Community Report Dear Friends, As we refl ect on 2019 so far and look forward to the rest of the Our Mission year, I am thankful for all of those who give their time and talents to make Confl uence Health a place I am proud to be a part of We are dedicated to improving our patients’ every day. Our vision states that Confl uence Health strives “to health by providing safe, high-quality care in become the highest value rural health care system in the nation,” a compassionate and cost-effective manner. About Us and that goal isn’t achieved by accident. Our success is directly impacted by the dedication of our exceptional physicians, nurses, employees, volunteers and leadership teams, who all share a commitment to our patients. Healthy individuals make Our Vision healthy communities, and we understand and embrace the part 4, 000 employees we play in making that a reality. To become the highest value rural health + care system in the nation that improves Additionally, fulfi lling this vision means ensuring the best possible health, quality of life, and is a source of health outcomes at the lowest possible cost, whenever and wherever our patients need care. If we can accomplish that, pride to those who work here. we will uphold our founding principle that a locally controlled, 12 cities directed and integrated health care delivery system best meets the needs of this region.
While acknowledging our successes, we understand there is still 12,000 much to do to ensure our community receives the effective and square mile timely care it deserves. This work is not a race to a destination but rather an ongoing journey toward creating healthier patients and service area communities, one individual at a time.
Finally, I would like to express my gratitude toward our Confl uence Health physicians and staff for their continued dedication and compassion, as well as our patients for your trust 300+ 30+ in us. While we strive to fi nd ways to enhance our services and provide the highest value healthcare experience, it is our daily Brewster Clinic Ephrata Clinic Royal City Clinic physicians specialties encounters with you, our community members, that mean the Cashmere Clinic Methow Valley Clinic Tonasket Clinic most to us. Central Washington Moses Lake Clinic Waterville Clinic Hospital & Clinics Thank you for supporting your local health care system. Omak Clinic Wenatchee Valley + Hospital & Clinics 170 East Wenatchee Sincerely, Oroville Clinic 200+ Clinic advanced hospital beds practice Peter Rutherford, MD clinicians 2 Chief Executive Offi cer 3 Compassion Compassion Respect Our Compassionate Care Program is Just the Beginning. Our Compassionate Care It is the mission of Confluence Health to improve our patients’ health by Respect is the Core of Our Culture. providing safe, high-quality care in a compassionate and cost-effective Program is just the beginning. manner. In 2017 Confluence Health provided $9.3 million in compassion- Every patient deserves to be treated equally and with respect. Confl uence Health’s Compassionate Care Program offers ate care throughout the region. Confluence Health’s Compassionate Care By leading with respect, we create a culture that ensures all fi nancial assistance for medical services to uninsured or Program provides financial assistance for medical services to uninsured individuals at Confl uence Health—provider, staff or patient— underinsured patients who meet eligibility requirements. and under-insured patients who meet eligibility requirements. play a valuable role in shaping our organization and feel In 2018, Confl uence Health provided $13.1 million in empowered in their professional and personal lives. charity care throughout the region.
Local Grateful We are invested in impacting We are grateful for the opportunity to serve. and improving our communities. We are grateful for the trust our community puts in us with The people we serve are our friends the things that matter most in life: family and friends. We are and family, so we see the world a bit differently. We grateful each day for the opportunity to improve the health understand that we are all connected. Caring for one and quality of life of our friends and neighbors. another—whether in the exam room or out in the community—is who we are.
4 5 Due to the abundance of quality care I have “ been blessed with, I have been able to continue working a normal schedule through
my treatments. I’ve been
able to be active in my kids’ lives, grow a successful business, “ run four half marathons, and continue to lead the Patient story healthiest lifestyle I can. It was late on a Friday afternoon wants to hear: Stage 3 metastatic negative. I’ve watched what this job schedule through my treatments. when Andrea Johnson walked into melanoma. After the initial surgery demands of them. I’ve heard some I’ve been able to be active in my her doctor’s offi ce. She had routine removing the mole and lymph of the other patients’ stories and can kids’ lives, grow a successful questions about some growth she’d nodes, her diagnosis became more only imagine how emotionally diffi cult business, run four half marathons, noticed on a mole she had on her complicated: melanoma had spread it is for them to hear these stories and continue to lead the healthiest leg since birth. Her primary care to her excised sentinel node. daily. These women have made lifestyle I can.” Johnson calls herself provider, Carolyn Smith, PA-C, took Johnson was in the fi ght of her life, every single infusion of mine “the happiest cancer survivor you one look at the mole and knew two but she wasn’t battling alone. something I look forward to.” haven’t met yet.” things: this was no longer a routine Johnson and her oncology team mole, and the weekend can wait. decided on a three-year treatment, Additionally, Johnson says the Like all we care for, we think of her Within an hour, Johnson was at keeping her care local, rather than care she has received at Confl uence as family, and one of the thousands Central Washington Hospital going to Seattle for treatments. Health has actually helped her lead of reasons we bring our best every preparing for a biopsy from During her infusions, Johnson was a more productive life in the face day. Family deserves nothing less. – Andrea Johnson Dr. Phillip Hochwalt. constantly astonished at the nurses’ of incredible odds: “Due to the level of care: “In three years, never abundance of quality care I have Survivor, Business Owner Less than 24 hours later, Hochwalt once, have I heard any one of the been blessed with, I have been Many thanks to Andrea for 6 told Johnson the words no one oncology nurses say something able to continue working a normal allowing us to tell her story. 7 charitable giving numbers at $500k Services We a Glance Charity Care Provide Transparency is important to us, so we’d like to share 2018’s fi nancial results with you. $13.1M Gross Patient Service Revenue $ 1,443,305,193 Operating Margin percentage 1,080,487 1,261,297
Deductions from Revenue $ 841,556,004 2.87% outpatient visits operating room days cash on-hand per year minutes annually Net Patient Revenue $ 601,749,189
Other Operating Revenue $ 104,773,424 101.49 accounts receivable days 63.7% 43.8% Total Operating Revenue $ 706,522,613 of WVH&C of CWH&C 54.19 patients are from patients are from Total Operating Expenses $ 686,259,178 Bad Debt outside the greater outside the greater Wenatchee area Wenatchee area Operating Margin $ 20,263,435 15.1M 1,282 14,264 newborns surgeries
3,974 46,669 Transitional Care acute patient Unit patient days care days 8 9 Community Impact $500K in charitable giving to 200+ organizations*
ACS Relay For Life Foothills Middle School National Alliance on Mental Illness Wenatchee Row and Paddle Club
Alatheia Therapeutic Foundation for Health Care Numerica Performing Arts Center Wenatchee Sunrise Rotary Club Riding Center Quality Nurse Week Committee Wenatchee Valley Chamber American Cancer Society Friends of the Wenatchee of Commerce Public Library NW Children's Foundation American Lung Association Wenatchee Valley College Grant County Health District Pybus Market Charitable Foundation Big Bend Community College Foundation GWATA Wenatchee Valley Humane Society Brewster Boys & Girls Club Run Wenatchee 21st Annual Golf Icicle Creek Center for the Arts Wenatchee Valley Museum & $279,620 $4 ,000 $33 ,553 Tournament netted over $250 ,000 CH Foundation Russo CME Cultural Center Independence Day Celebration USDA grant donated to 4 Singleton donated for Home Health, approved by Board of Chapters Swim Across America Wenatchee Valley Sports for telemedicine Awards presented at comfort therapies, $62,000 Trustees for the Moses KC-HELP Foundation infrastructure in 4 rural Nurse Week palliative care Lake Capital Campaign Chelan County Volunteer The Trust for Public Land to benefi t emergency clinics and a hospital preparedness and Search and Rescue Leavenworth Summer Theater Wenatchee Valley Symphony Sponsored national United Way of Douglas County Orchestra trauma training Chelan-Douglas Community Lighthouse Christian Ministries speaker for Nurse Week Action Counsel Washington State Public Health WenatcheeOutdoors.org $6,000 Started “family phase” $136,800 Lilac Services for the Blind Association $48,267 awarded to 4 patients for the Moses Lake in pledges received for Children's Home Society WHS/EHS Sports Medicine $250 ,000 utilizing the exoskeleton radiation treatment ML Radiation Treatment of Washington Mission Ridge Ski Education Wenatchee Downtown in scholarship funds walking program facility’s capital campaign Facility capital campaign Foundation Association WISE awarded to 19 approved by Board of Eastmont Metropolitan individuals and Trustees for the Moses Parks District Moses Lake Business Wenatchee High School Women's Resource Center Confluence health Lake Capital Campaign Association $35,000 Epilepsy Foundation Washington Wenatchee Rotary Foundation WORX of Wenatchee Valley $231,634 $11,831 benefi ting the Wenatchee $1,485,194 *This list includes organizations receiving $2,500 or more. Highlights Foundation $100,000 2018 provided for certifi cation awarded to case Valley Street Rod total grant funding reimbursement scholarship endowment management grant scholarship fund for 2018
10 11 I am so thankful to be a Confl uence Health is an nurse on the OB fl oor. amazing place to work. “My heart is so full, and I am “When I joined, I knew it was happy I am able to share it something special right with those around me. If I away. We support each see co-workers in need of other, we work hard for encouragement, I am able each other, and we always to offer it to them. When
fi nd a way to have fun my patients need a hand
together. I'm so grateful to to hold, I am right there.
have found my path with Sometimes a big smile or
CH, and I look forward “ a hug is healing medicine to many more years of and helps make each learning and growing with person feel important. “ this exceptional company. With my job, I am able to accomplish this. This is the reason I love being a nurse. – John Donaghy – Joy Dawe, RN Engineering Director Labor & Delivery Nurse 12 13 Campus Enhancement Committee
The goal of the Campus Enhancement Committee is to work with employees and patients to enhance the look, functionality and comfort level of the many Confluence Health facilities—with an emphasis on public spaces.
The CEC is made up of a multidisciplinary team of Confluence Health employees who have demonstrated excellence in their field. The diversity of the group allows the CEC to remain unbiased when making decisions and prioritizing projects including updating artwork, paint, flooring, furnishings and lighting to enhance the facility and, most importantly, the patient experience. There were several CEC-sponsored remodels in 2018, including the East Wenatchee clinic’s lobbies and exterior, the Cashmere clinic’s lobby, the Moses Lake clinic’s landscaping, WVH’s 2nd floor lobby, CWH’s cafeteria, main entry and landscaping and the third and fourth floor family rooms. We are currently continuing work on CWH’s cafeteria and adding a new parking garage, which will provide 500 new parking spaces. We anticipate a completion date for the parking garage in fall 2019.
14 15 Employee Confluence health Student Services Program
The Confl uence Heath Student Services program Many students are hired to Stats since inception student rotations per year Wellness Program works to coordinate clinical rotations for health care Confl uence Health, sometimes 1,900+ programs across Washington State. Many students are as high as 95% of the time: At Confl uence Health, we understand the hired into the Confl uence Health network either before different types of students or immediately after completing the program. Student 35+ (by licensure/certifi cation) whole person comes to work every day PA 3,700 rotations are not only a way for Confl uence Health to 95% and each employee’s well-being infl uences give back to the community and the students, but they Students program agreements individual and organizational performance. lbs. lost also allow us to recruit students by showing them 90+ fi rsthand how great it is to work here. across the United States Nursing .52 Avg. 70% Our Mission Students observation requests 150+ for the year A1c improved Confl uence Health Student Services seeks to Our objective inspire students to become better health care MA programs for high school workers. We ensure students have everything they Students 80% 6 students to explore health Create a comprehensive 478 need to be successful from day one, and we provide their mentors with the tools to become care careers worksite wellness program that mindfulness fi rst-class educators. improves employee health sessions and positively infl uences future healthcare expenditures. 2.1 trillion steps Primary 18,000 Goals wellness Improve employee Tactic meals sold health and wellness. Create joy in our Develop a culture of workforce by improving 1,100 health, increased individual experiences, satisfaction and the health of our Fitbits devices engagement. employees and the per capita cost of care. distributed to employees 16 17 New Physicians Conf luence Health Executive Leadership Team
Darin Randel Rachel Jacob Michelle Lutfiyah Natalie Nicole Gerald Siddharth Gregory John Peter Stu Mitch Vikki Jim John Tracey Robert Glenn Bradshaw, DO Bunch, MD Clement, MD Didesch, MD Didesch, MD Haji, DO Hawkins, DO Hawkins, DO Hepnar, MD Javia, MD Lammert, MD Mahler, MD Rutherford, MD Freed, MD Garrison, MD Noyes Wood Doyle Kasnic Pageler Adams Physical Medicine Family Medicine Anesthesiology Orthopedics Physical Medicine Internal Medicine Hospitalist Hospitalist Hospitalist Gastroenterology General Surgery Behavioral Health Chief Executive Chief Medical WVMG Board Chief Operations Chief Administration Chief Financial Chief Nursing Chief Information Chief Operations Wenatchee Moses Lake Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Officer Officer Chairman Officer, CWH&C Officer Officer Officer Officer Officer, WVH&C Wenatchee Valley Medical Group Board of Directors
Malik Joseph Julia Adam Genevieve Janessa Marc Eric Lisa Leah Alyssa Chase Kartik, MD Miller, DO Moukharskaya, MD O’Brien, MD O’Sullivan, MD Rohrbach, MD Rohrbach, MD Seymour, MD Toran, DO Weber, DO White, MD Yarbrough, MD Pulmonary Anesthesiology Oncology Women’s Health Palliative Care Women’s Health ENT Hospitalist Neurology Hospitalist Pediatrics Hospitalist Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Mitch Stu Cathy Jennifer Abraham Daniel Doug Gautam Jim Toby Garrison, MD Freed, MD Ridgeway, MD Jorgensen, MD Sorom, MD Brown, MD Wilson, MD Nayak, MD Murray, MD Bond, MD WVMG Board Chief Medical Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member New Advanced practice providers Chairman Officer Confluence Health Board of Directors
Nicole Tara CINDY Reese Amanda Linda Angela Brett Kelsie Lori Amanda Abdullah, PA-C Anderson, ARNP BEAVON, ARNP Bradburn, PA-C Carroll, PA-C Greiner, PA-C Hanson-Steen, PA-C Hearl, ARNP Hermens, PA-C Jones, ARNP Karschnick, ARNP Cardiology Internal Medicine Palliative Care Hospitalist Women’s Health Occupational Med Internal Medicine Geriatrics Family Medicine Family Medicine Geriatrics Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Wenatchee Moses Lake Wenatchee Wenatchee Tonasket Wenatchee Frank Patricia Abraham Gus Doug Gautam Jenny Jim Garn Mitch Kuntz Ortiz-Wachtel Sorom, MD Heinicke Shae Nayak, MD Cravens Murray, MD Christensen Garrison, MD Chair Vice Chair Secretary Treasurer Board Member Board Member Board Member Board Member Board Member Board Member
Kate Amy Jo Alex Brandi Daniel Doug Shelly Lisa Kraemer, ARNP Phillips, PA-C Prophet, ARNP Sakharov, PA-C Smith, ARNP Starks, PA-C Stroop, PA-C Waldern, ARNP Yusi, PA-C Family Medicine Pediatrics Family Medicine Cardiology Family Medicine Physical Medicine Internal Medicine Family Medicine Family Medicine Kris Doug Robert Scott Toby East Wenatchee Wenatchee Ephrata Wenatchee Ephrata Wenatchee Wenatchee Omak Omak Loomis Wilson, MD Trask, Jr. Duncan Bond, MD Board Member Board Member Board Member Board Member Board Member 18 19 confluencehealth.org