April 7, 2010 EditionAlso in this issue...
Updates shared with LHS BoardThe Lawrence Hall Nursing Center and Lawrence Memorial Hospital Board of Governors met on March 22.
LHNC Director of Nursing Sharon Clements presented the clinical quality and safety report, which showed that all but two indicators met or exceeded the self-imposed targets.
Dr. Ted Lancaster, medical director, reported that all physicians' orders were finally received, which will reduce the over-the-counter drugs inventory.
LHNC Administrator Dickie Smith reported that the average daily census for February was 168.11. The current resident count stands at 166, with four residents now being processed for admission. He also reported that an open house was held for the residents and their families and friends to showcase the new family visiting area.
He noted that several birthday parties and other family gatherings have already been held in the area. Catering for private functions is available through the dietary department, which can be contacted at 886-1278.
It was also reported that another vehicle, a station wagon, had been purchased for LHNC. This vehicle will be used to provide courtesy transportation for residents to local medical appointments.
Vanessa Wagner, chief financial officer, reported that the revenue in excess of expenses was $56,057 for the month of February. Year-to-date revenue was $5,645,508. Total expenses were $5,191,337, which left an income of $454,172 to date.
LMH Director of Nursing Rosalind Casillas reviewed the quality and safety report for the hospital. Since June 2008, LMH has met the core measures criteria 100 percent of the time except in the second quarter of 2009, where the score was 95.5 percent. The Arkansas Foundation for Medical Care sets the requirements.
The results place LHM in the number one position, when compared to all hospitals of any size, in the state.
Casillas also informed the board that there were no healthcare associated infections for January or February. The average length of stay was 3.05 days for acute care and 12.57 days skilled (swing bed). The mortality rates were within target at 1.99 percent for acute care and 7.33 percent for skilled.
She also reviewed the national patient safety goal focus, which is to reduce the risk of patient harm resulting from falls.
Vice President of Support Services and Safety Officer Junior Briner gave the monthly report and informed the board that all staff are currently being educated regarding the All Hazards Emergency Management Plan. He also reported that all smoke dampers throughout the building had either been repaired or replaced. The next step is to bring in a company that can certify dampers.
Briner also discussed the vulnerability analysis, which rates the possibility and probability of certain events happening in the county. The list was extensive and included such events as tornadoes, floods, power outages, hazardous chemical spills and others.
Dr. Seb Spades presented the medical director's report for Dr. Kevin Diamond since he was unable to attend due to illness. All medical staff applications were reviewed and approved by the credentials committee as well as the full medical staff.
In addition, the medical staff approved the infection prevention plan and the antibiogram, a document outlining the effectiveness of various types and categories of antibiotics.
Wilma Jones, chairman of the Lawrence Memorial Health Foundation, presented a policy regarding authority limits for staff to follow when paying foundation expenses. All expenses require ultimate approval from the foundation board.
Lila Floyd, co-chair of the campaign, updated the board on recent activities and thanks The Times Dispatch for their coverage of the kick-off for the campaign. Floyd also showed board members a replay of the KAIT8 news segment regarding the campaign.
It was noted that the hospital and nursing home employees have contributed over $5,200 on an annualized basis through payroll deductions. This will be enough to renovate one room in recognition of the staff.
The finance committee met earlier in the evening and presented a financial report as well as several approval recommendations.
For the month of February, LMH lost $47,098, which is $178,777 less than this time last year. Several hospitals, especially critical access facilities show a year-to-date-loss. Lawrence Health Services profited $8,959.
The board authorized the purchase of a new EKG machine for the emergency department in the amount of $10,998.25, which will be paid from the Trauma System Grant funds.
The board also authorized the purchase of a CO2 monitor, pending a decision by Dr. Robert Warner, general surgeon. The monitor will cost $12,835.14.
Two insurance policies were approved, including liability insurance for Jellybean Junction and liability insurance for an advanced practice nurse in the Family Medical Clinic.
The board approved the annual review of its bylaws with no changes or deletions. They also signed the code of business, conduct and ethics, conflict of interest and confidentiality statements.
Several policy and procedure manuals were also approved as well as four individual policy and procedure changes.
LHS President Terry Lambert provided education regarding IRS Form 990, by using an article from BKD, external auditors. Many non-profit organizations are required to submit the IRS Form 990 on an annual basis.
Lambert informed the board that he planned to hire a part-time community relations representation, who will provide assistance to the Golden Jubilee Campaign. On an ongoing basis the person will provide educational information to the community through various media outlets, participate in health fairs, job fairs and meet with patients regarding customer service issues. The person is also expected to be involved with grant activities.
It was reported that the weekend/holiday hospitalist program is working well and that Dr. King Bibby is now the emergency department director.
The board was informed of a grant that is being received from the Delta Rural Health Improvement project through Health Resources and Services Administration (HRSA) of the Department of Health and Human Services. The grant is consultation services to review revenue cycle management process.
Lambert explained that he wants the consultant to look at the hospital's process from initial patient contact to coding, billing and account follow-up and collection. The board is always looking for ways to improve operations.
Board members were invited to attend and educational meeting for Arkansas Hospital Trustees, hosted by the Arkansas Hospital Association. The meeting will be in Batesville on May 18 at 5:30 p.m.
Lambert also updated the board regarding his service on the Board of the Intermodal Facilities Authority.
Ben Owens, president of St. Bernards, told the board about his upcoming retirement on July 31 and introduced Chris Barber as his replacement. St. Bernards is LMH's management company.
Owens talked about the healthcare reform legislation, including some of the pros and cons for hospitals. Even though hospitals may eventually see more people with some form of coverage, which may be primarily Medicaid, the levels of reimbursement are likely to decrease and will cause hospitals to "tighten their belts" to the tune of approximately 20 percent.
Floyd thanked Owens on behalf of all board members and administration for his years of service and support to LHS.