf tournament 2016
The Five W’s of the Hospital Foundation WHO: TVHF’s Board of Directors work in tandem with the Foundation’s executive director on fundraising events and initiatives to generate ongoing donations for Teton Valley’s medical facilities. Additionally, the Foundation owns and operates the See N’ Save thrift store, the community’s popular second-hand retail store that sells donated goods. WHAT: The Foundation exists solely to provide fundraising support for Teton Valley Health Care, Inc. Maintaining its own budget for expenses and projected income, the Foundation functions as a separate nonprofit entity focused only on acquiring funds crucial to the hospital’s success. WHERE: The Foundation’s office is located within the hospital building. The close proximity affords easy interaction between hospital and foundation leadership and staff. This supports integrative strategic planning and communication between the two entities on a daily basis. WHEN: In 1994, hospital administration faced new regulations that required expensive renovations and upgrades to the facility. A group of concerned residents came to the Hospital’s aid and created the Foundation to serve as an organization focused on raising tax-deductible contributions, applying for grant awards, and building community awareness about local healthcare. WHY:
Teton Valley Hospital Foundation serves to raise funds for our community’s hospital and clinics. These funds are necessary to stay at the forefront of healthcare. Without this source of donated income, medical care in Teton Valley would suffer. We would be unable to fund crucial improvements, renovations and technology in a timely manner, eventually lagging behind the industry in standard of care.
As the Executive Director, I have become a Hospital “insider.” What this means is that, every single day, I witness staff and management strive to be a strong, competitive force for healthcare. As the population grows, we are proud that our medical facilities and skilled staff maintain an excellent quality of care while efficiently meeting increased patient demand. This year, Teton Valley Hospital Foundation is raising $130,740 to afford necessary improvements to the Hospital’s operating and emergency areas. These renovations are crucial to our ongoing progress as a healthcare facility in Teton Valley.
We are so grateful for the community’s generosity to date. However, we have approximately $80,000 more to raise. As the end of the year approaches, please consider giving a Holiday gift to Teton Valley Hospital Foundation. You can help us meet our fundraising goal by sending your donation in the envelope included in this booklet. I thank everyone for their support and I look forward to an even more impactful 2017. Sincerely, Jenny Wade
Be our Guest! You don’t need to be a patient to check out all that Teton Valley Health Care has to offer. We invite you to be our guest! Take a 20-minute tour of the facilities to see how money donated through Teton Valley Hospital Foundation is put to good use, increasing our level of care with each passing year of operation. You’ll rest assured that whether or not you’ve had the opportunity to use the hospital or clinic, should you require medical service, you will receive top-notch care. Please contact Jenny Wade, Executive Director, at jwade@tvhcare.org to schedule your tour. www.tvhcare.org
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community ď Ž What builds the character of Teton Valley? Answer: People helping people. Weâ&#x20AC;&#x2122;re grateful for the opportunity to support the following community organizations: City of Driggs July 4th Celebration Community Resource Center of Teton Valley Distinguished Young Women of Teton Valley Family Safety Network Jackson Hole Youth Baseball Rotary Club of Teton Valley Seniors West of the Tetons Subs for Santa Teton County Fair Board Teton County Idaho Search and Rescue Teton Geotourism Center Teton High School Teton High School Booster Club Teton Indoor Sports Association Teton Valley Balloon Rally Teton Valley Baseball and Softball Association Teton Valley Education Foundation Teton Valley Food Pantry Teton Valley Foundation Teton Valley Mental Health Coalition Teton Valley Rodeo Company
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COMMUNITY report
2015 Harvest Health Fair
As a newcomer to Teton Valley Health Care and a veteran of practicing pulmonary medicine for almost 40 years in Houston, Texas, I’m impressed by the level of services and quality care available to our small community.
It’s a short drive to He avisited me to It’s short drive see a specialist for every day during see a specialist for my chronic pain. my chronic recovery. my pain.
–Dr. James Pohl, MD Pulmonary Medicine, Sleep Disorders
Sharing a tool for diagnosing concussion Last year, more than 120 youth under the age of 18 took advantage of a free baseline concussion test offered by TVHC. The test takes about 7 minutes per person and consists of eye-tracking and simple comprehension skills. Results for each individual are stored online. In the event of an injury later on, medical providers at our clinics can retest the individual and compare their most recent test results with their prior baseline results. Endorsed by Mayo Clinic, this particular test can also be administered as a fast sideline screening tool by nonmedical people. So far, participants include Teton High School and Middle School athletes, community soccer teams, local ski teams and youth baseball programs. We offer training for group leaders on test administration and we may also visit onsite to perform tests for local organizations. Questions? Call us at (208) 354-6348.
Free mammograms and more For six years, Teton Valley Hospital has offered free basic screening mammograms for patients who cannot afford them. This program has expanded to cover costs for ultrasounds, diagnostic mammographies, biopsies and follow-up appointments in the event that breast cancer or other diseases are detected. The application process has been simplified, resulting in a shorter time between approval and scheduling the exam. The breast health program is underwritten by Teton Valley Hospital Foundation working in conjunction with a dedicated group of women from our community. Every year, these hard-working volunteers produce a golf tournament benefit named “Tee it Up for the Tetons” and donate the proceeds to the Foundation. Last year, more than $15,000 in funding was directed toward mammograms, ultrasounds and other breast health services for patients.
Larry used to travel over an hour You can recover from surgery Larry used to travel over an hour to see a specialist for his chronic close to home. Teton Valley to seeNow a specialist for chronic pain. he sees Dr.his Marc Porot Hospital offers skilled nursing for pain. Now in heTeton sees Dr. Marc Porot right here Valley. inpatients extended right here in need Teton of Valley. stays. www.tvhcare.org Teton TetonValley ValleyHospital Hospitaloffers offersnearly nearly20 20specialty specialtyservices services
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We’re impressed by the outstanding medical staff and level of diagnostic technology offered at Teton Valley Hospital. We’re happy that through our affiliation we can expand on existing capabilities through telemedicine services. Teton Valley Health Care has shown us that the size of the hospital and resources does not prevent a committed team from providing excellent health care. –Tad Morley, MHA, FACHE Executive Director, Business and Network Development, University of Utah Hospitals & Clinics
Nonprofit Org
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Cover art by Mary Lou Oslund