Central Washington Hospital

1. Central Washington Hospital North Central Washington’sRegional Medical Center

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

3. North Central Washington Regional Service Area

5. Population: North Central Washington2010 U.S. Census Data

6. Interpretive Services

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

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

16. Awards & Recognition

17. Questions?