OVERVIEW
{Back To Top}
Coulee Community
Hospital is a non profit Public Hospital District located by the Grand Coulee Dam
on the Columbia River, in rural Eastern Washington State. The community sits
squarely on the corner of Douglas, Grant, Lincoln, and Okanogan Counties and
provides services to residents of the towns of Electric City, Grand Coulee,
Coulee Dam, Nespelem, Coulee City, Hartline, Wilbur, Almira, and Keller, as
well as numerous unincorporated communities located throughout five counties
and the Colville Reservation. Comprehensive services including: imaging;
laboratory; inpatient and outpatient services; emergency; general surgery;
obstetrics; and well woman services are provided to patients at Coulee Community
Hospital and Coulee Family Medicine located in Grand Coulee. Additionally, our
skilled medical staff provides outreach services to patients at Coulee City Clinic
and the Indian Health Service Clinic located in Nespelem on the Colville Reservation.
COULEE COMMUNITY HOSPITAL
Coulee Community Hospital is a 25 bed Trauma Level IV Critical Access Hospital
providing high quality cost effective service to its patrons. Established as a
"community hospital", patients receive a wide range of services while experiencing personalized
service from a caring, supportive staff and the comfort of being near family and friends.
An excellent network of visiting professionals and referral services enables the hospital
to provide a broad spectrum of comprehensive care. With a staff of highly trained healthcare
professionals and technical personnel, Coulee Community Hospital offers a high level of
community care, attending to the personal, physical, emotional and spiritual needs of the community.
In addition to Acute Care services, Coulee Community Hospital also supports a Long Term
Care Unit which is located in a wing of the main hospital and is usually at capacity. A
large airy activity/dining room and fenced patio and garden are available to all residents
and their families and offer an ideal location for many activities. The unit also offers a full
range of services that are either unique to, or shared by the main hospital facility. An activities
director sees that residents enjoy daily scheduled social activities and coordinates special
entertainment and service projects by community members. Speech, occupational, physical and mental
health therapy are all available through visiting specialists who either personally perform the
therapy or design programs that are implemented by long term care staff. Formal "Care Conferences"
for residents and family members allows families to ask questions and give input to specific care
needs. Being located in the hospital complex gives the unit the advantage of having quality emergency
assistance available close at hand: A uniqueness not all facilities can match.
COULEE FAMILY MEDICAL CLINIC
Coulee Community Hospital owns and operates a prosperous, self sufficient primary care
clinic located adjacent to the hospital. The facility is comprised of 6 physician offices, 16 exam
rooms and a well-equipped minor treatment room that can handle small emergencies. Open six days
a week, the clinic boasts over 18,000 patient visits per year and accommodates scheduled appointments
as well as walk-in visits. The clinic staff provides sport physicals and weight checks for the local
schools and provide physicals for other business employees as well. In addition, the clinic participates
in the "Pre-kindergarten Health Screening Day" offered by the schools for children who will be
entering the school system the following year. Staffed by a complimentary blend of skilled professionals,
this unit provides a full range of primary care services to the community, as well as special services
such as chemo and other drug therapy.
COULEE CITY CLINIC
Designated as a Rural Health Clinic, Coulee City Clinic is located thirty (30) miles west of Grand
Coulee. The clinic, which is staffed by two providers, is open two days per week and supports over
1,300 health service visits per year.
PATIENT SERVICES
{Back
To Top}
Diagnostic
Services
Imaging {Back To Top}
Board Certified technologists use complex imaging equipment to assist physicians in diagnosing and treating patients.
Close proximity to the clinic offers customers convenience when radiology procedures are recommended. The
technologists review all x-rays and the results are referred back to the attending physician, who shares them
with the patient. Diagnostic imaging capabilities include general radiology, mammography, ultra-sound and CT
scan.
Laboratory {Back To Top}
Staffed by three Medical Technologists (MT's) and one Medical Laboratory Technician (MLT), who provide 24 hour on-call service, the clinical
laboratory aids physicians in diagnosis and treatment. Most laboratory testing is processed at Coulee Community
Hospital. Access to a computer network and courier pick-up service, provided by PAML, delivers patient test results
within 24 hours, six days a week. Completed test results are then sent to the attending physician for interpretation.
Coulee Community Hospital’s Laboratory maintains a high level of competency by participating in proficiency testing
programs of the College of American Pathologists and American Association of Bio-analysts. As a result, the lab
has high rating scores nationally in "variance of test result" checks.
Medical
/ Surgical Services {Back To Top}
Inpatient {Back To Top}
With a wide range of sophisticated technology available, the highly skilled surgical team at CCH is able to provide a variety of medical needs
for internal, pediatric, OB Gyn., family and adult medicine. The surgical suite is well equipped with up-to-date
laproscopic (abdominal) and arthroscopic (joint) diagnostic and therapeutic equipment. Endoscopy, colonoscopy,
upper and lower G.I. and EGD's round out the scope of diagnostic procedures performed. A new recovery room to
facilitate improved patient care following surgery is available.
Outpatient {Back To Top}
Same day - outpatient service for patients whose surgical or medical needs do not require overnight
hospitalization is available at CCH. Procedures such as respiratory therapy, EKG testing, IV therapy,
minor and laproscopic surgeries, and other diagnostic services can be performed. Local residents utilizing CCH
services have the comfort of knowing that if complications arise after discharge, help is close and conveniently
at hand.
Emergency
Services {Back To Top}
The emergency department is staffed by certified
registered nurses trained in Advance Cardiac Life Support, Neonatal Resuscitation, Trauma Nursing,
Emergency Pediatric Nursing or Pediatric Advanced Life Support, and other training specific to
emergency room duty. Regular ER providers coupled with on-call physicians allow the emergency
department to provide 24 hour coverage, seven days a week. A wide range of illnesses and injuries can
be treated in the two well equipped treatment rooms. This department features a separate entrance to
facilitate prompt, effective service. Ambulance service is provided by Grand Coulee, Coulee Dam, Coulee
City, Wilbur, and the Colville Confederated Tribes. Volunteer, well trained, certified EMT's (Emergency Medical
Technicians) respond quickly to all emergency calls. An on site, lighted helipad for air ambulance transport to
advanced traumatic centers is available as well.
Obstetric
Services {Back To Top}
The CCH Obstetric program is a family oriented,
safe and personalized childbirth service. Two comfortable birthing rooms allow for more relaxed
deliveries and a more pleasant birth experience. The program is overseen by Dr. Andrew Castrodale
and Dr. Jacob Chaffee. CCH's program also includes a Certified Nurse Midwife who has graduated from
an advanced accredited American College of Nurse-Midwives education program, passed a national
certification examination and has followed strict requirements set by State Health Agencies. Our
providers are available to evaluate pregnancies for varying degrees of risk factors and to decide on
appropriate programs or referrals. The Obstetric Program at CCH also offers a very personalized
follow-up care experience for the baby and mother, with the added convenience of a service close to
home.
Well
Woman Services {Back To Top}
Set up specifically for women, this service
offers safe, personalized healthcare by Physicians, a Nurse-Midwife, and a Certified Nurse
Practitioner, with special skills and understanding of the unique physical, social and spiritual
needs of women. The Well Woman program also provides for family planning consultations and
alternatives.
Patient
Financial Services {Back To Top}
Often times the most confusing aspect of the
healthcare system can be the billing and payment process. The Business Office at Coulee Community
Hospital is staffed by friendly and knowledgeable personnel. They will assist the customer in
understanding their bill or insurance coverage, and can help establish payment plans when necessary.
Patient Financial Services can be rendered by phone or customers can stop in and speak with a staff
person directly.
Referral
and Specialty Services {Back To Top}
Visiting specialists make services available
that otherwise would be inaccessible to many patients. Specialists in the following fields regularly
schedule patient visits at the Coulee Family Medicine Clinic:
Orthopedic Surgery
Cardiology
Podiatry
By providing
these services locally, patients requiring highly specialized
care in these areas, save the time and expense of traveling
out of town.
The Coulee Family Medicine Clinic and Coulee
Community Hospital have excellent referral networks with linkage and access to urban medical centers
and specialists. Most commonly used are Sacred Heart and Deaconess Medical Centers. Local physicians
and other medical professionals can help patients determine options that provide medical treatment,
with a minimum of stress and risk, and refer them appropriately.
Support
Services {Back To Top}
Coulee
Community Hospital Auxiliary
Auxiliary members unselfishly give of their time and talents to Coulee Community Hospital.
The volunteers provide social functions, hair care expertise and other activities and services for
long term care home residents. They also manage the gift case in the hospital lobby, and, through
this and other fund raising activities and public donations, provide the hospital with equipment and
other special needs. In addition to the hours of service and the donations of funds provided by the
Auxiliary, the members act as goodwill ambassadors on behalf of Coulee Community Hospital.
Coulee
Community Hospital Guild {Back To Top}
The Coulee Community Hospital Guild was formed in January 2007, combining the efforts of the Coulee
Community Hospital Auxiliary and Coulee Medical Foundation. These two powerful organizations have
been an active part of the Hospitals very existence for many years. The combination of the two
allows the volunteer pool of the community to be more versatile and flexible in its continued
efforts to improve the services of the hospital and clinic for the betterment of all patients and
their families
The Coulee Medical Foundation is a
philanthropic, charitable organization, which solicits, receives and manages gifts of money and
property in support of Coulee Community Hospital and community education programs. The foundation
seeks to involve, as members, as many citizens as possible throughout the community. Members
participate in all forms of philanthropic activities and act as health care ambassadors, making the
community more aware of hospital services. This organization has been instrumental in the purchase
of new furniture, birthing rooms and mammography equipment, to name but a few of its contributions.
The Coulee Medical Foundation plays a key role in the health and wellness of the community.
In the fall of 2003, the Foundation Board
decided to concentrate the efforts of the organization to the sole purpose of raising funds for a
new hospital building. Two very successful dinner auction events and annual golf tournaments have
been held. Memorial donations are also a contributing factor to the success of this effort.
In addition, many hospital/clinic employees donate funds to the cause through a payroll deduction
plan each pay period.
Chaplaincy: {Back To Top}
Spiritual Leaders from many religious affiliations in the community offer 24 hour on call
service to Coulee Community Hospital. The primary mission for the chaplaincy program is to provide
a focal point for activities among patients and their families to strengthen their faith, confidence
and ability to cope with the spiritual challenges that accompany their illness, disability, or grief. Ministering in accordance with the nature of each situation, the chaplain's symbolic role as a minister serves as a meaningful resource to those in need.
Community
Education: {Back To Top}
Because Coulee Community Hospital believes in its role as community educator and service provider
in the area of health and wellness, a varied assortment of free or low cost programs and services
are offered to community members of all ages. CPR, First Aid, Childbirth, and Baby Care classes are
all offered regularly. Classes sponsored by Alcoholics Anonymous, Narcotics Anonymous and other
wellness workshops are also scheduled from time to time. As a service to the community, CCH sponsors
free blood pressure checks at the Coulee Family Medicine Clinic, and laboratory diagnostic health screenings,
flu immunizations, and mammography clinics, all at reduced rates. These health outreach programs are
advertised in the local newspaper for better community awareness. A wealth of pamphlets and other healthy
resources are available in the hospital lobby and at the clinic. Coulee Community Hospital Speakers
Bureau provides health topics for schools, businesses and community groups.
MISSION STATEMENT
{Back
To Top}
It is the mission of Coulee
Community Hospital, Long Term Care Unit and the Coulee Family Medicine Clinic to provide the highest quality
healthcare possible in a rural community, cost effectively, with each patient being treated in a
courteous and respectful manner. The healthcare needs of the community will be met in this rapidly
changing field of medicine, by carefully assessing services needed, recruiting highly competent
physicians and support professionals, and cooperating with area health agencies, provider, visiting
specialists and regional hospitals. Through both internal efforts and cooperative efforts with outside
agencies, strategies will be carefully developed and revised as needed which will promote strong
patient/ physician relationships in a cost effective manner.
HISTORY {Back
To Top}
The
history of Coulee Community Hospital parallels that of the
Grand Coulee Dam. Born in the early 1930's during the Great
Depression, the hospital knew difficult times and adversity.
The original
area hospital was Mason City Hospital, located on a hill overlooking
Grand Coulee Dam in what is now East Coulee Dam. Built in
1934, the two-story wood frame building consisted of 75 beds
and accommodated the emergency health needs of workers on
the dam and their families. Early records from a Bureau of
Reclamation safety publication noted that in 1938, the hospital
was renovated by Kaiser Permanente. This pioneering HMO helped
staff the facility and offered affordable healthcare coverage
to its customers. Records also noted that personnel numbered
51 and medical staff consisted of 8 physicians and surgeons
to accommodate the many medical needs. For one six month period,
the out-patient clinic alone provided 21,274 treatments, an
average of 3,554 per month, and more than secured its place
as a vital necessity in the community. Scores of families
still in the area today can point back to the many benefits
the emergency and non-emergency services provided.
In 1960,
hospital directors voted to relocate the Mason City Hospital
and build a new facility in the city of Grand Coulee. The
new hospital was given a new identity, Coulee Community Hospital,
to encompass the area of service. Coulee Community Hospital
was privately owned during part of its history and due to
financial difficulties, was closed for short periods. The
last closure was in 1973 and almost ceased operations again
in 1990 due to a shortage of physicians.
When area
citizens voted their support by forming Douglas, Grant, Lincoln,
Okananogan Counties Public Hospital District #6 in 1990, Coulee
Community Hospital became publicly owned. The public taxing
district and the monies it collects provide the hospital with
a stable monetary base for operations. A board of five Commissioners
assure the public that an appropriate standard of care is
maintained and provide for sound administrations and budgets.
Since
the formation of the tax district, hospital utilization has
more than doubled and Coulee Community Hospital is now on
sound financial footing. The Long Term Care Facility now operates at capacity and the hospital owned Physicians
Clinic, known as the Coulee Family Medicine Clinic, now boasts
over 18,000 patient visits per year. With the help of the
tax district, volunteer organizations such as the Coulee Medical Foundation,
the Hospital Auxiliary, and community support,
Coulee Community Hospital has and will continue to touch the
lives of those in need.
Future
The present hospital facility was built in the 1960's and has been renovated in every way, short
of building on, to accommodate the needs of present day technology and health care services. Backed
by the community and staff, Coulee Community Hospital will break ground for a new facility in 2008,
filled with state of the art equipment and staffed by top of the line providers. The slower pace
of living, coupled with a beautiful area offering wonderful recreational opportunities, continues to
make a pleasant community for families with young children as well as attractive to a growing number
of retired people. The new facility will certainly be a boon to both the business and community
needs of the Coulee area.
|