Advanced Messaging & Dispatch, Inc.Judy and John AlholmDeborah AllenAmerican Legion Auxiliary, Castle RockBrian AnshutzRandy and Nancy AnshutzMichael BakerIrene BealsBear Stearns Fair FundJada BengstonMarc BergTamara BerreyBoardwalk TavernBond Properties, Inc.Bowling BagsMary BrennerJoanna and Bradly BrightEd and Doris BrinkmanDeborah J. BroersEric C. BrudiDiane BryantSusan BuckMike ByrumCarl’s TowingJack CarterLarry and Audrey CaseCastle Rock Lions ClubCentral Christian ChurchCHHH Support GroupClatskanie Garden ClubBonnie and Larry CochranCollins Architectural Group P.S.Corporate ExpressGarry CoxKarlene CotterJeri and Duanne DalgleishElizabeth A. DavisDepartment of Health & Human ServicesNorman and Kathryn DittrichDavid and Pamela DoernH. DurhamSuzanne EkloDebbie ElliottEmergency Support ShelterEmployee’s Community Fund of the Boeing Co.Linda EricksonFaith Fellowship Lutheran Brethren ChurchKathe Finch

Lee Ann GekasThomas and Glenda GillihanCarol GirtTerry GonzalesGood Sam Sneekers RV ChapterElizabeth GoodwinMarie GorleyGrandmother’s Bowling LeagueChristine GreigRichard GrossJoanne and Gene GuttormsenKathleen HaleyRosemarye HamarMary HarlanR. Charlean Hayes-HughesHigh Step Dance AcademySteve HickeyLaDell HollenbeckHoneywell Hometown SolutionsTheresa HouseHowlett TrustDr. David and Lois HuffmanHydraulic Service, Inc.Sherman and Viola IkerdMatt and Deb JohnsonSandy JohnsonJennifer and Thor JonesKaiser PermanenteTy and Lacey KeeleKelso Eagles AuxiliaryMitzi and Earl KemperKettle Korn MinistryRoxanne and Don KingAmy KnowlesPhyllis KochisDr. Nancy D. KuehlweinArthur LoGrecoLongview Engineering & DesignLower Columbia SinglesTara LukkenSandy MakelaDuane and Lorraine MalcomRonald MaresNancy and Larry MarkoErika and Danny MarksTom and Merle McCaskeySandra McKoneLarry and Carol McRaeSteve MealyMichael MearsMaury MedlenPhilip and Barbara MerittMicrosoft Matching Gifts Program

Paul D. MillerKarin MitchellMarykay and Gian MorelliHarriet M. MyklebustLee and Terri NicholsNorthwest Safety ConsultantsOak Point Community ChurchSummer O’NeillPacific Fibre Products, Inc.Gary PalmPatricia A. PalmerGreg and Amy PangElizabeth PaulColleen PellhamDebbie and Craig PetersonPortland General Electric Co. Employee Giving CampaignJohn and Mary Lou PowerRainier Church of GodRainier Eagles, Ladies AuxiliaryMaralee RamboRD Olson Mfg, Inc.Red Canoe Credit UnionLou and Ann ReebsJoy RickmanJulie and Dan RinardAna RobertsAngela D. RobertsMargaret C. RobinsonNils RoehneJames and Arlyce RossRotary Foundation of KelsoStan and Karen SampairSandra SatcherDouglas and Mildred ScotbergSheet Metal Worker Local No. 66Stephen SilkworthKimberly SmithPamela M. SmithState of Washington Employee Combined Fund DriveJarred StaupCynthia StocktonWilson and Barbara SwindellTabbie Gals & GuysRussell ThackeryTOPS WA No. 42Pai TuipalaUnited Way of Clatsop CountyUnited Way of Columbia CountyUnited Way of Cowlitz CountyUnited Way of the Columbia-WillametteKevin Van FleetEsther Victor

Brandi WalkerPatrice WallSheila WardGreg WendAnn WilliamsonRick and Dona WilliamsonDelos D. WilmaDelores WoolfordCandace YoungGene and Judy Zdilar

W. Jean McGonigalWilliam and Barbara MellonRobert and Claudia MenziaClifford MillerMaureen MonaghanKaren and Ray MonroeTonya NelsonLee and Terri NicholsIngrid and Ted PaaschCindy PackJohn M. PetersenRaeann PhillipsPlan ZJulie and Dan RinardGerald RustBert and Rosanna ScottVonnie SheadelCheryl and Dave SpencerJudy St. JeanSt. Paul Lutheran ChurchMelissa SteinerLarry StephensTaco TimeTelephone Pioneers, Cowlitz Combined ClubTriangle Bowl LoungeGary and Joanne TroskeDick and Linda VanAnn WilliamsonDona and Rick WilliamsonAvis Wornick

COMMUNITY HOME HEALTH & HOSPICE PAGE 3 COMMUNITY HOME HEALTH & HOSPICE PAGE 13

Other gifts

American Medical ResponseAthlete’s CornerThe Audio ExpressKathy AverettMary E. BergLouise G. BishopWade BoydBrand X TattooJanet CandelaTeresa and Ronald CollucciDon and Paula CookDebra DavidsonPatty DualKaren and Gus FantKenneth and Lila GarrisonJoanne and Gene GuttormsenCathy HalversonEunice and Deane HamiltonHand & Stone Massage SpaSharon HestdalenMenchie HobsonGrant H. HutchinsIsland Sun TanningEmily JohnsonJudy’s RestaurantKathy’s FlowersCindi KetchumMissy KimMarlene KroissLora and Joe LeberLaurie LukkenKhue LuongPete MahlumMaltese TavernDale MansurDenise MarseguerraCharlene and Bill MartinGlenn McAfeeDosson C. McGee, Jr.

Non-tribute

In-kind

In honorDon and Anna Basher

Bedrossian Family TrustGladys Galbraith

Edna and Leo LienCynthia Hanson

Susan and David KeeganKathryn J. Johnson

Stan and Shirley JohnsonRuby J. Laulainen

Lee MillardEvelyn M. Lippard

Janice B. DocksteaderConnie and Mike Mullins

Helen and Jack GreenmanDan and Martha Sharp

Peggy WeberDavid L. Whitman, Jr.

Jeri and Duanne Dalgleish

“Everyone was very friendly, really concerned about my sickness and how to get better. They made me feel better just to have concerns about my condition. I looked forward to the next visit.”

– Charles, a Kelso patient

Giving backOur volunteers and staff generously give their time and talents to other organizations, not just Community Home Health & Hospice.

Staff members volunteer their time and expertise for the Columbia Theatre for the Performing Arts, Community House on Broadway, Cowlitz Free Medical Clinic, Greater Vancouver Chamber of Commerce, Home Care Association of Washington, Kelso Longview Chamber of Commerce, Kiwanis, Lions Club, Longview Downtowners, National Association for Home Care and Hospice, Rotary clubs in Kelso and Longview, Salvation Army, and Washington State Hospice & Palliative Care Organization plus many other organizations.

It would be nearly impossible to acknowledge every hour spent in service to our community. Staff members and volunteers truly give from their hearts.

PAGE 14 WWW.CHHH.ORG REFLECTIONS - FALL 2009

Staying ahead of the curveBy 2030 the number of U.S. citizens age 70 and older will be double what it is today. This growing segment of our society will dramatically transform healthcare services through their demand for independence at home.

We use technology to enhance care to individuals and families in our four-county service area, including rural areas. For individuals recovering from surgery or suffering from debilitating illnesses, the option to receive care at home is often the key to a successful recovery.

Community Home Health & Hospice was the first home health provider in our area to offer telemonitoring services. The size of a small radio, a telemonitor is placed in a patient’s home to transmit the patient’s health statistics. Each day, the telemonitor prompts the patient (or their caregiver) to take vital health signs, oxygen saturation, blood sugars and pain levels. This information is sent via a secured telephone line and is monitored by a specially-trained registered nurse who assesses the patient’s condition and determines a course of care. This might include calling the patient’s doctor to coordinate follow-up care, telephone intervention about medication dosage, educational opportunities, an immediate visit, a scheduled visit, or emergency services. Telemonitoring keeps patients at home where they want to be—while improving their care.

Chuck, a congestive heart failure patient, has a telemonitor in his home. A reading came in through the telemonitor that Chuck’s blood pressure was dangerously low. Our nurse immediately went to see him and adjusted his medication per doctor’s orders, which began to stabilize him. Within three weeks, the nurse said he had a complete turnaround. Chuck said, “My lungs are just about clear and my strength and balance are coming back.” Many of our patients share similar stories of success with telemonitoring. The instant information allows quick responses and gives our patients and their families peace of mind.

For more information about telemonitoring contact 360.425.1868 or telemonitor@chhh.org. Patients do not pay for telemonitoring. Learn how telemonitoring is supported on page 12.

Who are those Tabbie Gals & Guys?For several years, the Tabbie Gals and Guys have collected aluminum can tabs for recycling. They give the money they receive to Community Home Health & Hospice to support our programs.

There are several drop-off locations, including our office at 1035 11th Avenue in Longview.

Protect patient care at home

The U.S. House of Representatives proposes cutting Medicare home health and hospice by $67 billion in order to help pay for the $1 trillion healthcare reform bill currently being considered. If approved, patients would have reduced access to these vital services.

Take action to help preserve these benefits in your community: Visit www.HelpUsChooseHome.com to learn more. Click on the “Take Action” button to send an automatic letter to our congressional representatives.

Call our representatives’ offices and tell them you want them to oppose any cuts to home health and hospice care.

o Senator Patty Murray: 1.866.481.9186

o Senator Maria Cantwell: 1.888.648.7328

o Congressman Brian Baird: 1.360.352.9241

“I felt I was taken care of personally. It eased my fears.”

- Rose, a Kelso patient who used our

telemonitoring service

COMMUNITY HOME HEALTH & HOSPICE PAGE 15

Are you looking for a way to make a difference?Clip and mail the coupon below with your gift, or contact us at 360.414.5405 to make a gift by phone using your credit card. Thank you!

Please remember Community Home Health & Hospice in your estate plans. For more information contact Marykay at 360.414.5409 or mmorelli@chhh.org.

Thank you for your gift. It is tax deductible to the extent permitted by law. Community Home Health & Hospice is a nonprofit organization. Federal Tax # 91-1399370.

This gift is: in memory or honor of: (circle one)Name: ______________________________________ Please let the person below know about my gift. Name: _______________________________________How is this person related to the deceased or honoree? ____________________________________________Address: _____________________________________City/State/Zip: ________________________________My relationship to the deceased or honoree: _________

We will be honored to acknowledge your gift. Please indicate how you would like us to deliver your receipt: Email U.S. mail

Enclosed is my tax deductible gift of: $ My name: ____________________________________Address: _____________________________________City/State/Zip: ________________________________Phone: ( ) _______________________________Email: _______________________________________ No receipt needed.

Please designate my gift for: Area of greatest need Telemonitoring Patient Care Endowment Staff education Children’s bereavement Employee assistance Community Day Care Other:

Payment method: (check one) Enclosed is my check payable to CHHH. # ________ Please charge my:

Amount: $ ___________Exp. date: _______________Signature: ___________________________________

Name on card:

Card number:

Wish listOur wish list is ever-changing as the needs of our clients, patients, and families change and as wishes are fulfilled. We maintain a list of current wishes for our different programs. Examples include a storage shed for Community Day Care (cost: approximately $800), an intercom system for the Hospice Thrift Shop (cost: approximately $100) and nonperishable food to keep on hand for Hospice Care Center families. Currently, the area of greatest need is durable medical equipment for our home hospice patients and these items are listed below.

Oxygen concentrators ............ $660-$1000All of our oxygen concentrators are fully deployed which necessitates the rental of additional concentrators.

Hoyer lifts with slings ............ $1,500Required for moving paralyzed patients.

Overbed tables ....................... $50Allow patients to read, play a game, enjoy a meal and keep personal items close.

Coagucheck ........................... $2,500Eliminate the need for patients to leave home for blood draws (and the procedure is less invasive).

Semi-electric beds .................. $1,000Improve patient comfort and provide some independence.

Oxygen tanks ......................... $25-185The need for oxygen tanks among our patients has greatly increased and we are using all available equipment.

We will be happy to talk with you about specific needs for each of our programs, why the items are needed, how they would be used and the possible cost of specific items. Cash gifts designated toward the purchase of wish list items are always appreciated. Contact Julie at 360.414.5406 or jrinard@chhh.org.

Please clip the coupon and mail with your gift to:

Community Home Health & HospicePO Box 2067Longview, WA 98632

Community Home Health & Hospice is accredited by the Community Health Accreditation Program, Inc. This recognizes our commitment to standards of excellence enjoyed by the patients and families that we serve every day.

LONGVIEW1035 11th Avenue • PO Box 2067Longview, WA 98632tel: 360.425.8510 or 800.378.8510

VANCOUVER14508 NE 20th Avenue • Ste. 201 Vancouver, WA 98686tel: 360.253.4626 or 800.650.4626

Our missionCommunity Home Health & Hospice supports the healthcare and independent living goals of each patient and their loved ones by delivering the highest quality, compassionate and dignified care to individuals in their chosen place of residence.

For the first time, Community Home Health was named to the 2008 HomeCare Elite, a compilation of the most successful Medicare-certified home healthcare providers in the U.S. This annual review identifies the Top 100 Medicare-certified agencies, ranked by an analysis of performance measures in quality outcomes, quality improvement and financial performance. Our ranking means we outperform 99% of the approximately 9,000 Medicare-certified home health agencies in the U.S.

Charitable gifts from your IRA may be tax exempt

Community Home Health & HospiceCare. Comfort. Love.

The Pension Protection Act of 2006 allows withdrawals from an IRA directly to a charity to be tax exempt through December 31, 2009. A qualified transaction must meet three criteria: 1) you must be age 70-1/2 or older, 2) the funds must be distributed directly from your IRA to the charity, and 3) the charity must meet IRS criteria (Community Home Health & Hospice meets the criteria).

The amount is limited to a maximum of $100,000 per individual per year. IRA withdrawals for direct donation to a charity do not qualify for an IRS tax deduction.

For clarification and questions, please consult a tax professional.

“The care providers were compassionate and exhibited professionalism each time they came. My mom was able to be cared for in her home where she chose to be, with my assistance.” Kim, daughter of a Community

Home Health patient