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New Era of Care Begins at TCMH with Team-Based Nursing Practice

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Texas County Memorial Hospital medical surgical floor has implemented a new team-based nursing approach, board members heard at their monthly meeting on Tuesday.

“An RN, an LPN and a CNA are assigned to a pod of patients,” Doretta Todd-Willis, TCMH chief nursing officer, told board members. “The staff works together to provide the patient care.”

Todd-Willis explained that in the past TCMH medical surgical patients were assigned on an individual basis to certain staff members. Three weeks ago, the hospital implemented the team-based nursing approach which is supported by physicians on the TCMH medical staff. The Missouri State Department of Health and Senior Services also recommends the practice.

“Hospital regulations require that an RN supervise every patient’s plan of care,” Todd-Willis said, noting that many hospitals no longer use LPNs because an LPN cannot supervise the patient’s plan of care.

“We have some great LPNs at TCMH, and we want to continue to use LPNs,” Todd-Willis said. “If we have an RN and an LPN working together as a team to care for patients, we will be in compliance with state regulations, and we will improve patient care.”

Todd-Willis explained that the team-based nursing approach ensures that multiple staff members know what is happening with each patient’s plan of care, and they can communicate that knowledge with the patient, the patient’s physician, the patient’s family members and each other.

“We have had some initial resistance to making these changes, but the team nursing approach builds a positive and supportive atmosphere that is better for patient care and boosts employee satisfaction,” Todd-Willis said.

According to Todd-Willis, communication between nursing staff and physicians has already improved with the new approach.

“This approach to patient care is here to stay,” Wes Murray, TCMH chief executive officer, said. “Doretta and the med surg staff will continue to improve this team-based approach to nursing, improving patient care and overall satisfaction of our patients, our employees and our physicians.”

In other hospital business, Murray presented to the board members information about Missouri Senate Bill 419 prepared by Senator Ryan Silvey of Kansas City to transform the Medicaid program and keep it within conservative principles which concern many members of the Missouri Congress.

Known as the “Healthcare Transformation Block Grant”, Silvey’s bill would create a trust fund that would be used to expand Medicaid rolls in Missouri.

“I know that this board is very much in support of Medicaid expansion in Missouri,” Murray said. “This bill has more traction in our state Senate than anything else regarding Medicaid.”

Murray explained that public polling in the state also shows support of Medicaid expansion. Missouri is one of 22 states in the nation that has not expanded Medicaid coverage under the Affordable Care Act from 2010.

“This bill may not progress beyond the state Senate, but it has the basic components that would help TCMH provide care for patients in our area,” Murray said. Murray urged those present to express personal support for Senate Bill 419 with their representatives.

Murray noted that Kentucky has seen the numbers of uninsured patients drop over ten percent since the expansion of Medicaid in the state, and uncompensated care at Kentucky hospitals has dropped by 60 percent.

Murray has also asked the Missouri Hospital Association to let him know if any Congressional representatives in TCMH districts express any level of support for Medicaid expansion efforts.

“At least some of our state legislators are talking about this,” Murray said. “Anything will help.”

In the medical staff report, Dr. Jonathan Beers, chief of the TCMH medical staff, noted that medical staff members are excited to have Dr. Cory Offutt join TCMH in 2016 when he completes his residency.

“We hope there is continued recruiting success to help with the on call needs of the hospital,” Beers said.

The demands for a physician on call at the hospital vary according to the number of physicians on staff and the specialties of those physicians.

Joleen Senter Durham, director of physician recruiting at TCMH, noted that she continues to look for internal medicine and family medicine physicians to work in Houston and in Mountain Grove.

“Our communitys’ health needs continue to outweigh the number of providers we have available to meet those needs,” Durham explained, adding, “I am trying to leave no stone unturned in the search for additional providers.”

Durham is currently working closely with two physician assistants that are interested in full-time jobs with TCMH. A candidate is scheduled to visit on March 2nd, and the other candidate working with Durham to finalize a site visit date.

“We are very fortunate to have recruited Dr. Offutt to come to work at TCMH next year, and he and Samantha are very excited about finalizing their decision to come to our community,” Durham said.

In the January financial report, Linda Pamperien, chief financial officer at TCMH, reported increased revenues and inpatient volumes.

“We had 19 admissions to our swing bed program in January, and we’ve had 146 admissions year-to-date,” Pamperien said.

Increased expenses in a few departments and three payroll periods in the month of January left the hospital with a negative bottom line for the month and for 2015 of $13,310.25.

Present at the meeting were Todd-Willis; Murray; Beers; Durham; Pamperien; Dr. John Duff and board members, Omanez Fockler; Janet Wiseman; Dr. Jim Perry, OD; Mark Hampton and Russell Gaither.

The next meeting of the TCMH board of trustees is Thurs., March 24 at 12 p.m. in the hospital board room.


Dr. Cory Offutt Signs Contract with TCMH

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Texas County Memorial Hospital inked a three-year contract with Cory L. S. Offutt, MD, a family medicine physician and obstetrician.

Offutt is a second-year resident at the family medicine residency program at the University of Missouri in Kansas City, and he will join TCMH as a full-time employed physician in the summer of 2016 after his residency program ends. Offutt and his wife, Samantha, plan to relocate to Texas County next summer.

Dr. Offutt grew up in Lebanon, MO, and Samantha grew up in Harrison, AR. The Offutt’s sought a home in a smaller community in the Ozarks. Dr. Offutt wanted a place to practice medicine with inpatients and outpatients from birth to the end of life, including practicing obstetrics with surgical privileges.

“My wife, Samantha, and I are very excited to relocate to Texas County and to begin the next chapter in our lives,” Dr. Offutt said.

“Dr. and Mrs. Offutt are the type of people that would have been welcome at any hospital and community in the nation,” Wes Murray, chief executive officer at TCMH, said. “We are fortunate to have recruited a physician of Dr. Offutt’s caliber, and they will be a great asset in our community.”

Offutt will be based at the TCMH Medical Complex in Houston, but he also plans to provide an outreach clinic at the TCMH Mountain Grove Clinic where TCMH does not currently have a full-time physician.

“There is something special and rewarding about practicing full spectrum family medicine,” Dr. Offutt said, adding, “I have the opportunity to take care of pregnant moms, deliver their babies, and care for those babies as they grow older.”

“We are very pleased to be able to provide additional obstetrical services for patients in the Mountain Grove are and to provide a location that’s close to home for area patients to deliver their babies,” Murray said.

Currently Tracey Arwood, CNM provides obstetrical and women’s healthcare at the TCMH Mountain Grove Clinic and delivers her patients at TCMH.

“Signing Dr. Offutt to a contract is key to the hospital’s commitment to provide quality healthcare to patients throughout Texas County and the surrounding area,” Murray said.

The Offutt’s visited TCMH and the Houston and Mountain Grove communities in early January.

“After visiting, we came away with a strong sense of community and family that we have not felt anywhere else we visited, and that means more to us than anything,” Dr. Offutt said.

Dr. Cory Offutt has an undergraduate degree in cell and molecular biology from Missouri State University in Springfield. He attended medical school at the University Of Missouri Columbia School Of Medicine.

Samantha Offutt is pursuing a Master’s degree in graphic design. The Offutt’s plan to reside in Texas County.

Cory & Samantha Offutt

Cory & Samantha Offutt


Healthcare Foundation Awards Scholarships

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The Texas County Memorial Hospital Healthcare Foundation has awarded two $1,000 scholarships to area students to assist with their educational costs for the 2015 spring school semester.

Receiving $1,000 scholarships from the TCMH Healthcare Foundation were Nancy Hovelson of Rolla and Kerry York of Houston. The recipients were chosen among several applicants by members of the Healthcare Foundation board of directors.

Hovelson is pursuing an Associate of Applied Science in radiologic technology through Rolla Technical Institute and East Central College in Rolla. Hovelson is a student technologist in the TCMH radiology department.

York is pursuing a Bachelor of Science in nursing through Cox College in Springfield, MO. She is a registered nurse in the TCMH emergency department.

York has been a recipient of a TCMH Healthcare Foundation scholarship in the past. This is Hovelson’s first time to receive a scholarship from the Healthcare Foundation.

“Educational scholarships are a focus area of the TCMH Healthcare Foundation,” Jay Gentry, Healthcare Foundation director, said. He added, “Our board of directors believes in the importance of education for area students that are pursuing training in healthcare-related fields.”

The Healthcare Foundation awards educational scholarships for students pursuing additional higher education each spring and fall. This fall, the Healthcare Foundation will award endowed scholarship funds in addition to the Healthcare Foundation scholarships.

“The Foundation board of directors recognizes the growing need for healthcare providers in rural America,” Gentry stated. “It is the hope of the Foundation that these scholarships will assist in attracting and retaining qualified residents to work in the local healthcare fields.”

Complete scholarship information and the scholarship application is available online at www.tcmhfoundation.org.

The Texas County Memorial Hospital Healthcare Foundation gave two $1,000 scholarships to area students, Kerry York and Nancy Hovelson this week.  Shown at the presentation are: Jim Bukowsky and Donna Jones, Healthcare Foundation board members, York and Hovelson, Jay Gentry, Healthcare Foundation director, and Reese Bucher, Healthcare Foundation board member.

The Texas County Memorial Hospital Healthcare Foundation gave two $1,000 scholarships to area students, Kerry York and Nancy Hovelson this week. Shown at the presentation are: Jim Bukowsky and Donna Jones, Healthcare Foundation board members, York and Hovelson, Jay Gentry, Healthcare Foundation director, and Reese Bucher, Healthcare Foundation board member.


New Year Brings Recruiting Opportunities and Challenges at TCMH

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Texas County Memorial Hospital has hosted site visits for five healthcare providers and has executed two signed contracts with nurse practitioners, members of the hospital board of trustees heard at their monthly meeting on Tuesday.

“Last fall, we began working to add to our medical staff, and those efforts have continued to be very strong in the new year,” Joleen Senter Durham, TCMH director of physician recruiting, told board members.

Durham explained that since January 1st, TCMH has hosted site visits for five healthcare providers and visited the CoxHealth Family Medicine Residency in Springfield for recruiting efforts.

Holly Atterberry of Evening Shade and Sheena Painter of Houston, family nurse practitioner students, have signed contracts with TCMH, and will work for the hospital when their training is complete.

Atterberry will complete her training program in May, and she will work in the TCMH Medical Complex collaborating with Dr. Jonathan Beers, TCMH internal medicine physician.

“Holly is very sharp, efficient, and she knows our system well,” Beers said.

Atterberry has completed clinical training with Beers and other TCMH providers while in school. She is also a registered nurse in the hospital’s medical surgical department.

Beers explained that his office is already putting patients on a schedule for Atterberry, and he described the office staff as “excited” for her to join them.

Atterberry will see patients by appointment and also through the TCMH Walk In Clinic in Houston.

Painter has a year and half of nurse practitioner school to complete, and she wants to work at least part-time for TCMH when she completes her training.

TCMH is also actively seeking additional full-time physicians for the clinics in Houston and in Mountain Grove and for the hospital emergency department.

“Primary care physicians continue to be the hardest positions to fill, and less than two percent of physicians are willing and interested in practicing in a community with less than 50,000 people,” Durham said.

On January 9, Dr. Schaun Flaim and Dr. Gretchen Price, married internal medicine physicians, resigned from their positions at the TCMH Medical Complex, indicating that they are going to Cape Girardeau, MO to practice as hospitalists.

“Our positions at TCMH give physicians the opportunity to see hospital inpatients and to do hospital procedures as well as seeing patients and having a clinic practice,” Durham said, adding that hospitalist positions across the nation are hiring internal medicine and family medicine physicians that want to practice only in the hospital.

TCMH is currently in contract negotiations with a physician that would do a traditional inpatient and outpatient practice.

“We are hopeful that we will be able to make an official announcement very soon,” Durham said.

Three providers have met with TCMH regarding full-time practice opportunities at the TCMH Mountain Grove Clinic.

“Again, it seems very positive that we may have a full-time provider in the clinic very soon,” Durham said.

Currently Dr. William Wright, a family medicine physician, Tracey Arwood, CNM and Terry Bruno, FNP are seeing patients at the clinic one to two days week to provide full-time coverage at the clinic.

TCMH has a physician that has worked at TCMH in the past that is interested in a full-time emergency department position. There is a need for additional coverage in the ER due to currently employed full-time physicians cutting back their number of monthly shifts.

“We have recruited two excellent nurse practitioners, and it looks very positive that some of these other site visits will result in contracts, too,” Durham said.

Durham explained that student loan repayment opportunities through the National Health Service Corps continue to draw healthcare providers to look at employment with TCMH. Due to Texas and Wright County’s status as “medically underserved”, healthcare providers are able to receive loan repayment or forgiveness for hundreds of thousands in student loans by working full-time or part-time in a TCMH clinic.

“Almost all of our area healthcare providers have received student loan repayment or forgiveness, which is a great recruiting tool for us,” Durham said. “Unfortunately many providers leave TCMH after their loans are forgiven or repaid because they seek a different lifestyle or practice opportunity.”

Wes Murray, chief executive officer at TCMH, noted that the hospital recently completed a review by legal counsel of the standard physician contract.

“Our legal counsel had a couple of minor changes, but told us that the contract was ‘very strong’,” Murray said.

In the medical staff report, Beers noted that with the current physician changes, he has taken over the role of chief of the TCMH Medical Staff. Dr. Steve Hawkins serves as vice chief of staff, and Dr. Matthew Brown serves as secretary/treasurer of the medical staff.

“We have some committee leadership changes that will take place, but overall it’s a seamless transition,” Beers said.

Murray, Doretta Todd-Willis, chief nursing officer at TCMH, and Amanda Turpin, quality management director at TCMH, presented data showing 2015 hospital reimbursement adjustments based on data gathered from hospitals across the nation by Center for Medicare Services (CMS).

“CMS can penalize hospitals up to five and half percent for Medicare reimbursement, and hospitals have the opportunity to gain up to an additional two percent in reimbursement,” Turpin explained.

Data gathered by CMS has given TCMH a positive reimbursement of an additional 0.82 percent for Medicare patients.

According to Turpin, 3,559 hospitals in the US are affected and over half the hospitals in the nation and in the state will experience a negative financial impact from CMS in 2015 in Medicare reimbursement.

Twenty-one of the 79 Missouri hospitals and 794 hospitals in the nation will have a positive financial impact from CMS in 2015 in Medicare reimbursement.

“TCMH ranked second in the state and 132nd in the nation in the data points CMS looked at,” Turpin said.

Turpin explained that the CMS data is public information and the data has been part of recent local and national media stories.

“There is a consistent theme to our numbers,” Turpin said. “We rank at our above the state and national averages as shown on the website www.hospitalcompare.gov.”

TCMH will continue to manage patient expenses, patient experience and patient care so penalties from CMS will not be incurred at the hospital in future years.

“It’s nice to see a positive result for the hospital,” Murray said.

Because TCMH is a recipient of Federal Transportation Administration funds through the Missouri Department of Transportation, board members were asked to approve and sign a resolution of non-discrimination for providing non-emergency transportation through the TCMH Medivan service.

The board unanimously agreed to pass the resolution which formally identifies the Medivan’s operation for area patients regardless of race, color or national origin.

Janet Wiseman, member of the TCMH board of trustees, will not face an opponent in the April election for the TCMH board of trustees. TCMH board members agreed that a “public election” was not necessary since Wiseman was unopposed.

The board member position will not be listed on the April ballot which will save funds for the Texas County government.

Linda Pamperien, TCMH chief financial officer, presented the financial report for the month of December which showed a negative bottom line of $376,234.18.

“Our inpatient and outpatient volumes were right in line with our budgeted expectations,” Pamperien said. “Unfortunately we had six patients that made our contractual adjustments rise over 75 percent for the month.”

Pamperien explained that the patients were extremely ill and unable to be discharged, and TCMH continued to provide care for the patients although the reimbursement for care was much less than the cost of care.

“We are not able to ship patients on to other hospitals if we can care for them,” Pamperien said. “We did what was best for the patients, but it hurt us financially last month.”

TCMH will end the year with a negative bottom line of $1,141,477.28.

“My numbers are always a conservative projection,” Pamperien said. “I’m hopeful that our annual audit will create a positive number with the settlement of Medicare and Medicaid payments.”

Present at the meeting were Murray; Pamperien; Todd-Willis; Durham; Turpin; Beers, and board members Wiseman, Omanez Fockler, and Dr. Jim Perry, OD.

Board members, Mark Hampton and Russell Gaither, were not present at the meeting.

The next meeting of the TCMH board of trustees is Tue., Feb. 24th at 12 p.m. in the hospital board room.


Chapel Dedicated on Second Floor at TCMH

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The Volunteer Chaplains Association at Texas County Memorial Hospital recently gathered to dedicate a new chapel space for patients, visitors and employees at the hospital. The chapel is located on the medical surgical floor at TCMH. IMG_9099

Originally a consultation room on the medical surgical floor, the room was not being “utilized to its fullest extent”, according to Wes Murray, chief executive officer at TCMH.

“A private room for counseling can be beneficial on any hospital floor,” Murray said, “But with our private rooms, most physician and patient or family member consultation and counseling is done in the patient’s room.”

With the new construction, and the availability of space TCMH had a “great opportunity” to bring a chapel back into the hospital.

“It’s a place for spiritual reflection, but it can also be used as a place to hold private or family discussions when needed,” Murray explained.

In 2003, with the formation of the Volunteer Chaplain’s Association, Murray designated space for a “quiet room” near the emergency department. The chaplains were eager to bring a chapel back into the hospital after it was removed for renovation and construction in 2000.

“The chaplains had a desk in the quiet room, and it was set up as a place to counsel families with patients in the emergency room,” Murray said.

With the new construction completed in 2013, the emergency department has a larger room inside the department that is available for counseling when needed.

“Credit for this new chapel space goes to the Volunteer Chaplain’s Association,” Murray said. “They have been consistent over the past few years in requesting a designated chapel space.”

Murray explained that the Chaplain’s Association maintains a schedule, regularly providing clergy for hospital patients and family members when needed.

“They care a lot about meeting the spiritual needs of everyone that comes through our doors, and they are very encouraged to have a chapel back inside the hospital,” Murray said.

IMG_9100The chapel was designed and built by the TCMH maintenance department. They lined the rooms with wood panels. Stained glass is lit and placed in the panels on the walls. Furniture that was handcrafted for the original hospital chapel has been placed in the new space.

One large stained glass piece—a dove—was part of the original chapel. The other stained glass pieces—one large, two small in memory of Elmer and Jean Ellis—cam from the Freewill Baptist Church in Cabool. IMG_9104

Murray explained that the Ellis stained glass pieces were purchased with funds donated by Monkey Grip, the business that employed Elmer Ellis, to the Ellis family church.

“The church gave the stained glass panels back to the Ellis family after they removed the panels during a remodeling phase,” Murray said. The four Ellis daughters donated the stained glass panels to the hospital to be utilized in the new chapel space.

IMG_9108Two benches, a kneeling bench, a cross and candle holders made by Loi Leek, a Houston resident and former employee in the hospital’s maintenance department, made the chapel items in the early 1980’s. Leek also made a pulpit that was too large for the chapel space, but can be used elsewhere in the hospital.

According to Murray, the dove stained glass piece, the benches and other handmade items were placed in storage when the chapel was closed for the construction done at TCMH in 2000. The maintenance department refinished the furniture and placed it in the new space.

A large Bible was also in storage with the chapel furniture, and it has been placed on the kneeling bench in the chapel.IMG_9105

“Nobody seems to know the history of the Bible, but it appears to have been presented to the hospital by several businesses,” Murray said.

There is no date in the Bible, but the businesses listed inside the Bible are Progressive Federal Bank; Mr. Terry’s; Richards Brothers; Reese Oil; Houston Mill Inc., and Scheets Hardware.

“The quiet room served its purpose and was very good for the hospital for many years,” Murray said, adding, “But it’s good to bring a chapel, a designated space open to the public, back to this hospital.”

The TCMH Healthcare Foundation, the charitable arm of the hospital, is utilizing the new space for memorial and other donation recognition with brass naming plates on the wooden panels.

IMG_9109Jay Gentry, Healthcare Foundation director, explained that with a minimum $500 donation, a donor may designate a plate in the chapel space.

For additional information about donor recognition inside the TCMH chapel, contact Gentry at jgentry@tcmh.org or (417) 967-1377.

The chapel is located on the second floor of the medical surgical floor of the hospital, just off the main waiting room and North stairwell and elevator. It is open to the public.


Vlietstra Named Employee of the Month

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Texas County Memorial Hospital has named Evania Vlietstra the December employee of the month.

Vlietstra is a medical lab technician in the TCMH laboratory, and she has worked at TCMH for over two years. Vlietstra was nominated for the award by Kirby Holmes, laboratory director.

“Evania has quickly become a highly flexible and efficient team player in the short time she’s been at TCMH,” Holmes said. “Evania can be called upon to perform any task in our laboratory.”

Holmes noted that Vlietstra’s enthusiasm and positive attitude earned her a role as an independent night technician in the lab.

“Evania is frequently selected as the ‘go to tech’ for special assignments that must be done quickly and correctly the first time,” Holmes said.

As employee of the month, Vlietstra 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 Vlietstra.

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

Evania Vlietstra, TCMH December employee of the month, with her supersvisor, Kirby Holmes.

Evania Vlietstra, TCMH December employee of the month, with her supersvisor, Kirby Holmes.


First Baby of the Year Arrives

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It’s a boy!

Gunnar Jaxson Teller Green took the honors as the first baby born at Texas County Memorial Hospital in 2015, arriving at 4:18 p.m. on Friday, January 2nd.

Baby Gunnar is the son of Brittany and Rick Green of Licking, and he joins three older brothers and two older sisters in the Green home. Dr. Tricia Benoist, physician at the Mercy Clinic in Houston, delivered baby
Gunnar, and he was eight pounds, fifteen ounces and 21 and one-quarter inches long.

Reese Bucher, a representative of the TCMH Auxiliary, presented gifts and gift certificates to Gunnar and his parents after his birth. Businesses and individuals throughout the county donated the gifts.

The gift basket for the first baby born at TCMH is a project of the TCMH Auxiliary. Area businesses that were not able to participate in 2015, but would like to participate in 2016 should contact the TCMH Auxiliary at (417) 967-1370 or 1-866-967-3311.

Gunnar Green of Licking was the first baby born at Texas County Memorial Hospital in Houston this year.  Shown here with baby Gunnar are Wes Murray, chief executive officer at TCMH; Rick Green, father; Brittany Green, mother and holding Gunnar Green, and Reese Bucher of the TCMH Auxiliary.

Gunnar Green of Licking was the first baby born at Texas County Memorial Hospital in Houston this year. Shown here with baby Gunnar are Wes Murray, chief executive officer at TCMH; Rick Green, father; Brittany Green, mother and holding Gunnar Green, and Reese Bucher of the TCMH Auxiliary.


Hospital Board Approves 2015 Operating and Capital Budgets

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The Texas County Memorial Hospital board of trustees gave approval for the 2015 capital and operating budgets at their December monthly meeting on Monday.

Linda Pamperien, TCMH chief financial officer presented the budget data for the upcoming year.
The $752,176 capital budget is a slight increase from the 2014 capital budget and includes some of the funds needed to complete the surgery department connected to the new tornado safe room.

According to Pamperien, “big ticket” items in the 2014 capital budget are a new ambulance for $100,655; a cardiac rehabilitation telemetry monitoring system for $41,820; two blood gas machines with a computer and related interface for $34,630; a $23,469 monitor and defibrillator for the emergency department, and an obstetrics department ultrasound machine for $20,000.

Through in-house work and bid collection for the various components needed to complete the in-fill of the surgery department shell, TCMH projects $740,000 is needed to complete the interior portion of the new surgery department.

“We plan to use donations to complete some of the work in the department,” Pamperien said, “And we have budgeted $135,000 in our capital budget this year to put toward some of the work we need to complete in the department.”

Board members also approved the 2015 operating budget that projects gross operating revenue of $69,163,906 and net operating revenue of $30,359.

TCMH anticipates an increase in hospital expenses such as utility and food costs. The operating budget does not project growth in inpatient, outpatient or emergency room volumes.

“We will most likely see an increase in our contractual adjustments in 2015,” Pamperien said. The contractual adjustment is the difference between the hospital charge and the portion of the charge covered by insurance.

The state legislature’s inaction regarding Medicaid expansion continues to negatively affect TCMH.

“We continue to operate very lean,” Pamperien said. “But we are more fortunate than many other facilities. Our accounts receivable and cash flow are very good.”

According to a new report compiled by the Missouri Hospital Association (MHA) from hospital data available through the Center for Medicare Services (CMS) and other nationally recognized sources, TCMH continues to be a leader in the delivery of care to patients.

“In overall delivery of timely and effective care, TCMH scored 97.54 percent,” Wes Murray, chief executive officer at TCMH, reported.

According to Murray, the TCMH quality scores are at or above scores for other area hospitals in most measures.

“Hospital data consistently shows that TCMH offers very good care to our patients,” Murray said.

Murray pointed out that the data has not changed dramatically with the addition of the new patient care areas.

“The data shows that we are consistently providing high quality care, and that speaks volumes about the physicians, nurses and healthcare providers that work at TCMH,” Murray said.

Murray noted that many people in the community are not aware of where TCMH ranks when compared to other Missouri hospitals.

“We’re not perfect, and there’s still room for improvement,” Murray said, “But I’m very proud of the efforts by our staff to continuously provide high quality hospital care.”

Additional information about hospital quality, hospital investment in the community it serves, healthcare costs and preventable hospitalizations is available at the MHA website http://focusonhospitals.com. Resources, reports and comparison data are available to the public at the website.

Doretta Todd-Willis, TCMH chief nursing officer, reported to board members that TCMH is pursuing designation as a Level IV STEMI (ST segment elevated myocardial infarction) facility.

“The STEMI designation will allow emergency medical services to bring any patient with symptoms of a heart attack to TCMH where we can proceed with protocols and begin medical treatment to prevent cardiac muscle damage,” Todd-Willis explained.

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

“We have had chest pain and heart attack protocols in place for several years,” Willis said, “The designation will include focusing on community education, data collection and submission and patient follow up.”

Board members unanimously agreed to support the application for a Level IV STEMI designation at TCMH.

The hospital continues recruiting efforts for an additional full-time family medicine and obstetrics physician, according to Joleen Senter Durham, director of physician recruiting at TCMH.

“I am currently reaching out to several physicians in residencies that are looking for a hospital to practice family medicine and obstetrics,” Durham said.

TCMH plans to base the physician out of the TCMH Medical Complex in Houston offering a satellite clinic in Mountain Grove.

“We have restructured the services we provide in Mountain Gove,” Durham said.

William Wright, MD is currently seeing patients in Mountain Grove. Wright has been providing family medicine care in Texas County since 2002.

Tracey Arwood, CNM is also providing women’s health and obstetrical care in Mountain Grove.

The search for an additional mid-level provider for the Mountain Grove clinic is also underway.

“We have lots of patients to be seen, and we hope that by basing an additional physician in Houston, he or she will find an obstetrical practice opportunity at TCMH to be more enticing,” Durham said.

Eight hundred ninety-one patients visited the TCMH emergency department in November which subsequently affected inpatient and outpatient volumes at the hospital.

“The emergency room is the driving force behind hospital inpatient admissions,” Pamperien said in her financial report. The TCMH emergency room averages 1,000 patient visits each month.

The TCMH emergency medical services department also reported an 11 percent drop in ambulance runs during the month—shared by all four of the department’s bases.

“There is nothing we can pinpoint for the drop in emergency volumes, but it did negatively affect our overall revenues for the month,” Pamperien said.

TCMH had a negative bottom line of $191,111.39 for the month of November and a negative year to date balance of $765,243.10.

Present at the meeting were Murray; Pamperien; Todd-Willis; Durham; Dr. Shaun Flaim, chief of staff; and board members Omanez Fockler; Janet Wiseman; Mark Hampton, and Russell Gaither.

Board member, Dr. Jim Perry, OD, was not present at the meeting.
The next meeting of the TCMH board of trustees is Tue., Jan. 27th at 12 p.m. in the hospital board room.


TCMH Holds Annual Employee Celebration

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IMG_9195Texas County Memorial Hospital gave out top employee awards and honored 42 employees with service awards at the Thirty-Second Annual Celebration of TCMH Employees on Friday, December 12 at Faith Fellowship Church in Houston. In attendance were approximately 100 employees, many with guests, for a total attendance of about 200 people.

Stuart Mitchell is shown here with Linda Pamperien, TCMH CFO; Wes Murray, TCMH CEO, and Doretta Todd-Willis, TCMH CNO.

Stuart Mitchell is shown here with Linda Pamperien, TCMH CFO; Wes Murray, TCMH CEO, and Doretta Todd-Willis, TCMH CNO.

Stuart Mitchell of Mountain Grove and Cathy Stilley of Willow Springs took top honors as co-managers of the year at TCMH for 2014.

Mitchell, an employee at TCMH since 2008, is the director of the information systems department at the hospital.

“Stuart could have received this award several times over the past few years,” Wes Murray, chief executive officer at TCMH, said, explaining that Mitchell and his department have taken on electronic medical records upgrades and federal EMR requirements and new construction and renovation of departments in addition to the day-to-day aspects of the department.

Murray described Mitchell’s role at TCMH as “the perfect fit”.

“Stuart is a true manager with a great depth of knowledge and high standards and expectations for himself and his department,” Murray said.

Murray noted that TCMH is the envy of other rural hospitals because of the advanced technology implemented and available at the hospital and the small number of information system staff members that keep the department running smoothly.

“Our IS department is very efficient,” Murray said. “Stuart runs a model department, and he and his team have the respect of everyone in the hospital.”

Stilley has been the clinic coordinator for Dr. Steve Hawkins in Cabool since 1993, and when the clinic became the TCMH Cabool Medical Clinic in 2005, Stilley retained the clinic manager position as an employee of TCMH.

“Cathy’s clinic is a well-run machine,” Murray said.

Cathy Stilley is shown here with Anita Kuhn, TCMH controller and Dr. Steve Hawkins.

Cathy Stilley is shown here with Anita Kuhn, TCMH controller and Dr. Steve Hawkins.

Murray described “systematic operations” going on behind the scenes at the clinic.

“I hold Cathy responsible for having the systems in place that keep the clinic running smoothly every day,” Murray said. “I am confident daily that things went well at the Cabool clinic without even speaking to someone there.”

Murray noted that Stilley has worked closely with Hawkins for many years, and when Hawkins and the clinic became part of TCMH, Stilley had “complete buy-in”.

“Cathy never misses an opportunity to relay hospital information to her staff, and she represents TCMH well to everyone that she has contact with,” Murray said.

Carol Tuner is shown here with Linda Pamperien, TCMH CFO; Wes Murray, TCMH CEO and Doretta Todd-Willis, TCMH CNO.

Carol Tuner is shown here with Linda Pamperien, TCMH CFO; Wes Murray, TCMH CEO and Doretta Todd-Willis, TCMH CNO.

Carol Turner of Success received the employee of the year honor.

Employee of the year is limited to the individuals who have received the honor of employee of the month since the 2013 employee awards ceremony. All employees are allowed to vote for employee of the year by choosing one employee of the month in a secret ballot vote.

Turner is a registered nurse in the emergency department at TCMH, and she has worked at the hospital since 1991. Turner won employee of the month honors at TCMH in December, and it was the second time she received the employee of the month honor during her employment at TCMH. Doctors, nurses, patients, visitors and other departmental staff members all interact with Turner in her role as an emergency department nurse.

“Carol is a great asset to TCMH because she is willing to work whenever or wherever she is needed,” Doretta Todd-Willis, TCMH chief nursing officer, said.

Todd-Willis explained that in addition to her position as an RN in the emergency department Turner has also helped out in the medical surgical and intensive care departments as well as serving as house supervisor when needed.

“Carol has excellent nursing skills and provides exceptional patient care,” Todd-Willis said.

Murray noted that Turner is “quiet natured” but “her skills speak for themselves.

“Anyone that talks about Carol describes her as ‘one of the best’,” Murray said.

Todd-Willis commended Turner’s calm demeanor under pressure, her organization, knowledge and love of nursing.

“Everyone that has worked beside Carol has great respect for her as a person and as a nurse,” Todd-Willis said. “I am honored to work with her at TCMH.”

The managers of the year and the employee of the year were honored with an engraved plaque, $500 cash, a pin and a day of paid time off.

The TCMH Customer Quality Team honored two employees that exemplified excellent customer service in the hospital organization in 2014. Shannon Bridges, a technologist in the radiology department, and Barb Wade, a technologist in the laboratory, were chosen to receive the honor.

Shannon Bridges  won a customer service award at the event.

Shannon Bridges won a customer service award at the event.

Bridges and Wade were each awarded a plaque for their efforts and given a cash award.

The Customer Quality Team also recognized the TCMH pharmacy as “Customer Service Department of the Year”.

The pharmacy consistently provided excellent customer service to all departments within the hospital, while continuing to try to improve the quality of the service provided by the department. The Customer Quality Team noted that the pharmacist allows the staff in the department to do whatever is needed to help other departments when issues arise.

The department will receive a special meal in their honor.

Murray and Omanez Fockler, chairperson of the TCMH board of trustees, recognized employees with service awards. Recognized for five years of service were: Holly Atterberry, Shelly Beck, Michelle Bopp, Ray Bruno, Jeff Burress, Paige Crump, Amber Harrison, Cathy Hickcox, Bobby Holt, Dorothy Perkins, Dieu Phillips, Kathrina Pinay, Joyce Rodr, Cody Sells, Brittany Trentham and Randy Vonallmen.

Recognized for 10 years of service were: Connie Brooks, Jay Glover, Michelle Jackson, Amy Jordan, Stephanie Lake, Robin McLarning, Terri Moncrief, Lisa Palmer, Sheena Painter, Sonya White, Eric Wilson and Sam Wilson, Jr..

Recognized for 15 years of service were: Angela Cox, Nancy Fisher, Mary Jungbluth, Anita Kuhn, Kim Montgomery, Charlotte Neal, Ann Hamilton, Donna Sanders, Lea Ann Stein, and Kristy Weaver.

Kim Herndon, Perry Hulvey, Peggy Snow, Sandy Walker and Harry Willis were recognized for 20 years of service.

Reggie Cole, Cathy Maxwell, Shelia Schafer, Sharon Spurgeon and Barb Wade were recognized for 35 years of service.

TCMH also gave out prizes to hospital employees that had volunteered at hospital events throughout the year.


Thomas Named Employee of the Month

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Texas County Memorial Hospital has named Krista Thomas of Houston the November employee of the month.

Thomas is a tech in the TCMH pharmacy, and she has worked at TCMH for over four years. Thomas was nominated for the award by Jennifer Jordan, TCMH nurse manager in the pharmacy.

“You never have to ask Krista to assist when help is needed at TCMH,” Jordan said. “Krista steps up and helps whenever she sees a need.”

Thomas was recognized for exemplary help she recently provided to the obstetrics department during an emergency situation.

“There are no words to describe Krista’s involvement for the emergency Caesarean-section in the OB department, Angela Raymond, obstetrics department director said. “Krista’s assistance was invaluable to our unit.”

As employee of the month, Thomas received a certificate honoring her achievement; a pin; $100 cash; a special parking place in the TCMH lot; one day of paid vacation; a membership in the TCMH Fitness Center; 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 Thomas.

This is the second time Thomas has received the employee of the month award. Thomas was the August 2011 employee of the month at TCMH.

Thomas is eligible for the 2014 TCMH employee of the year award.

Krista Thomas, center, with her supervisors, David Phipps, pharmacist, and Jennifer Jordan, pharmacy nurse manager.

Krista Thomas, center, with her supervisors, David Phipps, pharmacist, and Jennifer Jordan, pharmacy nurse manager.


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