April 10, 2013 Edition

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LHS board hears updates

The Board of Governors of Lawrence Hall Nursing Center and Lawrence Memorial Hospital met on March 25.

Lawrence Hall Nursing Center

Lawrence Hall Nursing Center Administrator Josh Bryan began the meeting by presenting a detailed census review of the nursing home to board members.

The review showed 10 admissions for the month of February with a census of 130. Bryan presented an organization chart, which will help address the declining census in the nursing home. LHNC has suffered a declining census over the past few years.

The nursing home suffered a loss of $12,708 in January with a net income of $6,224 in February.

Bryan also reported that progress is being made regarding barriers to admission and the length of time for a physician to become engaged in the admission process. He also reported on plans for an assisted-living facility in the future. Consultants Don Rankey and Jimmy Hudspeth will make a presentation to the board in June.

Director of Nursing Debbie Wheelis presented the quality and safety report for the nursing home, which reflected the continued focus on reaching high goals that are self-imposed to assure a high level of care.

Lawrence Memorial Hospital

The hospital report included the expenditures report, which the foundation accepted. Doctor Kevin Diamond, chief of staff, presented the medical staff report. Diamond's report included medical staff recommendations including: doctors Ahmad, Arroyo and Havdala, cardiology; doctors Andrews and Shah, teleradiology; Dr. Coates, podiatry; and Dr. Diamond, family practice. Board members unanimously approved the recommendation.

Director of Nursing Rosalind Casillas presented the quality and safety report. The hospital continues to meet the criteria for congestive heart failure and pneumonia at the highest level of 100 percent. She reported the length of stay of 3.5 for acute care patients and 11.67 for swing bed patients.

During the meeting, board members approved the purchase of a Sonosite 180 plus ultrasound machine, which was presented by CFO Vanessa Wagner. The machine will be paid for using trauma grant funds in the amount of $16,900. The ultrasound machine will be used primarily in the emergency department. Also, the board approved a three-year service agreement with Vitek for $11,565.36 per year for the chemistry analyzer in the lab.

Interim President George Fray presented a graph to the board of the HCAHP for the hospital. He informed the board of the financial impact the scores can have on future Medicare reimbursement beginning in October of this year.

Fray advised the board of the impact of sequestration and reduced bad debt participation by Medicare that will result in a 10-year impact of $1.3 million reduction in Medicare reimbursement. The reduction began April 1.

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