All Posts tagged CEO

Teton Valley Health: Where Everyone Matters

Keith Gnagey
Keith Gnagey, TVHC CEO

What do you think about healthcare in our valley?  If we can agree that personal health is ranked among the top 3 most important life assets, then let’s take some time to focus on what we have, what we want, and what we need to feel better and be better.

From the very beginning, our residents have been instrumental in leading the direction of our hospital and clinics. At key turning points, our organization has asked for community guidance and we’ve followed through on many of your recommendations such as expanded medical specialties and the removal of our hospital from taxpayer support.

During several public forums in 2013, it was clear that ourvalley wanted easier access to centers of medical excellence. Five years later,Teton Valley Health offers a robust selection of providers who represent the level of care you’ve requested.  Our affiliation with University of Utah Health has brought around-the-clock telestroke and teleburn experts to your side when you need them.  Our partnership with Intermountain HealthCare’s telehealth program provides real-time contact between patients and their families with renowned oncologists. We’ve added cardiologists, dermatologists, pain management, general and plastic surgery, aesthetics, and pulmonology to our list of services, too.

More changes are coming. We’re bringing all of our patient billing services in-house by mid-December, and we’re making it easier for you to meet face-to-face with our patient representatives to review bills and discuss financial options. We’ve launched our new Community Assistance Program and re-designed sliding-fee scale to help make your medical care more affordable. (For further information about our financial aid program, call (208) 354-6331). We’re responding to your requests for better clinic access by offering an online portal to handle prescription refills, lab results,appointment requests, and provide a line of communication with your provider.

We’ve hosted events such as informational forums presented by Dr. Michael Wine and other medical professionals, discounted lab draws and carotid artery screenings, and our popular Brake for Breakfast giveaway. We also sponsor fun community happenings including Music on Main, Wydaho Rendezvous Teton Bike Festival, and the inaugural Thanksgiving Turkey Trot.

Our most recent patient survey results show a steady trend of high patient satisfaction with TVH’s delivery of care. We also appreciate our designation as Business of the Year, as awarded in October after a Teton Valley News Readers’ Choice vote.

We know there’s always room for improvement. Please continue to share your ideas, concerns, and questions with us by emailing Get up to date on TVH medical staff, services, and programs by reviewing our website or by calling (208) 354-6301 to schedule a tour of our facility.

By being responsive to your concerns, we believe we can better serve everyone who lives, works, and plays in Teton Valley. We know that you expect to receive skilled medical care anytime you visit a hospital or clinic. It’s our mandate to offer extraordinary care and ensure that your experience with us supports our motto: Where Everyone Matters.


TVHC receives national recognition for quality excellence

Teton Valley Health Care has been recognized by The Chartis Center for Rural Health/iVantage Health Analytics and the National Organization of State Office of Rural Health (NOSORH) for overall excellence in quality, reflecting top quartile performance among all rural hospitals in the nation.

“Of course, this level of recognition is very significant for TVHC. More importantly, such stellar results should further strengthen community confidence in the excellent care you receive at TVHC. We’re one of two Idaho rural hospitals to achieve this status, and I can assure you that every single member of the TVHC team has worked very hard to bring home the NOSORH Award,” says Keith Gnagey, CEO.

NOSORH awardThe rankings are determined each year using iVantage Health Analytics’ Hospital Strength INDEX®, the industry’s most comprehensive and objective assessment of rural hospital performance. The Hospital Strength INDEX captures performance metrics for all rural and Critical Access Hospitals. Leveraging data from public data sources, INDEX aggregates data from more than 50 individual metrics into three major categories and eight pillars to arrive at a single, measurable score.

TVHC Quality Manager Susan Kay, R.N., notes that hospital leadership has chosen to use the 90th percentile of U.S. hospital quality metrics as an operational goal. Many hospitals publicize comparisons based on the 70th or 80th percentile.

“We’ve set a high standard for quality care. We want people to know that our community hospital believes that what we do today should be better than yesterday, and what we do tomorrow should be better than today. TVHC is truly redefining common perceptions about small, rural hospitals,” says Kay.

Michael Topchik, National Leader of the Chartis Center for Rural Health adds, “These leaders serve as a benchmark for other rural facilities as they strive to achieve similar results and provide a blueprint for how to successfully run a hospital and serve their communities amidst today’s uncertainty and mounting pressures.”

More information about the Hospital Strength INDEX can be found at

The National Organization of State Offices of Rural Health (NOSORH) was established in 1995 to assist State Offices of Rural Health in their efforts to improve access to, and the quality of, health care for America’s 61 million rural citizens. NOSORH enhances the capacity of SORHs to do this by supporting the development of state and community rural health leaders; creating and facilitating state, regional and national partnerships that foster information sharing and spur rural health-related programs/activities; and enhancing access to quality healthcare services in rural communities.

About The Chartis Group
The Chartis Group (Chartis) is a comprehensive advisory and analytics services dedicated to the healthcare industry. Chartis provides strategic planning, value-based care, advanced performance, informatics and technology consulting services as well as leading-edge decision support tools to the country’s leading healthcare providers. The Chartis Center for Rural Health (CCRH) was formed in 2016 to offer tailored services, performance management solutions, research and education to rural hospitals and facilities. Learn more at

About iVantage Health Analytics, a subsidiary of The Chartis Group
A subsidiary of The Chartis Group, iVantage Health Analytics (iVantage) is a leading provider of healthcare analytic and performance management analytic tools. Health system and hospital leadership teams across the country rely on the company’s software and services to deliver customized insights on clinical and financial performance, strategic planning, market assessment and payment optimization. iVantage’s analytics are the basis of continuing thought leadership and insight in the areas of healthcare policy and research.


Teton Valley Hospital designated as a Trauma Level IV facility

09tvhospital_098After a rigorous application process, Teton Valley Hospital has been approved as a Level IV Trauma Center by the State of Idaho Time Sensitive Emergency Council. This means that the hospital has demonstrated an ability to provide advanced trauma life support.

The State of Idaho began the Level IV designation process in 2014 with a focus on rural hospitals to help improve patient outcomes for one of the top five causes of death in Idaho: trauma. Participation is voluntary.

To earn and maintain the trauma designation, Teton Valley Hospital has bolstered its standardized system of care approach for time sensitive emergencies including trauma, stroke and heart attack. Hospital staff is also required to collect program-specified data for analysis and reporting to the Idaho Department of Health and Welfare and TSE Council.

This is a tremendous accomplishment for Teton Valley Hospital and they are among very few hospitals in the history of Idaho to be awarded this designation by the Idaho Department of Health and Welfare


– Christian Surjan, Program Manager for Idaho TSE

“Teton Valley Hospital has earned a reputation for low infection rates and a focus on quality assessments. It’s a facility-wide objective to go beyond what’s required in our delivery of care, and earning this designation fits in perfectly with that objective,” said Keith Gnagey, CEO of Teton Valley Health Care.

Angela Booker, Chief Nursing Officer, added, “All of our RNs working in the ER are certified in the Trauma Nurse Core Course and the Emergency Nurse Pediatric Course. The TSE does not require these courses, however TVHC has had the foresight to institute these trainings over the past ten years as an added resource for our nurses. All of our medical providers are approved for Advanced Trauma Life Support.”

State auditors completed a thorough inspection of Teton Valley Hospital and the E.R. two weeks ago. Approval of the application was given Wednesday, Oct. 12.

Christian Surjan, Program Manager for Idaho TSE, said,  “Teton Valley Hospital has demonstrated their commitment to providing excellent trauma care for their community; this has been highlighted by their recent designation as an Idaho Time Sensitive Emergency System – Level IV Trauma Center.  This is a tremendous accomplishment for Teton Valley Hospital and they are among very few hospitals in the history of Idaho to be awarded this designation by the Idaho Department of Health and Welfare.”

Level IV Trauma Centers are audited every three years for reapplication however, data collection and analysis continues throughout the time period of the approved designation. This continual review process is a guiding principle of the TSE system to ensure that trauma centers have instituted an evidence-based, systemic approach to time-sensitive emergencies. 

For more information about this article, please contact Ann Loyola at (208) 354-6301 or