2017 Year In Review

Inter-Community Hospital • Queen of the Valley Hospital
Foothill Presbyterian Hospital • Citrus Valley Hospice • Citrus Valley Home Health

Year In
REVIEW

Message from Rob Curry

Dear CVHP family,

Welcome to CVHP’s Year in Review. This is an annual tradition where we have the opportunity to reflect
and celebrate the many accomplishments we made throughout the year. And, it has been a great year!

We received important recognitions for our clinical excellence from numerous notable organizations,
including the American Heart Association, Blue Shield of California, Women’s Choice Awards and US
News & World Report. Our commitment to expanding our services beyond our hospital walls continued
with the acquisition of several physician practices, a freestanding imaging center and two office buildings
with more acquisitions coming soon! Our focus on meeting the increasing needs of our community also
resulted in achievements such as the launch of a Family Medicine Residency Program, our remodeling
and naming dedication of our Gelaris Education Center and the notable accreditation of our freestanding
surgery center.

Of course, none of this would be possible without the contributions, teamwork and dedication of all of
you. Congratulations everyone.

2018 will be a very exciting year for CVHP with our rebranding initiative well underway. As many of you
learned at our Town Hall Meetings, our business has outpaced our brand and it is time to make a change.
Our brand is our identity and sharing our story with our internal and external communities is vital. This
rebrand will give us the opportunity to do just that. Stay tuned for more in this new year as we prepare to
launch our new name and brand.

Thank you all for living our mission and providing the best care to all we serve. I look forward to another
exciting year ahead. Have a wonderful holiday season and new year.

Robert H. Curry
President & CEO
Citrus Valley Health Partners

JANUARY

CVHP Named a Top 100 Hospital

Cleverley and Associates once again named CVHP a “Top 100”
hospital and recipient of its Community Value Leadership
Award. Both CVMC and FPH were also designated as
“Community Five Star” hospitals. Cleverly and Associates
publishes an annual report through the State of the Hospital
Industry Handbook and selects 100 top financially performing
hospitals in the nation.

The goal is to show the public that a hospital provides value
to the community when it is financially viable, is appropriately
reinvesting back into its facilities, maintains a low cost
structure, has reasonable charges and provides high quality care
to its patients.

Lighten Up SGV! 2017

CVHP’s innovative weight loss support program kicked off
the new year with its community weigh-in event and weight
loss challenge on Saturday, January 28 at QVH. This is a free
program which offers participants monthly workshops and
resources to help them lose weight using whatever plan they
choose.

FEBRUARY

CVHP Celebrates Heart & Vascular Month

February was filled with events all aimed at educating our
community about heart and vascular disease. Physician-led
lectures included topics on Peripheral Artery Disease, women’s
heart health and atrial fibrillation.

Staff members, physicians and volunteers wore red on
February 8 to show our patients and the community that
we care about their hearts. Special group photos from each
campus were then posted to our CVHP Facebook page and
Intranet.

More than 130 community members and CVHP employees
gathered at Covina Park on February 25 for the first ever Heart
Walk. They walked around the park in honor or in memory
of loved ones and to help spread awareness of heart disease.
The event featured educational booths from a few local

businesses, as well as the following CVHP departments: Citrus
Valley Heart Center, Mended Hearts, Breath Savers, Primary
Stroke Center and CardioPulmonary Rehab. Sponsors also
donated refreshments and raffle prizes – including a brand new
bike. Other Heart Walk sponsors and donors were: Incycle,
Medtronic, Abbott, Yoga Funk, JuicePlus and Crunch Fitness.

CVMC Receives Women’s Choice Award For Heart Care RN Job Fair

Women’s Choice Award named ICH and QVH as two of Nearly 80 nurses attended, and we made 39 job offers to
America’s Best Hospitals for Heart Care. The methodology experienced candidates during February’s RN Job Fair. The
used to select America’s Best Hospitals for Heart Care is new hires were for several different departments including:
unique in that it evaluates: ER, Med/Surg, SICU, Case Managers, TCU, DOU, ICU,
CCU, NICU, L&D, MBCU, Rehab and PACU.
• 30-day mortality and readmission rates for heart
attack and failure We surveyed all of the candidates on why they wanted to
work at CVHP and heard so many wonderful comments,
• The number of cardiac/vascular services offered. such as positive recommendations from current employees,
Recognized hospitals must offer at least six of the the good reputation of our hospitals and their desire to serve
following services: Cardiac Catheter Lab, Cardiac the community. The candidates also commented on the great
Rehabilitation, Cardiac Surgery, Carotid Stenting, attitude of the staff at the job fair and the overall positive
Coronary Interventions, Electrophysiology, atmosphere.
Vascular Interventions, Vascular Surgery and
Coronary Intensive Care (CCU). Lung Screening Program

• Patient recommendation ratings on the Hospital CVHP began providing a CT Low Dose Lung Screening
Consumer Assessment of Healthcare Providers and Program at all three hospital imaging locations. A lung cancer
Systems (HCAHPS) Survey screening is performed on a multi-slice spiral computed
tomography (CT) scanner and can detect smaller nodules or
• Primary research about women’s health care cancer than standard chest X-rays. CT lung screening is a
preferences noninvasive, painless procedure that uses low-dose X-rays to
screen the lungs for cancer in just 30 seconds.

A CT lung screening allows the radiologist to look at different
levels, or slices, of the lungs detecting malignant tumors in
early stages. With CT lung screening, the cancer cells can be
treated at a time when the cancer still has promising survival
rates and is localized to the lungs. The most obvious benefit
to lung cancer screening is that lung cancer that is caught
early is more likely to be treatable and cured.

The Women’s Choice Award is encouraging women to learn
which hospitals on the America’s Best list are “their heart
hospitals” and to share the list with their circles of friends
and loved ones through Facebook and other means during
American Heart Month.

Joint Commission Survey

The Joint Commission tri-annual survey for Inter-Community
Hospital, Queen of the Valley Hospital, Citrus Valley Hospice
and Home Health was held the week of February 13.

There were several areas that need extra focus. Together, we
worked diligently to improve these findings immediately for
the follow-up survey.

MARCH FPH Stroke Certification Efforts

Purchase of Medical Arts Building Official preparation efforts began for FPH to become a
Joint Commission Certified Acute Stroke Ready Hospital.
CVHP closed escrow on March 2 on the Queen of the Valley Our goal is to provide best practice in stroke care across
Medical Arts Building. This nearly 90,000 square-foot our CVHP system and throughout the communities we
building, located at 1135 S. Sunset Avenue in West Covina, is serve. Stroke patients were already receiving tPA (Tissue
an essential part of CVHP’s plans to expand its ambulatory Plasminogen Activator) successfully at FPH’s ED and then
network to better care for our community.
transferred to QVH’s Primary
Stroke Center for continuum
of care.

Since the implementation of
the drip and ship model, FPH’s
stroke outcomes have been
favorable in both turn-around
times and core measures.
FPH is well on its way to
meeting the requirements
for becoming an Acute
Stroke Ready Hospital. The
certification allows hospitals
to demonstrate excellence
by complying with clinical
practice guidelines and standards of care for the initial
treatment of acute stroke patients, and recognizes these
hospitals that meet these standards and support for better
outcomes in stroke care.

APRIL Service Awards

Stroke Care Recognition CVHP’s annual Service Awards events this month. First,
employees celebrating five years of service were treated
CVMC was named one of America’s Best Stroke Centers by to a special brunch on April 7, complete with raffle
Women’s Choice Award. The award signifies that CVMC is prizes and games. Each honoree was also presented
in the top 7% of 4,789 U.S. hospitals offering stroke care with an anniversary pin. Then a luncheon was held on
services. April 25 at the Fairplex Conference Center in Pomona
to honor the more than 300 employees who marked 10,
A stroke center must be certified by the Joint Commission 15, 20, 25, 30, 35, 40 and 45 years of service in 2016.
Stroke Certification Program as an Advanced Primary Stroke Employees of the Year were also recognized.
Center and/or Advanced Comprehensive Stroke Center to be
considered for the award. It is the only award recognizing Employees of the Year were honored during the luncheon.
excellence in stroke care based on robust criteria that They include: Guadalupe Barreiro, QVH Environmental
consider patient satisfaction and clinical excellence. Services; Janine Markstrom, ICH Radiology; Stephanie Whitt,
FPH Emergency Department; Deborah Gunnels, Hospice/
The methodology used to select CVMC as an America’s Best Home Health Physical Therapy; Felicito “Junior” Gonzales,
Stroke Center is unique in that it evaluates 30-day stroke
mortality and readmission rates and Hospital Consumer CVHP Information Services
Assessment of Healthcare Providers and Systems (HCAHPS)
survey results along with primary research about women’s
health care preferences.

Hospitals must also score in the top 80% of all hospitals in
the following areas:

• Percent of patients receiving head CT scan results
within 45 minutes

• Percent of patients receiving thrombolytic therapy

• Percent of patients receiving stroke education

To read the complete list of all award recipients, visit
https://www.womenschoiceaward.com/awarded/healthcare/

Clinical Milestone 45 Year Honoree: Beverly J. Accordino from CVHP Health
Information Management was recognized for her 45 years of
In April, the Citrus Valley Heart Center team performed its service by President & CEO Rob Curry and VP of Human
first protected Percutaneous Coronary Intervention (PCI), Resources Ryan Burke. Not pictured is Philip Fornoth from
commonly known as coronary angioplasty, utilizing the
Impella 2.5 assist device. QVH Radiology who was the second 45-year honoree.

For those patients with a “weak” left ventricle due to past
heart problems, the Impella 2.5 gives them a chance to have
a stent placed when needed in a much safer environment.
The patient who had the protected PCI with Impella 2.5 last
week had a stent placed successfully without compromise to
the heart.

APRIL (continued)

Service Awards

40 Year Honorees: Sirtaj Ali - QVH Blood Bank 35 Year Honorees: Esther Addington - FPH Respiratory Therapy,
Marsha Baker - FPH Emergency Department, Maria T. Alvarez - CVHP Administration, Robert J. Bearden - QVH Pharmacy,

Karen S. Burley - QVH Pharmacy, Lena Hallgarth - QVH Registration Genevieve J. Castro - ICH Lab, Judy Chacon - QVH Labor & Delivery,
Josefina Padua - ICH Lab, Roderick Pantoja - ICH Parkside West Victoria Curtis - FPH Surgery, Sylvia Galaz - CVHP Patient Accounting,
Linda C. Waddell – CVHP Information Systems Leelamma Isaac - FPH Recovery Room, Karen Murray - QVH Med/Surg,
Lilli A. Querubin - ICH CCU, Maria E. Ramirez - CVHP Health Information
Management, Juan R. Rodriguez - QVH Respiratory, Sandra G. Shaw - QVH

Dietary, Sandra Sparkman - ICH Nursing Administration,
Kathy Trujillo - ICH Surgery, Brian G. Yamate - ICH Pharmacy

President & CEO Rob Curry presents Service Award pins to
honorees at the 5-Year brunch event.

QVH Admitting Manager Anna Calzada (left) and Admitting
Director Lori Bryant (far right) help their staff member LaTranae

Haywood, center, celebrate her 5-year anniversary with CVHP.

5-Year Hospice honorees Laura Olivo (top row center) and Deborah
Johnson (bottom row right) enjoy the festivities with Hospice

Administrator Jean Hunn and Patient Care Manager Kerry Lucas.

MAY measures to receive the Gold Plus Quality Achievement Award.

ICH & QVH Receive Gold Recognition From AHA To qualify for the Target: Stroke Honor Roll Elite, hospitals
must meet quality measures developed to reduce the time
Both Inter-Community and Queen of the Valley have received between the patient’s arrival at the hospital and treatment with
the Get With The Guidelines® Heart Failure Gold Quality
Achievement Award for implementing specific quality the clot-buster tissue plasminogen activator, or
improvement measures outlined by the American Heart tPA, the only drug approved by the U.S. Food and
Association/American College of Cardiology Foundation Drug Administration to treat ischemic stroke. If
secondary prevention guidelines for heart failure given intravenously in the first three hours after
patients. This marks the fifth year that we have been the start of stroke symptoms, tPA has been shown
recognized for our heart failure measures by the to significantly reduce the effects of stroke and
AHA. Last year, both campuses also received the lessen the chance of permanent disability.
Gold Quality Achievement Award.
QVH earned the award by meeting specific
Get With The Guidelines® Heart Failure is a quality achievement measures for the diagnosis
quality improvement program that helps hospital and treatment of stroke patients at a set level for a
teams provide the most up-to-date, research-based designated period.
guidelines with the goal of speeding recovery and
reducing hospital readmissions for heart failure These quality measures are designed to help
patients. Launched in 2005, numerous published hospital teams follow the most up-to-date,
studies have demonstrated the program’s success in evidence-based guidelines with the goal of
achieving patient outcome improvements, including speeding recovery and reducing death and
reductions in 30-day readmissions. disability for stroke patients.

Our hospitals earned the award by meeting specific CVHP is dedicated to improving the quality of care for
quality achievement measures for the diagnosis and treatment our heart failure and stroke patients, and implementing
of heart failure patients at a set level for a designated period. the American Heart Association’s Get With The Guidelines
These measures include evaluation of the patient, proper use program helps us to accomplish this goal by tracking and
of medications and aggressive risk-reduction therapies. These measuring our success in meeting internationally-respected
would include ACE inhibitors/ARBs, beta-blockers, diuretics, guidelines.
anticoagulants and other appropriate therapies. Before patients
are discharged, they also receive education on managing their Joint Commission Accreditation
heart failure and their overall health. A follow-up visit is also
scheduled, as well as other care transition interventions. We received official notification from The Joint
Commission that CVMC and Hospice were in full
Queen also received the AHA’s Get With The Guidelines® compliance and our accreditation was certified by CMS.
Stroke Gold Plus Quality Achievement Award and also
qualified for recognition on the Target: Stroke Elite Honor This is an excerpt from the notice:
Roll. This award recognizes Queen of the Valley’s commitment
and success in implementing a high standard of stroke care “Based upon the submission of your evidence of standards
by ensuring that their stroke patients receive treatment that compliance on April 25, 2017 and the successful on-
meets nationally accepted, evidence-based standards and site unannounced Medicare Deficiency Follow-up event
recommendations. This marks the fourth year that Queen has conducted on April 07, 2017, the areas of deficiency listed
below have been removed (all deficiencies were removed).
been recognized for our stroke The Joint Commission is granting your organization an
measures by the AHA. accreditation decision of Accredited with an effective date
of February 18, 2017.”
Hospitals must achieve 85
percent or higher adherence to
all Get With The Guidelines®
Stroke achievement indicators
for two or more consecutive
12-month periods and achieve
75 percent or higher compliance
with five of eight Get With The
Guidelines® Stroke Quality

MAY (continued)

Nurses of the Year

During the week of May 1, CVHP celebrated the dedication
and service of our nursing staff. Nurses’ Week honors the
legacy of Florence Nightingale, a nurse who became famous
for treating wounded soldiers during the Crimean War and
for her work in establishing nursing as a profession.

During the special brunches held at each campus, Nurses
of the Year awardees were announced. These nurses were
selected by their colleagues based on how they demonstrated
CVHP’s core values:

QVH Honorees

RESPECT: Raymond Rodriguez (Emergency Department)
EXCELLENCE: Elizabeth Linares (4 Med/Surg)
COMPASSION: Jeff Westra (Palliative Care)

INTEGRITY: Gloria Villarreal (Neuroscience Unit)
STEWARDSHIP: Nayeli Ramos-Valenzuela (Care Coordination)

ICH Honorees

RESPECT: Jules Wee (2 Med/Surg)
EXCELLENCE: Nadeen Lopez (CV DOU)
COMPASSION: Dorothy Barker-Dagen (2 Med/Surg)
INTEGRITY: Racquel Marasigan (2 Med/Surg)
STEWARDSHIP: Tanya Su (3 Med/Surg)

FPH Honorees

RESPECT: Ruth Victoria (Recovery)
EXCELLENCE: Sue Montgomery (Surgery)
COMPASSION: Christina Goodale (OPSU)

INTEGRITY: MaryAnn Baesa (OPSU)
STEWARDSHIP: Shirlea Seigneur (OPSU)

CVHP Named The Best . . . AGAIN!

Once again, you did it! CVHP was named “Best Hospital” by
the readers of the San Gabriel Valley Tribune and by you, our
CVHP family! We were officially recognized in the Tribune as
part of the 2017 Readers Choice Awards section.

This is the SIXTH time that we have been selected and we
should all be proud of this honor. CVHP was also named a
“Favorite Place to Work” by the readers.

Organ Donation Awareness

Our hospitals, through our partnership with OneLegacy,
joined thousands of others by raising “Donate Life Flags
Across America.” These flags symbolize that we:

• Honor all who have given life as organ, eye and
tissue donors

• Celebrate all who receive the gift of life

• Support those waiting for life-saving transplants

• Remember those who died waiting for an organ
transplant

Our hope is that by raising these flags we will help raise
awareness of the importance of organ donation. To register
as a donor, visit the Donate Life California Registry at www.
donatelifecalifornia.org

JUNE Healthgrades Recognition

Moody’s Rating Upgrade QVH received multiple recognitions this year from
Healthgrades, the leading online resource for comprehensive
Moody’s Investors Service has revised CVHP’s bond ratings information about physicians and hospitals. As a recipient
to Baa2 from Baa3. In addition, the outlook is revised to of the 2017 Labor and Delivery Excellence Award™, QVH
positive from stable. was placed within the top 10% of all hospitals evaluated for
the exceptional care of mothers during labor and delivery.
Moody’s ratings analysts stated “the upgrade to Baa2 reflects The hospital also received Healthgrades 2017 Obstetrics
Citrus Valley Health Partners’ (CVHP) continued financial and Gynecology Excellence Award™. This achievement
strengthening with surplus cash-flow and growing reserves recognizes QVH for exceptional clinical outcomes while
providing improved balance sheet cushion to debt and caring for women in childbirth, as well as women undergoing
operations.” gynecologic procedures. QVH also was named a 5-star
recipient in the areas of C-Section and hysterectomy.
The analysts also added that the upgrade and improved
outlook rating was based on the following indicators: In addition, FPH was named a double 5-star recipient by
Healthgrades in Women’s Care: C-Section and vaginal
• The recent extension of the California State deliveries. This 5-star rating indicates that the hospital’s
Provider Fee program is a key driver of the positive clinical outcomes are statistically significantly better than
outlook, and along with strong fiscal discipline expected when treating the condition or performing the
underscores our expectations of continued balance procedure being evaluated.
sheet growth outpacing peers

• Continued financial strengthening with days cash
on hand improving

• Sizable regional health system with strong market
position in East Los Angeles

• Conservative fiscal management with strong cost
containment initiatives resulting in break-even
operations and improved cash flow without the
provider fee

• The positive outlook indicates expectations of
continued sound budgeting that will result in
break-even operating performance (excluding the
provider fee), and the continued strengthening of
unrestricted cash and investments

This is a significant accomplishment and has, once again,
proven that CVHP is one of the top health care financial
performers in the nation.

CVHF Golf Invitational

More than 100 physicians, donors, sponsors and vendors
attended Citrus Valley Health Foundation’s annual Golf
Invitational on June 13 at South Hills Country Club.
Pacesetter Sponsors were Majestic Realty Co. and the
Stanley W. Eckstrom Foundation, Inc. Major Sponsors
were ISU Capitano Insurance Agency, Inc.; Managed Care
Support Systems and Hooper Healthcare Consulting LLC;
and Pacific Western Bank.

Highlights included great meals, awards, wonderful
fellowship and a raffle, all of which resulted in net
proceeds of more than $154,000 for CVHP.

JUNE (continued) They were welcomed during a special luncheon and “Long
White Coat Ceremony.” The new residents are: Lulua
Family Medicine Residents Bahrainwala, MD; Frank Choe, DO; Luis Garcia, MD;
Mohammed Iqbal, MD; Benedicta Omoko, MD; Thomas
The first class of 10 residents for our Family Medicine Chong, MD; Francisco Ordaz, MD; James Pearson, MD;
Residency Program officially joined our organization this Angel Pinachos, DO; and Patrice Tully, MD.
month.

JULY

Accreditation for Glendora Surgery Center

The CVHP-owned Glendora Surgery Center achieved
accreditation by the Accreditation Association for Ambulatory
Health Care (AAAHC). Accreditation distinguishes this
surgical center from many other outpatient facilities by
providing the highest quality of care to its patients as
determined by an independent, external process of evaluation.

Status as an accredited organization means that the Glendora
Surgery Center has met nationally recognized standards for
the provision of quality health care set by AAAHC.

Ambulatory health care organizations seeking accreditation
by AAAHC undergo an extensive self-assessment and on-site
survey by AAAHC expert surveyors – physicians, nurses, and
administrators who are actively involved in ambulatory health
care. The survey is consultative and educational, presenting
best practices to help an organization improve its care and
services. This accreditation shows our commitment to safe and
reliable care for our patients.

AUGUST

Geleris Family Education Center

Citrus Valley Health Foundation hosted a ribbon cutting
ceremony at the new Geleris Family Education Center in
Glendora. The building, formerly known as the Foothill
Education Center, is located across the street from Foothill
Presbyterian Hospital.

The special event honored the contributions of the Geleris
family, many of whom were in attendance, as were members
of the Foundation’s Board of Trustees. The Geleris family has
been longtime supporters of our hospitals and hospice. Dr.
Paul Geleris, a clinical pathologist, served on the Foundation’s
Board of Trustees and, along with his wife Marilyn, helped
found The Geleris Cancer Center at QVH. Marilyn and her
sons continue to honor Dr. Geleris’ legacy of philanthropy by
giving back to the community in many different ways.

The new education center has five meeting rooms featuring
the latest multimedia, teleconferencing and distance learning
technology. It will be an important center in continuing our
health education programs and outreach. We are grateful for
the Geleris Family and their many contributions that continue
to make a difference in the communities we serve.

Hospice Fund-Raiser

Dare to Care was held on August 12 at Heritage Plaza in
Covina. This special event was organized in memory of
Pat Allen, wife of Walter Allen, a Covina city councilman
and chair of the Citrus Valley Health Partners Board of
Directors. All proceeds benefitted Citrus Valley Hospice.

SEPTEMBER Imaging Survey

Joint Commission Survey ICH’s Imaging Services underwent a CDPH inspection this
month for radiation services. There were three inspectors for
FPH underwent its Joint Commission Accreditation Radiology and one inspector in Radiation Oncology. The
Hospital Survey and a final survey report was issued with no inspection consisted of looking at all QC reports, policies,
Condition-Level Findings. practice, review of images, talking to staff, reviewing
current licensures, tube registration, physicist reports, tested
The findings that were noted were primarily categorized equipment, CT radiation dose review and more. It was a very
as low potential for harm and many were corrected before thorough inspection.
the end of the survey, demonstrating our commitment to
high standards and our dedicated teamwork. The surveyors
commended our hospital as an “exceptional hospital” and
many of the processes and tools in place demonstrated
“best practice” and should be submitted to TJC as such. It
was also noted by the surveyors that they observed a true
“family” environment and passion for the delivery of highly-
reliable care to our community.

Family Medicine Residency Program Recruitment

The recruitment process for our next class of Family Medicine
residents kicked off in September and the program had
received more than 800 applications in just the first few weeks.
That’s compared to 250 last year. Once the applications are
reviewed, the goal is to invite at least 100 candidates for onsite
interviews. There are only 10 positions available for the class
beginning residency in 2018. The new residents will join our
charter class who will advance to their second year of training.
We look forward to finding yet another group of talented and
eager residents for our hospitals.

OCTOBER

45th NICU Reunion Celebration

Hundreds of former NICU patients and their family members
gathered at QVH for the 45th annual NICU Reunion
Celebration to thank the amazing caregivers of our wonderful
NICU program. Dr. Gil Martin, Dr. Bruce Sindel and several
of our NICU team members were there to greet and reunite
with many former patients. It was quite the celebration with
music, face-painting, raffle prizes and our traditional group
photo, which was fun with over 500 participants!

CNA Contract Ratified

The collective bargaining agreement between CVHP and the
California Nurses Association (CNA) was ratified on October 5,
2017. This four-year agreement ensures that CVHP will remain
competitive, while being able to obtain and retain nursing
talent by offering quality health insurance and wages consistent
with the local market. The non-economic changes also allows
CVHP to ensure appropriate staffing and manage its day-to-day
operations.

Meditech’s 6.1 Kick-Off New Patient Beds

Our MEDITECH 6.1 project had a kick-off meeting New patient beds were delivered to the medical/surgical and
with representatives from MEDITECH, Navin Haffty & critical units at all three hospitals. In total, 378 medical/
Associates, and representatives from our Board, Executive surgical beds and 60 critical care beds and mattresses will be
Team and Directors. This is a monumental effort to change replaced with state-of-the-art models from Linet.
the way we use technology in the care of our patients.
NSQIP Award
Both MEDITECH and Navin Haffty commented on
how impressed they were of the number of people who The American College of Surgeons National Surgical Quality
participated in the kick-off meeting and the inclusion Improvement Program (ACS NSQIP®) recognized both ICH
of CVHP’s Board Chair Walt Allen and members of the and QVH as two of 66 ACS NSQIP participating hospitals
Executive Team. Also in attendance were IS Physician that have achieved meritorious outcomes for surgical patient
Advisory Council Chair Dr. Robert Baker and Lead Physician care. As a participant in ACS NSQIP, we are required to
Champion Dr. Jacqueline Bracy. It really demonstrated track the outcomes of inpatient and outpatient surgical
the full commitment and support of the project by the procedures and collect data that directs patient safety and the
organization’s leaders. It served as a great reminder that this quality of surgical care improvements. This is the third time
is NOT solely an IT project. It is an “everyone” project since that both hospitals have been recognized.
our success is dependent on everyone’s involvement. The ACS NSQIP recognition program commends a select
group of hospitals for achieving a composite meritorious
Queen of the Valley – Baby-Friendly Designated! outcome related to patient management in eight clinical
areas: mortality, unplanned intubation, ventilator > 48
After years of hard work and commitment by many, Queen hours, renal failure, cardiac incidents (cardiac arrest and
of the Valley earned and received prestigious international myocardial infarction); respiratory (pneumonia); SSI
recognition as a Baby-Friendly Designated birth facility. (surgical site infections-superficial and deep incisional
and organ-space SSIs); or urinary tract infection. The 66
Baby-Friendly USA, Inc is the U.S. authority for the hospitals commended achieved the distinction based on their
implementation of the Baby-Friendly Hospital Initiative outstanding composite quality score across the eight areas
(“BFHI”), a global program sponsored by the World Health listed above. Risk-adjusted data from the July 2017 ACS
Organization (WHO) and the United Nations Children’s Fund NSQIP Semiannual Report, which presents data from the
(UNICEF). The initiative encourages and recognizes hospitals 2016 calendar year, were used to determine which hospitals
and birthing centers that offer an optimal level of care for demonstrated meritorious outcomes.
breastfeeding mothers and their babies. Based on the Ten The American College of Surgeons is a scientific and
Steps to Successful Breastfeeding, this prestigious international educational organization of surgeons that was founded
award recognizes birth facilities that offer breastfeeding in 1913 to raise the standards of surgical practice and to
mothers the information, confidence and skills needed to improve the care of the surgical patient. The College is
successfully initiate and continue breastfeeding their babies. dedicated to the ethical and competent practice of surgery.

Re-Certification of our Primary Stroke Center

Joint Commission officially re-certified the Primary Stroke
Center at QVH for three more years.

OCTOBER (continued) Leadership Retreat

CALNOC Award More than 100 members of our Medical Executive
Committees, board members and other hospital leaders at the
CVMC was recognized by the Collaborative Alliance for annual CVHP Leadership Retreat in Desert Hot Springs.
Nursing Outcomes (CALNOC) for its work in reducing
CAUTIs and C. Diffs in 2016. These results are only Special guest speaker, Nicholas Webb is one of the world’s
possible through the collaborative efforts of many dedicated top innovation strategists and futurists. Mr. Webb spoke on
professionals. Special thanks to our teams in Infection “What Consumers Crave.” As the CEO of Lassen Scientific,
Control, IT, Performance Improvement and Nursing for their Inc., he works with Fortune 500 companies to help lead their
hard work and commitment in providing safe patient care. industries in innovation, strategy and customer experience
design. The “State of CVHP” reviewed how far we’ve come as
CALNOC’S Performance Excellence Awards recognize an organization in the past decade and even more importantly,
distinguished hospitals for excellent performance in where we are headed.
the reduction of hospital-acquired pressure ulcers and
injuries from falls and infections. Awardees represent The group also participated in a Hack-a-Thon, guided by Mr.
the extraordinary dedication and commitment nurses Webb, which was an innovative brainstorming method to
and hospitals have to quality patient care and safety by look at ways our consumers and patients could have the best
preventing harm and sustaining excellent performance over experience. The weekend closed with a special presentation on
many quarters. our re-branding efforts for our entire health system.

CALNOC is the leading provider of Business Intelligence and
Research on nurse sensitive quality indicators. Always on
the forefront of patient care excellence, CALNOC created
the first database registry of nurse sensitive indicators which
turns patient outcome data into powerful information for
hospital executives to guide decisions in advancing patient
care. Hundreds of hospitals have joined CALNOC to
monitor and benchmark performance in order to deliver
excellence in patient care.

NOVEMBER Song-Brown Grant

Autumn Nocturne 2017 CVHP’s Family Medicine Residency Program was awarded a
$925,000 grant award from the California Office of Statewide
The Citrus Valley Health Foundation hosted its annual Health Planning and Development through the Song-Brown
Autumn Nocturne fund-raising gala on November 18 at the Program.
elegant Langham Huntington in Pasadena. More than 400
people attended, including many CVHP physicians, nurses, The Song-Brown program was created in 1973 to support
employees and members of the CVHP Board of Directors and the expansion of primary health care in California.
CVHF Board of Trustees. Recommendations for awards are made to training programs

During the evening, we recognized the 2017 CVHP Physicians that are located in areas
of the Year from Inter- of unmet need, attract
Community (Jonathan Tye, and admit residents from
MD); Queen of the Valley underrepresented minorities
(Garland Dodoo, MD); and, and place or retain graduates
Foothill Presbyterian (Samuel to work in medically under
Kassar, MD). served areas.

It was a wonderful evening This award will help support
with exciting entertainment, educational innovations
great food and company all to expand service capacity
in support of Citrus Valley of residents and program
Health Partners’ programs graduates through practice
and services. at the top of licensure and
multi-disciplinary team
care; expand capacity of
health professionals through technology such as e-referrals,
telehealth, mobile health and video medical interpreting; and
bolster the impact of health professionals through community
capacity building for health literacy and for health consumer
empowerment.

DECEMBER Children’s Christmas Party

Holiday Meals Organized by the Building Connections Employee Activities
Committee, the CVHP Children’s Christmas Holiday Party was
Our CVHP family gathered together in the spirit of the season held on December 2 at the West Covina Elks Lodge. It was a
to celebrate our accomplishments and each other during great success with over 700 attendees (including approximately
our annual Holiday Meals. There was great food, fun and 45 Santa’s helper volunteers).
entertainment by CVHP’s own house band, The Gurneys.
Fresh cooked breakfast was available, along with many fun
activities including carnival booths, cookie decorating, face
painting, a train ride, a bounce house and arts and crafts. A free
framed picture with Santa and Mrs. Claus was also included.
There were Disney Pirates of the Caribbean Black Pearl pop-up
books donated to the department that were raffled as well.

Thank you to everyone that attended and a big thank you to
all of the gracious volunteers, including CVHP employees, our
Patient & Family Advisory Council members, COPE Health
Scholars, nursing and high school students and CVHP Auxiliary
members. Great work everyone!