AHA-Spring2018

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Lily:

The best care for the unexpected is

NOW

Broken arm at age 3

OPEN

Pediatric Emergency care close to home is NOW OPEN at Arkansas Children’s Northwest As the first and only pediatric hospital in the region, we’re proud to deliver care where our children live, learn and play.

And as families like Lily’s know, playtime doesn’t always go as planned. That’s why our emergency department is now open 24 hours a day, seven days a week.

The emergency department at Arkansas Children’s Northwest has right-sized care for your children and their unique needs. With pediatric-trained doctors and nurses, lifesaving Angel One Transport, specialized equipment for all ages shapes and sizes, and other pediatric services, you’ll get the best care close to home for your family.

archildrens.org/ERNowOpen | (479) 725-6800

Pediatric Emergency In-Patient Care Pediatric Clinic ARKANSAS HOSPITAL ASSOCIATION . 1

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 2 . SPRING 2018

Features

11

Values: What Hospitals Can Learn from Other Organizations

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

16

What Health Care Can Learn from Manufacturing

22

Designing for Health: Interior Design’s Important Role in Health Care

DEPARTMENTS

COACH’S PLAYBOOK

5 6 7 9 9

53

President’s Message AHA Calendar

NEWS

All About Hospitals

20 Engineers on the Front Lines 34 Profile: Peggy Abbott, Ouachita

Newsmakers & Newcomers

Maria “Tessie” Bell

QUALITY AND PATIENT SAFETY

29 Making M.A.G.I.C., Saving Lives

30 Focus on Quality 39 Doctors and Lawyers Partnering for Care

42 A Unique Collaboration

for Quality Improvement

BOARD OF DIRECTORS Darren Caldwell, Newport / Chairman Chris Barber, Jonesboro / Chairman-Elect Peggy Abbott, Camden / Treasurer Ryan Gehrig, Fort Smith / At-Large Molly Burns, Magnolia Barry Davis, Paragould David Deaton, Clinton Phil Gilmore, Crossett John Heard, McGehee Vince Leist, Harrison James Magee, Piggott Mike McCoy, Danville Dan McKay, Fort Smith Jason Miller, North Little Rock Ray Montgomery, Searcy Ron Peterson, Mountain Home Darlene Tuohy, Bella Vista Doug Weeks, Little Rock Debra Wright, Nashville EXECUTIVE TEAM

Editor’s Letter

HOSPITAL HEROES

27

Benchmarking Partners Outside Health Care

Design Team: Jamison Mosley, Jamie Smith, Kellie McAnulty

County Medical Center

45 49

Arkansas’s Opioid Crisis Tap into Success with AHA Services

50 AHA Services Presents:

Violence Prevention in Hospitals

55 Building Better Teams POLICY AND ADVOCACY

58 The Capitol Report 59 Passing a Budget 61 YES for Tort Reform

Robert “Bo” Ryall / President and CEO W. Paul Cunningham / Executive Vice President Tina Creel / President of AHA Services, Inc. Elisa M. White / Vice President and General Counsel Jodiane Tritt / Vice President of Government Relations Pam Brown / Vice President of Quality and Patient Safety Lyndsey Dumas / Vice President of Education Suzanne Bierman / Vice President of Data and Policy 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 call 501-244-9700

ARKANSAS HOSPITAL ASSOCIATION . 3

4 . SPRING 2018

PRESIDENT’S MESSAGE

ARKANSAS HOSPITAL ASSOCIATION . 5

EVENT CALENDAR APRIL

Hospital Execufetirevence Leadership Con Bring Your Family!

Join us in Branson June 13-15 to learn from nationally-known experts and earn ACHE credits. Bring your family and enjoy all that Branson has to offer in entertainment, shopping and outdoor fun!

Featured events Tim Hague, Sr., shares lessons learned during his win of The Amazing Race Canada just three years after his Parkinson’s diagnosis. He shares insights from his new book Perseverance and is one of the hottest speakers currently on tour.

Bruce Himelstein explores how the use of data and trends is imperative to remaining relevant in any constantly changing business environment. His decades-long leadership in the hospitality industry has given him deep understanding of the nuanced and complex – and competitive – world of health care.

And don’t miss Friday’s dynamic panel discussion – where you’ll earn 1.5 ACHE face-to-face hours for attending.

JUNE 6 . SPRING 2018

April 5-6 2018 Emergency Preparedness Forum Embassy Suites, Little Rock April 6 Arkansas Society for Healthcare Marketing & Public Relations 2018 Spring Conference AHA Classroom April 8-10 Society for Healthcare Volunteer Leaders Conference Hyatt Regency, Lexington, KY April 11-13 Arkansas Association for Healthcare Engineering 53rd Annual Meeting and Trade Show The Hotel Hot Springs April 15-21 National Healthcare Volunteer Week April 18 Arkansas Health Executives Forum Luncheon Baptist Health Medical Center-Little Rock April 19-20 AHA Board Retreat The Lodge at Mount Magazine, Paris April 20 Arkansas Association for Medical Staff Services 2018 Spring Conference AHA Classroom April 24 Arkansas Department of Health Office of Rural Health and Primary Care Critical Access Hospital Administrators Meeting AHA Classroom April 25 Compliance Roundtable AHA Classroom April 27 Arkansas Social Workers in Health Care 2018 Spring Conference AHA Classroom

MAY May 4 Arkansas Hospital Professional Liability Seminar BXS Insurance Services, Little Rock May 5-7 State Auxiliary Leaders Conference Washington, DC (held in conjunction with the American Hospital Association Annual Meeting) May 6-9 American Hospital Association Annual Meeting Washington Hilton, Washington, DC May 6-12 National Hospital Week May 9-11 Society for Arkansas Healthcare Purchasing and Materials Management Annual Meeting and Trade Show The Hotel Hot Springs May 16 Workforce Insight Workshop AHA Classroom May 17 AHAA Board Meeting AHA Board Room

JUNE June 13-15 AHEART Hospital Executive Leadership Conference Chateau on the Lake, Branson, MO June 13 AHA Board Meeting, Chateau on the Lake, Branson, MO (held in conjunction with the AHEART Hospital Executive Leadership Conference) June 29 AHAWCSIT Board Meeting AHA Boardroom

EDITOR'S

Letter

At NYIT College of Osteopathic Medicine (NYITCOM) at Arkansas State University we are educating the physicians of tomorrow today.

Our medical school not only produces excellent physicians, but also cultivates “servant leaders� who recognize that healthy choices and wellness are vital components needed for the success of the people and communities to which they belong. Outside the classroom NYITCOM at A-State students are involved in activities that provide mentorship, opportunity, and encouragement to the youth of our state with the goal of creating more educated, engaged, and responsible citizens for Arkansas and our region.

NYITCOM at Arkansas State University is committed to addressing the primary care physician workforce shortage in Arkansas and the Delta Region. By 2030, NYITCOM at A-State will produce more than 1,000 physicians to serve this state, region, and beyond.

Are you interested in learning more?

Visit us at: nyit.edu/arkansas 870.972.2786 nyitcom.astate@nyit.edu 10 . SPRING 2018

ARKANSAS HOSPITAL ASSOCIATION . 11

GOALS

TEAMWORK

TRUST

Core Values INNOVATION

12 . SPRING 2018

RESPONSIBILITY

ETHICS

CUSTOMERS

ARKANSAS HOSPITAL ASSOCIATION . 13

Protecting Arkansas Hospitals Since 1900 Our medical malpractice team has the experience to handle the most complex legal issues faced

by Arkansas’ hospitals both large Protecting Arkansas Hospitals and small.

We recognize that many Since 1900 Arkansans receive quality healthcare Our medical malpractice team has the experience to handle the most through our state’s community complex legal issues faced by Arkansas’ hospitals both large and small. hospitals, and we take pride in working We recognize that many Arkansans receive quality healthcare through our state’s community hospitals, and we take pride in working with these hospitals in facing with thethese hospitals in facing the challenges created by the ever-changing business, challenges created by the ever-changing legal and regulatory landscapes. business, legal and regulatory landscapes.

Let us put our expertise to work for you.

Let us put our experience to work for you.

Protecting Arkansas Hospitals Since 1900 Our medical malpractice team has the experience to handle the most complex legal issues faced by Arkansas’ hospitals both large and small.

We recognize that many Arkansans receive quality healthcare through our state’s community hospitals, and we take pride in working with these hospitals in facing the challenges created by the ever-changing business, legal and regulatory landscapes.

Let us put our expertise to work for you.

By Bill Craddock

Fe ed lo ba op ck s

Team wo rk

t men iron Env f care o

Patient identification and assessment

Transition of care

Exceptional quality, safety and patient outcomes

Development of treatment plan

nt me age Man hange of c Indicates continual improvement and innovation

en em a t i o g Figure 1: The ASQ na m Ma nfor QMD/HCD Hospital-Based i of Healthcare QMS Model Š 2016 t

m an Ris ag k em e

n

Legend: Interactions

Delivery of care

Ma n an agem ds upp ent of fin ort reso ances urces

w it

ce ts ian en pl irem m Co requ h

ship commitment, Leader n plan ing and review

nt

Communication, educati on and training

ASQ Healthcare Technical Committee, a Joint Development of the Healthcare and Quality Management Divisions of ASQ; Used with permission.

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Arkansans who experience a life event that affects family size, location, income, or other big changes may qualify to get marketplace health coverage outside of the open enrollment period.

What Qualifies for Special Enrollment Periods?

Loss of health insurance: • • • •

Losing COBRA coverage Losing eligibility for Arkansas Works, Medicaid or CHIP Losing coverage through a family member Losing coverage through a job

Changes in household size: • Getting married • Having a baby, adopting a child, or placing a child for adoption or in foster care • Getting divorced or legally separated

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26 .SPRING 2018

AHIM 34546.2 AR Hospitals Spring Ad - Fl Pg_rr.indd 1

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ARKANSAS HOSPITAL ASSOCIATION . 27

Introducing the Michigan Appropriateness Guide for Intravenous Catheters

By Vineet Chopra, MD, MSc

ARKANSAS HOSPITAL ASSOCIATION . 29

AAHQ

www.arkahq.org

Figure 1

32 .SPRING 2018

Appropriate

Neutral

Inappropriate

Disagreement

Recommendations for Infusion of Peripherally-compatible Infusates Device Type

Proposed Duration of Infusion ≤5 days

6-14 days

Peripheral IV Catheter

No preference between peripheral IV and USG PIV for use ≤5 days

Ultrasound-Guided Peripheral Catheter

USG Peripheral Catheters preferred to PIVs if proposed duration 6-14 days

Non-tunneled/Acute Central Venous Catheter

Central Venous Catheters preferred in critically ill patients or if hemodynamic monitoring is needed for 6-14 days

Midline

Midline preferred to PICC if proposed duration ≤14 days.

Figure 2 ≥31 days

15-30 days

PICC preferred to midlines if proposed duration of infusion ≥15 days

PICC

Tunneled Catheter

PICC preferred to tunneled catheters & ports for infusions 15-30 days

Port

Recommendations for Infusion of Vesicants or Irritants Device Type

Figure 3

Proposed Duration of Infusion ≤5 days

6-14 days

≥31 days

15-30 days

Peripheral IV Catheter Ultrasound-Guided Peripheral Catheter Non-tunneled/Acute Central Venous Catheter

Central Venous Catheters preferred in critically ill patients or if hemodynamic monitoring is needed for 6-14 days

Midline

PICC

PICC’s rated as appropriate at all proposed durations of infusion.

Tunneled Catheter neutral for use ≥15 days

Tunneled Catheter

No preference between tunneled catheter and PICC for proposed durations ≥15 days No preference between ports, tunneled catheters or PICCs for ≥31 days

Port

Recommendations for Patients with Difficult Venous Access Device Type

Proposed Duration of Infusion ≤5 days

6-14 days

Peripheral IV Catheter

No preference between peripheral IV and USG PIV for use ≤5 days

Ultrasound-Guided Peripheral Catheter

USG Peripheral Catheter preferred to PIVs if proposed duration 6-14 days

Midline

Midlines preferred to PICCs if proposed duration of use is ≤14 days

Non-tunneled/Acute Central Venous Catheter

Central Venous Catheters preferred to PICCs for use ≤14 days in critically ill patients

PICC

Disagreement on appropriateness of PICCs for durations <5 days

Tunneled Catheter

Port

Figure 4 ≥31 days

15-30 days

PICC use appropriate if proposed duration ≥6 days; PICCs preferred to tunneled catheters for durations between 15-30 days Tunneled catheter neutral for difficult intravenous access for use ≥15 days

No preference between tunneled catheter or ports for use ≥31 days

ARKANSAS HOSPITAL ASSOCIATION . 33

PROFILE

36 .SPRING 2018

DOES YOUR HOSPITAL RECEIVE

ACCURATE PAYMENT? SPECIALIZING

in clinical documentation improvement and coding accuracy. Our services include but are not limited to: Clinical Documentation Improvement Inpatient/Outpatient Coding & Billing Audits Hospital Chargemaster Review & Update Appeals Process Education

405-878-0118 www.acsteam.net

ARKANSAS HOSPITAL ASSOCIATION . 37

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Go to afmc.org and get instant access to information that health care providers like you need every day. Youâ&#x20AC;&#x2122;ll find free tools available for order and download, details about AFMCâ&#x20AC;&#x2122;s quality improvement and disease prevention projects, survey results, professional publications geared toward Arkansas health care providers and MORE!

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40 .SPRING 2018

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2018 Governor’s Quality Award Healthcare Seminar

“Adapt and Overcome: Strategies for Agility in a Changing Industry” Tuesday, June 19 | Embassy Suites Hotel, Little Rock | 8:45am – 3pm 5.5 hours pending from the National Association for Healthcare Quality and Office of Long Term Care

FEATURED SPEAKERS

AGENDA 8:45 – 9am 9 – 10:15am 10:15 – 10:30am

Jason Glover

Welcome “Category 6 Hurricane: Our Baldrige Survival Guide for Weathering Any Storm” Jason Glover Break

10:30 – 11am

“Recalculating Healthcare Transformation – Building a Patient-Centered Foundation to Allow Healthcare Providers Flexibility in Navigating New Models of Care” Rhelinda McFadden, RN, CPHIMS, PCMH-CCE

11 am – 12pm

“Value versus Volume” Beverly Nix-Stone, MHA, FACHE, CEO St. Bernards Medical Center, Jonesboro Dr. Susan Ward-Jones, MD East Arkansas Family Health Center, West Memphis Dr. Angie Norman, DNP, GNP, ACNP University of Arkansas Medical Sciences

12 – 1pm 1 – 2pm 2 – 3pm

Lunch “How Data Analytics is Transforming Healthcare and Driving Agility” Amit Bhagat, MBA “Organizational Transformation: Engaging the Head and the Heart” Martha Davis

Overall Sponsor

VP of Operations Memorial Hermann Sugar Land Hospital – Recipient of the 2016 Baldrige National Quality Award Jason Glover joined Memorial Hermann Sugar Land Hospital as the VP of Operations in August 2017. He has been with the Memorial Hermann System for 4 years, most recently as Director of Operations at Memorial Hermann Greater Heights Hospital. Jason has over 10 years of experience spanning construction management and healthcare operations.

Find out what high reliability looks like for a small community hospital in Sugar Land, Texas that endured the 1,000-year flooding event created by Hurricane Harvey in 2017. Glover will share how Memorial Hermann Hospital’s steady focus and agility helped them meet their challenge. You will come to understand how the elements of leadership, planning, workforce and customer focus, as well as strong process design and measurement systems can ensure your readiness to face any storm.

Rhelinda McFadden

Manager, PCMHPT/Quality Consultant Arkansas Foundation for Medical Care Rhelinda McFadden has more than 20 years of healthcare experience, with more than 15 years as a Registered Nurse (RN), and more than 10 years in healthcare quality improvement (QI) focused on primary care physician practices and government contracts. Mrs. McFadden is currently the manager of the AFMC patient centered medical home (PCMH) practice transformation team and has been with AFMC for more than 15 years.

Amit Bhagat

CEO, Amitech Solutions, St. Louis, Missouri Amit has twenty-plus years of experience in helping clients succeed by developing information management, governance, business intelligence, advanced analytics, organizational design and performance management strategies and solutions. In an era of increasing change, Amit has worked extensively with clients in healthcare organizations to develop and implement growth strategies as well as drive measurable improvement in their operational performance by combining complex and innovative information-based technology solutions, culture, people and processes, all working in concert.

Martha Davis Presenting Sponsors

www.americandatanetwork.com

www.arkhospitals.org

Consultant, Performance Excellence Healthcare Navigant Consulting, Inc., Chicago, IL Martha Davis joined Navigant in 2017 after close to twenty-five years of consulting self-employment. She offers extensive experience in leadership and talent management, patient experience, and change management to enable organizations to create a culture of high performance and connection to purpose. She is highly focused on assessing and understanding clients’ needs and co-creating solutions that enable measurable improvement, which includes significant expertise using evidence-based leadership, the Malcolm Baldrige quality framework, and the Kotter model to support clients in accomplishing outstanding organizational outcomes.

For more information, contact Sue Weatter at 501-372-2222 or sweatter@arkansasstatechamber.com or visit www.arkansas-quality.org

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3/28/18 12:34 PM

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Tyler Bayles, M.D. Adult Psychiatry and Substance Abuse Disorders

George Konis, M.D. Adult Substance Abuse Disorders

Robert Jarvis, M.D. Adult Psychiatry

Jeffrey Palmer, M.D. Child and Adolescent Psychiatry

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TOP 300 ARKANSAS PRESCRIBERS BY SPECIALTY 39 12 10 7 5 5 4 3 2 2 2 1 1 1 1

0

ANESTHESIOLOGY/ PAIN

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SURGERY (NEUROSURGERY, GENERAL, ORAL, ORTHO) PHYSICAL MEDICINE AND REHABILITATION

GENERAL PRACTICE

4.00%

(FAMILY, INTERNAL, PEDIATRICS)

68.33%

3.33%

2.33% GERIATRICS 1.67% HOSPITAL/CLINIC 1.67% APN

HEMATOLOGY/ONCOLOGY

1.33%

1.00% 0.67% 0.67%

RHEUMATOLOGY

EMERGENCY MEDICINE NEUROLOGY

OUT-OF-STATE PHYSICIAN AT VA

0.67%

0.33% HOSPICE AND PALLIATIVE CARE 0.33% OSTEOPATHIC 0.33% PSYCHIATRY 0.33%

ADOLESCENT MEDICINE

50

100

150

200

250

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ARKANSAS HOSPITAL ASSOCIATION . 49

Invest in Arkansas Building Partnerships. Delivering Excellence.

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56 .SPRING 2018

In the battle against whooping cough, she needs more than cute.

She needs the safe, proven protection of vaccines. Giving her the recommended immunizations by age two is the best way to protect her from 14 serious childhood diseases, like whooping cough and measles. For more reasons to vaccinate, talk to your childâ&#x20AC;&#x2122;s doctor or go to http://www.cdc.gov/vaccines or call 1-800-CDC-INFO.

Immunization. Power to Protect.

ARKANSAS HOSPITAL ASSOCIATION . 57

58 .SPRING 2018

January 9

January 9 -11

FISCAL SESSION 2018 CONVENED FEBRUARY 12

Budget and appropriations bills are filed by the committee.

The committee often refers bills to subcommittees for closer examination. The Special Language Subcommittee examines substantive or temporary non-codified language in appropriation bills. The subcommittee gives further guidance in how to spend approved funds. Changes made in a subcommittee must be approved by the Joint Budget Committee before a bill is sent to the Senate and House for enactment.

Rep.

Signs budget into law; goes into effect July 1 ARKANSAS HOSPITAL ASSOCIATION . 59

Respond To Information Requests With

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S E Y VOTE

Medical Malpractice Filings AR 2001-2007 1

385

383

383

285

255

282

305

2001 2002 2003 2004 2005 2006 2007

62 .SPRING 2018

1 Arkansas Administrative Office of the Courts records, 2001-2007.

2 "Civil Justice Reform, Twists and Turns in Arkansas," Mark Behrens & Christopher Casolaro (2015) (citing Doug Smith, Fewer Medical Malpractice Suits, Ark. Times, Nov. 6, 2008).

3 "Ten Years of Tort Reform," Texas Hospitals, September/October 2013.

4 “Creating Conditions for Economic Growth: The role of the legal environment,” Institute for Legal Reform study conducted by NERA Economic Consulting, October 26, 2011.

5 “A Texas Turnaround: The Impact of Lawsuit Reform on Business Activity in the Lone Star State,” The Perryman Group, April 2008.

6 “2017 Lawsuit Climate Survey: Ranking the States,” A Harris Poll conducted for the Institute for Legal Reform, September 2017.

7 “A Texas Miracle,” Rick Wartzman, Los Angeles Times, July 3, 2011.

Public Voices Opinion on Prescription Drug Pricing Kaiser Health Tracking Poll Results Americans are prioritizing measures they want Congress and the President to address, and passing legislation to bring down the price of prescription drugs ranks number one, according to a Kaiser Family Foundation poll released March 23.

Though 52% of the public voice this as their top priority, only 39% express confidence that President Trump and his administration will

be able to deliver on the campaign promise that Americans will pay less for prescription drugs than they pay now, Kaiser reports.

The public is also weighing in on the amount of influence certain interest groups have in Washington. 72% say they feel the pharmaceutical companies have “too much influence,” ranking drug companies at the top with large corporations and Wall Street; other interest groups’ amount of perceived influence in the nation’s capital, though high, don’t meet this seven-in-ten threshold.

For example, hospital groups are perceived by 36% of the public to have “too much influence,” while doctor groups come in at 30% and the National Rifle Association at 52%.

The polling addresses Republicans, Democrats and Independents, and the majority of each group say the pharmaceutical industry has “too much influence in Washington.”

Figure 1

Prescription Drug Pricing Tops List of Public’s Priorities Should the following things President Trump and Congress might try to do in the coming months be a top priority, important but not a top priority, not too important, or should it not be done?

Top priority

Important but not a top priority

Not too important

Should not be done 50%

Passing legislation to bring down the price of prescription drugs

52%

Passing an infrastructure bill to improve U.S. roads and bridges

45%

Addressing the prescription painkiller epidemic

42%

Passing legislation to allow “Dreamers” to stay in the U.S.

38%

Repealing the 2010 health care law Passing federal funding to build a border wall

44%

21% 17%

6% 2% 8% 2%

44%

33%

28% 20%

38%

8%

5%

13% 13%

8%

35%

14%

49%

NOTE: Question asked of half-sample. Don’t know/Refused responses not shown. Question wording abbreviated.

See topline for full question wording.

SOURCE: KFF Health Tracking Poll (conducted March 8-13, 2018)

ARKANSAS HOSPITAL ASSOCIATION . 63

No detail too small.

You’re proud of your hospital for good reason — you’ve kept your house in order. Our diligent, disciplined pros can help you keep payment reform and regulatory compliance under control so you can concentrate on growing wisely.

Everyone needs a trusted advisor.

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64 .SPRING 2018

Unity Health and Mayo Clinic - collaborating for your care

Unity Health & Mayo Clinic are

Working Together YOU for

Achieving our vision of world-class healthcare is even closer due to our membership in the Mayo Clinic Care Network, an innovative collaboration which brings the expertise of Mayo Clinic to our patients.

As the first member of the Mayo Clinic Care Network in Arkansas, our depth of specialty care has been enhanced with new resources and tools while keeping patient care right here at home.

Innovation. World-class care. Unity Health.

For more information, please visit Unity-Health.org/mayo.

HOSPITALS â&#x20AC;˘ CLINICS â&#x20AC;˘ SPECIALISTS Searcy | Newport | Beebe | Bradford | Clinton | Heber Springs

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Arkansas Children’s Northwest Springdale, Arkansas

CONSTRUCTION

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INDUSTRIAL

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CIVIL

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E N V I R O N M E N TA L

WE BUILD PLACES TO HEAL

At Nabholz, the buildings that matter to you matter to us.

It might look like just a hospital, but to the 200,000 children and families Arkansas Children’s Northwest serves in Northwest Arkansas, it’s a beacon of hope and healing, providing care close to home. With over 300 team members who call this region home, we understand that difference.

479.659.7800 | www.nabholz.com

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S P E C I A LT Y