July 14, 2010 Edition

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Finances good at LHS

The Lawrence Health Services Board of Governors met on June 28.

Vanessa Wagner, chief financial officer, presented the 2010-2011 budgets, with a projected income for Lawrence Hall Nursing Center of $843,825 based on the average daily census. LMH is budgeted to have a loss of $841,546. This projects a net income for LHS of $2,279, allowing the system to break even.

Wagner also gave the monthly financial report. LHNC's net income for June was $72,174, above budget by $38,570.

LMH showed a net loss of $35,692 for the month, with a year-to-date loss of $587,326. Last year at this time, the hospital was reporting a loss of $742,046.

The net income for LHS was $36,481 for the month and $86,885 for the year.

A major upcoming expense for the hospital will be the electronic health record system at a cost of $1 million, while LHNC's major expense will be the sprinkler system for approximately $250,000.

Lawrence Hall Nursing Center

Director of Nursing Sharon Clements reported the clinical and non-clinical quality assurance measurements to the board. Clements noted that the fall note reached six, surpassing its target of five, but that the fall note with injury target was seven and LHNC had zero.

Clements also shared with the board that group activity participation has increased from 70 percent to 73 percent and that the average daily census for May was 167.

The Office of Long Term Care notified the board that a desk review will be conducted of LHNC's action plan regarding a recent survey. The plan has since been approved.

Board members agreed to purchase and install a new transfer switch for the automatic generator at a cost of $43,673. The board also agreed to change vendors and use Health Tech, LHNC's former vendor, for computer system conversion for clinical applications. LHNC will use the most updated version.

Administrator Dickie Smith stated that the current resident count is 166. He also informed board members that Rhonda Brady is the new activities director. Brady has worked for LHNC for five years as a certified nursing assistant.

LHNC is still accepting bids for the installation of a new sprinkler system for the facility. Two bids have already been placed.

The Office of Long Term Care requires that all nursing homes have a system in place by August 2013.

Lawrence County Judge Alex Latham reported that Keith Brand of Regions Bank will replace board member Gary Little, whose term expired June 30. Board members voted to retain the current slate of officers, which includes Bill Maxwell, chairman; Lila Floyd, vice chairman; and Wilma Jones, secretary.

Lawrence Memorial Hospital

Dr. William Baker, an emergency medicine resident at University of Arkansas for Medical Sciences, introduced himself to the board. Dr. Baker is contractually obligated to practice medicine in Walnut Ridge until June 2012, upon his completion of residency. Dr. Baker thanked board members for their assistance and affirmed his support for the community and hospital.

Director of Nursing Rosalind Casillas presented the quality and safety report and noted that LMH is still meeting the care measure data at 100 percent. Casillas also reported that LMH is ranked as number one in the state.

The hospital had no healthcare associated infections in May and the re-admission rate for congestive heart failure and pneumonia was zero. The mortality rate was 0.82 percent with a target of three percent. The average length of stay for acute patients was 2.93 and 8.68 for swing-bed patients.

Junior Briner, vice president of support services, gave the environmental safety report and noted only one outstanding safety item regarding doors to the laboratory. New doors were ordered and should be installed soon. Briner also reported that Dr. Ted Lancaster is the medical staff representative on the committee.

Chief of Staff Dr. Kevin Diamond gave the medical staff report and noted that clinical privileges have been reviewed and recommended for approval by the credentials committee and executive committee/full staff. The medical staff bylaws and rules and regulations were reviewed and approved by the board. Board members also approved the 2010-2011 medical staff officers, which include: Roger Troxel, chief of staff; Paul Vellozo, vice chief of staff; and Clay Spencer, secretary.

Susan Miller, partner with BKD, presented engagement letters for the audit committee and Medicare/Medicaid cost reports of the hospital and nursing center, as well as the foundation audit. The board approved all.

Foundation

Foundation Chairman Wilma Jones reported that work continues on the Blue and You Grant for the Lawrence County Get Fit! Program. The program will host activities through the summer including working with several camp groups such as Girl Scouts and 4-H.

Golden Jubilee

Lila Floyd, co-chairman of the Golden Jubilee Capital Campaign, reported that the campaign has been successful and that she and co-chairman Danny Gibson would be hosting an upcoming Rotary Club meeting. She also reported that the organization will host an informational meeting for elected officials from the area. Room renovations continue.

In other business:

  • board members approved the contract for the Electronic Health Record with Meditech and St. Bernards at a cost of approximately $1 million and authorized a line of credit with First National Bank.

  • the board reviewed and approved a failure mode effects analysis report aimed at reducing healthcare associated infections.

  • members approved the annual staffing effectiveness plan presented by the director of nursing.

  • the hospital and nursing home has changed group health insurance from Blue Cross to an Arkansas company named QualChoice.

  • LMH was recognized as one of the hospitals in the state as a Project Champion in the Stop Blood Stream Infections Program.

  • MRI vendor, Alliance Imaging, accepted a reduced fee for 2010-2012 for a $30,000 annual savings.

  • the Rotary Club of Lawrence County hosted a blood drive at LMH, and allowed LMH to receive a credit of $1,145 on the hospital's Red Cross bill.

  • Chris Barber will assume all roles and activities as president of St. Bernards Health Care effective Aug. 1.

  • Bill Maxwell, board chairman, presented Ben Owens and Gary Little small gifts for their years of service to Lawrence Health Services.

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