From the National Rural Health Resource Center: Boulder City Hospital (BCH) was recognized for its use of Project ECHO in advancing the quality of their antibiotic stewardship program (ASP). The ASP program, established in 2013, became stronger when they began participating in Project ECHO to gain education through didactic presentations. Project ECHO participation also allows them to present cases and receive feedback from infectious disease specialists, a provider type that is not typically available in rural hospitals. Positive Outcomes BCH's infection control and risk management staff regularly attend Project ECHO clinics and regularly monitor relevant quality indicators.Based on recommendations from specialists based at the University of Nevada, Reno School of Medicine, BCH's ASP team created a standard operating procedure form which includes a list of criteria regarding symptoms before calling a physician for orders.Patients are now treated based on culture results and severity of symptoms, leading to the appropriate treatment of the patient and improved antibiotic stewardship. Top Accomplishments Inappropriate use of antibiotics dropped 30 percent in a nine-month period. According to Laima Etchegoyhen, MPH, Nevada Flex Program Coordinator at the Office of Statewide Initiatives, “Boulder City Hospital Antibiotic Stewardship Program is a perfect example of organizations working together to make positive health care changes in a small local community. With the guidance from the Project ECHO Nevada based at the University of Nevada, Reno School of Medicine and the extra work and dedication of Boulder City Hospital Infection Control and Risk Management team Stephanie West, Jessica Murray, and Arleen Sheeler, this collaboration became an ongoing successful program.” This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,100,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
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The 2019 Western Region Flex Conference took place last month in Marana, Arizona. More information about the conference can be found at the University of Nevada, Reno School of Medicine website: https://med.unr.edu/cme/flex2019 The speaker presentations can be found here: Welcome and Overview of Day OneDaniel Derksen, MD, Associate Vice President for Health Equity, Outreach & Interprofessional Activities, The University of Arizona Health Sciences CAH and Small Rural Hospital Legislative and Regulatory UpdateJohn Supplitt, MPA, MBA, Senior Director, Section for Small and Rural Hospitals, American Hospital Association The Interface of Policy Dynamics and Transforming Rural Health Care ServicesKeith Mueller, PhD The Pennsylvania Rural Health Model: Accelerating Healthcare InnovationJanice Walters, Chief Operating Officer Consultant, Office of Rural Health Redesign, Pennsylvania Department of Health Successful Management Strategies for a Hospital-Owned Medical PracticeJeffrey M. Johnson, CPA, Wipfli Federal Rural Health Update: Opportunities for CAHsRural Responses to the Opioid Epidemic Grant Overview HandoutTom Morris, MPA, Associate Administrator, Federal Office of Rural Health Policy Medicare Program UpdateNeal Logue, Health Insurance Specialist, CMS Region IX Office Medicare Reimbursement Update HandoutAnn King White, CPA, Partner, BKD, LLP Hot Topics in Risk Management for Critical Access HospitalsLinda Garrett, Garrett Consulting Group, LLC
On May 15, 2019, Governor Steve Sisolak signed AB85 into law. This bill was put forward by the Northern Regional Behavioral Health Policy Board with the goal of reforming Nevada's involuntary mental health hold process. The Policy Board worked with stakeholders across Nevada to identify the following objectives to guide the reform: Decrease stigma and increase accuracy: Remove and update stigmatizing and inaccurate language associated with mental health crises. Enhance patient rights and standardize practices statewide: Clarify the involuntary mental health hold process in law, and develop regulation for involuntary administration of medication to enhance patient rights and standardize practice and processes statewide.Strengthen continuity of care: Strengthen continuity of care be adding more options for behavioral health crisis transport, clarifying provider and court information sharing, and developing regulations for discharge planning. Improving efficiency of courts: Updating law to increase courts' capabilities to manage involuntary mental health holds. Stakeholders included: Nevada Division of Public and Behavioral Health; Nevada Rural Hospital Partners; Nevada Psychiatric Association; Nevada Hospital Association; Northern Nevada Emergency Physicians; Nevada State Legislature; law enforcement and emergency management services; and the Washoe, Clark, and rural criminal justice systems, including their counties' respective District Attorneys, judicial staff, and public defenders. NRHP is proud to support this effort that will undoubtedly improve behavioral health care for our patients in rural communities and statewide, and would like to thank everyone involved in making this important legislation happen. The text of the bill can be found here: https://www.leg.state.nv.us/Session/80th2019/Bills/AB/AB85_EN.pdf
Banner Churchill Community Hospital (BCCH) in Fallon, Nevada was one of only four hospitals in the state to earn a 4-star rating from the Centers for Medicare and Medicaid Services (CMS) when the star ratings were updated in February. See the article in the Nevada Appeal here: https://www.nevadaappeal.com/news/banner-hospital-earns-4-star-rating/ See the CMS star ratings at Hospital Compare here: https://www.medicare.gov/hospitalcompare/search.html
Congratulations to the following NRHP member hospitals for being recognized at the 20th Annual Silver Syringe Awards! Outstanding Pharmacy Immunization Program Alison Toigo, BS, PharmD, Banner Churchill Community Hospital Healthy People 2020 Churchill Community Hospital* Carson Valley Medical Center* Humboldt General Hospital* *This award is based on the Health People 2020 Immunization and Infectious Diseases Leading Health Indicator: Increase the percentage of healthcare personnel who are vaccinated annually against seasonal influenza to the target of 90% or higher. For more information, see Immunize Nevada's Silver Syringe website at https://www.immunizenevada.org/SilverSyringe
Becker's Healthcare named Desert View Hospital CEO Susan Davila to its annual list of woman hospital and health system leaders to know. The leaders on this list were selected based on editorial judgment after evaluation of their management and leadership skills as well as career accomplishments. For the full article, click here.
The 2017 Opioid Abuse Prevention Summit is sponsored by the Nevada Office of Rural Health and Nevada Rural Hospital Partners. Opioid-related hospitalizations spiked more than 150 percent from 2013 to 2015, according to the most recent data from the state health department. In 2015, 465 Nevada residents died from opioid use - largely owed to prescription painkillers and heroin. During the last legislative session, the Assembly passed AB 474. This bill aims to reduce the number of overdose deaths in Nevada by requiring prescribers to perform more rigorous and recurring assessments when prescribing opioids. The Opioid Summit will help prepare prescribers to implement changes to be compliant with AB474. Materials can be found here: 2017 Nevada Controlled Substance Abuse Prevention Act: Nevada's Policy Changes to Impact Elyse Monroy, Policy Analyst, Office of the Governor and Leon Ravin, MD, Interim Chief Medical Officer, Statewide Psychiatric Medical Director 2017 Controlled Substance Abuse Prevention Act PowerPoint Prescribing in Nevada: Changes to Nevada's Law Surrounding Prescribing Controlled Substance for the Treatment of Pain Elyse Monroy; Leon Ravin, MD; Paul Edwards, JD, General Counsel, Nevada State Board of Pharmacy NRHD Legislative Updates 2017 PowerPoint AB 474 Prescribing Protocols White Paper AB 474 Chart Tools to be Compliant with AB 474 Linda Garrett, JD, Garrett Consulting Services AB 474 Documentation Recommendations PowerPoint Sample Informed Consent Sample Medication Agreement Sample Risk Assessment Tools AB 474 Chart AB 474 Documentation Recommendations Checklist AB 474 Prescribing Protocols White Paper AB 474 Prescribing Protocols How Nevada Medicaid is Working to Combat the Problem Shannon Sprout, Deputy Administrator, Division of Health Care Financing and Duane Young, EdD, Chief III, Behavioral Health and Pharmacy Services, Division of Health Care Financing DHCFP Targeted Response to Opioid Crisis and MAT PowerPoint Medicaid Substance Use Bulletin 2017 Implementation of Pain Management Ali Shahin, MD, Regional Clinical Director, Sierra Nevada Health Center Managing Pain in Primary Care PowerPoint Project ECHO Pain Management and Medical Assisted Treatment Chris Marchand, MPH, Director, Project ECHO Nevada Project ECHO Nevada - Pain Management and MAT
The 2017 Western Region Flex Conference wrapped up last week in Waikoloa, Hawaii. You can access the agenda and speaker presentations here: Agenda Overview and Update: MBQIP and the Changing Landscape of Quality Improvement in Health Care Karla Weng, MPH, CPHQ, Senior Program Manager, Stratis Health Pathways to Locally Based Integrated Health Care Keith Mueller, PhD, Professor, University of Iowa CAH and Small Rural Hospital Legislative and Regulatory Update John Supplitt, MPA, MBA, Senior Director, Section for Small or Rural Hospitals, American Hospital Association The New Future of Rural Healthcare Eric Shell, Director, Stroudwater Associates Medicare Reimbursement Update and Financial Improvement Tools for Rural Hospitals Ann King White, CPA, Partner, BKD, LLP Innovative Models of Health Care Delivery Across Rural America John Supplitt, MPA, MBA, Senior Director, Section for Small or Rural Hospitals, American Hospital Association Repeal, Replace, Repair, and Reform - State Implications and Innovations in Health Policy - 1 Frederick Isasi, JD, MPH, Executive Director, Families USA Repeal, Replace, Repair, and Reform - State Implications and Innovations in Health Policy - 2 Daniel Derksen, MD, Director, Arizona Center for Rural Health
A Community Health Needs Assessment was conducted in Pahrump by John Packham, Director of Health Policy Research at the Office of Statewide Initiatives at the University of Nevada, Reno School of Medicine. The public may complete the online survey until May 15 here: https://www.surveymonkey.com/r/DVHospital See the full story here: http://pvtimes.com/news/pahrump-efforts-continue-pinpointing-medical-service-needs
In less than 48 hours of receiving an emergency call, Switch extends fiber Internet services into Mt. Grant General Hospital from the 500-mile SUPERLOOP high-speed backbone to keep one of the nation’s top Critical Access Hospitals online. Todd Radtke, CIO of Nevada Rural Hospital Partners (NRHP), received a call no CIO wants to get. Mt. Grant General Hospital, one of NRHP’s member hospitals, would have its internet service shut down in less than one week due to its carrier’s impending legal issues. To compound the situation, options for telecom providers in Hawthorne, NV where the hospital is situated, are extremely limited due to its rural setting. Faced with this situation, Radtke reached out to Switch for help. Within minutes of receiving the call from Radtke, Switch mobilized a team to ensure the hospital’s critical internet services remained operational. Switch immediately set in motion a plan to extend fiber to the hospital from the SUPERLOOP – the circular fiber network connecting Switch’s Tahoe Reno and Las Vegas data centers to San Francisco and Los Angeles. While this was no trivial task, Switch rose to the challenge. The work involved physically trenching 45 feet into the ground to access the fiber network, splicing fiber, installing new equipment and activating essential services – all in less than two days. “We are very grateful Switch enabled this network through rural Nevada,” said Todd Radtke. “With this amazing new SUPERLOOP fiber resource and Switch’s ability to rally teams to help, our hospital was able to stay online and keep our patients safe. Our hospital, nursing home and clinic require constant access to the internet and Switch came to our rescue when we needed them.” Stated Greg Schumann, the IT Manager for Mt. Grant General Hospital. Switch founder and CEO, Rob Roy, created and fosters a unique client-oriented culture at every level of the company and it manifests as the industry’s best customer service. “We truly view our clients of all sizes as partners. Their success is so important to us particularly where human lives are at stake. We’re very proud to have made a difference to Mt. Grant General Hospital and the community it serves by utilizing the power of the SUPERLOOP and our team members.” Stated Scott Gutierrez, Vice President of Connectivity at Switch. Part of the Switch SUPERLOOP is the 500-mile dedicated fiber network connecting its superscale data centers in Las Vegas and Tahoe Reno. In addition to being the ultra-high speed backbone for the world’s largest active-active data center ecosystem, it enables rural towns along the fiber path in Nevada to connect to the global economy. Source: https://www.switch.com/switch-goes-beyond-clients-regardless-size/
Two new medical rescue units have been implemented by the Reno Fire Department thanks to a memorandum of understanding between the City of Reno and Humboldt General Hospital. See the entire story here: http://foxreno.com/news/local/reno-fire-department-adds-medical-rescue-units
Watch the Athena Health video starring Mt. Grant General Hospital: http://www.athenahealth.com/videos/mt-grant-testimonial
On Friday, June 10, 2016, the Nevada State Board of Health approved the community paramedicine agreements for 1 permitted emergency medical services, including Humboldt General Hospital. Read the full press release here: PR Community Paramedicine 6-13-16
Immunize Nevada held two award ceremony dinners in April, in northern and southern Nevada, to identify outstanding individuals and organizations that have gone above and beyond to protect Nevadans from vaccine-preventable diseases. The 13 Silver Syringe categories recognized healthcare providers and community partners, nominated by their peers, as exemplifying outstanding immunization practices in a specific category. Congratulations to Banner Churchill Community Hospital, who was awarded the Silver Syringe for Outstanding Influenza Immunization Program! See the full article here: https://immunizenevada.org/news/annual-event-honors-nevada-big-shots In addition, several NRHP member hospitals received the Healthy People 2020 award because they have met and/or surpassed goals set in place by Healthy People 2020 in the following immunization-related category: Increase the percentage of healthcare personnel who are vaccinated annually against seasonal influenza to the target of 90% or higher. The Healthy People 2020 winners are: Banner Churchill Community Hospital Battle Mountain General Hospital Incline Village Community Hospital Mount Grant General Hospital Pershing General Hospital William Bee Ririe Hospital
CHA’s Center for Behavioral Health presented mental health law educator and advocate Linda Garrett with the Šimanek Distinguished Service Award on Dec. 7 during the 10th annual Behavioral Health Care Symposium in Riverside. Ms. Garrett serves as the contracted Risk Manager for the Liability Cooperative of Nevada. See full article here: http://www.calhospital.org/cha-news-article/linda-garrett-receives-simanek-distinguished-service-award
The Doc Holliday award for Best Health Care Initiative was awarded to Nevada Rural Hospital Partners for work facilitating passage of legislation allowing licensed health care workers to provide tele-health services to patients. NRHP received this award on April 7th at the NNDA Pioneer Awards. See the entire article in the Northern Nevada Business Weekly.
Desert View Hospital held a kickoff event on November 24th with Governor Sandoval’s Chief of Staff, Mike Willden, to announce receipt of HRSA Grant #D94RH2927. The Nevada Rural Opioid Overdose Reversal (NROOR) project is a statewide partnership under the leadership of Desert View Hospital. The overarching goal of the NROOR project is to reduce the incidence of morbidity and mortality related to opioid overdose in rural and frontier Nevada. See more about the project in the Pahrump Valley Times article: http://pvtimes.com/news/desert-view-hospital-kicks-opioid-reversal-project.html
Throughout each year, the Nevada Department of Transportation administers Federal Transit Administration funds used by local transit providers to purchase and operate transit buses and other vehicles. NDOT distributes this funding to sub-recipients such as senior centers, rehabilitation centers, Native American reservations, non-profit rural transportation providers, county bus services and hospitals across Nevada. These various transit services in turn provide bus transportation to the elderly and disabled, rural residents and those looking for job and health care access. Four buses recently purchased largely with federal funds were recently presented to the following transit providers: Douglas Area Rural Transit, Pershing General Hospital and Nursing Home, Battle Mountain General Hospital and Churchill Area Regional Transit. These 14-passenger busses all have wheelchair lifts, with a value of approximately $70,000 each. Over the past 35 years, NDOT has utilized Federal Transit Administration funds to purchase more than 400 buses and other vehicles for local transit providers. The vehicles operate in sixty different areas across Nevada, offering close to one and a half million rides annually for the disabled, the elderly and those needing a ride to employment, medical treatment and more.
On November 17th, The Joint Commission announced the release of America’s Hospitals: Improving Quality and Safety: The Joint Commission’s Annual Report 2015, summarizing data on 49 accountability measures reported by more than 3,300 Joint Commission-accredited hospitals in 2014. Congratulations to Banner Churchill Community Hospital in Fallon and Mesa View Regional Hospital in Mesquite for making this list! The 2014 data shows how well hospitals are performing on evidence-based care processes for the treatment of conditions such as heart attack, pneumonia and stroke. The report also includes the recognition of 1,043 hospitals—31.5 percent—that are performing exceptionally well on these patient care processes, earning them special recognition as a Top Performer on Key Quality Measures® for 2014 data. The Top Performer program is a way to provide transparency to the public in the reporting of performance at the hospitals where they receive care. It identifies hospitals with extraordinary performance on specific, important measures of quality; however, it is not a rating of all aspects of care provided in those hospitals. The designation is based on performance related to accountability measures for heart attack, heart failure, pneumonia, perinatal care, surgical care, children’s asthma care, inpatient psychiatric services, venous thromboembolism (VTE) care, stroke care and immunization. This year’s report added accountability measure sets for tobacco treatment and substance use, and a measure to the inpatient psychiatric services measure set. Requirements to become a 2014 Top Performer on Key Quality Measures: Achieve cumulative performance of 95 percent or above across all reported accountability measures; Achieve performance of 95 percent or above on each and every reported accountability measure with at least 30 denominator cases; and Have at least one core measure set that had a composite rate of 95 percent or above, and within that measure set, achieve a performance rate of 95 percent or above on all applicable individual accountability measures.
The Nevada Action Coalition is part of the Future of Nursing: Campaign for Action, a nationwide movement to improve health and health care through nursing. An initiative of AARP and the Robert Wood Johnson Foundation, the Campaign includes Action Coalitions in 50 states and the District of Columbia working to implement the Institute of Medicine’s Future of Nursing recommendations. The Future of Nursing: Campaign for Action is centered on the evidence-based recommendations from the Institute of Medicine’s (IOM) report: The Future of Nursing: Leading Change, Advancing Health. These recommendations (listed below) aim for an American health care system that centers on the patient, relies on evidence-based practices, and leads to the improved health of people in all categories and locations. Nurses and nursing leaders are central to that vision. IOM Report Recommendations: Remove scope-of-practice barriers. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. Implement nurse residency programs. Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020. Double the number of nurses with a doctorate by 2020. Ensure that nurses engage in lifelong learning. Prepare and enable nurses to lead change to advance health. Build an infrastructure for the collection and analysis of interprofessional health care workforce data. Action Coalitions are the driving force of the Future of Nursing: Campaign for Action at the local and state levels, forming a strong, connected grassroots network of diverse stakeholders to transform health care through nursing. The Nevada Action Coalition (NAC) is a group comprised of health care organizations, business partners, state delegates, universities, colleges and community based organizations. Debra A. Toney, PhD, RN, FAAN serves as the Chair of the NAC Executive Committee. The Nevada Action Coalition and the Nevada System of Higher Education (NSHE), partnered to obtain a grant as part of the Future of Nursing State Implementation Program (SIP). The grants were awarded to Action Coalitions to implement two priority IOM recommendations. Linda Paulic (formerly Yi) RNC, MPA is the SIP coordinator. Linda Paulic Debra Collins Office: (702) 522-7026 Office: (702) 522-7034 firstname.lastname@example.org email@example.com More Resources: NAC Future of Nursing Presentation - 022615 NHA Rural CNO Meeting Nurses - Their Vital Role in Transforming Healthcare Registered Nurse Workforce in Nevada - May 2014 - FINAL V.2 NAC Healthcare Statistics in Nevada Role and Responsibilities of Champions Do's & Don'ts for Informational Meetings
South Lyon Medical Center was featured in the September 2014 Nevada Board of Nursing News magazine for their nursing assistant training program. See attached for the full article. Nursing News 0914 SLMC
The American Hospital Association (AHA), in partnership with the Nevada Hospital Association (NHA) has awarded the AHA Grassroots Champion Award to Susan Davila, CEO of Carson Valley Medical Center. As a 2014 Grassroots Champion, Davila was selected based on her exceptional leadership in generating grassroots and community activity in support of a hospital's mission. See the full press release here
In recognition of their work with the annual Back to School Health Fair, Desert View Hospital was presented with the Silver Syringe Award for Outstanding Community Partner from Immunize Nevada. http://pvtimes.com/news/dvh-honored-back-school-fair.html http://www.immunizenevada.org/news/annual-event-recognizes-nevada-big-shots-16th-annual-silver-syringe-awards-set-march-1-2014
A Physician Order for Life-Sustaining Treatment (POLST) is a medical order that states what kind of medical treatment patients want toward the end of their lives. The form is printed on bright pink paper and signed by both a doctor and patient, POLST helps give seriously ill patients more control over their end-of-life care. Through a conversation between the patient and health care provider, patient wishes are translated to actionable medical orders. Additionally, the POLST program coordinates efforts between health care setting to assure POLST medical orders are transferred with the patient and, very importantly, unlike an Advance Directive, emergency medical services are able to honor the directives on the POLST. Please click here to learn more about POLST in Nevada: http://www.nevadapolst.org/
Battle Mountain General Hospital was commended by the State of Nevada Division of Public and Behavioral Health for their continued support of integrated healthcare services in Battle Mountain and the surrounding community. Specifically noted was BMGH's "efforts to build the innovative Battle Mountain Community Services Center with Community Health Nursing, Behavioral Health, Emergency Medical Systems and other social services programs in one location." Read the DPBH letter here: BMGH DPBH Letter May 2014
The state of Nevada is currently engaged in a statewide, clinical services gaps assessment to understand how to better diagnose and treat Nevadans affected by hypertension, heart disease, and strokes. Rural patients have been identified as consumers who may have valuable information that would help in this effort. The survey should take no longer than 15 minutes and the information you provide will be used to develop a strategic plan to prevent and treat heart disease and strokes in the state. It will be open until July 11. Please consider taking the time to complete this simple survey to help us understand how to better serve the citizens of Nevada when it comes to preventing hypertension, heart disease, and strokes. Survey Links: Consumer English - https://www.surveymonkey.com/s/N97JFQZ Consumer Spanish - https://www.surveymonkey.com/s/3W9Q7CK
On May 14th and 16th, 2014, the Nevada Hospital Engagement Network (HEN) presented an Environmental Services Workshop for both English- and Spanish-speaking EVS staff. The recordings of the May 14th training have been divided up into the various sections and posted below. A special thank you to Kimisha Griffin and Carmen Ponce with the Nevada Division of Public and Behavioral Health for conducting these great presentations! The presentation documents can be downloaded here: 051414 Presentation for EVS Workshop in English 051414 Presentation for EVS Workshop in Spanish ***Please note: the following video files are very large and may take several minutes to load. They may not play over a wireless or slow connection.*** [separator top="40" bottom="40" style="dotted"] [one_third last="no"] [/one_third] HANDWASHING AND PPE EVS Workshop - Handwashing and PPE (English) EVS Workshop - Handwashing and PPE (Spanish) [separator top="40" bottom="40" style="dotted"] [one_third last="no"] [/one_third] BLOODBORNE PATHOGENS EVS Workshop - Bloodborne Pathogens (English) EVS Workshop - Bloodborne Pathogens (Spanish) [separator top="40" bottom="40" style="dotted"] [one_third last="no"] [/one_third] CHAIN OF INFECTION AND CLEANING, DISINFECTING, SANITIZING EVS Workshop - Chain of Infection and Cleaning, Disinfecting, Sanitizing (English) EVS Workshop - Chain of Infection and Cleaning, Disinfecting, Sanitizing (Spanish)
May is National Mental Health Awareness Month. Nearly one in five American adults experience a mental illness in any given year. Less than half received mental health services. And only about half of children with mental problems receive treatment. The top three reasons given for not receiving help are cost, belief they could handle the problem without treatment, and that they did not know where to go for services. Find out more at http://www.nami.org/, http://www.mentalhealth.gov/ and http://www.mentalhealthamerica.net/may.
Congratulations to Pershing General Hospital in Lovelock, Nevada, recipient of the Critical Access Hospital (CAH) Recognition Certificate for financial turnaround from the National Rural Health Resource Center (The Center) and Technical Assistance and Services Center (TASC). Pershing was nominated by Nevada Flex Coordinator, John Packham, who pointed out the following ways they are deserving of recognition by meeting the certificate criteria. On January 31, 2011, Pershing General Hospital (PGH), a district-owned, 20-bed CAH in western Nevada, received their annual independent financial audit for the year ended June 30, 2010 and heard the two words no organization wants to hear: "going concern". The audit revealed the following measures of financial performance and condition: Net loss for the year of $114,000, net assets of a negative $127,000, three days of cash on hand, and an accounts payable (AP) turnover of 80 days. Flash forward to December 17, 2013 and the issuance of their independent financial audit for the year ended June 30, 2013. The going concern was already one year removed and PGH could now boast the following indicators of improved financial health: Net income for the year of $1 million, net assets of $1.3 million, 62 days of cash on hand, AP turnover of 46 days, and net accounts receivable days of 42. This financial turnaround not only removed the audit going concern, it also eliminated discussion of a possible takeover of the facility by the State of Nevada, which would have led to the closure of the hospital and the loss of the only 24-7 emergency care for a 60 mile radius. The dramatic turnaround at PGH began with a top-to-bottom facility assessment by hospital administration of unprofitable service lines and a comprehensive review of community health needs. PGH then pursued an aggressive strategy of managing expenses and aligning services with identified community needs. Finally, attention was focused on promoting the facility as the first choice for care for community residents and stemming the outmigration for services available locally. These efforts led to strengthened primary-care, emergency, and long term care services at PGH. These strategies also resulted in the addition of two mid-level providers and a primary care physician to bolster outpatient services provided by the hospital, as well as an increase in the nursing home average daily census from 17 to 20, producing an annual increase in net patient revenue of approximately $250,000. A key component of the turnaround at PGH has been the implementation of objective and understandable financial management tools. This change in management practice and accountability included monthly financial reporting and analysis for both internal and external users, a budget development and management process that included input from all departments, and ongoing board education. The final piece to the turnaround has been the full implementation and utilization of the Nevada Rural Hospital Revenue Cycle Initiative - a program developed as result of a collaboration between Nevada Rural Hospital Partners and the Nevada Flex Program (Nevada State Office of Rural Health). This initiative has developed tools to improve registration [...]
Humboldt General Hospital, School of Medicine open new rural primary care residency! Backed by research indicating that 60 percent of medical residents who train in Nevada remain in state to practice, the University of Nevada School of Medicine opens a new rural family medicine residency training program this summer. After several years of pursuing a family medicine residency program in rural Nevada, the Department of Family and Community Medicine in Las Vegas announces the successful accreditation for a rural family medicine residency program in Winnemucca. See the full story here: http://medicine.nevada.edu/news/archive/2014/rural-family-medicine-residency-program
High Sierra AHEC has partnered with Vegas PBS to develop a custom-branded web portal through the public television station’s Global Online Advanced Learning (GOAL) platform to provide accredited continuing education training courses and programs to meet the needs of health care professionals, especially those practicing in underserved areas. Health Care Professionals can access hundreds of courses, searchable by discipline, to maintain and/or upgrade their certifications and licensure. Programs are designed to enhance critical skills and to ensure quality health care practices with easy access to up-to-date education. Health care career exploration courses for AHEC’s youth initiatives are also available. Click here to view High Sierra AHEC's website Click here to access the On-Line Portal
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Get Smart About Antibiotics Week has been an annual effort to coordinate the work of CDC’s Get Smart: Know When Antibiotics Work campaign, state-based appropriate antibiotic use campaigns, non-profit partners, and for-profit partners during a one week observance of antibiotic resistance and the importance of appropriate antibiotic use. The campaign organized its first annual Get Smart About Antibiotics Week in 2008. CDC’s Get Smart campaign, housed in the National Center for Immunization and Respiratory Diseases, collaborated with state-based appropriate antibiotic use campaigns and non-profit and for-profit partners. The success of the pilot year was measured by 1) dissemination of educational materials and messages, 2) partner satisfaction, and 3) media interest. A robust evaluation of the pilot week determined that each of these goals was met and exceeded. This was followed by other successful Get Smart About Antibiotics Week observances. During November 18-24, 2013, the annual Get Smart About Antibiotics Week will be observed. As in past years, the effort will coordinate work of CDC’s Get Smart: Know When Antibiotics Work campaign, state-based appropriate antibiotic use campaigns, non-profit partners, and for-profit partners during a one week observance of antibiotic resistance and the importance of appropriate antibiotic use. As with the past observances, messages and resources for improving antibiotic use in healthcare settings from CDC’s Get Smart for Healthcare campaign will be included. Get Smart for Healthcare is a program housed in CDC’s National Center for Emerging and Zoonotic Infectious Diseases. For more about the Get Smart Campaign, visit http://www.cdc.gov/getsmart/campaign-materials/about-campaign.html.
National Rural Health Day, coming up on November 21st, gives NOSORH, State Offices of Rural Health and our partners a chance to showcase Rural America and highlight the efforts of NOSORH, SORHs and others in addressing the unique healthcare needs of rural communities. Visit the website to learn more: http://celebratepowerofrural.org/