Texas County Memorial Hospital Supports American Heart MonthFebruary 22, 2019
Tracey Stewart is February Employee of the MonthMarch 8, 2019
Texas County Memorial Hospital closed out the month of January with overall increased revenues, board members heard at their monthly meeting on Tuesday.
Linda Pamperien, TCMH chief financial officer, presented a positive outlook for the New Year despite the financial setbacks the hospital faced late last year.
“Our overall revenues were up $417,264, inpatient volumes were up $266,587 and outpatient volumes were up $117,983 from our budgeted expectations,” Pamperien said.
Despite the increased revenues in January, Pamperien reported that inpatient admissions for the month were down by 49 compared to one year ago.
Pamperien explained that several departments helped the hospital maintain positive revenues in January due to their increased volumes. Some of those departments included Hospice of Care, emergency department, laboratory, emergency medical services and occupational therapy.
According to Pamperien’s financial report, overall expenses for the month of January were down $117,983 compared to budgeted expectations.
“Overall, our staff did a great job of managing their expenses with the increased volumes that occurred in January,” Pamperien said. “Their ability to keep our expenses under budget for the month helped immensely, and is a great way to start off 2019.”
TCMH ended the month of January and year-to-date with a positive bottom line of $96,117.
Amanda Turpin, quality management director at TCMH, reported that validation was recently completed on infection control reports for the hospital.
“I am happy to report that TCMH passed on all four quarters that were reviewed,” Turpin said.
Turpin mentioned that CMS [Centers for Medicare Services] performs validations on hospital infection control reports on a routine basis, adding that reimbursement rates are at risk if hospitals do not receive passing scores.
According to Turpin, TCMH has always performed well and she did not anticipate anything different with the most recent validation that occurred.
Turpin explained that the infection control department at TCMH has been managed since 2014 by Jenny Sawyer, a registered nurse and a 14-year employee of the hospital.
“Jenny is very organized and does a great job with every aspect of infection control reporting for the hospital,” Turpin said. “I truly appreciate the great work she does for us on a daily basis.”
Wes Murray, TCMH chief executive officer, shared a letter he received from Barbara Warner, MD, MSc, director, Division of Newborn Medicine & co-director, Fetal Care Center at Washington University School of Medicine in Saint Louis.
The letter Warner wrote to Murray commended the clinical skills, calm demeanor and professional team approach of the staff at TCMH who were involved in a recent patient transfer.
Warner shared that the staff were quick to recognize the patient had a problem, diagnose them and successfully stabilize the patient while waiting for the transport team to arrive.
“We are so appreciative of the fact that Dr. Warner took the time to write that letter and acknowledge the great care our staff provided,” Murray said. “I plan to write back to her just to share how much that letter meant to me and our staff.”
Murray mentioned to the board members that there have been some ongoing issues with CPSI, the new EMR (electronic medical record) for the clinics.
“The issues with the new EMR have created some inefficiencies for the clinic providers to have to work around,” Murray said. “Leadership from CPSI has been on campus routinely since our new EMR implementation last fall, and they are doing everything they can to help us correct the issues for the providers.”
Murray mentioned that a key stakeholder in “doing whatever it takes” to get the new EMR working properly for the providers has been Pamperien.
“Linda has done a tremendous job keeping CPSI on task throughout the transition,” Murray said. “She has been relentless in her efforts to help work through every hiccup along the way.”
Murray mentioned to the board members that MHA (Missouri Hospital Association) recently shed light on an article discussing the sustainability of rural hospitals across the United States.
“Missouri has 61 rural hospitals and 14 of them are considered to be at high financial risk. There are a total of 430 rural hospitals across our nation that are considered to be at high financial risk. Since 2010, 95 rural hospitals across the United States have been forced to close their doors,” Murray explained.
According to Murray, rural hospitals in general are at some financial risk and TCMH is not any different.
“Despite the risks we take on as operating as a rural hospital, we provide high quality care that our community appreciates and relies heavily upon,” Murray said. “It is because of those high standards that we have been and continue to be, an essential part of this community.”
Murray noted that it is important for the hospital board members as well as the community to have a solid understanding of the uncertain times that small rural hospitals face today.
“Luckily, our cash-on-hand is in a good place right now, but our neighboring rural hospitals in the states around us haven’t weathered the storms as well,” Murray said. “Our hospital is still growing and we work hard every day to keep heading in that direction.”
Murray explained that the mission of TCMH is to be able to continue to offer great care in Texas County for many more years to come.
Present at the meeting were Murray; Pamperien; Turpin; Doretta Todd-Willis, chief nursing officer; Dr. Jonathan Beers, DO, chief of staff; Rachel Davis, director of public relations; board members, Jim Perry, OD; Omanez Fockler; Janet Wiseman; Jay Loveland and guest, William Mahoney, CoxHealth Representative.
Board member, Mark Hampton, was not present at the meeting.
The next meeting of the TCMH board of trustees is Tuesday, March 26 at 12 p.m. in the hospital board room.