February 02, 2011 Edition

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LHS Board hears reports

The Board of Governors of Lawrence Memorial Hospital and Lawrence Hall Nursing Center met on Jan. 24.

Board chairman Bill Maxwell welcomed Lawrence County Judge Dale Freeman to the meeting. Judge Freeman announced to board members that he would be supportive and offer his assistance whenever needed.

Lawrence Hall Nursing Center

Board members approved Workers' Compensation coverage for $30,695, and approved the purchase of 50 arm chairs for the 100 and 400-hall dining rooms at a cost of $12,629.

Sharon Clements provided the quality and safety report, which included clinical and non-clinical measurements. The report showed that the center has improved its targets, which included a four-percent improvement over the previous year's goal.

In November respite care admissions were at one with a goal of two. Off-target indicators for December included other infections, comprised primarily of upper respiratory at 16 percent with a target of 15 percent, and weight loss greater than five percent at five percent compared to a target of four percent. In addition, Lawrence Hall had no respite admissions.

Medical Director Dr. Ted Lancaster gave his report regarding the Resident Quality Assessment and Assurance Committee meeting. No unusual occurrences or quality issues were noted.

Vanessa Wagner, chief financial officer, gave the consolidated financial report. Total revenue for November was $701,681 with a resulting net income of $155,222, higher than normal because of a cost report allocation change. Revenue for December was $716,550 with a net income of $79,421. The year to date net income stands at $501,801.

Linda Smith provided the administrator's report and noted that the average census for November and December was 163. The current resident count stands at 162. Smith also reported that the resident Christmas party, which was held Dec. 15, was enjoyed by all residents, family members and staff. She also shared with board members that a new ambulation device is being used to help residents walk. Computer outlets are also being installed in the facility.

Lawrence Memorial Hospital

The quality and safety report was given by Rosalind Casillas, director of nurses. LMH continues to meet core measure criteria at 100 percent for congestive heart failure and pneumonia. The healthcare associated infections rate for November was zero percent and three percent for December. Casillas also informed the board that LMH was recently recognized as a leader in the STOP BSI (Blood Stream Infections) Program. In addition, infection prevention nurse Debbie Tucker, RN, was asked to speak during a national conference call to explain how the hospital incorporated STOP BSI in a critical access hospital.

LMH's year-to-date average length of stay for acute care was 3.41 and 17.07 for swing bed. The hospital's readmission rate for heart failure (CHF) and pneumonia was at zero percent for November and December. Mortality rates remain low at 4.84 percent for inpatient, 12.5 percent for swing bed, zero percent for observation, and 0.19 percent for emergency department. The current national patient safety goal focus is to improve the safety of using medications and reduce the risk of healthcare associated infections.

Vice President of Support Services Junior Briner reported on environmental safety activities. LMH recently participated in a disaster drill to test its crisis management response. He noted that the hospital continues to be in compliance with The Joint Commission standards.

Briner also reported statistics for Jelly Bean Junction, and noted that the average census is 21.

The medical staff report was given by Terry Lambert. One physician was recommended for an initial appointment, four for reappointment and three to be dropped. These were approved by the board.

Wilma Jones, Foundation chairperson, reported that the board approved $24,146.58 in expenses, with the majority of expenses related to the Get Fit project and the Gala.

Lila Floyd reported on the compliance committee meeting and noted that the committee is working with therapy providers on a fee schedule. Floyd also informed board members that one possible HIPAA violation was being investigated with the assistance of compliance officer Larry Davis and hospital attorneys from Barrett and Deacon.

The finance committee report and financial summary were presented by Jones and Wagner. Three approvals were granted by the board including: a sales tax transfer of $98,000 for Emergency Department expenses, worker's compensation self insured trust payment of $53,315 and the draft of the response to the external auditors management letter.

The hospital suffered a loss of $117,873 during November and $111,047 during December, however the year-to-date loss is only over budget by $97,892. For the system, Lawrence Health Services made $37,283 during December. The year-to-date loss stands at $147,024 against a budgeted loss of $144,478 for a minimal variance of $2,546.

Lambert presented the quarterly and annual competency results and shared that George Fray from St. Bernards visited with a prospective physician interested in joining Family Medical Clinic. The prospective physician is from the area and will finish residency in June of 2012, with specialty in internal medicine/pediatrics.

Lambert also informed the board that the hospital has agreed to assist with the salary for a grant writer to be employed by the County. LMH will also provide office space for the grant writer in the old library, which is currently occupied by Home Medical Equipment.

Family Medical Clinic will change office hours. Beginning this month the office will be open until 7 p.m. on Tuesday and Thursday evenings. Patients can make appointments for the extended hours but walk-in and sick-call patients will also be accepted.

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