healthier communities through collaborationcommunity Report 2014

T his last year allowed each of us to look back on a year of true collaboration in creating healthier communities, together—an important principle of Inland Northwest Health Services (INHS) and Providence Health Care, the sole member of the INHS Board of Directors. INHS had another successful year thanks to many whom entrust us with providing quality care and services. We have seen first-hand the impact INHS is having on communities locally and nationally. The opportunities for continued success for INHS and its service lines are exciting.

2014 was a year for growth—growth built on the foundation of collaboration:

• Engage, the technology division of INHS, led the national stage for how hospitals enter into a new era of electronic health records.

• St. Luke’s Rehabilitation Institute, the region’s only Level I Trauma Rehabilitation hospital for adult and pediatrics, increased access with additional outpatient locations and took therapy staffing expertise to rural hospitals.

• Northwest MedStar opened two new bases ensuring critical care transport to patients in need.

It’s because of the more than 1,000 INHS employees that we continue to build on a collaborative health care solution that focuses on a triple aim of lowering health care costs, improving access and patient care experience and delivering quality care.

We would like to thank our patients, customers, community and business partners, and health care providers. It is because of these collaborations that we are able to create healthier communities, together.

Thank you,

Elaine Couture, CEO Ron Wells, INHS Board Chair Inland Northwest Health Services Wells and Company

message from inhs leadership

INHS Board of Directors

RON WELLS, BOARD CHAIR Wells and Company

GARY LIVINGSTON, PHD, VICE CHAIR Community Representative

JEFFREY COLLINS, MD Providence Health Care

TODD HOFHEINS Providence Health & Services

AARON MARTIN Providence Health & Services

MIKE REILLY Community Representative

St. Luke’s Community Advisory Board

ALLEN BATTLE, BOARD CHAIR LaunchPad Inland Northwest, LLC

NIK ARMITAGE Layman Law Firm

TYRONE BARBERY Edward Jones

JOHN BUMGARNER Washington Trust Bank

CINDY CORBETT, PHD WSU Spokane

SUSAN GRAY Northside Physical Therapy

TAMMY KROETCH Reliant RX

MARY LANGFORD Retired teacher

GEORGE RICE, MD Retired physician

TRACY VAN ORDEN Avista Corporation

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3

A t 10 years old, little Jocelyn Carr is notorious for having a huge heart for people, being outdoors, participating in sports and playing with her younger sisters. When diagnosed with Guillain-Barré syndrome, Jocelyn was left paralyzed from the neck down, turning the lives of the Carr family upside down.

Needing additional care for the rare disease, Jocelyn was flown by critical care transport from her small community in Montana to Providence Sacred Heart Medical Center & Children’s Hospital. Her care team knew when Jocelyn was ready to continue her recovery at St. Luke’s Rehabilitation Institute.

St. Luke’s, designated as a Level I Trauma Rehabilitation hospital for adults and pediatrics, has

the ability to assist patients with even the most critical rehabilitative care needs. For Jocelyn this was the best place for her to overcome a multitude of hurdles.

A collaborative, customized rehabilitation plan provided speech, physical, occupational and recreational therapies to help her recovery process. “They make it somehow fun, like it’s therapy but it doesn’t seem like it,” Jocelyn says.

“Having Jocelyn be paralyzed from the neck down and watching her walk all over again, it’s just like having a brand new kiddo walk for the first time,” says Koliss Carr, Jocelyn’s mother. “I don’t think there is anything that I could say or do to show my gratitude.”

st. luke’s rehabilitation institute

2014 HIGHLIGHTS25,874 inpatient rehabilitation days and 74,227 outpatient therapy sessions were provided to community members throughout the Northwest.

St. Luke’s expanded outpatient occupational rehabilitation to two Providence Health Care Occupational Medicine locations bringing the total outpatient therapy clinics to 10.

Expanding access to therapy in neighboring communities, St. Luke’s team members can now be found at hospitals in four towns.

St. Luke’s was selected as a "Top 10 Hospital of Choice" by the American Alliance of Healthcare Providers (AAHP) for meeting the needs of patients, their families and the community.

The second phase of St. Luke’s Community was completed with the Community Park—a terrain park, adaptive play set, hand-cycle track and adaptive garden area, supported by the Mike Utley Foundation, Children’s Miracle Network Hospitals, KXLY Extreme Team and many generous donors.

st-lukes.org

Jessica Grubaugh, Physical Therapy Student, Jocelyn Carr, St. Luke’s Patient, & Sarah Gross, Physical Therapist

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engage

Added 38 hospital customers bringing the total number of supported customers to more than 100.

85% of Engage hospital customers are at level 6 and 7 for Health Care Information and Management Systems Society (HIMSS) EMR Adoption Model compared to only 21.5% of all hospitals in the nation.

Became one of only eight vendors in the country to be certified by MEDITECH in 6.1 READY Hospital Information System (HIS) Implementation Pathway Methodology.

Nine Engage hospital customers successfully attested for Meaningful Use Stage 2, among the first in the country.

Provided exceptional customer support as gauged by more than 10,000 customer satisfaction surveys with an average satisfaction score of 4.94 out of 5.

P art of an elite group of critical access hospitals achieving federal health information technology standards, Whitman Hospital and Medical Center is leading the nation with a strategic commitment to health information technological advancements with the help of Engage (formerly Information Resource Management).

While the rural hospital located in Colfax, Wash. goes live with the next generation MEDITECH 6.1 health information system, the celebration continues with their recent attestation to Meaningful Use (MU) Stage 2, an electronic health record (EHR) incentive program by the Centers for Medicare & Medicaid Services to improve patient care, ease workflow and enhance decision-making processes with reliable analytics. Whitman Hospital Chief Financial Officer Jim Heilsberg attributes this technological advancement to their 20-year partnership with Engage.

“Partnering with Engage has permitted us to use our small resources to create a robust EHR system, achieve Meaningful Use, and win national awards like Health Care’s Most Wired,” Jim says.

Whitman Hospital plays a vital role in providing high-quality care to the surrounding community by providing clinicians, staff and patients the tools needed for safe and coordinated care. “Achieving MU and now implementing 6.1 shows the epitome of what it means to take on the next generation of medical technology,” Jim says. “We’ve worked with Engage and MEDITECH to create an environment that allows us to automate processes, find solutions within different areas of our workflow and deliver quality patient care.”

2014 HIGHLIGHTS

thinkEngage.com

Marc Johnston, Engage Director, & Jim Heilsberg, Whitman Hospital and Medical Center CFO

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northwest medstar

I t was a Friday night game at Lakeside High School in Nine Mile Falls, Wash. where student and football player Max Mielke’s accident occurred. After helmet-to-helmet contact, Max was unconscious and needed to be flown to the nearest hospital.“They were really shaken up,” Max says about his parents and sister. “Mom talks about how scared she was for my life. She was less scared knowing that Medstar was there. My whole family was comforted after knowing that MedStar was flying me and could get me there a lot faster.”

The Mielke family knew their son would be in good hands with the Northwest MedStar critical care flight team and today, they are thankful for the health care community that saved their son.

And the membership their family had purchased, saved the Mielkes thousands in out-of-pocket expenses, which eased the financial worry.

“I would definitely recommend getting the MedStar membership because you never know,” Max says about keeping the membership active while he attends college. “I didn’t think I was going to need it. I never had any injuries and one Friday night it just hit me.”

“I want to thank MedStar for saving my life.”

nwmedstar.org

2014 HIGHLIGHTSBringing ICU-level care to people in need, NW MedStar transported more than 5,500 adult and pediatric patients.

As the preferred provider of critical care transport for Providence St. Patrick Hospital and Community Medical Center located in Missoula, NW MedStar took to the Montana skies from its base at the Missoula International Airport.

With the addition of the Brewster, Wash. location, NW MedStar now operates six, 24x7 bases in the Northwest.

Two new helicopters and one critical care ground ambulance were welcomed to the fleet of 21 transportation units.

NW MedStar Membership Program protected 40,133 households from potential critical care transport costs not always covered by insurance.

Max Mielke, NW MedStar Patient and Member

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2014 HIGHLIGHTSOne of three organizations in the state awarded a two-year contract from L&I to implement a new surgical claim coordination pilot to improve patient outcomes through more timely access to surgical care.

More than 20,000 claims initiated by COHE providers and 7,412 injured workers assisted by COHE health service coordinators.

Nearly 1,300 providers at over 400 clinics and 34 hospital emergency departments participate in COHE.

Approximately $35 million is saved annually in medical and disability costs for employers and employees due to COHE Community of Eastern Washington.

A fter a workplace injury occurs, farmers and ranchers—not unlike other employers throughout eastern Washington—want to know how to get treatment for their employees and have them safely return to work. Agriculture is labor-intensive work that is needed to support the region’s multitude of crops and livestock.

And for the more than 1,000 Washington State Farm Bureau (WSFB) members east of the Cascade Mountains, “Our friends at COHE Community of Eastern Washington offer an outreach approach to ensure everyone understands how the process works to streamline disability procedures after the injury occurs,” says Jeff Lutz, safety director for WSFB.

A collaboration between health care providers, Washington State Department of Labor & Industries (L&I), organized labor and employers, each is focused on helping injured employees return to work safely and efficiently.

“We are all for working with COHE to make the community a better place through healthier and safer workplaces,” Jeff says. “Through dual presentations during Agriculture Safety Days in English and Spanish, we work together to encourage safe return-to-work practices and how COHE’s health services coordinators work to help get employees back to work, saving time and money.”

gocohe.comCOHE community of eastern washington

Jeff Lutz, WSFB Safety Director, & Mariana Marquez-Sital, COHE Health Services Coordinator

Center of Occupational Health & Education

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3,237 of the next generation of health care providers and first responders graduated through INHS Health Training.

Students enrolled in the EMT and Paramedic program that decide to take the National Registry of Emergency Medical Technician (NREMT) test have a first-time pass rate of 89% for EMTs and 100% for paramedics compared to a national average of 70-73%.

Received a Vocational Education License from Washington State Workforce Training and Education Board allowing health care students to receive loans to fund enrollment.

Health Training’s American Heart Association (AHA) Community Training Center trained 203 new instructors, bringing the total to 1,871.

2014 HIGHLIGHTS

A merican Medical Response (AMR), a national ambulance service provider, is a local collaborator with INHS Health Training in preparing students to enter the health care profession. AMR supplies highly-skilled preceptors to provide field internships for students enrolled in Health Training’s rigorous Paramedic Program. Each student is required to shadow their preceptor for 306 hours prior to graduation. With that classroom education and hands-on training, students that elect to take the National Registry Test (NREMT-P) have a 100 percent pass rate, demonstrating the caliber of the INHS program.

Additionally, “ride-alongs” are vital aspects for future EMT and Advanced EMT training. Students are paired with professionals already at work in the field of medicine to ensure proper preparation is given to the next generation of health care providers.

“As a student, you need to get 135 patient contacts to graduate including cardiac, trauma and stroke,” says Kayla Franck, a graduate of the INHS Health Training Paramedic Program and AMR employee. “With AMR and Health Training in partnership, we’re able to get those patient experiences we need to be successful in the future.”

In return, Spokane’s AMR receives access to Health Training’s American Heart Association (AHA) Community Training Center, the 6th largest in the nation. “This train-the-trainer program allows our instructors to remain current on their credentials through refresher courses and host classes at the training center like Basic Life Support classes or Pediatric Advanced Life Support,” Kayla says.

healthtraining.inhs.orghealth training

Kayla Franck, AMR Paramedic, & Doug Presta, Health Training Educator

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2014 HIGHLIGHTSSupported 44 network sites connecting customers throughout the region.

Hosted 2,555 video conference events, providing a platform for administrative, educational and clinical collaboration throughout the region.

Hosted 354 tumor boards and case conferences, providing 363 continuing medical education contact hours to providers from 20 regional cancer care facilities.

Connected patients to specialty providers for increased access to health care in a convenient and cost-effective way. Last year, this service provided 98 telemedicine consults.

Facilitated the technological delivery of EMS Live@Nite, providing 402 hours of educational programming to first responders from communities across a multi-state region.

northwest telehealth

F or 11 years, EMS Live@Nite has been the lifeline for connecting health care professionals throughout rural and frontier communities in Washington, Oregon, Idaho, Montana and Alaska. At no cost, EMS personnel, hospital staff, law enforcement, public health officials and community volunteers receive education on topics to help better serve their communities. This interactive, live videoconference program is one of the largest in the country, delivered by Northwest TeleHealth, in partnership with INHS Health Training, Northwest MedStar and other regional networks.

For many of the volunteers and health care professionals who attend EMS Live@Nite sessions, this is the sole source of interactive continuing education available. Through the network of technology, geographical barriers and financial restraints are diminished. “One of the main

barriers to continuing education is the distance,” says Kas Healy, a nurse practitioner in McGrath, who was instrumental in bringing the program to rural locations like hers in Alaska. “We don’t have a lot of centers and big hospitals are few and far between.”

Covering topics like pediatric trauma, wilderness rescue and pharmacology for EMTs, EMS Live@Nite offers a wide range of information available to more than 150 locations, serving 200-300 attendees.

“We have to have so many extra hours of training… it allows us to have different avenues to meet training requirements,” says Toni Halloran, Deputy Chief of EMS for Newman Lake Fire and Rescue. “Agencies that aren’t using it are missing out. There are a lot of good things offered through that program.”

inhs.info/Northwest-TeleHealth

Michael Jacobsen, NW TeleHealth Analyst

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2014 HIGHLIGHTSCollaborated in a 85210 community-wide kickoff event representing business, health care, childcare facilities, community organizations and schools to promote healthier lifestyles and obesity prevention.

Diabetes self-management education and nutrition education was provided to several organizations. Funded through a grant, this free workshop brought certified diabetes educators on location, with physicians, to see patients with a goal to increase healthy outcomes.

The Community Transformation Grant, Start Healthy. Start Now. trained 157 childcare centers in healthier cooking techniques and healthy lifestyle changes to reduce childhood obesity. The grant received an "Innovation in Rural Health" award from the Kate B. Reynolds Trust—a national award that looks to replicate successful programs.

More than 2,200 employees were provided health screenings at businesses throughout the region, 3,900 community members gained vital wellness information, and 2,500 people attended diabetes education classes.

T he mission of Inland Northwest Blood Center (INBC) is to save lives by providing blood and supportive services to area residents in need. INHS Community Wellness ensures the INBC team is healthy and ready to continue providing vital services to communities. Since 2011, Community Wellness provides health screenings to more than 135 INBC employees each year throughout the region. Screenings help identify areas of improvement, and today INBC touts employees’ successful weight loss of 1,000 pounds, collectively, in a two-year span.

Biometric screenings are an important component of any worksite wellness program and preventive health care in general. Often times, potentially serious health problems like high blood pressure and cholesterol do not have any symptoms, and without regular screenings those potentially deadly health problems may go unnoticed. Screenings help individuals identify their

health risks so that they may work to reduce them.

“From an employer standpoint, aggregate health risk data provides us with the information needed to tailor a wellness program to best fit the needs of our employee population,” says Kathy Sewell, director of Human Resources at INBC. Community Wellness offers these services to employers like INBC along with a wide array of corporate wellness initiatives customizable to any organization.

“Each year, we have at least one employee who discovers a health indicator that they normally wouldn’t have identified without participating in a health screening,” Kathy says. “The greatest benefit has been allowing our employees the opportunity to find out and get it checked out.”

wellness.inhs.orgcommunity wellness

Kathy Sewell, INBC Human Resources Director, & Brittany Hadley, Project Coordinator

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$92,896,494

$1,148,920

inhs by the numbers inhs.info/communityreport2014

2014 total adjustments to revenue

2014 giving back

Medicaid41%

Inability to pay and charity care9%

Other18%

Medicare32%

Children’s Miracle Network Hospitals and the INHS Foundation together contributed funds for specialized equipment, research, education, outreach and other innovations to improve patient care and outcomes for the people we serve.

employee growth

1,082

2010

1,062

2011

1,028

2012

1,069

2013 2014

1,101

2014 total gross revenue

2010

2011

2012

2013

2014

$167,751,981 MILLION

$184,652,966 MILLION

$189,289,011 MILLION

$200,044,633 MILLION

$227,249,657 MILLION

INHS Foundation$381,772

Children's Miracle Network Hospitals$767,148

INHS had a combined annual impact to the region of $83.7 million in payroll and benefits.

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inhs services inhs.info

COHE Community of Eastern WashingtonA collaborative program of Labor & Industries, COHE Community of Eastern Washington is focused on the goals of improving injured worker outcomes and preventing disability. Our COHE coordinates with health care providers, employers and injured workers in a cooperative effort to get people back to health and back to work.

Community WellnessProvides health education, prevention, screenings, interventions and wellness assessments including tobacco cessation, obesity prevention, weight management, health coaching and diabetes in the community. Community Wellness also works with businesses, providing comprehensive corporate health and wellness programs for employees.

EngageEngage represents a progression in health care IT that originated from within the environments of ten competitive hospitals. Providing a complete solution to IT consulting, implementation and management, Engage is driven by a passion for embracing the toughest challenges and understands that better IT ultimately translates to better patient care.

Health TrainingBrings the latest health care information to regional and national health care providers and EMS agencies. Meeting industry standards and certifications, Health Training’s nationally-recognized classes are for health care providers at every level - from first time providers to instructor-level professionals through in-person and online classes.

Northwest MedStarThe premier critical care transport service dedicated to safe, compassionate care and transport of thousands of critically ill or injured people throughout the northwest. Northwest MedStar provides helicopter, fixed-wing and ground-based transports with the highest level of advanced care from six base locations.

Northwest TeleHealthA robust video-conference network providing live, confidential interaction between health care organizations in support of patients in rural settings. Northwest TeleHealth benefits rural communities by providing access to urban medical resources such as patient consults with specialty providers, health education, medical training, business administration and other health care related activities.

St. Luke’s Rehabilitation InstituteThe region’s largest free-standing and only Level I Trauma Rehabilitation hospital for adults and pediatrics, St. Luke’s provides medical services for people seeking rehabilitative care. Thousands of patients choose St. Luke’s for inpatient rehabilitation services at the main campus and outpatient therapy services at 10 locations throughout Spokane.

inland northwest health services601 W. 1st Ave. Spokane, Washington 99201 509-232-8100 inhs.info

missionWe provide unique, effective, affordable services using collaborative and innovative approaches for the benefit of the entire health care continuum.

visionINHS will be a recognized national leader in innovative and collaborative health care solutions.

Inland Northwest Health Services (INHS) is a non-profit corporation in Spokane, Washington providing collaboration in health care services on behalf of

the community and its member organization Providence Health Care.

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