Aptly named “Bearing Fruit,” this year’s annual report represents the
tangible fruits of our labor. It has been an exceptional year financially and operationally, thanks to the award-winning efforts displayed by our staff, physicians, and volunteers.
w We made several advances in CARDIOVASCULAR SERVICES. In February, we became the first in the state to implant the world’s smallest heart monitor. We’re on our road to Chest Pain Certification, and our Cath Lab volume is rising.
w In March, PVMC became a PLANETREE-DESIGNATED HOSPITAL. This means we are one of only 26 hospitals worldwide to have achieved this designation, making us one of the most patient-centered hospi-tals in the world. In addition, we received an international First Place Program Award for The Patients’ Voice program.
w We are securing our future with PROJECT HORIZON so that we continue to deliver high quality health care to our community.
w We once again led the nation with advancements in our information services and tech-nology this year. In October, we attested for MEANINGFUL USE STAGE 2. This means we have innovative clinical process-es, better patient engagement, more rigorous health infor-mation exchange, and robust reporting leading to higher quality patient care.
w We were again named one of the nation’s TOP PERFORMERS ON KEY QUALITY MEASURES® by The Joint Commission. We are one of only 19 hospitals in Colorado and 1,224 hospitals in the United States earning this distinction.
w The American Heart Associa-tion recognized us as a Get with the Guidelines Stroke Award Winner, and we are featured in the 2015 U.S. News and World Report Best Hospitals Edition.
w In November, we opened PLATTE VALLEY MEDICAL PLAZA IN REUNION, our first off-site medical office building, with four medical practices and 11 physicians.
w Our commitment to Commu-nity Wellness is seen in our monthly physician Seminar Series and such feature events as 9Health Fair and Girls’ Night Out; our comprehensive community outreach programs; and the availability of Pro-Health, HealthWISE, and vaccination programs. n
PEOPLE 4COMMUNITY 6GROWTH 12SERVICE 16QUALITY & SAFETY 18FINANCE 22
PLATTE VALLEY MEDICAL CENTER BOARD OF DIRECTORS
BACK ROW John Hicks | Eric Robbins, M.D. | Kirk Quackenbush, M.D. Matt Flaherty, M.D. | Robert R. Feis FRONT ROW Michelle LeBlanc-Gross | Rod Blunck, Ph.D | Lowell Palmquist Faye Hummel, Ph.D | John Rhoades NOT PICTURED Michael A. Dolan | Richard Gonzales | Gerry Lewis-Jenkins Sonya Norman, M.D. | Jeffrey Sippel, M.D. | Heidi Storz
P E O P L E
PATIENT PARTNERSHIP COUNCIL PLAYS ROLE IN PATIENT-CENTERED CARE
In 2014, the Patient Partner-ship Council continued to build momentum in promot-
ing patient-centered care at Platte Valley Medical Center. As a Planetree Designated hospital, we regard the council’s role as vital to fulfilling our goal of promoting patient-centered care.
The purpose of the Patient Partnership Council (PPC) is to serve in a partnering capacity to assist PVMC in humanizing the healthcare experience. Members of this council represent actual patients and family members who have received care through various service lines at PVMC.
Over the past year, the PPC has provided valuable insight and input into a variety of projects:
THE PATIENTS’ VOICE PROGRAM
PATIENT INFORMATION GUIDE
IMPROVING PATIENT PERCEPTION SCORES
NURSE LEADER ROUNDING
We believe that through this partnership with our patients and family members, we learn how to truly optimize the patient-centered care experience. Because they speak from experience, PVMC’s Patient Partnership Council is an extremely energetic and engaged group, providing invaluable input into projects and processes that impact each and every patient. n
SPIRIT OF PLANETREE AWARDS FOR 2014
The Spirit of Planetree Awards were created to
promote patient-centered care by publicly recognizing individ-uals who personalize, humanize and demystify the health care experience, as well as to support extraordinary achievement in patient-centered care.
These awards positively im-pact our PVMC community. Through a process that includes and reflects the appreciation of peers and administration, these awards recognize those who truly demonstrate the Planetree spirit in all that they do on a daily basis. n
We are proud to celebrate our Spirit of Planetree Award recipients for 2014:
w PHYSICIAN CHAMPION AWARD DR. JENNIFER LEHMAN (upper lef t) This award recognizes a physician who champions the Planetree model of patient care and whose actions demonstrate her to be role model for other medical staff members.
w CAREGIVER AWARD JOSIE ZUNIGA (lower lef t) This award recognizes a caregiver that has had a direct role in positively influencing the way health care is delivered at PVMC.
w THERAPY ANIMAL AWARD JAKE & PAT BISANT (right) This award honors an animal and handler who substantially contribute to the patient, family and staff experience through their time and service at PVMC.
C O M M U N I T Y
DEAR FRIENDS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION
As we reflect on 2014, we thank you for your
investment in Platte Valley Medi-cal Center, not only this year but for the many years before. Each and every gift, whether it is a cash donation, a planned gift, or the gift of your time, has made our Foundation more effective and responsive to the needs of our community.
In 2014, Platte Valley Medical Center became Planetree Desig-nated as one of the world’s most patient-centered hospitals. This achievement should be particularly rewarding to you, our donors, as your generosity has funded many needs that developed along this journey. Thousands of lives have been impacted through your support. Here are a few examples:
w 1000 new mothers were provided with a meal to take home for their new family
w 5000 women received a screening mammogram with digital equipment, and nearly $500,000 was raised to support Women’s Services
w A Patient and Family Education Room was completed on our Medical/Surgical Unit
w Planned Giving Guides with information regarding wills, living trusts, durable power of attorney, and health care proxy were provided for your reference
w A music therapy program enhanced the patient, family, and staff experience
w Emergency Management equipment was funded to better prepare our community for disaster
w Girls Night Out Education and Advocacy Event was held in August
w Health Resource Library was funded for the Hospital website
w All Special Care Nursery babies now have access to the Human Breast Milk Bank, which is crucial for their growth and development
w Ultrasound Equipment was purchased to support the patient’s needs in Critical Care
Moving forward, your Foun-dation will continue to support the highest level of personalized, humanized, and demystified care. We invite you to join us in our ongoing mission of support for Platte Valley Medical Center. Visit our website at pvmc.org/foundation to learn more and give today!
On behalf of the Platte Valley Medical Center Foundation Board, thank you again for helping us to meet the ongoing needs of our community. Your generosity has made our progress possible.
With deep appreciation,
Marcie Demchuk, Executive Director Platte Valley Medical Center Foundation
PLATTE VALLEY MEDICAL CENTER FOUNDATION BOARD OF DIRECTORS
BACK ROW Matt Flaherty, M.D. | Kyle Haffner, D.P.M. | Troy Thollot | Al Shively | Kurt Gensert | Michael A. Dolan | John Hicks MIDDLE ROW John Rhoades | Benna Harris | Patricia K. Murray | Susan Wiant | Cindy Syme | Jan Olsen | Marcie Demchuk FRONT ROW Mary Lou Johnson | Simone Jones | Antelia Salazar-Ball | NOT PICTURED Janon Swink
ANNUAL FUNDLeo and Colleen AveyCritical Care, Pulmonary & Sleep
AssociatesDonald G. HenryJohn and Laura HicksFrancis A. and Barbara HowellRobert G. and Dorothy D. HutchingsLeonard H. McCain, Eloise R. McCain
Family TrustDr. George F. and Judith MunroGlen and Patricia MurrayFred and Rhonda OlguinNancy OttemLowell and Mona PalmquistPatricia K. Murray P.C., C.P.A.Bobbette K. Ranney, M.D.Alan and Mary SalingerHeidi StorzTom S. Yamamoto, Tomiko Dekloe,
Travis YamamotoIn Memory of Ellen BohmIn Memory of Vincent G. JunglasIn Memory of Bill LemkeIn Memory of Elaine Padilla
CARDIAC REHAB FUNDAlicia, Brandon and Daniel HindsMyke, Charmaine, Tavia,
and Adam Weis
CARDIAC REHAB FUND/ HEARTS FOR HEARTS 5K EVENT
Karen and Ted BoltonShari EngelhardtDr. Kyle and Krista HaffnerTerry HagenAnn and Bernadou Johnsen, IICathlin Jones
Qaisar M. Khan, M.D., FACCPhyllis KildalAdam and Alissa LozinskiDaryl and Kerstin MeyersPhilip and Kathryn MillsBehzad Molavi, M.D.The Munoz FamilyJohn OgleSherry PadonNorman and Janice PawlowskiDale and Judy PralleJohn RamirezP.H. and S. P. RileyRoger and Peggy SchaferGaye Lynn SchankweilerEdmund and Penny SchneiderDr. Christopher and Kelly SteesJewell StrattonDaniel and Kacie SturmanGaylia WeberAdam York
EMPLOYEE TIME TO CARE FUNDMichele Siem
GRANTSColorado Rural Health CenterNine Health Services, Inc.State of ColoradoState of Colorado Department of
Public Health & Environment
ONCOLOGY FUNDMartoni CooleyAlbert and Victoria FalconeFrancis GrecoRay and Joan LinderPaul and Mary MerkleHoward and Barbara PeaseHoward Pease, Jr.Marie ScannelloIn Memory of Roberta “Bobbi” Greco
PLANETREE FUNDMarty and Cynthia ReevesKaren Winn
TECHNOLOGY FUNDPeter D. Padilla and Alan LeybaRoger SchwabIn Memory of Elaine Padilla
In Memory of William Schwab In Honor of Helen Schwab
WOMEN’S AND CHILDREN’S FUNDAnonymousMeineke Car Care Center
of BrightonPlatte Valley Medical Center
VolunteersIn Memory of Mary Jo Bernard
WOMEN’S SERVICES CAMPAIGNAlcott Women’s Center
at Platte ValleyAnonymousAmerinetShane Bacon and FamilyAntelia and Ken BallCraig, Carol and Sarah BaumgartnerS. Edgar Bevers lll and FamilyBKD, LLPNorman and Debra BlehmBoulder Valley Center
for DermatologyThe Brighton BuzzKiwanis Club of BrightonJode BrownJennifer BuchlohDeanna BurkhardtBVB General ContractorsSylvia CallowSara CalziaMarie CampbellJosephine CarrilloColleen CasaceliLeo ChavezMarlene Ching and William PressPatricia CichowskiJeanine CirilloCity of Brighton AdministrationMartoni CooleyDianne CooperKelly and Sue CorbettCritical Care, Pulmonary
& Sleep AssociatesLaurence and Mary Ann CrossSally CunninghamDonna DaviesDavid and Marcie DemchukDiversified RadiologyDaniel and Constance Douglas
Joan DrawerHarold T. DupperEagle Ridge MedicalAlice O. EloriagaShari EngelhardtNorma EnriquezMelinda EschVanessa EscobedoRobert R. and Malinda FeisThe Ferrel FamilyKeith and Nancy FichterAmy L. FrazierGallery On The GoMakeda GantGCM Contracting & Consulting
Services, LLDebra Geist-BuysseThe Gensert FamilyGH Phipps Construction CompaniesUlla GillilandNicole GonzalesAngela A. GoodGreater Brighton Area Chamber
of CommerceGuaranty Bank and Trust CompanyGlen and Lori GudeDr. Kyle and Krista HaffnerHalliburtonBenna and Bob HarrisHealth Connect Properties, Inc.Tammy HernandezDawn HesterJohn and Laura HicksHigh Plains Heart & Vascular CenterCarol HurdelbrinkMargie IbarraIntegral Healthcare Solutions, Inc.Integrative Internal MedicineJohnson Auto PlazaLaurie Stocker Johnson and FamilyJonathan and Simone JonesNancy KastPhyllis KildalAnn King WhiteKatherine KnissClaire KokoszkaKutak Rock, LLPChiyon LeeBrad LehmannLocal Color MagazineMahnke Auto Body Brighton
THANK YOU for your investment
in Platte Valley Medical Center. Each and every gift, whether it is a cash dona-tion, a planned gift, or the gift of your time, is vital to accomplishing our mission.
C O M M U N I T Y
Nickie Maillet and FamilyGentry MansurMary M. MasunagaBetty MaughanLeonard H. McCain,
Eloise R. McCain Family TrustPriscilla McCanliesRhonda McDowellDaryl and Kerstin MeyersChristina Miller and FamilyPhadrah MilliganPhilip and Kathryn MillsMallory MinnickDurell MohrlangCarri MontgomeryNick MoralesMountain View OrthopedicsThe Munoz FamilyGlen and Patricia MurrayRoger and Karen MurrillPat and Joel NelmsThe Nickell FamilyAmy ObrechtOfficeScapes David and Jan OlsonJoanne Osborne
Owens & MinorBrent PalizziPatricia K. Murray P.C., C.P.A.Mindy Lea Penman and FamilyBarbara A. Perez and FamilyPlatte Valley PharmacySharon Powell-CerettoPremier Pediatrics, Inc.Lidia PugaPlatte Valley Medical Center
VolunteersDr. Kirk and Sara QuackenbushNatalie RamirezBrenda RatliffMauricio ReyesJohn RhoadesEric Robbins, M.D.Rotary Club of BrightonJoanna SakataMonty and Mary SchumanThe Security Door
& Window Store, LLCLina and Ted ShipmanShirley K. Leeper Family Trust
Michele SiemTheresa SolanoJeanie SorensenPaul and Karen Southard and FamilyState of ColoradoThe Stonehocker FamilyDave, Karen, Paige and Trent
SwansonRandy and Cindy SymeThollot Diamonds & Fine JewelryTiara Printing Minuteman Press
of BrightonRochelle and Tom TisdaleElizabeth E. TovadoDebbie TuckerUniPath, P.C.United Parcel ServiceUnited Power –
Your Touchstone Energy PartnerValley Bank & TrustJanine Varra
Amanda VillelaJeff WeiningMyke, Charmaine, Tavia
and Adam WeisWells Fargo FoundationKaren WelzPam WhitlockWHR Architects, Inc.Deborah WindholzVirginia WyattKathie YoungZiegler Capital Management, LLCIn Memory of Ellen BohmIn Memory of Dr. Harold H.
and Wanda L. Dupper
COMMUNITY BENEFIT AND NEEDS ASSESSMENT
As a non-profit community hospital, fostering optimal
health for all means ensuring our community has access to quality care and community benefits. In 2014, Platte Valley Medical Center (PVMC) provided more than $400,000 in benefits in the form of Community Health Investment Program (CHIP) grants, free health screenings, cash donations, community first aid, seminars, public events, and support groups. n
Cash / In-kindDonations
2012 2013245 578
ORGANIZATIONS BENEFITING FROM PVMC’S COMMUNITY HEALTH INVESTMENT PROGRAM
Barr Lake State Park
Brighton Boys and Girls Club
Colorado Mission of Mercy (COMOM)
Court Appointed Special Advocates (CASA)
Ft. Lupton Recreation Center
Hope @ Miracle House
Pennock Center for Counseling
The Senior Hub
Seventh Day Adventist Foodbank
St. Augustine Community Food Pantry
United Way of Weld County
Weld Central High School
Weld County Food Bank
C O M M U N I T Y
2014 GIRLS’ NIGHT OUTBY THE NUMBERS
650 confirmed registrations (42 on the wait list)
2/3 of registrants had never attended an event at PVMC
60 employees & physicians worked the event
60 volunteers helped out
171 heel scans for bone density were performed
38 mammograms scheduled
200+ Peripheral Arterial Disease screenings performed
97 Stroke/Cardiovascular Risk Assessments given
50 sleep quizzes taken
45 varicose vein screenings scheduled
THE PINK OF HEALTH In 2014, PVMC hosted its 3rd Annual Girls’ Night Out event for over 600 women. The event’s success is largely due to the fun atmosphere, great food, live entertainment, and the opportunity for women of all ages to talk one-on-one with clinicians and learn new ways to improve their health.
G R O W T H
A LIFE-SAVING, FUTURE-CHANGING DEVICE: PVMC FIRST IN COLORADO TO INSTALL MINIATURE HEART MONITOR
Once, it may have been only science fiction, but a tiny heart moni-
tor, smaller than a aaa battery, is helping save lives.
In February 2014, a new state-of-the-art heart monitor was approved by the FDA and made available to the medical profes-sion. Two weeks later, PVMC became the first hospital in the state to insert the new device. The Medtronic Reveal LINQ Insertable Cardiac Monitor System is indicated for patients who experience symptoms such
as dizziness, heart palpitation, syncope (recurrent fainting), unexplained stroke, atrial fibrill-ation, and chest pain suggesting a cardiac arrhythmia (irregular heartbeat). It is also used with patients who are at increased risk for cardiac arrhythmias.
The monitor is approximately one-third the size of a aaa bat-tery, making it over 80% smaller than all previously available cardiac monitors. While signifi-cantly smaller, the device is part of a powerful system that allows physicians to continuously and wirelessly monitor a patient’s heart for up to three years, with 20% more data memory than its larger predecessor, Reveal® XT.
In addition to its continuous wireless monitoring capabilities, the system transmits patients’ cardiac diagnostic data remotely to their physician from nearly any location in the world through the Care link® Network. Through the Network, physicians are alerted if their patients have had cardiac events. This ensures early and accurate diagnosis of irregular heartbeats, even when the patient is not physically in the hospital.
Placed just beneath the skin through a small incision of less than a centimeter in the upper left side of the chest, the monitor is nearly invisible to the naked eye once inserted. The device is placed using a minimally inva-sive insertion procedure, which simplifies the experience for both physicians and their patients. n
OVER TIME these devices have
grown smaller and smarter—
evolving from large external
wired apparatuses to miniature
devices nearly invisible to the
naked eye once implanted.
family medicine michael noonan, d.o.
internal medicine kenneth r. anderson, d.o.
michelle sleater, m.d.
neurology/neurosurgery david shafer, m.d.
obstetrics/gynecology stacey l. hennesy, m.d.
ophthalmology sumit sitole, m.d.
orthopedics aaron baxter, m.d.
laura a. d’agostino, m.d.
pediatrics Joel hartl, m.d.
brittany lavoy, m.d.
ellen mccormick, m.d.
kristine ray, m.d.
michele tuepker, m.d.
urology eric shreve, m.d.
N E W P H Y S I C I A N S AT P L AT T E VA L L E Y M E D I C A L C E N T E R I N 2 0 1 4
G R O W T H
PLATTE VALLEY MEDICAL PLAZA OPENS IN REUNION
Platte Valley Medical Center built and opened its first
off-site medical office building in the Reunion Marketplace in Commerce City, providing resi-dents with greater access to family doctors, pediatricians, and OB/GYNs.
The new 11,800 square foot building is located directly next door to King Soopers at 104th Avenue and Chambers. Its design mirrors the style and shape of Platte Valley Medical Center’s current medical office building on the hospital campus in Brighton.
Eagle Ridge Medical, Integrative Internal Medicine, Premier Pediatrics, and Alcott Women’s Center celebrated the opening with a ribbon-cutting ceremony and community celebration. Hundreds attended to participate in the festivities.
The providers at the new medical plaza are expected to serve 24,000 patients annually. n
EXPANDING HEALTH CARE FOR RESIDENTS WITH PROJECT HORIZON
In 2014, Platte Valley Medical Center began a thoughtful
process called Project Hori-zon to reach out to healthcare systems to see if an affiliation would bring additional value to our hospital and community. Through this journey, PVMC was seeking a potential partner that would enable us to:
w continue our deep culture of service and excellence;
w help us prepare for the future of medicine;
w enhance our service-line devel-opment to place us in the best position to provide advanced care to our community;
w help us maximize economies of scale to bring affordable care to our patients.
Why take this step?
With the dramatic changes occurring in healthcare, our Board of Directors approved this yearlong process to assess
our position as an independent community hospital. There is every reason to believe changes will accelerate in all areas of healthcare — reimbursement, medical technology, treatment, networks, patient engagement, and more. The ultimate goal of Project Horizon is to continue to provide our community with the best quality healthcare at the lowest cost possible.
We are currently in a position of strength. We are financial-ly sound, and thanks to our dedicated staff and physicians, we will continue to provide evidence-based, patient-cen-tered care that is nationally recognized. This process is simply about taking steps in the new healthcare environment to strengthen our services and continue our mission to foster optimal health for all.
By year end, the PVMC Board finished reviewing and analyzing proposals, conducted site tours, and sent out a second letter of instruction to three health care systems. n
seeds of change
It is one of only 26 hospitals worldwide to receive this desig-nation since the program’s launch in 2007.
“The Planetree Designation is the only award that recognizes excellence in person-centeredness across the continuum of care,” said Susan Frampton, President of Planetree, Inc., an internation-al not-for-profit organization that has been at the forefront of the movement to transform health-care from the perspective of the patient. “The designation signals to healthcare consumers that Platte Valley Medical Center is a hospital where providers partner with patients and families, and where patient comfort, dignity, empowerment and well-being are prioritized with providing top-quality clinical care.”
The criteria a hospital must satisfy to achieve designation reflect what patients, family members, and healthcare pro-fessionals want most during their healthcare experience. This feedback aligns with the growing evidence base for patient-centered care, and establishes the Plane-tree Designation as a concrete
framework for defining and measuring excellence in patient-centeredness.
More than 60 criteria address components of patient-centered healthcare, including patient- provider interactions, access to information, family involvement, the physical environment, food and nutrition, spirituality, arts and entertainment, and integra-tive therapies. In addition, the criteria focus on how the hospital is supporting its staff, opportuni-ties for staff, patients and families to have a voice in the way care is delivered, and the hospital’s efforts to reach beyond its walls to care for its community.
Guided by these core compo-nents, PVMC has implemented a substantial number of initia-tives and practices designed to enhance both the patient and staff experience. Aptly named “Pillars of Healing,” these ini-tiatives include an active patient partnership council, care partner program, open medical records policy, massage, aromatherapy, made-to-order meals, music therapy, and pet partner program.
S E R V I C E
PVMC RECEIVES FORMAL DESIGNATION AS ONE OF THE WORLD’S MOST PATIENT-CENTERED HOSPITALS
From the soothing sounds of a classical harpist in the
lobby, the calming lavender aroma provided to an anxious patient and surprise visit by international award-winning therapy dog, to the fresh poached salmon and free massage, hospi-tal stays are different in Brighton at PVMC. So are visiting hours, access to medical records, and family involvement in care— all of which are patient directed.
This innovative approach to rede-fining patient care has garnered worldwide attention. In fact, PVMC was formally designated by Planetree, Inc. as a “Planetree Designated® Patient-Centered Hospital” in 2014.
Following a rigorous review of PVMC’s culture, including pro-grams, policies, practices and the environment of care, the hospital has been officially distinguished as among those hospitals world-wide doing the most advanced work in patient-centered care.
“Providing care and support to our patients that is unique and individualized is not only the foundation of patient-centered care, it is the core of everything we do — it’s important to all of us,” says PVMC President John Hicks. “We have always consid-ered ourselves patient centered and have implemented programs and services to help our patients change the way they think about healing and healthcare. This designation confirms we’re on the right track and that we provide the very best to those who entrust us to take care of them.”
As part of the designation process — which included multiple site visits by Planetree representa-tives — focus groups with recent
patients and current staff validat-ed that specific patient-centered policies are in place, (including non-restrictive visiting hours and an open medical chart policy), that staff members at all levels are involved in the implementation of patient-centered care, and that the hospital’s physical environ-ment is a healing one engaging all of the human senses. The process also included a review of the hospital’s performance on publicly reported patient satisfac-tion and quality of care measures.
“A strength of the designation program has been the integration of qualitative and quantitative measures,” explained Frampton. “Acute care hospitals in the U.S. awarded Planetree designations
are held accountable for exceeding quality benchmarks for both qual-ity and patient satisfaction.” n
PVMC received Planetree’s Program Award for its “Patient’s Voice” series at the International Planetree Conference held in Chicago.
W H AT I S P L A N E T R E E ?
Since its founding by a patient in 1978, Planetree has defined what it means to be patient-centered. Planetree’s philosophy is based on a simple premise: care should be organized first and foremost around the needs of patients. To understand those needs, Planetree conducted thousands of focus groups with patients, long-term care residents, families, and professional caregivers around the world. The result? A humanized, more personalized, and demystified approach to the health care experience.
Q U A L I T Y & S A F E T Y
HONORED FOR HEPATITIS B VACCINE BIRTH DOSE RATE
Platte Valley Medical Cen-ter was recognized by the
Immunization Action Coalition (IAC) and the Colorado State Department of Public Health and Environment (CDPHE) in 2014 for achieving one of
the highest reported rates in the administration of the Hepatitis B vaccine at birth.
Hepatitis B (HBV) is a serious disease caused by the hepatitis B virus which attacks the liver. It is highly infectious and easily spread from an infected mother to her newborn. For a newborn infant who becomes infected with the hepatitis B virus, there is a 90% chance the infant will become a chronic carrier of the hepatitis B virus. Chronic carriers have a 25% lifetime chance of developing cirrhosis, liver cancer, liver failure, and death. With an estimated 800 U.S. newborns chronically infected with hepatitis B each year, staff at PVMC felt it was imperative that PVMC’s newborn population receive the vaccination.
With the recognition from the IAC and the CDPHE, PVMC is one of only five hospitals within Colorado, and 74 nationally, to receive this honor. This recogni-tion validates that we are mak-ing a difference in the health of our newborn population,” said PVMC’s Women’s and Newborn Center Director Carri Montgom-ery. “We immunized greater than
THE JOINT COMMISSION ONCE AGAIN NAMES PVMC A NATIONAL TOP PERFORMER
For the third time, Platte Valley Medical Center
was named one of the nation’s Top Performers on Key Quality Measures® by The Joint Com-mission, the leading accreditor of health care organizations in America.
Inclusion on the list is based on accountability measure data reported during the previous calendar year.
Recognized for exemplary performance, PVMC achieved excellent thresholds for Heart Attack, Heart Failure, Pneumo-nia, and Surgical Care. To be named a top performer, all mea-sures must have a performance rate of 95% or better. n
WOMEN’S & NEWBORN CENTER
90 percent of the babies born at PVMC last year and took addi-tional steps to prevent Perinatal transmission of hepatitis B.”
The national standard of care to prevent hepatitis B virus infec-tions in babies is to administer the Hepatitis B vaccine to all newborns before they leave the hospital or birthing center. This standard is followed by PVMC.
“Hospitals and birthing centers have a responsibility to protect babies from life-threatening hepatitis B infection,” said the Executive Director and Founder of IAC Deborah Wexler, M.D. “Platte Valley Medical Center’s commitment to best practice, providing hepatitis B vaccination at birth, has shown them to be a leader in preventing the transmis-sion of hepatitis B virus.”
Platte Valley Medical Center continues to strive for excellence in patient safety and quality and is proud to be in the elite class of hospitals recognized for their work in preventing Hepatitis B in newborns. n
delivering top care
T he latest edition of U.S. News & World Report’s
Best Hospitals lists PVMC as among Colorado’s Best Hospitals. PVMC was recognized in 2014 for its 12 months of 85% or higher adherence on all achievement measures and its 75% or higher adherence on select quality measures in stroke.
Q U A L I T Y & S A F E T Y
EVIDENCE-BASED PRACTICES: CCHD SCREENING OF ALL NEWBORNS AT PVMC
Critical Congenital Heart Defects (CCHDs) account
for 24% of infant deaths due to birth defects. Each year in the United States, about 4,800 babies have one of seven critical congenital heart defects. These defects among some babies can be detected using pulse oxime-try screening, which is a test to determine the amount of oxygen in the blood and pulse rate.
Without this screening, babies who appear healthy and have a CCHD might be sent home undiagnosed. More than half of patients with a missed diagnosis will die at home or in an emer-gency room before their heart disease is recognized. Pulse oxim-etry screenings can identify some infants with CCHD before they show any signs of the condition.
As a result of this risk, Platte Valley Medical Center now screens all newborns in the new-born nursery for CCHD prior to discharge—a screening that
takes only about 10 minutes. Including the cost of equipment, supplies, and staff time needed to perform and track results, it costs less than $15 per infant to provide this screening.
Once identified, babies with suspected CCHD can receive the specialized treatment needed to prevent death or disability. n
EVIDENCE-BASED PRACTICES: PRE-SURGICAL ASSESSMENTS IMPROVE RECOVERY CARE
In 2014, PVMC’s Physical Medicine department began a
program to provide free physical therapy assessments to breast cancer patients undergoing mastectomies and lumpectomies.
Pre-surgical assessments help the patient and care provider establish a baseline of health and mobility, helping gauge recovery and identify post- operation complications such as lymphedema and decreased muscle mobility early. n
EVIDENCE-BASED PRACTICES: DONOR HUMAN BREAST MILK AT PVMC
A sk any group of OB/GYNs and neonatal professionals,
“What’s best source of nutrition for infants?” The answer will be breast milk. Breast milk is considered to be the gold stan-dard of feeding, and as a first choice, should always come from the birth mother. Unfortunately, mothers who deliver preterm may have a difficult time producing enough milk to sustain the in-fant. Surgery and other maternal diagnoses such as Pregnancy Induced Hypertension can also inhibit production of breast milk. Therefore, supplementation through donor human milk is the next best choice.
Donor milk is used as a “bridge” for the first few days after birth. Along with lactation support, moms are generally able to begin to increase milk production to meet their baby’s needs. All newborns in the Special Care Nursery receive donor human breast milk free for the first 14 days of admission, or as ordered by their provider. Additional volumes of milk may be ap-proved, based on the medical indications of the newborn and the provider’s orders.
According to the Academy of Pediatrics, human milk banks in North America adhere to national guidelines for quality control of screening and testing of donors, and pasteurize all milk before distribution. Platte Valley Medical Center obtains donor milk from the Mother’s Milk Bank of Denver. n
L E A P S I N C A R E anticipating and preparing for
new developments in health care funding ( )
AFFORDABLE CARE ACT (ACA) CHANGES THE LANDSCAPE OF HEALTH CARE
While the ACA hasn’t changed how we deliver patient care, it has affected the financing
and funding of insurance products. In 2014, the ACA appears to have reduced the number of uninsured patients we see, as indicated by a 65% drop in accounts with Colorado Indigent Care Program as a primary payer. In addition, the Colorado Health Benefit Exchange enabled many of those patients making too much money to qualify for Medicaid an opportunity to buy health insurance. This enabled many small businesses to offer insurance for their employees. In addition, many preventive screenings are now covered by insurance.
The ACA brings challenges as well. Patients have struggled to understand the subsidies available to them, as well as the risks entailed by plans with high deduct-ibles. Various insurance companies, seeking to offset new costs, have excluded some physicians and hospitals, including PVMC, from their Exchange plan networks. Final-ly, new reporting requirements and reg-ulations that ACA imposes on providers, employers and insurance companies have added new costs to the health system. n