Petersburg Medical Center Newsletter
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As I reflect on 2022, I am moved with gratitude for the unwavering commitment and selflessness of PMC staff. They have working tirelessly in our community to promote health and wellness, keep our community safe and increase access to care. Despite the challenges and ongoing effects of the pandemic, the dedicated staff at PMC have worked together to achieve significant milestones in areas such as patient-centered care, workforce wellness, community engagement, financial wellness and facility support. As you read through the 2022 Year in Review, please join me in expressing appreciation for the hardworking staff at Petersburg Medical Center and recognizing the important work they do in our community.
Happy & Healthy New Year 2023!
- Phil Hofstetter, CEO
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o Drs. Hess and Hyer were recently honored with the University of Washington's 2022 Exceptional Family Medicine Clerkship Faculty Award, which is a highly prestigious award. They are responsible for overseeing medical students during their clinical rotations at PMC. The award is given to the teachers ranked in the top 1% by medical students, and this year, two of the five recipients (out of around 500 faculty) were from PMC.
o Angela Menish was honored with the DAISY Award, a recognition given to nurses who demonstrate excellence in their clinical practice, leadership, and mentorship, and who provide compassionate care to patients and families. Menish's journey in healthcare began as a volunteer EMT for the community. She then participated in PMC training programs, which enabled her to become a CNA, and later a registered nurse. She recently completed a program to become a nurse practitioner and is now working at the Joy Janssen Clinic. In addition to recognizing Menish's achievements, the DAISY Award also offers additional opportunities for scholarships and grants for continuing education and invitations to national nursing organizations.
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▲Dr. Hess and Dr. Hyer received the Exceptional Family Medicine Clerkship Faculty Award from the University of Washington
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▲ PMC’s Dietary Department created a wonderful spread of Norwegian appetizers and sweets for the community Julebukking tradition this December.
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o PMC was able to secure funding through the ASHNHA CNA Workforce Development Project to retain and recruit valuable CNA staff. As part of this project, PMC provided $20,500 in monetary incentives to its dedicated CNA staff. PMC is also continuing to receive funding hiring and training new for CNAs.
o The eighth annual PMC Foundation Paddle/Pedal Battle was a huge success! This year’s event had the highest turnout ever and featured biking for the first time. Approximately 70 participants raised $20,000 to support continuing education for PMC staff and graduating high school students. The Pedal/Paddle Battle consists of participants who kayak, paddle board, and bike to raise funds for PMC Foundation scholarships.
o This year, several individuals who have made significant contributions to the health of Petersburg and the quality of care at PMC retired. We are grateful for their many years of service and dedication to the health and well-being of our community, including Dr. Tucillo, Janet Kvernvik, Liz Bacom, and Miriam Swanson.
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▲ University of Alaska Anchorage nursing program cohort with their PMC clinical instructors from left to right: Jennifer Bryner, CNO, Nichole Mattingly RN, Kellii Wood, Jordan Stafford and Ruby McMahon (RN)
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o This year, PMC has started teaching its third cohort of nursing students. Kellii Wood and Jordan Stafford were accepted into the University of Alaska Anchorage nursing program and will complete their training and clinical practice at PMC over the next two years with PMC clinical instructors and Registered Nurses Nichole Mattingly, Ruby McMahon, and Jennifer Bryner, the Chief Nursing Officer.
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o PMC recently held its first Managers Retreat since the start of the COVID-19 pandemic, providing an opportunity for the team to come together and reflect on the past two years and plan for the next five. This was the first time the team had been able to meet in person for an extended period since October 2019. During the retreat, the team focused on identifying problems, proposing solutions, and setting recommendations for the strategic plan. The primary objectives that emerged from the retreat included the need for community engagement, financial stability, patient healthcare, community health promotion and prevention, staffing/workforce, a new building, and improved communication both internally and externally.
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o PMC is continuing to fine-tune and improve its strategic plan. In addition to considering the results of the April 2022 Community Needs Assessment, the metrics from the FY19-23 strategic plan, and the Managers Retreat, PMC decided to keep its five priority goals unchanged. However, the language and content of these goals have been refined to describe and identify the priorities more clearly. These priorities are: workforce wellness, community engagement, patient-centered care, facility, and financial wellness.
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▲ PMC managers were invited to attend a meet and greet and tour of the new USCG vessel in June.
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o PMC has maintained a strong focus on expanding services and improving collaborative efforts in the community to enhance health outcomes and continuity of care. As part of this effort, PMC entered into a contract with the Petersburg School District to provide health services (including nursing and medical care) and behavioral health services. This contract also includes increased collaboration between the school, Public Health, and PMC's Home Health, Community Wellness, and Joy Janssen Clinic.
o The PMC Health Fair, which was postponed due to the pandemic, was held in June and was a great success. Approximately 500 community members had their blood drawn to check-up on important health indicators, and around 200 attendees had the chance to speak with health and wellness vendors at the fair. They were also able to tour a medevac jet and attend presentations from Drs. Burt and Hyer, PMC Home Health, and guest speaker Carol Seppilu, who shared her inspiring but challenging story of using ultra running to overcome depression.
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o As directed by the hospital board, PMC implemented a pilot childcare program called Kinder Skog, an after-school nature program for school-aged children. PMC obtained a State of Alaska Provisional Childcare License for the program, which began in September and serves approximately 30 children ages 5-12. This program successfully transitioned from a program of the Petersburg Lutheran Church to a program of the PMC Community Wellness Department.
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▲ Active and outdoors even in the heart of winter, Kinder Skog nature program celebrated the solstice with a Lantern Walk to Sandy Beach.
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o PMC collaborated with the Petersburg Community Foundation to offer an educational series on long-term care Medicaid and planning for future health care needs. The series, held in June and October, featured attorneys from Faulkner and Banfield who are experts in elder law.
o PMC partnered with SHARE Coalition members to host two community cafes focused on childcare. These events aimed to highlight the challenges faced by the local childcare industry and facilitate problem-solving to support this important aspect of community wellness.
o PMC provides ongoing education and outreach through its monthly PMC Live radio show, newsletter, social media, newspaper stories and reports at the Borough Assembly and other community meetings regularly
o PMC completed and published the Community Needs Assessment. This assessment allows for engagement with the community and helps to identify the health needs and concerns of Petersburg residents. It provides a chance for community members to share their thoughts on the satisfaction of their healthcare needs and is used to inform planning for future health care in the area. The assessment is conducted every three years and is a requirement for non-profit healthcare organizations to show that they are meeting the needs of the community and using their resources efficiently.
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▲ Bettisworth North, contracted architecture and engineering team for the new facility, visited Petersburg in November to tour the current facility, meet with leadership, and see the future site of the new hospital.
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o PMC took exciting steps towards its long-term goal of constructing a new healthcare facility for the community. The organization conducted a full and open Request For Proposal (RFP) Qualifications Based Selection (QBS) process to solicit proposals from architect/engineering firms to design the new facility. After this process and PMC Board approval, PMC contracted with Bettisworth North to provide final project planning, design, and construction administration services for the new facility. A preliminary environmental study and test dig was conducted in August. In November, the Bettisworth North team visited Petersburg for a facility tour, a tour of the new site location(s), and to begin discussions about needs and space planning with PMC leadership and managers.
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o To optimize space at PMC for patient care, several expanding departments have moved to nearby satellite locations. The rapidly growing Home Health department moved into a rental space in the basement of the Elks to accommodate increased staffing and services to the community. The Community Wellness department has taken over Home Health’s former office space in an apartment complex across the street from PMC. Additionally, the space next to Public Health was converted back into the Specialty Clinic, which offers regular chiropractic, audiology, and acupuncture services, as well as traveling specialties like optometry and ENT.
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o PMC was allocated $20 million towards the construction of a new facility as a line item in the capital budget at the 32nd Alaska legislature. This funding is part of a COVID package under the Department of Treasury section 604, which is focused on workforce development, health monitoring, and economic improvement for the community. PMC is hopeful that this funding will be secured through the formal appropriations process currently underway.
o In the past year, PMC implemented several new technological systems that will enable managers to have accurate information, data and reports from payroll, finance and electronic health records to forecast their respective departments.
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▲ PMC did over 500 blood draws for the 2022 Health Fair. Angela Bertagnoli, Assistant Clinic Manager, gets her blood drawn by Veronica Carter, PMC Lab Assistant for the Health Fair.
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o Despite the challenges posed by the COVID-19 pandemic, PMC has remained resilient in these unprecedented circumstances. The pandemic has affected hospitals across the country, including PMC, by reducing revenue streams and increasing costs due to additional resources to increase access to care while addressing measures to protect against the spread of the virus. As a result, PMC has faced historic low census volumes internally while increasing access to care external to the hospital, as well as disruptions to staffing, morale, workflows, and the ability to deliver and provide services. These factors have combined to create significant financial challenges for PMC. However, PMC continues to work through these challenges and remains committed to providing high quality care to our patients. A report published by KaufmanHall in Fall 2022 provides insight into the current state of hospital finances in the post-pandemic period, and PMC's experience is consistent with the challenges highlighted in the report. Despite the challenges, PMC remains committed to finding solutions and adapting to the changing landscape of healthcare.
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▲ Home Health staff from left to right (back row) Lena Odegaard, RN, Case Manager, Brandy Boggs, Patient Navigator, Kirsten Testoni, RN, WCC HH Manager, Yvonne Lindstrom, RN Case Manager, Lynne Homme, CNA, Laura Holder, RN, Case Manager, (front row) Jacque Grone, Lead Billing Specialist, and Mara Lenz, CNA
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o The Joy Janssen Clinic welcomed new providers Angela Menish, NP; Dr. Alice Hulebak; and Erik Hulebak, PA, which has allowed us to provide more visits to the community. The medical staff is working to establish care with patients and build up the patient-centered medical home model. The clinic has also expanded to include specialty services such as optometry (visiting), otolaryngology (visiting), audiology, chiropractor, and acupuncture.
o PMC has become a certified provider of the Home and Community Based Waiver Program. This certification allows PMC to offer waiver-related services, including an adult day program and caregiver services, as well as several other service lines in the future.
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o PMC offered several new community programs and services this year, including a caregiver support group, a year-long diabetes prevention class, and a lending program for home medical durable equipment.
o PMC completed the implementation of Cerner, a new electronic health record (EHR) system. This system enables healthcare providers to access a patient's full medical history in a single location, making it easier to make informed treatment decisions. The benefits of Cerner include improved patient care, increased efficiency, better quality of care, and enhanced patient safety. Additionally, Cerner includes a patient portal, which is a secure online website that allows patients to access their personal health information from anywhere with an internet connection at any time.
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o PMC implemented Paylocity, a new payroll and HR onboarding management software. This software is the final component of the Cerner electronic health record (EHR) migration and has allowed PMC to streamline processes for improved tracking and comprehensive reporting. Despite ongoing adjustments to the new EHR system, PMC staff are beginning to see the benefits it offers.
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▲“Flu Shot Fairies” nurses Mary Kravitz, Traci Vinson, and Angela Menish frequently went out on the town in 2022 giving free flu shots to community members.
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o PMC has entered into a partnership with CommonWell Health Alliance Services, a national network of organizations that aims to improve care coordination and health outcomes by streamlining the secure sharing of health data. This secure national platform enables healthcare providers to securely send, receive, and share documentation across different electronic health record systems, ensuring that patients receive the best possible care.
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▲ Phil Hofstetter, CEO and wife Sarah participating in the PMC Foundation’s Pedal/Paddle Battle event
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o The governor signed HB265 into law to increase access to care. This has the potential for PMC to expand its telehealth program and increase access to care. PMC continues to use telehealth visits in primary care and behavioral health on a regular basis.
NEWSLETTER BANNER PHOTO: PMC welcomed the return of the annual holiday party after two years without an in-person celebration.
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Petersburg Medical Center | 907-772-4291 | pmcweb@pmc-health.org
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