Paris, Tenn. – Henry County Medical Center Board of Trustees began their meeting Thursday night with a special presentation via Zoom by Amanda Finley, Hospitalist and Medical Student Director as well as Jeffrey Leboe with Lincoln Memorial University to discuss the residency program.
“Our goal tonight is to discuss if we would like to move forward with this program,” said CEO of the hospital Lisa Casteel.
“The support of this organization to move forward during this difficult time is huge and needs to be applauded,” said Dr. Finley. “It is amazing how much we have accomplished over the last two years with the addition of physicians like Dr. Carruth and Dr. Gibson and the building of the Cardiac Cath Lab.”
One of eight in the country to be awarded a rural residency development grant from HRSA, and one of two internal medicine programs, Dr. Finley discussed the importance of building the resource in our community and the opportunities we have to establish the program and receive accreditation.
“We have almost $750,000 to reach accreditation for our program and develop it over the next three years,” said Dr. Finley.
Currently HCMC has third and fourth year medical students doing clinicals in the hospital. They haven’t decided yet what specialty they want to pursue, but at the end, they will decide and HCMC hopes by 2023 it can offer the internal medicine specialty.
“It is an incredible opportunity to be a sponsoring institution because it can change the medical care in our community and region,” said Dr. Finley.
Dr. Finley discussed the business pro forma for 10 years and what will be required to be able to meet the needs of the grant and the program. HCMC currently have the staff needed to meet the needs of this program. With this, the grant and Medicare reimbursement, the cost for the sponsoring organization will be around a $23,000 subsidy for the first year, with the program self –sustaining the following years.
“Second and third year residents are licensed physicians, which will provide reimbursement to the organization,” said Leboe. “There will be quite a bit of savings to the organization and increased patient care and satisfaction.”
The Board of Trustees voted to accept the HRSA grant for the residency program and move forward in support of being the sponsoring organization.
In her administrative comments, Casteel discussed the grant report. HCHC received some additional money, making the total grants received by the organization at $14.5 million. Additionally, we still have the $11.4 million in advanced Medicare/Medicaid payments that will need to be paid back, but has been extended until next year. Casteel reported on new information about the HHS grants, the largest part of the funds we have received. We were told initially these funds should be applied to lost revenues, but we are now being told this is not the case. The new rules are being reviewed by our auditors to determine how this will impact our organization’s financial statements, with a report forthcoming.
Today in our community, the COVID-19 patient threshold has dropped from 7.6 to 5.6 over the last 14 days. Many communities are seeing a downward trend in COVID-19 patients.
Service Awards were held yesterday with a Facebook Live and video premiere presentation. Eighty eight partners were recognized with 1,075 years of service, with 35 and 40 year employees recognized as well.
HCMC has hired a new Chief Financial Officer, Brad Bloemer. He recently served as CFO at Murray-Calloway County Hospital as well as a hospital in Arkansas. He will be joining us in November.
Attorney Shon Johnson brought forward unfinished business about the sale of property on Tyson Avenue, with some clarifying language to allow for closing of the property
Billie McKee, Chief Human Resources Officer, reviewed the risk management report for the organization. There have been no sentinel events at HCMC this past year. Currently, there are six trial cases from 2016 that are in process. Additionally, two recent filings against the hospital are in the discovery phase. Insurance renewals were also discussed.
Kreg Kyle was re-recognized for his appointed term along with a re-appointment of James Travis. This will be brought back to the Henry County Commission for approval at their next meeting.
Neely Ashby, Chief Nursing Officer, provided the quality report to the board. The current Star Rating is a Three Star Rating, and the hospital continues good quality scores.
“With no visitation during this time period, it was hard to receive high scores on discharge planning and care transitions,” said Ashby. “So beginning Sept. 1, we have started two new programs to help with these issues, Ask Me 3 and the Discharge Preparation Checklist.”
Ask Me 3 is basically three questions that staff are encouraging patients to ask every time someone caring for them comes in the room. These questions are hanging on the walls of patient rooms as reminders for the patients and their families. Also, case management is making phone calls to patients after discharge ensure they have everything they need at home to continue to heal.
Ashby also reviewed the patient safety outcomes, which are outstanding year-to-date.
“Our front line staff has done an excellent job during very difficult times,” said Ashby.
Photo: Neely Ashby, Chief Nursing Officer, as she presented the quality report for the organization at the HCMC Board of Trustees meeting.