central washington hospital north central washington’s regional medical center

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Central Washington Hospital North Central Washington’s Regional Medical Center

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Page 1: Central Washington Hospital North Central Washington’s Regional Medical Center

Central Washington Hospital

North Central Washington’sRegional Medical Center

Page 2: Central Washington Hospital North Central Washington’s Regional Medical Center

Wenatchee Valley Medical Center

WVMC is a large, multispecialty group practice with over 200 physicians.

Page 3: Central Washington Hospital North Central Washington’s Regional Medical Center

North Central Washington

Regional Service Area

Page 4: Central Washington Hospital North Central Washington’s Regional Medical Center

Cashmere5%

City of Wenatchee34%

E. Wenatchee21%

Leavenworth3%

Moses Lake/Ephrata7%

Other NCW24%

Outside NCW4%

Quincy4%

Patients by Cities

CashmereCity of WenatcheeE. WenatcheeLeavenworthMoses Lake/EphrataOther NCWOutside NCWQuincy

Page 5: Central Washington Hospital North Central Washington’s Regional Medical Center

Population: North Central Washington2010 U.S. Census Data

2010Overall Population

2010Hispanic 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

Page 6: Central Washington Hospital North Central Washington’s Regional Medical Center

Interpretive Services

Afrikaans

Akateko

Arabic

Cantonese

Chaozhou (Teochew)

Falam

German

Gujarati

Iraqi Arabic

Mandarin

Russian

Sign Language

Somali

Spanish

Support

Tagalog

Ukrainian

Vietnamese

0.00% 20.00% 40.00% 60.00% 80.00% 100.00% 120.00%

0.01%

0.01%

0.05%

0.02%

0.01%

0.01%

0.01%

0.02%

0.01%

0.01%

1.61%

0.58%

0.34%

96.10%

0.47%

0.01%

0.01%

0.71%

Total

Total

Page 7: Central Washington Hospital North Central Washington’s Regional Medical 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

Page 8: Central Washington Hospital North Central Washington’s Regional Medical Center

Statistics

• 1450 + Employees Over 400 Bedside RNs

• ~ 26,000 ER visits

• ~ 1300 Births

• 3.56 Acute inpatient length of stay

• ~ 7,000 Surgical Cases

• 1,042Active/Active Provisional/Referring Medical Staff

* 2012 Annualized

Page 9: Central Washington Hospital North Central Washington’s Regional Medical Center

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

Page 10: Central Washington Hospital North Central Washington’s Regional Medical Center

Level I Cardiac Center Statistics2011 Statistics

• Acute MI (Heart Attacks) – 243

• 65% male• 8% transferred from

another facility• Average door to wire

time – 58 minutes

Page 11: Central Washington Hospital North Central Washington’s Regional 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

• tPA Administration – 6• Average door to needle

time = 45 minutes

Page 12: Central Washington Hospital North Central Washington’s Regional Medical Center

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

Page 13: Central Washington Hospital North Central Washington’s Regional Medical Center

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

Page 14: Central Washington Hospital North Central Washington’s Regional Medical Center

Electronic Medical Records

• Went-live April 1, 2010

• All Patient Care Areas except the Perioperative Area

• Computerized Physician Order Entry

• New Patient Account System

• Went-live June, 2011

• Ambulatory EMR

• Practice Management

• My Chart

Page 15: Central Washington Hospital North Central Washington’s Regional Medical Center

New Patient Tower

• Move in date: May 1, 2011

• Evidence-based design

• Five-stories plus ground floor

Page 16: Central Washington Hospital North Central Washington’s Regional Medical Center

Awards & Recognition

Page 17: Central Washington Hospital North Central Washington’s Regional Medical Center

Questions?