Medical Staff Report
There was no medical staff report.
Administration Department Report: CEO
HGH Chief Financial Officer Sandi Lehman updated board trustees on the hospital's conversion to the Cerner Electronic Health Record platform. All managers continue to participate in a daily revenue meeting; together they are working through the hospital's processes to capture all charges. The hospital received its first insurance payment the week of December 2, 2019. There are still some claim edits and workflows to work through.
Sandi reported that the reference lab interface went live the week of December 2, 2019; the radiology interface will go live in January 2020.
Additionally, Sandi said her team continues to assess how to best approach self-pay payments through the Apex system, a part of the original Cerner purchase. Apex does not allow merged billing. A possible solution may come through the sequel report, which would merge patient statements from Cerner and Medhost, the hospital's former electronic health record. The first Cerner-generated bills will go out in January 2020. Insurance claims are going out daily; some are being held pending the resolution of some issues.
Good News Update
HGH Director of Community Education and Development Nicole Maher presented a "Good News Update" to trustees. She noted that October is National Breast Cancer Awareness Month, which is an excellent awareness opportunity. However, this year created a public relations dilemma with the soon-to-arrive 3D Mammography machine. Nicole said the hospital wanted women to understand the technological benefits that would accompany the new mammo machine, but did not want to lose the revenue and momentum that accompanies October’s mammo month promotions. Additionally, if the hospital scheduled women for appointments with the current 2D machine and did not alert them to the fact that a more advanced machine was coming, it could risk losing women’s trust as their hometown healthcare provider.
The solution was a "Kickoff Celebration" that helped maintain momentum for October's emphasis on mammography screening, while also promoting HGH's coming 3D machine. The results were good: 70 women participated in the "Kickoff" event; 111 women got mammograms during October (HGH's highest month ever); and the "Kickoff" and other October promotions helped build excitement for the January 11, 2020, 3D Mammo Open House.
Additionally, Nicole reported:
- Approximately 104 people have taken advantage of "Healthy You Fridays" reduced blood-screenings over the past year. Response has been very favorable from patients and providers.
- The sixth annual "Cookies with Santa" event drew more than 180 children and their parents to the EMS station for professional photos, cookies, milk and candy canes. Additionally, donated toys were given to the Frontier Community Action Agency, while donated food went to the Winnemucca Food Bank.
- The HGH Nurse Health Line has been in place for 18 months and Humboldt County's numbers are very favorable for total incoming calls, tracked records, protocols started and protocols completed.
HGH Interim CEO Karen Cole updated board trustees on new and recruiting physicians:
- Andrew Wesely, MD - Dr. Wesely, a Pain Management specialist, hosted his first pain management clinic on November 13. He will return on December 18-19.
- Shane Draper, DPM, and Quinn Lindstrom, DPM - Drs. Draper and Lindstrom will orient/set up clinic at Humboldt General Hospital January 3; they will begin seeing patients January 6-8.
- Subha Rajan, MD - Dr. Rajan, a Family Practice/OB physician, will begin her practice at HGH in April 2020. She has obtained a Nevada license.
- David Masuck, MD - Dr. Masuck, currently Chief Resident of Humboldt General Hospital's Resident Physicians, will join the HGH Physicians Clinic in fall 2020.
- Brittani Smith, MD - Dr. Smith, a Family Practice/OB physician, came for a site visit on December 1 and was well received. Discussions continue concerning a possible contract. She is planning a return visit with her boyfriend.
- Dr. Muhad - Dr. Muhad, a Family Practice Resident at Mercy Medical Center in Iowa, will come for a site visit from January 11-14, 2020.
CEO Cole also updated the board on the status of other providers at HGH:
- CRNAs - Tom Mouritsen has joined Humboldt General Hospital as a third CRNA.
- Perry Guthrie - Perry is a locum Nurse Practitioner working in the HGH Walk-In Clinic.
- Raafat Khani, DO - Dr. Khani is a locum Internal Medicine specialist, providing family medicine services.
- Pamela Sherwill-Navarro - Pamela is a locum Nurse Practitioner, providing family medicine services in Suite A of the HGH clinic.
CEO Cole updated board trustees on new staff members are HGH including:
- COO - Tiffany Love, PhD, APRN, FACHE, will begin as the hospital's new Chief Operating Officer on January 13, 2020.
- CNO - Leeann Cushway, RN, BSN, MSN, will begin as the hospital's new Chief Nursing Officer on January 27, 2020.
CEO Cole said other key recruitment efforts at HGH include the search for an HR Manager, an OR Manager, an OB Manager and a Clinic Nurse Supervisor.
CFO Sandi Lehman presented the financial report for October 2019 to the HGH Board of Trustees. Sandi said the hospital saw record patient service revenue of $10.5 million during October. Patient days, Emergency Department visits and clinic visits were all over budget, while surgical cases were under budget. Net income for the month was under budget by 79.25%. Year to date, net income is up 35.66%.