UTAH REGIONAL HEALTH CARE INNOVATION DAY Rural Hospital Perspectives
RURAL HOSPITAL SURVEY • 17 Hospitals Participated • 12 Critical Access Hospitals • 5 PPS Hospitals
RURAL HOSPITAL SURVEY - CHALLENGES Financial Stability o Adequate Reimbursement o Uninsured / Uncompensated Care o Assisting Patients w/ Insurance
RURAL HOSPITAL SURVEY - CHALLENGES • Clinical Staff Recruitment & Retention • Regulations, Red Tape, Reporting Requirements • Increasing Costs / Expense Reduction
SURVEY – POTENTIAL SOLUTIONS Financial Stability o Increase % of Cost Reimbursement o Medicaid Expansion o Increase Medicaid Swing Bed Rates o Funding for Hospital Navigators o Consideration of Rural Complexities
SURVEY – POTENTIAL SOLUTIONS Clinical Staff Recruitment & Retention o Facilitate Increased Capacity o Collaborate w/ Training Institutions o Help Fund Start-Up Programs o Scholarship Assistance
SURVEY – POTENTIAL SOLUTIONS Regulations, Red Tape, Reporting Requirements o Combine Initiatives o Set Minimum Reporting Requirements
SURVEY – POTENTIAL SOLUTIONS Increasing Costs / Expense Reduction o Alliance w/ Urban Systems o Rural Hospital Collaboration / Networks
UTAH RURAL INDEPENDENT HOSPITAL NETWORK • Made up of nine hospitals: – Uintah Basin Medical Center (Roosevelt) – Central Valley Medical Center (Nephi) – Gunnison Valley Hospital (Gunnison) – Beaver Valley Hospital (Beaver) – Milford Memorial Hospital (Milford) – Kane County Hospital (Kanab) – Moab Regional Hospital (Moab) – San Juan Hospital (Monticello) – Blue Mountain Hospital (Blanding)
GOALS OF THE NETWORK • Reduced isolation • Improved negotiating position • Critical mass for purchasing services & products • Forum to network and share best practices
EXAMPLES OF PROJECTS • Legal, Equipment Maintenance, Mobile MRI, HCAHPS and Group Purchasing (GPO) Services • Networking Opportunities CEOs CNOs HR Managers
EXAMPLES OF PROJECTS • Collaboration with Larger Healthcare Systems ICD-10 Conversion Preparation (Iasis) Hands-On Nurse Training (University) Annual Rural Hospital Conference (Intermountain) Regional Department Leader Training (University) Board Training HR Manager Training (University & Holland & Hart)
EXAMPLE OF REDUCED ISOLATION • San Juan Hospital Dire Circumstances Board Education & Guidance Mentoring Interim CEO System Assistance Great Turn-Around Story
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