Central Washington Hospital North Central Washingtons Regional Medical

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Central Washington Hospital North Central Washington’s Regional Medical Center

Central Washington Hospital North Central Washington’s Regional Medical Center

Wenatchee Valley Medical Center WVMC is a large, multispecialty group practice with over 200

Wenatchee Valley Medical Center WVMC is a large, multispecialty group practice with over 200 physicians.

North Central Washington Regional Service Area

North Central Washington Regional Service Area

Patients by Cities Outside NCW 4% Quincy 4% Cashmere 5% Other NCW 24% City

Patients by Cities Outside NCW 4% Quincy 4% Cashmere 5% Other NCW 24% City of Wenatchee 34% Moses Lake/Ephrata 7% Leavenworth 3% E. Wenatchee 21% Cashmere City of Wenatchee E. Wenatchee Leavenworth Moses Lake/Ephrata Other NCW Outside NCW Quincy

Population: North Central Washington 2010 U. S. Census Data 2010 Overall Population 2010 Hispanic

Population: North Central Washington 2010 U. S. Census Data 2010 Overall Population 2010 Hispanic Population Chelan 72, 453 18, 713 (25. 8%) Douglas 38, 431 10, 013 (28. 7) Grant 89, 120 34, 163 (17. 6) Okanogan 41, 120 7, 227 (17. 6) NCW 241, 124 71, 116

Interpretive Services Total Vietnamese 0. 71% Ukrainian 0. 01% Tagalog 0. 01% Support 0.

Interpretive Services Total Vietnamese 0. 71% Ukrainian 0. 01% Tagalog 0. 01% Support 0. 47% 96. 10% Spanish Somali 0. 34% Sign Language 0. 58% Russian 1. 61% Mandarin 0. 01% Iraqi Arabic 0. 01% Gujarati 0. 02% German 0. 01% Falam 0. 01% Chaozhou (Teochew) 0. 01% Cantonese 0. 02% Arabic 0. 05% Akateko 0. 01% Afrikaans 0. 01% 0. 00% 10. 00% Total 20. 00% 30. 00% 40. 00% 50. 00% 60. 00% 70. 00% 80. 00% 90. 00% 100. 00% 110. 00%

Major Programs/Services • • Level III Adult & Pediatric Trauma Level I Cardiac Center

Major Programs/Services • • Level III Adult & Pediatric Trauma Level I Cardiac Center Level II Stroke Center Hospitalist Service Orthopedics General Surgery Maternal-Child Care Home Health Care & Hospice

Statistics • 1450 + Employees c Over 400 Bedside RNs • ~ 26, 000

Statistics • 1450 + Employees c Over 400 Bedside RNs • ~ 26, 000 ER visits • ~ 1300 Births • 3. 56 Acute inpatient length of stay • ~ 7, 000 Surgical Cases • 1, 042 Active/Active Provisional/Referring Medical Staff * 2012 Annualized

Level III Trauma Center 2011 Statistics • 415 Patients – 390 Adults – 25

Level III Trauma Center 2011 Statistics • 415 Patients – 390 Adults – 25 Children • Adults Injuries – 45% Minor – 48% Moderate – 7% Severe • Pediatric Injuries – 64% Minor – 32% Moderate – 4% Severe • Patient Disposition – 72% Admitted – 12% Discharged to Home – 15% Transferred – 1% Died

Level I Cardiac Center Statistics 2011 Statistics • Acute MI (Heart Attacks) – 243

Level I Cardiac Center Statistics 2011 Statistics • Acute MI (Heart Attacks) – 243 • 65% male • 8% transferred from another facility • Average door to wire time – 58 minutes

Level II Stroke Center 2011 Statistics • Telestroke Agreement with Swedish Medical Center •

Level II Stroke Center 2011 Statistics • Telestroke Agreement with Swedish Medical Center • Total number of stroke patients – 194 – Non-hemorrhagic – 173 – Hemorrhagic – 21 • t. PA Administration – 6 • Average door to needle time = 45 minutes

Barriers to Discharge • Uninsured or Underinsured – 4% of admission have no payer

Barriers to Discharge • Uninsured or Underinsured – 4% of admission have no payer source – $7 million in charity care YTD – Chelan County has highest rate of uninsured who qualify for Health Insurance Exchange • Homelessness • Bariatric Needs (morbidly obese) • Mental Health Diagnosis • Drug or Alcohol Dependence • Chronic Pain Management • Lack of Community Palliative Care Service

Behavioral Health Patients • Growing Population • No inpatient beds in 125 miles •

Behavioral Health Patients • Growing Population • No inpatient beds in 125 miles • Patients on involuntary hold – YTD 60 patients through October 22, 2012 – Total of 4667 hours • Patients with both behavioral health & developmental disability diagnoses • Geriatric Psych Beds

Electronic Medical Records • Went-live April 1, 2010 • Went-live June, 2011 • All

Electronic Medical Records • Went-live April 1, 2010 • Went-live June, 2011 • All Patient Care Areas except the Perioperative Area • Ambulatory EMR • Computerized Physician Order Entry • My Chart • New Patient Account System • Practice Management

New Patient Tower • Move in date: May 1, 2011 • Evidence-based design •

New Patient Tower • Move in date: May 1, 2011 • Evidence-based design • Five-stories plus ground floor

Awards & Recognition

Awards & Recognition

Questions?

Questions?