1. Central Washington Hospital North Central Washington’s Regional 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 Washington 2010 U.S. Census Data 2010 Overall Population 2010 Hispanic Population Chelan72,45318,713 (25.8%) Douglas38,43110,013 (28.7) Grant89,12034,163 (17.6) Okanogan41,1207,227 (17.6) NCW241,12471,116

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 Statistics 2011 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?