Serving Davis and Wapello Counties

Hospice

2017In Review

Agenda1. Call to Order

2. Introductions of Staff, Volunteers and Board

3. Annual Board Meeting Minutes

Approval of Annual Board Meeting Minutes – February 14, 2017

4. 2017 Annual Report

Review of Annual Report

Approval of Annual Report

5. Elections

Board Members – Terms ending January 31, 2021

Election of 2018 Board Officers

6. Meeting Dates

Next Annual Meeting – February 2019 – Date TBD

Next Board Meeting – May 22, 2018

7. Adjourn

HospiceServing Davis & Wapello Counties

2017 Annual Report

Hospice, Serving Davis and Wapello Countiescontinues to be the only independent, not-for-profit hospice

located in the community. Founded in 1982, Hospice, Serving

Davis and Wapello Counties, is a community-based and

volunteer-driven organization. We are the most experienced

hospice care provider in the area. Hospice serves the

communities of Ottumwa and Bloomfield, along with the rural

areas in Davis and Wapello Counties. We also serve the

surrounding townships in Keokuk, Appanoose, Jefferson,

Mahaska, Monroe and Van Buren counties. Hospice, Serving

Davis and Wapello Counties, is a registered 501(c)3 non-profit

organization and is Medicare and Medicaid certified.

2017 Highlights

2017 Highlights

193 patients received end-of-life care.

103 of those patients received care at the Hospice House

as part or all of their care.

8,997 days of patient care were provided.

1,271 patients, family members, friends and individuals

from the community received supportive care through our

bereavement and family services.

4,747 hours of service was provided by a group of

dedicated volunteers.

2017 Highlights

January 5, 2017 - Marked the 13th anniversary of the

opening of our first Hospice House at 312 E. Alta Vista.

March 29, 2017 – Marked 35 years that Hospice has been

in existence in Ottumwa.

May 5, 2017 – Marked the 7th Anniversary of the opening

of the new Hospice House building.

2017 Highlights

May 24, 2017 – Hospice signed a contract with Ottumwa

Good Samaritan Society to provide hospice care services

in their facility.

June 24, 2017 - Hospice celebrated 35 years of serving

the community with an open house.

July 1, 2017 – Suzanne Anderson resigned her position as

Executive Director and was retained as the Finance

Director. Angela Rozenboom was promoted to the

position of Executive Director.

2017 Highlights

August 16, 2017 – The Medicare Hospice Compare

website went live for public viewing. The goal of

Hospice Compare is to help consumers compare

hospice providers based on their quality of performance.

November 9, 2017 – Hospice participated in a disaster drill

with other local health care agencies as part of the new

Disaster Preparedness Condition of Participation (418.110)

from the Centers for Medicare and Medicaid

Services (CMS).

2017 Board of Directors

and Terms of Office

Terms ending

January 31, 2018

Terms ending

January 31, 2020

Terms ending

January 31, 2019

Shep Brown

Amber Carroll

Tammy Kosman

Ruth Lowenburg

Dr. Trina Settles

Mark Clark

Jan Crissman

Sam Erhardt

Joan Rourke

Rosa Walders

Mel Anderson

Eric Carlson

Sue Martin

Hospice Staff (Alphabetical with date of hire)

Randy Anderson 10/27/2017 Mavis Bruner 9/4/2012

Marketing/Public Relations BS, Medical Social Worker

Suzanne Anderson 2/6/2006 Pam Crowder 6/25/2007

Finance Director RN, Case Manager

Terri Bergman 11/27/2007 Jenece Davidson 9/5/2016

Office Manager RN, Case Manager

Heather Bible 9/18/2017 Marcy Dewitt 4/5/2017

RN, Case Manager MSW, Medical Social Worker

Ben Boeck 6/14/2016 Jodee Eakins 6/6/2013

RN, Admissions & Referrals Hospice House Aide

Kim Brown 3/29/2016 Barb Good 1/23/2008

ARNP RN, Hospice House

Hospice Staff (Alphabetical with date of hire)

Amanda Hoelzel 1/15/2016 Vicki Proctor 1/6/2003

RN, Hospice House Volunteer Coordinator

Mel Kendall 11/3/2008 Brian Quinn, D.O. 3/1/2013

Chaplain Hospice Medical Director

Kari Kleinman 5/15/2008 Angela Rozenboom 9/11/2006

LPN, Hospice House Executive Director

Jerica McAdam 8/14/2017 Jean Sackett 12/10/2004

Hospice House Aide Hospice House Aide

Sherry McMillen 10/24/2016 Theresa Sanders 3/13/2017

Hospice House Aide RN, Hospice House

Mary Parks 2/13/2008 Jesi Saylor 1/23/2012

RN, Hospice House Hospice Aide, In-Home

Hospice Staff (Alphabetical with date of hire)

Jana Schuring 6/28/2016 Allison Tedrow 11/6/2017

RN, Hospice House PRN Bereavement Coordinator

Wade Schelker 12/16/2016 Martha West 10/31/2016

Massage Therapist Secretary/Receptionist

Vanessa Spainer 5/30/2017 Linda Whitlatch 1/14/2016

Hospice House Aide Hospice House Aide

Fonda Stice 9/21/2005

RN, Hospice House

Interdisciplinary Team

Medical Director

Dr. Brian Quinn, Mercy Medical

Pharmacist

Eric Carlson, Southside Drug

Chaplain

Rev. Mel Kendall, Calvary Baptist Church

Hospice Staff

Suzanne Anderson, Finance Director

Heather Bible, RN, Case Manager

Ben Boeck, RN, Case Manager

Mavis Bruner, Medical Social Worker

Pam Crowder, RN, Case Manager

Jenece Davidson, RN, Case Manager

Vicki Proctor, Volunteer Coordinator

Angie Rozenboom, RN, Executive Director

Case Manager

Jesi Saylor, Hospice Aide

Allison Tedrow, Bereavement Coordinator

How Are We Doing?Angie Rozenboom, RN, BSN, CHPN

Executive Director

Comments from our Families

“I felt like this team was a part of our family. They were all so

professional and helpful. The care was the very best! They

were all friendly and answered all concerns. We appreciate all

the follow-up calls and mailings.”

Comments from our Families

“Everyone who cared for my mother treated her like she was a

queen. I could not have asked for more. They let me know I

could go to work and they would take good care of her while

I was gone and call if anything changed.”

Comments from our Families

“We were so lucky to have a Hospice House so close to us.

We made good use out of the sleeping room, and were able to

be with dad and help care for him every day throughout his

stay, which we wanted to do. Words cannot convey what a

blessing the Hospice staff was for us. The Hospice House was

a beautiful home away from home for us. The staff became

like family. Everyone was great, especially acknowledging

their choice to work with Hospice and what that means. They

have a great love and compassion. We are forever grateful!

Thank You!!”

Quality Measure Dashboard

85.0% 94.9%

96.7%

98.3%

81.5%

86.3%

88.9%

93.5%

94.3%

76.3%84.6%

86.3%

91.0%

92.5%

75.6%

PATIENT CARE OVERALL

RECOMMEND RESPECT GIVEN EMOTIONAL SUPPORT

SYMPTOM MANAGEMENT

Hospice State National

Hospice Item Set (HIS)

100% 100% 100%

97.2%

100% 100%

97.7%

80.0%

82.0%

84.0%

86.0%

88.0%

90.0%

92.0%

94.0%

96.0%

98.0%

100.0%

2017 Referrals and AdmissionsBen Boeck, RN, Coordinator

2017 Referrals and Admissions

REFERALS NUMBER

Number of Referrals 216

Number of Admissions 173

Number of New Patients 165

Number of Readmissions 8

Number of Female Patients Admitted 86

Number of Male Patients Admitted 87

Referrals and Admissions5-Year History

216 205 199216 216

163 165 153 166 173

0

50

100

150

200

250

2013 2014 2015 2016 2017

Referrals Admissions

2017 Admissions

AGE OF PATIENTS NUMBER

0 – 40 years old 1

41 – 59 years old 12

60 – 64 years old 16

65 – 74 years old 36

75 – 84 years old 38

85 – 95 years old 60

95 and over 10

under 6517%

over 6583%

2017 Admitting Diagnoses

72

1520

28

4 213

712

0

10

20

30

40

50

60

70

80

Cancer Heart Dementia Lung Kidney Liver Stroke/CVA Infection Other

2017 Admissions

LOCATION OF PATIENT WHEN ADMITTED NUMBER

Direct Admit to Hospice House 50

Home (other then Nursing Facility) 75

Nursing Facility (including Assisted Living) 48

2017 Referral SourcesAdmitted Patients

REFERRAL SOURCE REFERRAL SOURCE

Davis County Hospital 6 Personal Contact 28

Mary Greeley Medical Center 1 Ridgewood Nursing Home 2

Department of Human Services 1 Self 4

Mercy Medical Center 1 Vista Woods Care Center 1

Ottumwa Regional Health Center 36 Community Agency 2

Pella Regional Health Center 1 Hematology & Oncology 1

Unity Point Health 7 Mercy Ottumwa Physicians 57

University of Iowa Hospitals & Clinics 19 McCreery Cancer Center 5

Fort Madison Hospital 1

3

72

28

63

4 30

10

20

30

40

50

60

70

80

CommunityAgency

Hospitals PersonalContact

PhysicianPractice

Self Nursing Facility

2017 Referral SourcesAdmitted Patients

2017 Admissions

REASONS PATIENTS REFERRED

WERE NOT ADMITTEDNUMBER

Died before admission to Hospice 24

Did not meet criteria for Hospice 5

Declined Hospice services 4

Went to another Hospice 1

Seeking aggressive/curative treatment 7

Lived/moved out of the service area 2

2017 Census DataSuzanne Anderson, Finance Director

Hospice Patient Days

Location of Patient Days

Hospice House 1,761

In-home 7,236

TOTAL DAYS 8,997

Hospice House20%

In-home80%

Hospice Level of Care

Level of Care Days

Routine Home Care 8,647

General Inpatient 259

Inpatient Respite 91

Continuous Care 0

TOTAL DAYS 8,997

Routine Home Care96%

General Inpatient

3%

Inpatient Respite

1%

Hospice Patient Days5-year history

11951 11719

8917 8569 8997

0

2000

4000

6000

8000

10000

12000

14000

2013 2014 2015 2016 2017

Change from

previous year

Increase of 428 days which

is a 5% increase

Hospice Average Daily Census by Month

20.81 20.5722.13 21.77

25.58

29.627.52

28.19 27.93

23.55 22.83

25.03

0

5

10

15

20

25

30

35

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Hospice Average Daily Census5-Year History

32.7 32.1

24.4 23.424.7

0

5

10

15

20

25

30

35

2013 2014 2015 2016 2017

Change from

previous year

Increase of 5.5%

HospiceAverage Length of Stay5-Year History

61.2

77.2

57.5 58.4

48.9

0

10

20

30

40

50

60

70

80

90

2013 2014 2015 2016 2017

Change from

previous year

Decrease of 16.3%

8,256 days of care

provided to

169 patients

who either died,

discharged or revoked

from Hospice

HospiceMedian Length of Stay5-Year History

17

26

12.5 13 13

0

5

10

15

20

25

30

2013 2014 2015 2016 2017

Change from previous year

No change

OF THE 169 DEATHS, DISCHARGES

AND REVOKES:

9 patients with 1 day

10 patients with more than 180 days

140 patients with less than 90 days

HospiceDeaths, Discharges, Revokes

Deaths 146

Discharges 19

Revocations 4

TOTAL 169

Location of Patient at Time of Death

Hospice House51%

Home24%

Nursing Home Facility

25%

2017 Hospice HouseSuzanne Anderson, Finance Director

Hospice House Average Daily Census by Month

3.87

4.54

5.26 5.47

4.52

5.77

4.61

5.195.47 5.32

3.84.1

0

1

2

3

4

5

6

7

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Hospice HouseLevel of Care

Level of Care Days

Routine Home Care 1,411

General Inpatient 259

Inpatient Respite 91

TOTAL DAYS 1,761

Routine Home Care80%

General Inpatient15%

Inpatient Respite5%

Hospice House Average Daily Census5-Year History

4.3

3.53.2

4.1

4.8

0

1

2

3

4

5

6

2013 2014 2015 2016 2017

Change from

previous year

Increase of 17%

Hospice House Average Length of Stay5-Year History

16.217.5

11.1

13.8

17.5

0

2

4

6

8

10

12

14

16

18

20

2013 2014 2015 2016 2017

Change from

previous year

Increase of 26.8%

1,781 days of care

provided to 102

Hospice House

admits who either

died, went back

home, discharged or

revoked from

Hospice.

Hospice House Median Length of Stay5-Year History

5

6

4 4

5

0

1

2

3

4

5

6

7

2013 2014 2015 2016 2017

Change from

previous year

Increase of 25%

OF THE 102

DEATHS,

DISCHARGES AND

REVOKES:

80 with stays of less

than 2 weeks

10 with stays of

more than 2 months

Longest stay was

164 days

2017 Financial DataSuzanne Anderson, Finance Director

2017 Admissionsby Primary Payor

Medicare84%

Charitable1%

Medicaid6%

Private Insurance

9%

2017 Income

Donations11%

Grants1%

Hospice House Room & Board

9%

Medicaid7%

Medicare67%

Private Insurance

4%

Interest & Misc1%

2017 Expenses

Depreciation Exp.3%

Program Exp.16%

Insurance3%

EMR1%

Facility Exp.4%

Mileage Reimbursement

1%

Office Exp. & Misc.1%

Wages, Benefits, Taxes70%

Telephone1%

2017 Balance SheetDecember 31, 2017 December 31, 2016

Checking/Savings 633,065$ 391,085$

Accounts Receivable 406,552$ 444,881$

Certificates of Deposit 389,871$ 384,982$

Other Current Assets 2,342$ 2,342$

1,431,830$ 1,223,290$

Building, Improvements & Equipment 1,657,366$ 1,710,736$

3,089,196$ 2,934,026$

Accounts Payable 5,713$ 17,438$

Other Current Liabilities 102,108$ 104,067$

107,821$ 121,505$

2,981,375$ 2,812,521$

3,089,196$ 2,934,026$ TOTAL LIABILITIES & EQUITY

Total Equity

TOTAL ASSETS

Total Current Liabilities

ASSETS

LIABILITIES & EQUITY

Current Liabilities

Current Assets

Total Current Assets

Fixed Assets

“Success is no accident. It is hard work,

perseverance, learning, studying,

sacrifice, and most of all Love of what

you are doing.”

-Pele