Arkansas Hospitals Respond in Tornado's Aftermath Providing Cancer Patients With

48 Pages·2008·4.19 MB·English

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Arkansas Hospitals Respond in
Tornado’s Aftermath
Providing Cancer Patients With
“Hope Away From Home”
Action Ideas for Increasing
Staff Participation at Meetings
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PAGE 9 PAGE 16
PAGE 12 PAGE 24
8 Hospitals Respond in Tornado’s Aftermath
Arkansas Hospitals
12 Providing Cancer Patients with “Hope Away From Home”
is published by
28 Action Ideas for Increasing Staff Participation at Meetings
Arkansas Hospital Association
419 Natural Resources Drive • Little Rock, AR 72205
501-224-7878 / FAX [phone]
www.arkhospitals.org Features 33 Governor Collects $2.2 Billion
34 Benchmarking to High Performers
10 Thoughts on the President’s Budget Proposal
Beth H. Ingram, Editor 36 Financial Challenges are Top CEO Concern
24 Working with Disruptive Board Members
36 State Revises Death Certifi cate Form
BOArD OF DIrECTOrs 26 Legal Note: Physician On-Call Coverage
Ray Montgomery, Searcy / Chairman
Advocacy
James Magee, Piggott / Chairman-elect NewsStAt
Luther Lewis, El Dorado / Treasurer 37 Arkansas Receives NDC Billing Extension
11 ACH on 100 Best Workplace Listing
Robert Atkinson, Pine Bluff / Past-Chairman
37 Community Match Physician Recruitment Program
Kirk Reamey, Ozark / At-Large 11 Wal-Mart, LR System Partner Up
Jamie Carter, West Memphis 15 Preventing Accidents and Injuries in the MRI 38 A Look Back at 2007 Healthcare Legislation
David Cicero, Camden 15 AHA Services Launches New Web Site 39 FDA Recalls Contaminated Syringes
Les Frensley, Batesville 16 Hospital Executive/Trustee Leadership Conference 39 Arkansas Hospital Infection Committee Meets
Pat Heinz, Little Rock
16 Call for 2008 Diamond Award Entries 39 Report Recommends Broadband Network
Tim Hill, Harrison
Ed Lacy, Heber Springs 17 Harding University Pharmacy Program
Quality
Larry Morse, Clarksville 17 New OIG Advisory Opinions
Doug Weeks, Little Rock 18 Arkansas Hospital Utilization Moves Downward 40 Trustees’ Responsibilities for Quality
Russ Sword, Crossett
19 AHA Will Intervene on PPA Matter 41 Governor Appoints Healthcare Roundtable
20 2008 Mid-Management Series Begins April 15 41 Financial Incentive Program Guide
EXECUTIVE TEAM 20 United Healthcare Revises Notifi cation Policy
Phil E. Matthews / President and CEO 22 IRS Approves Revised 990, Schedule H Medicare/Medicaid
Robert “Bo” Ryall / Executive Vice President 22 Look for Hospital Spending to Double by 2017
42 CMS Memo on Interpretive Guidelines
W. Paul Cunningham / Senior Vice President
25 2008 HHS Federal Poverty Guidelines
Elisa M. White / Vice President and General Counsel 42 Proposed Rule for LTCHs
25 Blue Cross Promotes Executives
Beth H. Ingram / Vice President 42 “Freestanding” Emergency Dept. Requirements
25 2006 Health Spending Eases
Don Adams / Vice President 43 CMS Amends RAC Program Schedule
27 Will Older Physicians Opt Out of Patient Care?
43 Arkansas Medicaid Outpatient Rate Update
30 Arkansas PAC Contributions Recognized
DIsTrIBUTIOn 32 Hospitals to Provide ACASA Materials 43 Medicare Spending Tops $400 Billion
Arkansas Hospitals is distributed quarterly 44 CMS Revamping Regional Offi ces
33 Many Labor-Related Resources Available
to hospital executives, managers, and trustees
44 CAHs Allowed OPPS Reporting Participation
throughout the United States; to physicians,
state legislators, the congressional delegation, 44 Guide for Medicare Code Editor
and other friends of the hospitals of Arkansas.
45 9th Statement of Work Changes QIOs’ Focus
46 Arkansas Medicaid Fixing EOB Problem
To advertise contact 46 Value Based Purchasing Report Issued
Katrice Summerlin
Cover Photo
Publishing Concepts, Inc.
Hot Springs departments
501/221-9986
National Park
[email protected] 4 From the President
www.pcipublishing.com Photo courtesy of 6 Education Calendar
www.thinkaboutitnursing.com Arkansas Dept.
7 Arkansas Newsmakers and Newcomers
of Parks and
Edition 62
Tourism
Spring 2008 I Arkansas Hospitals 3
F R O M T H E P R E S I D E N T
Healthcare: Is it Time for a March on Washington?
I have been wondering recently if it is time for These visits are a win-win for hospital CEOs.
those of us involved in America’s healthcare – How better to get your elected offi cials’ direct
including citizens affected by both intensifi ed policy attention than to sit down with them, face-to-face,
restrictions and Congress’s inability to effect posi- in meetings designed to detail Arkansas hospitals’
tive change regarding health insurance for all – to needs, concerns and challenges?
hold a Healthcare March on Washington. Changing
healthcare policy, the continuing cuts to Medicaid Taking part in the annual membership meeting also
and Medicare reimbursements, gives administrators and trustees both a voice in and
growing numbers of uninsured vital information regarding healthcare policy-setting
and the number of businesses in America today. Participants will be bringing home
dropping health insurance for knowledge from executive briefi ngs on topics such as
their employees all have people The Joint Commission, health information technology,
extremely concerned. More the future of Medicare and Medicaid, and potential
than that, their very lives and effects of the 2008 election.
livelihoods are at risk. It seems
as though more people each Scheduled educational opportunities for hospital
year forego early retirement trustees cover issues such as succession management,
and work until they are 65 just quality and patient safety, and “the gremlins of gover-
to qualify for Medicare cover- nance.”
age.
Beth Ingram is serving as our point person on coor-
According to every national poll taken within the dinating CEO attendance for the Washington meeting.
past six months, the need for policy improvement To reach Beth, contact her at 501-224-7878 or e-mail
and affordable insurance availability rank among her at [email protected].
America’s highest concerns. And in this all-impor-
tant election year, candidates making their bid for In this vital election year, those of us in the hospital
the presidency continue to mention healthcare, but fi eld are going to Washington, together, to join health-
are (so far) presenting improvement plans that are care administrators and trustees from across the nation
all too sketchy and vague. in our own virtual “march on Washington” April 6-9.
It’s time for both talk AND action. Therefore, America’s healthcare policy depends upon it – and
your Arkansas Hospital Association board of direc- upon your continued interest and participation as the
tors urged all of the state’s hospital administrators year progresses!
and trustees to attend the annual American Hospital
Association membership meeting in Washington, DC
April 6-9. At press time, more than 30 were signed
up for the trip.
It’s not quite a march on Washington, but it could
make a signifi cant impact on future healthcare policy
in this vital election year.
We feel the most important events are the times set
aside to meet with the state’s Washington delegation
and their key aides on health matters. The AHA will
host a reception for congressional aides Monday eve-
ning, April 7; and on Wednesday, April 9, attendees will
meet with Senators Blanche Lincoln and Mark Pryor for Phil E. Matthews
breakfast, followed by visits with their respective con- President and CEO
gressman in his Capitol Hill offi ce. Arkansas Hospital Association
4 Spring 2008 I Arkansas Hospitals
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ArkAnsAs
Newsmakers
Newcomers
and
James R. “Jamie” Carter, CEO of Crittenden Phillip Gilmore, FACHE, president/CEO of HSC
Regional Hospital in West Memphis, has been Medical Center in Malvern and president of the
elected to the AHA Board of Directors by the Arkansas Health Executives Forum, announced
Northeast District. He will serve the unexpired that AHEF has received the American College of
term of Leah Osbahr, which ends October 2011. Healthcare Executives (ACHE) Award of Chapter
Carter, who has been at the West Memphis facil- Distinction. ACHE president Thomas Dolan con-
ity since November 2005, also serves on the gratulated the organization saying, “Achieving this
Governor’s Advisory Council on Trauma. award is a great accomplishment and solid evidence
of the significant hard work of your leadership
Shane Frazier has been named Service Line throughout the past year.”
Administrator for Post-Acute and Behavioral
Health Services at St. Vincent Health System and Governor Mike Beebe has named Edward L.
Facility Administrator for St. Vincent Doctors Lacy, FACHE, vice president/administrator of
Hospital in Little Rock. He succeeds Angie Baptist Health Medical Center – Heber Springs,
Cabantac who recently retired. Frazier began his to the Oversight Committee on Breast Cancer
work in the St. Vincent Health System in 2001 Research. Lacy’s term expires January 1, 2011.
as Director of Nursing for Behavioral Health
Services. He has a BSN from the University Brett A. Kinman has been named CEO at Forrest
of Central Arkansas and an MBA from the City Medical Center, succeeding Stephen Doherty
University of Arkansas at Little Rock. who served in an interim capacity during the search
period. Kinman was previously assistant CEO at
Leland Farnell has been named interim CEO Scenic Mountain Medical Center in Big Spring,
for Mena Regional Health System, succeeding Texas, and COO at Harris Hospital in Newport. He
Vince DiFranco. Farnell will serve until April has ten years of healthcare management experience.
30 when the hospital’s management contract
with QHR expires. He has more than 23 years Franklin G. Schupp has been named president
of experience as a hospital CEO in community of SMC Regional Medical Center in Osceola. He
hospitals in North Carolina, Georgia and South succeeds Keith Broach. Schupp was previously
Carolina. president of health development and associates for
Ameris, the company that operates SMC. He also
W. Lee Gentry, FACHE, has been named has experience as a CEO and development director
administrator of Baptist Health Extended Care with Cumberland Health Systems, Metropolitan
Hospital, which is located inside Baptist Health Hospital in Chattanooga (TN), and Medshares, Inc.
Medical Center in Little Rock. Gentry is a former
president/CEO of Lawrence Memorial Hospital M. Kent Strum is serving as interim administra-
in Walnut Ridge, vice president of operations at tor for Delta Memorial Hospital in Dumas, suc-
St. Joseph’s Mercy Health Center in Hot Springs, ceeding James Fairchild. Strum is from Jackson,
and COO of Northwest Regional Medical Center Mississippi, with healthcare experience as a CEO
in Clarkesdale, Mississippi. and consultant. •
Spring 2008 I Arkansas Hospitals 7
Hospitals respond in

Tornado’s aftermath
Aerial photo of the destruction at Stone County Medical Center in Mountain View following
a February 5 tornado that tore through Arkansas.
The F4 tornado that tracked on the hospital just as the Leadership Center, to other facilities for care,
the ground for 123 miles across Team was concluding its regularly- or discharged to their homes.
North Central Arkansas in the late scheduled meeting. Fortunately, Just 24 days after the tornado,
afternoon of February 5 left a wide the entire team was on hand. SCMC began admitting patients
footprint of destruction from the The emergency department at for care, opening 12 of the hospi-
Arkansas River Valley northeast SCMC sustained severe damage, tal’s 25 beds after approval by the
to the Missouri border. Among enough to temporarily close the Arkansas Department of Health.
the most severely damaged areas facility to inpatients until repairs “These rooms, along with our
in the storm’s path were commu- were completed. But during and surgery department were spared
nities where two of the state’s 28 after the storm, the surgery depart- from the storm,” said Karen Craft,
Critical Access Hospitals are locat- ment remained open as an emer- SCMC Administrator.
ed: Mountain View and Clinton. gency assessment, treatment and Structural engineers continue to
In the midst of and immedi- transfer center after the tornado assess the damage to the facil-
ately after the storm, Stone tore through the community. ity and are developing a plan to
County Medical Center (SCMC) in No patients or employees of the rebuild and renovate the hospital.
Mountain View (part of the White hospital were injured as a result A modular medical building previ-
River Health System in Batesville) of the storm. The 17 patients who ously used as a temporary facil-
continued to care for injured were in the hospital at the time the ity in Corpus Christi, Texas, was
patients despite receiving signifi- storm hit were evacuated to Stone assembled on the hospital campus
cant damage. The tornado hit County Nursing and Rehabilitation to provide space needed to contin-
8 Spring 2008 I Arkansas Hospitals
ue operations during the rebuilding tornado’s touchdown, the hospital those families who suffered injuries
process. The ER, laboratory, X-ray, saw 51 patients, assessing and treat- or loss,” stated Mike McCoy, Saint
respiratory therapy, pharmacy and ing many onsite and working with Mary’s CEO. “The compassionate
other ancillary services are moving area ambulance services to trans- staff of Saint Mary’s is regularly
into that space. Additionally, three port other more severely injured trained and well prepared for emer-
physicians whose offices were dam- people to hospitals in Conway and gency situations. I am very proud
aged in the storm were scheduled to Little Rock. and grateful for how our staff and
reopen their clinics in the building Reamey said that the hospital physicians responded during this
in mid-March. staff and volunteers continued their time to care for the injured and
Craft said, “Our hospital family medical treatment of storm victims keep concerned family members
and community have come together until midnight, but pressed on into informed. We have a great team
to rebuild the hospital after the the morning hours and the follow- of staff, clinicians and physicians
horrific February tornado. I am ing days, providing assistance to who consistently help us to fulfill
so proud to be associated with this area residents in the form of food, our mission of delivering quality
group of physicians and employees. shelter and other non-medical care. healthcare with courtesy and com-
They demonstrated compassion, He also commented on the local passion.”
courage and commitment on that disaster response plan and said that And, just as they’ve been trained
night and every day following. I am it worked well in his community, to do, many other hospitals, physi-
confident about our future.” with all parties handling their roles cians, nurses and staff across the
SCMC employees erected a flagpole and sign to show the community of Mountain View that a tornado will not destroy the hospital.
Undamaged in a community and responsibilities admirably. state provided supplies, transporta-
fraught with destruction, Ozark The Atkins area was hard hit as tion, treatment and care for tor-
Health Medical Center (OHMC) in well by the tornado. Saint Mary’s nado victims and families follow-
Clinton became the focal point for Regional Medical Center in nearby ing the tornado. The February 5
local residents as they sought out Russellville was well prepared for disaster was a true test of the plans
care and assistance in the storm’s the event – quickly putting into that hospital representatives, emer-
aftermath. action many aspects of its well- gency medical personnel, the Office
Ozark Health CEO, Kirk rehearsed disaster plan. of Emergency Services, community
Reamey, who serves as a member of “The tornado event of February leaders and others have worked on
the Arkansas Hospital Association 5 reminded us that natural disas- together to care for and make our
board of directors, reported to the ters can cause much damage and communities safer no matter what
board that within two hours of the pain. Our prayers remain with type of disaster occurs. •
Spring 2008 I Arkansas Hospitals 9
by Paul Cunningham, Senior Vice President, Arkansas Hospital Association
Thoughts on the President’s Budget Proposal,
and How it Affects Hospitals
When President Bush released according to the data, is about to Would that cut Medicare spend-
his proposed federal budget for get much bigger. ing? Well, yes, but at what cost?
Fiscal Year 2009, he didn’t neces- To make matters worse, while When maladies begin to strike
sarily set the full advocacy agenda 60 may be the new 50 on a sort baby boomers in the form of heart
for America’s hospitals for the year, of ethereal, transcendental plane, attack, cancer, stroke and other
but he certainly gave it an immedi- many of the old physical problems conditions, they’ll need Medicare,
ate focus. The proposal would cut will still hang around to nag even just as older patients do today.
$182 billion from future Medicare the healthiest of boomers. Dealing But, even more, ailing boomers
spending over the next five years. with some of those less coveted will need the peace of mind of
About $135 billion would come perks of aging will become a new knowing that healthcare services,
from hospital payments. way of life and, for many, will be including hospital care, are avail-
Frankly, we can’t afford for that the ultimate boomer bummer. able to treat them in their own
to happen. In another five or 10 years, an communities.
Even in the best of times, cuts assortment of maladies will begin If the budget proposal goes
of that size would devastate many to catch up with literally millions through, local healthcare may not
hospitals and create havoc over more Medicare patients. They’ll be available, especially in rural
the entire healthcare delivery sys- find themselves with conditions states like Arkansas where hospi-
tem. But, these particular cuts are ranging from chronic obesity, tals that already struggle to survive
being pushed at a time when the arthritis, diabetes and knee/joint/ every day on paper-thin margins
economy is tanking. That means back pain to acute bouts with heart won’t make it. That won’t only
other hospital payment sources will attack, cancer and stroke. hurt Medicare beneficiaries, but it
likely dry up, multiplying the disas- There’s no denying that the lon- will affect everyone else who lives
trous effects. ger we live, the more likely it is that in those communities, too.
More than that, the demand for a physical ailment of some type will In submitting the
hospital services verges on rising to eventually latch onto us and refuse Administration’s bill, Department
historic levels as roughly 20 mil- to let go. of Health and Human Services
lion baby boomers – and that may In mid-February, the President Secretary Michael Leavitt said that
be a conservative estimate – will sent Congress a bill that would take the President hopes the steps will
reach the milestone age of 60, and a three-step approach to strengthen- assist Medicare beneficiaries in
beyond, by 2013. As early as 2011, ing Medicare. It includes improved making healthcare choices, which
the oldest boomers will become health information technology and will lead to Medicare savings.
eligible for Medicare, and by 2015, electronic medical records; trans- In a convoluted way of thinking,
at least 10 million of them will join parency in price and quality infor- it might work. Do away with $135
the circle of beneficiaries, despite mation; and incentives for provid- billion in hospital reimbursements
their later eligibility ages. ers to deliver and Medicare ben- (about $940 million in Arkansas)
Everyone understands that eficiaries to choose high-quality, and future decisions about where
Medicare’s long-term financial out- low-cost healthcare. to obtain high quality, low cost
look is shaky, due in part to the pro- All could be sound moves; how- healthcare services will be much
jected growth in per-capita costs, ever, he wants to jumpstart the sal- easier, since those choices, due to
but mostly because of increases in vage job with his proposed budget hospital closings, will be severely
the beneficiary population, which, cuts. limited. •
10 Spring 2008 I Arkansas Hospitals