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Board of Directors January Report

January 28, 2013

McCook, Nebraska—During the Community Hospital Board of Directors meeting on January 16, a new board member was appointed and directors received a variety of reports. 

Board Director Appointment

Max Abercombie, who was reelected in November to his second term on the board has moved to Salina, Kansas, and will not be able to fulfill his second term on the board.

At the January meeting, the executive committee of the board of directors approved the appointment of Kristi Daum (left) to the board to fill Abercombie’s position. Kristi was one of the candidates running for the board election in November and is very excited to serve on the board.

Daum and her husband, Tim, are owners of Carpenter-Breland Funeral Home and Monuments in McCook, Blase-Strauser Memorial Chapel in Gothenburg and Curtis, and Love Funeral Homes in Limon, Burlington & Cheyenne Wells, Colorado. They have three children, Alyson, Brenleigh and Drew and reside in McCook.

Also serving on the Community Hospital Board of Directors are Jim O’Dea, Chair; Wayne Watkins, Vice Chair; Doris Friehe, Treasurer; Bruce Bair, Secretary; Mark Eiler, Connie Olsen, Rose Remington, M.D. and Dave Smith.

Community Hospital Health Foundation Quarterly Report

Terri Shipshock presented a quarterly report for the Community Hospital Health Foundation. The annual appeal sent in October 2012, raised $54,003.

 “Concert for Cancer Care” event featuring Collin Raye, an award-winning country western and ballads singer, will be held March 16 at the Fox Theater. A planning committee is meeting soon to plan the details of the concert.

Bill Burton will begin serving on the foundation board. Sara Rippen has accepted a second, three-year term to the board.

New Coding Definitions Coming

The board was educated about a new revision of diagnosis and procedural codes which will become effective on October 1, 2014 in the United States and at Community Hospital. The International Classification of Disease Tenth (ICD-10) revision replaces ICD-9 and represents one of the biggest coding changes in the United States in 25 years. The updated and expanded coding system will impact many of the key areas and departments at Community Hospital from admissions and scheduling to nursing, pharmacy, physicians and billing. A team has been formed at Community Hospital to make the transition over the coming months.

Quality and Patient Safety Measures

The quarterly Quality Assurance and Performance Improvement report was given by Joleen Bradley, RN. She reported the core quality performance measures which include:

  • Surgery department has achieved 100% compliance with all 13 surgical care improvement project (SCIP) measures for 12 months.
  • The currently reported pneumonia measures (four) have been 100% for 18 months.
  • The outpatient measures for chest pain and heart attacks have shown tremendous improvement regarding “door to EKG time” and “door to thrombolytic (blood clot) therapy time” with the times greatly reduced.
  • Community Hospital was recognized by the Nebraska Hospital Association, Hospital Engagement Network, for its work on projects to improve patient outcomes and satisfaction, including readmissions rates.

Culture of Patient Safety Survey Results

Bradley also presented Community Hospital’s results from the Agency for Healthcare Research and Quality's (AHRQ) Culture of Patient Safety survey. The survey, which was taken by 153 employees who provide direct patient care, measured Community Hospital’s Reporting Culture, Learning Culture, Just Culture and Flexible (teamwork) Culture. The results of the survey will help departments develop action plans for topics such as: improving handoffs, teamwork across departments, reporting mistakes and communication openness. 

Phase 2B Report

Jim Ulrich, Community Hospital President & CEO presented an update on the hospital’s current remodeling project. He said work to remodel the former surgery area is going very well, with some parts of the project about three weeks behind. They are confident the time can be made up during the remainder of the project. Much of the project will be finished by mid-to-late February.

The project will add an additional draw room to the laboratory, a relocated office for the laboratory director, new public bathrooms, a new respiratory therapy department, a new sleep center, physician and nurse anesthetist sleeping areas, expanded and remodeled radiology department, six chemo chairs added in an expanded and dedicated chemo area within the injection/infusion department and remodeled emergency department. Areas are being completed in phases with the entire project completed by mid-spring.

Board Education

The board received education from the Critical Access Hospital Finance 101 Manual from the National Rural Health Resource Center which defines key critical hospital financial terminology and explains how critical hospitals are reimbursed.

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