Statistics Edition
ARKANSAS
HOSPITALS Summer 2019
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HELPING BUILD A HEALTHIER ARKANSAS. Clark Contractors is proud to be a part of creating the healthcare infrastructure essential to the well-being of our state and our people. We thank you for your confidence and look forward to continuing our efforts to build a healthier Arkansas.
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10 20
The Case for a “Living Hospital”
Minimizing “Otherness” through Design
15
Data Informs Design
26
The Intersection of Compassion and Design
IN EVERY ISSUE
Arkansas Hospitals is published by The Arkansas Hospital Association
| Little Rock, AR 72205
5
President’s Message
419 Natural Resources Drive
6
Event Calendar
7
Editor’s Letter
8
All About Hospitals
Elisa M. White, Editor in Chief Nancy Robertson, Senior Editor & Contributing Writer Ashley Gill, Associate Editor Jamie Barrett, Graphic Designer
9
Newsmakers
BOARD OF DIRECTORS:
Darren Caldwell, Jonesboro/Chairman Chris Barber, Jonesboro/Chairman-Elect Peggy Abbott, Camden/Treasurer Doug Weeks, Little Rock/Past-Chairman Greg Crain, Little Rock Barry Davis, Paragould David Deaton, Clinton Ryan Gehrig, Fort Smith Phil Gilmore, Crossett Suzanne Hackney, Jonesboro Vince Leist, Harrison James Magee, Piggott Mike McCoy, Danville Gary Paxson, Batesville Ron Peterson, Mountain Home Rob Robinson, El Dorado Larry Shackelford, Fayetteville Brian Thomas, Pine Bluff Debra Wright, Nashville
59 Hospital Hero
SPECIAL FOCUS: THE BUILT ENVIRONMENT 24 Efficiency Meets Innovation 30 Living Deep 49 Florence Nightingale 56 The Future of Neuroscience 62 Coach’s Playbook: Healing Spaces
52 Housekeeping Challenges 53 Stroke Care Performance 61 The RAPTOR Consortium 65 Focus on Quality 68 Hospitality and Health Care 70 Allies in Health Care 72 Profile: Alicia Kunert 76 AHA Services Presents 79 Be Well Arkansas Page
33
Hospital Statistics 2019
Cover art: Mobile sculpture at White River Medical Center in Batesville hangs 40 feet long and 17 feet wide, spanning a four-floor atrium.
CONTENTS
NEWS
EXECUTIVE TEAM:
Robert “Bo” Ryall / President and CEO Jodiane Tritt / Executive Vice President Tina Creel / President of AHA Services, Inc. Elisa M. White / Vice President and General Counsel Pam Brown / Vice President of Quality and Patient Safety Lyndsey Dumas / Vice President of Education
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PRESIDENT’S Message
Hospital Statistics 2019
ARKANSAS HOSPITAL ASSOCIATION
EDITOR ’S
Letter
ARKANSAS HOSPITAL ASSOCIATION 89TH ANNUAL MEETING & TRADE SHOW OCTOBER 2-4, 2019 LITTLE ROCK MARRIOTT & STATEHOUSE CONVENTION CENTER ARKANSAS HOSPITAL ASSOCIATION
8 . SUMMER 2019
89 TH ANNUAL MEETING & TRADE SHOW
SAVE THE DATE! REGISTRATION OPENS AUGUST 1 ARKANSAS HOSPITALS MAGAZINE . 9
ARKANSAS HOSPITALS MAGAZINE . 13
THANK YOU
•
!
FEARLESS •
•
FEARLESS •
1 in 5 Arkansans struggle with hunger every day. Arkansas ranks second in food insecurity. Arkansas is No. 6 in senior hunger nationally.
100,000 200,000 300,000 400,000 Meals Packed
Meals Packed
Meals Packed
Meals Packed
…to those who we worked alongside in communities throughout the state to pack more than 1.1 million meals in the Fearless Food Fight to support local food shelters helping our neighbors in need. You helped us exceed a goal of 700,000 500,000 600,000 700,000 Meals Packed Meals Packed Meals Packed meals in celebration of our 70th anniversary. And to the thousands of doctors, nurses, therapists, pharmacists, counselors, hospitals, medical suppliers and many other healthcare providers who have cared for our members and their families for seven decades, thank you! You play a critical role in ensuring our members receive quality, compassionate care during some of their most vulnerable moments in life. As a not-for-profit, mutual insurance company, our commitment to investing in Arkansas, its people and its healthcare delivery system began in December 1948 and will continue.
LIVE FEARLESS
MPI 7882 11/18
Our work is not done, but by facing the future together, we can keep our great state strong.
CDC OFFERS
FREE MEASLES COMMUNICATION
TOOLKIT
Measles cases in the U.S. hit 1,001 in early June, according to the Centers for Disease Control and Prevention (CDC). Measles was declared eliminated in the U.S. in 2000, but the nation could lose that status if the outbreaks continue, CDC says. Most of 2019’s cases involve children who have not been vaccinated. A toolkit to help health care providers talk with parents about measles and the measles vaccine, is now available from CDC. The kit includes guidance for talking with parents about vaccines, tips for preparing for questions parents may ask about vaccines, and vaccine safety fact sheets for medical staff, including “Understanding Thimerosal, Mercury, and Vaccine Safety.” Also included in the kit are resources for providers to share with parents. These include parent-friendly immunization schedules for children ages 0-6, fact sheets on infant immunization, the risks of non-vaccination, and how parents can prepare for less stressful shot visits. Infographics include: “Six Reasons to Follow CDC’s Immunization Schedule,” and “Measles: It Isn’t Just a Little Rash.”
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Posters for office display are also included in the kit. To download the entire kit or selected resources, go to cdc.gov/measles/toolkit.
NEWS
STAT ARKANSAS HOSPITALS MAGAZINE . 23
Efficiency Meets
Innovation:
a Case Study from Nabholz
24 . SUMMER 2019
FIGURE 1. DESIGNING FOR GENERAL HEALTH VS. DESIGNING FOR BEHAVIORAL HEALTH DESIGN FACTOR
GENERAL HEALTH
BEHAVIORAL HEALTH
> Primary treatment focus
Treat medical condition
Treat mental illness while keeping the patient safe from self-harm and protecting other patients and staff
> Treatment location
Primarily in patient rooms
In interview rooms, group rooms, and activity rooms
> Family visit location
In patient rooms
In common areas or interview rooms
> Patient’s location
In room most of the time
Encouraged NOT to be in patient room except at night and during rest periods
> Access to unit
Largely unrestricted
Highly restricted
> Ability to observe corridors and common areas
Relatively unimportant
Highly important
> Direction of door swing
Relatively unimportant
Critically important to resist barricading
> Staff workflow
Organized around path from service core to patient rooms
More circular path around various dayrooms with far less traffic to patient rooms during daytime hours
> Medical equipment in patient rooms
High concentration of medical equipment (medical gases, monitors and cables, sharps containers, IV poles and tubing)
No medical equipment (medical equipment can present risk to the patient)
> Nurse call system
In use
None
> Ligature points
Numerous
Ligature-resistant lavatories, faucets, grab bars, door handles, door hinges, light fixtures, furniture, windows
> Furniture
Can be moved
Must be secured in place
> HVAC systems, grilles, light fixtures
Standard
Must be vandal-resistant
> Windows and mirrors
Standard
Must be shatter-resistant
> Telephones, TVs
In rooms
None in rooms
SOURCE: BEHAVIORAL HEALTH FACILITY CONSULTING, LLC
30 . SUMMER 2019
ARKANSAS HOSPITALS MAGAZINE . 31
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Hospital Statistics 2019
ARKANSAS HOSPITAL ASSOCIATION
ARK ANSAS HOSPITAL S 2019 BY THE NUMBERS
34 . STATS | SUMMER 2019
IN-STATE HOSPITAL MEMBERS
97
GENERAL MEDICAL-SURGICAL HOSPITALS
44
INPATIENT PSYCHIATRIC FACILITIES
11
CRITICAL ACCESS HOSPITALS
28
INPATIENT REHABILITATION FACILITIES
4
VETERANS AFFAIRS HOSPITALS
2
LONG-TERM CARE HOSPITALS
5
SPECIAL-FOCUS HOSPITALS
3
OUT-OF-STATE BORDER CITY HOSPITALS
2
NON-HOSPITAL MEMBERS
3
TOTAL AHA MEMBERS
102
ANNUAL ECONOMIC IMPAC T OF ARK ANSAS HOSPITAL S
ARKANSAS HOSPITALS MAGAZINE . 35
AHA MEMBERS BY CIT Y, T YPE, SIZE AND SERVICES CITY
HOSPITAL
TYPE OF HOSPITAL
LICENSED BEDS
ARKADELPHIA
BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA
MEDICAL-SURGICAL
25
ASHDOWN
LITTLE RIVER MEDICAL CENTER
MEDICAL-SURGICAL
25
BARLING
VALLEY BEHAVIORAL HEALTH SYSTEM
PSYCHIATRIC
114
BATESVILLE
WHITE RIVER HEALTH SYSTEM
MEDICAL-SURGICAL
210
BENTON
RIVENDELL BEHAVIORAL HEALTH SERVICES
PSYCHIATRIC
80
TRAUMA SYSTEM LEVEL IV
ADDITIONAL SERVICE LINES SB/HH/OB/HOSP SB/HH/IMF
LEVEL III
SNF/PSYCH/REHAB/OB/PALL
BENTON
SALINE MEMORIAL HOSPITAL
MEDICAL-SURGICAL
177
LEVEL III
PSYCH/REHAB/HH/OB/HOSP
BENTONVILLE
NORTHWEST MEDICAL CENTER BENTONVILLE
MEDICAL-SURGICAL
128
LEVEL III
HH
BERRYVILLE
MERCY HOSPITAL BERRYVILLE
MEDICAL-SURGICAL
25
BLYTHEVILLE
GREAT RIVER MEDICAL CENTER
MEDICAL-SURGICAL
99
LEVEL IV
OB
SB/HH/PALL/HOSP LEVEL IV
SB/HH/PALL/HOSP
BOONEVILLE
MERCY HOSPITAL BOONEVILLE
MEDICAL-SURGICAL
25
CALICO ROCK
IZARD COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
25
CAMDEN
OUACHITA COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
98
LEVEL IV
SB/SNF/PSYCH/REHAB/HH/OB/HOSP
CLARKSVILLE
JOHNSON REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
90
LEVEL IV
SB/SNF/PSYCH/REHAB/HH/OB
CLINTON
OZARK HEALTH MEDICAL CENTER
MEDICAL-SURGICAL
25
SB/HH/IMF
CONWAY
BAPTIST HEALTH MEDICAL CENTER-CONWAY
MEDICAL-SURGICAL
111
OB
CONWAY
CONWAY BEHAVIORAL HEALTH
PSYCHIATRIC
80
CONWAY
CONWAY REGIONAL HEALTH SYSTEM
MEDICAL-SURGICAL
150
CONWAY
CONWAY REGIONAL REHABILITATION HOSPITAL
REHABILITATION
26
SB/HH
LEVEL III
PSYCH/REHAB/HH/OB/PALL
CROSSETT
ASHLEY COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
33
LEVEL IV
SB/PSYCH/HH/OB
DANVILLE
CHAMBERS MEMORIAL HOSPITAL
MEDICAL-SURGICAL
41
LEVEL IV
SB/HH
LEVEL IV
SB/PSYCH/HH
DARDANELLE
DARDANELLE REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
35
DEWITT
DEWITT HOSPITAL & NURSING HOME
MEDICAL-SURGICAL
85
DUMAS
DELTA MEMORIAL HOSPITAL
MEDICAL-SURGICAL
25
EL DORADO
MEDICAL CENTER OF SOUTH ARKANSAS
MEDICAL-SURGICAL
166
LEVEL III
REHAB/OB
LEVEL IV
SB/HH
LEVEL II
HH/OB/PALL/HOSP
EUREKA SPRINGS
EUREKA SPRINGS HOSPITAL
MEDICAL-SURGICAL
15
FAYETTEVILLE
ENCOMPASS HEALTH REHABILITATION HOSPITAL
REHABILITATION
80
FAYETTEVILLE
NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL
MEDICAL-SURGICAL
20
FAYETTEVILLE
SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL
PSYCHIATRIC
80
FAYETTEVILLE
VANTAGE POINT OF NWA
PSYCHIATRIC
114
FAYETTEVILLE
VETERANS HEALTHCARE SYSTEM OF THE OZARKS
VETERANS ADMIN.
73
FAYETTEVILLE
WASHINGTON REGIONAL MEDICAL SYSTEM
MEDICAL-SURGICAL
425
SB/IMF HH/SB
PSYCH
FORDYCE
DALLAS COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
FORREST CITY
FORREST CITY MEDICAL CENTER
MEDICAL-SURGICAL
118
LEVEL IV
PSYCH/HH/OB
LEVEL III
HH/OB
FORT SMITH
BAPTIST HEALTH-FORT SMITH
MEDICAL-SURGICAL
492
FORT SMITH
CHRISTUS DUBUIS HOSPITAL OF FORT SMITH
LONG TERM CARE
25
FORT SMITH
MERCY HOSPITAL FORT SMITH
MEDICAL-SURGICAL
348
GRAVETTE
OZARKS COMMUNITY HOSPITAL
MEDICAL-SURGICAL
25
HARRISON
NORTH ARKANSAS REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
PALL/HOSP LEVEL III
SNF/REHAB/HH/OB/PALL/HOSP
174
LEVEL III
HH/PSYCH/OB/HOSP
LEVEL IV
HEBER SPRINGS
BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS
MEDICAL-SURGICAL
25
HELENA
HELENA REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
155
SB/OP GERIPSYCH/WOUND CLINIC SB/HH/HOSP SB/REHAB/HH/OB
HOT SPRINGS
CHI ST. VINCENT HOT SPRINGS
MEDICAL-SURGICAL
282
HOT SPRINGS
CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS
LONG TERM CARE
27
LEVEL II
PSYCH/REHAB/HH/OB PALL/HOSP
HOT SPRINGS
LEVI HOSPITAL
MEDICAL-SURGICAL
50
PSYCH/REHAB
HOT SPRINGS
NATIONAL PARK MEDICAL CENTER
MEDICAL-SURGICAL
163
REHAB/OB
JACKSONVILLE
19TH MEDICAL GROUP
INFIRMARY
0
JACKSONVILLE
NORTH METRO MEDICAL CENTER
MEDICAL-SURGICAL
113
PALL
JOHNSON
WILLOW CREEK WOMEN'S HOSPITAL
MED-SURG (OB/GYN)
64
OB
JONESBORO
NEA BAPTIST MEMORIAL HOSPITAL
MEDICAL-SURGICAL
228
LEVEL IV
REHAB/OB/PALL
JONESBORO
ST. BERNARDS MEDICAL CENTER
MEDICAL-SURGICAL
438
LEVEL III
PSYCH/HH/OB/PALL/HOSP
LAKE VILLAGE
CHICOT MEMORIAL MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
LITTLE ROCK
ARKANSAS CHILDREN'S HOSPITAL
MED-SURG (PED)
336
LEVEL I
REHAB/PALL
LITTLE ROCK
ARKANSAS HOSPICE
INPATIENT HOSPICE
40
36 . STATS | SUMMER 2019
PALL/HOSP
LICENSED BEDS
CITY
HOSPITAL
TYPE OF HOSPITAL
LITTLE ROCK
ARKANSAS STATE HOSPITAL
PSYCHIATRIC
LITTLE ROCK
BAPTIST HEALTH EXTENDED CARE HOSPITAL
LONG TERM CARE
LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
MEDICAL-SURGICAL
843
LITTLE ROCK
BAPTIST HEALTH REHABILITATION INSTITUTE
REHABILITATION
120
LITTLE ROCK
CARTI
OP CANCER CENTER
LITTLE ROCK
CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM
VETERANS AFFAIRS
635
LITTLE ROCK
CHI ST. VINCENT INFIRMARY
MEDICAL-SURGICAL
615
LITTLE ROCK
CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK
LONG TERM CARE
40
LITTLE ROCK
PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM
PSYCHIATRIC
124
LITTLE ROCK
UAMS MEDICAL CENTER
MEDICAL-SURGICAL
450
TRAUMA SYSTEM
ADDITIONAL SERVICE LINES
321 55
PALL/HOSP LEVEL II
SNF/PSYCH/HH/OB/PALL/HOSP PALL/HOSP
0 PSYCH/REHAB LEVEL II
PSYCH/HH/OB/PALL
LEVEL I
OB/PALL
OUTPT. PSYCH
MAGNOLIA
MAGNOLIA REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
49
LEVEL IV
SB/HH/OB
MALVERN
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY MEDICAL-SURGICAL
72
LEVEL IV
PSYCH/HH/HOSP
MAUMELLE
METHODIST BEHAVIORAL HOSPITAL
60
PSYCHIATRIC
MCGEHEE
MCGEHEE HOSPITAL
MEDICAL-SURGICAL
25
MEMPHIS, TN
REGIONAL ONE HEALTH
MEDICAL-SURGICAL
620
LEVEL I LEVEL IV
MENA
MENA REGIONAL HEALTH SYSTEM
MEDICAL-SURGICAL
65
MONTICELLO
DREW MEMORIAL HEALTH SYSTEM
MEDICAL-SURGICAL
49
SB/HH SB/PSYCH/REHAB/OB SB/HH
MORRILTON
CHI ST. VINCENT MORRILTON
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH/HOSP
MOUNTAIN HOME
BAXTER REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
268
LEVEL III
PSYCH/REHAB/HH/OB/HOSP SB
MOUNTAIN VIEW
STONE COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
NASHVILLE
HOWARD MEMORIAL HOSPITAL
MEDICAL-SURGICAL
20
LEVEL IV
SB/HH
NEWPORT
UNITY HEALTH - HARRIS MEDICAL CENTER
MEDICAL-SURGICAL
133
LEVEL IV
SB/PSYCH
LEVEL III
REHAB/HH/OB/PALL/HOSP
NORTH LITTLE ROCK
BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK
MEDICAL-SURGICAL
225
NORTH LITTLE ROCK
THE BRIDGEWAY
PSYCHIATRIC
127
OSCEOLA
SMC REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
25
LEVEL IV
SB/PSYCH
OZARK
MERCY HOSPITAL OZARK
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH/PALL/HOSP
PARAGOULD
ARKANSAS METHODIST MEDICAL CENTER
MEDICAL-SURGICAL
129
LEVEL IV
SB/REHAB/HH/OB
PARIS
MERCY HOSPITAL PARIS
MEDICAL-SURGICAL
16
LEVEL IV
SB/HH/PALL/HOSP
PIGGOTT
PIGGOTT COMMUNITY HOSPITAL
MEDICAL-SURGICAL
25
LEVEL IV
SB/HH
PINE BLUFF
JEFFERSON REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
471
LEVEL III
SNF/PSYCH/REHAB/HH/OB
POCAHONTAS
ST. BERNARDS FIVE RIVERS
MEDICAL-SURGICAL
50
LEVEL IV
PSYCH/HH
ROGERS
MERCY HOSPITAL NORTHWEST ARKANSAS
MEDICAL-SURGICAL
208
LEVEL III
PSYCH/HH/OB/PALL
RUSSELLVILLE
SAINT MARY'S REGIONAL MEDICAL CENTER
MEDICAL-SURGICAL
170
LEVEL III
PSYCH/REHAB
SALEM
FULTON COUNTY HOSPITAL
MEDICAL-SURGICAL
25
LEVEL IV
SB
438
LEVEL III
PSYCH/REHAB/HH/OB/PALL
69
LEVEL IV
HH/PALL
SEARCY
ADVANCED CARE HOSPITAL OF WHITE COUNTY
LONG TERM CARE
SEARCY
UNITY HEALTH - WHITE COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
27
SHERWOOD
CHI ST. VINCENT NORTH
MEDICAL-SURGICAL
SHERWOOD
CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL REHABILITATION
80
SILOAM SPRINGS
SILOAM SPRINGS REGIONAL HOSPITAL
MEDICAL-SURGICAL
73
SPRINGDALE
ARKANSAS CHILDREN'S HOSPITAL NORTHWEST
MED-SURG (PED)
24
PALL
SB/OB/PALL/HOSP
SPRINGDALE
NORTHWEST MEDICAL CENTER SPRINGDALE
MEDICAL-SURGICAL
222
LEVEL III
PSYCH/REHAB/HH/OB
STUTTGART
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
MEDICAL-SURGICAL
49
LEVEL IV
SB/OB/PALL/HOSP
TEXARKANA, TX
CHRISTUS ST. MICHAEL HEALTH SYSTEM
MEDICAL-SURGICAL
312
LEVEL III
TEXARKANA
RIVERVIEW BEHAVIORAL HEALTH
PSYCHIATRIC
62
VAN BUREN
BAPTIST HEALTH-VAN BUREN
MEDICAL-SURGICAL
105
LEVEL IV
WALDRON
MERCY HOSPITAL WALDRON
MEDICAL-SURGICAL
24
LEVEL IV
WALNUT RIDGE
LAWRENCE MEMORIAL HOSPITAL
MEDICAL-SURGICAL
25
SB/ICF/PALL SB/PSYCH/HH/OB
WARREN
BRADLEY COUNTY MEDICAL CENTER
MEDICAL-SURGICAL
33
WEST MEMPHIS
PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS
PSYCHIATRIC
54
WYNNE
CROSSRIDGE COMMUNITY HOSPITAL
MEDICAL-SURGICAL
25
615
SB/HH/PALL/HOSP
SB/HH
ARKANSAS HOSPITALS MAGAZINE . 37
STATEWIDE HOSPITAL FINANCIAL AND UTILIZ ATION INDIC ATORS, 2013-2017 INDICATOR BEDS AVAILABLE
2013
2014
2015
2016
2017
9,617
9,449
9,569
9,634
9,664
ADMISSIONS
358,359
350,431
357,286
359,359
363,070
PATIENT DAYS
1,842,902
1,795,753
1,859,244
1,846,634
1,861,122
5.1
5.1
5.2
5.1
5.1
NON-EMERGENCY OUTPATIENT VISITS
3,728,501
3,790,058
4,184,351
4,570,177
4,629,383
OUTPATIENT VISITS
5,174,684
5,149,087
5,676,710
6,086,166
6,148,539
72.1%
73.6%
73.7%
75.1%
75.3%
3,637,218
3,701,153
3,942,232
3,963,653
4,125,703
52.5%
52.1%
53.2%
52.5%
52.8%
AVERAGE LENGTH OF STAY
NON-EMERGENCY AS A % OF TOTAL OUTPATIENT VISITS ADJUSTED PATIENT DAYS OCCUPANCY RATE INPATIENT SURGERIES
100,360
96,353
94,607
94,627
95,013
OUTPATIENT SURGERIES
181,402
180,684
195,650
200,832
203,105
TOTAL SURGERIES
281,762
277,037
290,257
295,459
298,118
OUTPATIENT AS % OF TOTAL SURGERIES
64.38%
65.22%
67.41%
67.97%
68.13%
TOTAL FULL-TIME EQUIVALENT EMPLOYEES
44,524
45,916
47,102
47,825
49,832
FULL-TIME EQUIVALENT EMPLOYEES PER ADJUSTED OCCUPIED BED
4.47
4.53
4.36
4.40
4.41
GROSS REVENUE, INPATIENT
$10,605,082,886
$11,007,915,107
$11,700,149,701
$12,460,694,916
$13,396,489,708
GROSS REVENUE, OUTPATIENT
$9,645,405,883
$10,568,638,798
$11,967,218,307
$12,952,790,887
$14,212,477,805
GROSS PATIENT REVENUE
$20,250,488,769
$21,576,553,905
$23,667,368,008
$25,413,485,803
$27,608,967,513
BAD DEBTS
$787,481,517
$576,942,240
$543,253,884
$444,692,383
$469,305,416
CHARITY
$607,543,781
$432,816,585
$336,830,549
$376,732,202
$339,342,080
MEDICARE, MEDICAID & OTHER PAYER WRITEOFFS
$12,964,897,661
$14,535,076,964
$16,168,309,507
$17,636,673,879
$19,440,530,333
TOTAL DEDUCTIONS
$14,359,922,959
$15,544,835,789
$17,048,393,940
$18,458,098,464
$20,249,177,829
NET PATIENT REVENUE
$5,890,565,810
$6,031,718,116
$6,618,974,068
$6,955,387,339
$7,359,789,684
OTHER OPERATING REVENUE
$271,018,970
$310,383,539
$250,191,038
$307,097,211
$381,973,773
NONOPERATING REVENUE
$88,171,599
$98,655,117
$42,144,248
$82,544,865
$118,736,986
TOTAL NET REVENUE
$6,249,756,379
$6,440,756,772
$6,911,309,354
$7,345,029,415
$7,860,500,443
PAYROLL EXPENSE
$2,233,697,013
$2,209,410,939
$2,367,195,116
$2,510,431,790
$2,833,267,007
TOTAL EXPENSE
6,020,388,342
6,090,855,820
6,428,954,340
6,803,364,553
7,372,516,174
PATIENT REVENUE MARGIN
-2.20%
-0.98%
2.87%
2.19%
-0.17%
TOTAL MARGIN
3.67%
5.43%
6.98%
7.37%
6.21%
CHARGE PER ADJUSTED INPATIENT DAY
$5,567.58
$5,829.68
$6,003.55
$6,411.63
$6,691.94
PAYMENT PER ADJUSTED INPATIENT DAY
$1,619.53
$1,629.69
$1,678.99
$1,754.79
$1,783.89
EXPENSE PER ADJUSTED INPATIENT DAY
$1,655.22
$1,645.66
$1,630.79
$1,716.44
$1,786.97
PAYROLL PER ADJUSTED INPATIENT DAY
$614.12
$596.95
$600.47
$633.36
$686.74
PAYROLL AS % OF TOTAL EXPENSE
37.1%
36.3%
36.8%
36.9%
38.4%
BAD DEBT AND CHARITY AS % OF TOTAL CHARGE
6.9%
4.7%
3.7%
3.2%
2.9%
TOTAL DEDUCTIONS AS % OF TOTAL CHARGE
70.9%
72.0%
72.0%
72.6%
73.3%
OUTPATIENT REVENUE AS % TOTAL PATIENT REVENUE
47.6%
49.0%
50.6%
51.0%
51.5%
37.3
37.1
37.3
37.3
37.6
PATIENT DAYS PER 1,000 POPULATION
622.8
605.4
624.3
618.0
619.5
ADMISSIONS PER 1,000 POPULATION
121.1
118.1
120.0
120.3
120.9
POPULATION (000's)
2,959
2,966
2,978
2,988
3,004
ADMISSIONS PER BED
38 . STATS | SUMMER 2019
ARK ANSAS HOSPITAL S RECEIVING LOC AL TA X SUPPORT, 2019 YEAR APPROVED
ANNUAL AMOUNT ESTIMATE
0.25%
2016
$649,000
YES
0.5%
2009
$1,200,000
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
YES
1.00%
2014
$2,300,000
BRADLEY COUNTY MEDICAL CENTER
YES
1.00%
YES
.4 MILL
2009
$1,200,000
CHI ST. VINCENT MORRILTON
YES
0.25%
YES
.25 MILL
2008
$1,000,000
CHICOT MEMORIAL MEDICAL CENTER**
YES
1.00%
YES
.5 MILL
2003
$1,100,000
CROSSRIDGE COMMUNITY HOSPITAL
YES
1.00%
2000
$2,100,000
DALLAS COUNTY MEDICAL CENTER
YES
1.00%
2005
$840,000
DELTA MEMORIAL HOSPITAL*
YES
2.00%
2004
$840,000
DEWITT HOSPITAL & NURSING HOME
YES
1.50%
2003
$850,000
DREW MEMORIAL HEALTH SYSTEM
YES
0.25%
2015
$670,000
FULTON COUNTY HOSPITAL
YES
0.50%
2007
$310,000
JOHNSON REGIONAL MEDICAL CENTER
NO
1977
$65,000
LAWRENCE MEMORIAL HOSPITAL
YES
1.00%
2014
$1,850,000
LITTLE RIVER MEDICAL CENTER
YES
NA
NA
NA
MAGNOLIA REGIONAL MEDICAL CENTER (A)
YES
1.125%
2007
$2,600,000
0.25%
2004
$540,000
INDICATOR
TAX
RATE
ASHLEY COUNTY MEDICAL CENTER
YES
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY
MAGNOLIA REGIONAL MEDICAL CENTER (B)
MILLAGE
YES
YES
RATE
.5 MILL
.3 MILL
MCGEHEE HOSPITAL
YES
1.00%
1999
$600,000
MERCY HOSPITAL BOONEVILLE
YES
1.00%
2003
$360,000
MERCY HOSPITAL OZARK
YES
1.00%
2001
$350,000
MERCY HOSPITAL PARIS
YES
1.00%
NA
NA
OUACHITA COUNTY MEDICAL CENTER***
YES
1.00%
2015
$2,400,000
OZARK HEALTH MEDICAL CENTER
YES
1.00%
2000
$1,800,000
PIGGOTT COMMUNITY HOSPITAL
YES
1.00%
2010
$360,000
SMC REGIONAL MEDICAL CENTER
YES
0.50%
2015/1952
$2,732,000
ST. BERNARDS FIVE RIVERS
YES
1.00%
2007
$750,000
YES
1 MILL
ARKANSAS HOSPITALS MAGAZINE . 39
KE Y FINANCIAL INDIC ATORS ARK ANSA S AND SURROUNDING S TATES, 2017 Which raised total operating income to:
In addition, hospitals also received revenues from normal, day-today operations from services other than health care provided to patients, such as space rental, cafeteria and gift shop sales, and operating gains:
Yielding a "patient service" margin of:
In other words, hospitals made (or lost) this much on each of the equivalent days of care they provided to inpatients and outpatients:
At the same time, hospitals spent this much providing patient care services‌
As a result, actual payments to hospitals were:
But patients and payer groups didn't pay the full amount of billed charges for various reasons. Government programs like Medicare and Medicaid, workers' comp programs and others never pay the full hospital bill. Managed care plans and other insurers typically pay discounted amounts only, and individual patients often can't afford to pay some or any of the out-of-pocket costs related to their hospital bills. For those reasons, hospitals had to forfeit this much of their billed charges:
Hospitals charged this amount for the inpatient and outpatient care they provided in 2017:
$118,736,986
3.83%
$293,693,972
$306,420,462
-0.17%
($3.44)
($12,726,490)
3,701,007
7,372,516,174
7,359,789,684
20,249,177,829
$27,608,967,513
Arkansas
$736,264,034
$160,894,753
3.87%
$575,369,281
$1,159,947,074
-4.27%
($92.16)
($584,577,793)
6,343,186
14,288,866,792
13,704,288,999
40,544,198,814
$54,248,487,813
Louisiana
3.93%
$319,386,336
$84,966,831
2.92%
$234,419,505
$270,227,976
-0.46%
($8.83)
($35,808,471)
4,053,308
7,806,529,535
7,770,721,064
24,746,105,041
$32,516,826,105
Mississippi
5.46%
$1,305,307,436
$518,082,536
3.36%
$787,224,900
$1,375,671,345
-2.67%
($69.72)
($588,446,445)
8,439,639
22,608,623,983
22,020,177,538
51,954,522,721
$73,974,700,259
Missouri
10.41%
$1,122,751,626
$221,877,932
8.52%
$900,873,694
$343,746,238
5.45%
$125.14
$557,127,456
4,452,195
9,667,546,273
10,224,673,729
31,692,210,283
$41,916,884,012
Oklahoma
8.03%
$1,677,931,690
$246,181,994
6.94%
$1,431,749,696
$1,124,098,322
1.58%
$34.68
$307,651,374
19,520,869,157
62,427,271,778
$81,948,140,935
Tennessee
9.70%
$7,620,002,690
$1,484,197,097
7.96%
$6,135,805,593
$6,190,973,473
-0.08%
($2.06)
($55,167,880)
26,814,364
70,961,691,860
70,906,523,980
250,340,000,000
$321,246,523,980 ,935
Texas
8.35%
$88,017,259,306
$22,129,124,318
6.38%
$65,888,134,988
$62,161,422,278
0.38%
$10.27
$3,726,712,710
362,954,751
966,204,238,616
969,930,951,326
2,593,749,705,025
$3,563,680,656,351
US
So the revenue excess (loss) was:
As a result, the "operating margin" rose to:
8,871,638
19,213,217,783
Hospitals also collected other types of revenue from sources including contributions, tax appropriations, investments, and the rental of office space. Those amounted to:
$412,430,958
4.90%
‌to patients needing care for this many adjusted patient days while being served.
That resulted in total funds available to reinvest in new equipment, update facilities, expand programs and repay debt equalling:
5.30%
For a return on investment totaling:
40 . STATS | SUMMER 2019
COMPAR ATIVE FINANCIAL INDIC ATORS AVERAGE CHARGE PER HOSPITAL STAY
AVERAGE PAYMENT PER HOSPITAL STAY
AVERAGE OPERATING COST PER HOSPITAL STAY
MARGIN ON PATIENT CARE
1
ALASKA
87,060
ALASKA
23,788
ALASKA
23,929
COLORADO
9.39%
2
DISTRICT OF COLUMBIA
77,318
DISTRICT OF COLUMBIA
22,437
DISTRICT OF COLUMBIA
22,260
FLORIDA
8.33%
3
COLORADO
75,865
IDAHO
19,000
NEW YORK
19,427
NEVADA
8.30%
4
CALIFORNIA
75,569
CALIFORNIA
18,512
CALIFORNIA
18,567
UTAH
8.06%
5
NEVADA
66,263
COLORADO
18,346
IDAHO
18,259
NORTH CAROLINA
7.32%
6
TEXAS
62,677
NEW YORK
18,029
WASHINGTON
18,109
VIRGINIA
6.97%
7
PENNSYLVANIA
62,555
WASHINGTON
17,654
MAINE
17,390
NEW MEXICO
6.79%
8
NEW JERSEY
61,512
DELAWARE
17,532
MASSACHUSETTS
17,161
DELAWARE
6.46%
9
ARIZONA
59,407
UTAH
17,105
NORTH DAKOTA
17,120
MONTANA
6.16%
10
UTAH
58,206
NORTH DAKOTA
16,860
MINNESOTA
16,973
INDIANA
5.49%
11
WASHINGTON
57,348
MINNESOTA
16,821
OREGON
16,772
OKLAHOMA
5.45%
12
FLORIDA
57,178
OREGON
16,622
COLORADO
16,623
SOUTH CAROLINA
4.85%
13
WSC REGION
56,548
MAINE
16,431
HAWAII
16,492
ARIZONA
4.34%
14
NEW YORK
55,251
MONTANA
16,143
DELAWARE
16,399
IDAHO
3.90%
15
U.S.
53,292
NEBRASKA
15,838
UTAH
15,726
NEBRASKA
2.27%
16
NEW MEXICO
52,576
WYOMING
15,665
SOUTH DAKOTA
15,584
NEW HAMPSHIRE
2.07%
17
INDIANA
51,845
HAWAII
15,536
WYOMING
15,516
GEORGIA
1.45%
18
IDAHO
51,354
INDIANA
15,441
NEBRASKA
15,478
WYOMING
0.95%
19
OHIO
50,272
NEW MEXICO
15,436
MONTANA
15,148
PENNSYLVANIA
0.90%
20
ILLINOIS
50,227
MASSACHUSETTS
14,784
VERMONT
14,988
KENTUCKY
0.88%
21
OKLAHOMA
49,550
NEW HAMPSHIRE
14,633
WISCONSIN
14,803
DISTRICT OF COLUMBIA
0.79%
22
SOUTH CAROLINA
48,800
OHIO
14,525
MARYLAND
14,620
ILLINOIS
0.78%
23
TENNESSEE
48,784
U.S.
14,504
CONNECTICUT
14,617
KANSAS
0.77%
24
VIRGINIA
48,284
WISCONSIN
14,456
INDIANA
14,592
OHIO
0.73%
25
GEORGIA
47,503
MARYLAND
14,411
U.S.
14,449
MICHIGAN
0.46%
26
KANSAS
47,119
PENNSYLVANIA
14,402
OHIO
14,420
U.S.
0.38%
27
ALABAMA
45,996
SOUTH DAKOTA
14,275
NEW MEXICO
14,388
ALABAMA
0.22%
28
KENTUCKY
45,742
CONNECTICUT
14,151
NEW HAMPSHIRE
14,330
TEXAS
-0.08%
29
HAWAII
45,515
VERMONT
14,128
PENNSYLVANIA
14,272
WSC REGION
-0.09%
30
LOUISIANA
45,373
TEXAS
13,834
TEXAS
13,845
ARKANSAS
-0.17%
31
CONNECTICUT
45,006
ILLINOIS
13,475
MISSOURI
13,586
CALIFORNIA
-0.30%
32
SOUTH DAKOTA
44,840
ARIZONA
13,414
ILLINOIS
13,370
MISSISSIPPI
-0.46%
33
MISSOURI
44,453
VIRGINIA
13,403
RHODE ISLAND
13,277
ALASKA
-0.59%
34
MINNESOTA
43,743
MISSOURI
13,232
MICHIGAN
13,065
NEW JERSEY
-0.80%
35
NEBRASKA
43,560
NORTH CAROLINA
13,165
WSC REGION
12,998
MINNESOTA
-0.90%
36
NORTH DAKOTA
43,119
MICHIGAN
13,125
NEW JERSEY
12,897
OREGON
-0.91%
37
NORTH CAROLINA
42,766
WSC REGION
12,986
ARIZONA
12,832
WEST VIRGINIA
-1.10%
38
WISCONSIN
41,761
KANSAS
12,853
KANSAS
12,754
MARYLAND
-1.45%
39
MASSACHUSETTS
41,527
GEORGIA
12,807
GEORGIA
12,621
NORTH DAKOTA
-1.54%
40
MISSISSIPPI
41,449
NEW JERSEY
12,795
VIRGINIA
12,470
WISCONSIN
-2.40% -2.57%
41
NEW HAMPSHIRE
41,290
NEVADA
12,670
IOWA
12,353
WASHINGTON
42
DELAWARE
40,949
RHODE ISLAND
12,244
WEST VIRGINIA
12,275
MISSOURI
-2.67%
43
OREGON
39,488
SOUTH CAROLINA
12,236
NORTH CAROLINA
12,200
CONNECTICUT
-3.29%
44
MAINE
38,394
WEST VIRGINIA
12,142
LOUISIANA
11,951
LOUISIANA
-4.27%
45
MICHIGAN
37,905
OKLAHOMA
12,087
SOUTH CAROLINA
11,643
MAINE
-5.84%
46
RHODE ISLAND
37,154
FLORIDA
11,770
NEVADA
11,619
VERMONT
-6.09%
47
ARKANSAS
36,281
KENTUCKY
11,641
KENTUCKY
11,539
HAWAII
-6.15%
48
WYOMING
36,217
IOWA
11,636
TENNESSEE
11,438
IOWA
-6.16%
49
MONTANA
36,022
LOUISIANA
11,462
OKLAHOMA
11,428
NEW YORK
-7.76%
50
WEST VIRGINIA
35,926
TENNESSEE
10,561
FLORIDA
10,790
TENNESSEE
-8.31% -8.43%
51
VERMONT
34,752
MISSISSIPPI
9,905
MISSISSIPPI
9,951
RHODE ISLAND
52
IOWA
33,581
ALABAMA
9,704
ARKANSAS
9,688
SOUTH DAKOTA
53
MARYLAND
22,093
ARKANSAS
9,672
ALABAMA
9,683
MASSACHUSETTS
-9.18% -16.08%
ARKANSAS HOSPITALS MAGAZINE . 41
HOSPITAL ACCESS BY COUNT Y SINGLE NON-CAH COMMUNITY HOSPITAL (21)
SINGLE CRITICAL ACCESS HOSPITAL (18)
NO ACUTE CARE COMMUNITY HOSPITAL (23)
COUNTY
MULTIPLE COMMUNITY HOSPITALS (13)
COUNTY
•
GARLAND
ARKANSAS
•
ASHLEY
GRANT
•
BAXTER
• •
• • • • •
CHICOT CLARK CLAY CLEBURNE
• •
IZARD
• • •
JEFFERSON JOHNSON LAFAYETTE
• •
LAWRENCE
•
COLUMBIA
LEE
•
CONWAY
LINCOLN
•
CRAIGHEAD
•
CRAWFORD
• •
DALLAS
MADISON MARION
•
DESHA
•
DREW
• • •
FULTON
•
MILLER
• • • • •
MISSISSIPPI
FAULKNER FRANKLIN
•
LITTLE RIVER
LONOKE
CROSS
• •
LOGAN
•
CRITTENDEN
•
JACKSON
•
CLEVELAND
• • •
HEMPSTEAD
INDEPENDENCE
CARROLL
MONROE MONTGOMERY NEVADA NEWTON
• • • • •
OUACHITA BENTON
CARROLL
WASHINGTON
BOONE
FULTON
BAXTER
MARION
IZARD
MADISON NEWTON
FRANKLIN
JOHNSON
VAN BUREN POPE
JACKSON
FAULKNER YELL
PERRY LONOKE
PRAIRIE
SALINE
HOT SPRING
JEFFERSON
CRITTENDEN
LEE
CLARK
HEMPSTEAD
DALLAS
CLEVELAND
ARKANSAS
OUACHITA
UNION
ARKANSAS COUNTIES WITH NO HOSPITAL ARKANSAS COUNTIES WITH A SINGLE CRITICAL ACCESS HOSPITAL
SEVIER
ASHLEY
CHICOT
• • • • • •
STONE
•
UNION
ARKANSAS COUNTIES WITH A SINGLE NON-CAH HOSPITAL ARKANSAS COUNTIES WITH MULTIPLE HOSPITALS
•
VAN BUREN
•
WASHINGTON
•
WHITE WOODRUFF YELL
42 . STATS | SUMMER 2019
•
SCOTT
ST. FRANCIS
MILLER LAFAYETTE
• • •
RANDOLPH
SHARP
BRADLEY
COLUMBIA
•
PULASKI
SEBASTIAN
LINCOLN
DREW
CALHOUN
PRAIRIE
SEARCY
DESHA NEVADA
• •
SALINE
PIKE
SEVIER
POINSETT
POPE
MONROE
GRANT
• • •
POLK
PHILLIPS
HOWARD
LITTLE RIVER
GARLAND
POINSETT
ST. FRANCIS
PULASKI MONTGOMERY
MISSISSIPPI
WOODRUFF
SCOTT
POLK
CRAIGHEAD
•
PHILLIPS PIKE
CROSS
WHITE
CONWAY
LOGAN
SEBASTIAN
PERRY
LAWRENCE
INDEPENDENCE
CLEBURNE
CLAY
GREENE
SHARP
SEARCY STONE
CRAWFORD
RANDOLPH
MULTIPLE COMMUNITY HOSPITALS (13)
•
HOWARD
•
CALHOUN
SINGLE NON-CAH COMMUNITY HOSPITAL (21)
•
HOT SPRING
•
BRADLEY
SINGLE CRITICAL ACCESS HOSPITAL (18)
GREENE
BENTON BOONE
NO ACUTE CARE COMMUNITY HOSPITAL (23)
• •
AHA MEMBER ORGANIZ ATIONS BY CO N G R E S S I O N A L D I S T R I C T BENTON
CARROLL
3
WASHINGTON
BOONE
FULTON
BAXTER
MARION
IZARD
MADISON NEWTON
FRANKLIN
JOHNSON
VAN BUREN
SEBASTIAN
CONWAY
LOGAN
POINSETT
CROSS
CRITTENDEN
ST. FRANCIS
LONOKE
PRAIRIE
SALINE
LEE MONROE PHILLIPS
HOT SPRING
HOWARD
GRANT
JEFFERSON
ARKANSAS
PIKE
SEVIER
LITTLE RIVER
GARLAND
MISSISSIPPI
WOODRUFF
PULASKI
MONTGOMERY
POLK
1
WHITE
2
PERRY
SCOTT
CRAIGHEAD
JACKSON
FAULKNER
YELL
LAWRENCE
INDEPENDENCE
CLEBURNE
POPE
CLAY
GREENE
SHARP
SEARCY STONE
CRAWFORD
RANDOLPH
4 CLARK
HEMPSTEAD
NEVADA
DALLAS
OUACHITA
CLEVELAND
LINCOLN DESHA DREW
CALHOUN BRADLEY
MILLER COLUMBIA LAFAYETTE
UNION
ASHLEY
CHICOT
ARKANSAS HOSPITALS MAGAZINE . 43
AHA MEMBERS BY CONTROL AND SYSTEM AFFILIATION TYPE OF HOSPITAL
TYPE OF CONTROL
PNP CORPORATE GOV'T
✓
19TH MEDICAL GROUP ADVANCED CARE HOSPITAL OF WHITE COUNTY
LTCH
ARKANSAS CHILDREN'S HOSPITAL
CHILDREN'S
ARKANSAS CHILDREN'S HOSPITAL NORTHWEST
CHILDREN'S
ARKANSAS HOSPICE ARKANSAS METHODIST MEDICAL CENTER
RRC
ARKANSAS STATE HOSPITAL
IP PSYCH
ASHLEY COUNTY MEDICAL CENTER
CAH
BAPTIST HEALTH EXTENDED CARE HOSPITAL
LTCH
BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA
CAH
BAPTIST HEALTH MEDICAL CENTER-CONWAY
URBAN
BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS
CAH
BAPTIST HEALTH MEDICAL CENTER-HOT SPRING COUNTY RURAL/MDH BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
URBAN
BAPTIST HEALTH MEDICAL CENTER-N. LITTLE ROCK
URBAN
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
RURAL/MDH
BAPTIST HEALTH REHABILITATION INSTITUTE
IRF
BAPTIST HEALTH-FORT SMITH
URBAN
BAPTIST HEALTH-VAN BUREN
URBAN
BAXTER REGIONAL MEDICAL CENTER
RRC/SCH
BRADLEY COUNTY MEDICAL CENTER
CAH
CARTI
✓ ✓ ✓ ✓ ✓
RURAL
CHI ST. VINCENT HOT SPRINGS
URBAN
CHI ST. VINCENT INFIRMARY
URBAN
CHI ST. VINCENT MORRILTON
CAH
CHI ST. VINCENT NORTH
URBAN
CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL
IRF
CHICOT MEMORIAL MEDICAL CENTER
CAH
CHRISTUS DUBUIS HOSPITAL OF FORT SMITH
LTCH
CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS
LTCH
CHRISTUS ST. MICHAEL HEALTH SYSTEM
URBAN (TX)
CONWAY BEHAVIORAL HEALTH
IP PSYCH
CONWAY REGIONAL HEALTH SYSTEM
URBAN
CONWAY REGIONAL REHABILITATION HOSPITAL
IRF
CORNERSTONE SPECIALITY HOSPITALS LITTLE ROCK
LTCH
CROSSRIDGE COMMUNITY HOSPITAL
CAH
DALLAS COUNTY MEDICAL CENTER
CAH
DARDANELLE REGIONAL MEDICAL CENTER
CAH
DELTA MEMORIAL HOSPITAL
CAH
DEWITT HOSPITAL & NURSING HOME
CAH
DREW MEMORIAL HEALTH SYSTEM
RURAL/SCH
ENCOMPASS HEALTH REHABILITATION HOSPITAL
IRF
EUREKA SPRINGS HOSPITAL
CAH
FORREST CITY MEDICAL CENTER
RURAL/SCH
FULTON COUNTY HOSPITAL
CAH
GREAT RIVER MEDICAL CENTER
RURAL
HELENA REGIONAL MEDICAL CENTER
RURAL
44 . STATS | SUMMER 2019
✓ ✓ ✓ ✓ ✓ ✓ ✓
SYSTEM HOME
U.S. DEPARTMENT OF DEFENSE
✓ ✓ ✓
UNITY HEALTH
SEARCY
ARKANSAS CHILDREN'S
LITTLE ROCK
ARKANSAS CHILDREN'S
LITTLE ROCK
LOCAL BOARD
✓
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
CONTROLLING ORGANIZATION
SYSTEM
LOCAL BOARD
STATE LOCAL BOARD
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
BAPTIST HEALTH
LITTLE ROCK
LOCAL BOARD LOCAL BOARD LOCAL BOARD
✓
CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM CHAMBERS MEMORIAL HOSPITAL
MULTIHOSPITAL
U.S. DEPARTMENT OF VETERANS AFFAIRS LOCAL BOARD
✓ ✓ ✓ ✓ ✓
✓
CATHOLIC HEALTH INITIATIVES
ENGLEWOOD, CO
CATHOLIC HEALTH INITIATIVES
ENGLEWOOD, CO
CATHOLIC HEALTH INITIATIVES
ENGLEWOOD, CO
CATHOLIC HEALTH INITIATIVES
ENGLEWOOD, CO
ENCOMPASS HEALTH
BIRMINGHAM, AL
LOCAL BOARD
✓
✓ ✓
✓ ✓ ✓
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
CHRISTUS HEALTH
IRVING, TX
CHRISTUS HEALTH
IRVING, TX
CHRISTUS HEALTH
IRVING, TX
ACADIA HEALTHCARE
FRANKLIN, TN
CONWAY REGIONAL HEALTH SYSTEM
CONWAY
CONWAY REGIONAL HEALTH SYSTEM
CONWAY
CORNERSTONE HEALTHCARE GROUP
DALLAS, TX
ST. BERNARDS HEALTH SYSTEM
JONESBORO
COUNTY
✓
CONWAY REGIONAL HEALTH SYSTEM
CONWAY
LOCAL BOARD LOCAL BOARD
✓ ✓ ✓
✓
✓
✓ ✓
COUNTY
✓ ✓ ✓
ENCOMPASS HEALTH
BIRMINGHAM, AL
ALLEGIANCE HEALTH MANAGEMENT
SHREVEPORT, LA
QUORUM HEALTH
FRANKLIN, TN
COUNTY COUNTY
✓
QUORUM HEALTH
FRANKLIN, TN
TYPE OF HOSPITAL HOWARD MEMORIAL HOSPITAL
CAH
IZARD COUNTY MEDICAL CENTER
CAH
JEFFERSON REGIONAL MEDICAL CENTER
URBAN/SCH
JOHNSON REGIONAL MEDICAL CENTER
RURAL/MDH
LAWRENCE MEMORIAL HOSPITAL
CAH
LEVI HOSPITAL
URBAN
LITTLE RIVER MEDICAL CENTER
CAH
MAGNOLIA REGIONAL MEDICAL CENTER
RURAL/SCH
MCGEHEE HOSPITAL
CAH
MEDICAL CENTER OF SOUTH ARKANSAS
RRC/SCH
MENA REGIONAL HEALTH SYSTEM
RURAL/SCH
MERCY HOSPITAL BERRYVILLE
CAH
MERCY HOSPITAL BOONEVILLE
CAH
MERCY HOSPITAL FORT SMITH
URBAN
MERCY HOSPITAL NORTHWEST ARKANSAS
URBAN
MERCY HOSPITAL OZARK
CAH
MERCY HOSPITAL PARIS
CAH
MERCY HOSPITAL WALDRON
CAH
METHODIST BEHAVIORAL HOSPITAL
IP PSYCH
NATIONAL PARK MEDICAL CENTER
RRC
NEA BAPTIST MEMORIAL HOSPITAL
URBAN
NORTH ARKANSAS REGIONAL MEDICAL CENTER
RRC/SCH
NORTH METRO MEDICAL CENTER
URBAN
TYPE OF CONTROL
PNP CORPORATE GOV'T
✓ ✓ ✓ ✓ ✓ ✓
✓
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL URBAN NORTHWEST MEDICAL CENTER BENTONVILLE
URBAN
NORTHWEST MEDICAL CENTER SPRINGDALE
URBAN
OUACHITA COUNTY MEDICAL CENTER
RURAL/SCH
OZARK HEALTH MEDICAL CENTER
CAH
OZARKS COMMUNITY HOSPITAL
CAH
PERIMETER BEHAVIORAL HOSPITAL OF W. MEMPHIS
IP PSYCH
PIGGOTT COMMUNITY HOSPITAL
CAH
PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM
IP PSYCH
REGIONAL ONE HEALTH
URBAN (TN)
RIVENDELL BEHAVIORAL HEALTH SERVICES
IP PSYCH
RIVERVIEW BEHAVIORAL HEALTH
IP PSYCH
SAINT MARY'S REGIONAL MEDICAL CENTER
RRC
SALINE MEMORIAL HOSPITAL
URBAN
SILOAM SPRINGS REGIONAL HOSPITAL
URBAN
SMC REGIONAL MEDICAL CENTER
CAH
SPRINGWOODS BEHAVIORAL HEALTH HOSPITAL
IP PSYCH
ST. BERNARDS FIVE RIVERS
RURAL/SCH
ST. BERNARDS MEDICAL CENTER
RRC
STONE COUNTY MEDICAL CENTER
CAH
THE BRIDGEWAY
IP PSYCH
UAMS MEDICAL CENTER
URBAN
UNITY HEALTH - WHITE COUNTY MEDICAL CENTER
RRC/SCH
UNITY HEALTH - HARRIS MEDICAL CENTER
RURAL
VALLEY BEHAVIORAL HEALTH SYSTEM
IP PSYCH
VANTAGE POINT OF NWA
IP PSYCH
✓ ✓
✓
✓ ✓ ✓
✓ ✓
URBAN
WHITE RIVER HEALTH SYSTEM
RRC/SCH
WILLOW CREEK WOMEN'S HOSPITAL
URBAN
✓ ✓
CONTROLLING ORGANIZATION
SYSTEM
SYSTEM HOME
LOCAL BOARD LOCAL BOARD LOCAL BOARD LOCAL BOARD
✓
ST. BERNARDS HEALTH SYSTEM
JONESBORO
LOCAL BOARD
✓ ✓
COUNTY CITY LOCAL BOARD
✓
✓
✓
✓
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
CITY
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
MERCY HEALTH SYSTEM
ST. LOUIS, MO
METHODIST FAMILY HEALTH
LITTLE ROCK
LIFEPOINT HEALTH
BRENTWOOD, TN
BAPTIST MEMORIAL HEALTHCARE CORP.
MEMPHIS, TN
LOCAL BOARD
✓ ✓ ✓ ✓
✓ ✓ ✓ ✓
ALLEGIANCE HEALTH MANAGEMENT
SHREVEPORT, LA
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
LOCAL BOARD LOCAL BOARD
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
✓
✓ ✓
VETERANS HEALTHCARE SYSTEM OF THE OZARKS WASHINGTON REGIONAL MEDICAL SYSTEM
MULTIHOSPITAL
✓
✓
✓
✓
✓ ✓
OZARKS COMMUNITY HOSPITAL HEALTH SYSTEM SPRINGFIELD, MO WOODRIDGE BEHAVIORAL CARE
JACKSON, TN
CITY
✓ ✓ ✓ ✓ ✓ ✓ ✓
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
REGIONAL ONE HEALTH
MEMPHIS, TN
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
ACADIA HEALTHCARE
FRANKLIN, TN
LIFEPOINT HEALTH
BRENTWOOD, TN
LIFEPOINT HEALTH
BRENTWOOD, TN
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
COUNTY
✓ ✓ ✓ ✓ ✓
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
ST. BERNARDS HEALTH SYSTEM
JONESBORO
ST. BERNARDS HEALTH SYSTEM
JONESBORO
WHITE RIVER HEALTH SYSTEM
BATESVILLE
UNIVERSAL HEALTH SERVICES
KING OF PRUSSIA, PA
STATE
✓ ✓ ✓ ✓
UNITY HEALTH
SEARCY
UNITY HEALTH
SEARCY
ACADIA HEALTHCARE
FRANKLIN, TN
ACADIA HEALTHCARE
FRANKLIN, TN
U.S. DEPARTMENT OF VETERANS AFFAIRS LOCAL BOARD
✓
✓ ✓
WHITE RIVER HEALTH SYSTEM
BATESVILLE
COMMUNITY HEALTH SYSTEMS
FRANKLIN, TN
ARKANSAS HOSPITALS MAGAZINE . 45
INPATIENT AND EMERGENC Y DEPARTMENT DISCHARGES BY PAYER
ED
34%
29%
20%
1% 7%
9%
HMO/COMM.INS MEDICAID MEDICARE OTHER GOV. PROGRAMS OTHER UNKNOWN
INPATIENT
29%
21%
42%
1% 5%2%
SELF PAY/NO CHARGE
IMPAC T OF UNINSURED INPATIENTS 2008-2017 35,000
$250
30,000
$200
ADMISSIONS
25,000 $150
20,000 15,000
$100
10,000 $50 5,000 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 46 . STATS | SUMMER 2019
$0
SELF-PAY/ NO CHARGE PATIENTS ADMITTED
EST. TOTAL UNCOVERED COSTS ($MILLIONS)
HOSPITALS' UNCOMPENSATED C ARE COSTS, 2013-2017 YEAR
GROSS REVENUES (BILLED CHARGES)
NET REVENUES (AMOUNT COLLECTED)
OTHER OPERATING REVENUE
GROSS+OTHER REVENUE
TOTAL OPERATING COSTS
COST-TO-CHARGE RATIO
2013
$20,250,488,769
5,890,565,810
271,018,970
20,521,507,739
6,020,388,342
25.50%
2014
$21,576,553,905
6,031,718,116
310,383,539
21,886,937,444
6,090,855,820
25.19%
2015
$23,667,368,008
6,618,974,068
250,191,038
23,917,559,046
6,428,954,340
24.61%
2016
$25,413,485,803
6,955,387,339
307,097,211
25,720,583,014
6,803,364,553
24.72%
2017
$27,608,967,513
7,359,789,684
381,973,773
27,990,941,286
7,372,516,174
24.66%
CHANGE
36.34%
24.94%
40.94%
36.40%
22.46%
YEAR
TOTAL UNCOLLECTED AMOUNTS DUR
BAD DEBT
CHARITY CARE
UNCOMPENSATED CARE CHARGES
UNCOMPENSATED CARE COSTS
UNCOMPENSATED CARE % OF TOTAL COSTS
2013
14,135,092,803
$787,481,517
$607,543,781
1,395,025,298
355,726,173
5.91%
2014
15,305,292,104
$576,942,240
$432,816,585
1,009,758,825
254,385,654
4.18%
2015
16,788,731,845
$543,253,884
$336,830,549
880,084,433
216,573,662
3.37%
2016
18,458,098,464
$444,692,383
$376,732,202
821,424,585
203,073,532
2.98%
2017
20,249,177,829
$469,305,416
$339,342,080
808,647,496
199,431,096
2.71%
CHANGE
43.25%
-40.40%
-44.15%
-42.03%
-43.94%
TOP 20 DRGs # DISCHARGES
TOTAL CHARGES
MEAN CHARGES PER DISCHARGE
885 - PSYCHOSES
27,495
$392,414,539
14,272
9.9
$1,437
795 - NORMAL NEWBORN
20,280
$90,949,742
4,485
1.7
$2,685
DIAGNOSIS-RELATED GROUP
MEAN STAY PER DISCHARGE
MEAN DAILY RATE
775 - VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES
18,968
$236,826,033
12,486
1.8
$6,898
871 - SEPTICEMIA W/O MV 96+ HOURS W MCC
12,463
$522,076,900
41,890
6.2
$6,800 $14,404
470 - MAJ JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC
12,184
$493,138,171
40,474
2.8
794 - NEONATE W OTHER SIGNIFICANT PROBLEMS
8,473
$54,797,910
6,467
3.1
$2,107
766 - CESAREAN SECTION W/O CC/MCC
7,769
$139,402,407
17,943
2.5
$7,064
291 - HEART FAILURE & SHOCK W MCC
6,626
$200,135,380
30,205
5.3
$5,731
392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC
6,064
$103,712,677
17,103
3.7
$4,648
189 - PULMONARY EDEMA & RESPIRATORY FAILURE
5,706
$175,640,113
30,782
5.7
$5,400
190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC
5,101
$136,466,831
26,753
4.5
$5,972
690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC
4,317
$68,045,364
15,762
3.8
$4,115
881 - DEPRESSIVE NEUROSES
4,249
$43,654,703
10,274
6.8
$1,511
057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC
4,120
$123,172,390
29,896
12.8
$2,337 $4,390
872 - SEPTICEMIA W/O MV 96+ HOURS W/O MCC
4,081
$89,046,469
21,820
5.0
897 - ALCOHOL/DRUG ABUSE/DEPENDENCE W/O REHABILITATION THERAPY W/O MCC
3,948
$43,939,168
11,129
4.3
$2,564
765 - CESAREAN SECTION W CC/MCC
3,944
$87,761,071
22,252
4.3
$5,223
194 - SIMPLE PNEUMONIA & PLEURISY W CC
3,697
$74,518,993
20,157
4.1
$4,952
603 - CELLULITIS W/O MCC
3,691
$60,125,775
16,290
3.9
$4,220
3,443
$255,074,516
74,085
2.6
$29,053
166,619
3,390,899,151
23,226
4.7
$4,911
247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC TOP 20 DRG'S
ARKANSAS HOSPITALS MAGAZINE . 47
Arkansas Hospitals,
MONTGOMERY
El Dorado Medical Center of South Arkansas
UNION
BRADLEY
ASHLEY
Crossett Ashley County Medical Center
CHICOT
Medicare Rural Hospital Flexibility Grant Program | HRSA-15-038 | Office of Rural Health Policy
Lake Village Chicot Memorial Medical Center
KEY
Acute care hospital–SHIP*
Little Rock (6) *Small Rural Hospital • Arkansas Children’s Hospital Improvement Grant Program. • Arkansas Heart Hospital Map revised June2019. • Baptist Health Medical Center–Little Rock • CHI St. Vincent Infirmary • Central Arkansas Veterans Healthcare System– John L. McClellan Veterans Hospital • UAMS Medical Center
Helena Helena Regional Medical Center
SOURCE: https://www.hrsa.gov/ruralhealth/programopportunities/ fundingopportunities/?id=b56d4504-7bf6-4f79-b0e8-37b766f2213e Rogers Mountain Home Pocahontas Paragould Eureka Springs Mercy Hospital Northwest Arkansas Baxter Regional Five Rivers Arkansas Methodist Eureka Springs Berryville Bentonville Medical Center Medical Center Medical Center Hospital Mercy Hospital–Berryville Northwest Medical Piggott CARROLL Salem RANDOLPH BOONE MARION Center–Bentonville BAXTER Piggott Community Hospital BENTON CLAY Fulton County Harrison Siloam Springs FULTON Hospital North Arkansas Springdale IZARD Blytheville Siloam Springs Regional Medical Center • Arkansas Children’s Northwest Calico Rock Walnut Ridge Great River Regional Hospital GREENE • Northwest Medical Center–Springdale Izard County SHARP Lawrence Medical Center WASHINGTON Gravette Mountain View Johnson NEWTON SEARCY Medical Center Memorial Hospital MADISON Fayetteville (3) Ozarks Stone County LAWRENCE Northwest Medical Center– Batesville • Washington Regional Medical Center CRAIGHEAD Community Medical Center MISSISSIPPI Willow Creek Women’s Hospital STONE White River • Northwest Health Physicians’ Jonesboro (2) Hospital Heber Springs Osceola Clarksville VAN Medical Center Specialty Hospital • St. Bernards of Gravette Baptist Health Medical South Mississippi County Russellville BUREN Johnson Regional • Veterans Health Care System Newport POINSETT Medical Center Center–Heber Springs INDEPENDENCE Regional Medical Center Saint Mary’s Medical Center of the Ozarks • NEA Baptist FRANKLIN Unity Health– Clinton JOHNSON Regional JACKSON CRAWFORD Van Buren Harris Medical Center Memorial Hospital Ozark Health Medical Center CLEBURNE Ozark Baptist Health Medical Searcy Medical Center CROSS Mercy Hospital− WHITE CONWAY Center–Van Buren POPE Unity Health– White Paris Conway (2) Ozark Wynne CRITTENDEN County Medical Center Mercy SEBASTIAN • Conway Regional Medical Center LOGAN Fort Smith (2) CrossRidge Hospital− Dardanelle • Baptist Health Medical Center–Conway Acute care • Baptist Health Medical WOODRUFF ST. FRANCIS Community Morrilton Paris Dardanelle Jacksonville Booneville Center–Fort Smith hospitals Hospital SCOTT FAULKNER PERRY CHI St. Vincent Regional LONOKE North Metro Medical Center YELL Mercy • Mercy Hospital− Forrest City Medical Center Morrilton Critical access Sherwood PRAIRIE Hospital Fort Smith Forrest City LEE Danville PULASKI CHI St. Vincent North Booneville hospitals Medical Center Chambers Memorial Hospital SALINE North Little Rock (2) MONROE GARLAND
Waldron Mercy Hospital− Waldron Mena Mena Regional Health System
MILLER
Magnolia Magnolia Regional COLUMBIA Medical Center
• Arkansas Surgical Hospital Hot Springs (3) Stuttgart Benton PHILLIPS • Baptist Health Medical • CHI St. Vincent–Hot Springs Baptist Health Saline POLK Center–North Little Rock • Levi Hospital Medical Center−Stuttgart Memorial • National Park Medical Center Hospital HOT SPRING DeWitt JEFFERSON ARKANSAS Malvern GRANT DeWitt CLARK PIKE Pine Bluff Baptist Health Medical Hospital and HOWARD Jefferson Regional Arkadelphia Center–Hot Spring County SEVIER Nursing Medical Center Baptist Health Home Nashville DALLAS Medical Center– Dumas CLEVELAND LINCOLN Howard Arkadelphia Delta Memorial Memorial Hospital DESHA Fordyce Hospital HEMPSTEAD Monticello NEVADA LITTLE Dallas County RIVER McGehee Drew Camden Medical Center Hope McGehee Memorial Wadley Regional Ouachita County Warren CALHOUN Hospital Hospital Medical Center Medical Center Bradley County DREW OUACHITA at Hope Medical Center Ashdown Little River Memorial Hospital
LAFAYETTE
ARKANSAS HOSPITALS MAGAZINE . 51
52 . SUMMER 2019
HOSPITALS RECOGNIZED FOR STROKE CARE PERFORMANCE Nine Arkansas hospitals, including seven AHA members, were recognized by the Arkansas Department of Health (ADH) for excellence in stroke care performance at a ceremony held June 7 at the Clinton Presidential Center in Little Rock. The ADH awards are based on hospital performance as documented in the Arkansas Stroke Registry between July 2017 and June 2018. They are given to hospitals for providing defect-free stroke care. Defect-free care is an aggregated metric based on the ten American Heart Association/American Stroke Association Coverdell performance measures in the “Get with the Guidelines®-Stroke Patient Management Tool.” These measures are benchmarked according to the standards of evidence-based stroke care guidelines to ensure stroke patients receive appropriate and timely care. The Arkansas Stroke Registry is the ADH stroke surveillance and quality improvement program. The primary goal of the ASR is to perform stroke surveillance, monitor stroke care performance, and provide stroke education and quality improvement assistance to improve stroke patient care and outcomes.
Hospitals receiving stroke care performance awards for defect-free patient care include: • Level 1 Award (≥90% Measure Adherence) o Washington Regional Medical Center • Level 2 Award (≥85% Measure Adherence) o St. Bernards Five Rivers Medical Center o Johnson Regional Medical Center • Level 3 Award (≥80% Measure Adherence) o Baptist Health–Fort Smith o Baptist Health Medical Center–Little Rock o Methodist University Hospital o Saint Mary’s Regional Medical Center o University of Arkansas for Medical Sciences o Wadley Regional Medical Center Visit healthy.arkansas.gov for more information on stroke prevention in Arkansas.
NEWS STAT ARKANSAS HOSPITALS MAGAZINE . 53
FINANCING IS THE FIRST STEP.
FAMILY-CENTERED ROUNDS TOOLKIT Family-centered rounding (FCR) is a key patient engagement strategy for hospitalized children. FCRs have become the standard of care, and the FCR Toolkit, available from AHRQ, is designed to help health care providers increase family engagement in medical rounds.
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Written for use by health care providers including physicians, nurses, hospital administrators, and quality improvement personnel, the kit will help those who are initiating FCR and/or those who want to operationalize optimal practices in their existing FCR.
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The FCR Toolkit includes implementation resources including: • An FCR checklist. • A training curriculum for checklist users consisting of a didactic. presentation, role-play simulation, and evaluation materials. • Informational session materials for ancillary staff. • Data collection tools to assess baseline and ongoing performance. • A model for offering maintenance of certification (MOC) credit. The materials are available free of charge at https://hipxchange.org/familyrounds. The FCR Toolkit can be used without permission. However, individuals are asked to register with HIPxChange prior to using the toolkit so that its developers can provide information on usage to project funders.
NEWS
STAT 54 . SUMMER 2019
Paul Phillips
501.978.6309 pphillips@crewsfs.com
800.766.2000 | crewsfs.com Member FINRA & SIPC
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(501) 664-7705 | bxsi.com ARKANSAS HOSPITALS MAGAZINE . 55
56 . SUMMER 2019
ARKANSAS HOSPITALS MAGAZINE . 57
58 . SUMMER 2019
HOSPITAL
Heroes
SAVE THE DATES! ARK ANSAS ADVERSE CHILDHOOD EXPERIENCES AND RESILIENCE SUMMIT
Building Resilient Communities: Where You Live, Work and Play!
ACEs19
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Visit afmc.org/ACEs for more information!
COACH'S
Playbook
62 . SUMMER 2019
ARKANSAS HOSPITALS MAGAZINE . 63
As CEO and Principal of BaldrigeCoach, Kay Kendall coaches organizations on their paths to performance excellence using the Malcolm Baldrige National Quality Award criteria as a framework. In each edition of Arkansas Hospitals, Kay offers readers quality improvement tips from her coaching playbook. Contact Kay at 972.489.3611 or Kay@Baldrige-Coach.com.
64 . SUMMER 2019
AAHQ Arkansas Association for Healthcare Quality
www.arkahq.org
ARKANSAS HOSPITALS MAGAZINE . 65
NEW MEASURES
FOR THE WIN!
Nine simple, new measures can show the potential for a community’s well-being and the well-being of its residents, according to a new report from the 100 Million Healthier Lives campaign and the National Committee on Vital and Health Statistics. Released in early June, The Well-Being in the Nation (WIN) Measurement Framework: Measures for Improving Health, Well-Being, and Equity Across Sectors is an Institute for Healthcare Improvement (IHI) program. WIN measures can be used to guide policy, compare results across initiatives, and drive improvement in the addressing of health inequities. In creating the report, stakeholder groups identified more than 500 measures, which were narrowed down to nine core measures, as well as 54 leading indicators across 12 domains and 30 subdomains, such as food, health, housing, education, and transportation.
Tame the wave of rising benefit costs. How do you control your benefits spend when you need to invest in talent? Your ability to maneuver determines your competitive edge. With healthcare plan design changes, you can ride the crest of a strong total rewards offering without wiping out your budget.
To learn more, visit ajg.com or contact us at your nearest Gallagher office: 6325 Ranch Drive Little Rock, AR 72223 501.485.3075 © 2018 Arthur J. Gallagher & Co. | AJG.COM 34274A
The degree to which people engage in civic life, the availability of good jobs, affordable housing, environments where people can come together, and striving toward an inclusive community culture are important indicators of well-being and can help pinpoint changes that should be made to increase health equity. Access the WIN Framework at ihi.org/about/news/.
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NEWS
STAT 66 . SUMMER 2019
Your proactive approach to change has kept your hospital in good health. Be ready for accounting emergencies with a daily dose of expertise. Our caring, candid pros can help bind up regulatory compliance breaks, reduce risk and identify reimbursement opportunities.
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Danielle Bell, M.D. Medical Director Adult and Geriatric Psychiatry
Tyler Bayles, M.D. Adult Psychiatry and Substance Abuse Disorders
HOSPITAL Robert Jarvis, M.D. Adult Psychiatry
COSUMER
ASSIST
WEBSITE George Konis, M.D. Adult Substance Abuse Disorders
Jeffrey Palmer, M.D. Child and Adolescent Psychiatry
21 Bridgeway Road North Little Rock, AR 72113 1-800-BRIDGEWAY thebridgeway.com
CALL NOW!
The Arkansas Hospital Association’s Hospital Consumer Assist website has been updated with the most recently available data (2017). Originally launched in 2007 in response to the growing consumer need for quality and pricing information, the site is a price transparency resource that provides hospital-level information about demographics, volume, pricing, and quality, to help consumers better understand prices of health care and to promote consumer/hospital interaction. It also complements the new CMS requirement that hospitals post standard charges on their websites, by providing an additional source of information about average charges for common diagnoses, based on data from the Arkansas Department of Health Center for Health Statistics. Go to hospitalconsumerassist.com to find the latest data.
ACHIEVE
NEWS
STAT ARKANSAS HOSPITALS MAGAZINE . 67
68 . SUMMER 2019
ARKANSAS HOSPITALS MAGAZINE . 69
70 . SUMMER 2019
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72 . SUMMER 2019
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LPL Financial, Inc. 2018
Lara Wilkerson Financial Advisor LPL Financial lara.durham@lpl.com
New name. Same location. 49 years combined experience serving our investors.
AR Insurance #8913727
Financial Advisor LPL Financial john.hoefl@lpl.com AR Insurance #1197665
501-760-3400 2228 Albert Pike Rd., Suite R, Hot Springs, AR
74 . SUMMER 2019
John P. Hoefl, CRPCÂŽ
Your mission is our purpose.
Our company was built on the idea of providing efficient and sustainable engineering solutions that allow you to focus on your core business. We’ve worked in Arkansas’s hospitals for more than 20 years. Supporting your mission is what inspires the work we do.
501-666-6776 (Little Rock) 479-521-8634 (Fayetteville) www.Bernhard.com
Central Utility Plant: A facility typically located on a campus whose assets produce and distribute steam, chilled water, heating water. V
www.Bernhard.com
and financial peace.
We’re changing the definition of central utility plants.
For more information on how to monetize thermal energy assets and transfer risk, contact us at (501) 666-6776. ARKANSAS HOSPITALS MAGAZINE . 75
AHA SERVICES
Presents
TAP INTO SUCCESS!
AHA
YOUR TRUSTED, IN-HOUSE BUSINESS CONSULTANT
INFORMATION Strategic Planning | Market Planning | Benchmarking
SERVICES
| Coding | Transcription | Patient
Satisfaction | Quality Measurement | Health
Analytics | Compensation Planning | Staffing Solutions | Cyber Risk Management | Compliance Management
FINANCIAL
Join your fellow Arkansas Hospital Association members and tap into the carefully vetted business services offered through AHA Services, Inc. AHA membership means you don’t need to call in outside consultants when searching for business solutions. AHA Services, as a subsidiary of the AHA, is YOUR in-house consulting firm, trusted for years by hospitals of all sizes across the state, and ready to serve you. Offering business services at specially brokered rates to AHA member hospitals – that’s what we do. We bring you project- and/or department-specific consultations that help you connect with companies ALREADY VETTED, ALREADY PROVEN, HOSPITAL-SPECIFIC, and providing special rates for member hospitals.
Audit Management | 340B Program Management | Rural Health Solutions | Reimbursement Management | Accounts Payable
Solutions | Process Efficiencies | Class Action Settlement Claim Management | Supply Chain Services: Medical and Surgical |
Pharmacy | Lab | Orthopedics | Cardiology | Capital Equipment | IT | Telecom
INSURANCE
WE COME TO YOU!
Tina Creel and Liz Carder are dedicated to our member hospitals, connecting them with the specific help they need to meet today’s health care business challenges. Whether it’s in the area of Information Management, Data Analytics, Quality Management, Insurance, Supply Chain Solutions, Staff Education and Certification or Financial Services, Tina and Liz will help your hospital tap into vetted and proven resources and services as your hospital seeks to improve upon its success.
Eye Health | Employee Benefits Packages | Volunteer and Student Nursing Coverage | Workers’ Comp | Liability
EDUCATION Learning Management | Compliance Training | Common Orientation for Clinical Rotation Programs | Competency and Performance Management
WORKFORCE Staffing Solutions | Compensation Surveys and Consulting | Supplemental Staffing Solution |
Executive Search and Interim Leadership Recruitment | Short Term Physician Specialties Staffing, CRNA | Temporary Allied, Mid-Level Health Staffing | Permanent Physician, Allied Health
Staffing | Risk Assessments | Active Shooter Training | Patient Violence Management | Provider
Enrollment Services
SET UP AN APPOINTMENT TODAY Reach us on the web, by email or phone. AHAServicesInc.com
TINA CREEL, PRESIDENT
AHA Services, Inc. tcreel@arkhospitals.org 501.224.7878
LIZ CARDER, ASSISTANT
AHA Services, Inc. lcarder@arkhospitals.org 501.224.7878
P AT I E N T C OM F ORT As the premier HVAC, controls, and service company in Arkansas, we understand the unique needs of hospitals, health clinics, and medical centers when it comes to heating and cooling their facilities. At Powers, we focus on patient comfort so
WHAT WE DO Heating and Cooling • Air Distribution • Controls • HVAC Equipment • Parts • NEBB TAB Service • Controls • Mechanical
you can focus on patient care. To learn more, call us at 501.374.5420 or visit us online at www.powersar.com.
Great people, great service, and great products from companies like Siemens. This is how we create customers for life. One customer at a time. B U I L D I N G H VA C , C O N T R O L S , & S E R V I C E • 5 0 1 . 3 7 4 . 5 4 2 0 •
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Protecting sensitive data is critical to patient safety. Do you know where your organization’s exposures are?
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Now Available Statewide By: Marisha DiCarlo
W
hatever you want to be, it helps to be well. Tobacco and nicotine use, lack of physical activity, and obesity can all stand in the way of wellness and increase risk for chronic diseases like diabetes and heart disease. In fact, tobacco is the leading cause of preventable death among Arkansans. But that important qualifier, "preventable," means that many of these negative outcomes can be avoided by making changes that support health. An active, healthy lifestyle is key. At the Arkansas Department of Health (ADH), we recently transformed our tobacco and nicotine cessation services into a new program called "Be Well Arkansas." Be Well Arkansas offers tips and support for those who are ready to quit smoking and address health conditions like diabetes and high blood pressure. It's never too late to make healthier decisions.
Tobacco Cessation
Wellness and cessation counselors with Be Well Arkansas are trained as certified Tobacco Treatment Specialists (TTS). These TTS specialists have gone through a standardized national program delivered by Houston's MD Anderson Cancer Center, an accredited TTS training site. The certification they earn ensures that Arkansans receive current, evidence-based treatment for their tobacco and nicotine dependence. Arkansans can call 833.283.WELL for counseling. Those who call the national number, 1.800.OUIT.NOW, are routed directly to the Be Well Arkansas call center. Callers who prefer in-person tobacco cessation counseling will be referred to TTS trained nurses at select local health units across the state. Those who have access to cessation services through their
health insurance provider, the Veterans Administration, or their employee assistance program will be referred to the services for which they are eligible. All insurance providers will reimburse health care providers for providing tobacco cessation services if U.S. Department of Health and Human Services guidelines for treating tobacco use and dependence are followed. Nicotine Replacement Therapy (NRTI is only provided to clients who sign up for counseling with Be Well Arkansas and do not have health insurance or only have Medicare. Those with Medicaid are given prescriptions for NRT. Similar resources are made available to people who call to receive other services, such as counseling for diabetes. Callers will be referred first to programs offered by their own insurance providers and their workplace's employee assistance programs.
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How Can I Refer Patients to Be Well? • Use the Be Well fax form, which can be downloaded at bewellarkansas.org (the fax number hasn’t changed: 1.800.827.7057) • Call 833.283.WELL to connect patients to the Be Well Call Center. If counselors are not available, leave the patient’s contact information and they will receive a callback within one business day. The number 1.800.QUIT.NOW still works and will route callers to the Be Well Call Center.
833.283.WELL
bewellarkansas.org
be well
C O N S T R U C T I O N | I N D U S T R I A L | C I V I L | E N V I R O N M E N TA L | S P E C I A LT Y
WE BUILD AROUND YOU
Operations at the CHI St. Vincent North campus never stopped, even as we updated surgery suites, renovated patient rooms, and added a helicopter pad. We finished on time and under budget, with zero accidents, all while their staff stayed focused on what they do best – taking care of patients.
1 . 8 7 7. N A B H O L Z | n a b h o l z . c o m