Caring Fall 2014

FALL 2014 : ANNUAL REPORT EDITION

R EAL LI F E, R EAL H EALTH I N V E NTU R A C O U NTY

– Tom Caggiano

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The Man I Married WAS BACK . . . . . . . . . . . . . . 4 Medical RESIDENCY Program . . . . . . . . . . . . . . 8

Camarillo Center for WOMEN’S HEALTH . . . . . . . . 16

Michael Ellingson – Vice President of Marketing and Development Mary McCormick – Editor Woody Woodburn, Dan Wolowicz, ZestNet – Writers Stills and Motion Pictures, Sunwest Studio–Photography ZestNet – Art Direction/Design/Photography

BEHIND THE SCENES – A Unique View . . . . . . . . . . 18

Community Memorial Health System 2014 Board of Trustees

The SEPSIS Team . . . . . . . . . . . . . . . . . . . . 12

Delivering CHEER . . . . . . . . . . . . . . . . . . . . 21 HOSPITALISTS at OVCH . . . . . . . . . . . . . . . . . 22 SCRIBES in the ER . . . . . . . . . . . . . . . . . . . . 24 2014 SPEAKER SERIES . . . . . . . . . . . . . . . . . 26 PATIENT SATISFACTION Scores . . . . . . . . . . . . . 30 Annual REPORT . . . . . . . . . . . . . . . . . . . . . 32 THANK YOU to Our DONORS . . . . . . . . . . . . . . 37 FOUNDATION Reports . . . . . . . . . . . . . . . . . 44

Martin A. Pops, M.D., Chair Gregory H. Smith, Vice Chair F. Ted Muegenburg, Jr, Secretary Jeffrey D. Paul, Treasurer Tom Golden, M.D. Chief of Staff, Community Memorial Hospital Rochelle Wilson, D.O. Chief of Staff, Ojai Valley Community Hospital Marc A. Beaghler, M.D. Michael D. Bradbury Philip C. Drescher Timothy J. Gallagher John J. Hammer

Project UPDATE . . . . . . . . . . . . . . . . . . . . . 46 COMMUNITY @ COMMUNITY . . . . . . . . . . . . . 50 A not-for-profit organization.

147 N. Brent St., Ventura, CA 93003 ©2014 Community Memorial Health System

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William L. Hart, M.D. John V. Hill, M.D. Fritz R. Huntsinger William J. Kearney Harry L. Maynard Richard Rush, Ph.D. Roy Schneider, M.D. John W. Russell Katie Weldon Gary L. Wolfe EMERITUS MEMBERS OF THE BOARD Ralph R. Bennett Robert J. Lagomarsino Janice P. Willis

THOUGHTS Well, to say it’s been busy here lately at CMHS is really an understatement…

We are building a new hospital in Ventura, modernizing the Ojai hospital and putting plans in place to construct a new skilled nursing facility on that campus, adding a new health center in Camarillo, weaving through the changing demands of healthcare reform, establishing new business models and strategies that align ourselves with physicians, welcoming the second medical residency class, garnering a new federal designation as a Critical Access Hospital for the Ojai hospital, improving patient care and quality standards, debuting a new Accountable Care Organization, reducing supply costs, expanding our free public education and health assessment programs, implementing new employee wellness programs, strengthening our electronic health records network, and formalizing a community benefits program that addresses unique health issues in the communities that we serve. And on a daily basis, remaining focused on our main mission of providing high quality care throughout our health system.

The adage that “it takes a village” to accomplish all of this could not be more appropriate as it relates to our health system. From our physicians, staff and management team to our volunteer boards, community members and auxiliary, our “village” truly represents what is best about our health system – that we are a community of people taking care of the people in our community. And, I am proud to be a part of that group.

We are pleased to present this year’s annual report issue of Caring Magazine. Financially the health system remains strong, and in 2013 we exceeded expectations. And, through the first half of this year we are well ahead of our financial forecast.

Community feedback on our building projects is extremely positive, and we continue to be the regional health system of choice, as demonstrated by the selection of our hospitals as the top facilities in this year’s Ventura County Star’s Reader’s Poll.

Our cover story this issue introduces you to Dr. Michael Dorsi, one of our skilled neurosurgeons on staff at CMH. Significant to this story is the awareness for our community that CMH physicians have the expertise and technology to treat brain tumors right here in our community, something that many community hospitals do not offer. We are also grateful to Tom Caggiano for allowing us to tell his story.

Continuing to grow the number of new and talented local physicians, like Dr. Dorsi, is a focus of our medical residency program which is highlighted within this issue. This program allows us to partner new physicians coming out of medical school with our established physician expertise here at CMH – with the hope that these residents may choose to stay within our system after their residency ends.

In closing, we take the opportunity to recognize and thank the numerous community individuals and organizations that support both of our Foundations, and the current BECAUSE capital campaign. Your generosity humbles us, and strengthens our commitment to each of you to provide you with the finest healthcare services available.

Gary K. Wilde

President & CEO, Community Memorial Health System

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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Tom and Diane Caggiano

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he medical calamity happened in an instant. On a Monday morning last November, Tom Caggiano tripped and fell in his yard on his ranch in upper Ojai.

“I couldn’t get up,” recalls Tom, who was also suddenly suffering from confusion and vision problems along with a loss of balance and strength. Diane, his wife of 37 years, rushed him to the emergency room. In truth, however, the trouble had been secretly brewing and growing for years: a brain tumor.

“It happened so slowly,” says Diane.” The changes became the new normal, so you don’t really notice or you just kind of accept them.”

The personality changes, Diane explains, included

increased agitation and a progressive decrease in motivation. Always tireless in the past, Tom became sedentary and was exhausted by two o’clock in the afternoon. Obsessive compulsive by nature, he was becoming messy and unorganized.” He wasn’t eating well either,” Diane continues.” His health just seemed to be deteriorating for no reason.”

“I thought I was just getting old,” Tom, now 62, notes.” I never had headaches or seizures.

I just felt like I was 80 years old. I couldn’t do anything. I didn’t want to do anything. I could hardly walk.”

As a result, the 13-acre ranch he prided himself in slowly fell into grave disrepair.

His horse tack shop where he made saddles as gifts became disarrayed and then unused, as did his woodworking shop.

“I’m a neat freak and I like my shops nice,” Tom says now.” But for three years I did not care at all about anything.” He even stopped feeding the pigs and string of mules he owns, leaving these chores to Diane.” I stopped caring for my dogs, too” Tom adds, of which he has five.

The gradual personality transformation coincided with Tom’s retirement four years ago as a drilling fluids engineer in the oil industry. Diane naturally attributed matters to depression.

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“I thought retirement didn’t agree with him,” she says.” Looking back I can see how things started to go wrong even before that, but as I said it just happened so slowly.”

Suddenly things turned worse with startling speed. After collapsing that fateful Monday, November 11, Tom arrived at the emergency department with slurred speech, dry mouth, muscle weakness, balance loss and a headache.

Results from a CT scan and MRI of his brain were dramatic, showing an enormous mass.

The diagnosis: meningioma – a benign brain

tumor growing into the right frontal lobe.

“It was a very large tumor, about the size of a baseball, with a very extensive blood supply growing into the brain from the dura – the layer that covers the brain,” says Dr. Michael Dorsi, a skilled neurosurgeon at CMH. Growing at a glacial pace for years it put increasing pressure on the brain; this in turn caused personality changes as well as physical effects like muscle weakness and loss of balance.

Forty-eight hours later, Tom underwent a 9½-hour surgery at Community Memorial Hospital by Dr. Dorsi, who was assisted by Dr. Stan Frochtzwajg.

Removing a brain tumor of this magnitude is a rare occurrence in many community hospitals, but one which CMH has the necessary expertise, experience and equipment – and judgment.

“CMH has a long history of providing excellent neurosurgical care,” says Dr. Dorsi.” The current group of neurosurgeons are highly trained with advanced fellowship subspecialty and stateof-the-art training to handle complex problems involving the brain, spine and peripheral nerves.”

Dr. Dorsi is an example of the neurosurgical excellence at Community Memorial Hospital. He attended medical school and then seven years of neurosurgery at The Johns Hopkins Hospital from 2000-2008. In his final year as Chief Resident 6

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

at Johns Hopkins, Dr. Dorsi removed more than 200 brain tumors. He furthered his training with an elite fellowship in Minimally Invasive Spine Surgery at UCLA Medical Center in 2011 before bringing his skills to CMH in 2012.

Instrumental, too, is Community Memorial Hospital’s state-of-the-art Brainlab MRI Neuronavigation System which allows neurosurgeons to use MRI guidance in the operating room to pinpoint the tumor and remove it.

“This advanced imaging shows me the exact location of the tumor within the brain and its relationship to surrounding blood vessels,” Dr. Dorsi explains. The meticulous operation to remove the brain tumor required nearly ten hours and went well.

“I didn’t know it lasted that long until I stepped away,” Dr. Dorsi shares.” To me, the operating room is the most peaceful environment because you are zoned in – the only thing in the world that matters during surgery is helping the patient.”

The morning after the operation, Dr. Frochtzwajg recalls visiting Tom in the CMH Intensive Care Unit and the patient was already off the ventilator, sitting in a chair.” I told him I was hungry and wanted to eat breakfast and then go home,” Tom retells.” He got me breakfast but said I had to stay in the hospital for three days.”

Diane, a clinical laboratory scientist (CLS) and weekend supervisor at CMH for 34 years, similarly recalls the dramatic overnight change in Tom that very next morning after surgery: “It was like a light had been turned back on. He was his old self again.”

After a mere 24 hours in the ICU, Tom began physical therapy, proudly noting, “I walked with a walker and belt around my waist. The next day, I didn’t use a walker.”

“The care I got at CMH was excellent,” Tom Caggiano praises, adding with a laugh, “although I’m sure I owe the wonderful nurses all an apology.” Tom left the hospital three days later and continued physical therapy at home by walking in deep sand around a riding arena where he has a fence for assistance. He completed two loops the first day and before the week ended was doing the circumference a full ten times.

The speed of Tom’s journey from collapse to recovery was nothing shy of remarkable. Diane sums it up thusly: “He was diagnosed on a Monday, had surgery on Wednesday, was discharged on Saturday, and on Monday he was at Home Depot because he wanted to rewire all the lights in the house.”

That was merely one task on a long to-do list Tom drew up after returning home to disrepair he hadn’t noticed growing like a tumor itself up for three years.

Dr. Michael Dorsi

“He made his list and got busy,” Diane rejoins.” I remember right away he climbed high on a ladder to begin home repairs and he said, ‘It’s a good thing my balance is okay.’”

“My to-do list is not all done yet,” Tom says.”

It’s a long list because I didn’t do anything at all for so long. This place takes about four hours a day, every day, so I fell way behind. I couldn’t believe how bad it had gotten – I was mad at myself.”

Day by day, hour by hour, Tom is getting everything back in order. He has put a new roof on his hayshed, painted the garden shed, finished cleaning up both the saddle shop and woodshop.

“My back ached for two years every day,” Tom says, recalling the dark days.” I’d wake up with it hurting and go to bed with it hurting.”

He pauses, and then continues happily: “ I haven’t had a backache since surgery despite

all the hard manual labor I do every day. I’ve lost four inches in the waist – not from dieting, but from physical work.”

“He looks great,” says Diane.” He’s lost weight, stopped smoking, walks about ten miles or even more a day just doing stuff.” While Tom’s recovery has been rapid, it has not been without hurdles.

“I still have trouble with right-hand U-turns when walking,” Tom points out, frustration in his

voice.” Left U-turns are not a problem, but right ones are.”

He also experienced some memory difficulties initially after returning home, such as leaving the water on after washing his hands and walking away.” I still have some different problems pop up,” Tom notes.

For example, a few weeks ago Diane wasn’t home and Tom drove into town to get a hamburger for dinner. Because the drive-thru was crowded, he went inside to order his take-out meal.” When I got in my car I couldn’t remember how to turn the headlights on even though I’d driven at night a number of times since my surgery,” he says.

Finally giving up, Tom sat in his car and ate his meal and then got out and threw his trash away.

But a funny thing happened when he got back in his car: “I turned on the lights no problem and drove away like nothing had happened.”

In many ways that describes Tom’s life today – it’s like a brain tumor never happened.”

After surgery the man I married was back,” Diane says.” It’s amazing. Truly amazing. I’m so thankful.”

“Seeing a patient do so well, that’s all that matters,” says Dr. Michael Dorsi.” It’s the best reward you can imagine.”

“Dr. Dorsi saved my life,” Tom Caggiano says, his gravelly voice growing soft.” He gave me my life back – the life I had before. I wasn’t dead, but I was circling the drain.”

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MEDICAL RESIDENCY PROGRAM AT CMH

Training Outstanding Physicians 8

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ind a medical student and chances are they’re clutching a textbook. The often heavily highlighted and annotated books med students carry with them like a second appendage cover everything from microbiology to global health.

Of course, when learning the intricacies of the human body, it makes sense aspiring doctors would be required to read the seemingly endless list of texts, journals and scientific papers assigned them. As any practicing physician will attest, however, it takes more than book smarts to be a good doctor.

“You have your book knowledge because you went to medical school,” said Dr. Sam Small, Community Memorial Health System’s Director of Medical Education.”But there are all these subtleties, nuances and certainly there’s an art to medicine.”

In order to take what they’ve learned in the classroom and apply it to the examining room, doctors spend years as residents – doctors in training – following and learning from attending physicians – experienced doctors – in any number of specialties. Residency programs have long

been commonplace at large regional hospitals, training hospitals and hospitals associated with universities.

Yet, Dr. Small recognized the outstanding staff of doctors at Community Memorial Hospital and realized bringing a residency program to a community hospital such as CMH was a possibility that came with a lot of advantages.

“We have such a miraculously talented medical staff – many of whom have experience teaching, and I thought, ‘What a waste not to utilize that,’” said the longtime orthopedic surgeon who began the process of bringing a residency program to CMH nearly nine years ago.

To turn the residency program into a reality, Dr. Small knew he’d need approval from the hospital’s administration, but more importantly, he needed support from his fellow physicians.”Sometimes these type of programs are driven by the hospital’s administration, but it’s always best if it’s been driven by the medical staff, and that’s what this program has been driven by,” he said.

The program started taking shape in 2011 as the CMH staff welcomed gynecological surgery residents from UCLA and general surgery residents from Santa Barbara Cottage Hospital.

It wasn’t until July 2013 though, that CMH established three American Osteopathic Association-certified residency specialties in internal medicine, family medicine and orthopedics.

The first class of residents, which included 13 doctors, recently completed their first year.”

It’s been wonderful to watch the maturation process of those doctors over the year,” he said.

Dr. Small admitted he was a bit worried at first that only a few would apply to the fledgling residency program. The concern was unfounded – hundreds of doctors submitted resumes in 2013 and the numbers nearly doubled in 2014.”The word is out,” he said with a chuckle.

Thirteen more residents were accepted in 2014, which marks the first year the program will include a residency in general surgery.

Doctors specializing in family medicine and internal medicine undergo a three-year residency.

Those aspiring to become an orthopedic or a general surgeon are required to spend five years as residents.

Due to Medicare law, residency programs are allowed five years to reach maturity. Dr. Small said CMH hopes to have 44 residents – divided between four residency specialties: orthopedic surgery, general surgery, internal medicine and family medicine. Of course, he wouldn’t mind seeing that number grow.

Dr. Small said it’s not just about the size of the residency program – it’s about the quality

of doctors it produces.” I’ve made a promise to myself and others that I don’t want to graduate anybody that I wouldn’t want to go to,” he said.”Priority No. 1 is patient care. That’s the goal of these doctors every day.”

The program aims to teach doctors to work collaboratively and across specialties. It’s especially important for residents to develop strong communication skills – both with their peers and their patients. There is also an emphasis on one-on-one mentorship between residents and the attending physicians, many of whom are assistant clinical professors with the Pomonabased Western University of Health Sciences.

Throughout each year, the residents undergo a multitude of reviews by their supervisors, other doctors and additional hospital staff.

The residency program has become increasingly popular with CMH’s staff of doctors.“ As time goes by, we have more and more people

on the medical staff who are really getting enthusiastic about participating,” he said.”They want to teach. They feel rejuvenated by it. But more than that, they want to get their knowledge out and into somebody else to carry on after them.”

That point isn’t lost on Dr. Small. The 62-yearold doctor said he is at the back of a wave of doctors who will be retiring in the next few years.”We are going to be in a crisis in terms of a physician shortage in the U.S.,” he said. The problem is exacerbated by the fact that as retiring Baby Boomers, those physicians will soon become patients.” It’s a double whammy.”

Studies show doctors are more likely to stay in the area in which they completed their residency, which is why the residency program at CMH will have such a long-term positive impact on the county’s medical community and benefit the residents it serves.

“Getting older and closer to retirement makes me want to have a hand in training the people who will take care of me,” Small said.”

I’d like to know I’m in good hands.” Thanks to the residency program at CMH, it appears both he and the residents Community Memorial Health System serves will be in good hands for many years to come.

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The Largest Robotics Surgical Program on the Central Coast

Robotics Surgical Team Left to Right - CARDIOTHORACIC: Lamar Bushnell, M.D. | GENERAL SURGERY: Gösta Iwasiuk, M.D. | Mohammad Salehpour, M.D. | Brian Tuai, M.D. | Constanze Rayhrer, M.D. OB/GYN: Lois Barnes, M.D. | Jill Hall, M.D. | Veena Mummaneni, M.D | Srisawai Pattamakom, M.D. | Anne Rodriguez, M.D. | David Crownover, M.D. | Edwin Ramirez, M.D. UROLOGY: Marc Beaghler, M.D. | Cedric Emery, M.D. | Seyed Khoddami, M.D. | William Klope, M.D.

Since 2004, our robotics surgical team has performed more than 1,100 procedures using the da Vinci Robotic System.

Community Memorial Hospital has the most comprehensive robotics surgery program in the region with surgeons certified in the following areas: • General Surgery • OB/GYN • Urology • Cardiothoracic

Benefits of the da Vinci Si include: • Reduced trauma to the body • Reduced blood loss and need for transfusions • Less post-operative pain and discomfort • Less risk of infection • Shorter hospital stay • Faster recovery and return to normal activities • Less scarring

For more information visit cmhshealth.org/robotic 10

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

Wound won’t heal?

We are here to help.

CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE Living with chronic, non-healing wounds can be frustrating, debilitating and time-consuming. There is no “one-size-fits-all” solution to problem wounds, which is why patients at the Center for Wound Healing & Hyperbaric Medicine each receive a thorough diagnostic exam to identify the type of wound, and just as importantly, its underlying causes.

Center for Wound Healing & Hyperbaric Medicine 2705 Loma Vista Road, Suite 205, Ventura, CA 93003 • 805/585-3086

visit cmhshealth.org/woundcare

LUNG CANCER SCREENING PROGRAM

Early Detection

Can Save Your Life for those at high risk is especially critical.

The Lung Cancer Screening Program includes: • • • •

Did you know: Lung cancer kills more

people in the United States than any other cancer.

Earlier detection is associated with better treatment outcomes. Since most people with early lung cancer have few or no symptoms, screening

Low-dose chest CT Lung nodule detection Lung nodule registry Lung cancer diagnosis

Screening is recommended for patients who are 55-75 years old, currently smoke or have quit within the past 15 years, and have a history of at least 30 pack years of smoking. If you think you meet the criteria, please call your primary care physician or contact the CMH Cancer Resource Center.

Cancer Resource Center: 805/652-5459 COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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Sepsis Team Saving Lives Thanks to Specialized Training and Education

uality healthcare in the 21st Century, more than ever before, requires a multi-disciplinary approach to achieve the best outcomes for patients. A noteworthy example of Community Memorial Health System’s successful “Commitment to Caring” through this team effort is the recent strides made battling sepsis.

Sepsis is a serious and potentially lifethreatening condition that occurs when natural chemicals released in a person’s bloodstream to fight an infection actually trigger inflammation throughout the body and cause complications.

This can lead to a cascade of serious health events, including damage to organs and even failure.

Each year sepsis strikes an estimated 750,000 people nationally. Furthermore, sepsis is the leading cause of death for non-cardiac, critically ill patients in hospitals in the United States.

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However, at Community Memorial Hospital and Ojai Valley Community Hospital there has been a significant decrease in the mortality rate due to sepsis. Indeed, CMHS physicians, nurses and staff are at the vanguard of sepsis care nationwide thanks to a redoubled emphasis on specialized training and education.

Two years ago, the Institute for Healthcare Improvement recommended that all U.S. hospitals renew their focus on early diagnosis of sepsis. The result has been positive with the national mortality rate falling to 29 percent.

Impressively, CMHS’s mortality figure for sepsis is 63 percent better the national average, dropping from an already superb 15 percent over this time frame to 10.9 percent today.

“We are proud of the statistical progress,” says Cindy DeMotte, CMH Vice President of Quality.” But what’s even more important is

that our improvement means another eight or nine lives are saved each year. That’s the ultimate gift our Sepsis Team is giving.”

Instrumental to this gift of lives saved was a gift by longtime benefactor, Carol Hambleton, with her generosity designated towards infection control and fighting sepsis. (Read more about Carol Hambleton in the accompanying story “ I See This As My Way To Contribute” on page 15.)

CMHS’s bolstered energies in this area began two years ago when Dr. Amir Arfaei, a pulmonologist; Dr. Deborah Carlson, a hospitalist; Dr. David Lebell, emergency department physician; and Helen Thompson, nurse educator for critical care

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We are extremely proud that our success with sepsis is much, much better than the national average.”

and telemetry, began establishing updated orders and protocols for indentifying and treating sepsis.

Concurrently, nurses from every floor in the hospital – more than a dozen in all – were selected to attend a training conference on sepsis delivered by the Hospital Association of Southern California For Patient Safety.

“The nurses came back really energized about working on this problem,” recalls Cynthia Fahey, clinical quality coordinator at CMH. “Their enthusiasm was infectious and got everyone else on board our sepsis campaign,” adds Marsha Parker, director of quality at CMH. Working hand-in-hand with CMH’s Quality

Committee, a “Sepsis Team” was created that included physicians, nurses and managers. Goals included establishing and implementing updated guidelines and protocols. Equally important was simultaneously expanding specialized education and training throughout the hospital.

To this end, in 2013, ten teams consisting of six healthcare workers each were formed with representatives from all departments in CMH and OVCH. Indeed, while sepsis is most common in emergency departments and intensive care units, CMHS made it a priority to involve all departments and personnel in the educational and training processes.

These 60 employees then received state-ofthe-art training in a high-tech simulation van, which was made possible by Carol Hambleton’s financial largess.

“Her timely donation was really instrumental in making the Sim Van possible and moving our efforts forward,” praises Thompson.

“The van was extremely helpful,” echoes Dr. Anthony Hernandez, emergency department physician at CMH. As the director of sepsis at CMHS, Dr. Hernandez has coordinated a multi-disciplinary leadership group of talented Continued on next page COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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We are all pretty excited about our progress and results.

It’s rewarding to know this is making a difference with our patients.” physicians including Dr. Arfaei, Dr. Carlson, Dr. Lebell and Dr. Henry Oster, infectious disease.

The simulation van features a human-like mannequin with sophisticated computer software designed to improve individual and team skills in recognizing the early stages of sepsis by offering a wide variety of realistic scenarios. This hands-on training has been proven to optimize clinical outcomes.

A key component of CMHS’s approach to simulation training was having the physicians and nurses routinely switch roles.” This interaction allowed them to experience things from the other’s viewpoint and this in turn improved their communication and synchronization,” Fahey explains.” Having the physicians and nurses understand each other better has taken our practices to an even higher level.”

Additional education included eight hours of online courses, tests and follow-up seminars. But the learning has not stopped there. The next step was having the “students” who went through the simulation course become “teachers” to their colleagues throughout CMHS. “In this way the protocols are now known by everyone in the hospital,” notes DeMotte.

“Education is key,” agrees Thompson.” CMHS is dedicated to this effort and the continuous learning required.” To this end, more employees continue to periodically receive invaluable simulation van training.

Contrary to common perception by the general public, patients often already have sepsis before they arrive at a hospital and do not contract it after being admitted. Rather, sepsis frequently “presents” in the hospital because a patient is already in a fragile condition.

“Once sepsis presents,” Parker further explains, “especially when a patient is in a fragile state, health issues can cascade.”

Indeed, while anyone can develop sepsis, it is most common – and most dangerous – in the elderly, the very young, and those with weakened immune systems. Patients with pneumonia, urinary infections or diabetes are especially at high risk of serious complications when sepsis strikes. Others at high risk include those who have invasive devices, such as intravenous catheters or breathing tubes.

“Sepsis poses a special challenge because the nature of the beast of this disease is that it is not easily identified,” explains Dr. Hernandez, noting that its signs and symptoms can also be caused

by numerous other disorders.” The early stages are not at all obvious – you really need to have your radars on high alert.”

“Nurses are at the forefront,” Dr. Hernandez continues.” Because they are with the patients more continuously, nurses are in a better position to hopefully identify sepsis sooner and then react quickly with intervention.”

“The ‘Rule of 100s’ has helped greatly in our early recognition,” adds Fahey, explaining that this means being on the watch for a heart rate over 100; body temperature over 100; and blood pressure under 100.” All three 100s are not always present, however, which adds to the difficulty of diagnosis.”

Once diagnosed, new protocols designed by Dr. Hernandez and his fellow Sepsis Team physicians include a “three-hour bundle” of treatment as well as a concurrent “six-hour bundle.”

The results, as mentioned, have already been outstanding.

“We are extremely proud that our success with sepsis is much, much better than the national average,” says Parker, while Thompson echoes: “I’m proud of the more robust sepsis program we have developed.”

But CMHS is not resting on its laurels.”

Continuing the education and training of our staff is an ongoing effort,” DeMotte points out.”

We are always looking to enhance our care.”

“We have had a great response from the medical staff and strong support throughout the hospital,” Dr. Hernandez says.” We are all pretty excited with our progress and results. It’s rewarding to know this is making a difference with our patients.”

Sixty hospital employees received state-of-the-art training in a high-tech simulation van.

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Try to be a

rainbow in someone else’s cloud

Carol Hambleton

“I see this as my way to contribute.” arol Hambleton exemplifies a favored maxim of the late acclaimed poet and humanitarian Maya Angelou: “Try to be a rainbow in someone else’s cloud.” When Carol’s beloved husband, Rick, died three years ago following a long health battle after acquiring sepsis, she dedicated her efforts to being a ray of sunshine in helping eliminate a similar thundercloud of grief from striking others.

“I didn’t want anyone else to go through what I did,” says Carol.” Death is hard enough, but death that might be preventable is even more difficult.” Hence, in 2011 and 2012, Carol made a generous donation to Community Memorial Hospital and Community Memorial Healthcare Foundation to support its “Quality Initiative.”

“I decided someone else could do bricks and mortar,” Carol says, explaining she wanted to focus on “special education for staff as well as other efforts to improve infection control.”

Funds from her gift were therefore specifically earmarked for leading-edge education, such as training in a high-tech sepsis simulation van.

The benefaction also enabled investment in noteworthy equipment, such as silver tips for intubation tubes and anesthesia because these can help prevent infection in high-risk patients.”

Currently we continue to see zero pneumonia related to ventilator use and that is a great thing!” says Christine Ouellette, RN, MSN, CIC nurse epidemiologist.

Additionally, personal protection equipment cabinets for safely quarantining caps, gowns and masks have been installed in every suitable room.

Other measures implemented with the support of Carol’s donation are: 1. Small packets of sanitizing hand cleansing wipes provided to patients with challenges to hand hygiene completion. Hand hygiene is the number one recommendation by all CDC guidelines for preventing healthcare-associated infection (HAI).

2. Chlorhexidine bathing. Carol’s support has added this requirement to the daily hygiene for all patients at risk for HAI. The soap kills pathogens on the skin but does not interfere with the normal function of the skin.

“I loved nursing,” Carol shares.” If I was younger I’d go back into it. Instead, I see this as my way to contribute now.” Just before Christmas 2010, Rick Hambleton underwent back surgery and suffered sepsis afterwards. Over the ensuing eight months he endured four separate weeklong hospitalizations and ultimately was in need of a lung transplant; he was on the wait list at UCLA Medical Center when he died.

As a sixth-generation Venturan, Carol is continuing her family’s long and proud legacy as benefactors of “Our Hospital” as she calls it.

In addition to being capital contributors, Carol’s relatives have served on the CMH Board of Trustees – including currently Gregory Smith, vice chair.

My desire is to make a difference.

I’m a stakeholder in Community Memorial Hospital.”

Carol shares a personal remembrance of her long ties to CMH – back when it was still called Foster Hospital in 1948 and her mother was pregnant with Carol. Carol’s older sister, Kathy, then two years old, was hospitalized with seizures.

At first the affliction defied diagnosis.”

Technology was far more simplistic than today,” Carol notes. Eventually, however, a blood disorder was discovered and Kathy, laying on a gurney beside a donor on another gurney, received a person-to-person blood transfusion – the method of the era. The donor actually worked for Carol’s father at the Ventura Airfield and years later would become Carol’s flight instructor. More importantly, Kathy got well.

“I don’t feel like my efforts are anything special,” says Carol today.” My desire is to try to make a difference. I’m a stakeholder in Community Memorial Hospital. CMH is my hospital. I live here.

I don’t want my tragedy to be someone else’s tragedy.”

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

15

CAMARILLO CENTER FOR WOMEN’S HEALTH

rlinda Palomares was held prisoner by her pain for years. The 83-year-old mother of nine would be in discomfort from the moment she awoke until she finally drifted off to sleep.

And with sleep, she would mercifully find some relief from the bladder infections that kept her from doing the things she loved.

“We kept seeing her get more disgusted and depressed because she couldn’t do what she wanted to do because she was always in pain,” said Palomares’ daughter, Maria Estrada.

“Always.”

Frustrated by the litany of doctors who simply prescribed Palomares antibiotics – which would only offer brief respites – Estrada said she saw an advertisement for the Camarillo Center for Women’s Health and decided to take her mother to the center on Arneill Road in hopes of finding a cure for Palomares’ chronic bladder infections.

Estrada said she and her mother noticed a difference in care from the moment they stepped into the Camarillo Center for Women’s Health.

“The receptionist at the center made my mom feel very comfortable,” Estrada said.” She was so kind.” Palomares was seen by Dr. Tajinder Kaur 16

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

within a few minutes of arriving at the center.

“Dr. Kaur saw that my mom was nervous,” Estrada said.” She relaxed her and it made me feel really good. We take care of our mom, and it was so nice to see a doctor that really cared and listened to her. Dr. Kaur didn’t rush my mom.”

Having listened to Palomares’ symptoms, Dr. Kaur, a board-certified obstetrician/gynecologist, was able to identify why the Oxnard woman was suffering from chronic bladder infections.

“Right away Dr. Kaur gave my mom an examination,” Estrada said.” She told (my mom) what she found and explained why she was getting the infections and explained the procedure that would give her relief.”

Indeed, Dr. Kaur performed an in-office procedure which gave Palomares fast-acting relief. Palomares was grateful Dr. Kaur was able to diagnosis a problem that had eluded other doctors for many years.

Palomares said Dr. Kaur was able to successfully identify a diagnosis and find a cure because the physician took time to listen and truly understand the symptoms.

“We love Dr. Kaur’s patience and the caring

way that she has,” Estrada said.” Not too many doctors have that.”

Now, more than a year later, Palomares has been free of the bladder infections and the pain.

The grandmother of 25 said she has her life back and can enjoy many of the activities she missed out on for so many years.

“My mom goes to her senior center, and she does her exercises every week,” Estrada said.”

She even goes line dancing.” Palomares said she owes her newfound life to Dr. Kaur.

“Thanks to the doctor, I can do almost anything now,” Palomares said.” I don’t have any limitations, just the regular aches and pains. But for me, to be waking up to pain and falling asleep to pain, I was miserable and unhappy. Now I no longer have to suffer.”

Palomares is one of a growing number of women who have found outstanding healthcare – specialized for women of all ages – thanks to the compassionate and knowledgeable doctors at the Camarillo Center for Women’s Health.

Set in a spa-like environment with a private entrance, the center offers personal concierge services to meet the scheduling needs of each patient.

Its staff is made up of board-certified specialists, which include obstetrics and gynecology, family planning, internal medicine, hormone replacement therapy, rheumatology, headache, joint and muscle disorders, sleep apnea, general and hand surgery, pre- and postnatal pregnancy care and sex counseling.

Other services include orthopedics, general surgery, cardiology, dermatology and urgent care.

Palomares is one of a growing number of women who have found outstanding healthcare – specialized for women of all ages.”

In addition, imaging and lab services are done on site. The center, 422-A Arneill Road in Camarillo, is open Monday through Friday from 8 a.m. to 5 p.m. To tour the center or to make an appointment, please call 805/383-4522.

NEW PARENT RESOURCE CENTER

Meeting the Highest Standard of Patient Care

Building Strong Families The New Parent Resource Center offers classes to help you, your coach and your

family prepare for the arrival of your baby and care after delivery. Classes combine group support and education that empower your natural abilities to parent. From breastfeeding to infant CPR, learn up-to-date recommendations about infant care and development, and ways to cope with the emotional, social and physical transitions into parenthood.

For questions and current class schedules please call 805/658-BABY (2229) or visit www.cmhshealth.org/mch.

Community Memorial Hospital and Ojai Valley Community Hospital are Accredited by DNV and Attain ISO 9001 Certification Det Norske Veritas Healthcare (DNVHC) brings a new approach to the accreditation process that holds hospitals accountable, and also drives innovation and best practices to improve processes.

ISO 9001 is an international quality management standard. It is rapidly becoming the most popular quality standard in the world. Thousands of organizations in over 170 countries have adopted it, and many more are in the process of doing so.

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

17

BEHIND THE SCENES Unique View of CMH

magine having a backstage pass to meet your favorite rock band, hearing the members explain some lyrics while letting you try out their guitars, and answering your questions.

In a way, that is what Community Memorial Hospital’s “Behind The Scenes” program is like with doc stars instead of rock stars.

“I had a great time,” says Michael Bick, who took one of these quarterly tours that debuted in November 2012.” It was impressive and interesting. I learned a lot. We even got to hold and handle some of the medical equipment.”

“An incredible experience” is how Lydia Hopps describes it.

The unique Behind The Scenes experience begins at eight o’clock in the morning with a group of ten to twelve invited guests changing 18

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

The experience was very educational. Even complex procedures were explained clearly.” into surgical scrubs before enjoying a heart-healthy breakfast. They then proceed to a highlighted area of the day, which may include: Heart and Vascular, Oncology, or Maternal Child Health including the Neonatal Intensive Care Unit.

“The plan was to create an event that would show the community the high quality of services available at CMH,” explains Mary Schmitz, director of development for CMHS.” Most visitors never have the opportunity to see what goes on behind the scenes that reflects the high quality of the physicians and staff.”

Hopps was greatly impressed with the depth and breadth of her tour in the Heart and Vascular Department. After hearing introductory remarks from cardiologist Dr. Thomas Kong, her group “gowned up” in sterile boots, surgical hat and mask and went inside the Cardiac O.R. which had been set up just as it would be for an actual open-heart surgery.

Cardiothoracic surgeons Drs. Dominic Tedesco and Lamar Bushnell, and the rest of the Heart Team’s nurses and techs, always give a spellbinding presentation. Highlights of the procedures

The plan was to create an event that would show the community the high quality of services available at CMH.” they explain include Coronary Bypass Surgery and Heart Valve Surgery.

Show-and-tell of an Abiomed Impella left ventricular assist device, which is a partial artificial heart, never fails to impress the visitors.

“It’s about the size of a pencil and is flexible,” Dr. Bushnell says, noting the miraculous device can help the heart pump five liters per minute. Ideally this support allows a weakened heart to heal and in other cases keeps the patient alive until he or she can receive a heart transplant.

One CMH patient who received an Abiomed heart assist device recovered after seventeen days and eventually went on to nursing school, a success story Dr. Bushnell happily shares on the tour.

Other Heart and Vascular highlights include perfusionist Dr. Charles Clark’s demonstration of the state-of-the-art heart-lung machine used for bypass operations; and Dr. Amit Patel showing a transesophageal echocardiogram (TEE) which is a high-tech thin flexible probe that can be guided down the esophagus to provide remarkable ultrasound images of the heart. Dr. Patel even shows a TEE video taken during a heart valve replacement operation.

“We were able to ask questions and actually handle some of the equipment and devices that these various procedures entail,” marvels Nita Whaley.” The experience was very educational.

Even complex procedures were explained clearly.

I was impressed to learn that CMH offers such a wide spectrum of cardiovascular services,

utilizing state-of-the-art technology and highly accomplished medical professionals.”

Hopps agrees wholeheartedly: “I am very proud of the quality, depth and dedication of our highly respected cardiac staff. I feel fortunate that with this staff and equipment CMH provides a great asset to our community.”

Next on the Heart and Vascular tour is the Cath Lab where Drs. Thomas Kong and Alon Steinberg hold court.

“We learned about the usage and technology of stents,” says Hopps, adding she was surprised to learn how cold the cath lab needs to be.

“Seeing the drug-eluting stents up close and holding them was very interesting,” adds Bick, who was amazed by angioplasties and how the stents are inserted and expertly guided into precise place in a patient’s artery.

The third stop on the Heart and Vascular tour is a visit to the electrophysiology lab where specialist Dr. Ishu Rao discusses, among other things, leading-edge ablation procedures used to correct atrial fibrillation.

This presentation was of special personal interest to Bick, who shares: “I suffer a little a-fib myself which I take drugs for. Now I have a better idea of alternatives if I need to proceed with some-

“They got to play with it and could experience how precise it is,” says Dr. Khoddami, noting they attempted to manipulate small objects.” I was impressed how quickly some of them picked it up.

One man really did well – I couldn’t believe it was his first time!”

On a different tour Dr. Khoddami allowed the visitors to watch via a closed-circuit TV monitor in a room behind the O.R. as he performed a partial nephrectomy – the delicate removal of diseased tissue from a kidney while leaving healthy tissue in place – with the da Vinci Surgical System.

Furthermore, by wearing a microphone, Dr. Khoddami was able to both explain what he was doing and answer questions while performing the operation.

“It’s a fun program,” says Dr. Bushnell.” I see people socially around town and they say, ‘I was at the Behind The Scenes and it was great!’

“CMH is owned by the community, not by a big company or corporation – that’s pretty special,” Dr. Bushnell continues.” That’s why we need community support to keep us at the forefront.”

The purpose of the program is to educate the community of the expertise within the health system, and also for those who attend to share what they experienced and saw.

I feel fortunate that CMH provides a great asset to our community.” thing besides drugs. Thanks to Behind The Scenes, I feel more comfortable and knowledgeable.”

“We learned from Dr. Rao how pacemakers are implanted and how other procedures are performed to regulate a heartbeat,” adds Whaley.

CMH’s robotic surgery program is also a big hit with Behind The Scenes guests. Urologist Dr. Seyed Khoddami not only demonstrated the sophisticated da Vinci Surgical System, he allowed his new “students” to try their hands at the control console on a day it was not in use for actual minimally invasive surgery.

This is indeed happening. Nita Whaley, an Ojai resident, says: “As a result of our visit, I feel quite confident and fortunate that CMH has the capability and vision to treat serious cardiovascular problems. Living in a rural area, this is especially reassuring to me.”

“Behind The Scenes is certainly a terrific program to let the community know more about our hospital,” agrees Michael Bick.” The level of sophistication and complexity we have in our hospital is something we should all feel fortunate about.”

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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minutes could save your life

Your health is important.

That is why Community Memorial Health System offers free risk assessments. Each HealthAware assessment includes a quick, 7-minute questionnaire that is designed to determine your risk factors for developing heart disease, stroke, lung disease, and diabetes, as well as your potential risk for various weight disorders.

Unlike some diseases, cardiovascular disease can largely be predicted and prevented. Heart disease can also be detected in its early stages and treated. The online evaluation takes just seven minutes and will tell you if you are at risk for heart disease and how to get help.

Anyone can have a stroke, regardless of age, sex or race. Your chances for having a stroke increase if you have certain risk factors. Approximately 750,000 strokes will occur each year. 500,000 of those strokes could be prevented. Don’t be a statistic. Find out if you are at risk today.

Over seven million people in the United States are unaware that they have type 2 diabetes and 85 million have prediabetes. Many people may not have symptoms, so early detection is important to diagnose the condition and prevent harmful complications.

This assessment helps you identify your potential risk of various weight disorders such as diabetes, sleep apnea, cholesterol issues, knee or joint problems, heart disease and/or stroke. The assessment will also help you determine if you are a candidate for bariatric surgery.

Lung disease is responsible for one in seven deaths. Lung disease is controllable and preventable. The key is proper education and awareness of what to do to reduce our risks. You are taking the first step by completing this risk assessment.

Take your online evaluation: cmhshealth.org/healthaware 20

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

“It was like clockwork, and we always found someone to give the flowers to cheer them up.”

t was a recent Friday afternoon and Debbie Eastman was on her way to Community Memorial Hospital to make a special delivery. In the back of her car was a fresh bouquet of flowers. It was a gift, certainly a surprise, for one of the patients recuperating from a recent surgery in postoperative care on the fifth floor.

What made the flower delivery so special, however, is no one had called Eastman and ordered the colorful arrangement. It was simply the 52-year-old Oxnard woman’s way of making the day brighter

I knew it was something I wanted to keep doing.” for a stranger.” The arrangements go to someone at the hospital who doesn’t have someone visiting them,” she said.

Eastman said she knows what it’s like to be alone in a hospital room. Between the spring of 2012 and winter of 2013, she’d undergone three painful back surgeries which kept her in the hospital for nearly two weeks. Because her family is all on the East Coast – Eastman was born and raised just outside of Boston – she didn’t have many visitors during her recovery.

It was, she said, the nurses and her doctor who buoyed her spirits during her time at CMH.” Dr. David Westra and his staff at CMH went above and beyond for me,” Eastman said.” He visited me twice a day, even on the weekends.”

Feeling low after her surgeries and unable to return to her job in property management, Eastman wanted to do something to not only

make others feel better but to make herself feel good, too. She went to the store and purchased a small vase, bought some flowers and took the arrangement to Community Memorial Hospital.”

I was still in my back brace so I kind of wobbled through the door and made the delivery,” she said.

Within a few weeks, news of Eastman’s generosity made its way through the hospital and someone donated $100 to her cause.” I thought, ‘Wow, this is like six months’ worth of flowers,’” she said.” I knew it was something I wanted to keep doing.”

Dottie Rowins, a retired nurse who worked at CMH for 22 years, said she was surprised when Eastman made her first delivery of flowers to the fifth floor, where, just a few months earlier, Rowins and her team of nurses had cared for Eastman.

“Every Friday she would come in,” Rowins said.” It was like clockwork, and we always found someone to give the flowers to cheer them up.” Eastman has been cheering up patients with weekly deliveries since April 2013. The longtime nurse said the flowers made the patient’s day: “I think she’s a very giving person.”

Eastman said she decided to partner with Anna Ward, a friend from Santa Paula, to open their own flower shop – Bee Loved Florist. The flower shop, which delivers throughout the county, opened June 20, 2013 in downtown Santa Paula.

“I believe everybody needs to be loved,” said Eastman now recuperating from wrist surgery.”

It’s the motto of our shop and it’s why I started it in the first place.” That’s certainly a message worth delivering.

Debbie Eastman

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W THE PATIENT’S DOCTOR

hen asked what they do, most physicians often say, “I’m a doctor.” It’s an easy-to-understand answer. Because when it comes to healthcare, there are all types of specialists: endocrinologists, nephrologists, even perinatologists – just to name a few. The multi-syllabic names can be confusing, to say the least.

There is, however, a type of doctor whose name says it all: a hospitalist.

HOSPITALISTS AT OJAI VALLEY COMMUNITY HOSPITAL 22

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

A hospitalist is a doctor – typically a specialist in internal or family medicine – who focuses on the patients in a hospital.” I love what I do,” said Dr. Carl Constantine, the new hospitalist at Ojai Valley Community Hospital.” It’s a very intellectually challenging job. I really enjoy working in the hospital environment where I have the chance to continually see and treat complex patients and work closely with our highly capable support staff, nurses and fellow physicians.”

The idea for hospitalists came about in the 1990s, and it wasn’t long before hospitals across the U.S. recognized the benefits of having a doctor on hand to monitor patients.” Really, by the mid-1990s, the number of primary docs who came to the hospital to see their patients dropped significantly,” Constantine said.” Nowadays, it’s extremely rare to find a physician who makes regular hospital visits to see their patients.”

There are also hospitalists on staff at Community Memorial Hospital. As a hospitalist, Constantine cares for patients in the hospital recovering from surgery, serious injury or illness.

Constantine understands some patients may be wary of having a hospitalist, not their primary doctor, see them in the hospital. Nevertheless, he said once patients realize the benefits of having a hospitalist nearby, they’re glad to see him.

“Certainly many of the patients I see have an initial tentativeness about a hospitalist, but people want the best care they can have,” he said.” My goal is to give them the best care possible, and when people understand that I’m a specialist in hospital medicine, like any other type of specialist, they respond much more positively.“ So what are the benefits of having a hospitalist at Ojai Valley Community Hospital?

Hospitalists help ensure a continuity of care. From the moment a patient is admitted, a hospitalist is there to see the patient and review their medical records. A hospitalist also calls a patient’s primary doctor to discuss the problem and learn more about the patient.

This gives the hospitalist – as well as the entire hospital staff – a better understanding of a patient’s medical history, including medications and past treatments. Constantine noted how important it is for patients to always know which medications they are taking, the dosage and why they are taking the pills.

“If you can’t remember your medication, that’s okay,” he said.” But it makes a world of difference if you keep an updated list in your wallet or your purse. This really does make a big difference in helping patients get faster care. I don’t have to wait if their primary doctor doesn’t answer my call.”

A hospitalist will then keep in constant contact with the patient’s primary care doctor.

This allows the primary doctor to keep up to date with their patient’s recovery in the hospital without having to unnecessarily disrupt regular office hours.

Dr. Viktoriya Nelson can truly appreciate and recognize the benefits of having a hospitalist on staff at OVCH. Not only does she see patients outside of the hospital as a primary care physician, but Nelson also spends one week a month working as the hospitalist at OVCH to give Constantine some well-deserved time off.

“I think for the Ojai community having a hospitalist program is very beneficial,” Nelson said.” I think Dr. Constantine has been providing great care to the patients, and I think all the family physicians are happy that they don’t have to run back and forth between the hospital and their office, which gives them an opportunity to concentrate more on their outpatient care.”

The communication between the hospitalist and the primary care doctor is also important after the patient is discharged because a hospitalist can give a primary care doctor additional details about a patient which may help with a speedier recovery.

My goal is to give them the best care possible, and when people understand that I’m a specialist in hospital medicine, like any other type of specialist, they respond much more positively.”

“It’s all about getting better care, more standardized, more efficiently,” said Constantine, who pointed out his day-to-day work in the hospital requires he stay up to date on newest and most effective innovations in medicine, as well as the latest treatment recommendations and guidelines for many medical conditions.

“I get better at treating patients in a hospital because that’s what I do every day, all day long.

meet with the doctor more frequently for updates on a patient’s condition.” Making sure a family is up to date with what’s going on with a patient is very important to me,” he said.” I’m there so it’s much easier for someone to come and talk to me about what’s going on than if they had to wait for the primary care physician.”

It’s important, Constantine said, for patients to have family and friends visit while in the hospi-

We’re in tune with what’s going on at OVCH. If there is a unique situation that comes up, we’re the first one to treat the patient. The faster the treatment, the better the outcome.” tal.” It keeps their spirits up.” A patient’s health It’s about experience, that’s how we improve can change quickly, especially for seniors and efficiency for patients,” he said. It’s not just medithose facing life-threatening illnesses. Immediate cal knowledge that makes a hospitalist valuable medical care is a must, and a hospitalist provides to patients. A hospitalist also understands many that first-line of defense for hospitalized patients. of the ins and outs of how the hospital works – its Constantine said he’s glad to be a part of layout, its staff and its administration. the team at Ojai Valley Community Hospital and “I think me physically being there means promises to help Community Memorial Health a lot,” Constantine said.” If the nurses have a System fulfill its mission: “To heal, comfort and question, I can answer it right there. If a lab result promote health for the communities we serve.” shows an abnormality, I can assess it right away “I’m grateful for my opportunity here at and start treatment if needed. If an X-ray needs OVCH and will do whatever I can to provide the to be looked at, I can walk over to radiology and best care possible for our patients.” take a look right then. What does this mean? It means faster, better care for our patients.”

In view of the fact that a hospitalist can keep a close eye on patients, it allows for faster response should a patient experience an infection or a blood clot.” We’re in tune with what’s going on in the hospital. If there is a unique situation that comes up, we’re the first one to treat the patient. The faster the treatment, the better the outcome.”

Additionally, hospitalists can closely monitor the antibiotics prescribed to their patients.” The right dosage and length of use are important. We don’t want overuse or misuse of antibiotics because they are potent drugs.”

Because hospitalists don’t keep office hours and don’t have demands outside the hospital, they have more time for their patients, which is especially important when it comes to medically-complex cases.

Hospitalists can see patients faster and more regularly. This means more rapid initial assessment, faster initiation of Dr. Viktoriya Nelson and Dr. Carl Constantine therapy, shorter recovery and less time in the hospital for patients.

A hospitalist’s availability throughout the day also makes it easier for family members to COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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erry Maryniuk has certainly seen change in his nearly 30 years as a doctor. New technology, new research and new improvements to patient care have all been part of his career as an emergency room doctor on the frontline of healthcare.

Yet with all the advances in modern medicine, Maryniuk – as well as physicians in any specialty – continues to contend with the age-old dilemma of finding enough time in the day to manage his busy schedule.

While 21st century science hasn’t found a way to add more hours to the day – just yet – Community Memorial Hospital has found success with a new program that helps Maryniuk and the hospital’s staff of 14 ER doctors make the most of 24

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

the time they do have.” The scribes have made us so much more efficient,” Maryniuk said.” They’ve really been a tremendous addition to our team.”

Medical scribes are specially-trained transcribers who shadow doctors and take real-time notes during a patient exam. Using laptop computers affixed atop a small rolling stand, scribes record everything from a patient’s symptoms to the types of tests or medications ordered by the physician.

The need for scribes came about as Medicare and many hospitals, including Community Memorial Hospital, began encouraging doctors to use electronic medical records. Even though the digital filing system meant less paperwork and improved continuity of care by making

records more accessible to any doctor treating a patient, entering all the information took a great deal of time and could slow a doctor’s day to a crawl.

“The physician became the most expensive data-entry person that existed,” Maryniuk said of the time it took doctors to enter patient info into the system.

So in November 2010, CMH contracted with Medical Scribe Systems, an El Segundo-based company which hires and trains medical scribes for hospitals across much of the U.S. Maryniuk said the scribes are usually college students or recent graduates, many of whom are interested in a career in medicine.” These are smart, intelligent, motivated people,” the

Dr. Jerry Maryniuk examines a patient as scribe, Sarah Cain, takes real-time notes.

Scribes are also tasked with helping the doctors manage their time more efficiently.

“If a scribe isn’t there when the doctor is ready to go, I definitely get a call,” she said.”

They’ve really come to rely on us.”

Scribes are also tasked with helping the doctors manage their time more efficiently.”

We allow the doctors to see more patients per hour and spend more time with their patients,” Cain said.

To be sure, Cain recounted a story about a patient who had come to the ER soon after being diagnosed with cancer. The doctor had a chance to sit down and spend time with the distraught patient instead of having to worry about inputting the files.

“It’s nice for me to be part of that because I

doctor said. Sarah Cain, the hospital’s lead scribe, embodies those qualities.

The 25-year-old UC Santa Barbara graduate has been with CMH as a scribe since 2011.

Headed to medical school at the University of Colorado in the fall, Cain said it was her work as a scribe that inspired her to become a doctor.

“I think it motivated me toward medical school because I see all that the doctor gets to do,” Cain said.” It is amazing to me how intricate and complex a human body is.”

ER scribes are on hand 24 hours a day. Cain said each scribe works an 8-hour shift and usually partners with a specific doctor during that time.

Part of Cain’s job is to oversee the hospital’s 16 scribes and manage all those schedules.

The scribes do end up learning a lot while on the job.” The knowledge they gain is incredible,” Maryniuk said.” When it comes to practical knowledge, we find the scribes, without a doubt, know more than the medical students. Sometimes they’ll know as much as the first-year residents.”

Maryniuk said scribes interested in becoming a doctor “often have a pretty high success of getting into medical school.”

Although most would agree working in an ER isn’t for the squeamish, Cain said it’s not nearly as gory as it’s made out to be in overly fictionalized television shows.

Besides, she said, scribes can’t be distracted by what’s going on around them because they

When it comes to practical knowledge, we find the scribes, without a doubt, know more than the medical students.

Sometimes they’ll know as much as the first-year residents.” want to be that kind of doctor,” said Cain, who also helps the incoming scribes acclimate to the workload.

“It is a very difficult job at first, and it has a very steep learning curve,” she said.” You have to be able to be organized, and you have to be able to multitask with this job – otherwise you’re going to get lost.”

Cain said the job requires focus, but also an understanding of the doctors’ vocabulary and the shorthand they use.

“The medical terminology is a whole other language, so if you have that background in biology, it’s very, very helpful,” Cain said.

have to keep track of what’s being said between the doctor and the patient. It’s a task that takes a sharp mind and fast fingers.

“When I’m really going, I can type up to 100 words per minute,” she said with a laugh.”

Sometimes the patients will stop and look at us and say, ‘Wow, did you get all that?’” It’s a talent Cain attributes to growing up with technology.

It’s certain in the years to come; Cain will also see her fair share of changes to medicine.

Yet no matter what new trends may come along, her three years working as a scribe has certainly taught her that finding a little extra time in the day can be a real lifesaver.

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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2014

Community Memorial Health System

SPEAKER SERIES

Community Memorial Health System is committed to improving the health and wellbeing of our community members. As part of this commitment we offer a wide variety of free educational seminars, symposiums and events designed to address healthcare and health-related issues.

Health education is a critical component to address prevention of disease, empower community members to assume responsibility for their health, and to educate people about various medical conditions and the ability they have to make wise choices.

For over 110 years, CMHS has had the privilege of serving the communities of western Ventura County. Our “speaker series” reflects our commitment to improve the quality of life in the communities we serve.

EDUCATIONAL SEMINARS VENTURA

SEPTEMBER

Joint Pain ATHLETIC INJURIES AND ARTHRITIS

9

Tuesday 6 pm - 8 pm

Presented by:

Dr. Jason Hofer and Dr. Garrett Snyder Nichols Auditorium, 8th Floor Community Memorial Hospital 147 N. Brent St. Ventura, CA

CAMARILLO

NOVEMBER

4

Tuesday 6 pm - 8 pm

VENTURA

DECEMBER

9

Tuesday 6 pm - 8 pm

Matters of the Heart

WHAT EVERY PERSON NEEDS TO KNOW TO MAINTAIN A HEALTHY HEART Presented by:

Dr. Alon Steinberg Ventura County Community Foundation, Community Room 4001 Mission Oaks Blvd.

Camarillo, CA

Cataract Surgery THE STATE OF THE ART

Presented by:

Dr. JillAnne McCarty Nichols Auditorium, 8th Floor Community Memorial Hospital 147 N. Brent St. Ventura, CA

For more information and reservations for seminars and events visit:

cmhshealth.org/rsvp

Or call Brown Paper Tickets at 800/838-3006 26

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

SPECIAL EVENTS

Cancer Symposium OCTOBER

25

THURSDAY, SEPTEMBER 11, 2014 3 SESSIONS – FOR TIMES VISIT: cmhshealth.org/tedmed

Saturday 7:30 am - 1 pm

Ethics in Healthcare

Tobacco Smoking and Cancer

SEPTEMBER

23

Tuesday 5:30 pm - 7 pm

Our Cancer Symposium is a free event designed to be an educational resource for families, caregivers and those with cancer. This annual event provides a range of physician and expert presenters helping to educate the community on the latest research, prevention, treatment and cancer support available.

Join the global conversation about what is new and important in health and medicine.

High-definition simulcast from the John F. Kennedy Center for the Performing Arts in Washington, DC and the University of California, San Francisco.

MUSEUM OF VENTURA COUNTY 100 E. MAIN ST. VENTURA

NOVEMBER

12

Wednesday 5:30 pm - 7 pm

Religion and Medicine: A Healthy or Holy Relationship?

Marijuana as Medicine: Benefit or Boondoggle

JOIN US FOR THIS FREE EVENT:

JOIN US FOR THIS FREE EVENT:

Ventura Beach Marriott, 2055 Harbor Blvd., Ventura

Museum of Ventura County 100 E. Main St., Ventura

MATERNAL CHILD HEALTH Community Forum - Birth to Pre -School 10 topic series held quarterly on Wednesdays from 1:00 p.m. to 2:00 p.m.

New Parent Resource Center - 2809 E. Main St., Ventura OCT

1

OCT

8

OCT

15 OCT

22 OCT

29

Post-Partum Exercise Presented by Jen Ballentine Evans Pow Physical Therapy

Infant Development

NOV

5

NOV

Presented by Nancy Kriselmeyer First 5

12

Introducing Solids

NOV

Presented by Anisa Tipton The Nutrition Mama

19

Cloth Diapering

DEC

Presented by Janice Rodsari

3

Car Seat Safety

DEC

Cloth Diapering 101

Presented by Mike Untalan California Highway Patrol

10

Teething and Dental Care Presented by Dr. Sunny / Dr. Rose

Sunny Smiles Dentistry for Children / Lotus Dental Practice

Importance of Music Presented by Katie Shinden Kindermusik

Baby Wearing Presented by Ivonne Gonzales Hip Mommy

Postpartum Sexuality Presented by Wendy Steiger

Ventura County Obstetric & Gynecologic Medical Group

Infant Exercise Presented by My Gym Children’s Fitness Center

For information or reservations call 805/658-BABY (2229) or email newparentresourcecenter@cmhshealth.org.

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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Ojai CFH 1202 Maricopa Hwy., #A 805/640-2296

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CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

Oak View CFH 655 N. Ventura Ave. 805/649-3750

“

Accreditation shows we are following the highest standards of patient care.”

Julienne Mitchell Bariatric Coordinator for CMHS

Quality Care Close to Home The Continuing Care Center is the only skilled nursing facility in Ojai that is connected to an acute care hospital.

The Center Features: • •

• • • • •

Postoperative Recovery Occupational, Physical, Respiratory and Speech Therapy Wound Care IV Therapy Hospice Care 24-hour skilled nursing care.

Part of an acute-care hospital. 1 of 3 hospitalbased facilities in all of Ventura County • Planned on-site and off-site activities as well as regularly scheduled exercise classes

1306 Maricopa Highway, Ojai, California 93023 Call for a tour: 805/640-2280

Bariatric Weight Loss Center Receives Accreditation The Center of Excellence in Metabolic and Bariatric Surgery accreditation recognizes surgeons and facilities that demonstrate an unparalleled commitment and ability to consistently deliver safe, effective, evidencebased care for obese patients.

Bariatric Weight Loss Center 805/658-5831 COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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CMH & OVCH Patient Satisfaction Scores Community Memorial Hospital and Ojai Valley Community Hospital Exceed State and National Standards in Patient Satisfaction

123 Scores beat our prior year’s scores AND state scores

123 Scores beat our prior year’s scores, state scores AND national scores

Community Memorial Hospital

63.63

66

68

71

70.00

72

70

71

76.13

78

74

79

81.05

81

78

82

61.81

61

61

64

63.44

64

62

68

84.20

82

83

85

68.97

72

68

71

56.10

57

61

67

67.86

68

70

73

44.35

46

50

61

Period: July 2013 - June 2014

Ojai Valley Community Hospital

78.10

70

68

71

76.50

74

70

71

87.01

87

74

79

85.11

84

78

82

68.84

64

61

64

86.41

75

62

68

87.01

86

83

85

79.03 69.43

75

68

71

70

61

67

82.83

80

70

73

56.03

59

51

61

Period: July 2013 - June 2014

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CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

Period: October 2012 - September 2013

Period: October 2012 - September 2013

Cancer Program

at Community Memorial Hospital

The Most Advanced Cancer Treatment in the Region • Accredited by the American College of Surgeons • Latest treatment and imaging technology

• Experienced cancer care close to home • More cancer procedures are done at CMH than any other facility in Ventura County

visit cmhshealth.org/cancer

The Breast Center Earns National Imaging Excellence Designation The Breast Center located at Community Memorial Hospital has become the first medical facility in Ventura and Santa Barbara counties to be designated a Breast Imaging Center of Excellence by the American College of Radiology.

The Breast Center 168 N. Brent St. Suite 401, Ventura 805/652-5093

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ANNUAL REPORT

Community Memorial Hospital The biggest story at CMH is six stories – tall, to be exact.

It’s the construction of the new Community Memorial Hospital, and we have just surpassed the halfway mark.

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CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

he new Community Memorial Hospital, scheduled for completion by the end of 2015, has begun the third and final phase of the project, which includes encasing the building’s frame, completing its interior, and finishing the site work surrounding the new hospital. Once finished, all patient care will be moved from the current hospital into the new facility.

The construction of the 350,000-square-foot hospital is more than simply meeting state-mandated earthquake safety standards; it also will increase efficiency – layout of the new building brings together departments currently separated by floors in the existing facility – as well as serve as an incentive to attract the next generation of doctors.

Long in planning, health system officials worked closely with stakeholders in the area, and the City of Ventura, to design a hospital intended to lead a revitalization of the midtown corridor. In addition, great pride was taken in the fact that we fulfilled our pledge to keep many of the onsite jobs local.

While the new hospital is certainly the most identifiable project going on at the hospital, doctors, nurses and staff, have been working collaboratively over the last year improving CMH’s long-held reputation as a hospital with outstanding patient care. In particular, our healthcare team has worked to advance care in a variety of areas, such as strengthening patient-doctor communication, reducing wait times in the emergency department and improving our electronic health records system.

Of note, our focus on patient care has helped CMH earn a designation as a Primary Stroke Center, a nationally recognized certification given by DNV Healthcare an International accreditation agency. To earn the designation, CMH’s cardiovascular department underwent training and instituted a variety of new protocols to ensure better outcomes for those suffering a stroke. In short, CMH has proven we are able to quickly and effectively treat stroke patients the moment they come into the hospital.

Last year, we also welcomed our inaugural class into our medical residency program. The goal of our program is to train outstanding physicians that work in a collaborative environment, and give back to the communities with which they are involved. Our AOA-certified residency programs offer opportunities in Internal Medicine, Family Medicine, Orthopedics, and General Surgery.

And finally, we continue to be blessed with the involvement of so many community members who make the difference at CMH. Through their generosity, they have helped to shape what CMH is today, and have laid the initial cornerstones for what the future will be. They are committed in joining with us to ensuring that all of our healthcare needs can be met locally, when we need them.

ANNUAL REPORT

Ojai Valley Community Hospital OVCH spent much of the past year making improvements both inside and out of the 25-bed facility just off Maricopa Highway.

jai Valley Community Hospital spent much of the past year beginning the implementation of a three-phase modernization plan for the 25-bed hospital and its adjacent 66-bed skilled nursing facility.

Phase I of the modernization plan, which has been completed, included a replacement of the hospital roof, installation of new air conditioning and heating units, a remodel of the Intensive Care Unit, and bracing of equipment and ceiling joists to meet new seismic standards.

Phase II, which has just been completed this year, provides the facility with a new ADA-compliant entryway, new patient/visitor courtyard, an expanded patient admitting area, and new interior flooring.

It also included a remodel to the hospital’s front entrance that evokes a similar appearance to the popular architectural style used for Ojai’s historic buildings.

Eagerly anticipated is the third phase modernization plan which brings a brand new 60-bed skilled nursing replacement facility to the campus. Features include 6 private rooms, 27 double rooms, a spacious lobby and dining room, and an enlarged physical therapy area - all surrounded by lush outdoor landscaping and gardens. It will also be built within a design that allows for expansion in the future.

In addition to the modernization projects, several other notable milestones have recently taken place. After an extensive process, and an intensive three-day certification visit by a panel of doctors – OVCH obtained a new federal designation known as a Critical Access Hospital.

This designation recognizes the criticality of the hospital and now allows the facility to receive a more favorable Medicare reimbursement providing greater financial stability.

In regards to improvements in patient care, the most significant news was the debut of a hospitalist program. Hospitalists are physicians based in the hospital, who care for patients recovering from surgery, serious injury or illness. They meet with each patient to review medications and medical records, and keep in constant contact with the patient’s primary care physician. That communication is critical because it allows primary doctors to monitor their patients’ recovery when they are unable to be present in the hospital.

The quality of patient care was also reflected in patient satisfaction scores for OVCH that regularly exceed state and national averages for hospitals of similar size.

The year was also marked by the wonderful work being done by our volunteers, the Ojai Valley Community Hospital Foundation and Guild.

As the fundraising arm for the hospital, the Foundation & Guild provided $150,000 in new state-of-the-art equipment. In the past year, OVCH has added an anesthesia machine, a pediatric video colonoscope, a video gastroscope, an ultrasound machine, a patient monitor and a mobile floor lift. Much of this equipment would not be here without the incredible support we receive from community members.

Looking forward, the hospital has a bright future with more improvements coming to the Ojai campus, along with additional programs and services that strengthen our commitment to providing a high quality of care to the Ojai Valley.

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ANNUAL REPORT

Centers for Family Health Taking time to provide the best personalized medical care in the communities it serves has been at the heart of the Centers for Family Health.

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CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

aking time to provide the best personalized medical care in the communities it serves has been at the heart of the Centers for Family Health.

It wasn’t long ago when Ventura County was a place where most folks worked on the small family farms and ranches that dotted the landscape.

Country doctors crisscrossed the county, treating patients and getting to know their families. Whether it was a house call or in the office, doctors spent time with their patients to better understand their symptoms, their background and their family history in order to offer the best treatment possible.

Of course, state-of-the-art technology has made leaps and bounds, especially in today’s healthcare industry. Yet, the idea of taking time to provide the best personalized medical care in the communities it serves has been at the heart of why Community Memorial Health System opened its first Center for Family Health 20 years ago.

Now, two decades later, the 11 Centers for Family Health, soon to be 12, throughout West Ventura County continue to deliver on its mission to bring top specialists – including OB/GYNs, neurologists and cardiologists, to name a few – and friendly family doctors to local neighborhoods.

“It’s really nice for our centers to be a ‘one-stop shop’ for our patients,” said Kimberly Bridges, assistant vice president of the Centers for Family Health.” We’re able to offer primary, as well as specialty care at each of our sites.”

More and more patients are turning to the caring and personalized bedside manner approach to medicine offered by the doctors, nurses and staff at the Centers for Family Health. Indeed, the centers reported over 224,000 patient visits in 2013, up five percent from the year before. What’s more, the center saw more than 1,500 new moms last year, a seven percent uptick from 2012. The centers also treated 55,000 patients at its three urgent care sites, a 15 percent increase from the previous year.

Dr. Richard Reisman, vice president of ambulatory medicine at CMHS, said the centers are always seeking ways to improve on its reputation for providing the very best in community care, which is why the centers are working to earn the designation as a patient-centered medical home.

The certification process, slated to be completed by February 2015, is done by the National Committee for Quality Assurance, a Washington, D.C.-based nonprofit dedicated to ensuring healthcare facilities across the U.S. deliver high-level care. To earn designation as a medical home, the centers have to show the NCQA that the doctors, nurses and support staff take a team approach to offering comprehensive and life-long care for patients. This means healthcare doesn’t just stop when the patient leaves the doctor’s office. The centers are working to provide a bridge of services between the doctor and patient, from the examining room to the living room.

“The physician is the head of the team. They work with the clinic staff and nurse practitioner to care for the entire patient,” Bridges said.” The team involves the family in care, such as education about a patient’s disease, as well as their medications.”

This care also extends to the practical aspects of healthcare, such as providing a ride to and from a doctor appointment for those who qualify through their insurance, helping patients receive medications and teaching them about the importance of good nutrition. These services are provided by a staff which speaks both English and Spanish.

ANNUAL REPORT

Financials

Community Memorial Hospital & Centers for Family Health 2013 Summarized Balance Sheet

2013 Summarized Statement of Income

Assets Cash and Investments Accounts Receivable Other Assets Property, Plant and Equipment, Net Assets Limited as to Use Investments in Affiliates Due from Affiliates Construction Funds Total Assets

Operating Revenue Net Patient Service Revenue Medi-Cal Supplemental Payments Other Operating Revenue Total Operating Revenue

136,265,495 45,626,724 42,724,801 249,150,422 12,139,741 7,293,332 18,086,304 220,018,841 $731,305,660

Liabilities Current Liabilities Long Term Debt Other Long Term Liabilities

40,527,298 349,893,366 19,149,257

259,918,958 20,425,839 7,437,643 $287,782,440

Operating Expenses Salaries and Benefits Other Operating Expenses Hospital Quality Assurance Fee Total Expenses

135,765,880 117,583,693 14,146,336 $267,495,909

Operating Income

$ 20,286,531

Investment Income Donations and Other

12,033,879 19,315

Net Assets $321,735,739

Increase in Unrestricted Net Assets $32,339,725

Total Liabilities and Net Assets $731,305,660

Restricted donations

1,019,763 Operating Expenses

Gross Patient Service Revenue

•• Medicare Medicare Managed Care •• Medi-Cal •• Other

•• ••

Commercial Managed Care Self Pay

Assets Cash Accounts Receivable Other Current Assets Property, Plant & Equipment, Net Assets Limited as to Use Total Assets

Salaries & Benefits Supplies Depreciation Other Costs

Liabilities Current Liabilities Due to Affiliates Long Term Debt Long Term Liabilities

2013 Summarized Statement of Income 71,294 4,922,141 2,471,233 9,578,613 904,331 $17,947,612 2,929,049 12,481,727 157,625 1,768,153

Operating Revenue Net Patient Service Revenue Medi-Cal Supplemental Payments Other Operating Revenue Total Operating Revenue

23,676,464 443,944 1,373,719 $25,494,127

Operating Expenses Salaries and Benefits Other Operating Expenses Total Expenses

16,849,575 10,420,605 $27,270,180

Operating Loss ($1,776,053) Donations and Non-Operating Expenses

1,585

Net Assets $611,058

Decrease in Net Assets ($1,774,468)

Total Liabilities and Net Assets $17,947,612

Restricted donations

Gross Patient Service Revenue

•• Medicare Medicare Managed Care •• Medi-Cal •• Other

Commercial Managed Care Self Pay

499,271 Operating Expenses

•• ••

Community Memorial Hospital Total Admissions 11,962 Births 2,591 Patient Days 45,646 Average Daily Census 125.1 Outpatient Visits 128,058 Emergency Room Visits 42,148 3,006,842 Pharmacy Prescriptions Surgical Procedures 11,411 Radiological Procedures 118,030 Physical Therapy Treatments 77,500 Laboratory Tests 759,015 290,149 Meals Served Pounds of Laundry 2,057,208 Centers for Family Health

Ojai Valley Community Hospital 2013 Summarized Balance Sheet

2013 Statistics

Salaries & Benefits Supplies Depreciation Other Costs

Total Visits 222,806 Nurse Only Visits 8,552 17,877 Industrial Health Visits Urgent Care Visits 55,362 OB/GYN 21,702 Pediatrics 12,670 Family Practice 74,945 14,553 Internal Medicine Dermatology 4,698 Rheumatology 2,808 Psychiatry 2,808 Orthopedics 1,455 1,046 Cardiology Urology 7,002 Neurology 395 General Surgery 754 Ojai Valley Community Hospital Total Admissions Patient Days Average Daily Census (Includes Skilled Nursing Facility) Outpatient Visits Emergency Room Visits Pharmacy Prescriptions Surgical Procedures Radiological Procedures Physical Therapy Treatments Laboratory Tests Meals Served Pounds of Laundry

1,038 22,436 61.3 16,421 7,822 217,806 611 17,966 26,867 62,885 115,916 349,693

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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A B BU SU EN IL PPO EFI D R T IN T C G IN ON PR G C O OU ER JE R T CT S

10 • 11 • 14 LIBBEY BOWL • OJAI 6:30 • GATES OPEN 7:00 • CONCERT Tickets: MessinaAtTheBowl.org 36

Sponsor and VIP information available at MessinaAtTheBowl.org Presented by Community Memorial Healthcare Foundation & Ojai Valley Community Hospital Foundation

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

In Appreciation of Our Donors Community Memorial Health System appreciates the many generous gifts from our friends.

Contributions benefit our community in many ways.

We gratefully acknowledge the following contributions for the Foundations in 2013 and the accumulative gifts received to date for the Because Capital Campaign.

2013 Community Memorial Healthcare Foundation Donors Kathryn Abbott Jim and Joanne Abing Dale and Janet Ackerman Jessica Acklin Sibylle Aldrich Wendy Aldrich Lauren Alexander Tess and Andre Allen Yolanda Alvarez Dr. Albert and Rosalind Amorteguy Jodi Anderson Cathy Anderson Ellen Aronson Kelley Atwater Dr. Lisa Babashoff Tagg and Marissa Baker Wayne Baldwin Gary and Kate Barnhart Ruby Barron Lupe Barrozo Philip and Maureen Basile Barbara Bauman David Bayer Hoot and Donna Bennett Vickie Bilgin

Norman and Joan Blacher Holly Black Ryan and Tamara Blanco Dan† and Natalie Boughey Ilse Bourbeau Karin Bowers William and Joanne Bowie Kimberly Bridges Danielle Brinkman-Vera Dr. Dennis Brooks Warren and Karen Brown Sonja Brown Dr. Donn and Teresita Browne Raeanne Bruenecke Dr. Thomas and Patti Brugman Amy Bruns Molly Buck Becky Buck Maureen Buckley Dee Bucy Roger Bujold Cynthia and Reginald Burrier Dr. Richard and Bobbie Buyalos William Byrnes Elaina Caliento Faye Campbell Dr. Neil and Claudia Canby Dr. Debby and Scott Carlson Dr. Paul and Alice Carlson Denise Carter Roderick Carty Claire Carty Ronald and Lynda Charfoos Christopher Charles Marc and Marcia Charney Norene Charnofsky

Dr. Ron and Gloria Chess Mary Christenson Dr. Erwin Clahassey Charles and Deborah Clark Dr. Stanley and Carolyn Clark Maureen Clark Don and Sheila Cluff Pamela Cohan Bob and Carol Cole Norma Colley Marila and Jeffrey Cook Trudy Cook† Ted and Suzette Cook Dr. Lilia Coppa J.C. Crowley Terry Cryne James and Linda Dark Phil Daroca Richard Daskais Yvonne Davis Doug and Caroline De Sario Dr. Richard and Ann Deamer Cindy DeMotte Gigi Denniston Don and Judy Diaz Jack Dickenson Robert Diehl John and Esther Dolbier Robert Doming Dr. Desiree Domingo-Foraste and Dr. David Harris Dr. Victor Dominguez Karen Donovan Ruth Downey Kevin and Ann Drescher Rick Droge

Jude Dumas and Dennis Copas Diane Duncan Denise Duncan Robert* and Lisa Dunlap Brian and Lilian Dwight Dr. John and Linda Edison Diane Eldridge Michael Ellingson Terry Ellis Theodore and Annette England Bob and Sandy England Bob and Pamela Escalante Fred and Lynda Evans Sandra Evans Michael Ewens Glen and Karen Farr William and Gail Faulkner Dr. Arthur Flynn Brandi Flynn Thomas and Joan Follis Carlos Fontes Tony† and Edie Fowkes Phyllis Franco Beverly and Bill Frank Sommer Frisk Elizabeth Fuhrer Delia Gallegos Will and Susan Garand Sandi and Joey Garcia Tony Garcia Dr. Robert and Brenda Garrison Dr. Armand and Erin Ghaffari Nancy Ghattas Juanita Gibson Rod Gilbert Mrs. John Gilbert

Matthew Girardot Warren Glaser Tammy Glenn Don Gloisten† David and Maryellen Glyer Dr. Thomas and Debbie† Golden Richard Goodman Hope Goss Janet Grabowski Carl and Patricia Gregory Carl and Lori Grether Hans and Arline Grether Donna and David Grossman Helen and Gus Gunderson Angelina Hall Dr. Jack and Beverly Halpin Mrs. Richard S. Hambleton Angela Handa Steve and Mary Lou Harbison Jim and Mary Harrison Myron and Sharon Harrison Bud Hartman Barbara Hayes Michaela Hayes Dr. Ivan and Dr. Ulrike Hayward John and Angela Hecht Gerri Herrick-Murray Ronald* and Carolyn Hertel Dr. John and Barbara Hill Norma Holanov Lydia† and Tom Hopps Victor Hosford Beryl Hunter Mrs. Carolyn Huntsinger Mr. and Mrs. Fritz R. Huntsinger Jon and Ann Ives

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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In Appreciation of Our Donors Dr. Gösta and Mary Iwasiuk Lynn† and Gary Jacobs Robin Jacobs Raymond and Carole Ann Janik Lily Januska Thomas and Mary Rose Jeffry Patricia Jimenez Mark Johnson Scott Johnson Lynn Jones Carol Jordan Dr. Albert Kam Bill† and Elise Kearney James and Sherryl Keegan Kristen Kemp Dr. Ken Kidd Wanda Kirchhoff Ed and Vicki Klein Edwin Klenka Nancy Knutson Eunice Koch Ted and Lynn Kretschmer Jordan and Sandra Laby Edward and Patricia Lansberg Philippe and Arlette Larraburu Lisa Larramendy and Larry Rose Dr. Fran and Katherine Larsen Gary and Kathleen Laub Tami and Tony Leckie Dr. Kristi and Jaesung Lee Asha Lee Richard and Hui-Fang Lee Bobbie Litton Pauline Lockridge Dottie Loebl David and Shirley Long Armando and Luly Lopez Laura Lopez Jerry Lopez Alice Love Parthenia Lowthorp Dr. Edgar and Stacie Lueg Mike Lurie and Nancy Kochevar Martha Lutt Dr. John and Donna Luttrull Dr. Nelly Mac Daniel Madden Rosemarie Madsen Gillian Maher Thomas and Adele Mahoney Chuck and Edie Marshall Anthony Martinez Dr. Jerry Maryniuk and Diane Bertoy Sandy† and Paul Masiel John and Judy Masterson Harry† and Carolyn Maynard Bobbie Mc Caffrey Michelle and Wayne Mc Ghee John McBride Charles and Rosena McConica Mary McCormick Lisa and Gilbert McFarlane Miriam McGrath Dr. Rosemary McIntyre Peter and Miranda McKenzie Patricia McNeely 38

Buffie and David Megugorac Barbara Meister† Dr. Charles Menz Kelly Michon Judy Miller† Barbara Mizes Sally and Kenny Molenhouse Lee and Margaret Molesworth Sean Morreale Darlene Morris Ted and Dale Muegenburg Frank Myers Fred and Mona Nagelschmidt Sue Narevsky Barry Neilsen William Neville Donald and Loretta Nickeson Mary and Bob Nishimura Justin Norris Victoria Nutter Terry and Nancy O’Brien Doug and Diane Off Kathleen Olivares Michael and Mary O’Neill Miguel Orozco John and Stephanie Orr Lupe Ortiz Frank and Eugenia Ortiz Dr. Henry Oster Deborah and John Ostrander Chris and Roland Ouellette Dr. Robert and Maria Ouwendijk Steve Owczarski Carol Padilla Dr. Diana Palmer Dr. John and Kathleen Parsa Frank and Catena Passalacqua Sean Patrick Tom and Karen Pecht Dr. Jim Peddie and Dr. Linda Peddie Dr. David and Claudia Perlmutter Kirk and Bonnie Pieper Allan Pinkerton Robert and Lupe Piros Ron and Judi Polito Robyn and Dan Popescu Dr. Martin and Barbara Pops Philip and Cynthia Poulsen Lisa Powell Bruno and Vickie Pozzi Shani and Jeff Prieto Rosemary Pudlik Ed Pulido Donald Pyne Angela Quinhoneiro Dr. Erin Quinn and Richard Cudworth Peter and Alison Ratcliffe John Ray and Marcy Hernandez Emilie and Myron Rayman Dr. Miriam Reaves Peter and Heather Remedios Dr. Mark and Eleanor Richman Arsen Roberts Pamela Roberts Kimberly Rodrigues

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

Violeta Rodriguez Elsa Romp Antonietta Rosati Ron and Barbara† Rose Jim Roth Paul Rubenstein and Lezlie Ridgley Ric and Penny Ruffinelli Jasmine Ruiz Dr. Richard and Jane Rush Bud Salazar Robert and Mary Salrin George and Lois Sandall Kathy Sauer Diana and Steven Sawyer Mary and Tony Schmitz Dr. Roy and Lynn Schneider Iris Schulman Dr. John and Jean Seder Elisha Seguine Edward and Clyda Seidel Bryan and Cyndi Shaw Mel† and Cathy Sheeler Stephen and Jeanette Shinsky Robert and Gail Shirley Tracey Shoop Ellen Silverberg Charles Simmons Dr. Arthur and Nancy Simpson Richard and Pattie Slater Gregory and Shelley Smith Gayle and Richard Smith Sydney Smith Sean Snow and Dr. Tara Snow Dr. Dan and Edie Sommer Dr. William and Pam Speitel Jerrell Stark Dr. Max and Karen Stearns Dr. Monica Stewart-Bentley Margie† and John Stites Judith Streamer Ed Summers Mark and Allyson Swaney Jeanne Szarzynski Doris Tanner Dr. Leo Tauber Maria Tauber Dr. Dominic and Carolyn† Tedesco Kay Thompson Adam and Alexis Thunell Becky and Bert Rivera Sally Tripp Gary and Joyce Trow Tyler and Patricia Tugwell Vicki van der Toorn Dr. James Villaveces Edith Wald Bob Walker Brock Walker Sinclair and Elsie Wall Dr. Eric and Jen Wallace Vicki Wallace Mary Walters Dr. Bob and Ann Warnagieris Dr. Roz Warner and Dr. Michael Hogan Edmund and Hilda Warren

Kathy Webb James Webb Robin Weber John and Camille Weiss Norman†* and Lynn Weitzel Rod and Katie Weldon David Wellik Patricia Wells-Turnage Heidi and Mike Whitcomb Monica White Rochelle Whitney Christine Wied Duane Wikholm Gary and Cheryl Wilde Rolla Wilhite Janice Willis Michael Wilson David Wilson Ken and Jane Winter Gary† and Ann Wolfe Dorothy Wood Dr. Jim and Kay† Woodburn Dr. Doug and Caryn Woodburn Juliette Wrablik Carolyn Wright David Wuerth Donald Yokum Ronald and Patricia Zenone Gerry Zweber Access Corporation Adolfo Camarillo High School Associated Student Body Allison’s Country Cafe American Medical Response Arent Fox LLP Assisted Home Health and Hospice Care Bates Family Chiropractic Buena Vista Hospice Byron Estate Bottled and Produced - Tasting Room Cabrillo Music Theatre California Cardiovascular and Thoracic Surgeons -Dr. Lamar Bushnell -Dr. Dominic Tedesco Camarillo Health Care District Cambria Estate Vineyards and Winery Cardinal Pointe Communication, Inc. Centers for Family Health Chad Wright Golf Instruction Chrome Divas of Southern California City National Bank ClearPoint Companies, Inc. Clinkenbeard, Ramsey, Spackman & Clark, LLP Coastal Radiation Oncology Medical Group -Dr. Thomas Fogel -Dr. Jeffrey Rodnick Coastal Skin Care Commander Printed Products Community Memorial Hospital Auxiliary

Diva “The Passion Boutique” Don L. Carlton, Inc. Dream Dinners Ventura E. J. Harrison & Sons, Inc. El Dorado Healthcare Consulting Inc. Ensign Group Five Points Car Wash Foxfield Riding School Friendship Connection 04 Glo Professional Golf N’ Stuff Grossman Imaging Center -Dr. Irwin Grossman -Dr. William King -Dr. Mark Mitchell Halper Fine Art Healogics – National Healing Healthy Pet Heritage Oaks Bank House of Dance Hub International of California Insurance Services, Inc. IRJ Engineers, Inc. Isensee Floorcovering Inc. Island Packers Jim Hall Kart Racing School John of Italy Jordan Actuarial Services Kaiser Permanente (West Ventura County) Keller Willliams Realty Legoland California, Inc. Let’s Get Cookin Lifeline Medical Transport Livingston Memorial Foundation Livingston Memorial Visiting Nurse Assoc. & Hospice Los Robles Homecare Lure Fish House Medical Staff of Community Memorial Hospital Meister Family Foundation Mended Hearts Incorporated, Chapter 101 Mentor Worldwide LLC Milano’s Italian Restaurant Mitchell Environmental Concrete MJP Technologies, Inc. Montecito Bank & Trust Moss Adams, LLP Museum of Ventura County My Gym New West Symphony P.B. Building Maintenance Pacific Breeze Chem-Dry Pasadena Playhouse Physical Adventures Pierpont Racquet Club Pizza Man Dan Pueblo Radiology Medical Group, Inc Puretec Industrial Water Rabobank, N. A. Rancho Largo, LLC Rasmussen and Associates Rio Mesa High School Ripley’s Believe It or Not!

We are focused on improving healthcare for our communities.

Money is raised to help those in need, as well as ensure that we all have access to the finest medical technologies.”

– Bill Kearney – President, Community Memorial Hospital Foundation River Ridge Golf Club Ruben HaynesDesign Rudi Schulte Family Foundation Salvador Fine Cabinets Co. Santa Anita Park Santa Barbara Travel Bureau SB Republican Assembly Select Home Care Sheila’s Wine Bar Shoreline Care Center Snapper Jack’s Taco Shack Southern California Reproductive Center Sweet Peas Flowers Terminal Freezers, LLC The Growing Company The Oaks at Ojai The Olive Vineyard The Stahl Companies The Wine Closet TLC Housewares Tolman and Wiker Insurance Services True North Fitness & Health Underwood Family Farms Ventura Anesthesia Medical Group Ventura City Firefighters Association Ventura County Credit Union Ventura County Deputy Sheriffs Association Ventura Emergency Physicians -Dr. Richard Browne -Dr. Neil Canby -Dr. Eric Fields -Dr. Anthony Hernandez -Dr. Chris Johnson -Dr. Alexander Kowblansky -Dr. David Lebell -Dr. Daniel Levy -Dr. Jerome Maryniuk -Dr. Eric Moll -Dr. Marc Reinoso -Dr. Jerry Waters Ventura Harley-Davidson Ventura Pulmonary and Critical Care Medical Group -Dr. Robert Bernstein -Dr. Thomas Brugman -Dr. John Handley Ventura Rental Party Center Ventura Spaghetti Company Vista Cove Care Center at Santa Paula Vom Fass Westlake Village West Coast Vascular -Dr. Sydney Guo -Dr. Li Sheng Kong -Dr. Edward Li -Dr. C. Shawn Skillern Yolanda’s Mexican Restaurant Yuki Sharoni Beauty and Lifestyle ZestNet, Inc.

2013 Community Memorial Healthcare Foundation Tributes Robert* and Lisa Dunlap in honor of Tracie Astor, R.N. H. Ronald and Gloria Chess in memory of Charlene Kidd Terry Cryne in memory of Lincoln E. Cryne Richard Daskais in memory of Charlene Kidd Gigi Denniston in memory of Philip LeFevre Denniston Thomas and Joan Follis in memory of Donald Woolsey Thomas and Joan Follis in memory of Jeanette Weber Donna and David Grossman in memory of Trudy Bale Barbara Hayes in memory of Lee and Nova Hayes Barbara Hayes in memory of Russ and Evelyn Jehnke Bill and Elise Kearney in memory of Trudy Bale Wanda Kirchhoff in memory of Dr. Clyde Kirchhoff David and Shirley Long in memory of Richard B. Chess, Jr. Parthenia Lowthorp in memory of Leonard Ortiz William Neville in memory of Joseph Crotty Kimberly Rodrigues in memory of Kristy Short Elsa Romp in memory of Maria de la Vega Ron and Barbara Rose in memory of Richard B. Chess, Jr. Ron and Barbara Rose in memory of Tony Ruffinelli Ron and Barbara Rose in memory of Trudy Bale Ric and Penny Ruffinelli in memory of Clinton Rogers Ric and Penny Ruffinelli in memory of Tony Ruffinelli Dr. Roy and Lynn Schneider in memory of Henry Gutovich Charles Simmons in memory of Dorothy Hicks Charles Simmons in memory of Jeanette Simmons Maria Tauber in memory of Lucy Tauber

Tyler and Patricia Tugwell in memory of Charlene Kidd Mary Walters in memory of Joan Norris Juliette Wrablik in memory of Goldie Glaser Carolyn Wright in memory of Robert Lee “Bob” Wright Donald Yokum in memory of Geraldine Yokum Ronald and Patricia Zenone in memory of Charlene Kidd Friendship Connection 04 in memory of Charlene Kidd Community Memorial Hospital Auxiliary in memory of CMH Auxiliary Deceased Members SB Republican Assembly in memory of Joan Norris Snapper Jack’s Taco Shack in memory of Tony Ruffinelli

2013 Ojai Valley Community Hospital Foundation Donors Rheva Acevedo Mark Ackerman Ren and Victoria Adam Phil and Tucker Adams Chelsea Adams Glenn Adamson Susan and Michael Addison Don Anderson and Nita Whaley Anonymous Terry Arousse Ross and Patricia Atkinson Robert Aviles R.F. Ayres Sharon Babkes Herman and Ursula Baertschi Dora Lee Bailey Kelly Baker Paul and Deborah Baker Suzanne and Berkley Baker Fern Barishman Dr. Lois Barnes and Steven Jung Chuck Barnett Gary and Kate Barnhart Silvia Basich Elizabeth Bauer Cecil Baumgartner Charlie and Francis Baysinger Daniel and Melinda Beach Cheyenne Bear Jim Becket Shed and June Behar Ann Behrendt

Dustin Beilke Stephen Bennett George Berg and Gayle Topping Mary Bergen Norman Bergman Gayle and Jack Bertsch Donald and Mary Betlach Bob and Judy Billett Theresa Billingsley Dr. Dean Black Mr. William Blackburn Beverly Blackwell Sandra Blase Len and Pat Block Kathleen Bobro Clarence and Joan Bonner Bob and Bobbie Boschan Mike and Heidi Bradbury Bret Bradigan Paul and Wanda Brakebill Dan and Vickie Breen Priscilla Brennan Maren Briggs Mike and Michele Briley Dr. Bruce Brockman and Dr. Bridget Tsao Betty and Jack Brodowy John and Kathy Broesamle David Brown Chau Brown Joseph Buccino Tom and Harriet Buck Sandy Buechley Rodney and Maria Burgoyne Mary Burns Donald and Janet Burt Michael and Joanne Caldwell Daena Caligagan Shannon Caligagan Mel Calvin Allen and Marilyn Camp Jessa Campos Gerald and Darlene Carlson Scott Carson David and Melodie Catlett Joyce Chapman Karen Chase Peggy Chase Glywn Chase Alice Chesley Dr. Kyu and Young Choi Dr. and Mrs. Wook-Chin Chong Rob and Judy Clark Dr. Ramona Clark David and Jackie Clark Dr. Gordon and Kristen Clawson Garrett and Anne Clifford Rick and Victoria Cline Don and Sheila Cluff George and Jeannine Cobb Elkin and Anna Cody Sidney and Sheila Cohn James and Maria Coleman F. W. Coleman Jim and Dottie Combs Anne Conn Dr. Carl and Dawna Constantine

Carl and Jody Cooper Peter and Ann Costigan Ted Cotti Laurena Crane Gerald and Donna Craven Tom and Dorothy Crossman Diana Crothers James and Jayne Cruise Monica Dalto Duane Dammeyer Mordechai Danino Robert Davis Brian and Stella Day Dr. and Mrs. James Day Walter DeLeon Anthony and Roslyn Demaria Dr. William Deruso Arnold Detmer Dr. Mary Dial and Dr. Lanyard Dial Don and Judy Diaz Peter and Harriet DiCapua Martha Dowden Irmgard Dubay Frank and Pauline Duffy Miriam Dumer Jeffrey and Stephanie Dunn Bentley and Clara Dunwoody Paul and Maelyn Ebert Sandra Eckels Craig and Deborah Edwards Don and Cheree Edwards Scott and Kathy Eicher Michael Ellingson Pete and Gayle Ells Josh Engel Roger and Patricia Essick Bill and Karen Evenden Gary and Brenda Farr Dr. Fred and Shirle Fauvre Jack Fay Louanne and Kenneth Fay Christine and Kent Fenn Jeff and Theresa Ferguson Gay Ferrante Sarah and Dale Ferranti James and Kristen Finch Michael Flanagan Niki Flitt Raymond and Debra Flowers Gwen and Boyd Ford Glenn Fout and Lorraine Lim Dr. Daniel Fox Patricia and Ronald Franey Stephen and Karen Frank Nic and Susanne Frank Dr. Stanley and Heidi Frochtzwajg Lori Fulmer Greg and Darcy Gamble Mark Garcia Hank Garcia Tom Garcia Cesar Garcia Jack and Elizabeth Jobes Rod Geer Bill and Karen Ghormley Richard and Ellen Gilleland

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

39

In Appreciation of Our Donors Anthony and Kathan Glassman Harold and Patsy Glenn Richard and Joan Glenn David and Maryellen Glyer Bim and Tessie Goddard Mark and Dawn Golden Salvador Gonzalez Zuniga Dr. Richard and Cindi Gould John and Mary Graham Jurgen and Gerry Gramckow Katharine Grantham Alan and Valerie Greenberg Roderick and Joyce Greene Alyce Gregory Joel and Bonnie Griffin Gregory and Mechas Grinnell Dr. Carl Gross Allan and Carol Gross Brenda Guerrero Al Gurwitz Erik Gustafson Peter and Barbara Haggerty Richard and Sandra Hajas Michael and Carol Hall-Mounsey Dr. Jim and Robyn Halverson Robert Hamming Lee Ann Harris Dr. Ken and Charlene Hartenstein Dr. Lawrence Harter Dr. Ivan and Dr. Ulrike Hayward Helen Heino Kathleen Hellwitz Ludwig and Caecilia Helmering Meghan Hernandez Mary Herrera Dr. Christopher and Charmaine Herzig Barbara Hill Dr. Anthony and Barbara Hirsch Nick and Amani Hishmeh Gerben and Jill Hoeksma Douglas Hook John and Judy Hooper Sue Horgan Rikki Horne Ed and Donna Hunt Carolyn Huntsinger Christy Noel Hurley Leigh Hyndman Willa Irwin Allan Jacobs Philip Jevanian Willoughby Johnson and Victoria Matthews Matt and Carrie Johnson Curt and Debbie Johnson Raymond and Patricia Johnson David and Phyllis Johnston Kevin Jones and Family Colin and Cindy Jones Patsy Jones David Jones Mark Josephson Pradeep Kapadia Jerry and Anne Kaplan Jo Kara John and Margaret Kaufman 40

George and Marilyn Kavanagh Mary Kazmer Bill and Elise Kearney Barbara Kelley Cindy Kemp and Steve Tegt Joan Kemper Geraldine Kennon David and Ruth Kille Randy and Glenda King Martie King Marilyn Kinyon Diane Kinzek Baruska Knight Thomas and Cathryn Krause Melvin and Yvette Krogh Bruce Kuebler Tod Kuhn George and Wendy La Braque Jonathan and Linda Lambert Lisa Larramendy and Larry Rose Ruth Lasell and Robert Bonewitz Haady and Anita Lashkari Don and Linda Law Stan Lawrence Vi Le Gerald Leavitt Catherine Lee Garrett and Elizabeth Leib Arthur and Sally Lemire Dr. Winifred Leung and Dr. William Dunbar Craig and Karen Lewis Jeff and Laura Loebl Dorthy Loebl Sherry Loehr John and Margaret Logan Lucy Lucking Eric Lund Bent and Else Lundbye Mike Lurie and Nancy Kochevar Drew and Claudia Lurie Kiki Lyon Dr. John and Marilyn Lyon Dr. Ian and Ginny MacLean Julia Macy James Malone Pauline Malos Lorraine Mariz Edwin and Jacqueline Marks Michelle Martinez William Marzinzik John and Ann Mason Celeste Matesevac and Marcia Doty Betty Matson Dr. Richard and Toni Matthews Stephen Matzkin Harry and Carolyn Maynard Cecelia McBurnie Mike McCaleb and Berkeley Meigs Walter and Franna McClelland Jon and Julie McConnel Tyler McCormick Carol McCormick Craig and Mary McDonald Stephen and Patricia McGillivray Alexander Mckeown Daniel and Yoko McSweeney

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

Stuart Meiklejohn and Mary Ann O’Connor George and Peggy Melton Dr. Fredrick and Margaret Menninger Leo Meyer Paul Meyer Jerry and Char Michaels Charles and Bessa Mileham Ted and Donna Miller Steve and Colette Miller Robert Miller Ruth Milner Spencer and Mildred Mitchell Amy Miyawaki Debora and Judson Mock Deborah Moe Jo Ann Monak Bill Monnot and Lori Wyatt Chuck Monsalve Cathy Moon Bhanu Moon Sandra Moore Charles Morrey Debbie Morris Nomi Morris Michael and Anne Morris Bill and Maggie Mors John and Leanne Mothershead Lakshmi Narayanaswami Mohan and Sylvia Narula Richard and Mary Nash Thomas and Sandra Neff Dr. Doug and Donna Nelson Phillip and Mary Nelson Thomas Nguyen Laurence and Jenny Nicklin Keith and Victoria Nightingale Charles and Nancy Nordstrom Niels and Robin Nyborg Bill O’Brian Shaun and Kareen O’Bryan Tom and Yvonne Odle Carolyn Olsen Dave and Aggie Olson Michael and Mary O’Neill Harry and Ann Oppenheimer Eric and June Ordway John and Stephanie Orr Christina Orthuber Douglas and Angela Parker Barbara Parsons and Roger Beerworth Dr. Elizabeth Patterson and Dr. Albert Stroberg Claire Paulson Bill and Laura Peck Mark Pennington Nancy Pepper Lisa Phelps Pamela Phillips and Alan Bandoli Ron and Linda Phillips Lynne and Philip Pierpont Carol Pilkington Ron and Judi Polito Dan Popescu Dr. Martin and Barbara Pops Sylvia Porterwann

Dr. Robyn Posin Andrew and Pierrette Prestridge Michael Price and Leslie Clark Hollie Priddy E. Norris Procter Judy Pugh Mary Quijada Alice Ragland Alan and Jan Rains Darryl and Kara Ralston Kelly and Rena Randall Dr. Lakshman and Dr. Kirupa Rasiah John Ray and Marcy Hernandez Emilie and Myron Rayman Dan and Mara Redden Ted and Debra Reed Don and Sue Reed Sheila and Paul Reep Dr. Robert and Alice Rene Harold Reyes Lois Rice Sidney and Jayne Rice Ronald Richard Connie Rimpa Ernest and Julie Rischar Ivan Rivera Mark and Dawn Robbins Paul and Kim Robie Pamela and Tim Robins Esther Robinson Jean Robinson Robert and Taundra Roddick Shirley Roddick-Gholson Steve and Susan Romero Kimi Romming Elsa Romp Tom Rooney Robert and Patrice Rosenthal Jay and Barbara Roske Maria Luisa Roth Fred and Ila Rothenberg Rev. Harold W. Ruddick Kristen Ruorock Dr. Richard and Jane Rush John and Peggy Russell Annemarie Sacher Alan and Carol Saltzman Dr. Maria Halvorson and Dr. Kooros Samadzedeh Hazan Samaniego Nancy Sanders David Saunders Shirley Saxby Ruth Sayre Dietrich and Valerie Schmidt Mary and Tony Schmitz Clella Schneider Val Schorre Jennie Scott Dr. John and Jean Seder Stephen and Sandra Selwyn Frank and Lorraine Serena Lu Setnicka Robert Shaw Pat Shaw Forrest Shute Betty Siebenthal

Steve and Sally Simpson Dr. Bob and Louine Skankey Jeffrey and Pegi Skoff Dr. John Slaght Eleanor Small Brian Smith Graham and Leeanne Smith Betsy Smith Gail Smith Josephine Smith Renee Smith Randy and Sherry Smith Dok and Teresa Smith David and Amanda Smoler Andrew Snett Bill and Lisa Snider Robert and Kathryn Soares Dr. Dan and Edie Sommer Dr. Bill Spellman Paula Spellman Vince and Sally Stapleton Emery and Martha Starkweather Delena Starr Jeffrey and Patricia Stone Gwen Stoner Peter Strauss and Rachel Ticotin Christine Summerell Barbara Sunderland Ray and Betty Swift Aryna Swope and Phil Caruthers Renee Tallent Robert Tallyn Jonathan Teichert Tony and Anne Thacher Dr. John and Caroline Thacher Charlie and Charlotte Thompson Adam and Alexis Thunell Samantha S. and Winston H. Toller Cheryl Townsend Anh Tran Nat and Karen Traudt Winifred Travis Libby and Sandy Treadwell James and Sally True Whit and Kay Ulrich Dean and Gloria Vadnais Randy and Sunie Van Dueck Larry Vejtasa Clinton and Eileen Vocke Jessica Volentine Gene and Kathryn Volkerding Douglas and Moira Volpi Jakob and Marianne Vos Roger and Kathryn Wachtell Tom and Esther Wachtell Steven and Adelfa Wagner Dr. Colin and Susan Walker Carole Waltz Elbert and Dorothy Ward Frederic and Barbara Washburn Dr. David Watson Edward and Marguerite Webster Rob and Jane Wedin Dick and Jane Weirick Jacquelyn Welsh Al and Joyce West Christina and Jeff Westgate

Giving is an opportunity for all of us within our community to come together to support the programs we have at Community Memorial Health System.”

– Mel Sheeler – Treasurer, Community Memorial Hospital Foundation Richard Wheeler Peter Whitcomb Ronald and Helayne White J. B. White Diane White Paulette Whiting Jim and Martha Whitledge Margaret Whitney Marjorie Wichman Gary and Cheryl Wilde Rev. Jeff and Barbara Wilhelm Ruth Willett John Williams Huora Williams Todd Wilson Scott and Dr. Rochelle Wilson Blake and Susanne Wilson Tim and Terri Wolfe John and Jan Wong Stacey Woodcock Roy and Jan Worsham Dr. John and Kathryn Wrench Ken and Soni Wright Ward and Margaret Wright Terry and Cindy Wright Willam and Karen Wu Claudia Wunderlich Herbert and Sue Yager Kathryn Yamada Martin and Doree Young Dudley and Mareen Zoll Assisted Home Health and Hospice Care Attitude Adjustment Shoppe Autumn Years at Ojai Valley Barringer Construction Inc. Delta Sleep Labs Friends Ranches, Inc. Help Unlimited Homecare Henry Schein Medical Inc. Holguin, Fahan & Associates Ivanhoe Foundation Las Posas Home Health Services, Inc. Lifeline Medical Transport Lincare Livingston Memorial Visiting Nurse Assoc. and Hospice Medical Arts Pharmacy Medicine Shoppe of Ojai Meiners Oaks Lions Club October Classic Ojai Community Bank Ojai Herb and Acupuncture Clinic Ojai Rexall Drugs Ojai Valley Community Hospital Auxiliary Ojai Valley Emergency Physicians Medical Group, Inc. Ojai Valley Family Medicine Group Ojai Valley Hospital Guild Ojai Valley Retired Men’s Club Ojai Village Pharmacy OVCH Employee Giving Program Paradise Artists Pueblo Radiology Medical Group, Inc

Rabobank, N.A. Rotary Club of the Ojai Valley Royal Home Care Shell Oil Company Foundation Matching Gifts Shoreline Care Center Swanner Physical Therapy Swift Memorial Healthcare Foundation The Chilant and Mansfield Sprague/ Herbert Frenzell Foundation The Edward and Virginia A. Orr Trust The Gables of Ojai The Manor of Ojai The Oaks at Ojai The Oaks at Ojai - Employee Giving Program The Stahl Companies Wilde-Guernsey, Inc.

2013 Ojai Valley Community Hospital Foundation Tributes William Blackburn in honor of Al and Joyce West James and Jayne Cruise in honor of Dr. Jim and Robyn Halverson Peter and Barbara Haggerty in honor of Dr. Fred and Shirle Fauvre Rikki Horne in honor of Sue Horgan David and Phyllis Johnston in honor of Dr. Timothy and Mary Ann Willianson Charles and Nancy Nordstrom in honor of Dr. Fred and Shirle Fauvre Lu Setnicka in honor of Douglas Mirk Huora Williams in honor of Dr. Doug and Donna Nelson and Family Silvia Basich in memory of Mirko Basich Ann Behrendt in memory of Bernard Behrendt David and Melodie Catlett in memory of J.T. Starr Joyce Chapman in memory of Ben B. Chapman Gerald and Donna Craven in memory of Gailette Craven Arnold Detmer in memory of Ginger Wilson Miriam Dumer in memory of Audrey Watkins

Paul and Maelyn Ebert in memory of Diantha K. Ebert Jack Fay in memory of Marge Fay Sarah and Dale Ferranti in memory of Jim McCune Michael Flanagan in memory of Dolly Flanagan Gwen and Boyd Ford in memory of Anna Hawkins Friends Ranches, Inc. in memory of Phillip Culbert Anthony and Kathan Glassman in memory of Chilant Sprague Jo Kara in memory of Anna Hawkins Geraldine Kennon in memory of Melissa Joan Kennon Don and Linda Law in memory of Barbara Erhart Bruce Don and Linda Law in memory of Lloyd Fellows Don and Linda Law in memory of Nancy Hammond Stan Lawrence in memory of Betty Strait Dottie Loebl in memory of Peggy Stiegele Eric Lund in memory of Audrey Lund James Malone in memory of Jackie Malone Pauline Malos in memory of Tedd Malos Betty Matson in memory of Rudolph Nava Leo Meyer in memory of Herb and Samantha Wittenbrock Jo Ann Monak in memory of Nancy Hammond Claire Paulson in memory of Edwin and Claire Paulson Dr. Martin and Barbara Pops in memory of Ginger Wilson Dr. Martin and Barbara Pops in memory of Lois “Cookie” Jones Dr. Martin and Barbara Pops in memory of Nancy Hammond Dr. Martin and Barbara Pops in memory of Peggy Stiegele Dr. Martin and Barbara Pops in memory of Robert Shaw Sylvia Porterwann in memory of Arthur Wann Judy Pugh in memory of William Pugh Mary Quijada in memory of Anselmo Quijada Sheila and Paul Reep in memory of Lance Smigel Esther Robinson in memory of Carl Robinson

Elsa Romp in memory of Maria De La Vega Lisa Larramendy and Larry Rose in memory of Carl Robinson Josephine Smith in memory of Jean Dreger Graham and Leeanne Smith in memory of Jim McCune Delena Starr in memory of J.T. Starr Ray and Betty Swift in memory of Anna Hawkins Dr. David Watson in memory of Susan Watson Richard Wheeler in memory of Barbara Wheeler Peter Whitcomb in memory of Peggy Stiegele Paulette Whiting in memory of Jean Keyworth Marjorie Wichman in memory of Ted Wichman

Capital Campaign Donors 2009 to August 2014 Michael Agustin Don Anderson and Nita Whaley Anonymous Anonymous Angelica Arango Kate and Gary Barnhart Shelby Bauer Kasteen Beltowski Hoot and Donna Bennett Dr. Michael and Sharon Bick Norman and Joan Blacher Brenda Bonilla Michael and Heidi Bradbury Mary and Bob Braitman Isaac and Linda Brown Doug Burkhardt James and Michelle Butterbaugh Cenea Calabrese Don and Bonnie Carlton Chuck Chadwell Patti Channer Robert Cheatham Family Elizabeth Blanchard Chess Kenneth and Doris Collin Trudy Cook Peter and Ann Costigan Wanda Crane Nancy Culton James and Linda Dark Pamela Davis Ann Deal Douglas and Caroline De Sario Family John and Susan Diedrich Philip and Marcia Drescher

Gary and Brenda Farr Glen and Karen Farr Caroline Felber Fred and Virginia Ferro Boyd and Gwen Ford Tony and Edie Fowkes Mandy Furlong Timothy and Cheryl Gallagher Erin Ghaffari Mr.* and Mrs. John Gilbert Rod Gilbert Donald Gloisten Cassandra Goehner Hector and Susana Gomez Irma Gonzalez Carl and Lori Grether Maureen Griffiths Mrs. Richard S. Hambleton John Hammer Jim and Tish Harris Bud and Sally* Hartman Frederic Hawkins* Connie Hawkins Joel Hernandez Ronald* and Carolyn Hertel Jeanette Hess Tom and Lydia Hopps Kathleen Horton David Howard Dr. James M. Hunter Family Mr. and Mrs. Fritz R. Huntsinger Jon and Ann Ives Ron and Barbara Johnson Katie Johnston Sarah Johnston Donna Jue Bill and Elise Kearney Ajaz and Eileen Khan Erwin Kosasih Robert* and Carol Lamb Meg Larramendy Don and Linda Law Dorothy Jue Lee David Lew Nancy Lininger Dottie Loebl Armando and Luly Lopez Mike Lurie and Nancy Kochevar Luiz Maggio Josefina Magistrado Alphonse and Jan Marra Mary Anne Marsch Chuck and Edie Marshall Harry and Carolyn Maynard Charles and Rosena McConica John and Anne McConica Mac McCown Barbara Meister Judy Miller Ted and Dale Muegenburg Barry Neilsen Ronald and Ann Nichols Mr. and Mrs. Lindsay Nielson Graciela Ortiz Dottie Pas Tom and Karen Pecht The Haley Family

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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In Appreciation of Our Donors Helen Pidduck* Allan Pinkerton Robert and Lupe Piros Ron and Judi Polito Lawrence Markworth and Sue Pollack Robert Potter* Olivia Potter Erin Quinn and Family Alan and Jan Rains Sylvia Raya Rudy Rodriguez Ron and Barbara Rose Dorothy Rowins Richard and Jane Rush John and Peggy Russell Micheline Sakharoff Irene Santo James Seebirt Mel and Cathy Sheeler Steve and Shirley Simms Richard and Pattie Slater John and Margie Stites Judith Streamer Dorcas Thille Royce and Beverly Townsend Craig and Sara Jane Underwood Leslie Vallée-Miller Tracy VanNatta Norman* and Lynn Weitzel Carol Welle Daniel Whalen Colleen Toy White and Art Bliss Mary Wilborn Gary and Ann Wolfe Norma Zuber Assisted Home Health and Hospice Care Betty Isensee and Isensee Floorcovering Busch Family Foundation -Lyn Essig -Pete Busch -Ralph Busch Café Zack CMHS Social Service Department Commander Printed Products Community Memorial Hospital Auxiliary Del E. Webb Foundation Ensign Group -Camarillo Healthcare Center -Glenwood Care Center -Victoria Care Center Faria Family Partnership -Roberta Baptiste -Linda Faria -Jeanine Faria Walker Farr and Associates Gold Coast Ambulance Gordon Ross Medical Foundation Harriet H. Samuelsson Foundation Henderson A Trust Dated September 6, 1990 Henry L. Guenther Foundation 42

Lifeline Medical Transport Martin V. & Martha K. Smith Foundation Maywood Acres Healthcare MedPanel, LLC MJP Technologies, Inc. Montecito Bank and Trust Mountains 2 the Beach Marathon Mullen & Henzell L.L.P. Myra and Ronald Bank Family Fund Neovia Integrated Insurance Services, Inc. Pacific View Mall Pacific Western Bank Paradise Chevrolet Patagonia Poinsettia Republican Women Federated Rabobank, N. A. Rasmussen & Associates Technicolor Ted Mayr Funeral Home The Buena Vista Hospice Butterfly Foundation The Kong Family -Pattie Kong Slater -Dr. Thomas Q. Kong, Jr. -Stephen Kong -Peter Kong -Michael Kong The Sence Foundation The Wharf The Wood Claeyssens Foundation Tolman and Wiker Insurance Ventura Beach Marriott Ventura Convalescent Hospital Ventura Rental Party Center Ventura Sandwich Company, Inc. Wells Fargo Employee Donations ZestNet, Inc.

Capital Campaign Employee Donors 2009 to August 2014 Anonymous Cecilia Abundo Jesus Aguayo Juan Alfaro Teresa Allen Marsha Alstot Bonita Altman Guillermina Alvarado Artemia Alvarez Barbara Anders Teresa Anderson Rosemarie Angeles Norma Aparicio Alfonso Arguelles Rebecca Ashley

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

Kelley Atwater Brendel Auza Lisa Baier Lisa Baker Molly Baker Mary Janet Bale Gabriela Bañuelos Rocio Barajas Shirley Barela Harold Barone Maggie Baxter Evelyn Beckett Paz Benito Guillermo Berber Dawn Bergeron Sherry Berry Ashima Bischoff Gene Blythe Kimberly Bridges Family Estelle Brutton Dolores Cabrera-Valdovinos Jaime Cadang José Caldera Alyssa Calderon Kelly Calkins Debbie Campbell Anthony Castelan Manuel Castro Debra Cervantez Peggy Chabino Thieman Carmen Chacon Sukhum Chaewchansilp Beatriz Chavez Sandra Chavez Cecelia Chester-Gantt Alex Chianese Leora Chrestman Corazon Chua Matthew Churape Sylvia Churape Laura Clark Virginia Clay Cheryl Cobb** Matt Cogdill Jadona Collier Marila Cook Shamekia Copeland Diane Cornell Janine Coronado Nadine Cortez Lee Cothern Lee Ann Davidson Carmen De La Cruz Cindy DeMotte Thomas and Judith Drew Denise Drury Victoria Duah Patricia Duarte Lindsey Dunn Kirsten Eliab Michael Ellingson** Maria English Mona Estrada Elvia Fierros Elaine Forest Charles Gaither

Will and Susan Garand Family David and Maryellen Glyer Estrelita Gobuyan Karen Goldenberg Liza Gonzalez Osvaldo González García Mary Greek Mary Jane Green Benetta Greene-Nealy Griselda Guerrero Jaime Guillen Jeannene Gutierrez Barbara Hardesty Marilyn Harris Lyndsay Heitmann Marilyn Hemming David Hernandez Janice Holden Tinette Hood Victor Hosford Martha Jennings Lawrence Johnson James Josue Eulalia Juarez Susan Kim Diany Klein** Janice Koevenig Promila Kohli Lisa Larramendy** Haady and Anita Lashkari** Gary Laub Ronald and Ramona Lawrence Hui-Fang Lee Jo Ann Lester Carlos Limon Manon Llewellyn Angela Lopez Julia Lopez Laiying Mac Saul Macias Cheryl Madrid Maria Madrigal Adella Magdaleno Joe Manheim Tanya Marquez Benjamin Martines Rogelia Martinez John and Judy Masterson** Carla Mayr Roberta McCaffrey Michelle Mc Ghee Mary McCormick Lisa and Gilbert McFarlane Kevin McKean Monica McMichael Celia Medina Megan Meeker Brenda Mendez Gloria Mendoza Jane Merritt Gary Metelak Mary Miasek Julienne Mitchell Kristina Moffett Patsy Montes De Oca Yolanda Moran

Manuela Moreno Mary Nishimura Devin O’Neill Megan O’Neill Laurel Ormsby Kari Osborn Christine and Roland Ouellette Antonia Palacios Anita Pardo Marsha Parker Pilar Parker Gary Pearce Rodolfo Pecina Erlinda Perey Kirk Pieper Susanne Pingree Cathy Polzin Ruth Pool Christina Poolman Robyn and Dan Popescu Christina Prado Sandra Pulido Ed Pulido Marygrace Quito Angelica Ramirez Angelica N. Ramirez Maria Ramirez Maria T. Ramirez Rebecca Ramos Emilie and Myron Rayman Timothy Reebel Mark Reeves* Cindy Reinwald Editha Rivera Lois Robinson** Beverly Rodrigues Violeta Rodriguez Clara Rodríguez Titinia Rogers Laura Rosales Evon Rubenstein Sarah C. Ruby Geraldine Salsedo Ron and Claudia Sandifer Sonia Sandomer Dana SantaOlalla Dulce Santos Mary Schmitz Pamela Seabert Maryann Senores Jeffrey Shadden Lori Shaklee Dan Sisemore Linda Smith Linda Stephens-Michon Bonnie Subira Amie Jean Sulit Carrie Sundberg Cindy Swett Alicia Talamantez Antoinette Tarango Adam and Alexis Thunell Eileen Tolentino Joy Tovey Rebeca Trevino - Rivera Cathy Urot

We give because we have embraced Ojai, and will continue to. The feedback about how the people in Ojai feel about their hospital is all positive.”

– Tim Wolfe – Vice Chair, Ojai Valley Community Hospital Foundation Pedro Valadez Rita Valenzuela Angélica Valles de la Torre Vicki van der Toorn Cristina Vazquez Lourdes Vedar Dorothy Venegas Crystal Vidana Alex Waites Barbara Wanamaker Jeff Warrender Robin Weber Victoria White Theresa Whitt Gary and Cheryl Wilde** Karin Wood Kathryn Yamada Kei Mei Yim Archie Young Paula Zajac Yaning Zhang

Capital Campaign Physician Donors 2009 to August 2014 California Cardiovascular & Thoracic Surgeons -Dr. Lamar and MarLynn Bushnell -Dr. Dominic and Carolyn Tedesco Central Coast Radiology Associates, Inc. and Pueblo Radiology Medical Group CVP - Concerned Ventura Physicians General Surgery Medical Group of Ventura County -Dr. Lisa Babashoff -Dr. Timothy Bryant -Dr. Joseph Lo Presti -Dr. Brian Tuai Gynecologic Oncology Specialists -Dr. W. Michael Hogan -Dr. Anne Rodriguez -Dr. Roz Warner Medical Staff – Ojai Valley Community Hospital Medical Staff of Community Memorial Hospital Pediatrix Medical Group, Inc. -Dr. Ben Bengtsson -Dr. John van Houten Sound Physicians Ventura Anesthesia Medical Group Ventura County HematologyOncology Specialists -Dr. Kevin Chang -Dr. Chirag Dalsania

-Dr. Ann Kelley -Dr. Lynn Kong -Dr. Rosemary McIntyre -Dr. Kooros Parsa -Dr. Todd Yates Ventura County Obstetrics and Gynecologic Medical Group, Inc -Dr. Steven Coyle -Dr. John Gustafson -Dr. Jill Hall -Dr. Richard and Lori Reisman Ventura Emergency Physicians -Dr. Richard Browne -Dr. Neil Canby -Dr. Eric Fields -Dr. Anthony Hernandez -Dr. Chris Johnson -Dr. Alexander Kowblansky -Dr. David Lebell -Dr. Daniel Levy -Dr. Jerome Maryniuk -Dr. Eric Moll -Dr. Marc Reinoso -Dr. Jerry Waters Ventura Orthopedic Medical Group Ventura Plastic Surgery Specialists -Dr. Samuel Bern -Dr. Laurie McCall Anonymous Anonymous Anonymous Dr. Moustapha and Joanie Abou-Samra Dr. Albert and Rosalind Amorteguy Dr. Todd Anderson Dr. Ted and Dee Angus Dr. Amir and Maryam Arfaei Dr. Duke and Young Bahn Dr. Michael and Alison Bailey Dr. and Mrs. Edward Banman Dr. Warren Banta Dr. Charles Barnes Dr. Lois Barnes and Mr. Steven Jung Dr. Steven and Denice Barr Dr. Marc Beaghler Dr. James and Alicia Beaty Dr. Michael and Karen Began Dr. Robert and Dianne Bernstein Dr. Helmuth and Samantha Billy Dr. Jeffrey Brackett and Miriam Arichea Dr. Bruce Brockman and Dr. Bridget Tsao Dr. John Broms Dr. Michael and Mary Lou Brown Dr. Donn and Teresita Browne Dr. Thomas and Patricia Brugman Dr. Dang Bui Dr. Robert Buckingham Dr. William and Vyda Burger Dr. Khozema and Arwa Campwala Dr. Deborah and Mr. Scott Carlson Dr. Susan Chang and Mr. Michael Cha

Dr. Steven and Sylvia Chang Dr. Scott and Su Changchien Dr. Jian Anna Chen Dr. Kyu and Young Choi Dr. Gordon and Kristen Clawson Dr. Carl Constantine Dr. Lilia Coppa Dr. Stephen and Carol Covington Dr. David H. Culton Dr. Chirag Dalsania Dr. Susseela Dasari Dr. Scott Davis Dr. Mary Dial and Dr. Lanyard Dial Dr. Patrick and Dr. Estela Diesfeld Dr. Robert Dodge Dr. Victor Dominguez Dr. William and Norma Ekman Dr. John and Linda Edison Dr. Linda England Dr. Fred and Shirle Fauvre Dr. Kenneth Fischer Dr. Arthur and Jennifer Flynn Dr. Newton and Vonise Friedman Dr. Stanley and Heidi Frochtzwajg Dr. Robert and Brenda Garrison Dr. and Mrs. Armand Ghaffari Dr. Thomas and Debbie Golden Dr. Irwin and Sharon Grossman Dr. Jack and Beverly Halpin Dr. Jim and Robyn Halverson Dr. John and Meredith Handley Dr. Nicholas Hanson Dr. William Hart Dr. Kenneth and Charlene Hartenstein Dr. John and Barbara Hill Dr. James and Dana Hornstein Dr. Gösta and Mary Iwasiuk Dr. Steve Jones and Dr. Karen Jones Dr. Peter Karlsberg Dr. Tajinder Kaur Dr. Moe Khoddami and Dr. Neda Heidari Dr. and Mrs. Tatsuo Kimura Dr. Thomas Kong Dr. David Labell and Vicky Blum Dr. Tesu Lin Dr. Nancy Loman and Dr. Geoffrey Loman Dr. Edgar and Stacie Lueg Dr. Bryant and Linda Lum Dr. and Mrs. John W. Luttrull Dr. Kip Lyche Dr. Robert Mazurek and The Mazurek Family Mr. Scott and Dr. JillAnne McCarty Dr. and Mrs. James McKinzie Dr. Fredrick and Margaret Menninger Dr. Charles Menz Dr. and Mrs. George Mitchell Dr. Mark and Kathy Mitchell Dr. Charles Montague

Dr. Doug and Donna Nelson Dr. Viktoriya and Mr. Jeff Nelson Dr. Henry and Pam Oster Dr. Shaun Patel and Dr. Sandhya Patel Dr. Elizabeth Patterson Poca de Gracia Ranch Dr. David and Claudia Perlmutter Dr. Arthur and Jeanne Peters Dr. Roger and Marcia Phelps Dr. Martin and Barbara Pops Dr. Victor and Sandra Pulido Dr. Ishu and Charlotte Rao Dr. Lakshman Rasiah and Dr. Kirupa Rasiah Dr. Constanze Rayhrer Dr. Miriam Lydia Reaves Dr. Jeffrey Richardson Dr. Joseph and Pat Romolo Dr. Maria Halvorson and Dr. Kooros Samadzedeh Dr. Joel and Renee Siegel Dr. and Mrs. Arthur Simpson and Family Dr. Robert and Louine Skankey Dr. John Slaght Dr. Tara Marie Snow Dr. Rebecca Sokol Dr. Daniel and Edie Sommer Dr. Michael Sparkuhl and The Sparkuhl Family Dr. William and Pamela Speitel Dr. and Mrs. Siegfried Storz Dr. Hank and Sue Stoutz Dr. Frank and Krista Stuhr Dr. Aron and Roberta Swerdlin Dr. Sharifullah Tarazi Dr. Leo Tauber Dr. John Tesman Dr. William Theurer Dr. Suckchai “Tula” and Piangpom Tulathimutte Dr. Richard and Connie Tushla Dr. J. N. and Florence Warwar Dr. Robert and Dr. Wendy Warwar Dr. Douglas* and Katherine Wilkinson Dr. Doug and Caryn Woodburn Dr. and Mrs. James D. Woodburn, III

Capital Campaign Tributes 2009 to August 2014 Lisa and Robert* Dunlap in honor of Terrilynn Dejarnette, R.N. Lisa and Robert* Dunlap in honor of Tracie Astor, R.N. Eileen and Edward Gaiser in honor of Dr. Thomas Fogel Dr. Phil and Millie Schofield in honor of Tom and Lydia Hopps Dr. Phil and Millie Schofield in honor of Pete and Janice Churchill Cheryl Cobb in memory of Rick Kahana Jude Dumas and Dennis Copas in memory of Jack Gilbert Fred and Virginia Ferro in memory of Leonard Ortiz Fred and Virginia Ferro in memory of James Dixon Dr. Bill Hart in memory of Philip LeFevre Denniston Dr. Bill Hart in memory of Cameron Brown Dr. Bill Hart in memory of Richard Shipley Dr. Bill Hart in memory of John Allen Dr. Bill Hart in memory of Charles B. Schwabauer Dr. Bill Hart in memory of Robert Bertram Lamb, Jr. Dr. Bill Hart in memory of Sally Jean Hartman Betty Isensee and Isensee Floorcovering in memory of Marvin Isensee Deborah Kahana in memory of Rick Kahana Dorothy J. Lee in memory of Betty Ferraro Nancy Maurer in memory of Rick Kahana Joe and Sandra Wagner in memory of Rick Kahana Susan Webster in memory of Rick Kahana Foundation Board Member * Deceased ** Gifts in “Memory of” or †

“In Honor of”

We apologize for any omissions or misspellings.

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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REPORT TO THE

COMMUNITY

Gold Dust Gal

a 2013

Benefactors’

Ball 2013

An Evening with Jim Messina to be held at the historic Libbey Bowl in Ojai on October 11.

This event is presented by both CMHF and OVCHF.

44

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

REPORT TO THE

COMMUNITY

Buckaroos, Bo ot and Bling 20 s 13

r

hine & Monito

Anesthesia Mac

sic 2013

October Clas

Lift Equipmen

t

Nightingale Ball 20

13 COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

45

upda

projects

The new Community Memorial Hospital, scheduled for completion by the end of 2015, has begun the third and final phase of the project, which includes encasing the building’s frame, completing its interior, and finishing the site work surrounding the new hospital.

HOSPITAL LOBBY OPERATING ROOM

PRIVATE PATIENT ROOM

46

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

ate

ONLY ONCE IN A GENERATION SOMETHING SO SIGNIFICANT OCCURS THAT IT TOUCHES THE HEART AND HEALTH OF AN ENTIRE COMMUNITY. FOR OUR GENERATION THE MOMENT IS NOW.

HEALING GARDEN

LANDSCAPE GARDEN

NEW MAIN ST. ENTRYWAY

BRENT STREET SCULPTURE TERRACE

PARK GARDEN DINING TERRACE

NEW PARKING STRUCTURE

WHAT’S NEXT? Get Project Updates at

www.cmhsbecause.org

COMMUNITY MEMORIAL HEALTH SYSTEM | CARING

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upda

projects

Despite its remarkable service to residents and visitors, OVCH’s aging infrastructure, coupled with state seismic requirements, required essential upgrades.

With the support of Community Memorial Health System, OVCH has already completed the first two phases of construction.

Phase I: Seismic Improvements – Completed • Replacement of roof • Installation of new air conditioning and heating units • Remodel of Intensive Care Unit • Internal strengthening of ceiling braces to meet seismic mandate deadlines Phase II: Exterior Acute Care Renovations – Completed • Construction of new ADA-compliant patient entry • New patient/visitor courtyard • Expanded patient admitting area • New hospital lobby • New exterior to better reflect the heritage of the Ojai Valley 48

CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

New hospital lobby has been completed.

ate

ONLY ONCE IN A GENERATION SOMETHING SO SIGNIFICANT OCCURS THAT IT TOUCHES THE HEART AND HEALTH OF AN ENTIRE COMMUNITY. FOR OUR GENERATION THE MOMENT IS NOW.

Phase III: Construction of a New Continuing Care Center OVCH’s current Continuing Care Center operates near full capacity year round, despite its aging structure. Located in a community where demand for post-hospitalization rehabilitation and long-term care will only increase, the need for the CCC will continue to grow well into the future. Revenues from the Continuing Care Center enable OVCH to subsidize its acute care and emergency services, preserving resources that are essential to our community’s health and well-being.

The opportunity to secure OVCH’s future with the building of a new skilled nursing facility is one that will be the determining factor in shaping OVCH’s destiny.

With community support, CMHS and OVCH will construct a new CCC on property directly behind the current structure.

The New Continuing Care Center • 60-bed Continuing Care Center 6 Private Rooms 27, 2-Bed Rooms • Spacious Lobby and Dining Room • Enlarged Physical Therapy Department • Lush Landscaping and Gardens

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Every month, Community Memorial Health System offers a variety of support and informational meetings. Please verify meeting date and location with the contact person listed. Sometimes meetings may be cancelled or rescheduled. You may also view this listing at www.cmhshealth.org.

General Health Bariatric Support Groups General Group 4th Thursdays: 6:30 p.m. - 7:30 p.m.

Lap Band Group 1st Tuesdays: 6:30 p.m. - 7:30 p.m.

Contact: Nancy Barber (805) 676-9100

Blood Pressure Screenings - FREE By appointment only.

Free blood pressure screenings with education and blood pressure card.

Mondays: 12:00 p.m. - 1:00 p.m.

Contact: HealthAware Office (805) 667-2818 HealthAware@cmhshealth.org

Bariatric Surgery Seminar Selected Mondays: 6:00 p.m. - 8:00 p.m.

Contact: Nancy Barber (805) 676-9100

Community Reiki Share 1st Tuesdays: 7:00 p.m. - 9:00 p.m., Contact: Shannon Sossebee (805) 216-8675, reikiliving@rocketmail.com

Better Breathers In association with the American Lung Association.

2nd Wednesdays: 3:00 p.m. - 4:00 p.m. (dark the months of July and August) Contact: Juanita Trine, RRT-NPS (805) 652-5346, jtrine@cmhshealth.org

Diabetes Update 2nd Tuesdays: 3:00 p.m. - 5:00 p.m.

Contact: HealthAware Office 805/667-2818, healthaware@cmhshealth.org

Caregivers Support Group 2nd Fridays: 3:00 p.m. - 4:30 p.m.

Contact: Carolyn Kopp (805) 492-0601, carolynk@coastcrc.org Joint Replacement Education Class 2nd Tuesdays: 2:00 p.m. - 4:00 p.m.

Contact: (805) 652-5063 Mindful Meditation Individual must be a HealthAware participant and or a CMHS employee.

2nd and 4th Tuesdays: 5:30 pm - 6:30pm Contact: HealthAware 805/667-2818, healthaware@cmhshealth.org Pulmonary Rehabilitation Classes Classes meet twice a week for six weeks: 10:00 a.m. OR 1:30 p.m.

Contact: Juanita Trine, RT-NPS (805) 652-5346 Smoking Cessation Classes Classes are 7 consecutive weeks, 5:30-7:00 p.m.

Contact: HealthAware Office (805) 667-2818, healthaware@cmhshealth.org Heart Healthy Nutrition 2nd Thursday of every month: 12:00 pm -1 pm Contact: Health Aware Office, (805) 667-2818, healthaware@cmhshealth.org New topic every month 50

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CARING | COMMUNITY MEMORIAL HEALTH SYSTEM

Mended Hearts 1st Tuesdays: 7:00 p.m. – 9:00 p.m.

Contact: Richard Hatcher 805/644-2733, mendedhearts4u@gmail.com Prediabetes and Diabetes Screenings 1st Mondays: 3:00 p.m. – 4:00 p.m. by appointment Contact: HealthAware Office (805) 667-2818, healthaware@cmhshealth.org Prevention Strategies for Heart Disease 3rd Thursdays of odd months: 6:00 p.m. - 7:30 p.m.

Contact: HealthAware Office (805) 667-2818 HealthAware@cmhshealth.org Stroke Screenings By appointment only.

1st Fridays: 11:00 a.m. - 1:00 p.m.

Contact: HealthAware Office (805) 667-2818 HealthAware@cmhshealth.org Stroke Support Group 2nd Wednesdays: 2:00 p.m. - 3:15 p.m.

Facilitator: Andrea Ricketts, MSN, ACNP-BC Contact: HealthAware Office (805) 667-2818 HealthAware@cmhshealth.org

Walking Fitness Program at Kimball Park Blood pressure screenings before and after walks.

Meets every Tuesday and Thursday morning.

Tuesdays 8:00 a.m. - 9:30 a.m.

Thursdays 8:00 a.m. - 9:30 a.m.

Contact: HealthAware Office (805) 667-2818 HealthAware@cmhshealth.org Weight & Lifestyle Change Support Group Thursdays: 5:30 p.m. - 6:30 p.m.

Contact: HealthAware 805/667-2818, healthaware@cmhshealth.org Yoga For HealthAware participants and CMHS employees.

Mondays: 5:30 p.m. - 6:30 p.m.

Contact: HealthAware 805/667-2818, healthaware@cmhshealth.org

Maternal Child Health Baby and Me Birth to Crawling Tuesdays: 10:00 a.m. - 11:30 a.m.

Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Babysitting 101 Saturdays: 12:30 p.m. - 3:30 p.m.

Aug 9, Oct 11, Dec 6 Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Breastfeeding Support Group English: Thursdays: 10:00 a.m. - 11:30 a.m. & 5:30 p.m. - 7:00 p.m.

Bilingual: Wednesdays: 10:00 a.m. - 11:30 a.m.

Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Childbirth Refresher Course Call for dates and times Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Community Forum (Birth to Pre-School) Quarterly on Wednesdays: 1:00 p.m. - 2:00 p.m.

Series: Oct 1 - Dec 10 Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Evening Prepared Childbirth Classes are one night a week for six weeks.

Tuesday classes: 6:00 p.m. - 8:00 p.m.

Classes begin: Sept 9, Oct 28 Wednesday classes: 7:00 p.m. - 9:00 p.m.

Classes begin: Aug 6, Sept 17, Oct 29 Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org

Infant Pediatric CPR Saturdays: 10:00 a.m. - 12:00 p.m.

Aug 9, Sept 20, Oct 11, Nov 15, Dec 6 Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Maternity Tour English: Tuesdays: 5:00 p.m., 6:00 p.m. & 7:00 p.m.

Espanol: 4th Mondays: 7:00 p.m.

Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Natural Childbirth Sundays: 4:30 p.m. - 6:30 p.m., Classes meet one night a week for six weeks.

Courses begin: Aug. 24 - Oct. 5 (No class on Labor Day Weekend, Aug. 31st) Oct.12 - Nov.16 Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Prenatal Yoga Fridays: 10:00 a.m. - 11:30 a.m.

Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Sibling Sundays: 1:30 p.m. - 2:30 p.m.

Class Dates: Aug 17, Oct 5, Dec 14 Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org Weekend Prepared Childbirth Saturday: 9:00 a.m. - 4:30 p.m.

Sunday 9:00 a.m. - 12:30 p.m.

Class dates: Aug. 16 & 17, Sept. 13 & 14, Oct. 4 & 5, Nov. 8 & 9, Dec. 6 & 7 Contact: New Parent Resource Center (805) 658-BABY (2229), newparentresourcecenter@cmhshealth.org

Cancer Program Advanced Stage Cancer Support Group (for all cancers) 1st & 3rd Thursdays, 10:00 a.m. -11:30 a.m.

Facilitator: Tricia Lethcoe, MFT Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Breast Cancer Support Group Facilitated by The Wellness Community Thursdays: 1:00 p.m. - 3:00 p.m.

Facilitator: Gina Cole, M.S., MFT Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Cancer Support Group Wednesdays: 6:00 p.m. - 8:00 p.m.

Thursdays: 4:00 p.m. - 5:30 p.m.

Facilitators: (Wed.) Roland Rotz, PhD (Thurs.) Tricia Lethcoe, MFT Contact: Cancer Resource Center (805) 652-5459, probles@cmhshealth.org

Caregivers Group 3rd Tuesdays: 6:00 p.m. - 7:30 p.m.

Facilitator: Roland Rotz, PhD Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Creativity Central Call for class dates and times.

Facilitator: Nicole van Dam Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Dietary Consults By appointment only.

Call for dates and times.

Facilitator: Laura Fuld, RD Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Feldenkrais Call for dates and times.

Facilitator: Renee Garcia, GCFP Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Prostate Cancer Support Group 2nd Thursdays: 6:30 p.m. - 8:00 p.m.

Facilitator: Helmut Hoenigsberg Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Reflexology Fridays, Call for appointment.

Facilitator: Jane Ivey Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Reiki for Cancer Patients By appointment only.

Facilitators: Several Therapists Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Restorative (Gentle) Yoga Tuesdays: 2:00 p.m. – 3:30 p.m.

Facilitator: Toby Redlich Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Guided Meditation with Sharon Elvin 1st Mondays: 12:00 p.m. - 1:15 p.m.

Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Social Services Social worker available for individual support.

Mondays, all day.

Facilitator: Jody Giacopuzzi, LCSW Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Head and Neck Cancer Support Group 4th Thursdays: 6:00 p.m. - 7:30 p.m.

Facilitator: Becky Lowe, MFT Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Stage I & II Breast Cancer Support Group Wednesdays, 4:00-5:30 p.m.

Facilitator: Tricia Lethcoe, MFT Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Look Good, Feel Better American Cancer Society program for women undergoing cancer treatment to help them cope with appearance related side effects.

Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Tai Chi for Health Mondays: 3:00 p.m. - 4:00 p.m.

Facilitator: Katherine Steever, CTCI, CMT Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Lymphedema Screening Clinic 3rd Tuesdays: 11:00 a.m. – 12:00 p.m.

Scheduled by appointment only.

Facilitator: Claudia Steele-Major, PT, CLT-LANA Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Lymphedema Support Group 3rd Tuesdays: 12:00 p.m.- 1:00 p.m.

Facilitators: Claudia Steele-Major, PT, CLT-LANA Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Yoga for Cancer Patients Tuesdays: 4:00 p.m. - 5:30 p.m.

Facilitator: Toby Redlich Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Yoga Therapy for Cancer Patients Private yoga therapy is customized to the patient.

By appointment only Facilitator: Evon Stone Rubenstein Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

Lymphedema Therapy Call for an appointment.

Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org Mindfulness Based Stress Reduction 8 week course held in Spring and Fall.

We do ask that you commit to the intention of 100% attendance. The course also includes a Saturday retreat “Day of Meditation.” Please call for dates and times.

Facilitator: Catherine Baum, The Wellness Community Contact: Patty Robles, (805) 652-5459, cmhcrc@cmhshealth.org

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Community Memorial Health System 147 North Brent Street Ventura, CA 93003

Community Memorial Hospital Certified as Primary Stroke Center Community Memorial Health System’s Stroke Center has received the American Heart Association/ American Stroke Association’s Get With The Guidelines®–Stroke Bronze Quality Achievement Award.

The award recognizes the Stroke Center’s commitment and success in implementing a higher standard of stroke care by ensuring that stroke patients receive treatment according to nationally accepted standards and recommendations.

Contact the Stroke Center at 805/658-5832.

Support Community Memorial Health System When You Shop Online at Amazon AmazonSmile allows you to choose CMHS as a registered non-profit and 0.5% of your online purchases will come back in cash to CMHS! To choose CMHS as your AmazonSmile charity of choice, just go to Smile.Amazon.com and search for Community Memorial Health System in Ventura. Select it and start shopping.