Monroe County Hospital and Clinics

The Monroe County Hospital Board heard some updates on the hospital’s construction project, mostly positive in nature. The brutal winter, followed by endless days of rain this spring have made it difficult for contractors to stay on schedule. But with the roof on, work is progressing.

Kendra Sinclair reported that she, along with board member Matt Foster and other had made a trip to the Storey-Kenworthy warehouse to check out furniture and some pieces of office technology. Sinclair said some of the hospital’s IT personnel will also visit before final decisions are made. “You don’t think about cord management and things like sound proof glass in some rooms,” said Foster. “But they do and it was helpful to see what kinds of products they offer.”

One of the benefits of the project was reported by Jenny Klyn who was working with the infusion center after it was moved to a temporary location. “By moving the infusion center we uncovered some deficiencies and how some of our processes were affecting people,” said Klyn. “We got together with the business office and other staff members to create a better work flow. We didn’t know what we didn’t know until we made the move. It turned in to a huge win for us.”

Remarkably, with patients and hospital visitors wading through construction, the patient satisfaction reports have been extremely positive. Goals were met or surpassed in virtually every category.

The goal for surgery was a 95th percentile in patient satisfaction and the 92nd percentile was achieved. The ER goal was the 95th percentile and it was at 96 in April. Inpatient had a goal of 85th percentile and rating reached the 97th percentile. Outpatient goal was 90th percentile and it made the 96th percentile and the clinic’s goal was patient satisfaction in the 85th percentile and it hit the 94th percentile.

MCHC CEO Veronica Fuhs said a phasing meeting for the construction project will be held this week with the goal of trying to get the project back on track. “With the roof nearly complete, the rain really hasn’t been that big of an issue,” she said. “We’re just still behind from the weeks we couldn’t work last winter.”

Under the category of Growth, the hospital reported that the Outpatient Clinic is continuing to have discussions with providers to offer urology and ENT services. Dr. Freeman, who serves the hospital as its oncologist, is considering visiting four times each month, up from twice each month, based on patient need.

Financials

The hospital had a $3.3 million patient revenue month in April. Net patient year-to-day is at $16.17 million, about $1.1 million over last year’s total of $15.08 million. Outpatient was extremely busy in April with 74 surgeries and the Outpatient Clinic had 460 visits, the highest numbers since 2013.

The average inpatient occupancy was at 13.3 percent, down 4.7 percent from a year ago.

Looking at departments, the Physical Therapy Department had 1,052 treatments, up from 988 last April with YTD numbers at 10,635 compared to 9,633 a year ago. The Rural Health Clinic had 1,867 visits, up from 1,727 last April. YTD the clinic is at 17,301 visits compared to 16,702 last year.

Cardiac Rehab, EKG, Lab tests, Pharmacy, Speech Treatments, Mammography, MRI and Diagnostic all showed increases. Emergency Room visits were down slightly, 247 to 287, ambulance runs were down 77 compared to 94 last April and infusion therapies were down two from last April but are running ahead YTD 966 to 875.

Every category in the Outpatient Clinic was higher than last April, except Orthopedics, which was down 10, 33 this year compared to 43 last. Iowa Heart, oncology, General Surgery, Dermatology, Podiatry, OB/GBYN and Neurology all showed growth.

Total surgeries were at 75 for April compared to 68 last April. Outpatient procedures were at 74 compared to 64 last April.

The hospital board discussed briefly the idea of updating its logo and will be providing some samples at the next meeting.

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