Arkansas Hospitals Summer 2019

Statistics Edition

ARKANSAS

HOSPITALS Summer 2019

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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 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

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, call 501-244-9700.

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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.

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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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• 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

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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

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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.

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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

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WEBSITE The Arkansas Hospital Association’s Hospital Consumer Assist website has been updated with the most recently available data (2017).

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CALL NOW!

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

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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.

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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.

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Protecting sensitive data is critical to patient safety.

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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