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Since 1911, Bozeman Deaconess
Hospital has grown with the people and
communities of the Gallatin Valley and
beyond. During 2013, our 102nd year, that
growth continued. Today, as always, Bozeman
Deaconess Health Services works to stay abreast of
developments in health care, medical science, and
clinical technology to provide the most advanced,
up-to-date treatment possible, whether to help
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maintain or regain health.
In 2013, these efforts brought many changes,
additions, advancements, developments,
improvements, enhancements, and expansions at
Bozeman Deaconess Health Services (BDHS).
In other words, we are 102 years new.
In the pages to follow, you’ll read and see much of
what’s new at Bozeman Deaconess Health Services,
and how we strive to benefit the community and
the health of our neighbors. Read on. And let us
know what you think.
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2013 ANNUAL REPORT
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N
E
W
08New
22
New Treatments and Services
36
New Services
60
New Patient Safety Initiatives
72
New Certifications and Accreditations
76
New Reasons To Live At Hillcrest
82
New Provider Progress
100 New Achievements In Education
106 New, And Old, Ways Of Giving Back
114Leadership
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NEW PRESIDENT AND CEO
Kevin Pitzer joined Bozeman Deaconess
Health Services as President and Chief
Executive Officer in April. Pitzer brings a keen
knowledge of the health care industry and
firsthand experience with the coordinated,
collaborative care models that are driving the
future of health-care delivery.
With more than 25 years of senior health-care
leadership experience—most recently leading
a regional health system consisting of five
hospitals and 34 clinics in North Dakota and
Minnesota—Pitzer has a history of building
strong bonds of trust with physicians and
the ability to identify and communicate a
strategic vision throughout an organization.
Pitzer holds a Master of Arts in Hospital
and Health Administration and a Master of
Business Administration in Management
Sciences, both from the University of Iowa.
He is a member, board member, and leader in
numerous professional associations.
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NEW BIG SKY MEDICAL CENTER COMING
A September ceremonial groundbreaking for
the Big Sky Medical Center kicked off
pre-construction planning for a new Bozeman
Deaconess Health Services facility that will
provide medical care to the Big Sky, West
Yellowstone, and southern Gallatin County
communities.
The medical center will house a four-bed
inpatient unit, designed to expand to eight
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beds without additional construction, and
is slated to open in Fall 2015. The twostory, 35,000-square-foot medical center
will include round-the-clock emergency
services with an air ambulance heli-stop, an
onsite Diagnostic Imaging Center for general
radiology, CT ultrasound and MRI capabilities,
a surgical suite for minor surgery, diagnostic
endoscopy, and trauma treatment. Also
available will be laboratory services, pharmacy,
electronic records integrated with BDHS, and
telemedicine and teleradiology links to BDHS
specialists.
The new $20-$25 million medical center will
add more than thirty new jobs in Big Sky.
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12
NEW INSURANCE COVERAGE FOR
CANCER TRIALS
Cancer patients across Montana got good
news in 2013 when the State Legislature
approved SB55, requiring insurance coverage
for patients participating in clinical trials. This
gives Montana cancer patients easier access to
the latest experimental cancer-fighting drugs.
Bozeman Deaconess Cancer Center oncologist
Jack Hensold, MD, worked for more than two
years to ensure that the cost of standard care,
or generally accepted treatment, for cancer
patients in a clinical trial would be covered. A
number of patients from Bozeman Deaconess
Cancer Center testified before the Legislature,
as did Dr. Hensold.
Insurers came on board when they learned
the costs for experimental drugs are covered
by clinical trial sponsors, and they would not
be required to pay for the new treatments.
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TEN-YEAR-OLD HEART CENTER STILL NEW
The Heart Center at Bozeman Deaconess
Health Services, which offers nearly two dozen
diagnostic and interventional procedures for
coronary artery disease and peripheral vascular
disease, celebrated its tenth birthday in 2013.
The Cardiac Catheterization Lab provides
diagnostic procedures including coronary
angiograms, as well as interventional
procedures such as coronary angioplasty,
stenting, repair of holes between the heart’s
upper chambers, breaking up blood clots,
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and shunt insertions to relieve pressure in
veins with blockages outside the heart. The
Cath Lab serves nearly 600 patients a year,
including cancer patients for procedures such
as tumor embolization. The Heart Center also
helps patients manage or recover from heart
conditions, and offers medically supervised
education and exercise programs for those at
risk for heart disease.
Recognized by the American College
of Cardiologists and other prestigious
organizations, Bozeman Deaconess Heart Center
is rated in the top three percent in the nation
for timely intervention for heart attack patients.
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NEWLY RECONSTRUCTED EMERGENCY
DEPARTMENT OPENS
Following renovation and expansion, the new
27-bed, 25-room Emergency Services Department
became fully operational in 2013. Along with six
triage rooms and six general examination rooms
are examination rooms dedicated to specific
medical conditions including cardiac, acute
trauma, orthopedic, and OB/GYN.
Computers in every patient exam room are
linked to hospital and Health Group electronic
health records to give ER providers access
to up-to-the-minute health information on
patients. An advanced nurse-call system
provides faster response and improved patient
safety, while an automated system delivers
specimen samples directly to the laboratory.
The new Emergency Department also includes
facilities for x-rays, blood draws, medication,
and oxygen storage.
At 24,707 square feet—three times larger
than the former Emergency Room—the
new Emergency Department can handle
40,000 patient visits annually. Total cost for
construction, renovation, and equipment was
$15 million, offset by $9 million in generous
contributions from the community through
Bozeman Deaconess Foundation and more
than $150,000 donated by nearly 900 BDHS
employees.
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NEW COST-SAVING MEASURES
In these times of changing and challenging
health-care regulations and reimbursement
policies, Bozeman Deaconess Health Services
continually strives to provide effective,
economical care by adding value without
decreasing safety, quality, or service. During
2013, every member of our staff participated
in a system-wide re-evaluation and re-
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examination of spending, with a goal of
reducing expenses by $600,000 within a year—
savings that can be passed on to patients.
Renegotiated contracts in Bozeman Deaconess
Cancer Center and Patient Financial Services
resulted in more than $132,000 in cost
savings. Changes in billing and banking
procedures saved another $31,000 annually.
Other savings were realized throughout
Bozeman Deaconess Health Services as part of
the ongoing challenge.
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NEW NUMBERS FOR 2013
Our medical providers, support staff, and volunteers
provided record-setting levels of outstanding
medical care in 2013. Here are the numbers:
• 86 licensed beds
• 171 medical staff and 46 health professionals
representing 45 specialties
• 261 volunteers who contributed 19,782 hours
• 893 full-time employees
• 383 part-time employees
• 288 casual-call employees
• 25,485 emergency room visits
• 17,912 inpatient days
• 159,562 outpatient visits
• 133,407 Bozeman Deaconess Health Group
outpatient visits
• 1,923 inpatient surgical visits
• 3,775 outpatient surgical visits
• 1,139 births
• 144 diagnostic cardiac catheterizations
• 132 coronary interventions
• 72 pacemakers
• 7 septal closures
• 160,518 inpatient laboratory procedures
• 322,353 outpatient laboratory procedures
• 1,359 blood bank procedures
• 2,590 inpatient EKGs
• 5,646 outpatients EKGs
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NEW TREA
AT M E N T S
NEW LOW DOSE CHEST CT SCAN FOR
LUNG CANCER
Bozeman Deaconess Health Services and
Advanced Medical Imaging are among the
first in Montana to offer Low Dose Chest CT
scans for lung cancer.
Low Dose Chest CT uses the lowest possible
amount of radiation—lower than a normal
CT scan, approximately equivalent to a
mammogram—to produce diagnostic-quality
images of the chest. The scans will allow
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earlier detection and more effective treatment
of lung cancer, with the possibility of
improving the 15% five-year survival rate that
has been the norm since the 1970s.
Since smoking is thought to cause up to 90%
of lung cancers, candidates for this screening
must be current or former smokers between
55 and 74 years old, with a smoking history
of at least 30 pack-years (one pack a day
for 30 years, two packs a day for 15 years,
etc.), and no symptoms such as wheezing or
coughing up blood.
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NEW CRYOABLATION FOR RENAL
CELL CARCINOMA
A new, nonsurgical treatment for kidney
tumors became available at Bozeman
Deaconess Health Services in 2013.
Compared to earlier procedures, patients
receiving cryoablation now experience fewer
side effects, less destruction of surrounding
tissue, and less pain. Cryoablation is usually
a same-day surgery.
During the procedure, CT scans guide
placement of up to eight different probes
directly into a tumor to freeze it, after which it
may dissolve or remain inactive in place.
Cryoablation is useful in treating many
types of tumors and is used most widely for
renal cell carcinoma. The procedure provides
control of symptoms, pain, and bleeding.
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NEW BREAST CANCER SURGERIES
Oncoplastic surgery can help some breast
cancer patients avoid multiple surgeries by
removing cancerous tissue and, during the
same procedure, rearranging breast tissue for
reconstruction so the patient is not left with a
deformed breast.
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Women who have had a mastectomy or
lumpectomy may benefit from Autogenous
Fat Transfer. This new reconstruction
procedure removes unwanted body fat from
another area of the body and injects it into
the breast area. The procedure, which does
not scar, encourages regeneration of the
breast tissue as transplanted fat cells allow for
growth of nerves and blood vessels.
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NEW TREATMENT FOR HEARING LOSS
BAHS, or Bone anchored hearing system, is
a titanium implant imbedded in the bone
behind the ear that can improve hearing for
many patients.
A sound processor attached to the implant
conducts sonic vibrations in the skull bone
directly to the inner ear, rather than through
the air, bypassing a damaged ear canal, ear
bones, or eardrum. Sound is also routed from
the bad ear to the good ear, so patients hear
more easily on their bad side.
BAHS implants are useful for young children
suffering congenital ear bone problems and
with narrowed or no ear canals, and for adults
who have had multiple ear surgeries, chronic
ear problems, or scarring behind the eardrum.
Those with sudden onset of deafness in one
ear are prime candidates.
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NEW BALLOON SINUPLASTY™
PROCEDURE
Chronic sinusitis and recurrent acute
sinusitis is now treated at BDHS with a
new procedure that is less invasive than
traditional sinus surgery, and usually does
not require removing bone or tissue.
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A flexible balloon catheter, inserted through
nostrils to the sinus cavity, is gradually
inflated with water, restructuring and
widening the sinus walls to open blocked or
narrowed sinus openings. When the deflated
balloon is removed, the passage remains
open, allowing normal drainage. Balloon
Sinuplasty™ significantly reduces pain,
bleeding and recovery time.
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NEW VITREORETINAL SURGERY
New technologically advanced surgical
procedures are helping save the sight of
people with torn or detached retinas.
Vitreoretinal eye surgeries treat problems
involving the retina, macula, and vitreous
fluid in the eye. Normal aging or eye injuries
may cause the retina to tear, and can lead to
permanent vision loss or blindness. If not
treated promptly, retinal tears may result in
retinal detachment and require vitrectomy
surgery. Vitrectomy also is used to peel scar
tissue, caused by aging, from the retina and to
repair macular holes that occur most often in
people age 60 and over.
These procedures are performed on an outpatient basis under local anesthesia, and
postoperative pain is minimal.
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NEW SE
E RVI C E S
NEW CHANGES IN PAIN MANAGEMENT
Pain is the most common reason people
seek medical treatment, but is the least
understood aspect of health care. The BDHS
Pain Committee introduced several new pain
therapies based on neuroplasticity, or “reteaching” the brain, altering how the brain
responds to signals to create new responses.
The treatment encompasses a variety of
therapies including aromatherapy, massage,
music, art, cognitive and behavioral therapy,
acupuncture, and dry needling.
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Aromatherapy is now offered in the
Family Birth Center and following surgery,
including peppermint to reduce nausea and
pain, and lavender to promote relaxation.
Rehabilitation Services offers dry-needling
(similar to acupuncture) to relieve muscle and
connective tissue pain and headaches.
Combining therapies, such as music and
massage, to involve multiple senses can be
used to treat chronic pain. Additionally, Pain
Resource Nurses trained in pain management
are assigned to the ICU, ER, Family Birth
Center, and the medical and surgical floors.
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NEW, EXPANDED PALLIATIVE CARE
Palliative care—specialized medical care
for people with serious illnesses—focuses
on relieving symptoms, pain, and stress,
whatever the diagnosis. Since 2005, Palliative
Care Consultants of Bozeman Deaconess
Health Services have provided care, and in
2013 expanded coverage to seven days a week.
With a goal of improving the quality of life
for both patients and their families, Palliative
Care Consultants furnishes an extra layer of
support, offering comprehensive symptom
management, examining goals of care with
patients and their families, and supporting
those goals in collaboration with a patient’s
full health care team.
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NEW LACTATION COUNSELING
Bozeman Deaconess Women’s Center added
a new lactation coordinator in 2013 to help
make breastfeeding a successful experience for
new mothers and their babies.
Lactation counselors work with patients before
and after babies are born, providing training
and information on initiating full milk
production, maintaining milk supply, pumping
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breast milk, correctly storing breast milk, and
recognizing babies’ feeding cues. Ensuring that
babies get adequate nutrition through breastor bottle-feeding during hospital stays, as
well as once they are home and mothers have
returned to work, are also goals.
Lactation Counselors expanded out-patient
clinic efforts by working with the Gallatin
Breastfeeding Coalition and helping sponsor
the Baby Bistro at the Bozeman Public Library.
About 100 babies are born at Bozeman
Deaconess Hospital each month.
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CHOOSING WISELY: NEW PATIENT
ENGAGEMENT PROGRAM
Medical providers at Bozeman Deaconess
are putting new emphasis on encouraging
patients to participate in discussions about
their best course of treatment. “Choosing
Wisely,” a program initiated by the American
Board of Internal Medicine Foundation,
promotes conversations that help patients
and their physicians select necessary and
appropriate care.
The program identifies “Five Things
Physicians and Patients Should Question”
in each of 17 medical specialties when
considering commonly used tests or
procedures. The ongoing initiative helps
physicians and patients avoid unnecessary
and overused tests and procedures, resulting
in more economical and effective care, better
knowledge and increased patient safety.
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NEW ARTHRITIS PROGRAMS
Just half an hour of moderate physical
activity five times a week can reduce arthritis
pain and stiffness, and improve one’s mood.
Bozeman Deaconess Rehabilitation Services
received a grant in 2013 from the Arthritis
Foundation and Montana Arthritis Program
to initiate “Programs for Better Living” at no
cost to participants.
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The Arthritis Foundation Exercise Program uses
gentle activities to help increase joint flexibility
and range of motion, while maintaining
muscle strength and decreasing pain.
Walk with Ease helps those with arthritis
develop a walking plan, stay motivated and
manage pain, and offers instruction on how
to exercise safely. The eight-week program
can also boost energy, reduce stress, and help
with weight control.
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NEW RELIEF FOR FIBROMYALGIA: YOGA
The ancient discipline of yoga—physical
postures, breathing techniques and
meditation promoting bodily and mental
control and well-being—is gaining new
use at BDHS as a way to manage pain from
fibromyalgia.
Community members are learning new
techniques to help manage their symptoms at
weekly “Yoga for Fibromyalgia” classes. The
program is designed for beginners unfamiliar
with yoga poses and stretches, but those with
yoga experience also attend.
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NEW SUPPORT GROUPS
Part of the healing process for many people is
sharing concerns, resources, and information.
To facilitate discussion, BDHS sponsors or
promotes many support groups, adding three
new offerings in 2013.
Patients suffering from rheumatoid arthritis
can join a new support group meeting every
quarter, while those with multiple sclerosis can
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participate in a new monthly support group.
Also new is a monthly support group for
transplant patients, available on site or via
real time webinar. BDHS sponsors the group
in conjunction with the Montana Chapter
of Transplant Recipients International
Organization, a nonprofit group committed
to improving the quality of life of transplant
candidates, recipients, their families, and the
families of organ and tissue donors.
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NEW APPROACH TO HEALTHY WEIGHT:
EAT, LIVE, PLAY
An estimated 30% of children and adolescents
in the U.S. are overweight or obese. A new
program founded by Pepper Henyon, MD,
of Bozeman Deaconess Pediatrics is helping
children and their families who struggle with
weight issues. Eat, Live, Play is a 12-week
motivational course offered jointly by BDHS
and the Gallatin Valley YMCA to combat
obesity through exercise for children, with
counseling and nutrition education for the
whole family.
Ten or fewer children meet twice weekly for
Eat, Live, Play sessions. Certified personal
trainers lead 60-minutes of exercise, followed
by a healthy snack and short nutrition
lesson. Parents attend group sessions to
learn how to provide kids healthy meals,
and to combat difficulties that arise with an
overweight child.
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NEW MEDICAL OFFICE BUILDING
Increasing numbers of providers and staff
to meet the demand for services means a
need for a new BDHS medical office building.
Highland Park 5 will be built directly south
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of Highland Park 2, with 50,000 square feet
in three stories to house existing and new
­tenants. The main entrance will face P
­ arking
Lot C, like the Emergency Department.
­Construction will begin in the winter of 2014.
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HOSPICE GETS NEW NAME
Hospice of Southwest Montana changed
its name to Hospice of Bozeman ­Deaconess
to better reflect the ongoing partnership
­between Bozeman Deaconess Health Services
and ­Frontier Home Health and Hospice.
Both ­partners are committed to providing a
­continuum of care.
Hospice is a comprehensive program of care for
patients and families facing a life t­ hreatening
or life-ending illness, e­ mphasizing palliative
rather than curative treatment, and quality
rather than quantity of life.
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NEW EMPHASIS ON RECYCLING
As part of a continuing commitment to
help the environment and reduce patient
costs, Bozeman Deaconess Surgical Services,
Environmental Services, and Engineering
­began collecting used, clean sterilization
blue wrap for recycling, becoming the first
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hospital in Montana to recycle sterilization
wrap. This recycling collaboration is
­keeping hundreds of pounds of plastic out
of the ­landfill and sending it to a recycling
plant which makes plastic pellets from the
­discarded blue wrap and is used for items
such as car bumpers.
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NE W PATIENT SAF
FETY INITIATIVES
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PROGRESS WITH NEW SAFETY PRIORITIES
Safety at Bozeman Deaconess Health ­Services
has made great strides since the top three
­priorities were identified in 2012. More
­progress was made in 2013:
• Allergies: the rate of allergy safety events
decreased by 46%
• Oxygen Administration: oxygen safety
event rates decreased by 28%
• Specimen Labeling: mislabeled specimens
were reduced by 35%
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SIMS FOR NEW SAFETY PROTOCOLS
More than 100 providers participated in
simulations that identified safety issues and
defined new safety processes at Bozeman
­Deaconess.
In the first simulation, seven teams
of ­obstetricians, family p
­ ractitioners,
­anesthesiologists, certified nurse ­midwives
and support staff cared for a p
­ ostpartum
­hemorrhage patient to practice ­­CRU–­
Cooperative, Respectful, Unified—care and
teamwork. CRU is the basis of Phase II of the
BDHS creation of a culture of safety.
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The Bozeman Deaconess Emergency
­Department trauma team—emergency and
operating room nurses, radiology ­technicians,
phlebotomists, surgeons, and ER p
­ hysicians—
and other hospital staff participated in a
second simulation to practice handing off
patients from an ambulance helicopter crew.
Trauma team members then enacted two full
simulations in the ER, using CRU to ­improve
patient care and communication with
­colleagues in a crisis.
Healthcare simulations provide three benefits:
training on protocols, training of people as a
team, and facilities testing.
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NEW, EXPANDED STERILE PROCESSING
The Sterile Processing department ensures
every bit of equipment used with patients
is clean and sterile—the first step in patient
safety. To keep up with increasing patient
numbers, Sterile Processing expanded its space
and operations.
On the decontamination side, a second sink,
third instrument sterilizer, and new cart
washer were installed, and the amount of
de-ionized water for rinsing was doubled.
Clean Operations doubled its space to house
a third autoclave, a double-capacity dryer,
larger cold sterilization unit, and six new work
stations for setting up surgical carts and trays.
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NEW RECORDS FOR ATTENDANCE AT
HEALTH SCREENING DAYS
More than 600 adults and children received
free and reduced-cost health screenings and
health information, while having loads of
family fun, at the annual Bozeman Deaconess
Health Screening Day in April. BDHS staff
members conducted more than 1,200 free
screenings in 15 specialties, including bone
density, heart monitoring, glucose and blood
pressure levels, hearing, vision, injury, allergy,
and depression.
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Community members purchased nearly
800 reduced-cost blood draw screenings for
a variety of tests, including hemoglobin
and vitamin D levels and prostate cancer.
Hundreds of children took advantage
of youth-oriented activities such as air
ambulance visits and learning to escape
a burning house. More than three
dozen children were photographed and
fingerprinted for identification cards.
A second Health Fair held in Big Sky in August
offered similar screenings to more than two
dozen residents.
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NEW STOPS FOR CCC BUS
For the third straight year, BDHS brought
preventive health screenings, immunizations,
and preventive care services to communities
around the county with the Community
Care Connect mobile van. During 31 days of
service in 2013, CCC stopped in Bozeman,
Belgrade, Manhattan, Three Forks, West
Yellowstone, and at several special events.
Designed to help improve the health of the
uninsured and under-insured before they
become seriously ill, CCC provided nearly
600 people with more than 1,650 health
screenings for breast and colon cancer, heart
disease, stroke, diabetes, and obesity, and 350
vaccinations against flu, tetanus, whooping
cough, and pneumonia, all at no charge.
Blood pressure readings, breast exams,
training in hands-only CPR, and information
from a pharmacist about medication
interactions were also available.
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N E W C E RT I F I
R E - AC C R E D
I CAT I O N S A N D
D I TAT I O N S
Bozeman Deaconess Cancer Center earned a full
three-year accreditation with commendation
from the American College of Surgeons
Commission on Cancer, with particular citation
for compliance in outcomes analysis, prevention
and early detection, staff education and
quality improvements, among other areas. The
voluntary evaluation demonstrates the Cancer
Center’s commitment to quality care, ongoing
improvement, and public accountability.
Bozeman Deaconess Health Services earned
STAR Program® Certification from Oncology
Rehab Partners for offering excellent cancer
rehabilitation services to patients suffering
debilitating side effects from care and
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treatment. Bozeman Deaconess Rehabilitation
Services successfully implemented STAR
Program evaluation and treatment protocols,
in which physicians, physical and occupational
therapists, speech pathologists, dieticians, and
mental health professionals work together on
personalized patient rehabilitation plans to
increase strength and energy, alleviate pain, and
improve daily function and quality of life.
BDHS was awarded a four-year American
Diabetes Association Education Recognition
Certificate for Diabetes Self-Management,
recognizing high-quality education as an
essential component of effective diabetes
treatment. The certificate assures that the
BDHS program meets national standards for
diabetes self-management education programs,
with knowledgeable health professionals who
provide comprehensive information about
diabetes management and self-care. BDHS first
received this recognition in 2000.
The Diabetes Recognition Program of the
National Committee for Quality Assurance
awarded Bozeman Deaconess Diabetes Center
three-year recognition, acknowledging its
clinicians who meet rigorous quality-care
standards in treating patients with diabetes.
This is the second time the Diabetes Center has
earned this recognition.
The Bozeman Deaconess Pharmacy Residency
Program received a six-year accreditation
from the American Society of Health-System
Pharmacists Commission on Credentialing.
Each year, the residency program provides
two newly graduated pharmacists additional
clinical training. Initial accreditation is more
commonly granted for one, two, or three
years. The Bozeman Deaconess Pharmacy
Residency Program will improve the skills of
those working at BDHS, as well as fostering
improvement on state and national levels.
The American College of Pathologists
renewed accreditation of Bozeman Deaconess
Laboratory Services for the Bozeman Deaconess
Hospital and Bozeman Deaconess Outpatient
Services at North 19th Street locations.
Bozeman Deaconess Laboratory Services has
been an accredited facility for many decades.
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NEW REASONS TO L
LIVE AT HILLCREST
NEW LIVELY LIVING PROGRAM
Current and potential residents of Hillcrest
Senior Living were living it up while exercising
bodies and brains through the new Lively
Living Program. Lively Living incorporates
physical, intellectual, and social components
to help seniors aged 62 and older maintain
quality of life and retain brain fitness while
improving health and having fun.
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Activities offered at Hillcrest include use of
fitness center equipment especially designed
for seniors, art classes, exercise classes, and
current event discussions. Balance classes
taught by a certified exercise specialist are
designed to improve functional balance by
developing a strong core to avoid falls, thus
maintaining independence. Other choices
include yoga, chair fitness, tai chi, and water
aerobics.
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NEW ACTIVE AGING ACTIVITIES
Hillcrest Senior Living, in association with
Bozeman Deaconess Health Services and
the International Council on Active Aging,
hosted the second annual Active Aging Week
in September to help those age 65 and better
learn to stay active and engaged.
Among the new activities offered at no charge
in a safe, no-pressure atmosphere were bridge
and yoga, and tours of the Pioneer Museum
and Sunset Hills Cemetery. Other activities
included presentations on social media, smart
phones, fraud protection, Medicare, heritage
gardening, the new economy and advanced
care planning. Musical and theatrical
entertainment, several luncheons, and a
“Lend a Hand Fair” where seniors learned
about volunteer opportunities at local nonprofit organizations also were offered.
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N E W P R OV I D E
ER PROGRESS
NEW PROVIDERS
Aaron Bruce, DO, Rogers Dermatology Clinic
Kirsten Drake, PA-C, Bozeman Deaconess
Women’s Specialists
Mary Ellen Freeman, APRN, Bozeman Deaconess
Internal Medicine Associates
R. Taylor Handley, MD, Intercity Radiology
Amy Mouat-Hunter, MD, Gallatin Valley
Anesthesia
Leslee Kane, MD, Bozeman Deaconess Belgrade
Clinic
Tiffany Kuehl, MD, Absaroka Emergency
Physicians
Jamie Mashek, PA-C, Bridger Orthopedic &
Sports Medicine
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Katherine Mistretta, FNP, Bozeman Deaconess
Cancer Center and Palliative Care Services
Lisa Murdoch, MD, Bozeman Creek Family
Health
Matthew Neuman, PA-C, Alpine Orthopedics
Cindy Sharp, MD, Bozeman Deaconess Bridger
Internal Medicine and Bozeman Deaconess
Nephrology
Zachary Sturges, MD, Absaroka Emergency
Physicians
Jason Tanguay, DDS, Mint Dental Studio
Bryce Wiley, PA-C, Bozeman Deaconess
Neurology
Michael Zacharisen, MD, Family Allergy &
Asthma Care of Montana
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NEWLY CERTIFIED PHYSICIANS
Michael Herring, MD, and Mark D. Winton, MD,
of Bozeman Deaconess Internal Medicine
Associates, and Michael Spinelli, MD, of Bozeman
Deaconess Spinelli Internal Medicine, were named
Fellows of the American College of Physicians
in April. Fellowship in the largest society of
internists in the world is an honorary designation
recognizing ongoing individual service and
contributions to medicine by doctors dedicated
to continuing education in medical practice,
teaching, or research.
Lisa Marie Todd, MD, of Bozeman Deaconess
Internal Medicine Associates was named a Fellow
of the American Academy of Physical Medicine
and Rehabilitation, a national medical society
representing physicians specializing in physical
medicine and rehabilitation. These physicians are
nerve, muscle, bone, and brain experts who treat
injury or illness non-surgically to decrease pain
and restore function.
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NEWLY CERTIFIED STAFF MEMBERS
Nicole Bolton, PharmD, was awarded a
Certificate of Achievement by the Society of
Infectious Diseases Pharmacists for completing
the Antimicrobial Stewardship Certificate
Program. The program fosters a strong
knowledge base in microbiology, pharmacology,
and disease state management to promote
antibiotic stewardship that will improve patient
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care and reduce health-care costs. Bolton has
worked in the Bozeman Deaconess Inpatient
Pharmacy for five years.
Les Jones, PA-C, RD, CDE, earned recognition
as Certified Diabetes Educator. Prior to taking
the exam, she completed 1,000 hours of direct
patient education in diabetes. Jones joined
Bozeman Deaconess Diabetes Center in 2010.
She is an adjunct faculty member at Montana
State University, teaching Human Nutrition.
Hillary Smith, RN, BSN, of Perioperative
Services, obtained American Society of
PeriAnesthesia Nurses recognition as a Certified
Ambulatory PeriAnesthesia Nurse. Smith has
been a registered nurse at Bozeman Deaconess
Hospital since 2008.
Emily Rex, RN, BS, BSN, of Perioperative
Services, obtained American Society of
PeriAnesthesia Nurses recognition as a
Certified Post Anesthesia Nurse. Rex has been
a registered nurse at Bozeman Deaconess
Hospital since 2008.
Steven Fabiano, CRCST, passed the
International Association of Healthcare
Central Service Materiel Management national
examination to become a Certified Registered
Central Service Technician. Fabiano has worked
at BDHS in Sterile Processing for six years.
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NEW INDIVIDUAL ACHIEVEMENTS
Blair Erb, MD, of Bozeman Deaconess
Cardiology Consultants, was elected to
the Board of Trustees of the American
College of Cardiology for a five-year term.
The 43,000-member medical society of
cardiovascular professionals is dedicated to
the formulation of health policy, standards
and guidelines. Dr. Erb previously served
as governor for the Montana chapter
and currently sits on the Clinical Quality
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Committee Steering Committee.
Jennifer Schultz, PharmD, FASHP, was
appointed to the American Society of HealthSystems Pharmacist’s Center on Pharmacy
Practice Advancement Advisory Group.
Schultz also was appointed chair of the Joint
Coordination Committee for the Pharmacy
Practice Model Initiative, empowering the
health-system pharmacy team to play a more
meaningful role in patient outcomes.
Nicole Bolton, PharmD, was appointed to
a two-year term as network facilitator for
Infectious Diseases for the American Society of
Health-Systems Pharmacist’s Section of Clinical
Scientists and Specialists. Bolton is responsible
for leading efforts and discussions of the
section’s infectious disease networking group.
Four BDHS nurses were nominated by their
peers as part of the DAISY Foundation’s
program to recognize the super-human efforts
nurses perform every day:
Rye Cech, RN, January, Bozeman Deaconess
Hospital medical floor. Cech was nominated,
in part, for comments from a former patient:
“She provided the support of a sister, the
concerned care of a mother, the toughness and
practicality of an aunt, and the unquestioned
spoiling that a grandmother might provide.”
Chris Bies, RN, April, Family Birth Center
(previously Maternal Newborn). A graduate
of MSU-Northern, Bies was nominated by
her colleagues for orienting new nurses,
compassion and dedication to patients, and
being a role model.
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Pat Armstrong, RNC, July, Pain Resource Nurse,
Bozeman Deaconess Hospital medical floor.
Armstrong was selected for the honor based on
nominations from two patient families, who cited
her confidence, caring, empathy, being a team
player, and for her personality.
Matt Larson, RN, September, ICU. Larson was
nominated by fellow staff for being “a rock star
among nurses, a fearless and selfless team player
and exceptional nurse.” Larson was further
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honored by DAISY Award founders Mark and
Bonnie Barnes, who attended his presentation.
Anna Dennis, LPN, received the first-ever MSU
Honorary Alumni Award. The 2013 award
recognizes a non-alumnus whose extraordinary
service has advanced the university and made
significant contributions to the campus,
college, and community. Dennis, who has been
a full-time post-partum nurse at BDH since
1986, was nominated by nearly six dozen fellow
employees and physicians for encouraging
young nurses to further their education.
Scott Lewis, surgical procedure coordinator
at Bozeman Deaconess Urological Associates,
was awarded a Nielsen Healthcare Group
Scholarship toward an Associate of Applied
Science degree in Health Information
Technology at Great Falls College/Montana
State University. The scholarship program
assists non-degreed, non-credentialed staff
members interested in pursuing Associate
degrees or certifications. Lewis has worked at
BDHS since 1999.
Morgan York-Singer, DPT, was selected by the
American Physical Therapy Association for an
Emerging Leader Award for 2013. York-Singer,
who serves as Montana Chief Delegate at the
American Physical Therapy Association House
of Delegates, was one of only 25 physical
therapists nationwide to earn the award. YorkSinger has worked at Bozeman Deaconess
Rehabilitation Services since 2009, specializing
in Women’s Health physical therapy and
general orthopedics.
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NEW STEPS UP THE CLINICAL
ADVANCEMENT LADDER
More than three dozen nurses who provide
direct care to patients at Bozeman Deaconess
Health Services completed the requirements
of the Clinical Advancement Ladder,
which promotes professional growth and
development. Nurses are encouraged to
participate in different categories of practice
and education, and submit a portfolio of
achievements to the Bozeman Deaconess
Nursing Professional Growth and Development
Council. In the first year of the program, 20
participants attained Clinical Nurse I status, and
17 achieved Clinical Nurse II status by meeting
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criteria in community, education of others,
leadership, quality, research and evidence-based
practice, and professional development.
Clinical Nurse I: Amanda Salzer, Audrey Higley,
Stacey Rugheimer, Judy Schlepp, Lynnora Jetter,
Sally Stephenson, Shannon O’Malley, Kimberly
Todd, Theresa Hollowell, Kaitlin Wert, Amanda
Smith, Miranda Morin, Christy Benbow,
Maureen McGrath, Amanda DeWit, Melissa
Harrigan, Ida Wilson, AnneMarie Bodner, Lisa
Riggin, Kelly Holland
Clinical Nurse II: Jaimie Swandal, Carrie
Waddell, Jean Vander Molen, Tricia Meyle,
Kate Drivdahl, Rye Cech, Becky Pierce, BreAnn
Hebel, Shandi Hertz, Emily Rex, Kaylee Davies,
Jill Van Dyke, Cortney Harrison, Crystal Marx,
Erin Neil, Janet Smith, Lauren Vinson
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E X P E
R
NEW AWARDS AND OTHER RECOGNITION
For the second time, Bozeman Deaconess
Health Services was honored with an
“A” Hospital Safety Score, which rates how well
patients are protected from accidents, errors,
injuries, and infections. BDHS was one of only
three Montana hospitals to earn this highest
grade. The Hospital Safety Score, administered
Recipient
ofTOI uE
industry watchdog, is calculated using publicly
A
PatiePnt Ex
available data on patient injuries, medical and
pe
Award 20
medication errors, and infections.
Only hos
Bozeman Deaconess Health Services was named
pital in M
a Top Performer on Key Quality Measures by
to recEeiM
E N
v
e
V
t
his a
E
I
The Joint Commission, the leading accreditor
A C H
by The Leapfrog Group, an independent
®
of healthcare organizations in America. The
award recognizes exemplary performance in
in the U.S. earning the distinction, BDHS was
recognized for achievements in heart attack,
pneumonia and surgical care.
R
S
to improve care. One of only 1,099 hospitals
A
6
E
using evidence-based clinical processes shown
Y
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Healthgrades, the leading online resource
to help consumers choose physicians and
tain-Pacif
n
u
o
M
3
201
Awar
h
lt
a
e
H
y
Qualit
R I E N
C E
hospitals, presented Bozeman Deaconess
Health Services with the Pulmonary Care
Excellence Award for 2014, and ranked
the hospital among the nation’s top 5%
for Overall Pulmonary Services. BDHS also
earned recognition for clinical excellence in
Orthopedic, Pulmonary, and Gastrointestinal
N T
uE
E T Y
F
A
S
G
tstanding
erience
A D
013 R
Montana to receive the 2013 Healthgrades
Outstanding Patient Experience Award, ranking
in the top 15% in the nation. Additionally,
E
A
MTontana
award.
fic
rd
Care, and is currently the only hospital in
Healthgrades named BDHS a Five-Star recipient
for Total Knee Replacement three years in a
row (2012–2014), and recognized BDHS for the
first time as a Five-Star recipient for treatment
of Chronic Obstructive Pulmonary Disease,
Pneumonia, and GI Bleed for 2014.
Bozeman Deaconess Health Services earned the
A for
n
a
d
e
Award t Safety
Patien
Quality Achievement Award from MountainPacific Quality Health for the sixth year in a
row. BDHS was one of only three hospitals in
the state to win Mountain-Pacific’s highest
award this year, reflecting the hospital’s efforts
in improving quality performance, eliminating
avoidable patient harm, and delivering
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O R T H
O
exceptional patient experiences. The Quality
Achievement Award recognizes Montana
hospitals for preventing surgical infections and
ensuring patients receive high-quality care for
heart attack, heart failure, or pneumonia.
Bozeman Deaconess Hospital earned a 2013
Five-Star Award for Community Value for
scoring in the top 20% among more than 1,400
similar hospitals nationwide in an evaluation
by Cleverley + Associates, a leading health-care
financial consulting firm. The Community
Value Index provides a measure of the value a
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hospital provides its community by assessing
performance in four key areas: financial
viability and plant reinvestment, hospital
cost structure, hospital charge structure, and
T O P
Five-Star
Recip
Total Kne
e Repla
(2012-20
1
E N T
M
T
A
T R E
hospital quality performance. BDHS previously
earned the Five-Star Award in 2007, 2008, 2009,
and 2010.
Bozeman Deaconess Heart Center earned a 2013
Quality Achievement Award from the American
Heart Association. BDHS was recognized as a
“Mission: Lifeline STEMI Receiving Center”
Silver Performance Achievement Award Hospital.
The American Heart Association program
truc
onic Obs 4
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h
C
f
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t
Treatmen ry Disease in 201
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in 20
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mon
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in 2014
O P E D
I C S
recognizes hospitals for their ability to quickly
and appropriately treat heart attack patients,
particularly those suffering from the most
deadly type of heart attack known as an STElevation Myocardial Infarction, or STEMI.
The Montana Chapter of the American
E R
M
R
F O
P E R
for
014)
nia
Chapter Award. With only 100 pediatricians,
Montana’s chapter is one of the smallest
programming such as an immunization
conference for pediatric physicians, nurses, and
public health providers to increase children’s
vaccination rates, improve health for children
in the state. Pepper Henyon, MD, of Bozeman
er on
m
r
o
f
r
e
res by
Top P
2012 lity Measu sion
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Key Q int Comm
:
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014
finalists for the organization’s Best Small
in the country, yet implements significant
pient for
acement
14)
4
Academy of Pediatricians was one of three
®
Deaconess Pediatrics, serves as vice president of
the statewide organization.
Bozeman Deaconess Health Services was
selected as the 2013 RSVP (Retired and Senior
Volunteer Program) Workstation of the Year
for outstanding performance in volunteer
training, recognition, and reporting of hours.
Ninety area organizations competed with
BDHS for the honor.
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NEW ACHIEVEMEN
NTS IN EDUCATION
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A NEW APPROACH TO DEALING WITH
ETHICAL DILEMMAS
Providing the best care when a patient’s
spiritual or cultural background conflicts
with accepted medical practices, particularly
regarding end-of-life issues, or when helping
families in conflict decide who is the decision
maker for patients unable to express their
own wishes, are ethical dilemmas faced
regularly by staff at Bozeman Deaconess
Health Services. To help providers handle
such problems, Bozeman Deaconess Spiritual
Care developed a monthly roundtable forum
for providers to discuss ethical dilemmas they
have encountered, and hone their skills in
ethical decision-making.
103
NEW EDUCATIONAL FORUMS
Bozeman Deaconess Health Services sponsors
numerous educational programs for providers and
the public, including classes in childbirth, breast
feeding, infant massage, CPR, and first aid, as well
as programs designed for specific illnesses. Regular
monthly Health Education forums are offered
(except in December) by providers with Bozeman
Deaconess Health Group. For 2013, those topics
and presenters were:
January: “Current Strategies for Weight Loss,”
Melissa Wolf, MD, and Todd Harris, DO, Synergy
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Medical Spa + Weight Loss Center
February: “Know the Signs of a Heart Attack,”
Sam Miller, RN, CEN/CCRN, Bozeman
Deaconess Emergency Services
March: “Decoding Food Labels,” Jacqueline
Sikoski, MS, RD, LN, Bozeman Deaconess
Nutrition Services
April: “Get Checked Early for Kidney Disease,”
Gerald Groggel, MD, Bozeman Deaconess
Nephrology
May: “Osteoporosis Screening, Prevention
and Treatment,” Melissa Reily, MD, Bozeman
Deaconess Rheumatology
June: “Are Your Legs Running Toward
a Breakdown?” Bozeman Deaconess
Rehabilitation Services and Martin Gelbke, MD,
Bridger Orthopedic & Sports Medicine
June: “Health Maintenance: An Owner’s Manual
for Men,” Michael Spinelli, MD, Bozeman
Deaconess Spinelli Internal Medicine
July: “How Do Allergies and Asthma Affect Us in
the Gallatin Valley?” Michael Zacharisen, MD,
Family Allergy & Asthma Care of Montana
August: “Varicose Vein Treatments in the 21st
Century,” Andrew Grace, MD, Montana Vein &
Surgical Clinic
September: “Organ Transplants,” Gerald
Groggel, MD, Bozeman Deaconess Nephrology
October: “Cross-Country Skiing: It’s About Style
and Know-How,” Angie DeWispelaere, DPT,
Boeman Deaconess Rehabilitation Services and
Bridger Ski Foundation
November: “Macular Degeneration 2013: The
New Frontier,” Mark Comaratta, MD, Montana
Retina Consultants
105
NEW, AND OLD, WAY
YS OF GIVING BACK
NEW AND ONGOING SPONSORSHIPS
108
Bozeman Deaconess Health Services sponsors
a variety of health and wellness non-profit
organizations every year. Among those
receiving both financial assistance and
volunteer support by BDHS staff in 2013
were the Rocky Mountain Hemophilia Walk
to raise funds for research and awareness of
bleeding disorders, and the Fourth Annual
D.R.E.A.M. Buddy Walk to promote inclusion
of people with Down Syndrome in the
Bozeman community. Financial support
through donations and sponsorships also
went to Greater Gallatin United Way, Cancer
Support Community, Eagle Mount, Bozeman
Police Department, Montana State University
Foundation, and many more. Here’s how the
community benefitted in 2013:
ESTIMATES for 2013 Community Benefit:
• Financial Assistance (Charity Care) and
Unreimbursed Costs (Medicaid)
$ 10,357,650
• Community Health Improvement Services
and Benefit Operations
$ 481,810
• Health Professions Education $ 45,367
• Subsidized Health Services
$ 8,072,363
• Cash and In-kind Contributions to
Community Groups
$ 412,347
• Total
$ 19,369,537
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110
NEW RECOGNITION AS TRAIL PARTNER
OF THE YEAR
Bozeman Deaconess Health Services was
named a 2013 Trail Partner of the Year by
the Gallatin Valley Land Trust. The award
was presented in recognition of outstanding
contributions to the community at Highland
Glen Nature Preserve.
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NEW FOUNDATION NEWS
Bozeman Deaconess Foundation was
established in 1998 as a non-profit corporation,
governed by an independent board of directors
to administer philanthropic gifts to Bozeman
Deaconess Health Services and its programs.
The Foundation supports Bozeman Deaconess
Health Services by promoting community
participation in, and financial support of,
activities to improve community health and
quality of life.
In 2013, the Foundation provided more than
$3.7 million in funding through charitable
112
giving. In addition to funds raised annually
for special projects and capital expansion,
Bozeman Deaconess Foundation has more
than $12.3 million invested in permanent
endowment funds for future use. Through
continued philanthropic partnerships, Bozeman
Deaconess Foundation strives to insure that
medical services and programs continue to
meet the needs of those living in and visiting
this region.
For more information on Bozeman
Deaconess Foundation, visit
bozemandeaconessfoundation.org or call
(406) 414-1085.
Total assets:
$19,034,820
2013 Contributions: $1,858,462
2013 Distributions: $3,820,898
Number of gifts: 7,984
Average gift amount: $173
Source of Donations:
Businesses 24%
Foundations 12%
Individuals 64%
Funds Received by Department: $1,858,462
Cancer Center 61%
ER Cornerstone Campaign 4%
Heart Center 2%
Hospice 21%
All other funds 12%
Funds Distributed by Department: $3,728,287
Emergency Services Department 79%
BDHS Greatest Need 3%
Cancer Center 3%
Health Information Center 6%
Heart Center 2%
All other funds 7%
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LEADE
ERSHIP
BDHS LEADERSHIP
Board of Trustees:
Terry Cunningham, Chair
Julie Jackson, 1st Vice Chair
Brian Brown, 2nd Vice Chair
John Murdoch, Secretary
John Robbins, MD, Treasurer
Dave McConnell
Kerry Petitt
Katie Daughenbaugh
Rob Watson
Kerri Brown
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Dennis Munson
Administration:
Kevin Pitzer, President & Chief Executive Officer
Gordon Davidson, Chief Financial Officer
Liz Lewis, Chief Operating Officer &
Chief Legal Officer
LeRoy Wilson, VP Senior Services
Vickie Groeneweg, Chief Nursing Officer
Cheryl Ridgely, Chief Strategy &
Business Development Officer
James Loeffelholz, MD, President,
Bozeman Deaconess Health Group
Bill Robinson, MD, Chief Medical Officer
Medical Staff Officers:
Michael Vlases, MD, Chief of Staff
Andrew Grace, MD, Vice Chief of Staff
Douglas Hartnett, MD, Secretary
Foundation Board of Directors:
Bob Braaksma, Chair
Scott Levandowski, Vice Chair
Rich Deming, Treasurer
Debra DeHaan, Secretary
Mary Brown
Terry Cunningham
Robyn Erlenbush
Vickie Groeneweg, RN
Pam Hiebert, MD
Patty Hinds
Kay Johnson
Nancy Pierce
Kevin Pitzer
Chris Remely
Bill Robinson, MD
Jim Webster
Foundation Leadership Staff:
Debra Gill, Executive Vice President
of Philanthropy
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915 HIGHLAND BOULEVARD
BOZEMAN, MT 59715
(406) 414-5000