Annual Report, Fiscal Year 2009
Transcription
Annual Report, Fiscal Year 2009
339 People, One Job FY 2009 Annual Report Amy Schilling Human Resources 1 year, 2 months “I have the opportunity to work with all of Livingston HealthCare’s employees, from answering everyday questions about benefits to introducing new employees to the organization. When our employees are happy, I think it shows in the quality of care our patients receive.” Table of Contents Highlights 4 Financials 12 Community Outreach 16 Awards and Recognition 24 Community Support 32 Gene Struthers Plant Operations 11 years, 1 month “It’s my job to ensure the comfort and safety of patients and staff by maintaining equipment such as wheelchairs and hospital beds, removing obstacles like ice and snow in the parking lots, and ensuring that heating, air conditioning, and lighting are all in working order.” H I G H L I G H T S Highlights T here are four women in Livingston HealthCare’s Human Resources Department. They manage payroll and benefits for employees and their families. They recruit and interview new employees. They educate and support Livingston HealthCare’s staff. It is their job to ensure that Livingston HealthCare has the right people with the right resources to fulfill our mission. The human resources staff are part of the 339 individuals at Livingston HealthCare who are focused on the same job—to improve the health of the Park County community. All of these individuals work together each year to enhance the services we provide, create new programs, and upgrade technology—to provide the best quality care to the people who live here. Digital Mammography Electronic Health Records Facility Enhancements | 4 In FY 2009, installing digital mammography was a big accomplishment. To celebrate this and the launch of a breast health education program, the staff from radiology dressed up and rode together in the Livingston Roundup Rodeo Parade. H I G H L I G H T S | Digital Mammography Survival from breast cancer has dramatically improved in the past 30 years. This is generally credited to improved screening technology and recommended annual screenings for all women over 40. Today, digital mammography is the “standard of care,” and in April 2009, Livingston HealthCare installed digital mammography to improve care for the women of Park County. 12,120 Radiology Services Performed Any change in technology—to improve care or the way we provide care— requires a team of people focused on the same result. The upgrade to digital mammography is an excellent example of nearly 50 individuals from more than ten departments who researched, planned, and made 18 Radiology staff all the changes needed to create a seamless transition to better care. As a result, in the last few months of the fiscal year, hundreds of women were screened with a new technology that can detect more cancer earlier in many women. Imaging Services at Livingston HealthCare CT scan DEXA scan Digital Mammography MRI Nuclear Medicine Ultrasound X-ray 6 Dr. Ted Scofield uses one of the many computers on wheels (COWs) that are placed throughout the organization. COWs allow providers to quickly and easily access and update patients’ medical records using a secure, wireless computer. H I G H L I G H T S | 8 Electronic Health Records Advanced technology is an integral part of providing quality healthcare. Livingston HealthCare introduced electronic health records in 2007 with a plan for incorporating all aspects of patient care into the record over three years. This technology dramatically changes the way care is delivered—with significant benefits to patients in the quality of the care they receive. In FY 2009, three key additions were made to increase the benefits of this technology: Super Users When Livingston HealthCare began using electronic health records in the • Laboratory requests can now be transmitted electronically between providers and the lab, dramatically speeding up the processing of lab tests and results. care of patients, more than 260 staff • Pharmacy orders for hospital inpatients can now be sent electronically to the hospital pharmacy, ensuring accuracy and reducing the turnaround time on orders. members took on the special role of • Providers are processing prescriptions electronically at Park Clinic, ensuring that complete, legible prescriptions are at the pharmacy in minutes and can be processed quickly. participated in decisions that defined members were trained to use the new system. In addition, 18 staff “Super User.” Super Users attended additional training sessions and how the electronic health record was integrated at Livingston HealthCare. In addition to their clinical jobs, Super Users provide on-the-spot daily support to all staff and physicians using electronic health records. The renovated nurses station at Livingston Memorial Hospital provides enhanced privacy for patient information and a more functional work space for staff. H I G H L I G H T S | 1 0 Facility Enhancements Livingston Memorial Hospital was built in 1955 when most healthcare services were inpatient based and there was only one drug available in the pharmacy “closet.” Today, healthcare is dramatically different. Even as we plan for a new facility, we work to maintain and make ongoing upgrades in our current buildings to continue to accommodate quality of care for our patients. The five-man team that makes up the Plant Operations group had a busy year working on a range of building improvements. They substantially renovated the home oxygen and durable medical equipment building 10,400 hours Plant Operations spends more than 10,400 hours on preventive mainte- adjacent to the hospital to improve patient access and parking. A nance annually—from fire drills to complete remodeling of the mammography room was required to boiler maintenance, air conditioning accommodate the new machine and create a more welcoming space to wheel chairs, and blanket warmers for patients. The hospital nursing station was also remodeled to to kitchen ovens. enhance the privacy of patient information. Ann Scher Quality Control 4 years, 3 months “I work with staff from many departments to ensure that the information we use to create patient bills is complete and accurate. I try to eliminate potential errors before the patient is billed so that their financial experience with us is as good as the care they received.” F I N A N C I A L S | Financials O ne day each month, Livingston HealthCare employees come together to talk about what is going on around the organization. The first topic each month is how the organization is doing financially. It’s important for each employee to know, because their everyday actions impact the bottom line. Why is it so important for a not-for-profit healthcare organization to have a positive bottom line? It is as simple as this: A “margin” is necessary to fulfill our mission. Our earnings are reinvested in this community—in the people, facilities, equipment, and programs that allow Livingston HealthCare to meet your healthcare needs. Income 48,962,628 Expenses 48,507,660 Reinvestment Funds* 454,968 * Excess Funds for Reinvestment in Programs, Equipment, and Facilities 1 2 Income Inpatient Services Clinic Services Outpatient Services Non Operating Revenue Other Operating Revenue Outpatient Services 26,390,930 53.9% Inpatient Services 13,023,731 26.6% 8,975,498 18.3% 554,044 1.1% 18,425 .1% Clinic Services Other Operating Revenue Non-operating Revenue Total 48,962,628 100% F I N A N C I A L S Expenses | 1 4 Unreimbursed Care Supplies & Services Salaries, Benefits, Fees Other Services Insurance, Interest & Depreciation Salaries, Benefits, Fees 18,641,705 38.4% Unreimbursed Care 16,786,757 34.6% Supplies & Services 9,204,527 19.0% Other Services 2,753,126 5.7% Insurance, Interest & Depreciation 1,121,546 2.3% Total 48,507,660 100% Excess Funds for Reinvestment $454,968 Justin Shandy Biomedical Department 6 years, 9 months “I make sure that all the medical equipment at Livingston HealthCare is in good working order so it can be used when it’s needed to keep people healthy. New technology is becoming more and more important in healthcare, so my job requires a lot of ongoing training to keep up with new equipment and upgrades. I enjoy the learning process and the impact it has on patients.” C O M M U N I T Y O U T R E A C H | Community Outreach P roviding quality healthcare is more than just treating patients when they are sick or injured. The employees of Livingston HealthCare spend hundreds of hours each year—in the community— providing education about the importance of preventive healthcare and resources to keep you healthy. It is one thing to say that Livingston HealthCare has a commitment to the community. However, it is the efforts of these individuals in providing health education, screenings, events, and activities that promote the good health of all who live here. Health Screenings & Education Healthcare Provider Education Community Benefit Report 1 6 Nearly 1,000 community members attend the Fall Health Festival each year for health information, family entertainment, and the Senior Breakfast. At the event, they can access free screenings such as blood pressure, blood sugar, and bone density, along with low cost health screens and flu shots. C O M M U N I T Y O U T R E A C H | 1 8 Health Screenings & Education Each year, Livingston HealthCare puts on one of the largest community events in Park County—the annual Fall Health Festival. Many free and low cost screenings are provided at this event and over 100 Livingston HealthCare employees volunteer their time to make it happen. This isn’t the only event that offers free and low cost screenings and care. Each year, Livingston HealthCare also offers its low cost health screens at a series of events in the spring, provides flu shot clinics, participates in Ready, Set, Grow! screenings, and makes inexpensive Good to Go! sports physicals available for teens. In addition, Livingston HealthCare hosts educational events and programs on important preventive care topics for the community. In FY 2009, programs on arthritis, pre-diabetes, and exercise were offered along with the launch of quarterly prenatal classes. 118 Athlete Wellness student athletes served 100 Ready, Set, Grow! children screened 322 Good to Go! Low costs physicals 354 Blood Donors 348 Community Health Screens Emergency and disaster planning and training is an important part of staff education at Livingston HealthCare. Each year, we conduct drills to help staff develop and maintain their skills. One drill filled the ER with students from St. Mary’s who pretended to be exposed to a chemical spill. C O M M U N I T Y O U T R E A C H | 2 0 Healthcare Provider Education Ensuring that the staff at Livingston HealthCare participate in ongoing education is another important aspect of keeping the community healthy. Livingston HealthCare coordinates a healthcare provider education program that is free to staff. These classes are also offered free to the Livingston Fire Department and to other community healthcare providers for a nominal fee. Classes range from Basic Life Support to A total of 12 different classes are offered through Livingston HealthCare. In FY 2009: Trauma Nurse Certification and are designed to ensure that Livingston HealthCare staff and local emergency responders have the resources they need to maintain and expand their knowledge. 22 Classes were provided 108 Employees trained 28 Other local healthcare providers trained Dawn Mears Admissions 5 years, 10 months “Admissions is the frontline for most patients. It’s where they get their first impression of Livingston HealthCare. Between the hospital, clinics and other services, we provide care to 14,000 people each year. When they arrive, they aren’t feeling well, and they don’t really want to be here. If I can make it pleasant for them and keep the process moving quickly, I want to do that.” C O M M U N I T Y O U T R E A C H | Community Benefit Report Uncompensated Care Patient Financial Assistance ($538,800) Cost of Services Written Off as Bad Debt ($1,829,283) Education for Health Professionals Education, Wellness & Special Events Other Complimentary Services (guest meals, taxi service, etc.) $2,368,083 $1,798 $67,997 $1,945 Financial & In-Kind Contributions Support Mental Health Crisis Response Team ($15,000) Support Community Health Partners Pharmacy Program ($5,800) Other ($500) Total Quantifiable Community Benefit $21,300 $2,461,124 2 2 Rachel Malloy Environmental Services 5 years, 3 months “I work to create a clean environment that looks nice and reflects the quality of care we provide. When patients come in, I want them to feel comfortable in our facilities and confident in the care they will receive at Livingston HealthCare.” A W A R D S A N D R E C O G N I T I O N | Awards and Recognition W hen 339 individuals are working together toward the same aim, the results can be outstanding. This year, Livingston HealthCare was recognized for employee efforts in providing quality healthcare in a number of areas—from respiratory care to diabetes education. It is the daily commitment of these individuals that supplies fresh ideas, consistent efforts, and devotion to the patients we serve. The result is a cohesive group of people committed to a culture of quality, safety, continuous improvement, and the health of our community. Organizational Recognition Key Departmental Achievements 2 4 Livingston HealthCare is one of 15 hospitals in Montana that has instituted a Tobacco-Free medical campus. In fact, Livingston HealthCare's Tobacco-Free model and plan has been used to educate many other Montana hospitals on how to implement their own Tobacco-Free campus. A W A R D S A N D R E C O G N I T I O N | 2 6 Organizational Recognition • Livingston HealthCare received a Certificate of Healthcare Excellence from the Montana Department of Public Health and Human Services in recognition of creating a tobacco free medical campus in 2006. • Livingston Memorial Hospital received the 2008 Mountain-Pacific Quality Achievement Award. • Park Clinic passed a survey by Medicare for renewal of its status as a Rural Health Clinic. This process ensures compliance with Federal standards on numerous issues, as well as meeting benchmarks to ensure high standards for quality of care. 1,239 Hospital Admissions 12.53 Average Daily Census 4,963 ER Visits 966 Surgeries 145 Newborn Deliveries There are eight respiratory therapists on staff in the Cardiopulmonary Services department. A respiratory therapist, or RRT, evaluates and treats respiratory problems, manages life support for babies, children, and adults, and is responsible for performing diagnostic tests of the cardiovascular and pulmonary system to aid physicians in diagnosis and treatment of heart and lung problems. A W A R D S A N D R E C O G N I T I O N | 2 8 Key Departmental Achievements • For the second year in a row, Livingston HealthCare has earned Quality Respiratory Care Recognition (QRCR). Only 700 hospitals (15% of hospitals in the US) nationwide are recognized under this national program aimed at helping patients and families make informed decisions about the quality of the respiratory care services available in hospitals. • Livingston HealthCare’s Diabetes Education program has been awarded continued Recognition from the prestigious American Diabetes Association (ADA). Livingston HealthCare received the award for the high-quality patient education that is an essential component of effective diabetes management. It is one of only 3,270 programs across the nation to receive this recognition. Diabetes education is an important resource. 5,000 people in Montana are diagnosed with diabetes each year 2,400 people in Park County have pre-diabetes 400 people in Park County have diabetes and don't know it Kathleen Thompson Medical Records 5 years, 11 months “Managing medical records for thousands of people is a complex job. I keep patient information safe and secure, ensure that new data gets into the records, and process releases to other facilities quickly. It’s really about timely and secure patient information so the providers have a complete medical chart and can provide the best care.” C O M M U N I T Y S U P P O R T | Community Support C reating a healthy community is a big goal, and it takes a team to tackle it. In addition to the 339 people employed at Livingston HealthCare, there are countless community members who support our efforts to provide quality care. In FY 2009, 316 donors provided financial support to Livingston HealthCare, along with numerous others who donated in-kind gifts and/or hours of their own valuable time. These people invested in our mission—to serve through quality healthcare—and their contributions are essential to our success. Community Support FY 2009 Donors 3 0 Annamarie DeYoung V.P., Board of Directors 10 years “I am a Director on the Livingston Healthcare Board of Directors because having quality healthcare services available locally is important to me, my family, and the entire community. It is about taking care of people and offering the best care possible.” C O M M U N I T Y S U P P O R T | 3 2 Community Support Each year you’ll find hundreds of loyal friends and neighbors volunteering and giving to Livingston HealthCare. By doing so they enrich our mission, our community, and themselves. In FY 2009, the local community and other donors supported the purchase of digital mammography, computed radiography, tobacco prevention in Park County schools, and the Fall Health Festival, as well as many other programs and services. Board of Directors Michelle Becker, President Annamarie DeYoung, Vice President You may make a donation to the Livingston HealthCare Foundation Billie Kaye Harms, Secretary to support quality healthcare for all. To make a gift, call 406-823-6710, Larry Blakely, Treasurer visit www.livingstonhealthcare.org, or send a check to the Livingston Stanley Cornell HealthCare Foundation. Bernice Dennis Michelle Donaldson, MD Livingston HealthCare Foundation Bernie Gerfen 504 South 13th Street Joseph Swindlehurst Livingston, MT 59047 Dana Taylor Douglas Wadle, MD Tobacco use is the single most preventable cause of death and disease in our society. The Park County Tobacco Use Prevention Program, with support from Livingston HealthCare, has been an integral part of tobacco use prevention in the Livingston School District since 2000. After cutbacks in 2009, a generous donation from Kerry and Sharon LaDuke helped to keep this vital program going. C O M M U N I T Y S U P P O R T | FY 2009 Donors Thank you to the generous donors who made contributions to Livingston HealthCare from July 1, 2008 to June 30, 2009. Your support is essential to the long-term stability and growth of quality, local healthcare in Park County and the surrounding area. Rich & Shonna Adams Nancy Adkins Rose Amsk Leroy & Kathy Amunrud Richard & Marleen Anderson Germaine Angle Ray & Linda Ansotegui Carolynn Armbrust Margot Aserlind Penelope Avins Richard & Mikelann Baerg Carol Bailey Don & Bev Baldwin Tom & Becky Bandstra Mamie Barnabe Janette Barnes Helen Barnhart Sylvia Barnhart Thomas Baskett & Sherry Pikul Jack & Margaret Bauer The Bay Group at Citi Family Marie Becker Paul & Cathy Belanger Diana Berlin Nancy Betley Vicente & Pam Bilbao Kelly & Debra Bishop Helen Bjelland LaVonne Blakeslee Dorothy Blanc Donald & Judith Bluhm Suzanne Bohleen Kenneth & Eleanor Bossert Dixie Bowman Susan Bragg Patsy Brandon John & Kay Brennan Diane Brewer James & Susan Brewer Sam & LuVerne Briggs Michael & Virginia Broome Alice Brown Wes & Marcine Bull Marilyn Burdick Mary Ann Burns Sandra Cahill Genevieve Campbell Mark Campbell Robert & Lois Campbell Alva Carlson Doris Carroll Dave & Patsy Carter Richard & Donna Caruso Roger & Barbara Case Thomas Cassidy Jean Castle Ray & Pearl Castle Duane & Margery Chapman Susan Hellesmark Childs John & Susan Clark Terry & Jackie Coble Barbara Coley Helen Collier Nelson & Penny Cooper Bob & Alice Copenhaver Malvin & Marilyn Copenhaver Mary Crago Cross Plains Garden Club Edward Crowell C. R. & Dorothy D'Ewart Mary Davis David & Shirley De Puy Diamond K Lodge Cathy Dinsdale Bertha Dodge Dennis & Barbara Dodge Donald & Violet Doll Curt & Shana Dollarhide Elise Donohue Mike & Kathleen Donahue Susie Drake Desmond & Lois Duck Mr. & Mrs. Howard Dunlap Charles & Sandra Dupuis Jim Durgan Julia Durgan James & Cathy Eastep Eunice Ebert Deanna Egeland Ann Eggar Jean Essex Genevieve Essig James & Bonnie Evanson Carol Fagerli Sharon Farrell Charles Fellows John & Lisa Fellows Allen & Treva Fievet James & Diane Fike Betty Fitzpatrick Robert & Marlene Forster Janet Frankl Annabelle Frederick Delores Frum Jotana Gardner Kathy Gardner Tim & Lauretta George David & Joann Gibson Gary & Marlene Glass Peggy Glass Gary & Becky Gollehon Jerry & Cindy Good Louis & Carol Goosey The Grassland Trust David Graybeal Joseph Gross Shannon & Doris Guse Dan & Kathryn Gutebier John Gutierrez Beverly Hagerman Bettilee Hallin Gary & Patricia Hamilton Dorothy Hardin The Harold McAlister Charitable Foundation Jill Harris Lee Harry Frederick Hartman Ronnie & Cathi Hemry Charles Henry Ken Henson Oscar Hernandez Ed & Donna Hillman Marian Hjortsberg Catherine Hnat Myrtle Hoffman 3 4 Thanks to the Ough Charitable Trust, Northwestern Energy, and Livingston School Districts 4 & 1, Livingston HealthCare was able to rent the Super Colon for the Fall Health Festival. This inflatable, interactive replica of a human colon teaches people about the risks, symptoms, prevention, early detection and treatment for colorectal cancer. As a result, the number of people who received colonoscopies increased by almost 20% in the three months following the Fall Health Festival. C O M M U N I T Y Georgia Hogenson The Homestead Foundation Merry Horn Shirley Hoyem John & Patricia Hudecek Agnes Huiett Inverness Counsel, Inc. Gerry Isbell Eleanor Jacobs David Jensen & Toni Cody Victoria Jensen Christopher & Wendy Jones Robert Jovick George & Gayle Kamps Dale & Diana Kardash Nell Kardash Kenneth & Shirley Kastelitz Steve & Susan Kaul Randie & Sue Keep Dorothy Kelsey Narissa Keough Richard & Druska Kinkie Dorothy Knudson Pennie Kroush Kerry & Sharon LaDuke Jean Landers Jim & Lela Larkin Mary Jane Larson Dana Latsch & Jane Haugen David & Mary Jo Laubach John & Judith Layne Dennis & Robin Lemon Gary & Tina Libsack Lawrence & Darleen Link Livingston Elks Lodge #246 Livingston School District 4 & 1 Beverly Lo Porto Jimbo & Chris Logan Long Family C. W. & Norma Lovely Janet MacCormack Ethel Magsig Kim & Julie Mangus Helga Maroney Sue Martin Steve & Rona Matheson Mrs. G.F. Mayberry Margaret McCardey Edna McCommon Sharon McHenry Mark & Mary McLaughlin Scott McMillion Charles Menagh Kristi Menix Pat & Peggy Mikesell Edna Miller Stanley & June Miller Alvin & Jo Ann Mills Missionary Circle of United Methodist Women Roald & Carmen Mogen Montana Affiliate of Susan G. Komen for the Cure Montana Department of Revenue, Livingston Richard & Patricia Murphy Emma Nelson Eunice Nelson Gladys Nelson Merry Nelson Val Newton Marge Noe Duane & Sarah Nollmeyer Avis Norman Scott & Muffy Norquist Northwestern Energy, Bozeman Division Chester Nuttall Jerry & Virginia O'Hair Robert & Melonie Oakland Phillip & Connie Olsen Judy Olson Rodney & Marcia Olson Pearl Ostrum Paradise Valley Fire Department Park County Cattlewomen Lorraine Patrick Joyce Payne Dale & Shirley Perin Bill & Shirley Petersen Thomas & Carol Peterson Theodore & Elizabeth Peyton Mike & Kathy Phillips Gloria Pierce Max & Janette Polsak Peter & Michelle Ponca Leona Ponke John & Grace Printz Bill & Fran Prio Hardy & Roberta Pugliano Todd & Kathy Quisel Delia Ralls Dick & Ann Rausch Millie Ray Harold Rediske Lee & MaryEllen Restad Emil & Rosetta Ricci James & Shirley Ricci Robert Ricci Ken & Ann Richardson David & Rose Rigler Paul & Kay Rigler Norma Robinson Rosemary Robinson Charles & Melanie Roe Leon & Debbi Royer Kenneth Ruggles Arlyth Sarver Bill & LeRae Scalise Ann Scher Earl & Dorothy Schleicher Michael Schoelch, D.M.D. John Schuler Rose Ann Schwartzer Margaret Scott Charlotte Seidler Connie Shelhamer Kathryn Shelley Harold & Dale Jean Shorthill Timothy & Patricia Sinclair Miriam Skertich Bob & Karol Skillman Sky Federal Credit Union Betty Jo Smith Mary Smith David & Karlene Sowell Rick Spellman Miriam Squillace Mary Ann Straiski Don Strong Bill & Mary Strong Del & Karla Styren Dan Sundling Ray & Marjorie Sundling Bonnie Swandal Jo Sykes Merry & Jerome Tacke S U P P O R T | Bill Tecca Christine Thomas Wilbur & Betty Thomas Douglas Torretta Charlene Truax Esther Tulley Jessica Tyner Marilyn Uhl Christine Usher Henry & Lorraine Valgamore Marie Van Marter Cheryl Van Nurden Bob & Larae Veitch Thomas & Marie Venable Bessie Versland Tena Versland A. C. & Gwen Wagner Diana Walker Margie Walton Aileen Ward Jim & Mary Weamer Lorraine Wentz Robert & Marlys Werle Donna Weseman Mary Wiens Mel & Ruby Willey Don & Betty Williams Donald & Shirley Wilson Dorothy Woertz Women of Wilsall Carol Woodley Alta Woosley Helen Wright Irene Yager Carl Yale Jack Yardley Estate Carole Yost We have made every effort to ensure the accuracy of this list. However, if we have made an error or omission, please accept our sincerest apology. Contact the Livingston HealthCare Foundation at 406-823-6710 so that we may correct our records. 3 6 Many of the photos in this publication are courtesy of Jackie Gardner, a member of Livingston HealthCare’s Finance Department. Like Jackie, many of Livingston HealthCare’s 339 staff members contribute additional skills and talents to Livingston HealthCare beyond their day-to-day responsibilities—whether they take photos at Livingston HealthCare events, decorate cakes for special occasions, build custom furniture, offer community cooking demonstrations, etc. 271 Full-time Employees 68 Part-time Employees 284 Females 55 Males 47 Employee Average Age 7.8 Average length of employment 98 Number of employees who have been here 10 years or more Sam Pleshar Chief Executive Officer 29 years “It is the quality of the people at Livingston HealthCare who define this organization. When you are sick or injured, you remember the people who cared for you—and the way they cared for you. It is the people who distinguish your experience here from any other care you’ve received.”