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Board of Directors Meets October 15

November 11, 2014

McCook, Nebraska—Community Hospital board of directors approved the updated strategic plan and heard reports during their regularly scheduled board meeting on October 15.

Action to be Taken

Steve Shaner presented the 2015-2019 strategic plan which was approved by the board. Policy revisions were also approved for Paid Time Off, Employment of Relatives and Flexible Spending Accounts. Appointments and reappointments for consulting medical staff, allied health staff and courtesy medical staff were all approved.

Review of Activities

Joleen Bradley, director of patient safety and performance improvement, presented a quarterly report as well as preview reports for the Hospital Compare site for outpatient and inpatient quality measures. This data is available publicly on Medicare.gov. The measure “willingness to recommend,” raised 9% points when comparing responses from 2010 to responses in 2013 (most current data).

The measure “median time to EKG overall,” determines how fast a patient receives a timely EKG to help determine whether the patient is having the type of heart attack that requires a medication to dissolve a blood clot. In 2012, the median time of receiving an EKG was around 13 minutes. Through improved processes, Community Hospital staff has decreased this time to between zero and just over two minutes. Bradley reported the hospital is in the early stages of participating in a statewide initiative called Mission Lifeline. This group is sponsored by the American Heart Association. Its goal is to develop statewide protocols for chest pain and acute myocardial infarction (heart attack) for hospital with and without cardiac cath lab capabilities.

She reported Community Hospital received an accreditation award letter from the Joint Commission on August 21. She also reported the Community Hospital falls team implemented their new fall risk assessment and prevention program. The Johns Hopkins Fall Risk Assessment tool was chosen to identify patients at risk for falls.

Bradley presented process scorecard results. Community Hospital had an excellent overall monthly process health score of 2.71. Three of the thirteen process scores fell in the blue (stretch) category. The other ten process scores were green, falling in the “target areas” category. There were no measures falling in the yellow category (improvement needed) or red category (at risk).

Directors were reminded of the 45th annual membership meeting of the Community Hospital Association, Inc. on November 4. Thank you notes were distributed and read.

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