2020 Goals

Legend

= At or Above Goal

= Just Below Goal

= Below Goal

Goal Weight Target Score Result

People

Invest an average of 40 hours continuing education per FTE. 5% 40 35

Maintain employee satisfaction score of 90% or higher. 0% ≥90% 97% Maintain unplanned turnover at 13% or less. 5% ≤13% 19.1

Quality

Attain TJC accreditation for hip and knee replacement by September 2020.

Scale 5 - Advanced Cert in hand 4 - Basic Cert in hand 3 - On site survey complete, follow-up requirements 2 - On site survey scheduled, but not complete 1 - Not scheduled

10% 3 2

Not exceed 40 percent of ED transfers to other acute facilities. 10% ≤40% 38.8

Experience no more than 25 patient harms per 1000 discharges. 10% ≤25 18.38

Service Attain improvement goals for patient experience. 0% 3 2.55

Growth

Increase inpatient primary service area market share to 34% or greater. 7.5% 34% 32.65%

Increase hospital operating market share (outpatient surgery) from primary service area to at least 34.5%. 7.5% 34.5% 29.85%

Increase total clinic visits by at least 3%. 10% 34,422 30,252

Finance

Build financial stability by achieving a total margin of at least 1.5%. 20% 1.5% -5.7%

Maintain a debt to service ratio of 1.5 or greater. 0% 1.5% -.63 Maintain a minimum of 100 days cash on hand. 10% 100 216

Community Initiate at least 245 community health events. 5% 245 201

Overall 100% 3 2.13

Anniversaries Employees celebrating 1, 3, 5, 10, 15, 20...anniversaries will be recognized.

Welcome

Miranda KulzerAccountant

Finance5 years

Mariah MartinsonLicensed Chemical

Dependency CounselorRiverView

Recovery Center1 year

Emma MillsNursing Assistant

Care Center1 year

Lizette LopezNursing Assistant

Care Center1 year

Amb, Haugen Pass RN BoardsCongratulations to Bennett Amb and Leanna Haugen, Inpatient Unit, on passing their recent RN boards!

Amb Haugen

Katie WelshRN

Care Center

Robynn Coauette, Quality, has moved within the department from the Risk Manger position to the Data Analyst position.

Enjoy your new role, Robynn!

Waldal, Salentiny Add to ResponsibilitiesAnnie Waldal was recently named the director of the Emergency Department. She will also continue in her role as director of the Inpatient Unit.

Angie Salentiny will add the role of Emergency Preparedness Coordinator to her current duties as the leader of Infection Prevention and Employee Health.

Congratulations to both Annie and Angie on their new roles and continued leadership!

Waldal Salentiny

On the Move

RV Employee Volunteers Needed for Meal Delivery Aug. 24-28Drivers are needed for Home Delivered Meals Aug. 24-28. Each route takes about 30 to 45 minutes. Meals will be ready by 11:30 am each day and should be picked up at the employee entrance near the North Clinic. Click here to sign up. If you have questions, please contact Sarah Ringdahl.

Wonderful Life Produce Boxes Offered in 2020 Save time and have your healthy produce delivered to you! The Wellness QIT is working with Wonderful Life Foods (WLF) to have fresh produce boxes delivered to RiverView in 2020.

Pick up your produce box from 3:30-4:30 pm OUTSIDE Door 13 (near Human Resources) on the following dates: July 22.

You can also pick your box up at the store (115 North Main Street). WLF will need to know your preferred pick up location when ordering.

Choose from a large box for $30 or a small for $20. Each box includes recipes featuring the produce. Order four boxes and get your fifth FREE!

Payment is due at pick up, over the phone, or with a prepaid punch card. WLF accepts cash, checks and credit cards.

Join the special Facebook group “RiverView Health Produce Boxes’’ by going to WLF’s Facebook page, click on “groups’’ on the left side of the page, and click “join group’’ when you see the RiverView group or click here. Sign up can be done through the Facebook group, at 281.1125, or wonderfullifefoods@gmail.com.

Give the Gift of Life at Auxiliary’s Aug. 4 Blood DrivePlease consider donating to the Auxiliary-sponsored blood drive on Tuesday, Aug. 4 from 10 am-4 pm at the Home Care/Training Center.

Vitalant is offering COVID-19 antibody testing on all donations. Blood drives are considered a "critical care event" and it is completely safe to donate. To limit potential exposure, we are going to fill as many of the appointments with employees before asking the public. Please click here to sign up or contact Sarah Ringdahl.

Norma Barrus Marks 40 Years with RiverViewCongratulations to Norma Barrus, LPN in the North Clinic, on her 40th anniversary with RiverView.

Barrus started at RiverView’s Care Center working in long term care for 15 years. From there she worked as night security in the Emergency Department for seven years, at Glenmore Recovery, on second floor in the surgical department, floated in the ICU and MSP, in orthopaedics with Drs. Fennell and Rathbone, in Pain Management with Dr. Sivanna, on call in Memory Care, and in her current role as LPN with family practice and the osteoporosis program with Andrea Kraft, FNP-C.

“Over the years, my main goal has always been to provide quality care and ensure patient satisfaction,’’ she shared. “I enjoy my job and look forward to coming to work. For this, I feel blessed to be a part of the RiverView family. It’s a great place to work!’’

Norma is married to John Barrus and has two children, Ramona and Alex Kaiser.

Jessica Holzer Helps Patients Understand Financial Aspect of CareThis edition’s service article highlights the services of Jessica Holzer, Patient Financial Counselor, in the Patient Financial Services Department. Holzer started in this position in September 2019. Below, in her own words, Holzer shares how she helps patients at RiverView.

Please explain your duties: My duty is ultimately to offer assistance to patients regarding the financial side of medical services they receive. I do this by acquiring knowledge of the patient’s insurance coverage and benefit limitations and communicate it to the patients to make them aware of their financial responsibilities. I also verify and update the records related to insurance and stay abreast of the information on the current insurance benefits, this includes prior authorization requirements. I remain in communication with patients to review their insurance benefits and provide them with alternative solutions if needed.

I review the financial status of the patient by analyzing and reviewing the patients’ accounts receivables and try to resolve any issues related to it. I ensure that timely payments are accepted and posted accurately, and that they are compliant with the policies and procedures.

My role also involves negotiating payment arrangements and responding in a timely manner regarding any relevant medical billings or any other queries that a patient may have. I am responsible for determining the patient’s eligibility for various financial programs and assist them in making the best decisions.

I maintain Federal compliance with 501(R) and price transparency regulations as well as maintain a working relationship with outside facilities. Our current standard charges are located here.

I review incoming surgical procedures as well as assist self-pay patients to identify and process sources of payment such as pre-procedure deposits, Medical Assistance, Community Care, or uninsured discounts that comply with the Minnesota Attorney General Hospital requirements.

I work with our obstetric patients to help answer any questions they may have about their prenatal care, labor, delivery, and circumcision benefits.

What is Community Care? To maintain RiverView’s tax exempt status we must comply with section 501(R) of the IRS, which regulates financial assistance and emergency medical care policies. As a commitment to the community of Crookston and the people of the surrounding area, it is the policy of Riverview Healthcare Association to provide care to those in need regardless of ability to pay. Community Care or Charity Care is RiverView’s financial assistance policy that helps provide free or discounted medical services to patients who meet certain eligibility standards and are unable to pay for their medical treatments. This policy serves patients who require financial assistance or who experience temporary financial hardship. Patient eligibility for Community Care is determined by measuring annual gross income and family size against the income guidelines. The income guidelines are based 150% on Federal Poverty Level income guidelines published by the Department of Health and Human Services.

Where can I obtain a Community Care Application? Each clinic registration desk can provide a printed copy of the application, as well as contacting the Business Office directly. The application is also by clicking here.

Do patients need to ask for your services or does everyone meet with you? My services are readily available to patients who need them. A typical scenario is a patient presenting to our facility with questions regarding their insurance benefits and/or a patient presenting to our facility without insurance coverage. My role as financial counselor is to provide financial assistance and help with insurance advocacy to those who need it. I’m here to make sure families get every available benefit from insurance companies and to help find alternative resources when needed.

What’s your best advice for patients? Ask questions! Whether it’s questions regarding personal insurance benefits or how they can afford to pay their bill, ask questions. Even with our Community Care and Financial Assistance being well promoted, patients sometimes aren’t aware they have those resources readily available to them until after medical ser-vices are received. I would encourage not only patients but everyone to be proactive and ask what options are available!

How can patients and employees contact you? My phone number is 281-9283 and email is jholzer@riverviewhealth.org. I’m located in the Business Office at 323 S. Minnesota Street, Crookston, MN 56716.

RV Named One of Best Places to Work for Fourth YearWhile COVID-19 has shaken up almost every aspect of the healthcare industry, from how care is delivered to how employees do their work, it has not shaken the faith RiverView Health employees have in their employer. That faith has earned RiverView the fourth year on Modern Healthcare’s Best Places to Work in Healthcare list.

RiverView is one of 150 companies and organizations to make the Best Places list in 2020. The recognition program honors companies throughout the industry that empower employees to provide patients and customers with the best possible care, products, and services. How the organizations have navigated the COVID-19 pandemic is only part of the story; they were also scored on more traditional measures such as benefit design, transparent communication from leadership, and others.

Modern Healthcare will reveal the ranked order of the 150 best companies in October at its virtual Workplace of the Future conference. RiverView was first named to the list in 2017 and ranked 71st of 150; in 2018 RiverView moved to the 35th position, and in 2019 ranked 16th.

“RiverView is honored to be once again included amongst these companies based on the feedback you provide in the Best Companies Survey,’’ RiverView President/CEO Carrie Michalski said in an email to RiverView employees recently. “I thank you all for your candid feedback. We look forward to receiving our data packets (employee surveys/comments), which is why we participate, to learn from what you provided and become stronger and better as an organization.’’

Modern Healthcare is a leader in healthcare business news, research, and data. The company has sponsored the Best Places to Work program for 13 years, and partners with the Best Companies Group on the assessment process, which includes an extensive, voluntary, anonymous employee survey to benchmark standings against other healthcare facilities across the country.

“We have such an amazing team here at RiverView, committed to the collaboration it takes to nurture a great workplace,’’ Michalski shared. “When we ask for feedback, our team responds, candidly. We are not a perfect organization. We are a learning organization. We are humble about our imperfections, committed to learning, open to new ideas, and new processes. We are not afraid to try something new as we strive to attain excellence. Keeping a place on Modern Healthcare’s Best Places to Work list is a testament to our learning from the team’s feedback and using that to improve further. The journey continues every day.’’

Life Flight PreparationThe following is the script that is read through our announcement system by the Switchboard in the event of a Life Flight:“May I have your attention please? May I have your attention please? We have a Life Flight helicopter arriving in the North Parking Lot. All vehicles must be moved from the North Parking Lot immediately. Thank you.”

When this occurs, there will be a lot of patients that will have questions or need assistance with relocating. Plant Services will be in the lot setting up cones to block traffic and setting out lights, as well as maintaining a safe perimeter. The picture below is where patient and visitor vehicles should be relocated. Start with spots west of the shed, and overflow on the east side of the shed. Keep in mind, Life Flight is able to land in the area that is chained off, but for safety of our patients, we want to relocate their vehicles if at all possible.

Other safety items to keep in mind with Life Flight:• Please assist ED if need be to clear the corridors for transport of patients to the helicopter.• When the helicopter lands, DO NOT approach it, the flight crew will come to you.• Stay clear of the area, and if there is not a need to be outside, please return to the building. We do attempt to

keep the lot clean, however, the helicopter will kick up debris, sand, small rocks, etc., that may cause injury. Also, the helicopter may remain “hot” while on the ground, and it is likely that it will be very loud during this time.

• ABSOLUTELY NO PICTURES ARE ALLOWED AT ANY TIME FOR ANY REASON. This goes for staff, patients, and visitors, including EMS workers, police, media, etc. We have a duty to protect our patients. If you witness a visitor or other patient taking pictures, politely ask them to stop. If they refuse, please inform Plant Services, Plant Services Director Matt Johnson, or another director or senior leader that may be in the area. This is unacceptable, and we will request that someone leave the premises if they refuse to abide by this request.

Click here for additional information regarding Sanford’s AirMed and safety tip videos.

When a Life Flight is expected, relocate patient vehicles from the immediate area of the helipad to the areas shown in yellow.

M E N TA L H E A LT H S U P P O R T

free confidential,anonymous

Many of us are experiencing unprecedentedlevels of stress. Whether you're working in a hospital or a farm field, a teacher at home or a parent balancing work and children, responding to emergencies or cleaning and stocking shelves, we're here for you.

7 D AY S / W E E K , 9am-9pm N O W – A U G U S T 3 1 , 2 0 2 0

This service is provided by a group of mental health professionals, through a partnership of the Minnesota Psychiatric Society,

the Minnesota Psychological Association, the Minnesota Association of Black Psychologists and Mental Health Minnesota.

TO REACH AN ON-CALL, MENTAL HEALTHPROFESSIONAL VOLUNTEER, GO TO:

www.fasttrackermn.org