WINTER 2024 DEVOTED TO HEALTHFUL LIVING 3 Emergency care for our community 6 Hospitalists transition to OHSU Inside Bringing advanced care to your neighborhood
2 HEALTH COMPASS WINTER 2024 Continuing to grow our collaboration with OHSU By Erik Thorsen, CEO Expanding specialty care to our community has long been a priority of the CMH Board of Trustees. In 2010, the Board astutely began looking for a larger partner for our independent organization. Oregon Health & Science University (OHSU) in Portland was an obvious choice, since the vision and organizational values of our entities are closely aligned. 2024 marks CMH’s 14th year of strategically collaborating with OHSU. When we look back at CMH’s history, we see that collaborating with OHSU was the foundation needed to bring our patients expert care and set up CMH for growth and stability. Since 2010, our partnered services have grown to include cancer care, cardiology, emergency medicine, imaging, hospitalist services and all of our CMH-OHSU Health Medical Group Clinics covering preventive and specialty care. While CMH remains an independent, community-based organization, it’s exciting to look at “then and now” to see how the collaboration has improved access to care in our region. More of our friends and neighbors can receive needed services close to home, contributing to improved health outcomes. Patients continue to receive excellent care from the providers they know and trust. And our CMH-OHSU Health team has the professional support and academic resources to support their careers. For both our longtime patients and those who may be newer to the area, thank you for trusting us as we’ve made our board’s vision a reality and continue to grow our services. It’s our privilege to care for you. By the numbers: Our CMH-OHSU collaboration PROVIDERS CARING FOR OUR COMMUNITY 120,970 CLINIC VISITS IN 2022 15,187 EMERGENCY VISITS IN 2022 Pulmonology Orthopedics Podiatry Urology Endocrinology Hospitalists Cardiology Pediatrics Primary Care Radiology Women’s Health Emergency General Surgery Interventional Radiology Cancer Care CMH-OHSU SERVICE LINES YEARS OF COLLABORATION 14 PROVIDING STATE-OF-THE-ART CANCER CARE HERE IN CLATSOP COUNTY 6+ YEARS 15 94
COLUMBIAMEMORIAL.ORG WINTER 2024 3 An Emergency Department for community care Meet the ED medical director, and hear how we’re improving the ED with the BuildCMH Expansion Project After working as an ocean lifeguard in Los Angeles County, Paul Silka, MD, MHA, FACEP, went to medical school to become an emergency physician. Dr. Silka is now the medical director of the CMH Emergency Department (ED). He enjoys the variety, diversity and critical nature of the decisions and procedures that are necessary in emergency medicine. He joined CMH in July 2023. “CMH is such a unique setting as an independent Critical Access Hospital collaborating with OHSU, which allows for continued high-level professional engagement, which really means learning,” Dr. Silka says. CMH partnered with OHSU many years ago to grow and improve the community. Since the hospital is located in a small, coastal area, it was important that patients did not have to drive out of town for appointments or same-day surgeries. Rather, it would be best to have everything they needed here at CMH. Collaborating with OHSU helped immensely with that process. “Collaboration allows for synergy, where the best of both organizations can leverage resources and talent and become better. CMH without OHSU is very robust, as a long-standing pillar of health care in the region,” Dr. Silka says. “But I think with OHSU as our partner, it allows us a pipeline to cutting-edge thinking around health care — and certainly recruiting. That’s often lost at smaller community centers and Critical Access Hospitals, but this really brings together the best of both places.” Improving the ED for the future Currently, the ED provides emergent care, traumatic resuscitation and stabilization. But the ED has outgrown its space, Dr. Silka says. That’s why with the BuildCMH Expansion Project, the ED will be even better equipped to provide care more efficiently and with a greater capacity. “The way it was built doesn’t really account for our current volume,” Dr. Silka says. “The expansion will improve efficiency and comfort for patient privacy. “The patient rooms are crucial for acute health care delivery,” he says. “It’s not just the size, but the way that the rooms are designed, the configuration of our equipment, and where the providers and nurses will be. Being positioned more effectively to give care will shift the curve as far as quality and patient experience.” In addition, the space will be improved for ED caregivers, offering room for nurses, support staff and providers to collaborate, which is crucial to giving patients the best care. The expansion will not only benefit the ED, patients and caregivers — it will benefit the community. “The expanded facility allows the hospital to be the pillar of this community,” Dr. Silka says. “It’s going to be a nicer, larger facility and will provide health education, maintenance and the kinds of things I think would be more amenable to that. I think allowing us to assume that position in the community will enhance the services we’re able to implement here.” Paul Silka, MD, MHA, FACEP
4 HEALTH COMPASS WINTER 2024 Here on the North Coast, residents choose to live in rural communities to have stronger connections with neighbors, enjoy a peaceful environment and have access to nature. CMH believes people who value living in rural communities shouldn’t have to sacrifice quality health care. The CMH-OHSU Health collaboration has made it possible for high-quality specialty care to be available to patients in their own neighborhood, taking away the need to travel away from home to receive health care. This partnership has also led to the addition of several specialty services that would not normally be accessible in a rural area. Thanks to the collaboration, CMH and our patients benefit from tele-ICU services, rotating Emergency Department residents and provision of specialty care, such as the CMH-OHSU Health Cardiology Clinic. These are just a few examples of the benefits that the collaboration has created for local residents. Both CMH and OHSU continue to collaborate on other areas of growth that will benefit the community. Read more about these joint efforts: Bringing advanced care to your neighborhood Patients can see their trusted CMH-OHSU Health providers in one of our convenient locations — and benefit from expert consultations and access to all of OHSU’s resources right here in our community.
COLUMBIAMEMORIAL.ORG WINTER 2024 5 Enhancing critical care with tele-ICU services In 2020, CMH’s Critical Care Unit welcomed a new, robotic member of the team. When visiting a patient, a hospitalist may bring the rolling monitor with them to the bedside. The robot allows an OHSU intensive care physician (intensivist) to see and hear patients and provide consultations on the spot. This remote collaboration between CMH hospitalists, caregivers and OHSU intensivists ensures that patients are receiving the highest level of intensive care services possible locally. CMH is a member of the OHSU Telemedicine Network and has used this vital, lifesaving service in the CMH Emergency Department for years to care for stroke, pediatric and neonatal patients. A residency program in the Emergency Department In February 2016, the CMH Emergency Department welcomed its first secondyear resident physicians. A resident physician, or resident, has already completed a medical degree and is participating in specialized training, such as emergency medicine or surgery. Residents provide medical care under the supervision of a more experienced doctor. Residents at CMH each spend a four-week rotation in our community caring for patients in the Emergency Department and developing their skills with the oversight of the attending physician. At CMH, these doctors have the opportunity to really grow in their practice. They experience what it is like to care for patients in a rural setting, where they can’t rely on as many readily available specialists. Their experience here is a glimpse of what life after residency may be like in a rural environment. Some of our residents have even returned to CMH to work permanently after they have finished their residency! Diana Rinkevich, MD The CMH-OHSU Health Cardiology Clinic opened in December 2010, under the guidance of Diana Rinkevich, MD. Dr. Rinkevich is the medical director of the clinic and the CMH Cardiac Rehab Program. She is also an associate professor of medicine at OHSU. Under Dr. Rinkevich’s guidance, the clinic has become one of CMH’s busiest clinics. “We came here with only one provider, thinking the needs of the community would be fulfilled,” Dr. Rinkevich says. “At the moment we have five providers, and we’re in the process of recruiting another two because we are growing our services.” CMH and OHSU’s partnership supports residents on the north coast of Oregon and the southwest coast of Washington by reducing the amount of time patients and their families spend traveling to appointments. Wait times for appointments are also reduced because patients don’t need to establish care a second time through the clinic if they are already a CMH patient. “If patients need further advanced procedures, they’ll go to OHSU, then come back and be seen here at CMH,” Dr. Rinkevich says. “Many of our patients can receive all of their care here in our community without driving all the way to Portland.” The collaboration has also brought more specialty services to CMH, such as inserting pacemakers and having an electrophysiologist meet with patients to diagnose electrical heart system issues. CMH’s echocardiography unit is also the only facility on Oregon’s coast that is tripleaccredited by the Intersocietal Accreditation Commission. Thanks to the collaboration with OHSU, the clinic helps patients receive the highest quality of care, close to home. A provider’s perspective on OHSU support
6 HEALTH COMPASS WINTER 2024 Quratulain “Annie” Durrani, MD Annie Durrani, MD, has been a hospitalist at CMH for 10 years. She is currently president of the CMH Professional Staff and serves on the Board of Trustees. She has also served as program director for the hospitalist program since 2013. Dr. Durrani is board-certified by the American Board of Internal Medicine. She is fluent in Urdu, Punjabi and Hindi. James Hinckley, MD James Hinckley, MD, has been a hospitalist at CMH since 2020. He previously worked as a hospitalist for health care providers in Utah, Washington and Oregon. Dr. Hinckley is board-certified by the American Board of Internal Medicine and has more than 20 years of postgraduate hospitalist experience. Daniel Spiger, DO Daniel Spiger, DO, joined CMH as a full-time hospitalist in October 2023 after working at other health systems in Washington, Oregon and Hawaii. Dr. Spiger is boardcertified by the American Board of Internal Medicine. Hospitalists transition to OHSU program Meet CMH’s hospitalists On Aug. 28, Quratulain “Annie” Durrani, MD, and James Hinckley, MD, began providing inpatient medical care to the community as OHSU physicians. In October, Daniel Spiger, DO, joined them. This is an expansion of CMH’s collaboration with OHSU that began with most clinical providers transitioning to OHSU employment in 2021. “With this change, our hospitalists have the quality, educational and professional development support of the OHSU Division of Hospital Medicine,” says Christopher Strear, MD, FACEP, chief medical officer. “This is also the first time in two years that the service is fully staffed with permanent physicians.” The hospital previously contracted with Apogee Physicians to provide hospitalist services. CMH CEO Erik Thorsen echoed Dr. Strear’s thoughts, saying it’s an important update that will improve care and provider consistency for inpatients. “We are all very excited to start this new chapter in our hospitalist medicine program and to grow our relationship with OHSU in an additional clinical service line,” Thorsen says. Hospitalists are highly trained physicians who specialize in caring for patients during their hospital stays. They are available 24/7 and take a holistic approach to managing your care. What is a hospitalist?
COLUMBIAMEMORIAL.ORG WINTER 2024 7 When Jody Stahancyk was a child, her family’s church underwent a renovation. Over a discussion at dinner, she asked her father what their family gave toward the work. “He said, ‘[We provided for] the subfloor.’ And I said, ‘But that doesn’t show.’ And he said, ‘That’s not the point of giving,’” she explains. Stahancyk and her husband, John Crawford, recently announced a $250,000 gift to the BuildCMH Expansion Project. But, she says, true giving is not about the amount or what you can show from it — it’s what comes from the heart. And it’s important to do for the community, they both emphasize. Making a difference for the community Stahancyk has had an office for her law practice, Stahancyk, Kent & Hook, in Astoria since the early 2000s. She and Crawford are both attorneys and were mainly Portland residents with a longtime family home on the coast. They moved to Clatsop County permanently in 2020 during the COVID-19 pandemic. The next year, Crawford was diagnosed with cancer and began treatment in Portland. But he quickly transferred his care to the CMH-OHSU Knight Cancer Collaborative in Astoria. “I just received outstanding care there. I can’t say enough about it,” Crawford says. “The staff, the doctors, the nurses at the facility were outstanding, caring and very professional.” As newer residents on the coast, the couple agrees that when someone becomes a part of a community, they need to give back. Crawford serves as president of the Palisades Homeowners Association, and Stahancyk is on the Clatsop Community College board. Both feel strongly about giving to the expansion project for three reasons: their thankfulness for Crawford’s cancer treatment, their intention to be a part of the community, and the opportunities the expansion will offer for residents of the Columbia coast region in terms of offering better health care and a safe refuge from a natural disaster. “The other reason is that we want to be able to show our children and grandchildren that a part of being blessed is that you give back,” Stahancyk says. “It needn’t be a huge amount, but it must be something that as a group you consider to be important. When John and I shared with our children that we were going to make this gift, each of them said, ‘We’re so proud.’” The couple has encouraged their family to give back to their own communities in whatever way they are able and would like to see others on the coast join them in giving to the hospital expansion project. “It is with great joy that we make this gift,” Crawford says. Giving comes from the heart Jody Stahancyk and John Crawford make $250,000 commitment “It is with great that we make this gift.” —John Crawford JOY A GIFT THAT KEEPS ON GIVING Find out more about the BuildCMH Capital Campaign and how you can be a part of it at columbiamemorial.org/ buildcmh-campaign.
COLUMBIA MEMORIAL HOSPITAL 2111 Exchange St. Astoria, OR 97103 Nonprofit Org. U.S. Postage PAID Salem, OR Permit No. 86 Find us on social media! @cmhcommunity @cmhcommunity linkedin.com/company/ columbia-memorial-hospital @cmhcommunity Cover photo features Diana Rinkevich, MD, medical director of the CMH-OHSU Health Cardiology Clinic and the CMH Cardiac Rehab Program. CMH HEALTH COMPASS is published as a community service by COLUMBIA MEMORIAL HOSPITAL, a Planetree Gold-Certified Person-Centered Care Facility. 2111 Exchange St., Astoria, OR 97103, telephone 503-325-4321, website: columbiamemorial.org For information about CMH HEALTH COMPASS: Sarah Bello, MBA, Marketing Manager Robert Holland, MD, PhD President, Board of Trustees Erik Thorsen, MBA, CPA, FACHE Chief Executive Officer Nicole Williams, MPA, FACHE Chief Operating Officer Christopher Strear, MD, FACEP Chief Medical Officer Information in CMH HEALTH COMPASS comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations. 2024 © Coffey Communications, Inc. All rights reserved. Jarrod Karnofski, DPT, ATC, MSHCA Vice President, Ancillary and Support Services Judy Geiger, RN, MBA Vice President, Patient Care Services Christopher Laman, PharmD, MBA Vice President, Strategy Brandon Parker, MBA, CPA Vice President, Finance Nicole Perez, BSHA, MSITM Vice President, Health Information Services Another great Planetree Conference In October, a number of CMH caregivers, leadership and Board members attended the Planetree International Conference on Person-Centered Care in Boston. While there, the group enjoyed learning about some changes to the future certification process, networking with connections and other Planetree hospitals, and attending sessions on person-centered care. There were a few other highlights, including: 1 Security officer Jesse Kirkendall receiving a Caregiver of the Year Award. He was nominated after winning the CMH Spirit of Care Award during Hospital Week in spring 2023. Congratulations to Kirkendall, an integral part of the CMH Security team! 2 Patient Experience Department Manager Kristen Moss being acknowledged for her recertification as a Fellow in Person-Centered Care (FPCC). This was her second time being certified, and she was one of three people who recertified this year out of a class of 50 who earned the FPCC certification. Great job! 3 CMH being recognized for its fourth time certifying with Planetree and second consecutive gold certification (the gold/silver/bronze levels were implemented in 2019). Credit for our recertification is due to all of our caregivers and their commitment to person-centered care. We are so grateful for the hard work they put in at CMH every day! CULTURE OF EXCELLENCE Learn more about CMH’s Planetree Gold Certification at columbiamemorial.org/about. 1 2 3
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