2 017 Annual Summary Hospice Is ... Hospice care is quality, compassionate care Who is on the Nathan Adelson Hospice for people facing a life-limiting illness or injury. care team? A team-oriented approach is tailored to the patient’s needs and wishes, delivering medical • Board Certified Physicians care, pain management, emotional and spiritual support, as well as addressing family needs. • Advanced Nurse Practitioners • Registered Nurses Nathan Adelson Hospice • Licensed Practical Nurses For four decades, Nathan Adelson Hospice has been the hospice of choice in Southern Nevada. • Social Workers We are considered an industry leader and are • Certified Nursing Assistants proud to be a best practices model for other • Spiritual Care Team hospices throughout the nation. • Complementary Therapists Nathan Adelson Hospice is Southern Nevada’s • Trained Volunteers oldest, largest and only nonprofit hospice. Consistent with our mission, we never turn • Hospice Medical Transport anyone away because of an inability to pay. We are proud to provide over half a million dollars in unreimbursed care each year. Our Work Vision Statement No one should end the journey of life alone, afraid or in pain. Mission Statement Nathan Adelson Hospice is the hospice of choice, employer of preference, training center of excellence and the community’s trusted partner for comprehensive end-of-life care. Community Care Hospice care to the uninsured and underinsured, as well as the unreimbursed services and programs that set Nathan Adelson Hospice apart: $1,700,000 Quality of Care • New patient admissions — 3,989 • Total patients receiving hospice care — 4,196 From the CEO An Unwavering Commitment to Excellence The 2017 Annual Summary details the accomplishments of our organization. Each measure of success achieved by Nathan Adelson Hospice can be attributed to the dedication of our Board of Trustees, employees and volunteers. I want to recognize our Senior Leadership team, which never fails to show outstanding dedication to our mission and those in our care. Our employees and volunteers make a significant impact in the lives of our patients and families each day. This is a team which leads by example. I especially want to recognize those providing care at the bedside and their unwavering commitment to excellence. We could not reflect on 2017 without mentioning the challenges this past year brought to our community. I am incredibly proud that the Nathan Adelson Hospice team was a leader in helping people begin the healing process. For us, the term Vegas Strong was a call to action; it was our privilege to be of service. This is a team which It remains an honor to lead this organization.. leads by example.” Carole A. Fisher President and Chief Executive Officer Board of Trustees Irwin Molasky Carole A. Fisher, MLAS NAH Founder Nathan Adelson Hospice The Molasky Group of Companies Ex-Officio President & CEO Dennis Kennedy NAH Board Chairman Clevis Parker, M.D. Bailey Kennedy Nathan Adelson Hospice Ex-Officio Alan Duncan Chief Medical Officer NAH Foundation Chairman and Finance Committee Chairman Emeritus Michael Rumbolz Center for Compassionate Care Board Chairman Al Benedict (1923 - 2014) Everi Holdings, Inc. Bob Barengo Chris Haase Burnett Haase Michael G. Fauci Shauna Hughes Priscilla Schwartz Lynch Hopper Jeanne Jones Senior Leadership Alpha Services Carole A. Fisher, MLAS Edwin Kingsley, M.D. President and CEO Comprehensive Cancer Centers of Nevada Karen Rubel Ellis Landau Chief Operating Officer Michael Luce Jon Wood The Walters Group Chief Financial Officer Scott MacTaggart Clevis Parker, M.D. Lewis Roca Rothgerber Christie Chief Medical Officer Steve Peterson Kara Westerfield Chief Compliance Officer Reed Radosevich Northern Trust Rosamari McNulty, SPHR Vice President Employee and Frank Schreck Volunteer Solutions Brownstein Hyatt Farber Schreck, P.C. Diane Fearon Lou Silvestri Vice President Philanthropy and Strategic Partnerships Don Snyder Rich Worthington The Molasky Group of Companies Elaine Wynn Palliative Care Program (EWPCP) THE ELAINE WYNN PALLIATIVE CARE PROGRAM GOALS IMPROVE the quality of life of patients and their families facing the problems associated with advanced illness. MAINTAIN the patient in a community-based setting and prevent unnecessary treatments and hospitalizations. PROVIDE an interdisciplinary approach to care coordination including physical, emotional, spiritual and social service needs. Palliative care is specialized medical care for people with advanced and serious illness. It is focused on providing patients with relief from the symptoms, pain and stress of a serious illness, whatever the diagnosis. The goal is to improve quality of life for both the patients and their families. A team of doctors, nurses and other specialists work with patient care providers to deliver an extra layer of support. Palliative care is appropriate at any age and at any stage in a serious illness, and can be provided together with curative treatment. In 2017 6,648 palliative consultations were provided in hospitals. 167 patients received palliative care at home. Elaine Wynn Palliative Care Program (EWPCP) How EWPCP Impacts Lives Mary* is a 78 year old woman, diagnosed with multiple sclerosis. She was referred to the Elaine Wynn Palliative Care Program for support with the progression of her illness and finding medical resources to enhance her quality of life. Mary had a hard time finding a doctor near her home and was unable to drive EWPCP found a medical equipment herself to these appointments. The company that donated these medical palliative care team located a medical items to her. provider near her home, as well as transportation to and from With the assistance of the EWPCP team, her appointments. Mary has been able to stay in her home, maintain her independence, learn about Mary has limited income, making it the changes her illness will bring and difficult for her to make co-payments for discuss adding resources to enhance her a hospital bed, wheelchair, and oxygen quality of life. concentrator. The social worker with the *Patient name changed for privacy Education Nathan Adelson Hospice prides itself on being a training center of excellence. We are home to Nevada’s ONLY osteopathic fellowship, one of only eleven in the country. This year’s graduate is Karleen Adams, D.O. Osteopathic Fellowship in Hospice and Palliative Care Medicine Program In addition, we provide internal and community- based educational opportunities such as: 2017 Graduate Dr. Karleen Adams 54 Educational workshops/training INTERNAL for staff and volunteers WORKSHOPS 278 Health fairs, community workshops and OUTREACH healthcare provider education EVENTS Rotations and practicums for nursing, 203 medical and social work students STUDENTS 12 Rotations for medical residents RESIDENTS Bonnie Schreck Memorial Education Complementary Therapies The 5,459 complementary therapies offered to Nathan Adelson Hospice patients and families in 2017 included: 1,692 Aromatherapy Essential oils are distilled from selected plant materials and influence the body in many ways, offering therapeutic value for muscle aches and pains, anxiety, nausea and respiratory difficulties 1,506 Massage Therapy Massage is a therapeutic art that relieves stress, headaches, backaches, fatigue and restlessness. Specific techniques are used to meet the medical needs of each patient 927 Reiki Reiki is a form of energy work that complements traditional healthcare and seeks to restore harmony to the body’s natural rhythms. The warmth generated by the practitioner’s energy is transferred to the patient and helps him to relax, often lessening discomfort 488 Pet Therapy Certified therapy dogs and cats bring great joy to patients. Spending time with a loving animal can reduce depression, lower blood pressure and bring comfort for patients, family and staff Reflexology 97 A series of specific techniques applied to the feet are used to improve circulation to organs and glands, and relieve discomfort of acute symptoms Art Therapy 24 Art Therapists work with patients and family members to explore unresolved emotional issues Bonnie Schreck passed away in February 1999 and her husband, Frank, established the program to keep her memory alive. Many complementary therapies reduce stress, anxiety and depression. Our staff is comprised of certified therapists and licensed practitioners who offer caring emotional support and attention to the mind, body and spirit. Volunteer Services Over the last year, we’ve seen a 5.6% increase in volunteer hours. Meal Delivery Program 10,370 meals delivered 598 deliveries Legacy Reflection Program 20 conversations recorded Pet Peace of Mind Program Assisted 36 families Patient Advocate Program 8,617 calls to patients and family members to ensure needs are being met 333 ACTIVE VOLUNTEERS DOLLAR VALUE OF VOLUNTEER HOURS 8,767 INDIRECT PATIENT CARE HOURS $612,469 20,608 DIRECT PATIENT CARE HOURS 29,375 TOTAL VOLUNTEER HOURS 8 Communities In Schools Annual Report 2016 CommunitiesInSchools.org Employee Community Contributions Raised $190 for National Denim Day Raised $2,920 for the United Way Campaign Professional attire for women in need donated during the United Way Women’s Leadership Council Fall Suit Drive Education Angel Drive helped 33 families Holiday Angel Tree Drive supported 93 individuals NAH employees participated in the St. Rose Regatta Dragon Boat Festival - Nathan’s Nauticals received the 2017 Community Fundraising Award Hurricane Harvey Relief Fund—sent a total of $2,870