Columbia Lutheran Charities

“The bylaws were revised in november 2013.”

“A draft of the 990 is mailed to the board of trustees prior to the board meeting. The 990 is reviewed and discussed at the board finance committee meeting prior to finalizing and filing the return.”

“The conflict of interest policy is reviewed by the board of trustees, officers, and key employees annually. All board members, officers, and key employees must sign and date the conflict of interest policy acknowledgement, questionnaire, and disclosure statement. Any potential or actual conflicts of interest at the board or officer level are discussed at the board meeting. Actual conflicts of interest are addressed, documented, and filed in the confidential personnel file.”

“Compensation of all officers was reviewed with comparability data by a third party consultant. The results of the study were reviewed and discussed at a board of trustees' meeting.”

“The organization's governing documents, conflict of interest policy, and financial information reported in the 990 are available upon request at the hospital.”

“Defined benefit retirement plan adjustment 7,316,873. Net assets released from restriction - city of astoria grant 37,500.”

“The board of trustee finance committee assumes responsibility for the oversight of the audit, review, and selection of an independent audit firm. Traditionally, a three year contract with a selected audit firm is approved. Annually, a special board meeting is held and the audit firm presents the audited financial statements to the board of trustees. During the meeting, the board members are given the opportunity to ask questions without management present. Follow-up information on the management letter recommendations is also presented semi-annually to the board finance committee.”

“Key statistics for 2013: inpatient admission, including newborns: 1,855 inpatient days, including newborns: 4,818 surgery patients: 2,454 ancillary visits: 41,545 laboratory tests: 135,647 imaging totals: 33,576 clinic visits: 44,044 emergency & trauma visits: 13,149 home health visits: 3,394 hospice patient days: 5,790 columbia memorial hospital's (cmh) mission is to provide excellence, leadership, and compassion in the enhancement of health for those we serve. The cmh 2011 to 2013 three-year strategic plan was developed in 2010 and included several goals listed under the following pillars; quality and customer service, staff development, provider relations, growth, and financial performance. As of the year ended december 31st, 2013 many goals have been achieved allowing cmh to continue to fulfill the mission of the organization and to raise both the quality and range of services provided to the local community. Quality and customer service: -cmh achieved accreditation in the fall of 2011 for three years through the healthcare facilities accreditation program (hfap). Surveyors are anticipated to arrive unannounced in 2014 to verify compliance with internal policies as well as with external regulations. -cmh has been a planetree affiliated hospital since 2001 embracing the philosophy of patient-centered care to personalize, humanize, and demystify healthcare for the patients of our community. The 2011 2013 strategic plan included a goal to achieve planetree "designation", which is a process involving rigorous criteria and measurements to recognize hospitals that sustain excellence in the delivery of patient-centered care. In 2011, a new planetree council and ten action teams were established and set to work on this lofty goal. In 2012, the official application for designation was submitted to planetree and was accepted contingent on a site visit and the fulfillment of certain patient satisfaction and quality measurement requirements. The results of these increased efforts were realized through a sharp increase in both patient satisfaction and quality measures, in particular between the months of august and december 2012. The december site visit left cmh with 5 opportunities or "gaps" for improvement. Leadership formed action teams during the final push to tackle these opportunities and became an officially designated planetree hospital in july of 2013! Cmh is now one of 20 hospitals in the united states to receive this honor and the 40th hospital world-wide. Cmh accepted the planetree patient-centered designation award in montreal, quebec on october 10th, 2013, where hospital representatives attended the annual planetree conference and brought back many new ideas for the planetree council to prioritize and implement in the coming year. -the cmh laboratory met all criteria for laboratory accreditation by cola, a national healthcare accreditation organization. Accreditation is given only to laboratories that apply rigid standards of quality in day-to-day operations, demonstrate continued accuracy in the performance of proficiency testing, and pass a rigorous on-site laboratory survey. Cmh has earned cola accreditation as a result of a long-term commitment to provide quality services to its patients. -achieved the american hospital association's (aha) most-wired hospital award in 2011,2012 and 2013 and attested to the center for medicare and medicaid services (cms) meaningful use criteria. These achievements have successfully positioned cmh to fulfill the goal of "one patient, one record" and will assist in establishing a fully electronic patient medical record in 2013/2014. -the cmh medical records department worked to prepare for the icd-10-cm implementation scheduled for october 2014. Icd-10-cm is a coding system that assigns alpha-numeric codes to diseases and is used to submit information to insurance companies for payment, research, quality improvement and various other reporting requirements. -the cardiology clinic achieve”

“Financial performance: -women's heart health education recieved a boost from the cmh foundation's community relations committee fifth annual champagne tea, "art for the heart", held saturday february 9th at the elks' ballroom. The art auction and tea event netted $17,000, which included a match for the amounts rasied during a special appeal by ohsu, the title sponsor. -cmh foundation and marketing departments teamed up to put on a phil vassar concert and fundraising event with proceeds of approximately $17,000 were allocated to the cancer care phase ii project. -cmh foundation also held their annual denim & diamonds fundraising gala and auction in june 2013. This event raised over $100,000 toward bringing expanded cancer treatment services to the community and making significant progress toward providing most cancer treatments locally without the need for long distance travel.”