Columbia Lutheran Charities

“A draft of the 990 is made available, electronically, 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 -6,606,427. 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 2014: inpatient admission, including newborns: 1,899 inpatient days, including newborns: 4,937 surgery patients: 2,265 (includes op 1,890 and ip 375) ancillary visits: 60,441 (this includes cardiac rehab visits of 10,695 and infusion of 2,867) laboratory tests: 133,867 imaging totals: 35,263 clinic visits: 52,891 emergency & trauma visits: 13,046 home health visits: 2,963 hospice patient days: 5,246 columbia memorial hospital's (cmh) mission is to provide excellence, leadership, and compassion in the enhancement of health for those we serve. The cmh 2013-2015 three-year strategic plan included several goals listed under the following pillars; quality and customer service, employee development, growth, provider relations, and financial performance. As of the year ended december 31st, 2014 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 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. In 2013 the hospital officially became a designated hospital. Cmh is now one of 20 hospitals in the united states to receive this honor and the 40th hospital world-wide. Recertification will take place in 2016. Cmh won 2014 planetree community outreach program award in sports medicine. There was a sports medicine program implemented. -the cmh laboratory has maintained 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 service to its patients. -achieved the american hospital association's (aha) most-wired hospital award in 2011 through 2014. -cmh went live with cerner emr system in march of 2014. This will ensure increased patient experiences and satisfaction along with the commitment to "one patient, one record" goal. This project took fifteen months of preparation and a tremendous showing of teamwork and tenacity. This record can now be accessed by providers in any cmh clinic or service area. -the lower columbia hospice program was named a 2014 hospice honors recipient. Hospice honors is a prestigious annual honor recognizing the hospices that continuously provide the highest level of satisfaction through their care as measured from the caregivers point of view. -cmh imaging department successfully achieved certification acr/msqa for their mammography program in 2014. -the cmh medical records department worked to prepare for the icd-10-cm implementation scheduled for october 2015. 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 maintained accreditation in echocardiography for a three-year term beginning in 2013 from the intersocietal accreditation commission (iac). Only two other facilities have been accredited in all three modalities: ohsu and oregon heart and vascular institute in springfield. Additionally. The cmh cardiac rehab program was granted 2013 aacvpr program certification. Certification is given after stringent standards are met with the american association of cardiovascular and pulmonary rehabilitation. Staff development: -91.9% of all employees completed their compliance modules in 2014. Additionally over 83 employees attended the clinical skills fair. Booths ranged from information stations to demonstrations and videos. Focus for specialized departments will b”