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CAMC Teays Valley HospitalTeays Valley, West Virginia2013 Community Benefit ReportandReport on Implementation StrategiesExecutive SummaryThis community benefit report describes the programs and services that take place every day at CAMCTeays Valley Hospital to improve the health of our community.In 2013, CAMC Teays Valley Hospital provided 6,513,041 in community benefit. Our programs andservices go well beyond the traditional health care we think of when we consider hospital care and aredelivered both inside and outside the walls of our hospitals. They are driven by our mission, Striving toprovide the best health care to every patient, every day.Part of the CAMC Health System, CAMC Teays Valley Hospital, Inc. is a West Virginia nonprofit taxexempt corporation that owns and operates a 70 bed general acute care hospital in Hurricane, PutnamCounty, West Virginia. The hospital was purchased from HCA – The Health Care Corporation in 2006in an effort to preserve hospital and healthcare services in Putnam County. CAMC Teays ValleyHospital provides cardiology, family practice, surgical and endoscopy services, infectious disease,internal medicine, medical intensive care, ophthalmology, nephrology, neurology, orthopedics, pain,pulmonary, radiology, urology and wound care services as well as emergency care, outpatient lab,radiology, physical therapy and ambulatory infusion services.The residents of Putnam County depend on CAMC Teays Valley Hospital to provide convenient, qualityand compassionate care – care delivered regardless of a patient’s ability to pay.We give back to our community because we understand the impact that medical care provided locallyin our community as well as charity care, education, corporate contributions and communitypartnerships have on the lives of the people in our community. In this report, you will read aboutexamples of the programs we provide to the community and how we demonstrate our communitycommitment.The Community Benefit Report is made available to the public via the CAMC Health Systemwebsite at www.camc.org and is available upon request from the hospital facility.2
2013 COMMUNITY BENEFIT SUMMARYCHARITY CARE AT COST 3,049,075Free or discounted health services provided to persons who meet the organization’s criteria for financial assistance and are thereby deemedunable to pay for all or a portion of the services. Charity care is reported in terms of costs, not charges. Charity care does not include (1) baddebt or uncollectible charges that the hospital recorded as revenue but wrote off due to failure to pay by patients, or the cost of providing suchcare to patients; (2) the difference between the cost of care provided under Medicaid or other means- tested government programs or underMedicare and the revenue derived therefrom; or (3) contractual adjustments with any third-party payors.GOVERNMENT SPONSORED MEANS-TESTED HEALTH CARE SHORTFALLSIncludes the unpaid costs of public programs for low income persons; the “shortfall’ created when a facility receives payments that are lessthan cost of caring for public program beneficiaries. This payment shortfall is not the same as a contractual allowance, which is the fulldifference between charges and government payments.Unreimbursed Medicaid 2,733,770Other Public Unreimbursed Costs 555,409COMMUNITY BENEFIT PROGRAMS AND SERVICES 174,787See details beginning on page 22.Community Health Improvement ServicesFinancial and In-Kind ContributionsCommunity Building ActivitiesCommunity Benefit Operations 153,18211,8658,3401,400TOTAL 6,513,041In addition to the above, although Medicare and Bad Debt are not included as part of the communitybenefit report per IRS guidelines, they are reflective of CAMC Teays Valley Hospital’s role in providingbenefit to our community.UNREIMBURSED MEDICARE AT COST 6,545,279Medicare is not considered a means tested program and thus is not included as part of community benefit.BAD DEBT AT COST 5,636.172Unreimbursed costs, excluding contractual adjustments, arising from the failure to pay by patients whose health care has not been classifiedas charity care.NOTE: Charity Care, Unreimbursed Medicare, Medicaid and Bad Debt – The total cost estimate for this care was determined by applying ourMedicare ratio of cost to charges generated for these patient financial classifications.3
CAMC Teays Valley Hospital Implementation Strategy2013 ReportPUTNAM COUNTY ADVISORY COMMITTEE PLAN UPDATEGoals and progress toward addressing a community wide plan for indigent Adult Dental Careby the Putnam County Advisory Committee:4Adult DentalCare35.02013 Progress ReportGoals: Provide access to preventive and restorative dentalservices for adults in Putnam County.Progress to date: The Advisory Committee has approached a privatedental group and asked them to provide indigentadult dental services for residents of PutnamCounty. Funding opportunities are being explored. United Way is funding Family Care and WVHealthRight who both provide adult dental servicesfor Putnam County residents.A local dentist has teamed with the PutnamCounty Vocational Technical School toprovide dental care to indigent individualsin Putnam County. The Putnam CountyAdvisory Committee will monitor volumesand continue to assess unmet need.4
CAMC TEAYS VALLEY HOSPITALIMPLEMENTATION STRATEGY UPDATEThe following table lists programs provided by CAMC Teays Valley Hospital that address thesecommunity priorities, and are identified and funded as part of operational planning by theCAMC Teays Valley Hospital Board of Trustees. Please see Appendix A for details ofactivities in 2013.12ADDRESSED BYCAMCTEAYS VALLEYHOSPITALPoverty – Childrenand FamiliesPhysical ActivityRANKINGSCORE37.837.0How Addressed by CAMC Teays Valley Hospital(program descriptions found in Appendix A) 7High SchoolGraduation30.48Cancer28.8912Drug UseFlu/Pneumonia 28.6 23.8 Enrollment Assistance for Patients and Families forHealth CoverageCharity Care24 hour Emergency DepartmentHabitat for HumanityCross Roads Health FairHealthy Kids Awareness Health FairCARDIAC ProjectCamp Kno KomaSports PhysicalsPlaced AEDs in schools in Putnam CountyOrthopedic coverage for area school and collegeeventsCoverage for WV Gymnastics StateChampionshipsTri-County YMCA funding for financial assistanceto support membership for needy communitymembersScott Teays Elementary 5K RunFinancial support for Boy Scouts and Girl ScoutsDonations for sporting equipment for area schoolsPutnam County Career Fair – Portfolio ExpositionsPutnam County Career ConferenceAthletic Team SponsorshipsMedical ExplorersBreast Cancer Support GroupDonations to American Cancer Society and Relayfor LifeSupport for HospiceSt. Albans K-9 Association drug awarenessmaterialsHurricane Health FairPutnam County Juvenile Drug CourtFlu Shot Clinic5
The following community priority needs are not addressed by CAMC Teays Valley Hospital and therationale is provided for each.NEED NOTADDRESSEDRANKINGSCOREREASON NOT ADDRESSEDPsychiatric services not provided at CAMC Teays.Services provided by Hopewell Place and KVCBehavioral Healthcare West Virginia in Hurricane,Prestera in Winfield and Starlight Behavioral HealthServices in Scott DepotAddressed by the Putnam County Board ofEducation and Literacy Volunteers.3Counseling Services36.054th and 8th GradeReading and MathProficiencyBirths to UnmarriedTeensDrinking and DrivingStroke34.86101131.427.226.8CAMC Women and Children’s Hospital providesservices to this Putnam County population.Students Against Drunk Driving, Drug CourtCAMC Teays is currently recruiting a neurologistand planning for telestroke services with CAMCGeneral Hospital.CAMC TEAYS VALLEY HOSPITAL COMMUNITY BENEFIT PLANIMPLEMENTATION STRATEGYThe following community health strategies have been developed through Steps 1-3 of theCommunity Support Process. These strategies have been funded and are being implemented.The CAMC Teays Valley Board approved the implementation strategies and reviews planprogress annually.#1COMMUNITY HEALTH NEEDIDENTIFIED HEALTH ISSUECOMMUNITY SERVEDPROGRAM DESCRIPTIONAND RATIONALESTRATEGIC OBJECTIVEGOALS TO ADDRESS THEHEALTH NEEDMEASURECAMC Teays Valley HospitalStrokeInability to immediately assess stroke patients 24/7 forTPA prior to transport to CAMC General HospitalStroke CenterPutnam CountyPartner with CAMC General Hospital’s telestrokeprogram to allow quicker access to CAMC General’sspecialized stroke servicesIMPLEMENT TELESTROKE1. Provide telestroke for earlier diagnosis andappropriate early intervention for stroke patients.2. Recruit a full time neurologist for CAMC TeaysValley Hospital. Stroke Outcomes Improved access to care6
TIMELINERESOURCESPARTNERS/COLLABORATORSFully implement telestroke by the end of 2014CAMC and CAMC Teays fundingCAMC General HospitalCAMC Health Education and Research Institute2013 Progress ReportOur Emergency Room Physicians are verycompetent at diagnosing and providingappropriate early intervention for strokepatients. We have also recruited and hired afull time Neurologist that practices exclusivelyat Teays Valley Hospital. In March 2014, CAMCTeays Valley Hospital became a 4th hospital inthe CAMC system. This makes it very easy tocommunicate with the Emergency Roomphysicians and transport stroke patients toGeneral Hospital’s Stroke Center of Excellence.#2COMMUNITY HEALTH NEEDIDENTIFIED HEALTH ISSUECAMC Teays Valley HospitalPoverty, Cancer, Drug Use, Stroke, Flu/PneumoniaAccess to primary, emergency and specialty healthcareCOMMUNITY SERVEDPutnam CountyPROGRAM DESCRIPTIONCAMC Teays Valley Hospital is the only acute careAND RATIONALEhospital and provider of 24/7 emergency departmentservices in Putnam County.STRATEGIC OBJECTIVEPROVIDE ACCESS TO PRIMARY AND SPECIALTYHEALTH CARE FOR THE SERVICE AREA THROUGHMEDICAL STAFF RECRUITMENTGOALS TO ADDRESS THE1. Recruit medical staff for high priority communityHEALTH NEEDneeds2. Provide or ensure access to needed specialistsMEASURE TO EVALUATE THE Medical Staff recruited to service community needsIMPACTbased on the Medical Staff Development Plan(neurology, urology, oncology, cardiac priorities)TIMELINEOngoingRESOURCESMedical Staff recruitment and loan expenses; incomeguaranteesPARTNERS/COLLABORATORS CAMCIntegrated Health Care Providers2013 Progress ReportCAMC Teays Valley Hospital has recruited andhired a full time Neurologist and a full timeUrologist to provide these much neededservices to the patients in our service area.7
#3COMMUNITY HEALTH NEEDIDENTIFIED HEALTH ISSUECOMMUNITY SERVEDPROGRAM DESCRIPTIONAND RATIONALECAMC Teays Valley HospitalDrug UseDrug Use in Children and TeensPutnam CountyThe Putnam County Juvenile Drug Court is acooperative effort of the juvenile justice, socialservices, law enforcement and education systems. Itspurpose is to divert non-violent youths ages 10 to 17who abuse alcohol or drugs from the juvenile courtsystem into an intensive, individualized process thatincludes parental involvement and cooperation. Eachyouth is monitored and coached for drug use, schoolattendance, grades and relationships with family andpeers.STRATEGIC OBJECTIVEDIVERT NON-VIOLENT YOUTH WHO ABUSE ALCOHOLAND DRUGS TO A DRUG AND ALCOHOL FREEFUTURE. Provide financial support to the Putnam CountyJuvenile Drug Court Provide leadership and sustainability to theprogram through the CEO serving on the Board ofDirectors Percent of youths who complete the year longprogram Percent drug and alcohol free at one, two and fiveyearsGOALS TO ADDRESS THEHEALTH NEEDMEASURE TO EVALUATE THEIMPACTTIMELINERESOURCES2013-2016CAMC Teays Valley Community Benefit budgetPARTNERS/COLLABORATORS Prestera, PsyMed, Putnam County Youth ReportingCenter, Prosecuting Attorney’s Office, ProbationDepartment, Sheriff’s Department, Circuit Judge,Board of Education, WVDHHR2013 Progress ReportTeays Valley Hospital provides financialsupport to this very successful program. TheVice President/Administrator of CAMC TeaysValley Hospital serves as a communityrepresentative on the Board of Trustees thatmanages this program. There have beentwenty seven youth that have successfullygraduated from this program.8
#4COMMUNITY HEALTH NEEDIDENTIFIED HEALTH ISSUECOMMUNITY SERVEDPROGRAM DESCRIPTIONAND RATIONALESTRATEGIC OBJECTIVEGOALS TO ADDRESS THEHEALTH NEEDMEASURE TO EVALUATE THEIMPACTTIMELINERESOURCESCAMC Teays Valley HospitalFirst Responder Service (from internal CAMC TeaysValley Hospital analysis)Medical Supplies for Emergency Situations in allPutnam County SchoolsPutnam CountyCAMC Teays had a request from one elementaryschool in the county for first aid/first responder kits foreach classroom. With the number of storms andtornado threats in the county and the increasedfrequency of active shooter occurrences, CAMC Teaysrecognized this as a broader need for all schools in thecounty.PROVIDE MEDICAL SUPPLIES FOR EACH PUTNAMCOUNTY CLASSROOM FOR USE IN EMERGENCYSITUATIONS The CEO of CAMC Teays will meet with theSuperintendent of Putnam County Schools, theSheriff of Putnam County and the Director ofEmergency Services to develop a county widesystematic approach for medical supplies. Develop a plan to provide these supplies. Medical supplies provided for each classroom2013-2014CAMC Teays community benefit budgetPARTNERS/COLLABORATORS Putnam County SchoolsEmergency ServicesSheriff Department of Putnam County2013 Progress ReportEmergency kits have been purchased by CAMCTeays Valley Hospital and delivered to thePutnam County Board of Education. The Boardof Education, in conjunction with the CountyEmergency Medical Services, have started atraining process for all teachers andAdministrative staff in the Putnam CountySchool district. By the end of 2014 it isanticipated that all training will be completedand there will be an emergency kit in everyclassroom, gym, and cafeteria in everyelementary school, middle school, high schooland the technical training school in PutnamCounty.9
We are currently working on a plan to purchasekits for all police and fire departments inPutnam County. This will allow for all firstresponders to have these kits in their vehiclesand to be familiar with the kits should theyhave to enter a school in an emergencysituation.#5COMMUNITY HEALTH NEEDIDENTIFIED HEALTH ISSUECOMMUNITY SERVEDPROGRAM DESCRIPTIONAND RATIONALECAMC Teays Valley HospitalPoverty – Children and Families; CancerCancerPutnam CountyPutnam County’s death rate from prostate cancerincreased from 2007 to 2008 and at 14.1 per 100,000population is higher than the state at 10.3. Putnam’sincidence rate for prostate cancer is also higher thanthe state and in 2010 only 53.2% of men aged 40 reported having a PSA test within the past two years,down from 57.1% in 2004.STRATEGIC OBJECTIVEImprove prostate exams among Putnam County malesGOALS TO ADDRESS THEHEALTH NEED Provide a free clinic annually focusing on lowincome and minority residents.MEASURE TO EVALUATE THEIMPACT Participation rateAbnormal findingsTIMELINEBegin in 2014 and offer annuallyRESOURCESCAMC Teays operating budgetPARTNERS/COLLABORATORS To be identified2013 Progress ReportCAMC Teays Valley Hospital hired a urologistand he is building his patient population. Weplan to offer the first screening clinic dayduring the fourth quarter of 2014.10
APPENDIX ALISTING OF 2013 COMMUNITY BENEFITPROGRAMS FORCAMC TEAYS VALLEY HOSPITAL11
2013 CAMC Teays Valley HospitalCommunity Benefit ActivitiesCommunity Health Improvement Services (A)Community Health Education (A1)Breast Cancer Support GroupDescription: A support group for persons diagnosed with breast cancer and their families. The supportgroup meets throughout the year at CAMC Teays Valley Hospital.Category: A1Gender: FemalesObjective: To provide support for those diagnosed with breast cancer and their families.Persons: 10Expenses: 310Revenues: 0Benefit: 310WV Health Occupations Students of America (HOSA)Description: Provided a clinical judge for the West Virginia Health Occupations Students of America’sCategory:Gender:Objective:annual skills competition.A1Both Males and FemalesProvide support to WV HOSA who works with area students interested in healthcareprofessions to develop leadership and academic skills.Persons: 45Expenses: 320Revenues: 0Benefit: 320Maura Rae Khul AED FoundationDescription: Provided AEDs to all middle and high schools in Putnam County and trained school nursesto ensure they could train appropriate personal in each school. Provided CAMC TeaysValley Hospital staff to serve on the Maura Rae Khul Board and promoted fundraising effortsof the foundation.Category: A1Gender: Both Males and FemalesObjective: Improve the likelihood of survival in the event of a cardiac arrest at school or during a schoolevent.Persons: UnknownExpenses: 1,500Revenues: 0Benefit: 1,500Red Cross Blood Drive SupportDescription: Employees organized, posted advertising, and provided set-up and clean up for Red CrossBlood Drive at the hospital.Category: A1Gender: Both Males and FemalesObjective: To encourage blood donation.12
Persons:Expenses:Revenues:Benefit:202900290Relay for LifeDescription: Staffed the Annual Relay for Life in Hurricane which promotes cancer awareness and invitescancer survivors and family to participate in the walk. The event raises money for theAmerican Cancer Society.Category: A1Gender: Both Males and FemalesPersons: UnknownExpenses: 550Revenues: 0Benefit: 550Taste of PutnamDescription: An event held for local restaurants to allow the public to taste their food and demonstratethat heart-healthy foods can taste good.Category: A1Gender: Both Males and FemalesObjective: To promote healthy eatingPersons: 1,900Expenses: 2.400Revenues: 0Benefit: 2.400Woman Up ConferenceDescription: Participated in the local conference to make participants aware of health care andcommunity services available to women in the local community.Category: A1Gender: Both Males and FemalesObjective: To promote healthy outcomes and provide direction to local resources.Persons: UnknownExpenses: 480Revenues: 0Benefit: 480*** Community Health 1,975Community Based Clinical Services (A2)Camp Kno KomaDescription: Provided nursing staff and supplies for Camp Kno Koma, a children’s camp for diabeticchildren ages 7 – 15. Nurses provided nursing care and diabetes education for the camp.Category: A2Gender: Both Males and FemalesObjective: Provide a safe camping experience for diabetic children and provide diabetes education tothe children.Persons: 140Expenses: 13,977Revenues: 0Benefit: 13,97713
Flu Shot rs:Persons:Expenses:Revenues:Benefit:Free Flu Shot Clinic provided to the community for ages 6 months and older.A2Both Males and FemalesParticipants will increase their resistance to the flu virus.None58815,876015,876Free Sports Physicals for StudentsDescription: Conducted sports physicals and evaluations for all area middle school, high school, andcollege students.Category: A2Gender: Both Males and FemalesObjective: To ensure that area children can safely compete in our community’s organized sportsprograms.Persons: 93Expenses: 16,479Revenues: 0Benefit: 16,479Orthopedic Physician Coverage for Area High School and College Sporting EventsDescription: Provided onsite orthopedic physician coverage for athletes, cheerleaders and bandmembers.Category: A2Gender: Both Males and FemalesObjective: On site health care coverage for area athletes.Persons: 210Expenses: 28,000Revenues: 0Benefit: 28,000*** Community Based Clinical s1,031Health Care Support Services (A3)Enrollment Assistance for Patients & Families for Health CoverageDescription: Patient Accounts provides support to patients for enrollment in government programs or forobtaining charity care. Financial Counselors address the charity process for CAMC TeaysValley patients. Over 34,000 charity and government enrollment applications were provided.Category: A3Gender: Both Males and FemalesObjective: Support patients with information and enrollment for health care coverage.Persons: 3,370Expenses: 73,000Revenues: 0Benefit: 73,00014
Expenses*** Health Care Support ** Community Health Improvement ons6,376Financial and In-Kind Contributions (E)Cash Donations (E1)American Heart Association Fund Raising EventDescription: A fundraising event for the American Heart Association held at the hospital.Category: E1Gender: Both Males and FemalesObjective: To promote awareness and raise money for the battle against heart disease.Persons: 40Expenses: 2,700Revenues: 0Benefit: 2,700Boy Scout Eagle Scout ProjectDescription: Donation to help offset the cost of a local Scout Troop project that provided comfort kits tofamilies in the ICU waiting room.Category: E1Gender: Both Males and FemalesObjective: To promote health care education in the community.Persons: 20Expenses: 260Revenues: 0Benefit: 260Civic Affairs DonationsDescription: Donations made to local civic organizations to promote the health and well being of thecommunity. The hospital provided donations to the Putnam County Deputy Sheriff for itsShop With a Cop Christmas for Children, Lions Club, Putnam County Juvenile Drug CourtBoosters and Hurricane High School for its Future Business Leaders of America competitorsand the Putnam County Chamber of Commerce, Putnam County Fair, and HomecomingParade.Category: E1Gender: Both Males and FemalesObjective: To promote education and health awareness in the community.Persons: 1,200Expenses: 6,130Revenues: 0Benefit: 6,130Scott Teays Elementary School 5K RunDescription: Provided financial support for the Scott Teays Elementary School 5K Run to promote theimportance of exercise.Category: E1Gender: Both Males and FemalesObjective: To promote awareness and importance of exercise for elementary age children.15
ship of Various High School Middle School, Elementary School Athletic Teams/Clubs/EventsDescription: Cash donations to provide children attending area schools with sporting equipment topromote exercise and healthy lifestyles. Items purchased were athletic shoes for lowincome children, archery equipment, playground equipment, cheerleading equipment,pedometers and uniforms.Category: E1Gender: Both Males and FemalesObjective: To promote exercise and provide an opportunity for low income and other children toparticipate in sports activities in the local community.Persons: 465Expenses: 2,575Revenues: 0Benefit: 2,575*** Cash ns1,775**** Financial and In-Kind ersons1,775Community Building Activities (F)Community Support (F3)Community Board Participation by CAMC Teays Valley AdministrationDescription: Randy Hodges, Administrator, served on the board of the Putnam County Chamber ofCommerce, Maura Rae Kuhl AED Foundation, Region 2 Workforce Development, theUnited Way, Putnam County Advisory Committee and the Community Oversight Panel forthe Putnam county Juvenile Drug Court.Category: F3Gender: Both Males and FemalesObjective: To provide the community with management expertise and health care knowledge.Expenses: 5,000Revenues: 0Benefit: 5,000*** Community orkforce Development (F8)Donated EKG Machine to Putnam County Career Technical CenterDescription: Provided the Putnam County Career & Technical Center with an EKG machine for itsnursing assistant classes.Category: F8Gender: Both Males and Females16
Objective: Increase health career education opportunities in the community.Persons: 30Expenses: 1,000Revenues: 0Benefit: 1,000Medical ExplorersDescription: A program designed to introduce youth in Putnam county who are 14 years of ageand have completed the 8th grade or are ages 15 to 20 and have designated health care astheir health cluster to the health care environment.Category: F8Gender: Both Males and FemalesObjective: Increase health career awareness by educating middle and high school students abouthealth professions and careers.Persons: 18Expenses: 965Revenues: 0Benefit: 965Putnam County Career Fair, Health Services Career Conference, and Portfolio ExpositionsDescription: Area high school students and adults are provided information on the educationalrequirements for various health care careers. Hospital staff participate in the review of thestudent’s school portfolio, resumes and conduct mock interviews with each student.Category: F8Gender: Both Males and FemalesObjective: Promote careers in health care and insure an effective workforce is in place to meet theneeds of the community.Persons: 740Expenses: 1,375Revenues: 0Benefit: 1,375*** Workforce ns788**** Community Building s788Community Benefit Operations (G)Dedicated Staff (G1)Community Benefit OperationsDescription: Facility staff dedicated to Community Benefit Reporting.Category: G1Gender: Both Males and FemalesObjective: To compile and report the organization's community benefit by surveying the individualdepartments, administrators, and other staff at our hospital.Expenses: 1,400Revenues: 0Benefit: 1,40017
*** Dedicated * Community Benefit 39Number of Programs 22Grand TotalsTotals:Number of Programs: 22Persons: 8,939Expenses: 174,787Revenue: 0Benefit: 174,78718
for Putnam County residents. 2013 Progress Report A local dentist has teamed with the Putnam County Vocational Technical School to provide dental care to indigent individuals in Putnam County. The Putnam County Advisory Committee will monitor volumes and continue to assess unmet need.
