Happy New Year! As we step into 2026, we are focused on reflecting the needs of our community, improving our facility’s sustainability, and celebrating the incredible staff who make North Valley Hospital a leader in rural healthcare.

Finalizing the 2025 Community Health Needs Assessment (CHNA)

We are pleased to announce the finalization of our 2025 Community Health Needs Assessment. This data-driven report is a vital tool that helps us identify the most pressing health challenges facing our service area.

Based on your feedback and local health data, our priorities for the next three years will focus on:

• Expand Behavioral Health and Substance Use Services

• Improve Chronic Disease Prevention and Management

• Strengthen Access to Care (workforce, telehealth, transportation)

• Support Healthy Aging and Long-Term Care

• Enhance Emergency Preparedness and Promote Health Equity

We invite you to view the full report and our implementation plan on our website at: nvhospital.org/community-health-needs-assessment.

2025 Daisy Award Winner, Megan Williams

We are thrilled to spotlight Megan, our 2025 DAISY Award winner! The DAISY Award is an international program that rewards and celebrates the extraordinary clinical skill and compassionate care given by nurses every day.

Megan was nominated by a patient for her dedication to going above and beyond and delivering compassionate care:

“This nurse was caring for my senior dad, suffering from a severe spinal infection. For years, I have been in and out of many hospitals and doctors' clinics and have not seen the level of care and love that this nurse administers to her patients as if they were her own kin. Not only is this nurse full of heartfelt care and completely dedicated to every need each of her patients has, but she is also sharp as a tack and has a great deal of wisdom to see needs before they happen. Her amazing, sweet, and kind empathy is out of this world, which, with the high level of stress nurses go through is at times hard to find This nurse also has a very beautiful gift at imparting rewarding encouragement which is also a huge benefit to the mental state that is affected when patients are in such deep suffering. I was blessed today when my dad told me this nurse told him that she's really seen a change and improvement, lifting his spirits. We appreciate you; we love you for all you have done in my dad's life while being here because your Love was half the cure. The world's hospitals need more angelic nurses like you.”

Whether it's providing a steady hand during a difficult recovery or ensuring a patient's family feels heard and supported, Megan embodies the spirit of North Valley Hospital. Please join us in congratulating her for her excellent care.

In addition to Megan, we are proud to recognize the other nominees that work both in the Hospital and Extended Care.

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Starting the Year with "Fresh Start" Wellness

January is the perfect time to reset. This month, we are encouraging our community to focus on Preventative Screenings.

Many chronic conditions, such as hypertension or early-stage diabetes, often show no symptoms. A simple "Fresh Start" check-up with your primary care provider can help establish a baseline for your health in 2026.

• Pro Tip: If you haven’t had your annual wellness exam yet, now is the time to schedule! Most insurance plans cover one preventative visit per year at no cost to you.

Thank you for choosing North Valley Hospital for your care. We look forward to serving you in the year ahead!

A Busy Time at NVH:

North Valley Hospital has experienced a busy census over the past several weeks. Our teams across the hospital and nursing home continue to work hard to provide safe, compassionate care during times of increased demand. We appreciate the patience and understanding of our patients and families when volumes are high.

Slow Start to Respiratory Season:

So far, this respiratory season has had a slower start than some years. That said, with holiday gatherings, travel, and time spent indoors, respiratory illnesses often increase as winter progresses. We encourage community members to be mindful during gatherings, stay home when sick, practice good hand hygiene, and consider recommended vaccinations to help protect friends, family, and neighbors.

Health Coverage and ACA Subsidies:

We continue to closely watch the news and understand that many patients have concerns about healthcare affordability.

Enhanced Affordable Care Act (ACA) subsidies that were expanded in recent years are scheduled to expire unless Congress acts to renew or modify the program. Congress is currently discussing possible changes, but the outcome and timing are uncertain.

If these enhanced subsidies expire, some patients will see higher monthly insurance premiums or increased out-of-pocket costs. During this period of uncertainty, we want our community to know that North Valley Hospital will continue to work with patients to explore available options. Our staff can help determine whether you qualify for insurance subsidies, financial assistance programs, or other resources that may help reduce healthcare costs.

Holiday Spirit at NVH:

Inside the hospital and Extended Care, departments are celebrating the season with a friendly Christmas tree decorating contest. Each team has brought its own creativity and personality to the displays, helping spread a little extra cheer for staff, patients, and visitors during a busy time of year.

Thank you for trusting North Valley Hospital with your care. We are honored to serve this community and wish you and your loved ones a safe, healthy, and happy holiday season.

2026 Budget:

On November 13th, NVH’s Board of Commissioners approved the budget for next year that estimates a modest positive bottom line, which is a slight improvement from 2025’s projection. The budget is the primary tool the Board and Administrative team utilize to track financial performance throughout the year. It helps us align and plan for seasonal changes and compare past performance to our expectations and current results. Healthcare’s economic struggles have deservedly received significant media attention, and NVH’s financial success will remain a key focus for the Board and Administrative Team.

Respiratory Season:

Respiratory season is here, and we’re already seeing an uptick in colds, flu, RSV, and other viruses that tend to spread more easily as the weather cools and people spend more time indoors. While handwashing, staying home when sick, and good ventilation all help, vaccination remains one of the most effective tools for keeping our community healthy.

This year’s flu shot is widely available, and updated COVID-19 vaccines offer strong protection against circulating strains. For older adults, young children, and anyone with chronic health conditions, RSV vaccination may also be an option. If you’re unsure which vaccines are recommended for you or your family, a quick conversation with your primary care provider can help you sort through the options.

Getting vaccinated doesn’t just protect you. It reduces the spread of illness to the people around you, helps keep our clinics and hospitals from becoming overwhelmed, and keeps workplaces, schools, and households running smoothly. If you haven’t already, consider scheduling your seasonal immunizations soon. It’s a simple step that goes a long way in keeping our community healthy through the months ahead.

Rural Health Transformation Program:

Washington has formally applied to the new Rural Health Transformation Program (RHTP), a federal initiative created by HR1 that established a dedicated national fund to support and modernize rural health care. The goal of this fund is to help rural hospitals and clinics stay financially stable, expand access to care, invest in technology, and strengthen the rural health workforce.

Under Washington’s proposal, federal dollars would flow into several major areas designed to address long-standing gaps in rural health:

• Initiative 1: Ignite innovation in rural hospitals
  Investing in shared rural networks, designing new value-based payment models, upgrading critical technology, and supporting essential services such as obstetrics and emergency care.

• Initiative 2: Prevent disease and manage care in community settings
  Expanding community health workers, long-term care workforce training, dementia support programs, EMS coordination, mobile health services, and community hubs for preventive care.

• Initiative 3: Invest in the health of Native families
  Supporting Tribal workforce development, establishing care coordination agreements with hospitals, and improving data exchange to strengthen the Indian health system’s connection to local care.

• Initiative 4: Adopt technology and data solutions
  Helping rural providers acquire telehealth tools, population health platforms, remote patient monitoring devices, and AI-driven operational supports, while expanding access to Project ECHO.

• Initiative 5: Develop Washington’s rural workforce
  Expanding rural family medicine residencies, rural nursing education pathways, apprenticeship programs, and financial incentives to recruit and retain clinicians in underserved areas.

• Initiative 6: Expand and sustain the rural behavioral health system
  Supporting mobile crisis teams, strengthening behavioral health capacity, and helping clinics transition to the Certified Community Behavioral Health Clinic (CCBHC) model.

By pairing Washington’s statewide strategies with the dedicated federal funding created under HR1, the Rural Health Transformation Program is designed to stabilize rural health care, expand local access, and build a stronger foundation for the future of care in rural communities. CMS is reviewing applications from all 50 states and will announce funding decisions by the end of the year.

Men’s Health Awareness Month:

Men tend to take care of a lot: work, family, and everything in between. Many put their own health at the bottom of the list. The truth is that a few simple habits can make a real difference, especially as we get older.

Regular checkups are one of the easiest ways to stay ahead of potential health issues. Even if you feel fine, yearly visits help catch concerns like high blood pressure, diabetes, or prostate problems before they become serious. Many conditions do not cause symptoms early on, which is why prevention is so important.

Staying active does not require a gym membership. A 20-minute walk, light home strength training, or weekend yard work can improve heart health, energy, and mood. Pair that with a balanced diet that includes more whole foods and fewer processed snacks, and you have already covered two central pillars of long-term wellness.

Talking openly about stress, sleep, and mental health is just as important. Reaching out to a friend, partner, or provider is a sign of strength and not weakness.

If you haven't had a wellness visit in a while, consider this your reminder. NVH’s primary care team is here to help you stay healthy for the people who count on you and for yourself.

Medicare (Dis)Advantage Plans?

Medicare’s open enrollment period, from October 15 through December 7, is the time each year when beneficiaries can review their coverage and make changes for the coming year. Many people take this opportunity to compare Original Medicare with Medicare Advantage plans offered by private insurance companies.

At North Valley Hospital, we encourage our community to take a careful look before switching to a Medicare Advantage plan. While these plans often bundle hospital, medical, and prescription coverage—and may include extras like dental or vision—they can also come with important limitations that affect where and how you receive care.

Most Medicare Advantage plans use a narrow network of providers, which can mean your preferred doctor or hospital may not be covered. Some services require prior authorization, and decisions about your care may be made by the plan rather than your healthcare team. In some cases, patients discover too late that out-of-network or denied services can lead to unexpected out-of-pocket costs.

Original Medicare generally provides broader access—you can see any provider who accepts Medicare, without needing referrals or prior approvals. For many patients in rural areas, including those who rely on North Valley Hospital care, this flexibility can make a meaningful difference.

If you’re reviewing your options, take time to ask questions and compare carefully. Ensure your preferred providers and hospitals are in-network, and verify that your medications and services are covered.

For free, unbiased help reviewing your options, contact the Statewide Health Insurance Benefits Advisors (SHIBA) program or visit www.medicare.gov.

At NVH, our mission is to ensure our community members can access the care they need—without unnecessary barriers or surprises. Thoughtful decisions now can help protect that access in the year ahead.

A portion of the new Tonasket mural by artist Sarah Gilman

October is Breast Cancer Awareness Month:

Each October, communities across the country turn pink to remind us how vital early detection is in the fight against breast cancer. Here at North Valley Hospital, we see firsthand how timely screenings can save lives. A simple mammogram can catch problems early—often before any symptoms appear.

If you’re due for your annual screening, our team is here to help. Call our scheduling desk at (509) 486-2151 to make an appointment or talk with your provider about when it’s right for you. Encourage the women in your life—mothers, sisters, daughters, and friends—to do the same.

Breast cancer awareness is more than a campaign; it’s a community effort. Together, we can continue to support those fighting, celebrate survivors, and keep spreading the word about early detection and hope.

Trick or Treat:

Bring the young ones (or those young at heart) to North Valley Extended Care’s Trunk of Treat. Halloween 3pm - 6pm. Our residents have a blast seeing the costumes and passing out candy!

Join Our Team:

If you or someone you know is looking for a rewarding career take a look at our open positions: Join Our Team

What’s New This Month:

As summer winds down and the seasons shift, we have lots happening at NVH & NVEC—events, preparedness, and reminders to keep our community safe and well. Here’s what to look for in September.

Upcoming Community Events

Oroville Farmers Market & Health Fair
🗓 Date: Saturday, September 20th • 9:00 AM – 1:00 PM
📍 Location: Oroville Farmers Market
NVH will be on site with health fair booths, staff, and resources for you and your family. Stop by — we’d love to see you, answer questions, and share health information.

Falls Prevention Event
🗓 Date: Tuesday, September 23rd • 10:00 AM — 2:30 PM

📍 Location: Tonasket Community Cultural Center
NVH is cosponsoring this event will focus on how to keep yourself steady on your feet—fall risk assessments, balance exercises, safety tips for home, and more. Attend to learn how to reduce risk and stay strong through the coming seasons.

National Preparedness Month & Disaster Drills:

September is National Preparedness Month, a reminder for all of us, residents, organizations, and healthcare providers, to plan, practice, and prepare for emergencies. NVH & NVEC take this seriously. Each year we conduct multiple disaster drills, including fire drills, medical code drills, and large-scale response simulations.

One of the ways we prepare is through a tabletop exercise. A tabletop exercise is a guided discussion, not a full-scale drill. Instead of moving patients or using equipment, staff gather in a room and walk through a realistic scenario step by step. Together, they discuss what would happen first, who would make decisions, how departments would communicate, what resources would be needed, and how patients and residents would be kept safe. The goal is to practice planning and problem-solving, and to identify any gaps before a real emergency occurs.

Last week, we conducted a tabletop exercise preparing for a wildfire threatening the nursing home building. In this exercise, staff focused on two critical responses:

• Evacuating residents to NVH

• Sheltering in place within the hospital building

By practicing these options, staff strengthened their ability to make quick decisions, coordinate across departments, and keep patients and residents safe. These drills help us identify strengths and uncover areas for improvement, so that if a real emergency occurs, our team is ready and confident.

You can help, too:

• Know your evacuation routes at home and work.

• Have essential supplies ready (food, water, medications, etc.).

• Discuss your plan with family/friends.

• Stay informed via local alerts.

Respiratory Season & the Power of Handwashing

As we move into fall, respiratory illnesses (like influenza, RSV, and common colds) tend to increase. One of the simplest and most effective ways to protect yourself and others is proper handwashing. This is especially important when you are in shared spaces and after being out in public.

Handwashing best practices:

• Use soap and warm water.

• Wash for at least 20 seconds (sing “Happy Birthday” twice if you like).

• Wash:

  • before eating or preparing food

  • after using the restroom

  • after coughing or sneezing

  • after touching commonly used surfaces (door handles, railings, shared equipment)

• If soap and water aren’t available, use an alcohol‐based hand sanitizer (at least 60% alcohol).

Keeping hands clean helps reduce the spread—not just of viruses, but also bacteria that can complicate illnesses.

Thank you for being a part of our community. At NVH & NVEC, we believe that health, safety, and preparedness are strongest when we work together. Stay safe, stay ready—and see you at the market!

Nursing Assistant Graduates:

Once licensed, the students can begin working in a healthcare setting, including hospitals, clinics, and nursing homes. Many of our past graduates went on to complete nursing programs and play a key role in keeping healthcare local.

Applications are open for the next class and can be found here: www.nvhospital.org/nac

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Regional Planning:

Earlier this week, we had representatives from the Rural Health Redesign Center visit our campus as part of their tour of the county hospitals. They have been engaged to facilitate a project in the county to explore options for the three hospitals to work together. This effort pre-dates the Medicaid reimbursement cuts, but given the upcoming financial headwinds, we are approaching this work with more urgency in identifying how to improve care and the sustainability of the three hospitals. The scope of the project is open-ended, but we hope to find some solutions that help every hospital.

Medicaid Cuts:

There has been a lot of local and national media attention about the pending Medicaid cuts and their impact on our local healthcare system. As we discussed in our previous newsletter, there are many aspects of the bill that are hard to quantify or are not yet known, but if you still have unanswered questions, we would be happy to answer what we can. Give our CEO, John McReynolds, a call at 486-3128.

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Upcoming Community Events:

Look for NVH representatives at the upcoming events:

• Tonasket School District Tiger Tailgate - Tue 9/2 4pm-6pm

• Oroville Farmer’s Market-Health Fair - Sat 9/20 9am-1pm

• Community Health Fair: Fall Prevention Event:

Reconciliation Bill:

On July 4th, the One Bill Beautiful Bill (OBBB) was signed into law, enacting wide-sweeping changes to the healthcare landscape. The largest impacts will begin in 2027 and 2028 with the start of Medicaid work requirements and cuts to state-directed payment programs.  Starting in 2026, NVH may have access to temporary funding designed to support access to care, but the total amount of the funding is modest compared to the Medicaid cuts.

Most of the Medicaid patients we care for will meet the eligibility requirements, but they will have to manage the additional paperwork to prove and maintain their access to Medicaid.

We will still provide hospital care to any patients who are not eligible or don’t meet the requirements, but in most cases, we will not be compensated.

There are still many aspects of these changes that are unknown, including the process the state will use for validation and how various healthcare entities can support eligible patients with enrollment and reenrollment.

Medicaid Cuts & Consequences for Okanogan County:

If you are interested in learning more about the upcoming changes to Medicaid, its impact on healthcare delivery, and on our healthcare organizations, consider attending this community discussion:

• July 29th 6:30-8:00pm

• Okanogan PUD Auditorium

Four speakers will present on the following topics:

1. How Medicaid Works: Peter Morgan Retired Healthcare Executive

2. Caring for Families: Dr. Kevan Coffey Medical Director Family Health Centers

3. The Future of Our Hospitals & Long-term Care: John McReynolds CEO North Valley Hospital

4. Mental Health and Addiction Services: David McClay CEO Okanogan County Behavioral Health

Quality Excellence Award:

For the third year in a row, North Valley Hospital has earned recognition for success in implementing health care clinical excellence initiatives. Our CEO, John, accepted the award on behalf of NVH at the recent Rural Health Leadership Conference. This is our first GOLD achievement! Cassandra Fox, Quality Mgr., diligent in submitting the data that earns us the recognition, also works with the departments to develop meaningful quality measures, tracked and reported at the quarterly quality meetings.

Pat Gauthier:

Former employee Pat Gauthier passed away on June 29th after an extended illness. Pat was a great nurse and an even better storyteller. With her years of experience curing wounds, she single-handedly brought this service to NVH, and her legacy lives on with those who worked with and trained with her. There will be a potluck Celebration of Life on August 9th 1pm, at the CCC.

Healthcare in Crisis?

If you follow the news, you are likely seeing announcements from healthcare organizations about layoffs and closures, including some in Washington. Rising costs and declining reimbursements are creating a challenging reality for hospitals across the country.

Inflation, tariffs, increased fees, and taxes will make controlling costs difficult. On the reimbursement side, a significant effort is underway at the federal level to cut Medicaid spending. The two areas that seem most likely to impact us are work requirements for Medicaid patients and state-directed payment programs.

While many Medicaid patients are already working, the extra bureaucracy of proving eligibility and tighter restrictions are expected to reduce the number of patients covered. Washington State has expansive Charity Care laws that will mean that, as fewer people are on Medicaid, their hospital care will still be provided, but the hospitals will not be compensated.

State-directed payment programs, which are Medicaid supplemental programs, have become a target for cost-cutting measures. In Washington, we benefit from the Safety Net Assessment Program and Nursing Home Pro Share, which increase the payments for services provided to Medicaid patients.

Nearly 30% of Okanogan County residents are covered by Medicaid, which in Washington is also called Apple Health. Cuts to Medicaid will make it more challenging for rural hospitals to continue providing care to their communities.

At NVH, we are working to avoid a crisis by canceling some vendor contracts, consolidating a few positions, instituting a non-clinical hiring freeze, and a wage freeze for leadership positions. We discussed other potential actions and identified opportunities for service expansion, cost reduction, and enhancements to the revenue cycle. Based on these ideas, we have several projects underway to identify opportunities for improvement.

We also encourage anyone concerned about rural healthcare to contact their representatives.

Keeping Care Local:

Another great way to support your local healthcare organizations is to utilize their services. This keeps the revenue in your community and also saves patients from travel costs. For non-medical individuals or those with good health, it can be challenging to keep track of the services available in our communities.

This isn’t an exhaustive list, but here are the primary services that NVH provides:

• Hospital Care

  • Acute Hospitalizations

  • Swing Bed (post-acute skilled nursing with rehab)

  • Emergency Care

• Extended Care

  • Nursing Home Services

• Outpatient Services

  • General Surgery

  • Endoscopy

  • Lab

  • Radiology

    • X-rays, CT, Mammograms, Bone Density, Ultrasound,

  • Wound Care

  • Sleep Medicine

  • Primary Care

  • Allied Health

    • Physical Therapy, Occupational Therapy, Speech Therapy, and Nutrition Therapy

If you’re unsure, double-check with your primary care provider to see if you can receive the service you need locally.

Ribbon Cutting:

Join the City of Tonasket on June 26th at 2pm for the Perfect Passage Ribbon Cutting. We are eagerly awaiting the reopening of the road, but access for patients has already improved with the new sidewalks in place. If you are coming to our campus, be mindful of the ongoing work, and come join us to celebrate the end of this year’s road construction!

Hospital and Nursing Home Week:

The second week of May is Hopsital and Nursing Home Week. We recognize the incredible commitment of our staff who care for our patients and residents 24/7. Their unwavering dedication to providing compassionate, quality care makes a profound difference in the lives of those we serve. Thank you for your resilience, kindness, and the exceptional work you do every day.

Home Stretch:

The road crews are hard at work, and making great progress. For the most part, patients and employees have managed the challenging parking situation well, and to further test our resilience, the sidewalks adjacent to the Verbeck Building will be removed next week to prepare for the new ones to be poured. We are anticipating about two weeks of challenging access to Tonasket Family Medical Clinic and Health & Rehab. The main entrance will be inaccessible and all patients should follow signs to the southwest entrance.

Family Health Centers will also be impacted by the sidewalk removal, but patients should be able to use a temporary path to access the front entrance.

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DAISY Award:

Thanks to our Nursing Leadership Team, NVH is joining a national program to recognize nursing excellence. The DAISY Award is a recognition program to celebrate nurses by collecting nominations from patients, families, and co-workers.

If you have had a great experience, and a nurse you would like to recognize check out the nomination form available here.

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WMCC:

The Washington Medical Coordination Center has supported hospitals in the state with finding transfer locations for patients who were difficult to place. We typically use the WMCC when our normal referral patterns fail to get us an accepting facility. During COVID or other peak hospitalization times, the WMCC helped load balance and ensured that there was a triage system across the state to ensure all patients would be considered when bed availability was limited. Unfortunately, the WMCC has struggled to find funding and will close on July 1st.

This removes an important safety net and staff support, particularly in rural areas. Rural facilities have chiefly utilized the WMCC to get patients into higher levels of care. Dr. Wallace, the Okanogan County Public Health Officer, is working to bring hospital and EMS representatives together in the county to mitigate the WMCC loss.

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North Valley Community Health Association:

The Hospital Foundation has launched its annual scholarships and is accepting applications until July 31st. The group plans to award 4, $1000 scholarships to students on a healthcare pathway.

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Cold Water Safety:

As many of us have gotten the boat out of the shed and ready for the season it is important to remember the risks of cold water. The Washington State Parks website has a great resource to review.

Cerner:

In our January newsletter, we shared that we were quickly approaching the launch of new electronic health record (EHR), and today is the day!

Our current system has served us well, but it no longer meets the growing needs of our hospital or our patients. The Cerner system will bring:

• Better care coordination across all departments and providers

• Improved accuracy and access to your health records

• Enhanced communication between you and your care team

• A more seamless experience from registration to follow-up

Cerner also supports our revenue cycle operations, meaning:

• More accurate insurance claims

• Faster and clearer billing

• Timelier and easier-to-understand patient statements

In short, the new system is designed to reduce billing errors and help you get the information you need about your healthcare costs without delay or confusion.

What to Expect During the Transition:

As with any major change, there will be a period of adjustment. You may notice:

• Slightly longer appointment times while staff get comfortable with the new system

• Increased screen time during visits as your provider inputs information

• A new patient portal experience, with instructions provided on how to access your health records, test results, and billing information

We ask for your patience during this time — our team is working hard to ensure a smooth and successful transition.

How This Benefits You:

When the transition is complete, you’ll benefit from:

• Faster access to test results and visit notes

• Improved billing accuracy and faster statements

• A more connected care experience, whether you’re seeing one provider or several

• Greater convenience with online tools to manage your care and payments

We’re Here for You!

We understand that change can be a little overwhelming, but we believe this investment will make your experience at North Valley easier, safer, and more transparent.

Our staff is ready to help guide you if you have any questions.

Thank you for your continued trust in us. We’re committed to making this transition as smooth as possible and look forward to delivering an even higher standard of care and service.

State and Federal Budgets:

We have been getting a lot of questions about the proposed cuts to healthcare funding at the State and Federal levels. Local hospitals and nursing homes are particularly vulnerable to cuts to Medicaid due to the high level of need in our community.

If you are interested in learning more, consider joining our monthly Board meeting on the last Thursday of every month at 7pm, or reaching out to your elected officials.

Road Construction Update:

We are a few weeks into the road construction project and are happy to report it is going better than expected. Parking and access can still be a challenge but we appreciate everyone’s patience during the disruption.

Now Hiring:

Are you looking for work? Check our current job postings:

Newsletter:

If you would like to recieve our monthly newsletter in your inbox sign up here:

Road Construction Edition:

We are publishing our newsletter early this month, and limiting ourselves to only one topic!

The City of Tonasket’s next phase of road construction is scheduled to start in one week, and this phase is going to be very impactful for our patients.

Whitcomb Ave (Highway 97) will be closed from 1st Street to 3rd Street, requiring traffic to detour on Western Avenue. In addition, the work will also limit access to the main entrances of Family Health Centers, Dr. Nau’s, NVH Rehab, and the Tonasket Family Medical Clinic.

Our goal during the project is to make it as easy as possible for all patients or visitors to get into the building, particularly for those with limited mobility.

The Green Stars represent Drop-off only zones; the pink zones are suggested patient parking areas.

The Tonasket Eagles in partnership with City of Tonasket have designated a portion of their lot for patient parking as well. (Thank you!!!)

Employees of NVH, Extended Care, Family Health Centers, and Dr. Nau’s will be parking further away to allow patients closer access.

The construction team will maintain a narrow sidewalk along Whitcomb and a temporary crosswalk (approximate location shown in green). Please be sure to respect their safety signage.

Vehicle access to the Main Hospital Entrance will only be possible from 3rd Street through the alley. This section can be congested and would be good to avoid when possible.

A few things to keep in mind:

• If you have a scheduled appointment, give yourself a few extra minutes to make the trip

• Consider using the drop-off zone on 1st Street to avoid congestion at the main hospital entrance

• If it is safe for you to so, leave spots closer to the entrance for those that have the most need

• Use extra caution when crossing through the detour area and around the construction site

The project is scheduled to wrap up mid-summer. We will provide additional updates as things change, but as always feel free to reach out with any questions.

Heart Month:

American Heart Month, observed every February, is dedicated to raising awareness about heart disease, the leading cause of death in the U.S. It encourages people to adopt heart-healthy habits, such as eating nutritious foods, exercising regularly, managing stress, and monitoring blood pressure and cholesterol levels.

From the CDC:

• Heart disease is very common. In the United States, heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups. In 2022, 1 in every 5 deaths in the United States was caused by heart disease.

• High blood pressure is a leading cause of heart disease. Nearly half of U.S. adults have high blood pressure, which puts them at risk for heart disease and stroke. And just 1 in 4 people with high blood pressure has it under control.

• Heart disease is costly. The cost of health care services, medications, and lost productivity from heart disease amounted to $252.2 billion between 2019 and 2020.

Welcome Cindy Jensen ARNP:

Cindy has joined the Tonasket Family Medical Clinic to work alongside Dr. Jex to provide primary care. For the last several years Cindy has worked providing primary care for the VA. Her focus is on adult and geriatric patients. Cindy and her husband previously purchased a home in the area and decided to make the move to Okanogan County full time. The both enjoy working on projects and feel very welcomed by the community.

If you are looking for a primary care provider you can contact the clinic at 486-3119 to make an appointment with Cindy.

We love our acronyms (WLOA):

It can be complicated sorting out the various roles in healthcare. As mentioned above Cindy is an ARNP, but what does that mean? Here is primer:

MD/DO: Physician

• Role: Diagnose and treat illnesses, prescribe medications, perform procedures and surgeries, and oversee patient care.

• Training: Medical school (MD/DO), residency (3-7 years), and optional fellowship for specialization.

ARNP: ADVANCED REGISTERED Nurse Practitioner

• Role: Diagnose and manage illnesses, prescribe medications, perform medical procedures, and provide patient education.

• Training: Bachelor’s and master’s degrees in nursing, with clinical experience.

PA: Physician Assistant

• Role: Work under physician supervision to diagnose illnesses, develop treatment plans, perform minor procedures, and prescribe medications.

• Training: Master’s degree with extensive clinical rotations.

RN: Registered Nurse

• Role: Provide direct patient care, administer medications, monitor vital signs, assist in procedures, and educate patients.

• Training: Associate or bachelor’s degree in nursing (ADN/BSN) and licensure exam (NCLEX-RN).

LPN: Licensed Practical Nurse

• Role: Provide basic nursing care such as monitoring patients, administering medications, and assisting with daily activities under RN supervision.

• Training: One-year nursing program and licensure exam (NCLEX-PN).

CNA: Certified Nursing Assistant

• Role: Assist patients with daily living activities (bathing, feeding, mobility) and provide basic care under RN or LPN supervision.

• Training: Short-term certification program and competency exam.

MA: Medical Assistant

• Role: Perform both administrative (scheduling, medical records) and clinical (taking vitals, drawing blood) duties in healthcare settings.

• Training: Certificate or associate degree program with clinical internship.

RpH: Pharmacist

• Role: Prepare and dispense medications, ensure proper drug use, provide patient counseling, and collaborate with healthcare teams.

• Training: Doctor of Pharmacy (PharmD) degree and licensure.

Pharmacy Technician

• Role: Assist pharmacists in dispensing medications, managing inventory, and handling administrative tasks.

• Training: Certification program or on-the-job training.

Radiologic Technologist (X-ray Tech, MRI Tech, CT Tech, etc.)

• Role: Operate imaging equipment (X-ray, MRI, CT) to help diagnose medical conditions.

• Training: Associate or bachelor’s degree in radiologic technology and certification.

MT/MLT: Laboratory Technologist

• Role: Perform diagnostic tests on blood, tissue, and other samples to assist in disease detection and treatment.

• Training: Bachelor’s degree in medical laboratory science and certification.

RT: Respiratory Therapist

• Role: Treat patients with breathing disorders, manage ventilators, and provide emergency respiratory care.

• Training: Associate or bachelor’s degree in respiratory therapy and licensure.

PT: Physical Therapist

• Role: Help patients recover mobility and manage pain through exercises and rehabilitation techniques.

• Training: Doctor of Physical Therapy (DPT) degree and licensure.

OT: Occupational Therapist

• Role: Assist patients in regaining independence in daily activities after illness or injury.

• Training: Master’s or doctoral degree in occupational therapy and licensure.

SLP: Speech-Language Pathologist

• Role: Diagnose and treat speech, language, and swallowing disorders in patients.

• Training: Master’s degree in speech-language pathology and licensure.

RD: Registered Dietitian

• Role: Develop dietary plans for patients with medical conditions to promote health and recovery.

• Training: Bachelor’s or master’s degree in nutrition/dietetics and licensure.

Speaking of Jobs:

HR sent out a guide to the new job postings and applications process. I’m excited about this update to create a streamlined, uniform process for applicants. Check out the job postings here:

One noteworthy item is the significant progress made over the last year in recruitment and retention. As of the publishing date of this newsletter there are only 8 open positions in the District, and throughout 2024 and 2025 we have reduced the number of temporary/traveling employees.

Road Construction:

The next phase of road construction in Tonasket is scheduled to start on March 10th. This phase will have major impacts to the operations at the hospital, clinic, and outpatient therapies. Our next newsletter will have more information about detours, access, and parking.

Operation Cerner:

Over the next four months, the team at North Valley will be transitioning to a new Electronic Health Record System: Cerner. This change has been a long time coming, and this upgrade is designed to enhance patient care, improve efficiency, and ensure the safety of your medical information. However, this change involves a lot of behind-the-scenes work for our dedicated staff and may bring noticeable updates for our patients and visitors.

What is an EHR and Why the Change?

An EHR is a digital version of a patient’s paper chart, designed to provide accurate and up-to-date information to healthcare providers. Our new system will replace our current platform, offering improved features like better coordination between care teams, faster access to patient histories, and more secure data management.

This change is part of our commitment to delivering the highest standard of care and staying at the forefront of healthcare technology.

What Staff Are Doing Behind the Scenes

The transition to a new EHR is a significant undertaking. Our staff have been hard at work to ensure a smooth rollout. Here’s a glimpse of what’s involved:

1. Training: All staff, from nurses and doctors to administrative personnel, are participating in extensive training to learn the new system.

2. Data Migration: Patient records are being securely transferred to the new system, ensuring no loss of important medical history.

3. System Testing: Teams are conducting rigorous tests to confirm the system is functioning correctly before it goes live.

Looking Back:

2024 has been a transformative year for NVH, marked by significant building efforts—not just in the literal sense with ongoing construction, but also in strengthening our teams.

This year, we’ve welcomed new nursing leadership in both the Hospital and Extended Care units and filled several key roles across other departments. At the start of 2024, we faced significant staffing challenges, with 24 open positions and a heavy reliance on contract staff (travelers), particularly in nursing.

Through dedication and teamwork, we’ve made steady progress. Over the course of the year, we’ve successfully reduced our open positions to just 12, significantly improving our staffing levels. These strides have also allowed us to reduce our reliance on agency staff—a trend we’re confident will continue as we head into the new year.

This progress reflects our commitment to building a strong, sustainable team that provides the best possible care for our patients and community. We look forward to achieving even greater milestones in the coming months!

Respiratory Season:

In January the Extended Care was in outbreak status for Influenza A. The team has done a fantastic job of following their process for an outbreak, and we are now at the end of the outbreak. Lauri Jones from Okanogan Public Health gave kudos to the team for their prompt reporting, plan in place, and success in preventing further infections. I’d also like to recognize Dr. Di Croce for her timely response and care of our residents.

Across the county, we have high levels of influenza and continuing cases of COVID and RSV, but it is not to late to protect yourself with a vaccine. Ask your primary care provider or local pharmacy.

Extended Care Activities Department:

At North Valley Extended Care, our Activities Department is the heart and soul of our community, tirelessly working to enhance the lives of our residents. This incredible team brings energy, creativity, and compassion to their roles, ensuring every day is filled with opportunities for connection, engagement, and joy.

From themed parties and holiday celebrations to art programs and spa treatments involving manicures and salon treatments, the Activities Department curates a diverse calendar of events that cater to all interests and abilities. Recently, our Thanksgiving meal celebration was a huge success, featuring delicious food. Residents, families, and staff came together to create cherished memories. Families wrote comment cards, including “The staff all went above whatever you could imagine. Helpful, friendly, over and above to make us and the residents feel good. May God bless you all” to “As we enjoyed the Thanksgiving meal, the family chatted about the care and detail involved. The staff chat and look residents in the eye, smile, laugh and just love on them. The home is clean. The meal was delicious! Thank you”.

Understanding the importance of socialization, the team hosts group activities such as games, which include bingo, Yahtzee, and card games. Other group activities involve a multitude of crafts, which are then on display throughout the facility as table centerpieces or hung on the walls for all to enjoy. There are men’s group, women’s group for discussions and group activities that pertain to each. The residents enjoy musical entertainment throughout the month by a variety of volunteers who share their talents with singing groups, including those that bring their instruments and play as they sing. Frequently, the residents are encouraged to join in to supplement vocals. When the weather is cooperative, outdoor activities are a focus and the residents enjoy growing—and eating—their harvests in the garden grown in the courtyard. Throughout the summer there are weekly barbecues in which the residents enjoy their noon meal al fresco. The residents are also treated to group outings to museums or shopping trips. These gatherings foster camaraderie and encourage residents to build meaningful relationships with one another. In addition, the Activities Department will arrange one-on-one visits for residents who may prefer quieter interactions, ensuring everyone feels included and valued.

Shannon, Teresa, Teresa, and Sherry

The Activities Department also impresses with their efforts to assist residents with transportation to medical appointments. Their attention to detail, patience, and kindness make what can be a stressful situation so much easier for residents and their families. Whether it’s coordinating schedules or offering a comforting presence during the trip, this team exemplifies care and compassion every step of the way.

All of this is made possible through the dedication and passion of the Activities Department. The department is made up of assistants Sherry Porter, Shannon Gutzman, Teresa Fast, and led by Teresa Davis. These ladies have worked at the facility for a combined total of 37 years. Their ability to bring smiles to faces, promote wellness, and create a vibrant community is truly inspiring. Whether planning a special event or spending time chatting with a resident, their impact is immeasurable.

We’re incredibly grateful for their hard work and the positive difference they make in the lives of our residents every day. If you’d like to support their efforts, consider volunteering or donating materials for activities. Together, we can continue to make NVEC a wonderful place to live and thrive.

Thank you to our Activities Team – you make life here extraordinary!

Vaccines:

Protect yourself and your loved ones by getting the COVID-19 vaccine. Vaccination is a safe and effective way to reduce the risk of severe illness, hospitalization, and complications from the virus. By getting vaccinated, you’re also helping to protect vulnerable members of our community and contributing to a healthier future for everyone. Schedule your COVID-19 vaccine appointment with our clinic today and take an important step toward keeping yourself and our community safe. Call at 486-3191 to book your appointment!

Hospital Foundation:

As we wrap up the multiple-year construction project, one of the most exciting items for staff is the creation of two new rooms for patient care. We will now have an additional ED room and inpatient hospital room, which will help get patients out of the waiting room and into the ED sooner. The additional hospital room will give us extra flexibility, particularly when caring for patients with infectious diseases. These rooms were partially built in 2010 with the new addition but have served as storage over the last 14 years. This project was made possible by the generous donation of $100,000 from the Hospital Foundation.

The Hospital Foundation (North Valley Community Health Association) is holding its annual giving campaign, and if you would like to support future investments in local health care, you can contribute here.

Welcome Kristy Terzi:

Kristy Terzi serves as Chief Nursing Officer at North Valley Hospital District, where she leads a dedicated team of nursing professionals in delivering exceptional patient care. With over 30 years of experience in nursing, Kristy has extensive expertise in bedside nursing, nursing education, and nursing leadership. She is committed to fostering a culture of compassion, collaboration, and continuous improvement. Passionate about the privilege of being a nurse and empowering nursing teams, Kristy collaborates closely with other healthcare leaders to enhance patient outcomes and support the District's goals.

Kristy holds a Bachelor of Science in Nursing from the University of Alaska - Anchorage, along with multiple specialty certifications. She is dedicated to education and actively pursues formal and informal learning opportunities. Her commitment to continuous growth drives her to seek ways to improve processes and communication, thereby enhancing outcomes. The development of a strong clinical team and her dedication to the nursing process are foundational to her role. Community involvement and county-wide collaboration are central to her professional focus. With a strong emphasis on caring for people, her leadership supports both the staff of NVH and the community it serves.

Outside of work, Kristy enjoys her farm and caring for animals with her husband. Their move from Alaska to Tonasket in 2020 was influenced by his familiarity with the region. She cherishes spending time with their four sons and beautiful granddaughter, taking walks to appreciate the area's natural beauty, and quilting, which is her favorite hobby during the fall and winter months.

CT Machine:

The new CT is installed and looking much better than the picture we shared last month. The upgrade from our previous CT scanner at 32 slices to 64 slices significantly enhances diagnostic capabilities. With 64 slices, the scanner provides higher-resolution images, allowing for more detailed visualization of complex structures, such as blood vessels, organs, and soft tissues.

This upgrade reduces scan times, improving patient comfort and throughput, while also enabling better detection of small lesions, improved 3D reconstructions, and more accurate assessments of coronary arteries and other critical areas. Overall, the increased slice count improves diagnostic accuracy, leading to better patient outcomes.

Extended Care Surveyors:

Fresh off the State and Federal Survey for the Hospital Division, the Extended Care is undergoing its annual surprise survey. Nursing home surveyors are trained professionals who conduct regular inspections to ensure that long-term care facilities meet federal and state quality and patient safety regulations. They assess various factors, including staff qualifications, patient care practices, cleanliness, safety protocols, resident rights, and the overall physical environment.

Their goal is to ensure that residents receive high-quality care in a safe and supportive environment. The survey process is important because it helps identify areas for improvement, ensures compliance with standards, and protects vulnerable residents.

We collaborate with surveyors by providing requested documentation, answering questions, and addressing any concerns raised during the inspection. This collaboration enhances the facility's performance and maintains a high standard of care.

Next month, we will summarize any findings and our plans to correct them.

Dry Needling:

Dry needling is a therapeutic technique in which a trained physical therapist inserts small, sterile filament needles into the skin and muscle directly into a muscle trigger point, or concentration of knots within a muscle. 

This technique has proven successful in treating muscle pain and dysfunction, migraine, dental pain, and muscle dysfunction limiting range of motion or strength.  

We are proud to announce that four of our PTs have completed rigorous training and testing to be certified to offer this technique to our patients.  They are getting great results having now treated 55 patients since October. 

Diagnoses have included:  Pain, Bursitis, Muscle Strain, Migraine, Headache not classified as migraine, Nerve Impingement, Sciatica, Patella-Femoral Disorder, and Joint Capsulitis. 

We are happy to be able to offer this service to our community.

Announcements:

• Medicare Open Enrollment

  • Closes on Dec 7th

  • The Office of the Insurance Commissioners provides a free, impartial service called SHIBAs (Statewide Health Insurance Benefit Advisors). These volunteers can help you assess your coverage needs and eligibility and help you enroll. Call 1-888-452-0731 to make an appointment with a SHIBA.

• Nationwide IV Fluid Shortage

  • All Hospitals remain in conservation mode following hurricane-related supply disruptions.

  • At NVH our supply has started to improve and we hope to see continued shipments.

• Hospital Foundation Scholarship Awardees:

  • Charlee Buchert, Karlie Richey, and Kendra Castrejon each were awarded $1000 to continue their education in pursuit of a healthcare career. Congratulations!

• Board Meeting Date Changes

  • Due to holidays and the budget approval schedule the Board Meetings have changed for November and December. The new dates are:

    • November 14 7pm (today!)

    • December 19 7pm

Congressman Dan Newhouse and TFMC Team

Congressman Dan Newhouse Visit:

On 10/16 Congressman Newhouse visited North Valley Hospital and Extended Care. Newhouse met with representatives from the hospital, clinic, and nursing home to ask how he could better represent our rural interests in Washington, DC. The conversation focused on workforce development, reimbursement rates, telehealth, and infrastructure investment.

Thank you, Congressman Newhouse, for your continued interest and advocacy for rural healthcare.

CT Installation:

This month, we are installing a new CT, drastically improving image quality as we upgrade to a 64-slice-capable machine. During the de-installation and installation, the Radiology team will use a mobile unit to ensure we maintain access to this critical diagnostic tool during the project.

The GE Technician is hard at work.

IV Saline Shortage:

As you may have heard in the news, Hurricane Helene flooded the Baxter manufacturing plant, which produces a large portion of the US’s IV saline solution. It will take time to bring the plant back to full production, and like every other hospital, our supplies are running low. We are getting a small amount of fluids from our distributor, but until our supply returns to normal levels, we are conserving as much fluid as possible. Most patients won’t notice any impact, but we have paused elective procedures and are working to be judicious in our saline use.

Medicare Open Enrollment:

Medicare Open Enrollment started on 10/15, and for seniors, the decision to enroll in Traditional Medicare or Medicare Advantage can have implications for costs and access to care. As you make this decision, we would encourage you to learn the pros and cons of each type of plan and be mindful of any sales pitch that sounds too good to be true. The Office of the Insurance Commissioners provides a free, impartial service called SHIBAs (Statewide Health Insurance Benefit Advisors). These volunteers can help you assess your coverage needs and eligibility and help you enroll. Call 1-888-452-0731 to make an appointment with a SHIBA.

In memory of Shane Pyper:

Earlier this month our Radiology Manager Shane Pyper, passed away in a car accident. Shane’s leadership, dedication, and kindness made a lasting impact on both the Radiology Department and our entire hospital community. This is a significant loss for all of us and we join his family in grieving and remembrance.

Road Construction:

It got a little harder to get to our campus, but for the most part, we are getting acclimated to the detours and traffic changes. If you are coming to the hospital, use caution and, in particular, watch for pedestrians along the detour route and by the ambulance’s bay.

Department of Health, CMS, and Fire/Life Safety Survey:

On August 6th a group of surveyors arrived to conduct a surprise inspection of Hospital and outpatient clinics. The surveyors were conducting both the state survey and the federal Centers for Medicare & Medicaid Services (CMS) survey. The surveyors were here for two and half days and spent time touring the facility, interviewing staff, observing, reviewing documentation, and inspecting the facility.

The surveyors reviewed their preliminary findings in an exit interview on August 8th, and emailed a Statement of Deficiencies on August 15th. The surveyors found 12 deficiencies for the Federal survey, and an additional 2 items that were state specific. The Fire Marshal identified 13 items for correction.

To give the you an example of the types of items here are a few of the deficiencies:

CMS/State:

• The Med Staff Bylaws are overdue for review

• An expired medication was found in a crash cart

• We did not have a policy to provide emergency contraception for a sexual assault victim

• A drainline on an ice machine was dirty

• We failed to document vital signs following a blood transfusion

Fire Marshal:

• Sprinkler heads found to be dirty or missing an escutcheon

• An improperly mounted fire extinguisher was found

• Several offices had electrical multi prong adapters in use, and a construction worker had run an extension cord under a door

• A sprinkler head had items within 18 inches of it, and some sprinkler pipes had data cables touching them

• Penetrations were observed in walls or smoke barriers

On August 22nd we submitted a Plan of Corrections to both fix the noted issues and also how to prevent them from occurring in the future. The surveyor team approved our Plan of Corrections and the Fire Marshal conducted a return survey on September 10th to review the corrections to ensure the fixes have been completed.

We strive to be transparent about the work we do and acknowledge that despite our efforts we have areas to continue to improve. Our goal is perfection, but this survey results are very typical and the deficiencies are easily corrected.

If you are interested in learning more about what the surveyor look for the Department of Health provides a list of the common deficiencies.

Flu Season:

As we enter flu season, it's more important than ever to protect yourself and your loved ones by getting vaccinated. The flu vaccine is a safe and effective way to reduce your risk of serious illness, and it helps protect those around you, especially the most vulnerable. Make sure to schedule your flu shot soon and stay healthy this season!

Oroville Farmers’ Market:

This Saturday is a healthcare-themed market day, and we will be representing NVH from 9-1. If you are in the area come stop by and say hello!

Public Hospital Districts:

As we visit with our friends and neighbors at community events like the Farmers’ Markets, one topic that comes up frequently is the lack of understanding about who and what we are. Some residents think we are affiliated with Confluence Health or just focused on Tonasket, but the reality is that we are an independent special purpose district, much like a school district. We serve everyone in our district, including Loomis, Oroville, Havillah, Tonasket, Chesaw, and Wauconda.

As a public hospital district, our mission is to ensure that the residents of our community have access to essential healthcare services, regardless of their location or financial situation. Established by the people we serve, we are a governmental organization funded through local taxes and patient revenues. This allows us to provide a wide range of medical services, from emergency care to routine checkups, and to operate hospitals, clinics, and long-term care facilities that address the unique health needs of our region. We are governed by an elected board of commissioners who represent the interests of our community, ensuring that we remain focused on providing high-quality, accessible care.

Check out this video from the Association of Public Hospital Districts that explains the work we do: What is a Public Hospital District?

Happy Environmental Services Week:

As we celebrate Environmental Services Week, we want to recognize and honor the hard work of our Environmental Services team. These dedicated professionals play an essential role in ensuring that our hospital and nursing home remain safe, clean, and welcoming for everyone. Their behind-the-scenes efforts make a big difference in protecting the health and well-being of our patients, residents, and staff. We are deeply grateful for their commitment to maintaining a healthy environment, and we encourage everyone to join us in celebrating this amazing team!

We didn't quite get the whole team together, but here is most of us!

Nursing Home Facility Assessment:

Every year we conduct a Facility Assessment for North Valley Extended Care. This document (a breezy 29 pages) outlines the care we provide, the residents we care for, the resources and tools we need, and the staff required to conduct that work. Historically, the Facility Assessment had been prepared each year by a small group of NVEC employees, but a recent CMS rule now requires a broad audience to participate and engage in the process of creating the Facility Assessment.

This change has been a great opportunity to connect with residents, families, front-line employees, and our Board of Commissioners on the great work we do in the nursing home. We are proud of our 5-Star rating and the feedback throughout the process has been overwhelmingly positive.

Although we’ve completed the document for 2024, it will require updates and before you know it we will get started on the 2025 version.

Immunization Awareness Month:

August is National Immunization Awareness month which raises awareness about the importance for people of all ages to get recommended vaccines throughout their lifetime. In 1796, an English doctor named Edward Jenner developed the first vaccine when he noticed that milkmaids who had been exposed to cowpox appeared to be immune to smallpox. His techniques were not up to today’s standards, but he started the learning process which led to modern day vaccines. Vaccine development has come a long way since then and has expanded as new scientific discoveries have been made. Although no vaccine is 100% effective, vaccines have proven to be one of the most successful & cost-effective public health tools to help prevent serious illness. Not only do they protect the person receiving the vaccine, they also keep diseases from spreading to other people. 

Here are some common vaccines recommended for adults:

• Shingrix is the most recent vaccine for shingles.  It was released in 2017 and requires 2 doses for the best protection.  People who had the previous version of the shingles vaccine, Zostavax, should get both doses of Shingrix for maximum protection.  The CDC recommends this vaccine routinely for people over the age of 50. If you are unsure which vaccine you had for shingles, talk to your doctor or pharmacist and they can help you determine if you should have this vaccine.

• RSV is a vaccine that is now recommended for people over the age of 60 who are at increased risk for severe respiratory illness. This includes people with chronic conditions like lung disease, heart disease, those who live in a nursing home or other long term care facility and those with other chronic conditions.  This vaccine is a 1 dose vaccine.  Your doctor or pharmacist can help you determine if this vaccine is recommended for you.

The CDC also recommends everyone over the age of 6 months get a flu shot every year.  People over the age of 65 are eligible to get the high-dose flu vaccine but if that is not available it is fine to get a regular flu vaccine. In addition, there is also a new 2024-2025 COVID vaccine that will be available this fall and it is recommended that everyone over 6 months of age get this updated vaccine. 

For up-to-date information on recommended vaccines, visit CDC.gov/vaccines/schedules/index.html

Wound Care:

The wound clinic at NVH treats complex and non-healing wounds with a referral from a primary care provider. These types of wounds may be caused by injury, disease, or poor blood supply. Our clinic combines advanced clinical tools with traditional practices to provide exceptional wound healing.

The wound clinic will work with each patient to develop an individualized treatment plan to aid with wound healing.

In addition to traditional wound treatments, our wound clinic, when appropriate, can utilize:

• Advanced Dressings

• Non-selective and Conservative Sharp Debridement

• Skin graft substitutes / Allografts

• Negative Wound Pressure Therapy/Wound Vacs

• Compression therapy

• Biological debridement

This service continues to grow as our team’s reputation for great outcomes brings patients from throughout the region. Hopefully you won’t need treatment for a complex wound, but if you do, its’s great to have this team at North Valley.

Community Events:

Look for the NVH Booth at upcoming events. We had a lot of fun at Oroville’s National Night Out last week, and we will be at the Tonasket Tiger Tail Gate and Garlic Festival later in the month.

Our Dietitian Frano is a staple at the Tonasket Farmers Market. Stop by and say hi!

Rural Excellence Award:

For the second year in a row North Valley Hospital is proud to announce its selection as one of 13 hospitals honored by the Washington State Hospital Association (WSHA) for the Critical Access Hospital Achievement of Quality Excellence program. This prestigious recognition underscores our unwavering commitment to delivering exceptional healthcare services and improving patient outcomes.

The WSHA recognized these hospitals for their exemplary performance in key areas of healthcare quality improvement, including sepsis management, workplace violence prevention, diagnostic excellence, and addressing health disparities. The honored hospitals were selected based on their comprehensive reporting and adherence to quality measures that ensure the highest standards of care.

North Valley Hospital remains dedicated to advancing healthcare quality and will continue to implement innovative strategies to meet the evolving needs of our patients. We are grateful for the support of our community and the hard work of our staff, which made this achievement possible.

Noreen Olma & Kim Jacobs:

Retirements are bittersweet! Noreen Olma, Lab Manager and Kim Jacobs, Safety Officer both retired this summer. Both Noreen and Kim worked at NVH over 30 years.

Their dedication and passion have been truly inspiring, and it's hard to imagine my time here without their presence.

Noreen and Kim have been pillars of strength and support, making a significant impact on all of us. Noreen's unwavering commitment and Kim's boundless energy have shaped the very essence of our work environment. Their contributions have been invaluable.

As Noreen prepares for her well-deserved retirement, celebrated her last week with us, and Kim, who embarks on her retirement journey next month, it is hard to picture NVH without their guiding presence. Best of luck to both of you and enjoy retirement!

Construction Update:

As progress continues on the our HVAC construction, the team has moved onto the first floor in the St. Martin’s Building and Hospital. For patients and visitors this phase of work will be the most disruptive as access to MRI and x-ray require alternative routes. Patients in the ED and hospital floor may experience construction noise and increased traffic, but the crews are striving to be low impact.

Hot Conditions and Dehydration:

Staying Safe and Hydrated

As temperatures rise during the summer months or in hot climates, the risk of dehydration increases significantly. Dehydration occurs when the body loses more fluids than it takes in, disrupting the balance of salts and sugars in the body, which can affect the way it functions.

Understanding Dehydration

Dehydration can range from mild to severe, and its symptoms can vary accordingly. Mild dehydration might cause dry mouth, thirst, and decreased urine output. As dehydration progresses, symptoms can include:

• Dizziness or light-headedness

• Dry skin that doesn’t bounce back when you pinch it

• Rapid heartbeat and breathing

• Lack of energy or confusion

• Fainting

In severe cases, dehydration can lead to heat exhaustion or heatstroke, both of which require immediate medical attention.

Causes of Dehydration in Hot Conditions

When exposed to hot conditions, the body tries to cool itself through sweating. Sweating results in a significant loss of water and electrolytes, such as sodium and potassium, which are essential for normal bodily functions. Factors that can exacerbate dehydration in hot weather include:

• Physical Activity: Engaging in strenuous activities increases sweat production, leading to higher fluid loss.

• Inadequate Fluid Intake: Not drinking enough water to replenish lost fluids can quickly lead to dehydration.

• Clothing: Wearing heavy or non-breathable clothing can trap heat and increase sweating.

• Alcohol and Caffeine: These substances can increase fluid loss through urination.

Preventing Dehydration

To prevent dehydration in hot conditions, it's essential to maintain an adequate intake of fluids. Here are some tips to stay hydrated:

1. Drink Plenty of Water: Aim to drink at lot of water and drink even more if you are active or spending extended periods in the heat.

2. Consume Electrolytes: Include drinks that contain electrolytes, especially during and after exercise. Sports drinks, coconut water, and oral rehydration solutions are good options.

3. Eat Hydrating Foods: Incorporate fruits and vegetables with high water content into your diet, such as watermelon, cucumbers, oranges, and strawberries.

4. Avoid Dehydrating Beverages: Limit the intake of alcohol and caffeinated drinks, as they can contribute to fluid loss.

5. Take Breaks in the Shade: If you’re outdoors, take regular breaks in shaded or cool areas to help regulate your body temperature.

6. Wear Appropriate Clothing: Choose light, breathable fabrics that allow your body to cool more effectively.

Recognizing and Treating Dehydration

Early recognition of dehydration symptoms can prevent more severe health issues. If you or someone else shows signs of moderate to severe dehydration, it is crucial to:

• Stop Physical Activity: Rest in a cool, shaded place.

• Rehydrate: Drink water or an oral rehydration solution slowly. Avoid chugging large amounts quickly, as it can cause stomach upset.

• Seek Medical Attention: If symptoms worsen or do not improve, seek medical help immediately.

Sports Physicals:

Cover your kids' ears, but the end of summer is fast approaching. With the fall sports seasons just around the corner, it is time to start thinking about Sports Physicals. The Tonasket Family Medical Clinic has walk-in availability starting this week on Thursdays and Fridays until August 30th. Call 486-3191 for more information.

Welcome:

Thank you for reading the first edition of our newsletter. If you found us through the website, Facebook, or a printed copy, please consider subscribing at www.nvhospital.org to get updates right to your inbox.

We hope this platform will allow us to provide updates and insights into the work of NVH and topics impacting the health and well-being of our communities.

Construction Update:

Background:

A large portion of the hospital services are located in the 1952 St. Martin’s Building. It is the brick building directly north of the main entrance, and from the exterior, it is hard to tell it is a separate building. Much of the infrastructure is original from the 50’s and in desperate need for an update. Several years ago, we began the design and planning phases to upgrade the heating and cooling on all three floors. The work directly impacts the kitchen, surgery, outpatient clinics, lab, radiology, scheduling and billing.

This project will ensure we can keep using the space with less risk of the frequent heating and cooling issues we have had in the building. It is always a major investment in allowing us to meet upcoming energy savings requirements as part of the Clean Building Act.

In addition to upgrading the HVAC we are using the opportunity to add additional clinical space in the ER and hospital floor. These rooms were designed to be built-out later but have been used as storage. The additional rooms will allow us to see more patients and reduce crowding.

Wayne Verbeck, President of North Valley Community Health Association, aka the Hospital Foundation, presents Adam Tibbs, NVH BOC President, a check for $100k. The funds raised by the Hospital Foundation will be allocated to the completion of two critical projects within North Valley Hospital: Emergency Department Room 1 and Acute Care 110.

The total project cost is over $7M, with funding coming from several areas:

• $100,000 donation from the Hospital Foundation

• $1M grant from USDA

• $775,000 grant from the Department of Commerce

• $5M bond funded from Hospital operations and existing tax revenue
  

Status:

Last month, we hit an exciting milestone by placing the three HVAC units on the roof. It was a significant undertaking, and we wanted to thank our neighbors again for all of the disruption and inconvenience caused by the crane and road closure.

This week, work began on the first floor of the St. Martins building. This represents the final phase, and the project is scheduled to be wrapped up by the end of October.

Men’s Health Month

June is Men's Health Month, aiming to raise awareness of common health issues and encourage early detection and treatment among men. This observance highlights the importance of regular health check-ups, healthy lifestyle choices, and seeking help when needed. Men's Health Month provides an opportunity to promote overall well-being and educate men on the significance of prioritizing their health. With a focus on preventive care and healthy habits, this month serves as a reminder for men to take charge of their health and make informed decisions for a better quality of life.

The first step is making an appointment with your primary care provider.

Well-Being Survey:

Thriving Together North Central Washington is a CMS and state-funded organization focusing on improving health within Okanogan, Chelan, Grant, and Douglas counties. We have partnered with Thriving Together on several initiatives, including the drug disposal kiosk, the behavioral health program, and vocational training programs.

A few weeks ago, Thriving Together launched a Well-Being Survey (available here) which runs through the end of July. We are working with Thriving Together to promote participation in the survey, and we will also strive to support the subsequent efforts to improve the health of our communities. If you have not participate yet, please make your voice heard!

This data helps guide NVH and all of the organizations that play a role in health to prioritize our efforts and better serve our community.

Congrats NAC Class!

Ten students completed the NAC course lead by Rochelle Allen. Pictured (L-R) Ashton Roberts, Hailey Smither, Rosemary Luna, Daisy Martinez, Jasmine Valdez, Rochelle Allen -NAC instructor, Terika Brasher, Genifer Lariza, Emma Lou Brasher, Eva Houlihan, Emma Arbogast

The most recent cohort of ten nursing assistant students graduated in May. This program is a great way for the participants to kickstart a career in healthcare. Our next class for CNA’s starts next week, but if you or someone you know is interested in a future class stay tuned.