Governing Board of Directors 2013
|
|
- Olivia Stokes
- 6 years ago
- Views:
Transcription
1 Members Present: Guests Present: Staff Present: Tammi Hardy, Chair (via phone conference); Jim Bachrach, Vice-Chair; Duffie Harrison, Secretary; Robert Davis; Deborah Huckeba; Pat Conrad MD; Homer McMillan Pam Townsend, Adams Management Services (via phone conference) Ginny Griner, HR/ Med Staff Coordinator; Heather Guidry, Administrative Assistant; Ray Brownsworth, CEO; Craig Gibson, Plant Operations Director; Becky Gibson, DON TOPIC DISCUSSION Call to Order/ Approval of Minutes Jim Bachrach The meeting was called to order by at 9:00 am. ACTION Minutes from the 3/28/2013 regular board meeting were presented for approval. Motion made by Davis to approve minutes as presented, second by Huckeba. Motion carried unanimously. County Report Ray Brownsworth Brownsworth attended a county pre-budget workshop Monday. When asked about large, anticipated costs for the upcoming year, Brownsworth informed the commissioners of the following: o A 3% pay adjustment for all WMH staff is desired. o From a capital expenditure standpoint, matching funds will be requested for the rural EMS grant. A grant application was submitted to the state for re-chassis of one ambulance and a chest compression system. If the rural grant is approved, the 10% of matching funds will equal $11, o Desired equipment services include either an ultrasound unit or a digital mammography Page 1 of 8
2 unit. Brownsworth spoke with Franklin Needs yesterday regarding fundraising efforts for a digital mammogram machine. Considerations for funding include purchasing the equipment on a payment plan, and then funding the payments through fundraising. Brownsworth is looking on government websites for an ultrasound. The radiology staff will need to be trained on both the ultrasound and mammogram. It will be easier to train on digital mammography as the staff is already trained for analog mammography. Bachrach questioned the ambulance budget. Brownsworth stated the costs for the ambulance service are being tracked by separating the ambulance and hospital/clinic. This will assist with future requests for a larger county stipend. Currently, Brownsworth is attempting to regulate ambulance cost by controlling overtime. Additional EMS staff is being hired. Overtime is currently occurring when scheduled employees call-in sick. For all hospital departments, overtime must be approved by administration. Marcia Johnson brought up that the hospital has not made a payment towards the money invested by the county at the end of the DaSee administration. Brownsworth stated that WMH was unable to pay at the present time. Commissioner Sanders said the issue needed further discussion. Brownsworth is attempting to set an appointment with Commissioner Sanders in regards to community outreach. TMH Report Ray Brownsworth Laura Faison was unable to attend today s meeting due to a scheduling conflict. She will be here Monday. Faison is working to arrange rotating residents for primary care with WMH s clinics. Once this is accomplished, she will then focus on arranging for additional specialty care providers. Brownsworth is scheduled to meet with TMH administration. He will be requesting assistance with grant writing. Bachrach mentioned that there is a person locally who will assist with grant writing on a contingency basis. Medical Staff Report Dr. Conrad The draft minutes from the 4/16/2013 medical staff committee meeting were presented for Page 2 of 8
3 individual review. At the meeting, the medical staff deleted a few medications from the hospital formulary and streamlined medications for acute situations such as MI. Physician scheduling issues are somewhat improved, though admission rates continue to be less than desired. Conrad viewed a demonstration from CSS on their E.H.R. product yesterday. He did like the product. Chuck Edwards had favorable comments regarding cost in comparison to other competitors. Per Brownsworth, CSS and Healthland are the two companies whose E.H.R. products are in consideration. A final bid will be requested from both. Within 45 days, it is hoped that a recommendation for purchase will be made to the BOD. The proposed contract will be viewed by a law firm that is used by TMH. It is hoped that TMH can assist in obtaining a lowered or pro bono cost for the consultation. The estimated cost for the CSS E.H.R. is $450,000. A creative financing option is offered with an up-front payment of $50,000 and no other payments until meaningful use incentive money has been received. Once the incentive has been received, CSS would receive half. Over the next 39 months, as their software and services increase the effectiveness in collecting cash, 1/3 of the increased revenue would go to payment for the product, another 1/3 would go to payment for their billing services. The hospital would have to change from ARX to CSS billing services. At the end of the 39 months, any remaining balance would be written off. Conrad stated that he was in favor of equipment and services that will bring revenue, but for life saving equipment, an ultrasound is needed. Conditions that present at the ER such as arterial occlusions, ectopic pregnancies, testicular torsions, and blood clots can only be ruled out with an ultrasound. Currently, suspected conditions such as these have been responsible for transfers to other facilities. Typically, these ER cases are sent to Sacred Heart as an outpatient and return to WMH if an admission is needed. The expensive part of adding ultrasound services would be in obtaining an ultrasound tech. Conrad reinforced that Southland ER Drs would not take the responsibility of interpreting ultrasound imaging. Harrison asked about the status of an ultrasound purchase. Brownsworth stated that a business plan is needed to establish costs, and then the decision can be made to purchase the equipment and employ an ultrasound tech. Page 3 of 8
4 Medical staff privileges for Dr. McCready were approved by the medical staff. Approval by the BOD is requested. Conrad stated that he could address any questions regarding rotating residents, as he started at WMH as the same. Bachrach asked Conrad if the medical staff had any specific thoughts on marketing. Conrad stated that word of mouth from the ER is the biggest influence on marketing. Brownsworth stated that he would like to overlay with other methods such as advertising in the paper, speaking with civic groups, television spots, and publishing positive patient stories and health articles. A motion was made to approve Dr. McCready s medical staff privileges by McMillan, second by Davis. Motion carried unanimously. Debt Capacity Study Pam Townsend via phone conference The Debt Capacity Study results were reviewed in detail. The financial state of the hospital through February was annualized with the exception of transfers and tax income. Townsend reviewed the summary of adjustments/ assumptions made to the financial statement. o The sales tax subsidy was estimated to be $2,200,000 o Admission estimates were lowered through 2013 secondary to Dr. Miniat s departure. o An increase in swingbed admissions was anticipated with the increased nurse focus on promoting the rehab program. o A one-time pay increase of 3.5% across the board for staff was included. o With clinic changes, an additional 10 clinic visits per day were anticipated. With additional clinic visits, one in-patient admission per week was assumed. o A 2% sequestration payment reduction for six months was included. o Purchase of an electronic health record with increased annual maintenance fees was included based on previous estimates for purchase. o An annual purchase of $250,000 in capital equipment was included. o Inflation assumptions were projected forward to 2016 Page 4 of 8
5 Given that WMH is a CAH, Medicare and Medicaid reimburse the hospital 101% of the cost of providing services. Every time $100,000 is spent, the hospital is reimbursed about 61%. Additional depreciable assets and subsequent debt results in higher reimbursement, resulting in increased revenue and higher debt capacity. Townsend stated that if the BOD wished to continue with the pursuit of a $14 million loan, it could be accomplished but with a lot of work. Another feasibility study would be necessary. MacMillan questioned why it was assumed that lost admissions following Miniat s departure would not be recaptured. Townsend stated that only 50% of total historical Miniat admissions were removed. Brownsworth stated his intention to recover lost admissions. The addition of a physician with the clinic s move was not included in the study. Harrison questioned the inclusion of the ambulance service in the study. Harrison felt that it should not be included as it is legislative mandate for the county to fund ambulance service fully. Brownsworth stated that if the board wants to be aggressive and look for a $14 million loan, then increased county funding of the ambulance service would be necessary. MacMillan expressed that he thought the ambulance service was reimbursed dollar for dollar. Brownsworth stated that the ambulance is not cost-reimbursed by Mcr/Mcd. Bachrach stated that the actual cost of ambulance services needs documentation. Per MacMillan and Harrison, the capital fund voted on by the county was not intended to supplement the ambulance service costs. Brownsworth expressed that the county citizens are becoming disenchanted with the sales tax; a decision needs to be made as to how to prioritize the use of the capital fund. Hardy stated the hospital is bound by the referendum which listed building the Carrabelle clinic, improving EMS services, and then building a new hospital. Hardy is concerned with investing money into renovations for a building we do not own. She is still curious as to what is needed to make the 12 th Street building functional. Hardy then addressed the difference between county reimbursements of the ambulance service versus the actual cost. Several years back, the county was considering contracting the ambulance service to a third party. EMS staff, hospital staff, and the BOD recognized the anticipated decreased quality of EMS services for citizens of the county based on historical events. At that time, the board acknowledged that there would be a deficit of reimbursement and agreed to fund the extra cost. Hardy fears that if additional funding were requested, the county would again bid the ambulance service out to private company. Harrison would still like to see the costs broken out, and then the issue can be tabled if needed. Hardy feels the difference in ambulance cost and county Page 5 of 8
6 reimbursement could be tracked and used for balancing the proposed amount that the hospital owes the county. Bachrach stated that he simply would like the county to be aware. In demonstration of the organization s value, Brownsworth pointed that the hospital provides many community services, which would not be provided by a for-profit organization. Further, 29% of what the hospital does is uncompensated care. Griner pointed out that during a public hearing with Lifeguard, the county instructed the hospital to add a 3 rd ambulance on weekends. The hospital agreed to fund the 3 rd ambulance for the weekends. Five days after the meeting, Shuler called stating we misunderstood and the county wanted the 3 rd ambulance 7 days per week. This cost was in addition to the cost agreed upon at the hearing. This resulted in the additional unanticipated cost being taken on by the hospital. CEO Report Ray Brownsworth Financial Report Financial statistics were provided regarding AR days, patient cash, billed charges, and insurance greater than 90 days from 01/2012 through 03/3013. Statistics for payer mix, Medicare greater than 60 days, AR balances and average days to bill were provided for 01/2010 through 03/2013. Revenues were overinflated for last year due to a general ledger error in regards to tax income. The reversal has been made, which shows as a negative balance for February. Also an additional $129,000 in EMS cash revenue had to be reversed. Brownsworth will ask for a correction to all statements from fiscal year start to present to show a true performance picture. The Income Statement ending 3/31/13 was reviewed in detail. o Total patient services gross revenue is $1.2 million, after contractual allowances the revenue is reduced to 1/2 of that amount. Bad debt and charity reduces the revenue an additional $202,000. Brownsworth is working to convert as much bad debt as possible to charity. Charity influences LIP and DSH payments. The financial counselor has been moved to a new office to increase focus on financial counseling. Bachrach questioned high charges for lab tests when the reimbursement from insurance companies is lower. Brownsworth recognized the need to adjust the chargemaster every few years, though it is more difficult to adjust to market prices now due to anti-competition laws. He is working with the lab staff to make appropriate adjustments to the charges. Hardy questioned the use of Page 6 of 8
7 Craneware which was purchased to facilitate chargemaster adjustments. Brownsworth stated that the Craneware system has limited use due to the fact that it is not as up-to-date as it should be, as well as the difficulty in data extraction. Brownsworth stated that he would not have recommended investing in this particular product. Mr. Roberson has used it intermittently. Brownsworth will research and validate the potential use of the Craneware system. If it is a functional system, the staff will need to bring the chargemaster current. Hardy wants to find out when the chargemaster was last updated. Brownsworth will bring the issue back to the BOD. Patient Satisfaction The March Patient Satisfaction Survey results were presented for individual review. Brownsworth and Dr. Conrad are currently in discussion on how to bring the patient satisfaction to the next level. CFO Applications Griner has ed the CFO applications to the BOD. The next step is arranging for interviews. Hardy questioned how interview process will be conducted. Brownsworth has requested involvement from Bill Giudice, TMH CFO and Suzanne Hollar, TMH Director of Financial Systems. Interview options include Skype and face-to-face. Hardy requested as much of the BOD participation in interviews as possible. Hardy stated that historically TMH led the interviews and their choices did not particularly match what we needed for our area. Bachrach suggested the BOD proceed with the interviews with the same process conducted for the last CEO hire. Griner will make arrangements and facilitate the interviews with the board. Brownsworth requested that after collective recommendations, he would like to make last decision as he will be working closest with the CFO. Hospital CEO Report to the Board of Directors A public hearing is necessary to finalize HB711 requirements. Brownsworth will make arrangements. McMillan suggested that our lobbying group, FHA, should request reimbursement from the state for the expenditures made to meet the state mandate. Dr. Spurgeon was interviewed by Dean Watson MD, CMO TMH. Dr. Watson liked Dr. Spurgeon but remained unconvinced that there was a significant differential in physician versus RN influence to change referral patterns. Ray has notified Dr. Spurgeon that he will not be engaged as a Swingbed liaison, though when he moves to area, other areas of participation may be reviewed. Page 7 of 8
8 Old/ New Business Harrison stated that with decreased admission numbers seen after the loss of an area provider, the move of Weems West clinic should be expedited. Harrison would like Brownsworth to look at leasing another building. Tammi recommended other areas be considered, especially areas with higher traffic and visibility. Huckeba wants to see an emphasis on new hospital construction. Per Brownsworth, priorities must be established before moving forward. Discussion was held regarding the ability to keep CAH status if hospital location is moved. Bachrach questioned when the strategic planning will begin. The issue will be added to the next month s agenda. Adjournment Meeting was adjourned at 11:02 am. Page 8 of 8
Governing Board of Directors 2011
Members Present: Gayle Dodds, Nick Yonclas, Jim Bachrach, Tammi Hardy, Marjorie Solomon, Stephen Miniat MD, Davie Lloyd, CEO Members Absent: Paul Marxsen Staff Present: Cindy Drapal CNO, Ginny Griner HR/
More informationWMH Governing Board of Directors January 26, 2017
Members Present: Members Absent: Staff Present: Guests Present: Jim Bachrach, Chairman; Duffie Harrison, Secretary; Doug Creamer; Patrick Conrad, M.D.; Robert Davis via phone Anne Wilson; Hank Kozlowsky
More informationRural Hospital Performance Improvement
Rural Hospital Performance Improvement North Sunflower County Hospital Ruleville, Mississippi July 2003 What Was Needed Business Office Review AR Analysis Clinical Services Evaluation Core Services Planning
More informationa critical cause 10 steps to improve CAH financial performance
MAY 2007 healthcare financial management FEATURE STORY Lawrence A. Fogel Joseph M. Watt a critical cause 10 steps to improve CAH financial performance Critical access hospitals need to learn how to operate
More informationThree Rivers Hospital
The Three Rivers Hospital Board of Commissioners called a regular meeting to order at 4:04 p.m. Monday, June 30, 2014 in the Hillcrest Commons Area, 415 Hospital Way, Brewster, WA 98812. The presiding
More informationRural Hospital Closures and Recent Financial Performance of Critical Access Hospitals in the Carolinas
Rural Hospital Closures and Recent Financial Performance of Critical Access Hospitals in the Carolinas GH Pink and KL Reiter V Freeman, GM Holmes, A Howard, B Kaufman, J Perry, R Randolph, S Thomas, and
More information10/12/2017 COST REPORTING 201. October 18, Michael K. Westerfield, CPA, FHFMA Senior Manager
COST REPORTING 201 October 18, 2017 Michael K. Westerfield, CPA, FHFMA Senior Manager 1 AGENDA Cost Report 101 Review Wage Index Disproportionate Share S-10 Indirect Medical Education (IME) Graduate Medical
More informationReimbursement Models of the Future A Look at Proposed Models
Experience the Eide Bailly Difference Reimbursement Models of the Future A Look at Proposed Models Ralph J. Llewellyn, CPA, CHFP Partner rllewellyn@eidebailly.com 701.239.8594 Introduction CAH reimbursement
More informationHospital Financial Analysis
Hospital Financial Analysis By David Belk MD The following information is derived mostly from data obtained from three primary sources: The Centers for Medicare and Medicaid Services (CMS) including Medicare
More informationWorking Paper Series
The Financial Benefits of Critical Access Hospital Conversion for FY 1999 and FY 2000 Converters Working Paper Series Jeffrey Stensland, Ph.D. Project HOPE (and currently MedPAC) Gestur Davidson, Ph.D.
More informationEstimated Decrease in Expenditure by Service Category
Public Notice for June 2009 Release PUBLIC NOTICE COLORADO MEDICAID Department of Health Care Policy and Financing Fee-for-Service Provider Payments Effective July 1, 2009, in an effort to reduce expenditures
More information2018 MGMA COST AND REVENUE SURVEY
(*Asterisks denote required questions) *Note: The Practice Profile must be completed before beginning any of the MGMA Surveys* Time is a valuable thing! We ve created a tiered participation benefit structure
More informationHospital On-Call Responsibilities: A Urology Group Practice Analysis
Hospital On-Call Responsibilities: A Urology Group Practice Analysis Case Study This case study manuscript is being submitted in partial fulfillment of the requirement for ACMPE Fellowship Hospital On-Call
More informationCAH PREPARATION ON-SITE VISIT
CAH PREPARATION ON-SITE VISIT Illinois Department of Public Health, Center for Rural Health This day is yours and can be flexible to the timetable of hospital staff. An additional visit can also be arranged
More informationMISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT NOVEMBER 2015
MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT NOVEMBER 2015 CON REVIEW NUMBER: HG-CO-0915-020 CLARKSDALE, HMA LLC D/B/A MERIT HEALTH NORTHWEST F/K/A NORTHWEST
More informationDecrease in Hospital Uncompensated Care in Michigan, 2015
Decrease in Hospital Uncompensated Care in Michigan, 2015 July 2017 Introduction The Affordable Care Act (ACA) expanded access to health insurance coverage for Michigan residents in 2014 through the creation
More informationSPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES
SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES Date: January 20, 2015 Members Present: Claudia Kerens, Gary Stephens, Chris Haury, Dennis Ernsting and Alene Holloway, Kay Hapke, Kevin Wilson
More informationUNIVERSITY OF NORTH DAKOTA School of Medicine and Health Sciences Center for Rural Health. NORTH DAKOTA Hospital Association
UNIVERSITY OF NORTH DAKOTA School of Medicine and Health Sciences Center for Rural Health NORTH DAKOTA Hospital Association NORTH DAKOTA Healthcare Review, Inc. NORTH DAKOTA EMS Association REQUEST FOR
More information2018 MGMA COST AND REVENUE SURVEY
(*Asterisks denote required questions) *Note: The Practice Profile must be completed before beginning any of the MGMA Surveys* Time is a valuable thing! We ve created a tiered participation benefit structure
More informationDIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT (THURMAN) AUGUST 2002
DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT (THURMAN) AUGUST 2002 CON Review: NH-CB-0502-026 Tallahatchie General Hospital and Extended Care Facility Construction/Establishment of a 60-Bed Nursing
More informationAppendix B: Formulae Used for Calculation of Hospital Performance Measures
Appendix B: Formulae Used for Calculation of Hospital Performance Measures ADJUSTMENTS Adjustment Factor Case Mix Adjustment Wage Index Adjustment Gross Patient Revenue / Gross Inpatient Acute Care Revenue
More informationOverview of Alaska s Hospitals and Nursing Homes. House HSS Committee March 1, 2012
Overview of Alaska s Hospitals and Nursing Homes House HSS Committee March 1, 2012 Alaska Hospital and Nursing Homes Testifying Today Fairbanks Memorial Hospital Mike Powers Central Peninsula Hospital
More informationFREQUENTLY ASKED QUESTIONS. Q. Why won t the medical center in Trenton include an emergency room?
FREQUENTLY ASKED QUESTIONS Q. Why won t the medical center in Trenton include an emergency room? Emergency room visits have continually dropped at Trenton s emergency room and a high percentage of visits
More informationMedicare Cost Reporting and PPS FFY 2015 Proposed Rule Why it Still Matters. Glenn Grigsby, CPA OACHC 2014 Annual Spring Conference March 11, 2014
Medicare Cost Reporting and PPS FFY 2015 Proposed Rule Why it Still Matters Glenn Grigsby, CPA OACHC 2014 Annual Spring Conference March 11, 2014 Agenda Medicare cost report myths Common cost reporting
More informationMichael Anderson, Jim Cavasso and Carol Cullins and Guy Martin Young
REGULAR MEETING MINUTES LAST FRONTIER HEALTHCARE DISTRICT BOARD OF DIRECTORS Thursday, November 30, 2017 at 1:00 pm Council Chambers, City Hall Alturas, California Directors present: Directors absent:
More informationHealth Center Staff Documents Checklist
Health Center Program Site Visit Protocol Health Center Staff Documents Checklist NOTE: This consolidated checklist contains documents used to assess multiple program requirements during Operational Site
More informationThe Financial Effects of Wisconsin Critical Access Hospital Conversion
The Financial Effects of Wisconsin Critical Access Hospital Conversion Richard Donkle, CPA Dale Gullickson, FHFMA Rural Wisconsin Health Cooperative For the Wisconsin Office of Rural Health Acknowledgements
More informationOverview of the Federal 340B Drug Pricing Program
Overview of the Federal 340B Drug Pricing Program Presented by: James A. Raley, CPA Senior Manager Health Care Services Arnett Carbis Toothman LLP 345 340B Program: Overview Provides discounts on outpatient
More informationUniversity of Iowa Health Care
University of Iowa Health Care Presentation to The Board of Regents, State of Iowa April 11-12, 2018 1 Agenda Today s Presentation Opening Remarks Operating and Financial Performance Preliminary FY19 Operating
More informationPrepared for North Gunther Hospital Medicare ID August 06, 2012
Prepared for North Gunther Hospital Medicare ID 000001 August 06, 2012 TABLE OF CONTENTS Introduction: Benchmarking Your Hospital 3 Section 1: Hospital Operating Costs 5 Section 2: Margins 10 Section 3:
More informationpaymentbasics The IPPS payment rates are intended to cover the costs that reasonably efficient providers would incur in furnishing highquality
Hospital ACUTE inpatient services system basics Revised: October 2015 This document does not reflect proposed legislation or regulatory actions. 425 I Street, NW Suite 701 Washington, DC 20001 ph: 202-220-3700
More informationMEETING MINUTES RECORD
MEETING MINUTES RECORD Meeting: Board of Directors Date: April 27, 2017 Location: Conference Center Start time: 6:30 pm Adjourn time: 8:35 pm Members present: Patricia Christianson, Lynn Clayton, Virginia
More information1 Title Improving Wellness and Care Management with an Electronic Health Record System
HIMSS Stories of Success! Graybill Medical Group 1 Title Improving Wellness and Care Management with an Electronic Health Record System 2 Background Knowledge It is widely understood that providers wellness
More informationHospital Rate Setting
Hospital Rate Setting Calendar Year 2014 Wisconsin Department of Health Services Division of Health Care Access and Accountability Bureau of Fiscal Management September 6, 2013 1 Agenda 1. Introduction
More informationMichael Anderson, Jim Cavasso, Carol Cullins, Dick Steyer and Guy Martin Young
REGULAR MEETING MINUTES LAST FRONTIER HEALTHCARE DISTRICT BOARD OF DIRECTORS Thursday, January 26, 2017 at 1:00 pm; Council Chambers, City Hall; Alturas, California Directors present: Directors absent:
More informationSpring User Conference May Sandestin, FL Detailed Agenda
Day One: Monday May 16, 2016 3 6 p.m. Conference Registration 5 6 p.m. Customer Welcome and Orientation for First-time Conference Attendees 6 8 p.m. Welcome Reception Day Two: Tuesday May 17, 2016 7 a.m.
More informationWhat is an Inpt & How to get it right. The Challenges of Coverage and Compliance Why is it so hard?
What is an Inpt & How to get it right The Challenges of Coverage and Compliance Why is it so hard? 1 From the pt: AARP Jan-Feb 2010 issue Hospital Stays are Under Observation Ruth Way fell, was admitted
More informationMaking the Case for Change Without a Burning Platform
Making the Case for Change Without a Burning Platform Presented By: Rex P. Budde, CPA, MBA President and CEO Southern Illinois Healthcare, Carbondale, IL Region s second largest employer 3,700 total employees
More informationCenters for Medicare and Medicaid CMS Updates. Christol Green, Anthem Inc.
Centers for Medicare and Medicaid CMS 2016-2017 Updates Christol Green, Anthem Inc. Agenda Topic Page Payment Models - BPCI 3 Sequestration 5 CPC+ Initiative 7 What is MACRA? 12 CMS Social Security Number
More informationBOARD OF TRUSTEES MARCH MEETING MINUTES Wednesday, April 3, :00 P.M. Mike McCafferty and Dr. John Addlesperger
BOARD OF TRUSTEES MARCH MEETING MINUTES Wednesday, 3:00 P.M. MEMBERS PRESENT: MEMBERS ABSENT: Others Present: Ron Mischke, Kevin Bailey, Dixie See, David Smith, Gene Davis, Dr. Strahan, and Gary Miller
More informationMay 3, 2018 Rick Reid Director, Provider Payment Analytics Michael Felczak Director, Provider Payment Analytics
Hot Reimbursement Topics Rural Area Hospitals May 3, 2018 Rick Reid Director, Provider Payment Analytics Michael Felczak Director, Provider Payment Analytics RICHARD S. REID, MPA, FHFMA, CPA, Director,
More informationDenver Health A case history in recovering uncompensated dollars
Denver Health A case history in recovering uncompensated dollars A Chamberlin Edmonds Customer Success Story At a glance: Partner Company Name Denver Health Company Profile An acute care hospital The only
More informationMinnesota health care price transparency laws and rules
Minnesota health care price transparency laws and rules Minnesota Statutes 2013 62J.81 DISCLOSURE OF PAYMENTS FOR HEALTH CARE SERVICES. Subdivision 1.Required disclosure of estimated payment. (a) A health
More informationDecember 30, RE: St. Luke s Treasure Valley 2014 Report of Community Benefits. Dear Commissioners Case, Tibbs, and Yzaguirre:
December 30, 2014 The Honorable Dave Case The Honorable Jim Tibbs The Honorable Rick Yzaguirre Ada County Commissioners 200 West Front St. Boise, Idaho 83702 RE: St. Luke s Treasure Valley 2014 Report
More informationWest Virginia Hospitals
West Virginia Hospitals The Heart of a Healthier West Virginia Hospital Community Benefits Report Message to our Communities With more West Virginians having access to coverage than ever before, the goal
More informationLeveraging a CAH Health System Affiliation to Modernize Rural Health Care
Leveraging a CAH Health System Affiliation to Modernize Rural Health Care Alisa Coleman President & CEO Ferrell Hospital Alan P. Richman President & CEO InnoVative Capital, LLC February 7, 2016 Jared Florence
More informationOMC Strategic Plan Final Draft. Dear Community, Working together to provide excellence in health care.
Dear Community, Working together to provide excellence in health care. This mission statement, established nearly two decades ago, continues to be fulfilled by our employees and medical staff. This mission
More informationUncompensated Care Provided by Minnesota s Emergency Medical Services
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Uncompensated Care
More informationCook County Health & Hospitals System Preliminary FY 2011 Budget. Cook County Finance Committee Public Hearing Monday, January 24, :00 AM
Cook County Health & Hospitals System Preliminary FY 2011 Budget Cook County Finance Committee Public Hearing Monday, January 24, 2011 9:00 AM 2 CCHHS FY 2010 CCHHS FY2010 Accomplishments Strategic Plan:
More informationCRITICAL ACCESS HOSPITAL SWING BED PROGRAM
CRITICAL ACCESS HOSPITAL SWING BED PROGRAM Operational and Management Strategies March 1, 2016 Andrea Elliott, CPA Senior Managing Consultant aelliott@bkd.com Suzy Harvey, RN-BC, RAC-CT Managing Consultant
More informationTRENDS IN CANCER PROGRAMS
A by the Association of Community Cancer Centers 2014 TRENDS IN CANCER PROGRAMS A joint project between ACCC and Lilly Oncology, this report highlights YEAR 5 SURVEY RESULTS. WHO Took ACCC s? One hundred
More informationUniversity of Virginia Medical Center
University of Virginia Medical Center A case history on government program eligibility for self-pay patients Our unique vision has made us the leading provider of comprehensive patient eligibility services
More informationBILLIONS IN FUNDING CUTS THREATEN CARE AT NATION'S ESSENTIAL HOSPITALS
POLICY BRIEF BILLIONS IN FUNDING CUTS THREATEN CARE Authored by: America s Essential Hospitals staff ESSENTIAL HOSPITALS TARGETED The U.S. health care system is evolving to meet the demands of the Affordable
More informationMISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT SEPTEMBER 2011 STAFF ANALYSIS
MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT SEPTEMBER 2011 CON REVIEW MEMORIAL HOSPITAL AT GULFPORT NEONATAL INTENSIVE CARE UNIT EXPANSION CAPITAL EXPENDITURE:
More informationThree Rivers Hospital Board of Commissioners Regular Meeting
The Three Rivers Hospital Board of Commissioners called a regular meeting to order at 11:03 a.m. Tuesday, June 22, 2017 in the McKinley Building Conference Room at 507 Hospital Way, Brewster WA 98812.
More informationAgency/Item State General Fund All Other Funds All Funds FTEs 0 99,636 99, ,985 3, Board of Mortuary Arts
House Appropriations Bill - 2015 Appropriations Bill Adjustments (Reflects House Committee Adjustments for FY 2015, FY 2016, FY 2017, FY 2018, and FY 2019) Agency/Item State General Fund All Other Funds
More informationCommunity Health Centre Program
MINISTRY OF HEALTH AND LONG-TERM CARE Community Health Centre Program BACKGROUND The Ministry of Health and Long-Term Care s Community and Health Promotion Branch is responsible for administering and funding
More informationMeasuring the Cost of Patient Care in a Massachusetts Health Center Environment 2012 Financial Data
Primary Care Provider Costs Measuring the Cost of Patient Care in a Massachusetts Health Center Environment 0 Financial Data Massachusetts Respondents Alexander, Aronson, Finning & Co., P.C. (AAF) was
More informationpaymentbasics Defining the inpatient acute care products Medicare buys Under the IPPS, Medicare sets perdischarge
Hospital ACUTE inpatient services system basics Revised: October 2007 This document does not reflect proposed legislation or regulatory actions. 601 New Jersey Ave., NW Suite 9000 Washington, DC 20001
More informationEligible Professionals: NH Medicaid Electronic Health Records Incentive Program. Eve Fralick Project Director, NH DHHS Medicaid EHR Incentive Program
Eligible Professionals: NH Medicaid Electronic Health Records Incentive Program Eve Fralick Project Director, NH DHHS Medicaid EHR Incentive Program Agenda Background on HITECH NH DHHS planning efforts
More informationPHYSICIAN COMPENSATION MODELS IN A CHANGING ENVIRONMENT
PHYSICIAN COMPENSATION MODELS IN A CHANGING ENVIRONMENT Ralph Llewellyn, CPA, CHFP Partner rllewellyn@eidebailly.com 701-239-8594 Michele Olivier, CPC, CPMA, Consultant molivier@eidebailly.com 303-586-8529
More informationBoard of Trustees Monthly Meeting - Public Session. Mary Katherine King, Executive Assistant
St. John s Medical Center P.O. Box 428 Jackson, Wyoming 83001 307-733-3636 Committee: Board of Trustees Monthly Meeting - Public Session Meeting Date: August 22, 2013 Minutes Prepared By: Mary Katherine
More informationThe American Recovery and Reinvestment Act HITECH Act
The American Recovery and Reinvestment Act HITECH Act February 2010 Your eclinicalworks Source www.clinicinstall.com 800-319-3190 info@clinicinstall.com eclinicalworks is a leader in ambulatory clinical
More information3 Ways to Increase Patient Visits
3 Ways to Increase Patient Visits 3 Ways to Increase Patient Visits www.kareo.com kareo.com Table of Contents Introduction 03 Create an Effective Recall/Recare Program 04 Build and Manage Your Online Presence
More informationReport on the Health Forum-First American Healthcare Finance Technology Investment Survey. Drivers of Healthcare Technology Investment
Report on the Health Forum-First American Healthcare Finance Technology Investment Survey Drivers of Healthcare Technology Investment White Paper: Expectations for Quality & Compliance Improvement Driving
More informationOverview of Federal Stimulus Funds Available for HIT. Gerry Hinkley
Overview of Federal Stimulus Funds Available for HIT Gerry Hinkley gerryhinkley@dwt.com Overview $2B to the Office of the National Coordinator for Health IT $20M to NIST for R&D program $300M for health
More informationEMS Subspecialty Certification. Question 1. Question 2
EMS Subspecialty Certification 2.4.5 2.2.2.1 Response and Transport Vehicles 2.2.2.2 EMS Provider Levels 2.2.2.3 2.2.2.4 Equipment Design and Supply Issues Version Date: 7/2017 Question 1 2 Question 2
More informationORGANIZATIONAL INFORMATION BRIEF SUMMARY OF THE PROBLEM
F E L L O W P R O J E C T Implementation of a Contractual Relationship for Anesthesia Services in an Acute Care Facility Marcia Taylor, R.N., M.B.A., FACHE, director of surgical service, Rapid City Regional
More informationCritical Access Hospital and Medicare Rural Hospital Flexibility Program Pre-Conference Workshop. Tuesday, February 18, 2003
Critical Access Hospital and Medicare Rural Hospital Flexibility Program Pre-Conference Workshop Tuesday, February 18, 2003 Brad Gibbens, MPA, Associate Director bgibbens@medicine.nodak.edu Website: http://medicine.nodak.edu/crh
More information2014 Annual Report. Advocating and raising funds for programs and services at Cook County Health & Hospitals System.
2014 Annual Report Advocating and raising funds for programs and services at Cook County Health & Hospitals System. The Cook County Health Foundation is proud to support one of the nation s premier health
More informationMOUNT VIEW CARE CENTER COMMITTEE (MVCC)
MOUNT VIEW CARE CENTER COMMITTEE (MVCC) AGENDA Date & Time of Meeting: Monday, May 7, 2018 at 5:30 PM Meeting Location: Board Room, North Central Health Care, Wausau, WI Mount View Care Center Committee
More informationALAMEDA ALLIANCE FOR HEALTH BOARD OF GOVERNORS REGULAR MEETING. September 9, :00 pm 2:00 pm 1240 South Loop Road, Alameda, CA
ALAMEDA ALLIANCE FOR HEALTH BOARD OF GOVERNORS REGULAR MEETING September 9, 2016 12:00 pm 2:00 pm 1240 South Loop Road, Alameda, CA SUMMARY OF PROCEEDINGS Board Members Present: Jane Garcia (Chair),Marty
More informationThree Rivers Hospital Board of Commissioners Regular Meeting
The Three Rivers Hospital Board of Commissioners called a regular meeting to order at 11:04 a.m. Tuesday, in the McKinley Building Conference Room at 507 Hospital Way, Brewster WA 98812. The presiding
More informationMedicaid Expansion: questions and choices
Medicaid Expansion: questions and choices Becky Hultberg, President/CEO Alaska State Hospital and Nursing Home Association March 19, 2015 Alice s choice. Alice: Would you tell me, please, which way I ought
More informationSPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES
SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES Date: March 20, 2018 Members Present: Dennis Ernsting, Chris Haury, Gary Stephens, Kay Hapke, Claudia Kerens, Alene Holloway, Lynette Jalivay. Others
More informationAHA Survey on Hospitals Ability to Meet Meaningful Use Requirements of the Medicare and Medicaid Electronic Health Records Incentive Programs
AHA Survey on Hospitals Ability to Meet Meaningful Use Requirements of the Medicare and Medicaid Electronic Health Records Incentive Programs February 7, 2011 Executive Summary The vast majority of hospitals
More informationTelemedicine and Fair Market Value What You Need to Know
Telemedicine and Fair Market Value What You Need to Know By Chris W. David, CPA/ABV, ASA August, 2017 Telemedicine (also known as telehealth) is a rapidly-evolving trend in the healthcare delivery space
More information(%) Source: Division of Health Facilities, Licensure and Certification, MDH
DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2005 CON REVIEW ESTABLISHMENT OF MOBILE MRI SERVICES CAPITAL EXPENDITURE: $100,000 LOCATION: WAYNESBORO, WAYNE COUNTY, MS I. PROJECT SUMMARY
More informationTransitioning to a Value-Based Accountable Health System Preparing for the New Business Model. The New Accountable Care Business Model
Transitioning to a Value-Based Accountable Health System Preparing for the New Business Model Michael C. Tobin, D.O., M.B.A. Interim Chief medical Officer Health Networks February 12, 2011 2011 North Iowa
More informationBoard of Commissioners Meeting Minutes Linkletter Hall April 21, 2010
Board of s Meeting Minutes Linkletter Hall The meeting was called to order at 6:00 pm by Board President John Beitzel and was opened with the pledge of allegiance. Present were s Jim Cammack, Arlene Engel,
More informationDIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2005
DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2005 CON REVIEW: HG-NIS-0405-010 WEBSTER HEALTH SERVICES, INC. D/B/A WEBSTER HOSPITAL ESTABLISHMENT OF MOBILE MAGNETIC RESONANCE IMAGING (MRI)
More informationTRANSITION TO FEE FOR SERVICE COMMUNITY SUPPORT SERVICES (CSS) OVERVIEW FOR PROVIDER MEETINGS: March 2016 Edited May 24, 2016
TRANSITION TO FEE FOR SERVICE 1 OVERVIEW FOR PROVIDER MEETINGS: COMMUNITY SUPPORT SERVICES (CSS) March 2016 Edited May 24, 2016 FEE FOR SERVICE (FFS) RATE SETTING GENERAL OVERVIEW Goal of creating equity
More informationProposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals
Proposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals Paul Kleeberg, MD, FAAFP, FHIMSS Clinical Director Regional Extension Assistance Center for HIT (REACH)
More informationMORROW COUNTY HOSPITAL BOARD OF TRUSTEES REGULAR MEETING April 23, 2013
MORROW COUNTY HOSPITAL BOARD OF TRUSTEES REGULAR MEETING Members Present: Patrick Drouhard, Chair Joyce Ray, Vice Chair Carolyn Beal Dennis Leader Brent Winand Brad Wood Absent: Patricia Anthony, Secretary
More informationWESTON COUNTY HEALTH SERVICES BOARD OF TRUSTEES MEETING January 21, 2016
WESTON COUNTY HEALTH SERVICES BOARD OF TRUSTEES MEETING January 21, 2016 Present: Georgenna Materi, Secretary of the Board; Barry Peterson, Treasurer; and Connie James, Trustee. Also Present: Maureen Cadwell,
More informationHENRY COUNTY BOARD OF HEALTH MEETING Held Wednesday, March 15, 2017
Board Members Present Roger Richard, President Joel Miller, President Pro-Tempore Marilyn Bremer, RN Doug Lindsey, MD Sharon Miller Char Weber Al Wiederwohl HENRY COUNTY BOARD OF HEALTH MEETING Held Wednesday,
More informationSurry County Board of Commissioners Meeting of February 23, 2018
11891 Surry County Board of Commissioners Meeting of February 23, 2018 The Surry County Board of Commissioners met on February 23, 2018 for a Planning Retreat. The meeting was held at JOLO Vineyards, Pilot
More informationTelehealth 101: Key Concepts for Starting and Sustaining
Telehealth 101: Key Concepts for Starting and Sustaining Telehealth 101 Danielle Louder Program Director NETRC, MCD Public Health Andrew Solomon, MPH Project Manager NETRC Nina Antoniotti, PhD, MBA, RN
More informationCenter for Rural Health
Rural Economic Development Believes in Wellness Too Lynette Dickson, MS, LRD Project Director Brad Gibbens, MPA Associate Director Joyce Rice, Project Coordinator Center for Rural Health Established in
More informationThe Evolving Landscape of Healthcare Payment: Incentive Programs and ACO Model Optimization. Quality Forum August 19, 2015
The Evolving Landscape of Healthcare Payment: Incentive Programs and ACO Model Optimization Quality Forum August 19, 2015 Ross Manson rmanson@eidebailly.com 701.239.8634 Barb Pritchard bpritchard@eidebailly.com
More informationSTRATEGIC PLANNING FOR A SUCCESSFUL COLLABORATION AND FINANCING: A CASE STUDY FOR RURAL COMMUNITY HOSPITALS
STRATEGIC PLANNING FOR A SUCCESSFUL COLLABORATION AND FINANCING: A CASE STUDY FOR RURAL COMMUNITY HOSPITALS Alan P. Richman President and CEO InnoVative Capital, LLC Ralph A. Castillo, CPA Chief Executive
More informationAdministrators. Medical Directors. 61% The negative impact on our hospital-based program s. 44% We will need to consider the most appropriate or most
2016 This annual survey, which began in 2009, provides key insight into nationwide developments in the business of cancer care. To better capture information from its multidisciplinary membership, this
More informationCommitment to EXCELLENCE. NEWSLETTER Winter 2016 WOUND CLINIC HARD-TO- WOUND. page 6 INSIDE. Capital Improvements. CEO Report.
Commitment to EXCELLENCE NEWSLETTER Winter 2016 WOUND CLINIC HEAL S HARD-TO- TREAT WOUND page 6 INSIDE CEO Report 2 Capital Improvements 3 Celebration 8 EXCELLENCE in Healthcare CEO Report Happy New Year!
More informationICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP)
ICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP) Background ICD = International Statistical Classifications of Diseases and Related
More information$traight Talk Hot Topics. Free Standing EDs. Free Standing EDs 11/6/2017. David A. McKenzie, CAE ACEP Reimbursement Director
Free Standing EDs $traight Talk Hot Topics Free Standing EDs David A. McKenzie, CAE ACEP Reimbursement Director CPT Definition for the use of 99281-99285: Organized hospital-based facility for the provision
More informationStrategic Plan Key Strategies FY 2015 FY 2019
Strategic Plan Key Strategies FY 2015 FY 2019 South Peninsula Hospital Homer, Alaska SPH Strategic Plan Key Strategies FY 2015 2019 Page 1 of 13 TABLE OF ABBREVIATION ACA ACO ADC ALOS ANMC ANTHC ASHNHA
More informationCentral Ohio Primary Care (COPC) Spotlight on Innovation
Central Ohio Primary Care (COPC) Spotlight on Innovation BY BETTER MEDICARE ALLIANCE MARCH 2017 Central Ohio Primary Care Spotlight on Innovation 1 Central Ohio Primary Care (COPC) Spotlight on Innovation
More informationPPS: The Big Picture
PPS: The Big Picture Fall Conference, 2012 Presented by Karen Vance, OTR Supervising Consultant BKD, LLP Colorado Springs, Colorado kvance@bkd.com PPS: The Big Picture Industrial Revolution Urbanization
More informationPATIENTS PERSPECTIVES ON HEALTH CARE IN THE UNITED STATES: NEW JERSEY
PATIENTS PERSPECTIVES ON HEALTH CARE IN THE UNITED STATES: NEW JERSEY February 2016 INTRODUCTION The landscape and experience of health care in the United States has changed dramatically in the last two
More informationSt. Johns River Rural Health Network
St. Johns River Rural Health Network Comprehensive Diabetes Management Presented to: Florida LIP Council January 22, 2009 Nikole Helvey, MS HSA, Network Manager Rural Health Networks In Florida Established
More information