Arkansas Hospitals, Winter 2019

ARKANSAS

HOSPITALS Winter 2019

HOSPITAL

EMERGENCY

H

Leaders Everywhere

OU R R EL AT IONSH I PS A R E

BU I LT TO L A S T Mitchell Williams has been providing comprehensive legal services for 65 years. We serve as advocates and partners, using our depth of knowledge, diverse professional experience and team approach to help clients solve problems and achieve their goals. Learn more.

Little Rock | Rogers | Jonesboro | Austin | MitchellWilliamsLaw.com

Mitchell, Williams, Selig, Gates & Woodyard, P.L.L.C. 425 W. Capitol Ave., Suite 1800 | Little Rock, AR 72201 R.T. Beard, III, Managing Director

A Growing Health System for a Growing Community

Left to Right: J. Tod Ghormley, MD, James T. Howell, MD, James L. Head, MD, H. Scott Smith, MD, Grant W. Bennett, MD, Tom Roberts, MD, Robert F. McCarron, MD, Glenn D. McClendon, DPM

New Medical Offices

More Specialists

Expanded Access

Orthopedic Excellence At Conway Regional, our team of talented orthopedic surgeons and specialists are dedicated to helping you regain mobility and recover from injury and disease. We are bringing you the most advanced technology, comprehensive experience, and world-class care.

We’re not just growing—we’re growing together.

#conwayregional

Innovative Services

Arkansas Heart Hospital Bryant, Arkansas

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.

www.clarkcontractors.net

10

CULTURE

SHOCK LEADER PROFILES

16

Planting Seeds of Kindness

20

Lead, Let Go & Help Others Grow

24

Passionate about Public Health

CONTENTS

LEADER PERSPECTIVES

30

Speaking from Experience

37

Strength in Numbers

56

Two Chambers, Two Parties, One Focus

40

This was Annual Meeting 2019!

49

Group Prenatal Care

52

Do. Tell.

55

Solutions for Hospitals

60

Medical Marijuana: Is Your Hospital Ready?

NEWS

IN EVERY ISSUE

5

President’s Message

6

Event Calendar

7

Editor’s Letter

8

All About Hospitals

9

Newsmakers

29

Focus on Quality

34

Coach’s Playbook

64

Where We Stand

YOU have the POWER to SPARK CHANGE The Winter Issue Arkansas Hospitals is published by The Arkansas Hospital Association

419 Natural Resources Drive | Little Rock, AR 72205

Elisa M. White, Editor in Chief Nancy Robertson, Senior Editor & Contributing Writer Ashley Gill, Associate Editor Jamie Barrett, Graphic Designer

BOARD OF DIRECTORS:

Chris B. Barber, Jonesboro / Chairman Ron Peterson, Mountain Home / Chairman-Elect Peggy Abbott, Camden / Treasurer Darren Caldwell, Jonesboro / Past-Chairman Ryan Gehrig, Fort Smith / Director-at-Large Greg Crain, Little Rock Barry Davis, Paragould David Deaton, Clinton Jan Gardner, Little Rock Phil Gilmore, Crossett Vince Leist, Harrison James Magee, Piggott Mike McCoy, Danville Gary Paxson, Batesville Rob Robinson, El Dorado Larry Shackelford, Fayetteville Brian Thomas, Pine Bluff Debra Wright, Nashville

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

ARKANSAS HOSPITAL ASSOCIATION DISTRIBUTION: Arkansas Hospitals is distributed quarterly to hospital executives, managers and trustees throughout the United States; to physicians, state legislators, the congressional delegation, and other friends of the hospitals of Arkansas. Arkansas Hospitals is produced quarterly by Vowell, Inc., 910 W. 2nd St., Suite 200, Little Rock, AR 72201. Periodicals postage paid at Little Rock, AR and additional mailing offices. The contents of Arkansas Hospitals are copyrighted, and material contained herein may not be copied or reproduced in any manner without the written permission of the Arkansas Hospital Association. Articles in Arkansas Hospitals should not be considered specific advice, as individual circumstances vary. Products and services advertised in the magazine are not necessarily endorsed by the Arkansas Hospital Association.

To advertise, email magazine@arkhospitals.org.

Specializing in mental health treatment for children and adolescents

We Provide a Full Continuum of Behavioral Healthcare Services Acute inpatient care School-based services Residential inpatient care Outpatient services Partial hospitalization TRICAREÂŽ Certified

11501 Financial Centre Parkway | Little Rock, AR 72211 | 501.223.3322 | 800.880.3322

Pinnacle Pointe Behavioral Healthcare System is located in Little Rock and is one of Arkansas’ largest behavioral inpatient facilities that offer acute and residential services for children and adolescents ages 5-17 who are struggling with emotional or behavioral health issues. The caring professionals at Pinnacle Pointe Behavioral Healthcare System help patients return to their community as healthier individuals.

OUR MISSION: To Hope...To Heal...

To Laugh...To Live!!! www.PinnaclePointeHospital.com

ARKANSAS HOSPITALS MAGAZINE . 5

Learn more about these and other opportunities for learning and networking on the new AHA website arkhospitals.org

8 . WINTER 2019

ARKANSAS HOSPITALS MAGAZINE . 9

TAKEAWAYS

Real change starts with real dissatisfaction.

When a mission becomes personal, it becomes a cause.

If you don't care, they won't care.

Old habits die hard, so hardwire desired change.

It's about building pyramids, not sandcastles.

Servant leadership begins with the natural feeling that one wants to serve, to serve first.

Then conscious choice brings one to aspire to lead.

-Robert Greenleaf

TAKEAWAYS Practice personal humility.

1

Practice loyalty.

2

Practice personal accountability.

3

Practice selflessness.

4

Build bridges, not walls.

5

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.

ARKANSAS HOSPITALS MAGAZINE . 19

Only a

CLICK

away!

Connect

to order free health care resources and tools!

Go to afmc.org and get instant access to information that health care providers like you need every day. You’ll find free tools available for order and download, details about AFMC’s quality improvement and disease prevention projects, survey results, professional publications geared toward Arkansas health care providers and MORE!

REVISED SEPTEMBER 2017

Building Partnerships. Delivering Excellence.

The professional liability and property protection for your healthcare facility deserves the expertise of specialists. The Healthcare Division of BXS Insurance is one of the largest and most experienced group of medical professional liability and property specialists for hospitals, PHOs, IPAs, surgery centers, clinics, physicians, surgeons, and nursing homes in the Southeast. Call Tom Hesselbein today for more information at (501) 664-7705.

Professional Liability | Property | Loss Control | TPA Services 1. BXS Insurance is a wholly owned subsidiary of BancorpSouth Bank. 2. Insurance products are • Not a deposit • Not FDIC insured • Not insured by any federal government agency • Not guaranteed by the bank • May go down in value. 3. BXS Insurance is an insurance agent and not an insurance carrier. 4. Always read your policy for coverage terms and conditions.

(501) 664-7705 | bxsi.com

J O E B A T E S, M D

We provide peace of mind so you can, too.

Your Arkansas Health Law Team

We’ve been addressing the legal needs of the Arkansas healthcare industry for almost 120 years.

• Medicare/Medicaid Reimbursement

• Licensure Matters & Board Hearings

• Contracts & Business Transactions

• Privileging & Peer Review

• Stark I and II & Anti-Kickback Compliance • Government Regulations

• Operations & Management

• Medical Device & Pharmaceutical Products Defense

• Employment Issues

• HIPAA Compliance & Training • Medical Malpractice Defense • Drug Diversion Prevention

Rogers

Little Rock

wlj.com

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 Š 2018 Arthur J. Gallagher & Co. | AJG.COM 34274A

Our doctors listen with their

H earts Stethoscopes and

Robert Jarvis, M.D.

Tyler Bayles, M.D.

Jane Kang, M.D.

John Schay, M.D.

Jeffrey Palmer, M.D.

Justin Powell, M.D.

21 Bridgeway Road — North Little Rock, AR 72113 | 1-800-245-0011 | thebridgeway.com

AAHQ

www.arkahq.org

LEADERSHIP IS NOT IN THE TITLE, IT’S IN THE PERSON. IT’S TIED TO THEIR

CHARACTER INTEGRITY. RESPECT AND THEIR

IT’S BASED ON FOR OTHERS.

32 . WINTER 2019

THE GOAL IS ALWAYS TO

MAKE CARE BETTER FOR THE PEOPLE WE SERVE.

OVER 30 YEARS OF

EXPERT CONSULTATION REVENUE CYCLE MANAGEMENT, ICD10 AUDITS, CDI, APPEALS PROCESS, HOSPITAL CHARGEMASTER REVIEW & MORE

www.acsteam.net

2019

00

Integrated, strategic real estate solutions

2226 Cottondale Lane Suite 210 Little Rock, AR 72202 501 716 5511 5100 W. JB Hunt Drive Suite 800 Rogers, AR 72758 479 845 3000

MOBILE INTEGRATED PLATFORM

sagepartners.com You provide first class healthcare.

We do the rest.

RESULTS 277K

savings & cost avoidance year 1, including reduction to hospital facilities payroll due to CW Sage assuming fulltime employees

25%

reduction in janitorial costs while increasing the service frequency

$390k

annual projected savings in year 2

$41k

savings on one clinic consolidation

WHAT WE DO - SERVICES Preventive, predictive & corrective maintenance Asset management – accounting and lease administration Energy conservation & sustainability programs Project management & construction oversight Leasing & brokerage services NWA 479 845 3000 | Central AR 501 716 5511 HOW WE DO IT - STRATEGIES Establish baseline building performance guidelines and benchmark

Strategic detailed budgeting Hire top talent / highly educated / experienced team members Partnership approach with clients Leverage relationships through network of contractors & Cushman’s buying power Integrate high quality operations & maintenance support services through our state-of-the-art platform WHY WE DO IT - RESULTS Cost control Insure operation within lease guidelines Maximize employee comfort & safety Provide a consistent, convenient, streamlined maintenance process Enhance value & improve patient “first impressions” Reduce regulatory risk as well as liability risk Allow clients to focus on their business; providing first class patient care

Independently Owned and Operated/Member of the Cushman & Wakefield Alliance

ARKANSAS HOSPITALS MAGAZINE . 43

Patient Data When You Need It SHARE allows participating hospitals and providers to access patient health records online, in real-time and through a secure connection using your electronic health record.

501.410.1999

SHAREhealth@arkansas.gov

www.SHAREarkansas.com

LPL Financial, Inc. 2018

Lara C. Wilkerson Financial Advisor LPL Financial lara.durham@lpl.com

To Serving the AHA Community 51 years combined experience serving our investors.

AR Insurance #8913727

Financial Advisor LPL Financial AR Insurance #1197665

501-760-3400 2228 Albert Pike Rd., Suite R, Hot Springs, AR

FINANCING IS THE FIRST STEP. Our Capital Markets professionals have the industry experience and client-first approach you need to complete upcoming projects. Planning new construction? Refinancing? Equipment leasing?

We can customize the right capital structure. Call or click today and find out what Crews can do for you.

INVESTMENT BANKING | PUBLIC FINANCE BONDS | LEASES | LOANS Paul Phillips

501.978.6309 pphillips@crewsfs.com

800.766.2000 | crewsfs.com Member FINRA & SIPC

Fractured payment strategy?

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.

Everyone needs a trusted advisor.

Who’s yours?

bkd.com/hc • @BKDHC

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.

THE CARE YOU NEED. WHERE YOU NEED IT. (870) 262-1200 1710 Harrison Street Batesville, AR

52 . WINTER 2019

ARKANSAS HOSPITALS MAGAZINE . 53

TAP INTO SUCCESS!

AHA

SERVICES

YOUR TRUSTED, IN-HOUSE BUSINESS CONSULTANT

INFORMATION Strategic Planning | Market Planning |

| Coding | Patient Satisfaction | Quality Measurement | Health Analytics | Staffing Solutions | Cyber Risk Management | Benchmarking

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.

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

SET UP AN APPOINTMENT TODAY Reach us on the web, by email or phone. AHAServicesInc.com

EDUCATION Learning Management | Compliance Training |

Common Orientation for Clinical Rotation Programs | Competency and Performance Management

WORKFORCE Staffing Solutions | Compensation Surveys | 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

TINA CREEL, PRESIDENT

AHA Services, Inc. tcreel@arkhospitals.org 501.224.7878

LIZ CARDER, ASSISTANT

AHA Services, Inc. lcarder@arkhospitals.org 501.224.7878

D AV I D D E AT O N Ozark Health Medical Center

Revenues or Moneys Received by the State

General Revenue

• Tax Collections • Distributed through the Revenue Stabilization Act (RSA)

Dedicated Source • Special Revenue • Federal Funds • Cash Funds • Trust Funds

One-Time Funding Figure 1

• Surplus • Recouped General Revenue

POLICY & ADVOCACY

PTCOA IS ARKANSAS’S LARGEST FULLY COMPREHENSIVE PAIN MANAGEMENT PRACTICE WITH MULTIPLE LOCATIONS TO BEST SERVE OUR PATIENTS. WE HAVE DEDICATED PHYSICIANS, STATE OF THE ART SURGERY CENTERS, MEDICATION MONITORING, CLIA CERTIFIED LABS AND THE MOST COMBINED PAIN MANAGEMENT EXPERIENCE OF ANY PRACTICE IN THE REGION. ALL OF THIS EXCELLENCE IN MEDICAL CARE WITH ONE FOCUS – TO HELP RESTORE QUALITY OF LIFE.

WWW.PTCOA.COM 844-215-0731

POLICY & ADVOCACY

Table I. Qualifying Medical Conditions Cancer

Hepatitis C

ALS

Tourette’s syndrome

Crohn’s disease

Ulcerative colitis

Severe arthritis

Fibromyalgia

Cachexia or wasting syndrome

Peripheral neuropathy

Intractable pain unresponsive to treatment for > 6 months

Seizures

Any other condition approved by the Department o

60 . WINTER 2019

(as of August 23, 2019) Glaucoma HIV / AIDS PTSD Alzheimer’s disease Severe nausea Severe and persistent muscle spasms

tment of Health

ARKANSAS HOSPITALS MAGAZINE . 61

Leaders

Everywhere

are in health care % 9 support occupations

45,800

Such as phlebotomists, nursing assistants, home health aides & medical transcriptionists

Arkansans are employed by hospitals

% are health care 57 practitioners or technicians Such as nurses, physicians, pharmacists & therapists

6are%in

management Such as administrators, food service managers, human resources managers & IT managers

% 16 work in diverse areas Such as ďŹ nancial operations, building and grounds maintenance, social services, information technology, food preparation and serving, life sciences, personal care & protective services

100%

READY TO SERVE YOU

24/7/365

% 12 are in office

& administrative

support positions Such as administrative assistants, customer service representatives, clerks & telephone operators

Job statistics based upon national data, American Community Survey (ACS) Public Use Microdata Sample (PUMS), 2017.

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 PLACES THAT ENCOURAGE WELLNESS

When John Brown University needed to renovate their Walton Lifetime Health Complex, they called Nabholz. We expanded their cardio and weight areas, updated the HVAC system, rebuilt the locker rooms, and enlarged the swimming pool, giving students and community members access to a modern, full-range fitness and wellness center.

1 . 8 7 7. N A B H O L Z | n a b h o l z . c o m