Hospitalists and the ICU - Marcus Daly Memorial Hospital.

Caring for our Community Since 1931
“A new ICU facility is a must”
Helen Gurtner, Hamilton
1931
4th & State Streets
11,000 Residents
1975
Westwood Drive
18,000 Residents
2008
Emergency
Department
2009
Rehabilitation
Center
2014
Future
Intensive Care Unit
“After moving here from a large metropolitan area near
Seattle, I suddenly found I needed colon cancer surgery. I was
used to large hospitals and found Marcus Daly to have as
much to offer and even more.
I was a patient in the surgery department, the ICU and
then had an extended stay on the regular nursing floor. My
nurses and doctors listened to me and answered my questions.
What a great feeling it was that I had all this care right here in my home town and
that made it so easy for family to help me cope with my cancer. Being able to have my
chemo here saved my energy level, too.
This hospital is well equipped, efficient and staffed with so many specialists and
competent personnel. I observed a clean and well maintained hospital and enjoyed the
tasty food that was delivered hot. I felt that I was treated with respect and concern. The
staff took an interest in me and I was not just another patient.
As a visitor to this town for many years and now a resident, I have seen the hospital
grow. Not only are they planning for our needs today but are building for the future.
Sometime in our lives we may all need a local hospital, so let’s keep ours the best. A
new ICU facility is a must.
I brag to others about our friendly and efficient Marcus Daly center. Now I am free
to pursue my life to the fullest once again. Hoo! Hoo!”
Ravalli County Residents: 40,000
Lowest Surgical Site Infection Rate among
peer group hospitals in Montana: 1% or less
Employees: 500
Physicians: 40
Local Economic Impact
• Annual payroll & benefits $25.5 million
• Millions more in goods & services
purchased locally each year
Other Clinics
55,909
Annual Patient Visits
Ambulance 3,129
Surgery 1,555
Convenient Care
7,017
State-of-the-Art Equipment
• Electronic Medical Record
• Digital Imaging, including
Mammography & Colonoscopy
• 64 Slice CT Scanner
Sources of Support *
• Payments for care provided
• Grants
• Local Businesses
• Individual Community Members
• Volunteers (10,000+ hours/year)
Emergency 11,315
Rehab 16,046
*As a nonprofit
community Hospital,
MDMH is not tax
supported and does not
receive any tax revenue.
Income after expenses,
if any, is invested back
into your Hospital to
maintain the highest
quality healthcare
possible.
Imaging 21,889
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I invite you...
to be a force in your community’s future by investing in the Power of Health
Initiative. This community effort will raise funds for a new Intensive Care Unit to
meet the growing needs of your community.
Today at Marcus Daly Memorial Hospital
The Intensive Care Unit is crowded, lacking privacy.
Three beds are not enough.
The demand for Intensive Care is quickly growing.
The 1975 facility and equipment are in need of updating.
The Vision: A New Intensive Care Unit for your Community
The Intensive Care Unit is expanded and private.
There are 5 private, comfortable patient rooms.
The unit is designed for optimal patient care.
State-of-the-art technology is crisis ready, close to home.
Marcus Daly is unique to Ravalli County. It is the only hospital in the
Bitterroot Valley. Nearly 500 dedicated healthcare professionals work to provide
services that your neighbors, friends and family members use to manage their
health every day. Their lives are saved here. New lives are welcomed. Their
quality of life is improved.
From basic family care to birthing, emergency services, surgery, rehabilitation and hospice care,
people are helped through their greatest health challenges in a neighborly environment close to home.
Marcus Daly Memorial Hospital is your rural, nonprofit, community hospital. It is governed by a
community volunteer Board of Directors. It does not receive tax income. Reimbursements from Medicare
and Medicaid cover only part of the actual costs of care. Despite these challenges, our first priority is to
provide quality care to your community by training our caregivers at the highest levels and using the most
advanced equipment available to us.
There is an urgent need replace the current 492 square foot room with a larger, more private
Intensive Care Unit for your community members to receive timely, high quality and life-saving care.
You are an important part of making this critical project possible. Together we can create a private,
comfortable Intensive Care Unit to care for your
neighbors, friends, and family during their times
of greatest need.
I hope you will share in the vision and
become a Power of Health Partner with us in
building a new Intensive Care Unit at your local
community hospital.
Thank you,
John Bartos
John Bartos, CEO
Marcus Daly Memorial Hospital
Our mission to the Bitterroot Valley is quality, accessible, personalized healthcare
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You tell us Marcus Daly provides excellent care, but you want an Intensive Care rooms
with more privacy and space for guests. Physicians, nurses and other caregivers need more
room for new life saving equipment and to work comfortably and efficiently.
The Bitterroot Valley has only one source for 24/7 Intensive Care - Marcus Daly
Memorial Hospital. We don’t close at 5:00 p.m. or for holidays. We are here for you every
hour, every day of the year.
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Tom Wright, Corvallis
“I came to the Emergency Room in May with heart problems.
As a disabled naval veteran who suffered congestive heart failure
at age 30, I had dealt with heart problems for 44 years. But this
time was different. I had a flash pulmonary edema or fluid in lining
around my heart. If it hadn’t been for Dr. Feighner in the ER, I
wouldn’t have made it. She brought me back.
I spent over three days in the ICU. Marcus Daly has the most
dedicated nurses anywhere in the world. And I have spent time in
Veteran’s hospitals in San Diego, Salt Lake and Seattle, to name
just a few.
I have nothing but admiration for the nurses in the ER and ICU. They were so nice, quick to my
bedside if I needed something and made sure I was comfortable at all times. Even the food was good. I
will never forget the care I was given.
Never in my life has anyone been as dedicated to my care. I am so thankful for the ER & ICU.
Joyce and I have personally given to this campaign because a new ICU is badly needed. There
were two other younger patients who shared the ICU with me. Private patient rooms would prevent
patients from hearing each other. I was comfortable in my bed, but the nurses really needed more room
to move around. It would have been much easier for them to care for me in a larger space because the
equipment takes up a lot of room.
I am recovering well and started shooting trap again, which is one of my favorite things to do.
The people of the Bitterroot should be very proud to have a medical facility like this. Marcus Daly
Memorial Hospital is one of the jewels of Western Montana.”
Michelle Goldman, Hamilton
“My baby girl, Gabrielle,was born on February 28, 2012. Her birth went well, but
I had post partum hemorrhaging. I needed a full blood transfusion and an emergency
surgery at 2:00 a.m.
I spent one day in the ICU before being transferred to a regular room for four days.
Wendy Hansen and the other nurses were awesome and responded very quickly to my
needs.
I’m now 100% recovered and so thankful for Dr. Laraway, Wendy and everyone
else who cared for my baby and me.”
Meeting Community Need
Close to Home
When Marcus Daly Memorial Hospital opened its doors on
July 1, 1931, healthcare in Ravalli County changed forever.
Margaret Daly built the hospital in memory of her late
husband, copper king Marcus, who was a founding father of our
community. Her visionary philanthropy ensured that thousands of
Ravalli County residents and guests would receive excellent, close
to home care in their times of need.
Need for Intensive Care
Ravalli County residents and guests are served at Marcus
Daly Memorial Hospital every day. Each year, over 300 of those
daughters, sons, mothers, fathers and grandparents desperately
need intensive care.
The current Intensive Care Unit (ICU) is often full to capacity.
Demand continues to rise because of increased community need
and the hospitalists’ (ICU physicians) ability to provide 24/7 care.
Who Uses the Intensive Care Unit?
• Intensive Care Serves Everyone
• Ages 7-97
What Conditions Require Intensive Care?
• Emergency/Trauma/Surgery (Accident, stroke, coma)
• Need for ventilator (Pulmonary disease, pneumonia, COPD)
How Long Do People Stay in the ICU?
• Average Stay 1.7 days (one day to several weeks)
• Days ICU in Use 5.5 per week on average and climbing
The Solution
A new wing will be built for the Intensive Care Unit. The unit
will increase from a single three-bed room with curtains used to
separate patients from each other to a larger healing environment
with five private, quiet rooms.
Cost & Timeframe
Estimated Cost
$3.2 million
Targeted Groundbreaking Fall 2013
Targeted Completion Summer 2014
Immediate Impact
Your return on investment in the Intensive Care Unit can
occur very quickly. With your help, the new Intensive Care Unit
could be serving your community members within two years.
Residents
Intensive Care Patients
Ravalli County Growth
11,000
18,000
40,000
1931 1975 Now
Average Annual ICU Demand
169
320
2007-2010 2011-2012
640
Projected Use
2014
New ICU Funding
Vendors 3%
($100,000)
Individuals
& Businesses
78% ($2,500,000)
Grants 9%
($300,000)
Hospital Family
10% ($320,000)
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New Intensive Care Unit
Current Shared Unit
New Private Unit
“The new Intensive Care Unit will enhance the mission of Marcus
Daly Memorial Hospital, which is to provide quality, accessible, personalized
healthcare to the Bitterroot Valley.
The present unit is extremely small with three beds in close proximity
and only curtains to separate them. Many times all beds are occupied, some
with male and some with female patients.
The present unit provides limited privacy and noise protection. The
new facility will remedy this inadequacy, which will promote healing and give
the nursing staff the space needed to more efficiently and effectively care for these critically ill
patients.”
~ Susan Hill, Director of Nursing
Imagine what a difference greater privacy and comfort will make for healing!
Now
Overcrowded Single Room
Only three beds for 320+ patients a
year (and increasing) in a space that previously
served an average of 169 patients annually.
Soon, with your help!
Private Patient Rooms
Five comfortable, private rooms, each
over 200 square feet, with their own walls,
windows, restrooms and televisions.
CONFERENCE
ROOM A
CONFERENCE
ROOM B
Now
492 Square Feet
Soon, with your help
3,200 Square Feet
Cramped & Inefficient
Beds are separated by privacy curtains
and compressed into one 492 square foot room
that also includes the nurse’s station, supplies,
equipment and visitor chairs.
Lack of Privacy
Men, women and children ages
7-97+ are cared for side-by-side in one room,
separated from each other only by curtains.
They share one window, one restroom and one
television.
Need for Updating
There is a need to update equipment
and technology to help provide the best
possible care.
Efficient Design
Central physician/nursing station,
private patient rooms, quiet waiting areas,
and equipment and supply storage efficiently
planned in 3,200 square feet.
Family Privacy
Larger waiting areas and patient rooms
will provide private, comfortable space for
family whose presence is vitally important to
patients during this critical time in their lives.
Modern Equipment
The most advanced monitoring and
treatment equipment and a central monitoring
station with unobstructed caregiver views of
each patient room.
ICU WAITING
QUIET
ICU ROOM
SOILED
JAN.
STAFF
ICE
NURSE
STATION
BLANKET
LINEN
OMNICELL
WARMER
TUBE
CLEAN UTILITY
STATION
/NOURISH
MEDS
7'-8" x 5'-8"
REF
PHYSICIAN / UNIT
SECRETARY
CIRCULATION
NURSE
STATION
GURNEY
SHOWER
PYXIS
NURSE
STATION
EQUIPMENT
STORAGE
ANTE
VESTIBULE
TLT
ISOLATION
ROOM
Department Legend
ANTE
CIRCULATION
CONFERENCE ROOM
EQUIPMENT STORAGE
GURNEY / SHOWER
ICU ROOM
ICU WAITING
JAN.
MEDS
NOURISH
NURSE STATION
QUIET
SOILED
TLT
Built for the Future
Skilled nurses and doctors will provide
enhanced care in this efficient and modern
space for many years to come.
TLT
TLT
ICU ROOM
ICU ROOM
TLT
TLT
ICU ROOM
8
North
Floor Plan
3/16" = 1'-0"
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Intensive Care Team
Hospitalists and the ICU
Marcus Daly Memorial Hospital initiated a “Hospitalist” program in 2010, expanding it to 24/7 after a
trial period. Hospitalists are Board certified internal medicine or family practice physicians specially trained
and dedicated to the delivery of comprehensive medical care to hospitalized patients.
They specialize in managing the clinical problems of acutely ill, hospitalized patients, and collaborate,
communicate and coordinate treatment with physicians and healthcare personnel, including transitioning
patient care within the hospital, which can include increased referral for intensive care.
The Power of Health is in Your Hands
Your leadership matters - Seek joy in what you give!
Transform intensive care for your friends, family and neighbors
Hospitalists
Jennifer Feighner, M.D.
Director of Hospital Medicine
Lead Hospitalist
“ The new Intensive Care Unit will be an
exciting and important improvement to the care
of patients at Marcus Daly Memorial Hospital.
We will be able to care for more patients in a setting
that improves privacy, comfort, and infection control. The bed
number expansion will be important to adequately care for
more critically ill patients as Ravalli County continues to grow
over the coming years.
With the initiation of the full time hospitalist program,
we will be caring for more critically ill patients at MDMH the
new ICU will support the ability of our hospitalists to care for
these patients in a modern, updated setting appropriate to this
level of care.”
Jason Cohen, M.D.
John Courchesne, M.D.
Lawrence Brouwer, M.D.
Your Gift
Make the much needed new Intensive Care Unit a reality in the next two years with
your meaningful financial gift
Your Legacy
Include the Daly Hospital Foundation in your will or estate plan with a gift that will
leave a lasting imprint on your community
Your Friends and Neighbors
Introduce your friends and neighbors to us, host a small gathering of your friends
or invite us to share the many good things happening at your hospital with your
community service organization
ICU Nurses
Takiko May, M.D.
Randy Stewart, M.D.
Your Story
Share your excellent Marcus Daly experiences with others and ask them to join you in
support of the Power of Health Initiative for a new Intensive Care Unit
Sandra
Cappel, RN
Heidi
Etter, RN
Jenna
Hendrickson, RN
Suzanne
Murphy, RN
Wendy Hansen, RN
ICU Manager
“A new ICU will mean
that these critically ill
patients and their families
will be cared for in a more
comfortable, private and
modern environment. As the valley
continues to grow, so does the need for a
larger facility.
Barbara Lee, Darby
“I live here part time, but my family and I have used the ER, ICU,
Convenient Care and other Marcus Daly services over the years. The care
we have received has always been amazing.
My heart was out of rhythm in the middle of the night so I drove to the
ER and was seen by a doctor within two minutes of arriving. I was in the
ICU overnight and the next day.
Loredana
Ratliff, RN
Cindy
Rupp, RN
Cynthia
Russell, RN
Gail
Simpson, RN
This new, larger, state-of-art
Intensive Care Unit is so important for
the residents of Ravalli County, as it will
allow us to provide them quality critical
care, close to home.”
The nurses were absolutely amazing. Wendy even brought me dinner at
home. That wouldn’t happen at my other hospital in Florida. I had a really
good experience and couldn’t have asked for better care. I was so grateful I
baked them cookies to say thank you.“
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Please Join Us!
Campaign Chair, Sonny LaSalle, and his wife, Judy
1200 Westwood Drive, Hamilton, MT 59840
406.375.4674 DalyHospitalFoundation.org