Asante Community Benefits Report 2007

our commitment

ourcommunity



community benefits report

ourmission Asanteexiststoprovidequalityhealthcareservicesina compassionatemannervaluedbythecommunitiesweserve

ourvision Asantewillberecognizedformedicalexcellenceforoutstanding customerserviceandasagreatplacetowork

thevaluesinwhichwebelieve WearedefinedbyourValues—theyarethetraitsthatguideuseach dayasweserveourpatientsandourcommunity Excellenceineverythingwedo Respect forall Honestyinallourrelationships Servicetothecommunityphysiciansandeachother Teamworkalways

BystrivingtointegrateourValuesineverythingwedoAsanteremains commiedtoexcellenceintheservicesweprovide

LedbytheCommunity Asante Health System, based in Medford, Oregon, is governed by local volunteers and physicians. A Board of Directors comprised of 13 community members governs Asante and its entities. The Board members give their time to ensure that the people of nine southern Oregon and northern California counties receive high-quality healthcare services provided in a compassionate manner. All decisions are made by people who live and work in our community.

AsanteRegionalServices

High-qualityHealthcareforEveryone As the largest healthcare provider in nine counties, Asante provides comprehensive medical care to more than 550,000 people throughout southern Oregon and northern California. Our facilities include Rogue Valley Medical Center and Hearthstone in Medford, Three Rivers Community Hospital in Grants Pass, Genesis in Central Point, and additional healthcare partnerships throughout our region.

Hearthstone is the only facility in Oregon to be placed on the Eden Alternative registry— a movement toward creating a more stimulating and homelike environment for residents.

RecognizedMedicalExcellenceand CommitmenttoOurCommunity Asante has built a strong reputation for highquality care, and we are committed to investing in highly qualified people, new technology, and modern facilities that promote healing. DuringthePastFiscalYearAsanteHealthSystem • Performed more than 17,954 surgical procedures • Provided immediate care to 56,622 patients in our Emergency Departments • Served 23,286 inpatients in our hospitals • Served 538,346 outpatients • Welcomed 2,286 babies into the world



Hearthstone Asante’sExtendedCareOptionHearthstone is a skilled-nursing center that welcomes residents at any stage of life who can benefit from individualized programs delivered in a supportive environment. An Alzheimer’s unit provides residents safety, independence, and dignity. Hearthstone also offers a transitional care unit for those recovering from surgery or illness.

DOUGLAS N

Grants Pass

CURRY Gold Beach

LAKE

Roseburg

KLAMATH

JACKSON

Lakeview

Medford

JOSEPHINE

Klamath Falls

Ashland

ON OREG ORNIA CALIF

Brookings

Yreka Crescent City

MODOC Alturas

SISKIYOU

DEL NORTE

Weed

Dunsmuir

Genesis ANewBeginningThe caring professionals at Genesis work together to guide clients toward happier, healthier lives. Physicians, nurses, social workers, and licensed counselors help create a safe, supportive, nurturing environment where families and individuals affected by chemical dependency can begin the recovery process.

RVMC

WorkHealthServices KeepingEmployeesSafeandHealthyWork Health Services represents Asante’s commitment to healthier workplaces. We partner with nearly 2,000 employers throughout the region to create programs focused on prevention, treatment, and rehabilitation of work-related injuries and other health issues affecting job performance.



TRCH

roguevalleymedicalcenter OurCommitment·YourHealth InMayRogueValleyMedicalCenterRVMC!willcelebrateits fi"iethyearofservingtheregionWith#licensedbedsRVMC continuestoupholditsnationalreputationforexpertiseincardiology strokecareandothermedicalspecialties HeartandVascularHealth RVMC continually maintains national prominence for its commitment and success in implementing a higher standard of heart and vascular care. RVMC’s heart and vascular program has been nationally recognized and uses the latest diagnostic and treatment technologies. Our heart and vascular team performs a wide range of procedures at RVMC, from angioplasty to catheterization to open heart surgery. Afterward, our Cardiac Rehabilitation program helps patients recover quickly and maintain healthy lifestyles. CancerCare Because early detection is critical to successful cancer treatment, our program begins with advanced diagnostic technology—from a 64-slice CT scanner to advanced digital mammography. After diagnosis, Dubs Cancer Center provides the most current radiation oncology treatments. Our cancer program includes the services of a cancer navigator to help guide a patient’s treatment, a dedicated oncology unit with all private rooms, pediatric oncology, outpatient infusion services, oncology social work, Home Care, and Asante Hospice Services. RVMC also offers access to one of the nation’s most renowned women’s cancer surgeons through our unique partnership with Oregon Health & Science University (OHSU). 

ASSET The Acute ST Segment Elevation Task Force (ASSET) is a quick-response program to immediately route suspected heart attack patients directly to the RVMC Heart Catheterization Laboratory. ASSET has successfully produced some of the lowest published mortality rates in the United States and represents a coordinated effort among five hospitals and seven emergency response systems: • • • • • • • • • • • •

AdditionalRVMCServices BartelsCommunityHealthLibraryOur library of health-related information at the Smullin Health Education Center is open to the public and free of charge. EmergencyDepartmentEDThe ED at RVMC is uniquely equipped for trauma, cardiac, pediatric, orthopedic, obstetric, and psychiatric care.

Ashland Community Hospital Fairchild Medical Center Providence Medford Medical Center Rogue Valley Medical Center Three Rivers Community Hospital American Medical Response in Josephine County Ashland Fire and Rescue Jackson County Fire District 3 Medford Fire Department Mercy Flights Northern Siskiyou Ambulance Rogue River Fire District

FrancisCheneyFamilyPlace The Family Place provides temporary lodging for out-of-town patients and their families while receiving treatment at RVMC. HomeCareWe work in partnership with the patient’s physician to provide skilled-nursing care and therapies in the patient’s home. HospiceAsante Hospice Services provides pain and symptom management for end-of-life care, making it possible for patients to remain at home with their loved ones.

CaringforOurChildren RVMC offers the region’s only Maternal Fetal Medicine Clinic and Neonatal Intensive Care Unit—services rarely found in an area of this size. Designated as the region’s Children’s Miracle Network Hospital, RVMC is dedicated to ensuring the good health of our children.

ImagingServicesThe 31,500-square-foot Integrated Diagnostic Imaging Center is the region’s preeminent provider of modern medical imaging. RehabilitationServicesAt RVMC our integrated approach provides an effective transition from one level of care to the next that includes a comprehensive outpatient unit. And the 2007 completion of the Inpatient Rehabilitation Center has eliminated the need for patients to relocate for therapeutic services.

JointReplacementCenter RVMC has the region’s only dedicated joint replacement center with minimally invasive, computer-assisted navigation technology that shortens hospital stays and speeds recovery. Neurosciences The Joint Commission, which evaluates and accredits healthcare organizations and programs in the United States, awarded Primary Stroke Center certification to RVMC, making it the region’s only hospital to earn the Gold Seal of Approval™ for stroke care. $

threeriverscommunityhospital ExcellentCareClosetoHome With&$licensedbedsThreeRivers CommunityHospitalTRCH!inGrantsPass combinesleading-edgetechnologywithholistic healingprinciplestodelivercompassionate healthcaretopatientsinJosephineCounty ThepatientroomsatTRCHprovideprivacy andpromotetranquilitytonurtureandsupport patientsandtheirfamilies

Hospice Asante Hospice Services provides guidance to the in-home caregivers of patients by offering emotional, social, and physical support. ImagingServices TRCH features the most sophisticated imaging equipment in the area. Three Rivers Women’s Imaging offers mammography, bone-density testing, and Josephine County’s only certified nurse breast health coordinator.

SpearsCancerCenter Adjacent to TRCH is the Helen K. Spears Cancer Center, which partners with the Dubs Cancer Center in Medford to provide innovative and compassionate care. In 2007, TRCH introduced IMRT—an advanced technology that individualizes the size and the intensity of the radiation beam to deliver more-direct radiation. These two leading-edge cancer centers share state-of-the-art technology and services to ensure access to the latest cancer information. BirthCenterFamily-focusedBeginnings Designated “Baby Friendly” by the World Health Organization and UNICEF, the TRCH Birth Center features homelike birthing suites with whirlpool spas and daybeds. The Birth Center provides a truly family-centered experience.

Laboratory TRCH’s lab provides the services of on-site, board-certified pathologists as well as specialized testing in hematology, immunology, and other fields. PhysicalTherapy The Physical Therapy Department offers a wide range of physical therapy services.

AdditionalTRCHServices

EducationalPartnerships TRCH actively pursues educational partnerships that benefit our community. This includes a partnership between the Oregon Institute of Technology and the Imaging Departments of RVMC and TRCH that engages students seeking a degree in a variety of imaging services. TRCH was also the first site chosen by OHSU to launch its Rural Surgery Residency Program, the first of its kind in the United States.

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EmergencyDepartment Providing emergency care, the ED is staffed by specially trained physicians, nurses, and medical technicians. TheFamilyHouse In partnership with the Grants Pass Association of Realtors, TRCH is building a guest residence within walking distance of TRCH for patients receiving care at the hospital and their family members. The Family House is slated to open in spring 2008. HomeHealthServices TRCH therapists, registered nurses, medical social workers, and home health aides work as a team with a patient’s primary care physician to provide home health services. #

Medical/SurgicalTRCH’s operating-room suites are designed to efficiently handle complex surgical procedures, including laser, urological, general/vascular, gynecological/obstetrical, and orthopedics such as arthroscopic surgeries and total joint replacements. SpringVillageCommunityHealthLibrary Our library provides access to the latest in health information via computers with high-speed Internet access, videos, reference books, and other resource materials. Skilled volunteers on staff welcome the opportunity to assist the community with questions and research.

asantecommunitybenefits CommunityBenefits* FiscalYear#

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AdditionalUnreimbursedCosts Every year Asante provides needed services to individuals for which the reimbursement, if any, does not cover the cost. This includes patients whose Medicare benefits are insufficient to cover their actual cost of care as well as those who do not pay (bad debt).

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ChildDevelopmentandSpecialEducationServicesChild Development Services offers preschools throughout Jackson County that specialize in working with children who have special needs. Children with delays or learning disabilities can receive state-funded services, which are free to eligible families.

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Evaluation To ensure that the benefits Asante provides or helps fund are valued and relevant to the community, the Asante Executive Team regularly evaluates the impact of particular programs. In 2007 this assessment took place over a four-month period. To evaluate each program, a number of criteria were reviewed, including duplication of services already offered in the community and whether it meets Asante’s Mission, Vision, and Values. The process also included reviewing any possible impact that changes might have on the community and, when appropriate, coordinating with outside agencies to meet those needs. In 2008 many of Asante’s successful programs will continue, while others will incorporate changes to better meet the community’s needs.

BehavioralHealthServicesRVMC operates the region’s only acute inpatient adult behavioral health unit. The Emergency Department includes private, secure treatment and counseling rooms for behavioral care patients. ChamberLatinoNetwork Through the Chamber Latino Network, Asante provides scholarships for healthcare studies and other support to local Latino/Latina students.

Children’sAdvocacyCenterThis center provides a safe, homelike environment where child victims of physical or sexual abuse can communicate with representatives from Child Protective Services. Children’sDentalClinic Since 1963 RVMC has provided a space for volunteer dentists and hygienists to provide valuable dental services to children in need. CommunityEducationAsante offers regular health education workshops and seminars, which are open to the public at minimal or no charge. EducationalPartnershipsAsante offers internships to students at Rogue Community College, Oregon Health & Science University/Southern Oregon University School of Nursing, Oregon Institute of Technology, and many other schools in Oregon and nationwide. LaClinicadelValleCommunityHealthCenterandSiskiyou CommunityHealthCenterAs a partner with these agencies, Asante supports safety-net clinics that serve the healthcare needs of low-income, working uninsured, and other vulnerable adults and children in the region. Asante also supplies the services of the only high-risk obstetrics physician in our area. ParishNurseProgramA parish nurse coordinator for each county, provided by Asante, helps organize flu-shot and blood pressure clinics, health fairs and screenings, and many health-related activities with local congregations. RetiredSeniorVolunteerProgramRSVPAsante provides space to RSVP, a program that gives seniors the chance to apply their life skills in a variety of areas, creating a bridge between the hospital and the community.

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RuralOutreachinHigh-riskObstetricsOur Maternal Fetal Medicine program has developed a formal arrangement with Sky Lakes Medical Center in Klamath Falls. Brian Sohl, MD, along with an ultrasound machine and technical staff, visit on a monthly basis, bringing much-needed perinatal care. ScreeningsScreenings for the early detection of diabetes, high cholesterol, skin and prostate cancer, and other medical conditions are available to the public throughout the year. SexualAssaultNurseExaminerSANEAsante provides compassionate, knowledgeable medical staff and dedicated hospital rooms to victims of sexual assault. SmullinHealthEducationCenterThis facility on the RVMC campus provides the community with the Bartels Community Health Library, meeting rooms, and a venue for healthcare events. SponsorshipsAsante supports organizations and campaigns that benefit the community, including the nationally renowned Southern Oregon Meth Project. YouthVolunteerProgramTRCH collaborates with local high schools to prepare the next generation of medical/nursing professionals and healthcare leaders.

FinancialAssistanceProgram Asante offers support and guidance to our patients by identifying affordable payment options, prompt-pay discounts, and financial assistance. This allows our patients to concentrate on what is most important: their health. An Asante financial counselor can be reached at (541) 789-7270.

AsanteFoundations

BeyondHealthcare

TRCHScopeofServices

TheSpiritofGiving The RVMC and TRCH Foundations have worked to improve healthcare in southern Oregon and northern California for more than 20 years. Asante is a community-supported organization. To support the work of these exceptional hospitals, to honor someone, or to learn about planned gifts, contact the Foundation in Medford at (541) 789-5025, in Grants Pass at (541) 472-7300, or online at www.asante.org/giving.htm.

VitalRegionalEmployerAsante Health System employs nearly 4,000 people and is the region’s largest year-round employer. Our workforce includes highly trained nurses, therapists, pharmacists, and technicians as well as other staff in a variety of positions—all of whom have benefits not always available with other employers.

Partnerships

RecyclingRevenueBackintoOurCommunity When Asante buys food and local supplies, and when our employees spend their paychecks, these purchases support local businesses and create jobs. The result is economic benefits recycled back into our community, helping the region continue to prosper.

Auxiliary Behavioral Health Holding Rooms Cardiac Critical Care Cardiac Medical (inpatient and observation) Cardiopulmonary Services • Cardiac Rehab (outpatient) • Cardiopulmonary (outpatient and inpatient) • Respiratory Therapy Diabetes Care (inpatient and outpatient) Discharge Planning Emergency Services Endoscopy Lab (inpatient and outpatient) Family Birth Center Health Information Services (medical records) Home Care Imaging Services, including ultrasound, magnetic resonance imaging (MRI), nuclear studies, and computerized tomography (CT) Infusion Services (inpatient and outpatient) Laboratory Services (inpatient and outpatient) Medical (inpatient and observation) Medical and Surgical Intensive Care Nutrition Services Orthopedic Surgery (inpatient and outpatient) Pastoral Care Pediatric Medical and Post Surgical

TheSpiritofCollaboration Collaboration among healthcare providers in our region can yield huge community benefits. Asante has fostered many successful partnerships that improve patient care and stretch precious healthcare resources. • One effective collaboration created the first outpatient cardiac catheterization center—the Cardiovascular Institute of Southern Oregon—which raised the region’s status of heart and vascular care to new heights. • The innovative partnership of RVMC and Oregon Health & Science University (OHSU) brings to the community the services of one of the nation’s most renowned women’s cancer surgeons, Joanna Cain, MD. This partnership provides leading-edge approaches to gynecological cancer treatment, making world-class care available to the women of the Rogue Valley. • TRCH and OHSU teamed up to create a unique approach to training new surgeons. The Rural Surgery Residency Program is the only one of its kind in the United States, filling a vital need for skilled doctors in nonurban areas. Residents participate in up to 400 wide-ranging surgeries during a 12-month rotation, packing two or three year’s worth of experience into one year of training. • Through the use of cutting-edge electronically transmitted echocardiogram technology, the Neonatal Intensive Care Unit and the Pediatric Unit at RVMC partner with pediatric cardiologists at both OHSU and Legacy Emanuel in Portland. RVMC doctors and clinical staff conduct the echocardiogram, which is transmitted in real time to pediatric specialists at OHSU or Legacy Emanuel, who then advise on the best ways to stabilize the patient before he or she is transported to Portland for further treatment.

InvestinginOurPeopleAsante partners with Southern Oregon University and Rogue Community College to provide access to training programs so that our employees can update their skills and acquire new ones. In 2007 Asante and Rogue Community College launched the nation’s first healthcare informatics assistant (IA) training program. The collaborative program was made possible by a $433,000 grant from the Jobs to Careers initiative funded by the Robert Wood Johnson and Hitachi Foundations in collaboration with the U.S. Department of Labor. Asante has offered free college-level instruction to 23 qualified employees. The investment in the IA training totals $1 million, or about $42,000 per student.

RVMCScopeofServices Auxiliary/Gi" Shops Bartels Community Health Library Behavioral Health Care (inpatient) Cardiac Rehabilitation (outpatient) Cardiopulmonary Services (outpatient) Cath Lab and Recovery Diabetes Care (inpatient and outpatient) Discharge Planning Emergency Services Endoscopy Lab (inpatient and outpatient)

Family Birth Center Francis Cheney Family Place and RV Parking General Medicine (inpatient and observation)

GYN Oncology Heart Center (inpatient and outpatient observation unit)

Home Care and Asante Hospice Services Imaging Services, including CT, ultrasound, and nuclear medicine Infusion Services (inpatient and outpatient)

Commission–certified Primary Stroke Center)

Nutrition Services Orthopedics Pastoral Care Pediatric Assessment Center Pediatric Medical/Surgical Care (inpatient and outpatient)

Pediatric Oncology Pharmacy Services Post Anesthesia Care (PACU) Post Surgical (inpatient) Radiation Oncology (inpatient and outpatient)

Rehabilitation/Physical Therapy Services (inpatient and outpatient) Respiratory Services (inpatient and outpatient)

Rogue Valley Sleep Center Rogue Valley Women’s Imaging Smullin Health Education Center Social Work Services

Inpatient Rehabilitation Center Intensive Care Units (Cardiac,

(inpatient and outpatient)

Neuro, and Medical/Surgical)

(inpatient and outpatient) Trauma Center (certified Level III)

Joint Replacement Center Laboratory Services (inpatient and outpatient)

Maternal Fetal Medicine Clinic (outpatient)

Medical Oncology (inpatient) &

Medical Records Neonatal Intensive Care Unit Neuroscience (inpatient, Joint

Surgical Services

(inpatient and outpatient)

Pharmacy Services Post Anesthesia Care (PACU) Post Surgical (inpatient and observation) Radiation Oncology (inpatient and outpatient) Rehabilitation/Physical Therapy (inpatient and outpatient)

Respiratory Services Social Work Services Spring Village Community Health Library Surgical Services (inpatient and outpatient) Three Rivers Women’s Imaging (including

Valet Parking Vascular Access Team Vascular Lab and Pain Management Wound and Ostomy Clinic

mammography and bone-density screenings) Trauma Center (certified Level IV)

(inpatient and outpatient)

(inpatient and outpatient)

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