Monroe County Hospital and Clinics

If the middle of last week was any indication, Influenza A has bided its sweet time coming to Monroe County. Monroe County Hospital and Clinics Director of Nursing Gale Hererra said the hospital had admitted 12 patients to the floor on Wednesday and for the first time in years, in-patient beds were at a premium.

“We’ve had lots and lots of flu and our surgical department has been crazy,” she said at Wednesday’s board meeting. The numbers will actually reflect on the next statistical report for February.

January was a good month financially and in hospital activity, but nothing like February. Rural health care visits in January were down by about 150 visits, but year-to-date visits are running ahead, 12,034 to 11,492. Physical therapy visits were also down for the first time in several months, 876 to 985 a year ago, but are still running far ahead year to date, 7,469 to 6,692.

Cardiac Rehab visits, ER visits, lab tests, respiratory care treatments, infusion treatments, radiology, occupational therapy, ultrasound, CT scans, MRI and diagnostic were all down for the month. Year to date, most of those categories are above last year.

Total revenues were up 7.6 percent for the month with a $2.9 million gross revenue figure. Net revenue is up 7.2 percent. Inpatient days were down 26.5 percent and swingbeds were down 52.1 percent.

From a strategic planning standpoint, January was a stellar month. Patient satisfaction ratings were in the 90th percentile for surgery (goal of 95 percent), in the 96th percentile for emergency room (goal of 95 percent), in the 96th percentile for inpatient (goal of 85 percent), in the 96th percentile for outpatient (goal of 90 percent) and in the 94th percentile for the clinic (goal of 85 percent).

Hererra made of point of comparing some of the satisfaction 18 months ago that hovered in the 60th percentile.

Hospital CEO Veronic Fuhs reported that work on the hospital addition and remodeling has resumed after being shut down for weeks because of the inclement weather. An IT infrastructure upgrade continues.

Kendra Sinclair reported on a quality initiative that earned the rural health clinic a Patient Centered Medical Home recognition, which is the “gold standard” for assessing the overall work and effectiveness of health clinics. The Monroe County clinic was first in the M1 network to gain the recognition using 2017 guidelines.

The hospital is in the process of rolling out a new health information portal and app that can give patients their entire health care history using Apple Health. This is an extremely user friendly app, according to all reports.

The hospital board approved the new Monroe County Health Care Foundation officers and board of directors. President is Ryan Ammons, vice president is Matt Foster, secretary/treasurer is Lori Keller and directors include Jason Summers, Brian Lindberg, Wes Aeschliman, Dan Stocker and new members Heather Anderson and Dawn Maughan.

Colleen Putnam and Laura Teno went off the board.

The board approved the 2019-2020 budget as published in the Albia newspaper.

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