oundation Health Partners provides such a range of healthcare services in Fairbanks and the Interior region that it’s easier to identify procedures outside its wheelhouse.
“We don’t work on open heart surgeries, and we don’t work on brains,” says Dr. Angelique Ramirez, Foundation Health chief medical officer.
Sarah Martin, chief nursing officer for the community hospital operator, clarifies, “We do perform cardiac surgeries. We just don’t perform open heart surgeries.”
Foundation Health Partners is a wholly owned subsidiary of The Greater Fairbanks Community Hospital Foundation, which was established in the late ‘60s to build a replacement for St. Joseph’s Hospital, irreparably damaged by a flood in 1967. The community raised funds for Fairbanks Memorial Hospital (FMH), and in 1975 it enlisted Banner Health, an Arizona-based nonprofit healthcare network, as the operator.
After forty years, the foundation decided in 2015 that local operation would better serve the community.
“Banner Health is a big system, and part of what they wanted to do was streamline care in the region, which meant taking some of the care out of Fairbanks,” says Shelly Ebenal, Foundation Health Partners CEO. “After considering a few alternative operators, it was eventually settled that we would become independent operators with a board of directors to oversee the hospital, Tanana Valley Clinic, and the Denali Center.”
The Denali Center is a long-term care facility connected to FMH by a corridor. The foundation built it in the early ‘90s to replace Careage North, which was the only private nursing home provider in Fairbanks when the foundation purchased it in 1982. Tanana Valley Clinic (TVC) was a separate facility also operated by Banner Health. In 2015, the foundation purchased TVC, making it a “partner” in the organization.
Ebenal says Foundation Health creates services and makes decisions based on its overall mission: People First. Community Focused. Excellence Every Time. She says everybody from the board of directors to frontline staff live that mission.
“We are very deliberate in identifying things we have to keep on hand, tracking our periodic automatic replenishment levels, and even keeping older technology around,” says Martin. “We’re hoarders of the best kind.”
An additional challenge comes with providing care for patients from outlying areas. Foundation Health spokesperson Kari Burrell says patients who must drive long distances or fly in from remote communities would often like to get all their medical needs met during a single visit. However, scheduling multiple appointments is not always possible since steps in the process, such as obtaining lab results, are needed first.
“Our providers try to help patients navigate those situations as quickly as possible,” says Burrell. “Sometimes it doesn’t work out, and patients have to come back for a second trip.”
To better assist remote patients, Burrell says Foundation Health is upgrading its electronic medical record system. Currently, there are fourteen parts of the system, and the goal is to develop a way to connect all parts. Though it is several years out, Foundation Health would eventually like to find a way to extend access to providers outside of its system, to help with better care coordination.
Foundation Health has also done more with telehealth services to meet the changing needs of patients. Two telehealth services regularly employed are Telestroke, which works with patients when a local neurologist isn’t available, and TeleNephrology for dialysis patients.
“We can’t be everything to everyone, but we try,” says Martin.
Workforce development is a top priority, according to Nicole Welch, Foundation Health chief human resources officer. “We’ve been very focused on ‘grow your own’,” says Welch. “Meaning we realize that we could assist community members by offering entry-level job opportunities and work with them to further their education and career advancement.”
Welch says that Foundation Health will always rely on a pipeline of out-of-state applicants who come to Alaska, in part, for the adventure. However, Foundation Health has found that in-state hires tend to stay longer than out-of-state counterparts, who often move away after a few years. This finding spurred a renewed dedication to local workforce development, where staff are able to learn as they work. Welch says providing these types of learning and professional opportunities has enhanced employee engagement.
“This has been a huge financial investment,” says Welch . “It’s also been a huge investment by our staff who consistently work with new students, particularly staff who are already busy and maybe even burned out.”
Ramirez says the benefit of working with students is knowing that some will continue their careers, or return later to new positions, with Foundation Health. Established professionals often find many benefits from teaching students on a personal and community level, even if a student goes elsewhere to work or continue their education. “When you’re a better teacher, you’re better at what you’re doing,” says Ramirez.
Ebenal adds that working with educational staff is a great testing ground for students who are still trying to focus their careers. More than once, a student has started in one area of study but ended up in a completely different one. “You may come in as a phlebotomist and suddenly pass out when there’s blood,” says Ebenal. “At that point, Nicole’s team will reach out and figure out other career options that are available. They’re very good at finding careers. They don’t give up on people.”
There is also a financial benefit to the community, given that Foundation Health is the largest private employer in Fairbanks. Its annual operating budget is more than $300 million, with $180 million-plus in payroll. Furthermore, an expansive healthcare organization is a quality-of-life amenity as people consider moving to Fairbanks to support other industries.
Martin says these are all evidence-based awards that point to organizations, departments, and service lines that are exceeding standards, and they demonstrate that Foundation Health has the technology, the expertise, and the facilities to support the needs of the community. “We are who we are because of our employees,” says Martin. “The physicians and staff live the mission and are engaged in caring for friends, neighbors, and families in our community.”
For all its success, Foundation Health is also dedicated to continued improvement. Burrell says it is currently working on a community health needs assessment for the Interior that will lead to a community health improvement plan. She says a healthy community is more than just healthcare; it’s a long-term partnership with social services, education, and the borough government to find creative ways toward healthy living.
Collaboration distributes problem solving beyond established leadership to everyone involved in daily operations, Ramirez adds. Although staff spend most of their time completing assigned duties, they can also spend a small amount of time on continual process improvement as they develop new skill sets. She says this cultural shift will go a long way toward preparing Foundation Health for a future that could include disasters, more epidemics like COVID-19, or new technologies.
Ramirez says, “We want people to not just get care but the best care close to home.”