Bringing Home Excellence

Gila Regional Medical Center

either a 9 or a 10 (on a 10 point Engagement Scale) related to their willingness to go above and beyond for our patients, our customers and their fellow caregivers. We also completed and initiated an astonishing number of important projects to further improve GRMC’s ability to serve you. These activities are all part of our efforts to achieve our mission and vision and to build the BEST rural hospital in the country for those we serve.

We at Gila Regional would like to take this time to thank you for your support!In Service,

We are here to provide exceptional service to our patients, our customers and our caregivers:

It has been an exciting year for Gila Regional and we have accomplished so much. With a focus on Quality First, Gila Regional achieved a $10 million dollar financial turn-around in less than 11 months.

During this time, many of our Key Quality Measures also improved. In addition, 73% of our caregivers surveyed (312 total) rated themselves

Brian Cunningham CEO, Gila Regional Medical Center

Bottom Line FY 2014 saw an extraordinary financial turnaround for GRMC. In less than 11 months, GRMC had achieved a $10 million turnaround to its bottom line performance. This represents a 14% turnaround.

Core Measures GRMC’s scores have steadily improved over the past year. These publicly reported measures are very close to being in the nation’s top 10%.

GRMC Auxiliary Our Gila Regional Auxiliary steps up to provide support and service to our organization through

a wide variety of activities. In FY 2014, these dedicated men and women donated over 19,000 hours of service. They awarded $15,000 in healthcare scholarships, more than $7,000 in hospital equipment and served over 1,190 meals to Cancer Center and Infusion patients. Countless numbers of patients and visitors have asked a volunteer to guide them around GRMC. They are a non-profit organization who supports GRMC’s mission and raises funds through donations, Gift Shop, Flower Sales, Scrub Sales, Linen Sales, and Purse Sales. To become a volunteer call 575-538-4074.

GRMC Foundation Gila Regional Medical Center Foundation, a 501(c)(3) organization, reached $3 million in donations to our hospital during FY2014. These funds were raised and grants supported for equipment, education, and community health projects.

Engaged Caregivers

Operational Excellence

Strategic Future Plans

+

+

=“Quality comes first — quality people, state-of-the-art

technology and the best supplies. Every decision has to make sense for the patient.”

Average Daily Spend FY 2014

Bottom Line FY 2014

Days In Cash FY 2014

$200

$180

Thousands of Dollars$165

FY 2013$191,357

FY 2014$174,676

130

110

120

100

Days90

FY 2014

128

FY 2013109

Daily SpendThis financial indicator represents how much it costs GRMC, daily, to run its business. Most organizations are trying to slow this rising cost; at GRMC we have cut this cost curve.

Days in CashThis financial indicator is often used as a barometer of the financial health of an organization. This represents the amount of cash on hand and how many days GRMC could run its business without any additional revenue.

A gift to the GRMC Foundation is a gift of health and compassion. FY2014 Donors are found @ http://www.grmc.org/The-Foundation/Donor-Recognition.aspx

Fiscal Year (FY) 2014 Financials verified through an Independent Auditor’s Report-REDW LLC and approved by New Mexico State Auditor’s office.

Our Mission is to provide exceptional quality, patient-centered care in healing environments.

Our Vision is to be the best place to receive care, to work, and to practice medicine.

Our Values at Gila Regional are I.C.A.R.E.: Integrity Compassion Accountability Respect Excellence

80

90

100

FY2014 Q1

FY2014 Q2

FY2014 Q3

FY2014 Q4

Benchmark for nation’s Top 10%

96%

93%

89%

81%

Composite Inpatient Core Measures FY2014

-10

-8-6

-4-2

02

Millions of Dollars

1.2

-9FY 2013

FY 2014

$1,255,409

-$9,021,105

FinancialsQuality

17,034Emergency Care Visits

Auxiliary Programs: Cancer Center Lunch Medication Assistance Scholarships Gift Shop & Flower Sales Behavioral Health Inpatient UnitChaplaincy/Spiritual CareDining Services Courtyard Café Nutritional CounselingDischarge Planning Case Management Diagnostics — Inpatient and Outpatient Cardio Testing Stress Tests ECHO Lab Imaging (Radiology) MRI/CT Mammography Ultrasound/X-Ray Nuclear Medicine In-house Radiologist Laboratory In-house Pathologist Pulmonary Neurodiagnostic Bronchoscopy Respiratory Services Sleep Medicine Sleep Labs

Education Department American Heart Association (AHA) Training Center CPR/ACLS/PALS Certification Programs Job Mandatory TrainingEmergency DepartmentEmergency Medical Services (EMS) Ambulance Service EMT TrainingFirst Born Program Home Visits In-home GED Program Nutrition ConsultationFoundation Special Events Scholarships Donor Relations/ServicesInfusion Treatments OutpatientInfection ControlInpatient Rehab Therapy Occupational Physical SpeechIntensive Care Unit Maternal Child Health Labor & Delivery Lactation Consultant Parent EducationPatient LiaisonPharmacy Inpatient

Gila Regional Cancer Center Chemotherapy Radiation Therapy Oncology Clinics Breast & Cervical Cancer Screening ProgramGila Regional Rehabilitation Center Occupational Therapy Physical Therapy Speech TherapySurgery Center of the Southwest Outpatient and Inpatient Ear, Nose & Throat (ENT) Endoscopy/Eye Surgery Gynecologic Orthopedic Care Pain/Podiatry/UrologyGila Regional Physician Network Cardiology Interventional Pain Management General Surgery Family MedicineGrant County Community Health Council Active and Alive Senior Cycles Community Assessment Billy Casper Wellness Center Group Classes Gym/Pool Membership Personal Trainers Wellness Education

Gila Regional Medical Center has served, for over 130 years, the people of southwest New Mexico. We support our

communities with vital services from diagnostics to emergency care and with a host of outreach and support programs with more than 100 staff practitioners, over 600 dedicated nurses, technicians, therapists, pharmacists, staff and hundreds of volunteers.

FY 2014

— At a Glance —

575-538-4000 | www.grmc.org

100Medical Staff

388Babies Delivered

189 Registered Nurses

2,902Admissions

3,008EMS Ambulance Runs

4,080Surgeries

48,147Outpatient Visits 19,599

Hours of Service Provided by Auxiliary Volunteers

73.10%ExceptionalCaregiverEngagement

20.89%StrongCaregiverEngagement

6.01%Low Levelof CaregiverEngagement

Caregiver Excellence Engagement ScoresAt Gila Regional we define caregiver engagement as the willingness to go above and be-yond personally and in support of our fellow caregivers, our customers, and our organizational goals.Source: FY2014 Caregivers Survey Results

Gila Regional Multi-Specialty Network GRMC employed physicians

Gila Behavioral Health Teresa Arizaga-Morales, MD

Gila Cardiology Norman Ratliff, MD, FACC

Gila General Surgery David Friedman, MD, FACS

Gila Pain Management Craig Leicht, MD

Nursing Excellence Program Development FY 2014 GRMC began work on Gila Nursing Excellence System (GNES). The re-engineering of our nursing care delivery model is necessary to fix outdated systems and will allow more quality time with our patients. Focus areas are leadership, staffing models, recruitment/retention, education and quality of care.

Linear Accelerator Cancer Center FY 2014 Purchased and installed, our new linear accelerator brings enhanced cancer care to Gila Regional. During the 2013 Legislative session, House Bill 580 / Senate Bill 495 were presented by Representative Rudy Martinez and Senator Howie Morales. This bill signed into action and authorized the New Mexico Finance Authority (NMFA) to issue additional cigarette tax revenue bonds for Gila Regional Medical Center (GRMC) and Nor-Lea General Hospital.

Housekeeping Scored Top 10% During FY 2014, scores in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey reached the top 10% in the nation.

Emergency Dept. Physician Services Innova Contracted In response to feedback by our community, we have contracted with a new emergency department medical provider team. Innova has a regional presence, based out of Colorado. We feel confident that this new team will better serve our community. The new contract goes in effect January 2015.

Future Construction Improving Patient Care Facility needs are long overdue. Areas have been identified and plans will be implemented during FY 2015. Areas of focus—Labor & Delivery/Nursery, Surgery Department and space for multi-specialty provider practices.

Process Excellence Program Development FY 2014 GRMC developed and implemented an innovative approach to project management. This high level evidenced-based approach drives, coordinates and monitors all organizational projects. This ensures a high quality-accountability structure for the entire organization.