Leading the way to wellness since 1897 Connections WINTER 2014 A bright, new space

AFTER six months of con- struction, the new Potlatch Family Care Clinic opened for business in November. e clinic, located at 156 N. 6th St., o ers a more convenient place for Gritman’s Potlatch Clinic family-care needs. Increasing patient opened for business in November. volumes outstripped the capacity of space, the larger clinic space improves the old clinic and the new building the process of performing certi- features 2,400 square feet of space  ed Department of Transportation and three exam rooms, for a better physicals, said Quiring. e clinic also patient experience. provides wellness checks; infant and e clinic also represents a signi - senior care; pre-employment physicals; patient privacy and security. cant investment by Gritman in the Medicare or Medicaid exams; chronic “Privacy and con dentiality is future of rural Latah County. disease management; immunizations; always a priority, and the stand- “Towns in Latah County deserve pregnancy and reproductive health alone building and  oor plan further modern, state-of-the-art family testing; and urgent care for coughs, optimize this,” said Quiring. “ ere clinics, and Gritman is pleased to colds and minor injuries. is an increase from two exam rooms provide them,” said Trisha Quir- e clinic provides ample parking to three exam rooms, with a sepa- ing, Gritman’s Coordinator of Rural with wider entry access for wheel- rate, larger procedure room.” Clinics. “ e new clinic is a sign chair- and walker-aided patients, said To schedule an appointment with that Gritman is  rmly committed to Quiring. e new clinic also provides Jennifer Davis, PA-C, at the Potlatch providing high-quality care for rural easier ambulance and stretcher access Family Care Clinic, please call residents, who are o en underserved for patients in need of transport. 208-875-2380. e clinic is for health care.” e Potlatch Family Care Clinic will open from 9 a.m. to 5 p.m., Monday Along with more exam room take the newest measures to provide through Friday.

Manage your Interested in Going above health online becoming a CNA? and beyond 3 4 6 News A MESSAGE FROM OUR PRESIDENT AND CEO At Gritman Medical Center, we take pride in providing excel- connections lent patient care to the people of our communities. For more than 100 years, we have been committed to our mission to make Gritman the best place for patients to receive care, for GRITMAN LEADERS sta and volunteers to work, and for physicians and providers Gritman Medical Center Board of Directors to practice medicine. Throughout this Connections newsletter, B.J. Swanson, Chair you will see the ways in which we continue to do just that. Janie Nirk, Vice Chair Robin Woods, Secretary/Treasurer The best place for patients to receive care. We are very Greg Kimberling, Board Representative excited to have the new Potlatch Family Care Clinic open to Rula Awwad-Ra erty Kara Besst, patients. This expanded space allows for easier patient access Dick Heimsch President and CEO Charles Jacobson, MD and increased clinical space, including a procedure room and a Greg Mann more comfortable waiting room. Barbara Wells Kraig White, MD We are passionate about the health and wellness of our community. From our an- nual Pink Tea, which raised over $40,000 to provide mammograms for women who Gritman Medical Center General Members can’t a ord them, to our annual Colors of Hope run, which raised money to provide Jimmy Anderson support services for individuals bravely  ghting cancer, Gritman is honored to be a part Jessica Bearman of the lives of those who call this area home. Kenny Cada Sharon Harris The best place for sta and volunteers to work. Gritman’s employees and volun- Pam Hays teers are the heart and soul of our organization. Environmental Services to Emergency Raymond Ireland Elaine Johnson Department, Family Birth Center to Fiscal Services, this functions with the hard Carole Jones work and dedication of each of our sta members and volunteers who pour countless Nancy Lyle hours into making Gritman a great place to give and receive care. John McCabe Jane Peterson Goetschel The best place for physicians and providers to practice medicine. Gritman’s part- Aaron Ranisate nership with physicians is key to our mission to provide excellent patient care. We are Rachel Rausch fortunate for our collaboration with so many great providers who practice medicine Lowell Stevens Lori Stinson in our region. We are pleased to welcome to the team the many new physicians who Don Strong joined our medical sta in 2014. Todd Taruscio While healthcare continues to face many changes and unknowns, Gritman continues Tom Trail Dave Uberuaga on in our commitments—our commitment to be the best place for sta and volunteers Roger Wallins to work, our commitment to be the best place for physicians and providers to practice Lynda Walters Becky Witt medicine, and our commitment to be the best place for you and your family to receive care. Gritman Medical Center Foundation Pam Hays, President Barbara Bull, Vice President Jane Peterson Goetschel, Secretary JoAnn Evans, Treasurer Kara Besst, President and CEO, Gritman Medical Center Connie Esser Greg Kimberling Nancy Lyle Justin Minden Michelle Spain B.J. Swanson Ex o cio: We always welcome public comment. Reach us at: Adina Bielenberg, Director of Development Kara Besst, Gritman President and CEO Let us Preston Becker, Gritman CFO know facebook.com/GritmanMedicalCenter what you @GritmanMedical think youtube.com/GritmanMedical linkedin.com/company/gritman-medical-center

2 q www.gritman.org Easy access to your health info GRITMAN is pleased to work and federal privacy laws. with RelayHealth to provide the To reach the portal, go to public with online access to medical www.gritman.org/portal. Some records generated at Gritman. things to keep in mind: “Gritman wants to encourage w You will need an active email patients to be more involved in their address to start the service. care,” said Kane Francetich, Gritman w You will be prompted to enter CIO. “ e idea is that every patient your date of birth and verify your should have easy, instant access to identity and demographic informa- their health information at any time.” tion, as well as create a user ID and Gritman patients, or those who security questions. have had a test or procedure at Grit- e portal is the beginning of man, can use the secure Internet larger e orts to give patients more portal to access their health informa- access and control over their health tion online, including lab or imaging records. In the not-too-distant test results, and they can also enter future, people will also be able their own information about aller- to access their treatment plans, gies, past procedures and existing contact their doctors and make health conditions. is will assist appointments—all online. future healthcare providers who may Portal assistance is available care for the patient. e portal was by phone at 866-RELAY-ME designed with patient privacy as a (866-735-2963) or by email at priority and complies with all state [email protected]. Get ready for the big reveal! OUR WEBSITE at www. emerging practices for and w Parallax scrolling, a new design Gritman.org is undergoing a recon- guided the redesign, along with the trend that gives the impression there struction, and we will proudly unveil Gritman board and a focus group of is an “inside” or three-dimensional our new site in January. community members. aspect to the website. “Gritman and the people who rely New features of the website Some popular features will re- on the hospital deserve a modern, include: main, such as the calendar, online attractive and functional website,” w Easier navigation, including photo bill pay, the baby nursery and help said Gritman Community Relations links to the most popular Gritman  nding a doctor. Director Marty Johncox. “In the features. Gritman is also responding to coming years, people will increas- w Fully responsive—the site re- regulatory trends. e Centers for ingly use a hospital’s website and arranges itself to present the best Medicare & Medicaid Services is mobile apps to help them manage layout for a desktop computer, requiring all healthcare providers to their healthcare. is website is lay- smartphone or tablet. meaningfully use electronic medi- ing the foundation for that.” w Access to the patient portal, which cal record (EMR) technology in the In10sity.net, which has completed allows people who have been at Grit- 2010s. Among other things, pro- hundreds of hospital websites, car- man to access electronic versions of viders must use EMRs to improve ried out the redesign of the Gritman their Gritman medical records. the quality, safety and e ciency of site. Johncox, who studied Web de- w Compelling text, photo and video healthcare; engage patients; improve velopment at the College of Western stories from people about how Grit- care coordination; and maintain pri- and has created many web- man’s people and technology im- vacy and security of patient health sites himself, researched best and proved their lives. information.

w 3 IN CASE OF EMERGENCY Most Wired Hospital in July by Hospitals & Health Networks—the A high-tech solution sixth time Gritman has received this honor. e Most Wired Hospital ADDING to its reputation Information O cer. designation promotes the use of as a hospital that adopts the latest “ e key advantage that AtHoc technology to improve patient care, technology, Gritman Medical Center brings to the table is the two-way assure patient safety and be more is now using an emergency commu- communication platform that allows e cient by highlighting hospitals us- nication system by AtHoc, Inc., to us to not only communicate impor- ing innovative and best practices. keep its employees informed in the tant information to our sta and Malcolm Carson, Business event of an emergency. medical community quickly but also Development Manager of AtHoc’s e system allows Gritman to solicit feedback from those people Healthcare Group, said communica- quickly reach its sta , wherever they at the same time,” Francetich said. tion is especially important in a rural are, via email, text, telephone and the “ at allows us to determine who is setting. AtHoc Mobile Noti er. e technol- able to respond to a disaster or how “We are proud to assist Gritman ogy is useful in the event of extreme many sta could help if child care Medical Center in their mission weather, natural disasters, human could be arranged, for example. e to provide safety to its employees threats to patients and caregivers, solution was easy to install, learn and and patients as they provide critical and IT outages for its locations in begin using, taking only a couple of healthcare services to the people of Latah County. days to begin realizing value.” Moscow and the surrounding area,” As a rural health system covering “Rural medical centers and hospitals a wide geography, Gritman needs We’re a Most Wired make up the majority of healthcare a fast, reliable and e ective way of Hospital—again! facilities throughout the United reaching sta during manmade e AtHoc acquisition is in keep- States and are not isolated from and natural emergencies to pro- ing with Gritman’s willingness to the necessity to communicate with tect themselves and patients, said adopt new technology. Gritman their personnel during emergent Kane Francetich, Gritman’s Chief Medical Center was named a 2014 incidents.” Training the next generation GRITMAN Medical Cen- Gritman has the ter proudly graduated 24 students only CNA train- from its Certi ed Nursing Assistant ing program in the (CNA) training program in October area. Usually, people and November. wanting to enter the Dozens of family and friends at- two-month CNA tended the graduation ceremonies. program are univer- Gritman’s training program gradu- sity students. Mesh- ates 12 students per class and up to ishnek said in order 70 a year. to give more people Each graduate received a pin from clinical “For many of our graduates, this a chance, she reserves instructor Stephanie Moore, RN, MSN (left), and is their formal introduction into the two or three slots per classroom instructor Hollie Mooney, RN, BSN (right). medical profession, and many go on graduating class for to nursing, medical school, physi- people who aren’t university students Drake, a former GMC nurse who cian assistant school, radiology or but still want to learn. taught in the program. e 2014 recipi- some other health-related  eld,” said e program costs about $1,200, ent is Brenda Whitlatch, who gradu- Deb Meshishnek, RN, BSN, who di- but Meshishnek created a scholar- ated and is now employed at Gritman’s rects the CNA program at Gritman. ship through the Gritman Founda- award-winning Family Birth Center. “Others  nd a satisfying career as a tion to pay for an applicant who For more information, visit www. CNA and work at Gritman or some has no  nancial means to pay. e gritman.org/services-education.html other hospital or nursing home.” scholarship is in the name of Joyce or email [email protected].

4 q www.gritman.org Free mammograms for those in need In just one hour, over 540 generous com- munity members raised over $43,000 to help prevent breast cancer in Latah County. Thirteen years ago, Patricia Kemp- thorne, then  rst lady of Idaho, started Pink Tea events throughout the state. Kempthorne’s vision inspired Gritman employees to host their own Pink Tea and develop a Bosom Buddies program. Since then, the program has raised over $300,000 to help more than 1,000 women detect,  ght and survive breast cancer. The emcee of this year’s Pink Tea was Christin Reisenauer, MD, medical director for Gritman’s Women’s Imaging Center. People of all ages showed up to support the Light A Candle program at the Colors of Hope Other speakers were Patricia Kempthorne; 5K fun run/walk on September 13, 2014. Geo rey Stiller, MD, of Palouse Surgeons; and Moscow Mayor Bill Lambert. Keynote speaker Tina McClure shared a moving These colors run—against cancer story about her journey through breast Participating in the Light A Candle Colors “I loved the color this year, and we cancer and how that involved her family of Hope 5K run/walk is more than just are happy to say I believe we got the and community. McClure also spoke about getting covered in color—it’s running for a right mix of vibrant colors,” said Chavez. the excellent care she received from the cause. Held annually in September, the Col- “The volunteers, as usual, went above and Palouse medical community. ors of Hope 5K supports the Light A Candle beyond to help out, and I know we would Ticket sales for a ra e featuring a “Pink program, which is sponsored through Grit- never be able to do this race without all the Tea Quilt for the Cure,” made by Stitches man Medical Center. helpers. It really does take a village, and I & Petals, and a 1-carat pink sapphire pen- Over 100 participants came out to sup- know Debi Dockins and I are so grateful for dant, donated by Johnson’s Jewelry, added port the local cancer aware- the community we have that supports this to the total amount raised for the Bosom ness event, raising $3,000 for program and our fundraisers.” Buddies fund. Other groups contributed cancer patients in Latah and If you missed the race this year, there to the fund-raising e orts prior to Pink Tea. Whitman counties. Local are other Light A Candle fund-raising ClearView Eye Clinic hosted a Ladies Night, politicians Shirley Green and events throughout the year: Hoops for in which they donated 5 percent of their Caroline Nilsson Troy partici- Hope (February), Bowling for a Cause pro ts, or $488. The Genesee Volleyball and pated, and a couple Moscow (March), Bunko for a Cause (March), Troy Volleyball teams played a Dig for a medical clinics had teams, Colors of Hope Fun Run (September) and Cure game at Genesee High School, where including ClearView Eye Clinic Palouse Cares (December). they raised funds for Bosom Buddies, and and Moscow . The Light A Candle Program raises donated $2,800. At the Pink Tea event, Among the crowd were funds for services, helping cancer Chicks ‘n Chaps Women’s Rodeo Clinic pre- also multiple generations of the patients improve their quality of life sented a check for $10,800 to the Gritman Strong family, who ran in honor and easing some of the pressure that Light A Candle fund, which helps people of their brother who passed away comes with facing cancer. Some of facing  nancial di culty because of cancer. from brain cancer, said Becky the services include housekeep- 2014 corporate sponsors included Chavez, co-founder of the Light A ing, gas cards, grocery assis- Advantage Advertising, Allegra Print & Candle Program. tance, massage and others as Imaging, Alturas Analytics, Best Western Plus “They dedicated [the run] in requested. University Inn, Inland Cellular, Inland North- memory of him and continue to Donations to the Light A west Blood Center, Jess Ford of Pullman, La- donate to the Light A Candle Program Candle Program are accepted tah County Title Company, Moscow Family yearly in his honor, and really do the run at any time. You can send a Medicine, Moscow Medical, Moscow Realty, in honor of him too,” said Chavez. check to the Gritman Medi- myRadio 102.5 FM, Palouse Surgeons, Pau- The run went off without a hitch this cal Center Foundation lucci’s Men’s Wear & Formal, PNW Farmers year. As this was the third annual Colors for the Light A Candle Cooperative, Re/Max Connections, Turn-Key of Hope 5K, each year will get even Fund, 700 S. Main St., Medical and the . better. Moscow, ID 83843.

w 5 ‘A win-win situation’ Gritman teen receives Junior Volunteer of the Year Award from the Idaho Hospital Association FOR some teenagers, summers factors for receiving the honor. Al- win-win situation in the end.” are spent hanging out with friends, though she has worked on numerous Debi Dockins, director of Gritman staying up late and sleeping in. For service projects and held leadership Volunteer Services, commended others, like former Gritman Junior positions within Gritman’s Junior Paul for “going above and beyond” Volunteer Tasha Paul, summers are Volunteer program, Paul credits her the requirements of the Gritman Ju- spent working on habitat restoration parents with instilling in her the values nior Volunteer program—picking up in the Greater Yellowstone Ecosys- of community service at a young age. additional hours when needed and tem and serving in Nicaragua and serving as the secretary/treasurer Panama as part of a youth ambassa- A dedicated volunteer from 2012 to 2013 and president dor program. “My parents were very in uential from 2013 to 2014. Paul was recently named Junior in making me interested in volun- Volunteer of the Year by the Idaho teering when I was younger, and Proud and thankful Hospital Association (IHA). e IHA then it became something I chose “I have worked with many stu- cited her work ethic, her willingness to do,” Paul said. “For me, it’s very dent volunteers, and it is a very to help others and the ability to see the rewarding to take a small portion of rare occasion to receive someone as impact of her work as contributing my time to help people.” motivated and hard-working as Ms. Paul, who is now a freshman Paul,” said Dockins in a letter to the studying molecular biology and IHA Committee on Volunteers. biotechnology at the University of Paul re ects on her time as a Ju- Idaho, spent four years in the Grit- nior Volunteer with a sense of pride man Medical Center Junior Volun- for the work she did and is grateful teer program, from 2010 to 2014. for the experience the program pro- During that time, she completed vided her. “I always enjoyed being more than 350 volunteer hours— part of the annual back-to-school well above the volunteer average supplies drive and seeing my e orts of 48.6 hours for Idaho residents bene t local students,” she said. “My as reported by the Corporation for last year as a Junior Volunteer was National and Community Service. when I became most immersed in “Volunteer work is very valuable the program, because serving as for teens and young adults, because president required me to ful ll many IHA Junior Volunteer of the Year Tasha Paul it allows us to become involved in new responsibilities. I consider this (left), Kara Besst, President and CEO (center), our communities, meet and enjoy as my most rewarding experience and Debi Dockins, Director of Volunteer the company of new people, try new overall, because I was able to spend Services, pose for a photo inside the Gritman experiences and develop personal so much time with other amazing Administration o ce. skills,” Paul said. “Sometimes it volunteers and learn so much about requires hard work, but it’s always a my abilities as a leader.”

ANOTHER WIN AT GRITMAN: Chief Nursing O cer Sheryl Washburn (left) presents Danielle Engle, RN, with the DAISY Award for the  rst quarter of 2014. Engle was nominated for her professionalism and the level of care she provides to Family Birth Center patients.

6 q www.gritman.org Find us on Facebook at www.facebook.com/GritmanMedicalCenter. Calendar of events COMMUNITY COUNTS!

John Grauke, MD, from Moscow Medical, discusses the importance of healthy sleep

at Gritman’s Diabetes Wellness Class in and Diabetes Care. October. Dr. Grauke is board-certi ed in sleep THANKS FOR MAKING OUR COMMUNITY A GREAT PLACE TO LIVE EDUCATION, WELLNESS Info: 208-883-6341. medicine and is the director of the Sleep AND SUPPORT Heartsaver First Aid Center at Gritman Medical Center. Diabetes and CPR, AED Wellness is held monthly and sponsored by Gritman now o ers online courses Gritman Clinical Nutrition and Diabetes Care. Cancer Resource Center for certi cation in  rst aid, cardio- Open Monday through Friday pulmonary resuscitation (CPR), auto- 10 a.m. to 4 p.m., FREE Multiple Sclerosis Support Group mated external de brillator (AED), Third Saturday of each month, 2 to 3:30 p.m. Our supportive and knowledgeable basic life support (BLS), advanced Gritman Conference Center, FREE volunteers help  nd resources to cardiac life support (ACLS) and pe- Find comfort and strength with your guide those in need through what diatric advanced life support (PALS). peers as you learn, cope, laugh, and can o en be an overwhelming expe- CPR and AED cover infant, pediatric celebrate the challenges and successes rience. We provide information on and adult populations. You can then of living with multiple sclerosis. Fam- your diagnosis and can o er pros- choose whether you need the adult or ily and friends are welcome to attend. theses, wigs, hats and other items. pediatric  rst aid component. Online Info: 208-874-3050 We also o er American Cancer So- courses are o ered on an as-needed Fit and Fallproof ciety classes including Look Good… basis. Info: [email protected]. Monday through Friday Feel Better and Reach to Recovery. Living with Loss Martin Community Wellness Center, Call 208-883-6030. Grief Support Group 510 W. Palouse River Drive, Moscow, FREE CNA Program First and fourth Tuesday of each month, Reduce your risk of falling by increas- Are you interested in a career that noon to 1 p.m. ing your muscle strength and bal- o ers rewarding work in a high- United Church of Moscow, FREE ance. Part of a statewide e ort led by demand industry? If so, consider For information, call 208-882-3197. the Idaho Department of Health and training to become a certi ed nurse Motherhood Connections Welfare and our local North Central assistant (CNA). Gritman Medical Every Wednesday, noon to 1:30 p.m., FREE District Health Department. Call 208- Center o ers a two-month program Are you a new mother? You and 883-9605 for times. that provides comprehensive training, your baby are invited to join us for Osteoporosis Exercise Group giving you the con dence and skills an ongoing class on infant care and Tuesdays and Thursdays, 9:30 to 11 a.m. needed to work in a healthcare facility. development. Call Teresa Vazquez at Gritman Cardiac Rehab Center $6.50 per session Cost: $1,200. Scholarships available. 208-883-6399 for more information. One of the best ways to strengthen Info: [email protected]. Drop-ins welcome. Diabetes Wellness Classes Moscow Allies for Autism Group your bones and prevent osteoporosis First Tuesday of each month, 4 to 5 p.m. First Friday of each month, 4 to 5:30 p.m. is by getting regular exercise. Even Gritman Conference Center, FREE White Pine Room, FREE if you already have osteoporosis, Diabetes a ects 80,000 adults in Moscow Allies for Autism Group exercising can help maintain the Idaho. Learn how to live with dia- (MAAG) is an advocacy-centered bone mass you have. Join our ongo- betes by attending this free class. and community-based group focused ing exercise group and improve your Speakers include local physicians, on autism and the families, allies and bone strength. A physician referral is nurses, dietitians and others. Spon- friends who are a ected by it. Info: required. Info: 208-883-6088. sored by Gritman Medical Center 208-874-7430.

Visit our website: www.gritman.org. w 7 GRITMAN MEDICAL CENTER Nonprofi t Org. 700 S. Main St. U.S. Postage Connections Moscow, ID 83843 PAID Gritman CONNECTIONS is published as a commu nity service for Medical Center the friends and patrons of GRITMAN MEDICAL CENTER, 700 S. Main St., Moscow, ID 83843, telephone 208-883-6008, website www.gritman.org. Kara Besst, Kane Francetich, President and CEO Chief Information Offi cer Preston Becker, Dennis Cockrell, Chief Financial Offi cer Human Resources Director Sheryl Washburn, Marty Johncox, Chief Nursing Offi cer Community Relations Connie Osborn, Director Chief Quality Offi cer Information in CONNECTIONS comes from a wide range of medical experts. If you have any concerns or questions about specifi c content that may affect your health, please contact your healthcare provider. Models may be used in photos and illustrations. Copyright © 2014 Coffey Communications LHN30773 Did you know? Gritman Medical Center is a not-for-pro t 501(c)(3) hospital.

Other area physicians work closely w Isaac Grindeland, MD, a patholo- with Gritman Medical Center and gist, joined the Gritman sta in May. Welcome, provide services to our patients as He works at InCyte Diagnostics. needed. Dr. Grindeland earned his medical w Ronald Baldwin, MD, joined degree from the University of North new Moscow Family Medicine as a physi- Dakota School of Medicine and cian certi ed by the American Board Health in 2004 and is certi ed by the of Family Practice. He specializes American Board of Pathology. doctors! in dermatologic procedures, mental w Patricia Marciano, MD, is a health issues, behavioral health and board-certi ed family practice phy- GRITMAN Medical Center evaluation of abnormal Pap smears sician who joined Moscow Family is pleased to welcome the following (colposcopy). Baldwin received his Medicine a er moving from Indiana. physicians to the Palouse. Gritman medical degree from Indiana Uni- She has special interest in derma- employs four hospitalists who are all versity School of Medicine in 1994. tological procedures and IUDs. Dr. trained in general internal medi- w Deborah Collins, MD, is certi ed Marciano, who is  uent in Spanish, cine: Dr. Paul Ammatelli, Dr. Janice by the American Board of Fam- graduated from the Indiana Univer- Boughton, Dr. Kama White, and the ily Medicine and works at Moscow sity School of Medicine in 2001. recently hired Dr. Guillermo Modad. Medical. Dr. Collins has years of w Guillermo Modad, MD, is a experience in caring for adolescents hospitalist employed by Gritman, and young adults, as well as those with training in , with multiple complex or age-related emergency medicine and . medical issues. She received her He focuses on caring for patients medical degree from Duke Univer- while they are admitted to Gritman. sity School of Medicine in 2007. He earned his medical degree from w Timothy Goodrich, DO, joins the Loma Linda University School of Gritman Medical Center as a board- Medicine in 2010. certi ed ear, nose and throat spe- w Shawn Richards, MD, came to cialist with Palouse Specialties in ClearView Eye Clinic a er receiv- January 2015. Dr. Goodrich received ing a medical degree from St. Louis his medical degree from University School of Medicine in College of Osteopathic Medicine in 2007. He is certi ed by the Ameri- 2003. can Board of Ophthalmology and has a keen interest in corneal dis- ease, laser-assisted cataract , LASIK, dry eye management and comprehensive eye care.

To see a complete list of Gritman physicians, visit www.gritman.org and go to the Physician Directory.