HEA LT H Y
R EL AT IONSHIPS M AK E A LL T HE DIFFER ENCE Our team of health care lawyers provides strategic advice and innovative solutions to help clients achieve their goals, but they value people above all. Trust Mitchell Williams to fight for you in a complex, competitive environment.
SPECIALIZING IN: • Comprehensive Business Transactions
• Litigation • Risk Management
• Regulatory Compliance
Little Rock | Rogers | Jonesboro | Austin | MitchellWilliamsLaw.com
Mitchell, Williams, Selig, Gates & Woodyard, P.L.L.C. | R.T. Beard, III, Managing Director 425 W. Capitol Ave., Suite 1800 | Little Rock, AR 72201
A Growing Health System for a Growing Community
Medical Office Building, Completion in 2020
New Medical Offices
For nearly 100 years, it’s been our honor to provide you with high-quality, compassionate health care. Now, we’re building new clinics, expanding access, and bringing innovative services to our thriving community. We’re not just growing—we’re growing together.
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.
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
…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.
MPI 7882 11/18
Our work is not done, but by facing the future together, we can keep our great state strong.
1 BEHAVIORAL HEALTHCARE SYSTEM
BEHAVIORAL HEALTHCARE SYSTEM
BEHAVIORAL HEALTHCARE SYSTEM
nacle Pointe Behavioral Healthcare System is located ittle Rock and is one of Arkansas’ largest behavioral th facilities. We offer acute inpatientPointe and residential Pinnacle Behavioral Healthcare System is located ices for children and adolescents ages 5-17 who are in Little Rock and is one of Arkansas’ largest behavioral ggling with emotional or behavioral health issues.
facilities. We offer acute inpatient and residential Pinnacle Pointehealth Behavioral Healthcare System is located services children largest and adolescents in Little Rock and is onefor of Arkansas’ behavioral ages 5-17 who are with inpatient emotional orresidential behavioral health issues. health facilities.struggling We offer acute and services for children and adolescents ages 5-17 who are Provide a Full Continuum of struggling with emotional or behavioral health issues.
To Hope…To Heal…To Laugh…To Live!!!
Pinnacle Pointe Hospital is Arkansas’ largest behavioral inpatient facility and the only TRICARE avioral Healthcare Services ®
certified residential facility for children and adolescents ages 5-17 struggling with emotional or behavioral issues. We offer acute psychiatric services for issues such as depression, mood swings, patient care | School-based services | Partial hospitalization grief or loss, change in school performance, and thoughts to harm self or others. Our mental health Acute inpatient Outpatient programscare help| our patients services live their fullest lives:
We Provide a Full Continuum of We Provide a Full Continuum of Services Behavioral Healthcare Acute Inpatient Care | Residential Inpatient Care | Partial Hospitalization
Behavioral Healthcare | TRICARE Services Outpatient Services Military Program for Military Dependents TRICARE® is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.
Residential inpatient care | School-based services | Partial hospitalization
We are dedicated providing quality healthcare to ourhospitalization patients and support to families. Please sidential inpatient care |to School-based services | Partial Acute inpatient care | Outpatient services contact us today11501 to find out more. Financial Centre Pkwy.
Acute inpatient care | Outpatient services Little Rock, AR
501.223.3322 • 800.880.3322 TRICARE® is a registered trademark of the Department
of Defense, Defense Health Agency. All rights reserved. TRICARE® is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.
11501 Financial Centre11501 Pkwy. Financial Centre Pkwy. Little Rock, AR
Little Rock, AR
501.223.3322 • 800.880.3322 501.223.3322 • 800.880.3322
Healthy Neighborhoods Healthy Families
SEARCHing for a Community
Training Tomorrow’s Doctors IN EVERY ISSUE 7 8 9 11 13 46
President’s Message Event Calendar Editor’s Letter All About Hospitals Newsmakers Hospital Hero
COMMUNITIES OF CARE 14 19 25 29
Community-Wide Health Healthy Neighborhoods Healthy Families Connecting to Community Four Houses, One Mission
COMMUNITIES FOR A CAUSE 35 37 40 43 47
Better Breathers Identifying Hungry Arkansans Arkansas Rural Health Partnership SEARCHing for a Community Coach’s Playbook: Communities of Excellence
COMMUNITIES OF CAREGIVERS 49 NYITCOM-Arkansas: Training Tomorrow’s Doctors 51 ARCOM: Recruiting, Training, Retaining
COMMUNITIES OF ADVOCACY 60 Community Health Workers 63 The Capitol Report 64 Barriers to Health
NEWS 33 53 55 56
Focus on Quality Allies in Health Care AHA Services Presents Profile: Ryan Gehrig
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:
Darren Caldwell, Jonesboro/Chairman Chris Barber, Jonesboro/Chairman-Elect Peggy Abbott, Camden/Treasurer Doug Weeks, Little Rock/Past-Chairman Ryan Gehrig, Fort Smith/Director-at-Large Greg Crain, Little Rock Barry Davis, Paragould David Deaton, Clinton 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
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.
Educating the Physicians of Tomorrow. NYIT College of Osteopathic Medicine-Arkansas is committed to alleviating the shortage of primary care physicians here in Arkansas and in the greater Delta region. Our campus in Jonesboro, close to substantial health care needs, is uniquely situated to improve the â€œNatural Stateâ€? of medicine. Our students and faculty are eager and ready to address these needs with research, outreach, wellness initiatives, and superior patient care. Training Physicians in Arkansas for Arkansas.
Find out more: nyit.edu/arkansas 800.345.NYIT
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We care about providers the way you care about patients. We’ve been addressing the legal needs of the Arkansas healthcare industry for almost 120 years. • Medicare/Medicaid Reimbursement
• Stark I and II & Anti-Kickback Compliance • Contracts & Business Transactions • Government Regulations
• Operations & Management
• Licensure Matters & Board Hearings • Employment Issues
• Privileging & Peer Review
• HIPAA Compliance & Training • Medical Malpractice Defense
• Medical Device & Pharmaceutical Products Defense • Drug Diversion Prevention
Let us put our experience to work for you.
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
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.
savings & cost avoidance year 1, including reduction to hospital facilities payroll due to CW Sage assuming fulltime employees
reduction in janitorial costs while increasing the service frequency
annual projected savings in year 2
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
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Our doctors listen with their
H earts Stethoscopes and
OPIOID USE REPORT NOW AVAILABLE The Patient-Centered Clinical Decision Support Learning Network (PCCDS), funded by the Agency for Healthcare Research and Quality (AHRQ), has issued a report titled: A Stakeholder-Driven Action Plan for Improving Pain Management, Opioid Use, and Opioid Use Disorder Treatment Through PatientCentered Clinical Decision Support. Highlights of the report include: • 19 PCCDS tools that support patient care for pain, opioids, and opioid use disorder (OUD). • 5 future scenarios that illustrate the uses of PCCDS for pain management and opioids. • 11 stakeholder groups and recommended actions for them to improve care through PCCDS. • 4 areas in which PCCDS implementation efforts are already underway. Access the tools and the free report at https://PCCDS-LN.org.
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
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?
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HEALTHY NEIGHBORHOODS HEALTHY FAMILIES AFFORDABLE HOUSING
Improving the Neighborhood We Call Home Healthy Homes An affordable housing initiative aimed at revitalizing housing in the neighborhoods around Nationwide Childrenâ€™s. Focusing on blighted homes, Healthy Homes and its partners builds, rehabilitates and repairs homes. Check out our progress from kick off in 2008 through today!
166 Home Improvement Grants
97 Home Renovations
74 new roofs
75 homes received new windows (thatâ€™s about 859 windows installed)
9 on the market/in progress
76 homes received new siding
31 New Builds 25 sold
6 on the market/ in progress
Additional 37 homes
completed by the Home Again program, Homeport and Community Development for All People
Our focus on partnerships and collaboration has fueled our effectiveness in our community. We are extremely grateful for our collaborators.
impacted by Healthy Homes and our community partners! Total financial investment: $25,600,000
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.
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Corporate gifts & catering
smokedturkeys.com 526 Spruce St • Lewisville, AR 5620 R St • Little Rock, AR 2019 Arkansas Food Hall of Fame Inductee 24 . FALL 2019
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Community Respect and Partnerships Prevention, Social Determinants
High Tech Telehealth Solutions Magnet: Pulls Hospital into the Community
Intensive Case Management
Community Health Workers
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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.
NEW APP FOR PHYSICIAN VISITS QuestionBuilder is a new, free app from the Agency for Healthcare Research and Quality that helps patients and caregivers prepare in advance for medical appointments, maximizing time with their physicians. QuestionBuilder asks you to select your reason for the physician visit, then presents lists of questions you might want to ask your physician. Writing your own, personal questions is an easy addition. The app lets you save your questions to a calendar appointment or send them to any email address: your own, that of your physician, or that of a trusted friend or caregiver. QuestionBuilder is available at the Apple App or Google Play stores at no cost. For more information, or to download a one-page handout physicians can reproduce for office distribution, go to www.ahrq.gov and search for QuestionBuilder.
To learn more, visit ajg.com or contact us at your nearest Gallagher office: 6325 Ranch Drive Little Rock, AR 72223 501.485.3075 ÂŠ 2018 Arthur J. Gallagher & Co. | AJG.COM 34274A
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
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800.766.2000 | crewsfs.com Member FINRA & SIPC
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Our mission is to improve the delivery, coordination and quality of health care across Arkansas through the statewide use of health information technology and clinical data exchange.
Join SHARE Today! 501.410.1999 30 . FALL 2019
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AAHQ Arkansas Association for Healthcare Quality
SAME MISSION. Serving you since 1929.
Cornerstone Clinic for Women Little Rock, Arkansas
At Polk Stanley Wilcox Architects, our healthcare design team leverages client data to design healthcare spaces and processes that increase staff efficiency and workflow, enhance patient satisfaction, support staff experience, and minimize expenditure of time and money. polkstanleywilcox.com
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. Youâ€™ll find free tools available for order and download, details about AFMCâ€™s quality improvement and disease prevention projects, survey results, professional publications geared toward Arkansas health care providers and MORE!
REVISED SEPTEMBER 2017
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 you can focus on patient care. To learn more, call us at 501.374.5420 or visit us online at www.powersar.com.
WHAT WE DO Heating and Cooling • Air Distribution • Controls • HVAC Equipment • Hydronics & Steam • Parts • NEBB TAB Service • Controls • Mechanical
Great people, great service, and great products from companies like Siemens. This is how we create customers for life. One customer at a time. B U I L D I N G H VA C , C O N T R O L S , & S E R V I C E • 5 0 1 . 3 7 4 . 5 4 2 0 • 36 . FALL 2019
W W W. P O W E R S A R . C O M
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More than once, our staff has reached out to hug moms who are brought to tears when they learn their children will be able to have lunch or dinner – and not forced to skip another meal – because of this program. – Dr. Patrick Casey, MD, Professor of Developmental Pediatrics
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ARHP Regional Partners
ARHP member hospital Service area counties
ARHP Member Hospitals • Ashley County Medical Center – Crossett
AREA OF DETAIL
• Baptist Health Medical Center – Stuttgart
LO N O K E
• Bradley County Medical Center – Warren
• Chicot Memorial Medical Center – Lake Village
H Stuttgart JEFFERSON
• Dallas County Medical Center – Fordyce
• Delta Memorial Hospital – Dumas
DA L L A S
L I N CO L N
• Drew Memorial Health System – Monticello
Warren Magnolia H CO LU M B I A
Monticello H ASHLEY
• Magnolia Regional Medical Center – Magnolia
• Jefferson Regional Medical Center – Pine Bluff
Lake Village C H I CO T
• DeWitt Hospital and Nursing Home – DeWitt
• McGehee Hospital – McGehee Headquarters: Lake Village
• Medical Center of South Arkansas – El Dorado
ARKANSAS HOSPITALS MAGAZINE . 41
LPL Financial, Inc. 2018
Lara Wilkerson Financial Advisor LPL Financial firstname.lastname@example.org
New name. Same location. 49 years combined experience serving our investors.
AR Insurance #8913727
Financial Advisor LPL Financial email@example.com AR Insurance #1197665
501-760-3400 2228 Albert Pike Rd., Suite R, Hot Springs, AR
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John P. Hoefl, CRPCÂŽ
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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.
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For children battling a critical illness, I wish to be a cowgirl Kionna, 10 cancer
a wish is more than a dream. It can be a turning point that can give them the emotional and physical strength to keep going. WISHES NEED YOU
R E F E R A C H I L D T O D AY AT M I DSO UTH .WI S H .O RG/RE FE R
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TAP INTO SUCCESS!
YOUR TRUSTED, IN-HOUSE BUSINESS CONSULTANT
INFORMATION Strategic Planning | Market Planning Benchmarking
| Coding | Transcription | Patient
Satisfaction | Quality Measurement | Health
Analytics | Compensation Planning | Staffing Solutions Cyber Risk Management | Compliance Management
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
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
SET UP AN APPOINTMENT TODAY Reach us on the web, by email or phone. AHAServicesInc.com
TINA CREEL, PRESIDENT
AHA Services, Inc. firstname.lastname@example.org 501.224.7878
LIZ CARDER, ASSISTANT
AHA Services, Inc. email@example.com 501.224.7878
...from that moment, it all clicked. I felt that my calling was to be an administrator in a small-town hospital. 56 . FALL 2019
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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. Weâ€™ve worked in Arkansasâ€™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
and financial peace.
Weâ€™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.
OVER 30 YEARS OF
EXPERT CONSULTATION REVENUE CYCLE MANAGEMENT, ICD10 AUDITS, CDI, APPEALS PROCESS, HOSPITAL CHARGEMASTER REVIEW & MORE
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THE CARE YOU NEED. WHERE YOU NEED IT. (870) 262-1200 1710 Harrison Street Batesville, AR
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GOOD MEDICINE Educating tomorrow’s healthcare professionals, right here, right now. We think it’s good medicine for the River Valley and all of the region. Doctor of Osteopathic Medicine (DO) Master of Science in Biomedicine (MSB)
Future programs: Occupational Therapy • Physical Therapy Physician Assistant Studies
Arkansas College of OSTEOPATHIC MEDICINE
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
In 1994 we signed on to help Conway Regional build a brand-new fitness center, complete with basketball and racquetball courts, indoor walking track, five-lane pool, fitness and aerobics areas, and childcare space. When they embarked on a renovation more than twenty years later, they called us â€” again.
1 . 8 7 7. N A B H O L Z | n a b h o l z . c o m