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Healthcare Foundation’s Efforts Have Aided Hospital Over Past Decade

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The Texas County Memorial Hospital Healthcare Foundation has contributed $21.1 million through loans, grants and donations to the hospital’s bottom line and infrastructure over the past 10 years board members heard at their monthly meeting on Tuesday.

Coming off the heels of an annual golf tournament that raised over $17,000 for the Healthcare Foundation, Wes Murray, chief executive officer at TCMH, provided a full picture of efforts by the Healthcare Foundation since the charitable arm of the hospital was revitalized in the fall of 2005.

“We have received almost $2.4 million in grants and $2.8 million in donations over the past 10 years,” Murray said. “When you combine that with the additional funds the hospital has received in zero or low-interest loans, it’s a very large number for a hospital of our size.”

The Healthcare Foundation revitalized its fundraising efforts in 2005 with Jay Gentry as the director of the organization. A volunteer board of area community members oversees the TCMH Healthcare Foundation.

Annually, the TCMH Healthcare Foundation holds a golf tournament and a chili cook off. The golf tournament funds benefit healthcare scholarships for area students, and the chili cook off funds benefit TCMH Hospice of Care. The Healthcare Foundation also spearheaded “Care for Your Future”, a $3.2 million capital campaign to raise funds for a new tornado safe room and a new surgery department at TCMH.

The Healthcare Foundation also regularly receives funds from grateful patients and their family members and memorial donations. Endowed scholarship funds are also under the Healthcare Foundation’s umbrella.

“A lot of the funds we’ve raised have come through our own internal vendors,” Murray said. “The Healthcare Foundation also benefits from our hospital staff and the volunteers that care about the Foundation’s vision and mission.”

Murray also reported to board members that the final items related to the construction efforts are nearly complete. TCMH continues to work internally on the completion of the surgery department.

“We have opened the tornado safe room four times for severe weather,” Murray said, adding, “Our drills are also going well.”

Murray noted that with the addition of the tornado safe room hospital staff, patients and visitors now “have a place to go” during severe weather, and the drills have helped staff learn what to do when the safe room is opened.

“We have learned new things during every drill, and we are grateful for this space to use during severe weather,” Murray said.

The 9-1-1 office that is currently located on the TCMH campus is planning to move to the “old jailhouse” on July 22.

“Much like our emergency department move, the 9-1-1 office will need to be open in both places for a time to allow for a seamless transition between both spaces,” Murray said, noting that TCMH would work with 9-1-1 in the process of the move.

Deborah Belt-Kell, marriage and family therapist at TCMH, retired on May 28th. Belt-Kell saw patients at the TCMH Office Annex.

Diane Beers, a licensed therapist, will move into the space vacated by Belt-Kell and begin practicing on September 1. Beers will move to the Ozarks from Minnesota, and she is contracting with TCMH to utilize the space for her private practice.

“Diane is going to rent space from us and offer therapy services in the area,” Murray said. “Professional counseling is a much needed resource for us and a great service to offer locally.”

Diane Beers is the mother of Dr. Jonathan Beers, chief of the medical staff at TCMH.

Murray reported that the contracted physician staffing for the TCMH emergency department is “going well”. In addition to the hospital’s employed emergency department physicians, Emergency Medical Care, LLC (EMC), a staffing company from St. Louis is helping to place physicians in the TCMH emergency department.

“EMC is working to find physicians that will work in our ER on a full-time basis,” Murray said. “Staffing the ER is going very well with EMC.”

On June 12, TCMH has submitted to the Missouri Department of Health and Senior Services an application for designation as a Level IV STEMI (ST segment elevated myocardial infarction) facility. The STEMI designation will allow emergency medical services personnel to bring any patient with symptoms of a heart attack to TCMH where the hospital team will proceed with protocols to begin medical treatment to prevent cardiac muscle damage.

After the initial medical treatment, the patient would be transferred to a healthcare facility where interventional cardiology was available.

The state deadline for the first round of STEMI applications was June 22.

TCMH received their designation as a Level III Stroke Center from DHSS in March.

Linda Pamperien, TCMH chief financial officer, presented the financial reports for April and May 2015, both showing drops in revenues. April had a negative bottom line of $198,027.37, and May had a negative bottom line of $75,495.16. TCMH is $870,614.20 in the red for 2015.

“It’s not as bad as it appears,” Pamperien said, noting that TCMH has $200,000 monthly in depreciation expense due to new construction at the facility.

In April and May, TCMH had $972,956.97 in bad debt, most of which was related to emergency department services that were provided but not paid for.

Present at the meeting were Murray; Pamperien; Dr. Jonathan Beers; Doretta Todd-Willis, chief nursing officer; Joleen Senter Durham, public relations director, and board members, Dr. Jim Perry, OD; Janet Wiseman and Mark Hampton.

Board members Omanez Fockler and Russell Gaither, were not present at the meeting.

The next meeting of the TCMH board of trustees is Tue., July 28 at 12 p.m. in the hospital board room.


Holly Atterberry Begins Clinical Practice at TCMH

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Holly Atterberry always aspired to be a caregiver to others. Her new position as a family nurse practitioner at the Texas County Memorial Hospital Medical Complex in Houston is a natural progression from her dreams as young girl.

Atterberry, a native of Texas County, credits the nurses in her family and her grandmother—Nanny—with exposing her to the caregiver profession.

Holly Atterberry, FNP

Holly Atterberry, FNP

“At the age of 11 or 12, I would go with Nanny to her job at the nursing home,” Atterberry said. “I have great memories of hanging out with cool, older people while Nanny worked all day.”

Atterberry recalls family members being cared for in the homes of family members, too. “I always knew there was a need for special care and attention for older people,” she said.

Growing up, Atterberry viewed healthcare as a “stable profession”. Thanks to life experience, she also believed she knew what she was getting involved in.

“Healthcare was just what I wanted to do,” Atterberry said. She also knew that she did not want to leave the area to pursue her career goals.

After graduating from Houston High School, Atterberry began working as an aide at Texas County Memorial Hospital and pursuing an associate’s degree in nursing at Missouri State University, West Plains campus.

Upon obtaining her licensure as a registered nurse, Atterberry continued to pursue her nursing training with a bachelor’s degree in nursing from Missouri State University in Springfield. She followed that degree with a Master’s degree in nursing from Maryville University in St. Louis.

Atterberry’s long term plans were to be a nurse practitioner in her hometown.

“I have cared for patients in many different situations,” Atterberry said, citing her time working in the medical surgical, intensive care and emergency departments at TCMH.

She added, “I knew that as a nurse practitioner I would have the opportunity to hopefully care for patients when they were healthy. I could try to keep them healthy.”

Atterberry also knows the need for healthcare providers in rural America. She’s looking forward to providing care for area residents that she’s known for years and to meeting new areas residents and becoming their healthcare provider.

“I’ve always enjoyed getting to know my patients,” Atterberry said. “And I hope to be someone that people will be able come see for a long time.”

At the TCMH Medical Complex in Houston Atterberry is collaborating primarily with Dr. Jonathan Beers, internal medicine physician. Atterberry has worked with Beers as a nurse in the hospital, and she believes that her interests and his practice mesh well.

“I like chronic diseases in general, and taking care of sweet 80-year olds,” Atterberry said. “I did the majority of my clinical with Dr. Beers, so I know his practice style well.”

As a family nurse practitioner, Atterberry sees patients of all ages, and she will grow her own patient base at the TCMH clinic. When Atterberry’s patients require hospitalization, most patients will be admitted under Beers’ care.

Atterberry sees scheduled patients at the TCMH Medical Complex in Houston on Mondays, Thursdays and Fridays. She sees patients in the TCMH Walk In Clinic in the same location on Tuesdays and Wednesdays.

For the past few years Atterberry has spent a lot of time working and going to school. Now that she’s out of school, she and her husband, Aaron, are anticipating the arrival of baby in December.

Together, they own Evening Shade Family Market in Evening Shade, where Holly can occasionally be found helping Aaron in the store. They also own beef cattle on their farm in Northwest Texas County.

“I love country activities—working on the farm, going to the river, fishing,” Atterberry said.

Wes Murray, chief executive officer at TCMH, is pleased that Atterberry has joined the TCMH clinic healthcare provider team.

“We’ve had the opportunity to employ Holly for many years,” Murray said. “She has always been a solid employee, providing excellent care for our patients.”

Murray considers Atterberry’s story to be a “great success” for Texas County.

“Our community is very fortunate that Holly chose to pursue additional healthcare education and stay in the area to provide care for her fellow Texas County residents,” Murray said, noting that Atterberry’s career path is “not typical in rural America”.

“Holly already knows many people in the area, and she’s provided care for many area patients as a hospital nurse,” Murray said. “With her personality and bedside manner, Holly will grow a very busy clinic-based practice at TCMH.”

To make an appointment with Atterberry, contact the TCMH Medical Complex at (417) 967-5435.


Four-Wheeler Donation to Benefit Hospice of Care

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The Texas County Memorial Hospital Healthcare Foundation has received a Polaris Sportsman ETX all-terrain vehicle to raffle for the Hospice of Care fund which benefits area Hospice of Care patients.

The ATV will be awarded to a winner on November 7th at 3 p.m. at the TCMH Healthcare Foundation’s annual Chili Cook Off which also benefits Hospice of Care.

“We always have a large item with raffle tickets for our chili cook off teams to use to raise funds for their team, and this year we partnered with Mega Motorsports in West Plains for the four-wheeler,” Jay Gentry, Healthcare Foundation director, said.

The ATV has a $6,000 value, and Mega Motorsports’ donation covered much of the four-wheeler’s cost. Tickets are raffled for $10 each or $50 for six tickets.

The ATV features electronic fuel injection with a 30 horsepower engine. The four-wheel drive engages automatically when the rear wheels slip. The machine has a steel rack on the rear and integrated front storage.

“We have not raffled an ATV for any of the previous Chili Cook Off events, so we thought it might be something of interest this year,” Jay Gentry, TCMH Healthcare Foundation director, said.

Gentry explained that the ATV is currently parked at TCMH if anyone wants to see it.

The TCMH Healthcare Foundation and Hospice of Care have a fundraising goal of $45,000 for the 2015 Chili Cook Off, and proceeds from the raffle ticket sales will go toward overall fundraising for the event.

Funds from the Healthcare Foundation’s Hospice Fund and the annual Chili Cook Off are utilized to provide end of life care for patients and their families regardless of a patient’s ability to pay for the service.

“Our hospice funds are used locally to benefit the patients we serve within a 40-mile radius of TCMH,” Courtney Owens, TCMH Hospice of Care director, said.

In the past year, funds raised through the Chili Cook Off were used to pay for hospice services for two patients that did not have any insurance. Funds were also used to purchase materials used for bereavement services through Hospice of Care.

“The funds raised for Hospice of Care by the Chili Cook Off help us meet needs of area patients and family members that we might not be able to help otherwise,” Owens said.

Raffle tickets for the ATV are available through the Hospice of Care office located in the TCMH Office Annex, the front registration desk at TCMH, the Auxiliary Gift Shop and any of the 15 teams that are participating in this year’s cook off.

Space is still available for additional cook off teams, according to Owens.

For additional information about raffle tickets or a 2015 Chili Cook Off, contact Hospice of Care at (417) 967-1279 or 1-866-967-3311 ext. 1279.

Jay Gentry (left), TCMH Healthcare Foundation director, with Mega Motorsports staff, Vanessa Robins, Chris Hunsucker and Luke Stokes and the ATV that will be raffled at the 2015 Chili Cook Off to benefit Hospice of Care.

Jay Gentry (left), TCMH Healthcare Foundation director, with Mega Motorsports staff, Vanessa Robins, Chris Hunsucker and Luke Stokes and the ATV that will be raffled at the 2015 Chili Cook Off to benefit Hospice of Care.


Carter Named as May Employee of the Month

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Texas County Memorial Hospital has named Heidi Carter of Houston the May employee of the month.

Carter is an aide in the housekeeping department where she’s worked since November 2010. Carter was nominated for the away by Amy Wilson, housekeeping department manager.

“Heidi is a prime example of a dedicated employee and co-worker,” Wilson said, adding, “Heidi never hesitates to pitch in and help wherever she’s needed.”

Wilson noted that Carter is known for “reaching out” to help others. “Heidi can frequently be found helping other hospital departments, patients, patient family members and visitors,” Wilson said.

“Heidi always has a smile and a kind word to offer,” Wilson said.

As employee of the month, Carter received a certificate honoring her achievement; a pin; $100 cash; a special parking place in the TCMH lot; one day of paid vacation; a $50 gift card, and gift certificates to Paws N Claws, D&L Florist, Janstiques and Blissful Nirvana Massage. A reception will be held at the hospital in honor of Carter.

Carter is eligible for the 2015 TCMH employee of the year award.

Heidi Carter (right), Texas County Memorial Hospital May employee of the month, with her supervisor, Amy Wilson.

Heidi Carter (right), Texas County Memorial Hospital May employee of the month, with her supervisor, Amy Wilson.


Annual Golf Tournament Raises $17,029 for Healthcare Foundation

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The Texas County Memorial Hospital Healthcare Foundation raised $17,029 in cash and non-cash gifts at the Tenth Annual Charitable Golf Tournament at Oakwood Golf Course in Houston on Sat., June 13.

Thirty-eight teams participated in the 18-hole two-person scramble which was co-sponsored by The Missouri Foundation for Health, the corporate underwriter for the event.

The tournament had tee times at 8 a.m. and 1 p.m. with prizes awarded to the top three teams in four categories—Championship Flight; A-Flight; B-Flight and C-Flight. With a hole-in-one on hole five at the course, golfers had the opportunity to win $10,000 sponsored by Justin Shelby, Houston State Farm Insurance agent.

Winners of the Championship Flight were Darren Petrus and Scott Kelly who shot a 61, followed by Eric Judd and Derek Whisenant with a 62 for second place and Blake Crow and Dillon Crow with a score of 64 in third place.

A-Flight winners were Dusty Schober and Scott Manier in first place with a 69, (tiebreaker rules were enforced for teams shooting the same score) followed by Daniel Black and Joe Enloe in second with a 69, and third place winners, Ron Murray and Larry Barton with a 69.

Winners of the B-Flight were Scott Crump and Chuck Hicks with a 73. Finishing second were Tom Krause and Jeff Renner also with a 73. David Taylor and James Chrouser, with a 73, came in third.

C-Flight winners were Gary Taylor and Ethan Taylor with a 77. Dan Sisco and Denna Tune shot a 79 for second place, and Johnnie Young and Whitney Young finished third with an 81.

First and second place winners in all flights received cash prizes and trophies. Third place winners in all flights received a cash prize.

Daniel Black won the longest putt contest.

The longest drive winners were Whitney Young and Dustin Hawkins.

A “Vegas Par 3” closest to the pin contest was hosted and sponsored by Q-94 Jack FM Radio Station. Dustin Hawkins and Gary York won the contest.

“The Big Advantage” on the fourth hole allowed golfers to move up to within 150 yards of the putting green and was sponsored by Wehr Motors. The game could reduce golf scores and included a closest to the pin contest. Daniel Miller and Roger Tune were the winners of “The Big Advantage”.

Jay Gentry, TCMH Healthcare Foundation director, indicated that the funds generated by the golf tournament will be used to fund scholarships for healthcare related educational fields and to provide resources for capital projects.

“We filled almost filled all of the available team slots, and we received numerous sponsorships from individuals and businesses,” Gentry said.

Gentry noted that an additional corporate sponsorships and support from many other businesses aided the Foundation in putting on a tournament with many amenities for the participants. Gentry also thanked the numerous volunteers and the staff at Oakwood for their time and efforts on behalf of the Foundation’s tournament.

“Some of our winners also donated their winnings back to the Foundation, which we greatly appreciate,” Gentry said. “The Foundation is a local charity and all of the money we receive for the Foundation will remain in the county.”

The TCMH Healthcare Foundation is the non-profit organization with a mission to ensure the quality of healthcare services for children, women, and men at Texas County Memorial Hospital. Funding for the Foundation comes from grateful patients and their families, community members and groups, and businesses that value healthcare in our area. A board of community leaders from across the county directs the TCMH Healthcare Foundation and the funds held by the Foundation.

“Once again, this tournament has been very successful for the Healthcare Foundation,” Gentry said.

The TCMH Healthcare Foundation plans to hold the golf tournament fundraiser again in 2016.


Hospital Honors Nurses and CNAs for Service to Patients

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In a special recognition event for all the nurses and certified nurse assistants (CNAs) that work at Texas County Memorial Hospital, a nurse and a CNA were chosen for special honors this week.

Melanie Evans (center) was named Texas County Memorial Hospital’s Nurse of Year.  She is shown here with Wes Murray, TCMH CEO, and Doretta Todd Willis, TCMH CNO.

Melanie Evans (center) was named Texas County Memorial Hospital’s Nurse of Year. She is shown here with Wes Murray, TCMH CEO, and Doretta Todd Willis, TCMH CNO.

Texas County Memorial Hospital has named Melanie Evans of Houston as the 2015 TCMH Nurses of the Year and Modena Jones of Mountain Grove as the 2015 TCMH CNA of the Year.

Evans, a registered nurse at TCMH Hospice of Care, has been employed by the hospital for eight years.

“Melanie is a very well-rounded nurse, and she works in almost every department at TCMH,” Courtney Owens, TCMH Hospice of Care director, said.

Owens explained that Evans works about four days a week for Hospice of Care and is scheduled weekly to work as a nurse in another TCMH department.

Evans is also one of few nurses at TCMH that has peripherally inserted catheter (PIC) line certification. Certain patients receive a PIC line because they require long-time intravenous (IV) usage or they cannot receive a regular IV.

“Melanie is always willing to work, and she doesn’t complain about any work she’s asked to do,” Owens said.

Owens noted that a lot of nurses “look up to” Evens due to her education and broad nurse training.

“Other nurses seek Melanie out to bounce ideas off her when they have questions,” Owens said.

Jones is a certified nurse assistant in the TCMH medical surgical department, and she has worked at TCMH for 10 years.

Modena Jones (center) was names Texas County Memorial Hospital Nurse Assistant of the Year.  She is shown here with Wes Murray, TCMH CEO, and Doretta Todd Willis, TCMH CNO.

Modena Jones (center) was names Texas County Memorial Hospital Nurse Assistant of the Year. She is shown here with Wes Murray, TCMH CEO, and Doretta Todd Willis, TCMH CNO.

“Modena’s work ethic is the best you can have,” John Sawyer, TCMH medical surgical department nurse manager, said.

Sawyer described Jones as a well-rounded CNA that provides “great customer service and gets done every job that needs to be done”.

“Modena is a great patient advocate, and she is not afraid to speak up to others about what she believes her patients need,” Sawyer said. “She helps everyone.”

The nurse and CNA of the year received $250 cash, a plaque, an engraved crystal trophy and fresh flowers.

Eighteen nurses and 5 CNAs from nursing departments throughout TCMH were nominees for the annual nursing awards. TCMH nurses and CNAs were nominated by hospital managers, physicians and fellow staff members for the annual TCMH Nurse of the Year and TCMH CNA of the Year awards. The TCMH nurse managers chose Evans and Jones as the 2015 nursing honorees.

TCMH also recognized each nominee with a framed certificate.

Also during the week, a mandatory nursing skills lab was provided for the nursing staff. Eleven stations provided education—some of which was hands on—on topics such as foley catheter care, patient safety, customer service, wound care and pharmacology.

Scrubs and Beyond of St. Louis came to TCMH to allow nurses and other employees the opportunity to shop for uniforms during the day.

On Friday breakfast or lunch was served to all members of the TCMH nursing staff.

TCMH currently employs 110 nurses and 28 CNAs. The nurses and their assistants work in many departments of the hospital—medical surgical, obstetrics, emergency room, surgery, intensive care, home health, hospice and clinics.


Merritt Named as March Employee of the Month

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Texas County Memorial Hospital has named Lisa Merritt of Houston the April employee of the month.

Merritt is a licensed practical nurse at the TCMH Family Clinic in Licking, and she has worked at TCMH for 14 years. Merritt was nominated for the award by Anita Kuhn, controller at TCMH.

“Lisa provides excellent customer service to our patients,” Kuhn said, adding, “And she works with the other members of the clinic team to accomplish a lot at TCMH every day.”

Kuhn noted that Merritt is known for “going above and beyond” to help Dr. Joshua Wolfe with anything needed. “Lisa has an amazing relationship with the doctor she works for,” Kuhn said.

“Lisa is known to help out whenever she’s needed, and she will volunteer to help in places when she hears of a need,” Kuhn said.

As employee of the month, Merritt received a certificate honoring her achievement; a pin; $100 cash; a special parking place in the TCMH lot; one day of paid vacation; a $50 gift card, and gift certificates to Paws N Claws, D&L Florist, Janstiques and Blissful Nirvana Massage. A reception will be held at the hospital in honor of Merritt.

Merritt is eligible for the 2015 TCMH employee of the year award.

Lisa Merritt (left), Texas County Memorial Hospital April employee of the month, with her supervisor, Anita Kuhn.

Lisa Merritt (left), Texas County Memorial Hospital April employee of the month, with her supervisor, Anita Kuhn.


Special Surgical Instrument Purchased for Hospital with Grant Funding

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Texas County Memorial Hospital is the beneficiary of a new hysteroscope thanks to a grant from the Bess Spiva Timmons Foundation and funding support from the TCMH Healthcare Foundation.

An Olympus brand hysteroscope was purchased with a $4,500.00 grant from the Timmons Foundation, and the hospital’s own Healthcare Foundation kicked in the remaining $2,500 in funds needed to make the complete purchase of the surgical instrument.

Christopher Baldwin, MD, a board certified obstetrician and gynecologist, needed a hysteroscope to perform additional surgical services at TCMH.

Dr. Christopher Baldwin, obstetrician/gynecologist at TCMH, performing surgery using the hysteroscope at TCMH.

Dr. Christopher Baldwin, obstetrician/gynecologist at TCMH, performing surgery using the hysteroscope at TCMH.

Hysteroscopy uses a hysteroscope—a thin, lighted tube—to examine the cervix and inside of the uterus. Hysteroscopy can be diagnostic or operative.

Operative hysteroscopy is used to correct an abnormal condition that has been detected during a diagnostic hysteroscopy. If an abnormal condition was detected during the diagnostic hysteroscopy, operative hysteroscopy can often be performed at the same time, avoiding the need for a second surgery. During operative hysteroscopy, small instruments used to correct the condition are inserted through the hysteroscope.

Hysteroscopy may be used to correct polyps and fibroids, adhesions, septums and abnormal bleeding. Patients undergoing hysteroscopic procedures may experience a shorter hospital stay and shorter recovery time, require less pain medication and avoid hysterectomy or open abdominal surgery in the future.

The new hysteroscope at TCMH is small—5.5 millimeter diameter. The lens on the instrument is scratch resistant which provides exceptionally clear images. The instrument is also fully autoclavable after each use.

Wes Murray, chief executive officer at TCMH, is pleased to have the hysteroscope available at TCMH.

“Dr. Baldwin is the first OB/Gyn we’ve employed at TCMH, and he brought with him skills that we could use to offer new women’s health services in our area,” Murray said.

Murray explained that TCMH always seeks to provide physicians with the tools they need to augment their practice, and he expressed appreciation to the Timmons Foundation and to the Healthcare Foundation.

“The Healthcare Foundation’s partnership with the Timmons Foundation to provide grant funding to purchase this surgical instrument helps us improve the healthcare services available to women in the area,” Murray said.

The Timmons Foundation is a private family foundation of the descendants of Bess Spiva Timmons. The late Dr. Joe L. Spears, a long-time family practice physician from the Cabool area, is a past president of the Timmons Foundation Board.

Tim Spears, son of Dr. Joe L. Spears, assisted in obtaining the funding for TCMH through his family’s foundation. “We are impressed by the vision of TCMH to reach out beyond its facility to address the long-term health issues of Texas County and the region,” Spears said.

“The Timmons Foundation is proud to assist TCMH in obtaining the hysteroscope,” Spears said.

The TCMH Healthcare Foundation is the non-profit organizational arm of the hospital with a mission to ensure the quality of healthcare services for children, women and men at TCMH.

“The Healthcare Foundation was pleased to partner with the Timmons Foundation to bring this important surgical tool into our surgery department,” Jay Gentry, TCMH Healthcare Foundation director, said.

For additional information about donor programs at TCMH, contact Gentry at (417) 967-1377.


Annual Audit Shows Financial Improvements at Hospital Even with Losses

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Texas County Memorial Hospital ended 2014 with a net position of -$698,123 in excess revenues over expenses hospital board members and administration heard at their monthly meeting on Tuesday.

Stephanie Weis, partner at BKD, LLP of Springfield, MO and David Taylor, senior manager at BKD, presented the annual audit report at the monthly meeting.

“The audit shows that there are positive underlying operations at TCMH,” Taylor said, “In fact, 2014 was a better year operationally than 2013.”

Taylor pointed out that in 2014 TCMH had depreciation and interest payments of $2,882,675 related to the new hospital construction, up over half a million from the previous year. In 2014, TCMH also received only $435,000 in government electronic medical records incentive funds, down from over $1 million in incentive funds in 2013.

“The bottom line for 2014 is lower, but the long term depreciation and interest numbers present a truer picture of hospital operations,” Taylor said.

Net patient revenue was up 3.63 percent for 2014 over the previous year and operating expenses were up only 2.56 percent for 2014 over 2013.

“Last year you found ways to get extra revenue out of your expenses,” Taylor said.

Grants and donations to the TCMH Healthcare Foundation totaling $1,180,978 were utilized for capital projects at TCMH in 2014.

Taylor pointed out that over the past two years, TCMH has utilized over $2 million in capital grants and donations. In 2014, the net property and equipment assets at TCMH rose by 3.15 percent or $826,361.

“Generally, hospitals are not investing funds in capital projects right now,” Taylor said, “But TCMH is on the offense, investing in the future of your hospital.”

Taylor noted that TCMH is not different than many other big and small hospitals across the nation with a negative operating margin in 2014. However, the hospital has $9.3 million in total current assets which includes cash, accounts receivable and third-party settlements.

According to Taylor, TCMH continues to operate with “clean revenue cycles”. At the end of 2014, 92 percent of accounts receivable from 2013 had been collected, and currently the hospital’s accounts receivable is at 52 days, which is less than the average of hospitals in rural Missouri.

“You have a strong financial position with 94 days of cash on hand,” Taylor said. Cash on hand indicates how many days the hospital could operate without bringing in any funds.

Taylor noted that the average rural Missouri hospital has 41 days of cash on hand.

Construction projects at TCMH have the average age of the hospital facility down to about 10 years which is at or below Missouri hospital averages.

The debt to capitalization ratio at TCMH is a 46.9 percent, which Taylor called “not too high”. TCMH is in line with other hospitals in the state.

Taylor cautioned TCMH about cost shifting that hospitals are dealing with related to healthcare reform.

“Regardless of the patients you serve, the costs remain the same,” Taylor said. “However, the only patient population currently showing a positive margin for hospitals is those with private insurance.”

In 2014 at TCMH, 46 percent of patients were Medicare patients, 21 percent were Medicaid patients, 24 percent were commercial insurance patients, and nine percent were self-pay patients.

Taylor noted that many employers are changing their private employee insurance plans by scaling back the coverage offered. Expansion of Medicaid in Missouri has not occurred, creating additional holes for healthcare coverage of patients.

“We can no longer believe in the traditional foundation of hospital economics,” Taylor said. He explained that employer-sponsored healthcare coverage, steady public-payer pricing growth, and predictable volume channels have all changed and continue to change creating numerous uncertainties for hospitals.

“At TCMH you continue to find ways to increase revenues without increasing expenses, and the right buttons are being pushed to help improve your facility,” Taylor said.

Taylor commended TCMH for efforts made in difficult times. “You have to continue to look at services to see what you can offer,” he said.

BKD sends an audit team to TCMH each March, spending about a week pouring over hospital financial information from the previous year. The firm takes about a month to complete the audit information including expense statements, balance sheets, statement of cash flows and other information that comprises the financial report documents presented at the April board meeting.

BKD uses historical TCMH data and data from other healthcare facilities for comparison purposes during the audit. BKD also has access to the latest information regarding hospital payers which helps the firm reach concrete numbers in the final audit report.

“The annual audit is a huge amount of work for a very small staff,” Weis said. “Everyone did a great job and quickly responded when we had a need.”

In the hospital administrative report, Wes Murray, chief executive officer, explained that physician staffing for the TCMH emergency department is progressing well.

“Dr. Randal Qualls has taken the emergency department medical staff director position,” Murray said, adding, “He’s doing a great job.”

Qualls is employed by the hospital, and he continues to work for TCMH as an employed physician in the emergency department.

Murray reported that at the end of 2014 309 past and present hospital employees were participating in the hospital’s 403b retirement plan.

“The overall plan is at $8.5 million, up from about $3 million over 13 years ago,” Murray said.

Murray explained that all employees receive information about the plan during orientation at TCMH.

“We are really trying to stress the importance of retirement savings to our younger employees,” Murray said.

Linda Pamperien, chief financial officer at TCMH, presented the financial report for the month of March. “Revenues and expenses were down, and inpatient and some outpatient volumes were up,” Pamperien said.

Admissions are up by 32 patients for the first quarter of the year, with TCMH showing 426 inpatient admissions through the end of March.

TCMH ended the month of March with positive bottom line of $11,396.02, decreasing the negative year-to-date bottom line to $584,645.62.

Present at the meeting were Weis; Taylor; Murray; Pamperien; Doretta Todd-Willis, chief nursing officer; Joleen Senter Durham, director of public relations; Anita Kuhn, controller; Dr. Jonathan Beers, TCMH chief of staff; Dr. John Duff; and board members Jim Perry; Mark Hampton; Omanez Fockler and Janet Wiseman.

The next meeting of the TCMH board of trustees is Tue., May 26 at 12 p.m. in the hospital board room.


Excellent Rating for Mammography at Texas County Memorial Hospital

joleen General Comments Off on Excellent Rating for Mammography at Texas County Memorial Hospital

The Texas County Memorial Hospital mammography department has again received a “zero deficiency” rating from the Mammogram Quality Standard Act (MQSA) for digital mammography done by the department.

Lori Dailing (left) and Terri Bailey, two of the radiologic technologists at TCMH, that use the digital mammography for mammograms.

Lori Dailing (left) and Terri Bailey, two of the radiologic technologists at TCMH, that use the digital mammography for mammograms.

For the sixteenth consecutive year the department has received a flawless rating in the state and federal survey. Ann Hamilton, TCMH radiology department director, noted that it is “virtually unheard of” to be deficiency free for so many years.

Over half the survey time was spent inspecting paperwork collected in the mammography department. Hamilton complimented Terri Bailey, technologist in the mammography department, for her role in compiling paperwork.

“Terri’s precise record keeping is one of the main reasons we continue to receive excellent ratings,” Hamilton said.

The mammography technologists, interpreting radiologist and physicist are required to have mammography specific continuing education annually. Quality assurance testing is performed on the equipment daily, weekly and monthly, and the medical physicist performs an annual review of the mammography unit.

The TCMH radiology department offers the complete range of radiologic services—CT, digital mammography, MRI, nuclear medicine, ultrasound, bone density scan and x-ray. The radiology department upgraded almost all of the departmental equipment in 2013 when the new department opened as part of the hospital expansion.

The radiology department at TCMH is open 24-hours a day.


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