1. Lake Chelan Community Hospital Kevin Abel CEO

2. Lake Chelan Community Hospital Background Hospital completed in 1948. LCCH 215 employees 2013 $22 million operating budget 25 bed Critical Access Hospital – Rural Designation Diagnostic Imaging Procedures - 5,269 Laboratory Procedures – 27,627 Ambulance Runs – 1,241 Home Health Visits – 2,937 Emergency Room visits – 4,385 Patient Days – 6,168 Average Daily Census – 17 inpatients

3. 3 60% of the state is rural, about 15% of the population lives here.

4. Residents of Rural Washington Are… 4

5. Older 5 On average, communities served by rural hospitals have almost 25% more residents over the age of 65 than other communities.

6. More Likely to be Unemployed 6 Source: 2010 US Census

7. And More Likely to Live in Poverty 7

8. Rural Communities Have More Health Concerns 8 Obesity is almost 12% higher than the State rate Smoking is 13% higher than the State rate 40% More Deaths from Accidents

9. Other Rural Challenges Fewer area residents, 77.4% possess a high school diploma compared to the State 89.6% (WSHA). Lower population density compared to urban areas leads to increased travel distances and different service delivery processes. Rural patients more likely to be on government insurance programs. Critical Access Hospitals need to improve access to care and partner with other organizations to improve community health if we are going to reduce the health gap between rural and urban residents.

10. Collaboration and Transitions of Care Collaboration is critical for rural health. 2011 39% of ER visits fall into emergent codes. Emergency Room Transfer Rate – 3.9% Majority of transfers to Central Washington Hospital 21 Flight Transfers in 2011 NICU – Spokane or Seattle Burns & Trauma – Harborview

11. Collaboration (Current Programs) Mammography reads – Central Washington Hospital Echo/Heart – Wenatchee Valley Medical Center Pathology – Wenatchee Valley Medical Center EMS Housing – Fire District 7 & 5 Stroke – Swedish Suicide Prevention – SAGE, Recovery Innovations, Good Grief Center, Columbia Valley Community Health, Eastern Washington VA Cancer Support Groups – The Wellness Place 2012 LCCH hired Wellness Coordinator to promote community health with focus on partnering with other regional providers.

12. Collaboration (Future) Requires Strong Information Technology Capabilities Telemedicine Psychiatry Neurology Heart Prevention and Wellness Visiting Specialists Regional Cooperation and Planning Review from the perspective of the patient

13. Community Health Needs Assessment Prioritize community health needs Help prepare LCCH for healthcare reform / new payment models Provide a framework for collaboration

14. Questions / Discussion