February 4, 2015 Edition

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LHS Board hears updates, reports

The regular meeting of the Lawrence Memorial Hospital and Lawrence Hall Nursing Center Board of Governors was conducted on Jan 26.

Lawrence Hall Nursing Center

Dr. Ted Lancaster reported that all quality audits and reports were within acceptable standards. Rita Hill, administrator, introduced the director of nursing, Marsha Dye, who presented the quality and safety report. The goals in the report are self imposed and reflected an overall four percent positive reduction in performance.

The chief financial officer reported on financial performance that reflected a year to date net income of $262,000 for the first six months of the fiscal year. The expenses for the period are $3,703,000, which is less than the budget of $3,741,000.

The board unanimously approved allocating funds in the amount of $47,406 to Bancorp South for the Arkansas Hospital Association Worker’s Compensation Self Insurance trust for the calendar year 2015. Hill gave a current detailed census review that reflected a current census of 148 residents.

Lawrence Memorial Hospital

The hospital portion of the meeting began with Dr. Paul Vellozo, chief of staff, reporting to the board. The medical staff recommendations to the board for initial appointments were Morgan Haile, teleradiology, and hospitalists Tyler King, Daron Merryman, Mark Sifford and Mark Wood. Reappointments recommended were Renee Bornemeier, Ronnie Collins, Brian Eble and Dala Zakaria, pediatric cardiology; and Edward Brewer and Gregory Rose, teleradiology. The medical staff applications were unanimously approved by the board.

Lila Floyd, chairman of the compliance committee, shared with the board the scope of work planned for the next 12 months. The work includes a review of regulatory agencies audit issues, Medicare and Medicaid Recovery Auditors issues, Medicare Administrative Contractor Audit issues and other requested audits. The compliance will be directed by Tracy Pollock, CPA, with St. Bernards. Pollock will report directly to the compliance committee of the board.

Floyd reported that the foundation had received a $1,000 grant from Entergy. The report also included the attendance at the annual Gala, which was very successful. The board unanimously approved expenditures of the foundation that included the $4,000 purchase of equipment for the clinics.

Rosalind Casillas, director of nursing, gave the quality and safety report. The report reflected a 100 percent compliance level for congestive heart failure and pneumonia. She shared a graph with the board that Lawrence Memorial Hospital continues to be first of the 26 Critical Access Hospitals for quality and also ranked number one of the 71 facilities statewide on these two measures.

The hospital received two awards in 2014 for clinical excellence. The infection rate for October, November and December was zero percent. The average length of stay was 9.73 for swing beds and 3.5 for inpatients. The readmission rate for the past year was 6.38 percent with progress in reducing the rate to 4.73 percent in November and 1.52 percent in December.

Vanessa Wagner, chief financial officer, presented the financials that reflected net patient revenue of $4,588,000 with net income of $61,000 for the first six months of the fiscal year. The report showed increases in inpatient and outpatient services. The emergency department had visits of 4,083 for the first six months.

George Fray, interim president, presented the HCAHPS scores, which reflected above average scores compared to the nationwide averages. He also provided an update to the strategic plan and an update on current renovations of the Ralph Joseph Education Center and the dietary department.

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