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Maryruth Butler, MBA, NHA, RCA

Director of Quality and Integrity
Cascadia Healthcare
Kellogg, ID, United States

Maryruth’s healthcare passion has led her to be President of Cascadia Northern Healthcare supporting healthcare leaders in Northern Idaho, Eastern Washington, and Montana. As the previous Executive Director at Mountain Valley of Cascadia, her team became the first-ever skilled nursing facility to achieve the Malcolm Baldrige National Quality Award in 2016, the highest level of National recognition for performance excellence. For 18 years at the 68-bed Skilled Nursing and Rehabilitation Facility in her hometown of Kellogg, Idaho, she shaped their culture into excellence.
She attributes using the Baldrige Excellence Framework for shifting her professional approach and creating a culture of performance excellence. Mountain Valley’s quality journey began when applying for the American Health Care Association’s three-tiered Quality Awards. The facility was awarded the Bronze Award in 2005, the Silver Award in 2007, and the Gold Award in 2011. Maryruth learned to sustain these outcomes and guides her workforce to continuously improve, encourages innovation, and is dedicated to providing the highest quality care for patients and residents.
Inspired by the AHCA Quality Award process, she became a Senior Examiner in 2012; served as a Master Examiner in 2013, 2014, and 2015; Judge in 2018, 2019, 2020, 2021, and 2022; Senior and Master Examiners Trainer in 2020 and 2021; AHCA Quality Improvement Committee 2022-2023 Co-Chair; and Performance Excellence NW Board Member through 2024. Her continuous improvement is evidenced by being awarded Kindred Healthcare’s 2015 Northwest District Executive Director of the Year, in 2016 the facility received a zero-deficiency state survey, in 2017 Maryruth received the American Health Care Association’s National Mary K. Ousley Champion of Quality Award, and a 2019 national recipient of the Baldrige Foundation Award for Leadership Excellence.
Maryruth holds her Master of Business Administration in Health Care Administration from Jones International University and her Bachelor of Science in Business Administration from Lewis-Clark State College.

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