Gritman Medical Center 2014 Annual Report People Focused Community Driven Health Care

Cover art: Jeff Martin Memorial Garden “How can I help you today?” playful and kinetic wind sculptures by Utah Martin arrived at Gritman in 1999 and This is the phrase that former Gritman artist Lyman Whitaker. While attending an became our president and CEO in 2000. He Medical Center CEO Jeff Martin was famous IHA conference in Sun Valley, , Jeff served Gritman until his untimely death in a for, and they are the words that greet visitors admired similar sculptures by Whitaker. car accident in 2010. to the Jeff Martin Memorial Garden, outside Collaboration between the Gritman Medical For more information about the garden, the ’s south entrance. Center Auxiliary, many local donors, and the go to gritman.org/memorial. The memorial garden includes three Gritman Medical Center Foundation allowed the vision for the garden to become a reality. People Focused Community Driven Health Care People Focused. we work to continuously Community Driven. improve how Gritman Medical Center is committed we care for our to providing extraordinary care to improve patients and their families. In Mission the health of the people in our community in Latah County and beyond. Thanks to the support of this To provide extraordinary dedication of our physicians, employees effort, we have care to improve the health and volunteers, this past year was full of made several of the people in our many accomplishments for Gritman Medical investments communities. Center. The pages that follow highlight some in technology, of these important activities. including 3-D Vision In 2013, we completed a Community mammography, To be the leading provider Health Needs Assessment (CHNA) that a 64-detector/128—slice Aquilion Computed of care in our communities identified top priority health needs of the Tomography (CT) scanner, and our and a recognized model for community; this assessment helps drive exceptional wound healing center. We are quality, service excellence our plan for providing care. As we continue also continuously investing in care outside of and fiscal stewardship. to move forward, I invite you to review our our downtown location; our legacy of high- 2013 Community Health Needs Assessment, quality, easily accessible, and convenient health care extends to our Troy, Potlatch and Values which is available on our website at www. Kendrick Family Care Clinics. Compassion • Respect gritman.org. Gritman strives to be the best place for Integrity • Excellence Over the years, we have made significant staff and volunteers to work, and the best Collaboration investments in medical technologies, place for physicians and providers to practice Accountability facilities, and education to improve health and wellness in our communities. Whether medicine. Gritman’s employees, volunteers it’s taking an active role in reducing the and the physicians we partner with are the physician shortage by helping fund the heart and soul of our organization. We WWAMI Rural Medicine Scholarships appreciate the dedicated service and or partnering with other health care compassionate care provided by our highly organizations to bring specialized care to our skilled professionals. region, the needs of our community remain As we look to 2015 and beyond, we remain our focus and priority. committed to being the best place for you Gritman’s strong financial position and your family to receive care. We are proud allowed us to provide the community with to serve this community, and look forward to numerous benefits and services, including ensuring quality health care for many years approximately $1.57 million in charity care, to come. while the organization continued to generate Sincerely, a positive operating margin and contributed over $81.5 million to the local economy.

Patient safety and quality is essential; Kara Besst Community

One of the greatest gifts you can give is your time. Gritman Medical Center volunteers make a difference every day. Thanks to our 638 volunteers for 20,632 hours of service in 2014.

Tasha Paul, Idaho Hospital Association Junior Volunteer of the Year; Kara Besst, President and CEO, Gritman Medical Center; Debi Dockins, Director, Gritman Volunteer Services. IHA Junior Volunteer of the Year Tasha Paul was selected Junior Volunteer of the Year by the Idaho Hospital Association for her more than 350 volunteer hours of service to Gritman from 2010-2014. Paul held many leadership positions within Gritman’s Junior Volunteer program, including Community Programs president from 2013-2014. The IHA cited her work ethic, her Motherhood Connections • Cancer Resource Center willingness to help others and the ability to Diabetes Wellness Class • Fit and Fall Proof • Light A Candle see the impact of her work as contributing Bosom Buddies • Community Wellness Classes factors for receiving the honor. At Gritman, we witnessed her dedication and great Commitment to Community attitude every day and appreciate all of the time she gave to our patients, and to us. • Largest private employer in Latah County Tasha is now a freshman studying • $81.5 Million to economy molecular biology and biotechnology at the • $36 Million community payroll . • $1.57 Million in charity care in 2014 • $195,000 paid in property taxes People Focused WWAMI Keeping great talent near home is WWAMI has been important to any economy, and it is vital in medicine. The Gritman Medical Center phenomenal in Hospital Auxiliary and Foundation teamed training physicians up in 2014 to raise money to create two endowed scholarships to help students from the region through the University of School and encouraging of Medicine’s WWAMI program, in hopes them to practice to bring them back to practice medicine in Latah County. in underserved Michelle Spain, board member and past areas. president of the Gritman Medical Center Foundation board, and husband Francis Spain, M.D. ‘76, a family practitioner and graduate of the first Idaho WWAMI class, led the effort to create the scholarships. Michelle Francis Spain, MD and Michelle Spain

Spain heard about the Huckabay Challenge at an event at UW and brought the opportunity to Gritman Medical Center. The Huckabay family was willing to match funds raised dollar for dollar to create endowed scholarships through the UW for WWAMI Medical Students interested in practicing medicine in rural areas. “WWAMI has been phenomenal in training physicians from the region and encouraging them to practice in underserved areas,” says Francis Spain of the program. The Gritman Medical Center Auxiliary raised $50,000, and the Gritman Medical Center Foundation raised $50,000. With the matching funds, the endowments total $200,000 to help relieve the burden of Mary Wood, Auxiliary President; Kara Besst, President and CEO, Gritman Medical Center; Pam Hays, medical school tuition and help encourage Foundation President. new physicians to come home to Idaho after graduation. Health Care • Technology Technology in health care Gritman Medical Center is constantly used primarily for breast and reconstructive pushing the boundaries and adapting at Gritman. It shows in real-time new technology to improve how we care how much blood is going to various tissues, for patients. In 2014, we made several allowing surgeons to more precisely remove investments in technologies to enhance tissue at risk of infection and spare healthy patient care. Three new advances tissue. The nearest with this were added to the hospital’s roster of technology are in Boise and Seattle. technological tools. Finally, the 64 detector/128-slice Aquilion Computed Tomography (CT) scanner by Imaging is at the forefront of Toshiba, also brought to the hospital in high technology in medicine August, quickly scans any region of the body, and that is the direction helping physicians accurately diagnose injury, Gritman has chosen to go … illness, and many diseases. The machine provides some of the sharpest images these investments allow us achievable, enabling doctors to spot small to help the greatest number tumors and other disease processes in their of people. earliest stages. The machine can even take still images of a beating heart, allowing Gritman was the first of nine major doctors to detect minute plaque deposits hospitals in the region to offer 3-D inside coronary arteries. mammography, which has resulted in “Imaging is at the forefront of high a significant increase in mammogram technology in medicine and that is the screenings and more than doubling the direction Gritman has chosen to go with total number of biopsy-proven breast these and other investments,” said Scott cancers found and treated, and a 25 percent Nelson, Gritman director of diagnostic reduction in call-back requests for additional imaging. “These investments allow us imaging. to help the greatest number of people, In August, we introduced the new SPY since imaging is so crucial to many other Elite Perfusion Assessment System, which is treatments.”

Wound Care Gritman Medical Center’s Wound Healing Center was one of 172 providers nationwide to be selected for a Healogics, Inc., Center of Distinction Award. We offer the Palouse’s only wound healing center, and the award is based on receiving outstanding clinical outcomes for 12 consecutive months, including patient satisfaction higher than 92 percent, a wound healing rate of at least 91 percent within 30 median days to heal, and other quality outcomes. There were 506 centers eligible for the Center of Distinction award. Chronic wounds affect more than 8 million people in the U.S., and about 1,400 people in Latah and Whitman counties. The incidence of chronic wounds is rising, due to an aging population and an increase in conditions like diabetes and other diseases that interfere with healing. Our Wound Healing Center is a member of the Healogics Network of more than 635 Centers, and offers highly-specialized wound care to patients suffering from diabetic ulcers, pressure ulcers, infections and other chronic wounds which have not healed in a reasonable amount of time. Over the years:

2012 2013 2014 MRI scans 1,487 1,593 1,665 Mammograms 2,674 2,688 3,154 Gritman Community Family Care Clinics Rural Clinics County-wide health care is an important part of Gritman Medical Center’s mission, and we pushed that goal even further in 2014 by building the Potlatch Family Care Clinic, which opened in November. The new Potlatch clinic joins established rural care facilities in Troy and Kendrick to ensure that quality care is available to all of Latah County. The 2,400-square-feet Potlatch Family Care Clinic offers three exam rooms and a large procedure room. The clinic is easily accessible with expanded parking and improved handicapped, ambulance, and stretcher access. The Potlatch clinic is located at 156 N. 6th St. To schedule an appointment, call 208-875-2380. The clinic is open from 9 a.m.-5 p.m.

Monday-Friday. Troy Clinic, 412 S. Main Street All three Family Care Clinics offer a wide range of full spectrum, family focused care. You can have your certified Department of Transportation physicals at any of the clinics, as well as wellness checks, infant and senior care, pre-employment physicals, chronic disease management, immunizations, pregnancy and reproductive health testing, and urgent care for coughs, colds, and minor injuries.

Rural Clinic Visits 8,068

6,814 Kendrick Family Care, 606 E. Main Street

4,717

2012 2013 2014 Potlatch Family Care, 156 N. 6th Street Statistics Clinical Excellence Gritman Medical Center strives to provide excellent care and customer service to our community and works to enhance safety and promote the highest standards of care for our patients. Gritman uses patient satisfaction surveys to measure how we are performing in a variety of areas. We truly appreciate our patients taking the time to give us valuable feedback, which helps us make the changes needed to deliver the best possible care. Hospitals must meet strict requirements by the Centers for Medicare and Medicaid Services to contract with CMS to provide patient perception surveys. Gritman contracts with HealthStream to survey and help measure how we are performing. We highly value patient responses to these surveys. For 2014 our patients rated us in the:

96th Percentile: Courtesy and respect of doctors 97th Percentile: Taking patient and family preferences into account in deciding needs after discharge 98th Percentile: Patient understood the purpose of taking medications at discharge 97th Percentile: Patient satisfaction for nurses’ level of attention to patients’ needs

Hospitals across the nation participate in research-based delivery of care for specific diagnoses. Each diagnosis has specific elements that have proven to expedite healing, deter from infections or shorten a patient’s length of stay in the hospital. All of these elements must be met to show adherence to the measure. Hospitals are able to benchmark themselves against other facilities and find ways to improve delivery of care. For the entire year of 2014, Gritman Medical Center achieved:

96% Perfect Care for Heart Attack 96% Perfect Care for Heart Failure 98% Perfect Care for Surgical Care Improvement Program 0.2% Infection Rate 95th Percentile in-patient satisfaction for discharge planning and instructions By the Numbers: Gritman Facts and Statistics for 2014 2014 Patient visits for diabetes education 221

Babies born at the Gritman Family Birth Center 343

Patient visits to the Gritman Wound Healing 1,656 Center

Surgery cases 1,358

Patients admitted to Gritman 1,367

Dialysis treatments performed at Fresenius 2,745 Medical Care Palouse Dialysis Clinic

Mammograms performed in Women’s Imaging 3,154 Center

Patient visits to Cardiac Rehabilitation 6,720

Patients seen in the 9,211

Patient visits to Solutions 17,832

Patient visits to the Jeff and Becky Martin 17,798 Wellness Center

Meals served to patients, staff, volunteers and 109,091 guests

Laboratory tests performed 106,365

Employees at Gritman Medical Center 468

Volunteers—Auxiliary, Interns and Junior 638 Volunteers

Gritman Foundation charitable giving recognized $344,546

$1.57 Charity care million People Focused

2015 Gritman Medical Center Service and Longevity Awards

5 YEARS Claire Adam • Katie Breeze Barbara Chatburn • Fernando Cofre Jill Garnett • Holly Hall Kami Heath • Diana Jones Jennifer Jones • Rebecca Lawton Elizabeth Lysne • Robert Mahal Deborah Mauro-Bender • Sara McGreal Debra Meshishnek • Mary Penberthy Kristin Rennaker • Shannon Smith Benjamin Stellmon • Laura Vetter Roberta Watts • William Whybark Amie Wolbrecht 10 YEARS Joni Bennett • Tracy Beyer Terry Chambers • Tracy Edwards Susan Gallina • Katherine Harrison Michelle Randall 15 YEARS Dawn Burns • Laurie Chamberlain Duane Dale • Michelle Flodin Christy Gunderson • Charlotte Halvorson William Nash • Larae Pearson Connie Powell • Maria Tolman Jayme Uhrig 20 YEARS Susan McGovern • Shirley Rencken 25 YEARS Suzanne Twigg 30 YEARS Stephanie Bosse Mildred Krasselt Community Health Care Gritman Medical Center Foundation Philanthropy plays an increasingly important role in the health care field and at not-for-profit hospitals. The Gritman Medical Center Foundation is governed by the highest standards of stewardship and is a partner in integrating philanthropy into our community. Since 2003, through the Foundation, generous contributions from individuals, businesses, service clubs, and community organizations have helped us enhance the quality of health care in our community. This community re-investment includes: • Medical services and access to health care for community members who cannot afford the care they need. • The purchase of equipment that improves diagnostic efficiency and effectiveness for hospital staff and local physicians • Addressing shortages of local physicians and medical staff by providing scholarships to WWAMI students and local community members wishing to pursue a degree in health care. As a community we gather for one cause, united with the purpose of helping those around us. Thank you for your kindness, your generosity and your support of friends and neighbors. Adina Bielenberg, Director of Marketing & Development

Foundation Board Members: Pam Hays, President Barbara Bull, Vice President Gritman Jane Peterson Goetschel, Secretary Medical Center JoAnn Evans, Treasurer G FOUNDATION Connie Esser Greg Kimberling Mission Nancy Lyle The Gritman Medical Justin Minden Center Foundation provides B.J. Swanson support to Gritman Medical Ex Officio: Center to accomplish its Kara Besst, Gritman President and mission of excellent and CEO compassionate health care. Preston Becker, Gritman CFO Adina Bielenberg, Gritman Director of Marketing and Development Community Driven • Our Donors

We thank you! † in memory of

Mickey & Suzanne Aaron Bruce & Janice Baumgartner Kent & Mardell Broemeling Katie Chaffins Lori Courtright Don & Judy Adams Karianne Baune Stephen & Judith Brown Mickey Chamberlain Brian & Jane Cox Douglas & Linda Adams Nancy Becker Tim & Lynda Brown Christine Chaney Sherry Croston Joseph & Katherine Aiken Andrea Beckett Grace Brown Thomas & Marie Charles Mark & Misty Curry Rae Lin Aller Amberly Beckman Kim Brown Leroy & Debra Chavez Luis & Maria D’Acosta Ane Joyce Alsterlund Archie & Norma Bendel Sherrie Brown Tricia Cheevers Jessica Dahlinger Alexandria Amburgey Jeanine Berglund Dave & Michelle Bruck Francis & Julia Cheng John Daley Janet Anders Tyson & Wendy Berrett Charles & Joanne Bryan Ruth Church Steven & Dianne Daley- Joseph & Gayle Anderson Nichole Bettencourt Edie Buchanan Dorothy Clark Laursen Jay & Lisa Anderson Robert & Donna Beutler Richard & Barbara Bull Maia Clay Christina Darby Jimmy Anderson Mary Bielenberg Duane & Shelley Bull Collina Clemm Karyl Davenport Lorena Andrus Russell & Betty Biggam Bruce & Colleen Bumgarner Jill Clinton Karen Davis Eileen Ankerson Thomas & Caroline Bitterwolf Benton & Kathleen Burns Meredith Coba Steve Davis William & Cheryl Ardrey Kelli Blake Greg & Kathy Burton Kathleen Cochran Deneice Day Beth Asbjornsen Todd & Michelle Bledsoe De Bush Jackie Coleman Dennis Deccio Jasper † & Louise Avery Denise & Barry Blevins David & Kendria Cada Brian & Deborah Collins Margaret DeMartini David & Erin Baird Brian & Patricia Borchers Tiffany Candler Sheri Colter Joan Deming Mary Baker Daniel & Janice Bosse Byron & Shelly Cannon Marshall & Rhonda Comstock Mark & Polly Dennler Don & Toni Ball Tammy Bowen Christina Cardwell Mary Connelly Helen Dewey Rebecca Barnes Thomas & Beverly Boyd Caroline Carley Michelle Connelly Joyce Diehl Dale & Mary Barnes-Ralston Elizabeth Brabb John & Lucretia Carlson Michelle Connery Cathy Dixon James & Jennifer Barrett Mark & Bonnie Brainard Morgan Carson Sherry Corisley Debra Dorsey Karen Barron Damon Branthner Katie Caywood Vincent & Diane Corrao Janice Doyle Our Donors

Chris Drake Melissa Greene Joe & Debbie Jacobs James Drake Jeffrey & Kellie Gregory Robert & Vicki Jahns Tecla Druffle David & Mary Gressard Hazel Jahr David & Jean Duke Milo Griffin Bill Jeffries Kathryn Dunn Brandi Griswold Wayne & Jacie Jensen Gregory & Linda Eaton Dennis Guettinger Tony & Kim Johnson Paul & Leane Eldredge Gene & Tonna Guilfoy Charlotte Johnson Tawna Ellis Peggy Guske Debi Johnson Shirley Engerbretson Steven & Traci Hacker Elaine Johnson Raymond & Connie Esser Michael & Brenda Halen Sandra Johnson-rollins Peter & Jane Estocin-Klaiber Kenneth & Connie Hall Judy Johnston James Evans Frederick & Eileen Hall Jayde Jones Ann Everson Anige Hall Paulette Jordan Daniel & Charlene Ewart Carol Hall Janalyn Joyce Jennifer Ewers Rosalyn Hall Margaret Joyce Ammie Falen Deanna Hamilton Carla Kappler Kim Farbo Robert & Doris Hansen Betty Kaufman Dennis & Connie Ferguson Carlene Hansen Mary Ann Kellogg Ben Ferry Kristine Hansen Bobbi & Sandra Kelly Maurine Finney Bryan & Jonalea Hanson Lori Kelnhofer Sam & Fran Fleener † Joseph & Marcia Harrison Dirk & Patricia Kempthorne Linda Fleener Noah & Alyssa Hartford Gary Kendall Janice Fletcher Kevin Hartmeier Gladys Kerns Annajean Flomer Stefanie Hatch Carolyn Keyes Doug & Deborah Fluharty John & Katie Hawkins Hasan & Georgette Khosravi Sandy Forman Barbie Hawley Lindsay Kiel Thorman & Shirley Frafjord Doug & Pam Hays Joshua Kimbrow Jane Freed Virginia Hays Kenneth & Shirley King Bobbie Frei Donald & Karee Head Peggy Kingery Ann Frey Jason & Heidi Heath Ken & Chris Kipp Jacob & Chelsea Leachman Javier & Sarah Marron Robert & Sharon Frye Prudence & Richard Heimsch Roxanne Klas Michelle Leachman Robert & Carolyn Marshall Cathy Gabriel Bob & Brenda Helbling Kara Klaveano Jill Leaness Neil & Janet Martin Margot Gamerdinger William & Carmella Helbling Phillip & Jo Ella Kleffner Eileen Lee James & Mary Ellen Martin Thomas & Julia Garfield Chris & Jessi Helbling Elizabeth Kliger Victoria Leliefeld Amy Martin Barbara George Mathew & Angela Helmke Teresa Knauss Paul & Juanita Lichthardt Ann Martin Douglas & Diane Gilchrist Marisa Hemingway Scott & Carol Kneale Kimberly Liechty Becky Martin Keith & Elizabeth Giles Dennis Henneke William & Maurika Knott Sharon Lienhard Carol Martin Christine Gilmore Danika Hill Walter & Elizabeth Kochan Shawna Lindquist Dan Martin Ron & Kellie Glaze Lisa Hilmes Lori Krasselt Judy Lippman Kristine Matson Katie Glaze Margo Holthaus Wayne & Gail Krauss Cathy Loney Ted & Cally Matsuoka Mary Glaze Mike Hoohler Julie Krivsky Gloria Long Gregg Mau Greg & Linda Gollberg Mitzi Houska Robert & Theresa Kwate Daniel Lund Kay Maurin Jennifer Gonzales Norman & Sue Hovey Mark & Larissa LaBolle Sheila Lunders Jason & Kristy Mayer Sharon Gosselin Michael Huebner Larry & Pamela LaBolle Frank Luzzo John & Jodi Maynard Dale & Carolyn Gottschalk Joyce Huffman Tom Lamar Kevin & Sherry Lyle Gabie Mazur Darrell & Cathy Gottschalk Mary Humphrey William & Verlena † Lambert Nancy Lyle Clifford & Cindy McAleer Mark Gottschalk Carole Hurley Hughes Jennifer Lambert John & Mary Lynn Carol McAleer Don & Marsha Graham Keith & Beverley Ickes Terry & Nancy Largent Mildred Lyon Emma McAleer Charles & Roberta Graham Cynthia Illi Joseph & Nancy Larson- Sarah Madarieta John & Cynthia McCabe John & Donna Grauke Tom & Patricia Isenberg Powers Larry & Karla Makus Rick & Erin McCall Marjorie Gray Juan & Cecilia Izquierdo Rico Rebecca Latshaw Scott & Stephanie Manson Steven & Tina McClure William & Shirley Greene Jamie Jabbora David & Ann Leach Ronald & Patricia Marciano Our Donors

Jeff & Marian McDonnell Richard Naskali Kathy Parkins Louise Regelin Chuck & Mary Beth Staben Horton Mario & Alice Navarro-Reyes Michael & Marcela Pattinson Christin & Clara Reisenauer Brooke Stallings Joan McDougall Finnlan Needham Amy Paul Delbert & Donna Reisenauer Walter & Mary Steed Alyssa McGreal Scotlin Needham Ralph & Shirley Payne Delbert & Donna Reisenauer Craig & Karin Steenberg Jack & Martha McIver Venita Needham Raymond & Tracy Paz Gerald & Judith Reisenauer Kari Stewart Rebecca McLeod Dale & Janice Neglay Howard & Janet Peavy Frank & Maureen Reiser Geoffrey & Lisa Stiller Ryan & Megan McNannay Ray & Marjory Nelson Norman & Kathy Pendegraft Margaret Remington James & Mary Storms Erin McNannay Kent & Wendy Nelson Cheryl Peterson Heather Reynolds Joy Stotz Mary McReynolds Jack Nelson Roy & Jane Peterson John & Karen Richardson Dianne Stowe Barbara Means Lisa Nelson Goetschel Eleanor Richardson Edmond Stowe Kelli Mehlman Hollyce Neumeyer Paul & Maya Petrino Sherrill Richarz Leland Strait Roy & Diane Meyer Shirley Newcomb Sharon Pettichord Gary & Teri Riedner Nancy Straw James & Elaine Meyer Nicholas & Joy Newlan Brian & Jennifer Pfiffner Maurice & Susan Ripley Gary & Carolyn Strong Joanne Meyer Nicholas & Bailey Nicholson Daniel Pierce James & DeEtt Roach Gary & Carolyn Strong Mike & Cindy Miller Paula Nicholson Kate Pierson Katy Roberts Nate & Kristin Strong Beverly Miller Norbert & Janelle Niehenke Bob & Linda Pike Linda Roberts Gordon & Margaret Strong Laura Miller David & Caroline Nilsson-Troy Amy Piller Carol Robinson Donald & Valerie Strong Duane & Jo Minden Ron & Janie Nirk Mitchell & Cori Planagan Karen Robinson Donald & Valerie Strong John Mlazgar Patty Nirk Guy & Jean Planagan Nickkol Robinson Tom & Ruby Stroschein Philip & Charlotte Mohan Frances Norton Lynn Poesy Lloyd & Janet Rohn Patricia Sturko Sally Montgomery Deborah Norum Michelle Pokorny Carl & Cheryll Root John & Nikki Stypa Sharon Montgomery Linda Nygaard Donald & Jodene Polley Douglas & Diane Salmon Carmen Suarez Michael & Gena Moody Kurt & Maree Obermayr Lynda Post William & Margaret Sayler Cliff & B.J. Swanson Joan Moore John & Kelly O’Bryan Mike & Lynn Potratz Kenneth & Marjorie Schaper Nick & Sarah Swanson Amy Morgan Brian & Erika Odenborg Thomas & Andrea Prewitt Sam & Karen Scharnhorst Daniel Swindell Audrey Morgan Kara Olson Rebecca Price Clint Schetzle Vivian Taback Jill Morris Kirk & Carol O’Reilly Terry & Vernita Proctor Bryan & Kelly Schiavoni John & Jeanette Talbott Judy Morris Jeanne Otto Bart & Peggy Quesnell Joseph & Jamie Schimenti Russell & Vicki Taylor Ray & Cathy Morscheck Elizabeth Owens Patrick & Sharon Quigley Dan & Martha Schmidt Glenna Taylor Nadine Morton Joni Packard Marvin & Vernona Randall Dan & Gail Schoenberg Katie Taylor Diana Moss Donovan & Janice Palmer Aaron Ranisate Karen Schultz Matt & Karen Telin Marguerite Motley Bruce & Leta Palmer Tanja Rankin Robin & Carlie Schumacker David Thiessen Lloyd & Merry Mues Barbara Palmer Keith & Carol Rawlsky- Mary Schwenne Eugene & JoAnne Thompson Christine Muir Kori Palmer Feldman Barbara Scoville Kim Thompson Tim & Sheri Murphy Greg & Beth Papineau Lois Reed Kim Segebartt Wendy Thompson Cynthia Muskat Donna Parkes Kerry & Nancy Reese Dammy Sharp Brandi Thrall Donald & Betty Nagle Jennifer Parkins Derrick & Tera Reeves Elisa Sharp Dave Tiffany James & Helen Shearer Naomi Tilden Daniel & Angela Shears Dennis & Sharon Timblin Rick & Brenda Sherman Steven Tomsovic Jennifer Shuffield Dean Tracy Susan Slaughter Thomas & JoAnn Trail Robert & Dorothy Smith Marcus & Stacey Trivelpiece Jesse & Nancy Smith Betty Trout Coralee Smith Tyrell Trout Sacha Smith Judy Tunnicliff Jill Somers Arlan Turnbull Laurene Sorensen Joseph & Barbara Ulliman Robert & Linda Spady Deanna Vance Francis & Michelle Spain Teresa Vasquez Robert & Sandra Spear Donald & Serena Verlin Leslie Sprouse Dean & Phyllis Vettrus Our Donors

Jan Vogtman Julita & Matt Carroll Sherri Paz Ray & Brenda Von Becky Chavez Kevin & Larae Pearson Wandruszka Dennis & Vicki Cockrell Karen & Erick Peterson Kenneth & Suzanne Vreeland Samantha-Jo Comstock Kris & Kristi Peterson Sarah Vukelich Kelsey Craft Pennie & Patrick Planagan Dean & Jodi Walker Theresa Crocker Shirley Rencken Donna Wallace Sharon Curtis Kristen Rennaker Roger & Judy Wallins Rebecca Dehlin Erin Richardson Richard & Vicki Walser Debi & Scott Dockins Sharon Ross Lynda Walters Tracy Edwards Kathy Sargent Wei & Sanh Wang Odette Engan Tiffany Schaeffer Jon & Kathleen Warren Bruce & Anita Evans Crystal Schluter Kathleen Weber JoAnn Evans Jade & Benjamin Stellmon Lynne Wedel Boeing Charitable Trust Re/max Connections Kane & Debra Francetich Derec Styer Reta Wehring ClearView Eye Clinic, LTD Roman Catholic Diocese of Megan & Tyrel Funke Teresa Thorsten Dustin & Melissa Weitz Coffey Communications, Inc. Boise Jill & Damien Garnett Francie & Aaron Tyler Diana Welch Columbia Bank Scott’s House of Flowers Marilyn Ginter Jami Tyler Richard & Barbara Wells Eagles Auxiliary Sprenger Construction Inc. Sharon Ginter Jayme & Josh Uhrig Guy & Lindy Wells Fab Tec, Inc. State of Washington, Office Thomas & Kati Haeder Kevin Uptmor Michele Wemhoff First Presbyterian Church Of of State Treasurer Dan & Barbara Hagen Annette & Gary Veneziano James Westacott Moscow Turn-Key Medical Donald & Charlotte Sheryl Washburn Kenneth & Deborah Whitney Fraternal Order Of Eagles United Way Of Spokane Halvorson Roberta Watts James & Lashelle Wilson Genesee Student Activity County Kimberly Hammond Kama & Jonathon White Don & Lori Winn Fund Women of the Moose Deb Hancock Julie White Brandon & Becca Wolking Glendimer Chapter 2350 Debi Harris Sheree & Tim Yockey Charles & Mary Wood GoodSearch Women of the Moose Kirt Hedrick Scott & Robin Woods Greg Kimberling Insurance Chapter 710 Ashley Hewett Dennis & Barbara Woods- Gritman Medical Center Woodcraft Unlimited, Inc Toni Hites Chatburn Gritman Medical Center Yellowstone Insurance Kristi Holden William & Donna Woolston Auxillary Zeppoz Eric Hollenbeck Becky Workman Gritman Medical Center Joy Hood Chad & Emily Yates Foundation, Inc. Employees Jonathan Hukill Frankie Yockey Gropp, LLC Mohamed & Kimberly Jabbes Russell & Kathy Zenner Idaho Hospital Association George & Anne Anderson Martin Johncox Herb Zimmerman Inland Cellular Tamra Andres Cindy & Art Kinzer Inland Northwest Blood Natalie Apodaca Joann Klemm Dr. Charles & Community Center Mark Arnold Nancy & Jeffrey Kure Bertie Gritman Organizations and Janet Snow Estate Preston & Katrina Becker Eldon Le Jess Ford of Pullman Becky Behre Marie & Thomas Lowry Legacy Society Busineses Latah County Title Co. Brett Beitlich Kim Lunsford Founding Members 12 Step Group Latah Federal Credit Union Kara & Tim Besst Dani & Scott Lynas Jane Peterson Goetschel Advantage Advertising Inc. Latah Sanitation, Inc. Stephen Bibe Lori Mages and Roy H. Goetschel, Alcoholics Anonymous Lewiston Roundup Trent & Jodi Bice Charlott Martinkus Jr. † District #22 Association Adina & Blake Bielenberg Debra & Dana Meshishnek Dorothy Burlison † Lewiston Veterinary Clinic Maria Bode Allegra Print & Imaging Justin & Amy Minden Maureen Cherrington † Mann & Stanke, CPA (P.A.) Alison & Tony Bonuccelli Alturas Analytics Julie Minden Gregory D. & Heidi C. Moscow Building Supply Danielle Breed Appaloosa Museum William & Marianne Nash Linehan Moscow , Katie & Ryan Breeze & Heritage Center Megan Nason Dorothy School Ross † P.A. Dawn Burns Foundation, Inc. Greg & Lila Nordin Janet Snow † Narcotics Anonymous Charla Bush Atlas Sand & Rock, Inc. Marcia & Scott Oplinger Francis K. & Michelle L. Palouse Cares Tyler Byers Avista Corp. Connie & Gary Osborn Spain Palouse Imaging Consultants Jeffrey Carney Avista Foundation Shellie & Jim Parsons Thomas F. & JoAnn S. Trail Palouse Surgeons Joyce Carpenter New Healthcare Providers Welcome! A total of 16 new patient care providers joined Gritman Medical Center in 2014. With specialties ranging from ophthalmology and neurology to emergency medicine and family care, they bring a wealth of experience and education to our facility and our region-wide patient base.

KYRSTEN E. STOOPS, MD REBECCA K. McLEOD, RNFA Family Medicine, Moscow Family Medicine Registered Nurse First Assistant, Palouse Surgeons BRYAN D. SMITH, MD , Palouse Urology/Palouse Specialties NORMAN D. BAKER, DO Emergency Medicine, Moscow Emergency KRISTIE E. JONES, MD Physicians Nephrology, Rockwood Clinic - Nephrology JENNIFER A. SEEGMILLER, NP-C ANDREW A. BECKER, PA-C Nurse Practitioner, Wound Healing/Kendrick Physician Assistant, Palouse Medical/Wound Family Care Healing Center RONALD F. BALDWIN, MD ARIF A. CHOWDHURY, MD Family Practice, Moscow Family Medicine Neurology, St. Joseph Medical Group: Neurology PATRICIA N. MARCIANO, MD Family Practice, Moscow Family Medicine ISAAC R GRINDELAND, MD Pathology, InCyte Diagnostics SHAWN C. RICHARDS, MD Ophthalmology, ClearView Eye Clinic GUILLERMO MODAD, MD Hospitalist / /Emergency/ DEBORAH A.K. COLLINS, MD , Gritman Hospitalists Family Practice, Moscow Medical

ELIZABETH L. VON BARGEN, NP-C JAMES M. CLARK, DO Medical Staff Officers Nurse Practitioner, Kendrick Family Care Emergency Medicine, Pullman Emergency 2014 Physicians Dustin Worth, DO President Gritman Medical Center Board of Directors Kimberley Blewett, DO BJ Swanson, Chair Rula Awwad-Rafferty President-Elect Janie Nirk, Vice Chair Kraig White, MD Geoffrey Stiller, MD Robin Woods, Charles Jacobson, MD Secretary/Treasurer Secretary-Treasurer Wayne Ruby, MD Greg Kimberling, Barbara Wells Frank Reiser, MD Board Representative Dick Heimsch Immediate Past President Greg Mann Board of Directors Letter from the Chair to provide these specialty services alone, the partnership of three hospitals can do it. The Gritman Annual Report is a time to Physician Recruitment: Gritman is review the successes of the past year. The fortunate to be near the University of Gritman administration, staff and board are Idaho, home of the WWAMI Medical to be commended on a job well done. School program in Idaho. We capitalize on Gritman is committed to using the past as this by providing scholarships to WWAMI a foundation for the future. We aim to build students and some of our staff instruct on our successes and focus on strategies classes. Overall, we are pleased to provide to fulfill our role as the leading provider of a welcoming, positive environment for quality health care and service excellence in future physicians. This pays off with many our communities. WWAMI students returning to Moscow The future is a journey without a to begin their careers. We hope to destination. Our success is measured by provide more opportunities in the near how the pathway can be navigated while BJ Swanson, Chair, Gritman Medical Center Board of Directors future by partnering with the University providing the best care, quality and efficiency of Washington to make the University of become health care buzzwords. ACOs along the way, and avoiding potential pitfalls. Idaho the medical school of Idaho. This journey became very apparent with provide a payment and care delivery Gritman Medical Office Building: passage of the Affordable Care Act in 2010. model that ties reimbursements to quality. Gritman has acquired the vacant lot The Act provided basic principles and ideas, A minimum of 5,000 enrollees are required, on South Main Street and is in the but without a guidebook on how it could be leaving Gritman out. As a solution, we planning stages for a 53,000-square-foot, accomplished. We have carefully studied the have signed on with the National Rural three story medical office building. We pathways and have embarked on the journey. Accountable Care Organization and plan envision this building providing a greatly Some of the upcoming major attractions to form a partnership ACO with one or expanded home for the CHAS Latah along our journey to the future are: two like-minded hospitals in Idaho. This will bring better coordinated care at lower Community Health Clinic, , a ICD-10: After many delays, ICD-10 (the costs to our community. pain clinic, cardiac rehab, a sleep lab 10th revision of the International Statistical and other outpatient services. We hope Gritman Partnerships: Gritman is Classification of Diseases) is scheduled to to break ground this fall and be ready considered a small rural hospital, making begin October 1, 2015. ICD-10 is designed for occupancy next year. In addition to it very difficult to recruit specialists to our to provide international comparability in providing many new services for our community. A solution to this has been to the collection, processing and classification citizens, the medical office building and its partner with Pullman Regional Hospital of health care statistics. Hospitals currently services will create many high paying jobs and Whitman Hospital and Medical Center use around 10,000 codes. ICD-10 will have and additional economic benefits to the in forming Palouse Specialties and Palouse 76,000 codes. It has been a multi-year, community. complicated and costly process to prepare. Surgeons. Palouse Surgeons currently has The future will be exciting, rewarding, and Thanks to our forward-thinking leadership, four surgeons and a gastroenterologist. full of change. Please join us for the journey. Gritman is ready! Palouse Specialties is made up of an ENT and a urologist. In the near future, local ACO: Accountable Care Organizations oncology services and other specialties will take up only seven pages of the 2,700- be added. While each hospital is too small BJ Swanson page Affordable Care Act, but ACOs have 700 S Main Street Moscow ID 83843

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