Monthly Archives: December 2016

Introduction to the Kadlec Clinic and the Tri-Cities

The 26 locations of the Kadlec Clinic provide important primary and specialty medical care throughout 7 southeastern Washington and northeastern Oregon communities.  Centered in the Tri-Cities area, the organization operates clinics in Richland, Kennewick, Pasco, Pendleton, Hermiston, Prosser, and West Richland. Over the past 70 years, the Kadlec Clinic has grown and adapted to the community’s changing needs.

The Kadlec Clinic has a mission to provide quality healthcare by practicing its core tenets of integrity, cooperation, and respect.

Medical Specialties
Kadlec Clinic offers clinical care in 20 different specialties including pediatrics, gastroenterology, primary care, genetic counseling, and more.

In the 1940s, the Kadlec Clinic was created as a government-run medical facility.  Originally operated by the Atomic Energy Commission, the clinic offered medical care to the government workers of the nearby Hanford Nuclear Reactor project. Within one year of opening, the organization renamed itself after Lieutenant Colonel Henry R. Kadlec, a lead engineer in the Hanford Project, who was also the first person to die in the hospital.

In 1956, the government gave local citizens control over the facility’s future.  After a community vote the Kadlec Clinic became a self-run organization.  For the first time in its history, the Kadlec Clinic could care for everyone–not just government workers.  Throughout its history, the Kadlec Clinic has adapted to meet the changing needs of the growing Tri-Cities community.

Tri-Cities Highlights
Located in southeastern Washington, the cities of Richland, Kennewick, and Pasco combine to create the Tri-Cities.  In 2010 the population of the Tri-Cities was 253,340 people. In 2016 the state government estimated that the population was 279,170.  The work completed at the Hanford Nuclear Reactor played a significant role in population growth during World War II.

Hanford Reach National Monument offers a hiking, sightseeing, wildlife, and more. Winters typically range between the low 20s to the high 40s. Summer temperatures range from the low 50s to the high 80s.  The region averages 5-7 inches of precipitation each year.

Richland, Kennewick, and Pasco each operate their own public school districts.  Columbia Basin College and Washington State University offer post-secondary education.

Having begun as a government medical facility, the history of the Kadlec Clinic is closely linked to the history of the surrounding area. Each time the Tri-Cities changed, the clinic adapted as well.  It will be interesting to watch how the healthcare organization and its surrounding area continue to evolve over time. “Richland, Washington.” ( retrieved December 9, 2016.

Kadlec Clinic. ( retrieved December 7, 2016.

U.S. Fish and Wildlife. “About Hanford Reach.” May 21, 2013. ( retrieved December 9, 2016.

Wikipedia. “Tri-Cities, Washington.” November 24, 2016. (,_Washington) retrieved December 8, 2016.

Omak, WA

Tucked away in north-central Washington State, Omak is one of the many hidden treasures that Washington state has to offer.  Located in beautiful Okanogan County, Omak has 4,800+ residents and offers a surprising mix of history and adventure.


See Openings in Omak!

Omak is located 235 miles northeast of Seattle and 140 miles northwest of Spokane.  The city is also 84 miles northeast of Lake Chelan, 99.6 miles southeast of the North Cascades National Park, and 123 miles northeast of the Okanogan-Wenatchee National Forest. Omak’s neighboring cities include, Okanogan, Riverside, Malott, and Tonaskut.

The Syilx (also known as the Okanogan) Native Americans historically lived in the Okanogan Valley.  When the first explorers and traders arrived in the mid 1800s, the Syilx participated in those new trading networks.  As more settlers came, tensions increased around land ownership.  During this time, the US government intervened and established what is now the Colville Reservation, which is 50 miles away from today’s Omak.

The city was officially incorporated in February 1911.  Omak’s population grew after incorporation and was also impacted by the completion of the Okanogan Irrigation Project, which was part of the larger Grand Coulee Dam Project.

The 2010 US Census listed Omak with 4,845 residents.

Historically, Omak’s economy depended on agriculture and timber.  Today’s economy also includes retail, manufacturing, and healthcare.

Omak has warm summers and cold winters. Average summer temperatures range from the low 70s to the low 90s.  Average winter temperatures range from the high teens to the low 30s.  During the winter months, Omak often gets up to 13 inches of snow.

The Omak School District has 2 elementary schools, 1 middle school, and 2 high schools.   For those who have finished high school, Wenatchee Valley College is closest to Omak. More colleges are located approximately 100 miles away in the Greater Spokane area.

Omak residents are lucky to have several transportation options. Drivers can use US Route 97 and Washington State Route 155 to go through Omak.  Okanogan County Transportation and Nutrition also provides daily bus service between Omak, Nespelem, and Coulee Dam.  Long distance bus service is also offered monthly. Regardless of chosen transportation, the average Omak resident has a commute time of under 14 minutes.  .

As the largest city in Okanogan County, Omak hosts the Omak Stampede, one of the Northwest’s largest rodeos  Another annual event is the Okanogan County Fair which is held in nearby Okanogan.  The region is also home to several breweries and vineyards, including Alpine Brewing Company and Omak Cellars.  Lake Chelan, the North Cascades National Park, and the Okanogan-Wenatchee National Forest are only a few hours away.

Although only 3.43 square miles, Omak offers a rich mix of history and adventure.  Make the time visit north-central Washington state.  Explore and enjoy all that Omak has to offer.  See what captures your imagination first. “Omak, Washington.” 2016. ( retrieved September 14, 2016City of Omak. “Welcome to the City of Omak, Washington, USA.”  ( retrieved September 8, 2016Neighborhood Scout.  “Omak Real Estate and Demographic Information.” ( Retrieved September 14, 2016Okanogan County Transportation and Nutrition. “About Us.” 2011. ( retrieved September 16, 2016.

Omak School District “Omak School District: Creating a Future for Every Child.” ( retrieved September 14, 2016.

Omak Stampede & World Famous Suicide Race. “History of the Omak Stampede.” ( retrieved September 11, 2016

Omak Visitor Center. ( retrieved September 8, 2016

Wikipedia. “Omak, Washington.”  August 11, 2016. (,_Washington)  retrieved September 8, 2016

Beginners Guide to Burien, Washington

Mount Rainier High School in Burien

Nestled on the shores of Puget Sound, Burien, Washington is a medium sized city that is 11 miles south of Seattle and 285 miles east of Spokane.  Officially incorporated in 1993, Burien is a comparatively young city.  Although young as a city, Burien shares a rich community history as part of the historic Highline area of Washington state. Today, Burien’s vibrant community offers a mild climate, a medium-sized population, an intriguing history, a thriving public education system, and a variety of activities.


Check out our openings in Burien!

Burien has a mild climate.  Average summer temperatures range between the high 40s and the high 70s.  Average winter temperatures range from the mid-30s to the mid-50s.  Monthly precipitation peaks at 6 inches during some winter months.  Precipitation dips to below 1 inch (of precipitation) per month in some summer months.

The April 2010 U.S. Census listed Burien with 33,313 residents.  Another census was taken in 2010 after Burien successfully annexed a nearby unincorporated area. This second census stated that Burien’s population increased to 49,858.  2015 population estimates list Burien’s population as 50,467.

For generations, the Duwamish, Suquamish, Muckleshoot and Puyallup tribes lived in the greater Burien area.  Settlers first arrived in the 1860s and 1870s, and immediately named the town Sunnydale.  The unincorporated town began to grow and change with the times.  After several attempts at incorporation (in 1954, 1960, 1961, and 1984) the city was formally incorporated in 1993 with the name Burien.

The Highline School District operates 18 elementary schools, 4 middle schools, and 12 high schools in Burien and surrounding areas. The district also has a variety of alternative education options. Nearby Seattle has several 2 and 4 year colleges and universities.

Burien and its surrounding areas offer a variety of things to do.  For those who look to explore the outdoors, visit Seahurst Park.  The park offers picnic areas, trails, a playground, and more.  For those who want to learn something new, visit the Museum of Flight or the Hydroplane & Raceboat Museum.  The city’s downtown area also offers a lot of different opportunities that can be found through exploration.

Since the 1860s, Burien has grown by meeting the needs of its population. Naturally, this has changed as the area and population have changed.  Today’s Burien is focused on the future, and many will be watching as the city plans its path forward.  Make the time to enjoy the mild climate while learning about Burien’s rich history or trying one of many available activities.  See what captures your imagination first.

Burien, WA.  “About Burien.” ( retrieved October 22, 2016.Burien, WA. “Seahurst Park.” ( retrieved October 23, 2016. “Burien, Washington.” ( retrieved October 22, 2016.
DeCoster, Dotty. “Burien-Thumbnail History.” May 28, 2013. ( retrieved October 23, 2016.
Highline Heritage Museum. “Highline Heritage Museum.” () retrieved October 22, 2016
Highline School District. “School Directory” ( retrieved October 22, 2016.
Hydroplane & Raceboat Museum. “Museum.” ( retrieved October 23, 2016.
TripAdvisor.  “The Top 5 Things to Do in Burien, WA.” ( retrieved October 23, 2016.
United States Census Bureau.  “American Fact Finder- Burien City, Washington.” ( retrieved October 22, 2016.
Wikipedia. “Burien, Washington.” August 31, 2016. (,_Washington) retrieved October 22, 2016.

8 Steps to a Successful Referral Process

Every day outpatient clinics write and receive dozens of referrals. Staff will spend a significant amount of time processing these referrals and contacting patients.  A simplified system that considers organizational requirements and technological limitations can save staff hours and ensure quicker processing turnaround.  Here are 8 steps to take to craft a successful referral process for your clinic.

More than 100 openings for admin staff!

Step 1: Organizations often have referral standards that clinics are expected to meet.  These standards should be easily accessible.  If you can’t find them, ask your clinic manager. As leaders in the organization, they should know the standards or where to find them. .

Step 2: All systems have technological limitations.  Identify what is realistic with your current resources. Does your clinic receive referrals electronically, via fax, or via mail?  After the referral is entered, are physical files kept?  Or is the information uploaded into an electronic medical record?

Step 3: Consider how referrals flow through your clinic. Are there any bottlenecks in the current process?  Talk with other clinics to ask about their referral process and any associated challenges.

Step 4: Ask the employees who currently work with referrals for their feedback on the current system.  These employees can identify challenges and potential solutions that will assist you in creating a new system. .

Step 5: Reflect on what you’ve learned, and draft a new process.  Instead of delegating it to another staff member, try the new system out for yourself.  If that’s not possible, sit with a trusted staff member while they try it out.  Collectively work to identify and solve any immediate challenges. When ready, share with the rest of the staff.

Step 6: In many organizations, clinical and non-clinical staff both handle referrals.  Ask for feedback from each staff member.  Adjust accordingly.

Step 7:  Begin entering referrals and contacting patients using the new system. .

Step 8: Remain open to criticism.  All systems will require periodic tweaks to make sure they remain relevant and helpful. Recognize that many electronic medical records systems track turnaround times between receipt of referral, processing, and contacting the patient. If this information is available, use it to determine if you’re meeting the desired goals.
Referrals play an important part of the American healthcare system.  Creating a system that works for your clinic while also meeting organizational standards is challenging and possible. Use these 8 steps to identify standards and limitations, and then craft a successful referral processing system. Commit to continuous improvement of the system to ensure that patients are being contacted as quickly as possible.

Centralia, WA Community Highlight

Centralia, Washington is a city with 7.42 square miles of land in Lewis County.  Centralia is 85 southwest of Seattle, 90 miles north of Portland, and 343 miles southwest of Spokane.

The 2010 U.S. Census listed Centralia’s population as 16,336.


See all openings in Centralia!

Originally known as Centerville, Centralia was founded by George Washington.  Born as the son of a Virginia slave, his mother gave up George to a white family after his father was sold.  The couple who raised George moved west to Ohio, Missouri, and Illinois.  They eventually moved further west, hoping to avoid the discriminatory laws that George felt were barring him from business success.

When George reached the Washington Territory, he settled near the junction of the Skookumchuck and Chehalis Rivers.  In 1872, the Northern Pacific Railroad came north through George’s land.  Suddenly the area was more desirable.  So George and his wife began planning a town centered around a friend’s store.  The town was established on January 8, 1875.  When Washington state was established in 1889, Centralia’s population was close to 1,000.  Two years later, the population was over 3,000.

The economic downturn of 1893 hit, and George took repeated action to help the community survive.  He would travel to Portland and Chehalis for food staples to distribute.  He bought properties to avoid abandonment and absentee ownership.  He didn’t foreclose on his properties.  Although the decade was tough for all Americans, Centralia survived it and had nearly 1,600 residents at the turn of the century.  When George died in 1905, the Centralia mayor declared a day of mourning.

Centralia has a mild climate with warm summers and cool winters. Average summer temperatures range from the high 40s to the high 70s. Average winter temperatures range from the low 30s to the low 50s.

Interstate 5 and Washington State Route 507 run through Centralia.  Amtrak also has an active rail system with service to surrounding areas and large West Coast cities, including Los Angeles, Portland, and Seattle.

The Centralia Public School District has 5 elementary schools, 1 middle school, and 1 high school.  Centralia is also the home to Centralia College, a junior college that has been operating since September 1925.

The Fort Borst Park is a historic location that also has updated athletic facilities.  Students of history will enjoy exploring the historic Borst homestead and schoolhouse.  The park also offers trails, a wading pool, horseshoe pits, a public boat ramp, sports fields and more.  Shoppers enjoy the nearby Centralia Factory Outlets.  McMenamin’s Olympic Club offers different options for lodging, food, and event options to visitors and residents alike.

Centralia’s rich history draws people in.  Once in town, the variety of available opportunities encourage people to further explore.  This is a town where there’s something interesting around each corner.  Take the time to make the trip.  You’ll learn something that you didn’t expect.

Centralia School District. “Centralia School District 401.” ( retrieved September 25, 2016.  “Centralia, Washington.” ( retrieved September 25, 2016.

City of Centralia, WA. “Borst Park.” ( retrieved September 25, 2016.

City of Centralia, WA.  “History of Centralia.” ( retrieved September 25, 2016.

McMenamins.  “The Olympic Club.” ( retrieved September 25, 2016.

Oldham, Kit. “George and Mary Jane Washington found the town of Centerville (now Centralia) on January 8, 1875.”  February 23, 2003.  ( retrieved September 25, 2016.

Wikipedia. “Centralia, Washington.” August 17, 2016. (,_Washington) retrieved September 25, 2016.

Bainbridge Island, Washington

Bainbridge Island is both an island and a city with 23,000+ people. It is located west of Puget Sound and the Cascade Mountain Range and east of the Olympic Mountains. Easily accessible from downtown Seattle, Bainbridge Island offers a variety of different opportunities.


See all openings in Bainbridge Island!

For generations, the Suquamish Native Americans lived in the area. In 1792, English Captain George Vancouver landed on the island. In 1842 by US Navy Lieutenant Charles Wilkes while he was surveying the area. Throughout the 1800s, the area continued to grow with a mix of settlers and soldiers living in Fort Ward, Port Blakely, and Port Madison.

Bainbridge Island was one of the first communities send its Japanese-American residents to internment camps after the attacks on Pearl Harbor. The Bainbridge Review newspaper continued to track the displaced residents throughout the war, occasionally featuring editorials written by camp residents. At the end of the war, the island welcomed their neighbors home.

Today’s Bainbridge Island was created by two events in 1991. First, the city of Winslow annexed the rest of unincorporated Bainbridge Island. Then, residents voted to change their name from Winslow to Bainbridge Island.

Bainbridge Island has a mild climate. Average summer temperatures range from the low 50s to the mid-70s. Average winter temperatures range from the mid-30s to the high 40s. Precipitation rates peak around 8 inches monthly during the late fall and winter months. In the summer, rates drop to approximately 1 inch per month.

The 2010 US Census listed 23,505 people living in Bainbridge Island.

The Bainbridge Island economy historically depended on timber and shipbuilding. At one time, the Port Blakely Mill was the largest in the world. The sawmills and the shipyards attracted a diverse group of residents to Bainbridge Island. Today’s economy includes technology, healthcare, and construction industries.

Bainbridge Island is 10.1 miles west of Seattle. It’s easily accessible with a 60 minute ferry trip. Downtown Bainbridge Island (formerly Winslow) is walking distance from the ferry terminal.

On the island, there is a collection of things to do. The downtown area, also known as Winslow, has a variety of shops and restaurants. Outside of downtown, the city has several wineries, a brewery and a distillery. A variety of island parks offer an assortment of outdoor activities including camping, hiking, and picnicking. The Bloedel Reserve has 12 distinct garden environments. The New York Times called it “one of the country’s most original and ambitious gardens.” History and art enthusiasts will also enjoy visiting the Bainbridge Island Museum of Art and the Bainbridge Island Japanese American Exclusion Memorial.
Bainbridge Island has a rich history and a wide assortment of activities for residents and visitors alike. Make the time to take the ferry ride. Find what fascinates you first.

Bainbridge Island Chamber of Commerce. “History” 2016. ( retrieved September 13, 2016Bainbridge Island Chamber of Commerce: Visitor’s Guide. 2016 “Welcome to Bainbridge Island.” ( retrieved September 9, 2016.

Bainbridge Island, Washington. “Island History.” ( retrieved September 13, 2016

Blodel Reserve. “Visit.” 2016. ( retrieved September 16, 2016. “Bainbridge Island, Washington.” ( retrieved September 16, 2016.

Trip Advisor. “The Top 10 Things to Do in Bainbridge Island.” 2016. ( retrieved September 16, 2016.

Wikipedia. “Bainbridge Island, Washington.” September 6, 2016. (,_Washington) retrieved September 9, 2016.

Winslow Cohousing. “A Short History of Bainbridge Island.”