State of Madison County Hospital
July 7, 2010
By Fred Kolb, Chief Executive Officer, Madison County Hospital
A little over a year ago the leadership of Madison County Hospital made some difficult decisions to ensure the future success of the hospital. After much consideration, we closed our extended care unit and transitioned our Home, Health and Hospice services to Universal. We made those changes in response to the difficulties facing hospitals nationwide such as declining reimbursement, rising costs, and an increase in uncompensated care. Our primary concern was to keep the hospital financially secure so we could continue to provide compassionate and quality health care.
That is why I am pleased to announce the state of Madison County Hospital today. Not only are we operating in ways that are improving our financial security for the future, we are also excelling in areas of quality and service.
This past March we were recognized by Press Ganey for a significant improvement in patient satisfaction scores. Press Ganey, a company that collects customer opinions for health care organizations, issued a “Journey of Improvement Certificate” recognizing us for a statistically significant improvement in overall satisfaction for inpatient services during the period of November 2009 through January 2010.
We have also been listed as a best practice hospital for quality. The Centers for Medicare and Medicaid Services (CMS) has created a list of best practices, or core measures, for hospitals when treating certain conditions such as heart failure and pneumonia, and performing certain procedures such as surgery. Hospitals then report their compliance in applying those best practices. MCH reports to the Ohio Hospital Association (OHA), and in turn, OHA reports which hospitals are the most compliant or a best practice hospital. MCH is currently a best practice hospital in 16 applicable core measures, which means we are 90-100 percent compliant. We are over 80 percent compliant in an additional 10 measures. Our high compliance demonstrates our commitment to providing high quality care.
I am extremely proud to announce that we have not had a hospital-acquired infection since December of 2008. According to the Center for Disease Control, it is estimated that four to five percent of all patients get an infection while in the hospital. The fact that we have not had one infection in 18 months exemplifies our staff’s dedication to quality health care. Every employee at MCH takes ownership of infection prevention, and that has made a big difference.
MCH is compliant with all 2010 National Patient Safety Goals related to infection control. National Patient Safety Goals are created by the Joint Commission, a not-for-profit organization that accredits more than 16,000 health care organizations, to promote and enforce major initiatives in patient safety.
We have made technological improvements including updating our hospital information system. We also recently installed a Radiology Information System (RIS). RIS allows our Radiology Department to be more efficient. It works with our digital imaging system to quickly communicate with radiologists, schedulers, and your physicians. And, with the assistance of Nationwide Children’s Hospital, MCH has acquired telemedicine — a new technology that allows physicians and patients to communicate using cameras, televisions, and an advanced teleconferencing computer.
Our hospital continues to be accredited by the Joint Commission. In addition, we have received accreditations from the Ohio Health Department for maternity, radiology, digital mammography, nuclear medicine, and our waste stream management system. Those are all voluntary accreditation processes, and our participation proves our commitment to national and statewide health care standards.
In 2007, the hospital created a Value Analysis Team (VAT) and tasked them with finding ways to save the hospital money. Every year since its creation, VAT has identified and implemented over $100,000 of savings. Already in 2010, the team has implemented over $104,000 in cost saving initiatives.
In addition, we have continued to support Madison County through hospital programs and charity care. Unlike any other business, MCH meets the health care needs of the community before considerations about payment. In 2009 MCH provided $5 million in uncompensated care. Our New Beginnings Prenatal Clinic provides moms-to-be with education and care regardless of their financial situation. With the assistance of a grant from the Columbus Affiliate of the Susan G. Komen for a Cure, our Battelle Breast Care Center is offering Breast Care Clinics, which provide mammograms and breast exams at no out-of-pocket cost.
Earlier this year, the MCH Foundation and the hospital collaborated to give the Madison County Health Partners Free Clinic new space in the former Hospice House. While we had been housing the Free Clinic in our Professional Office Building since it opened, we were pleased to provide them this much larger location allowing them to better serve patients. In addition, many of our staff members continue to volunteer their time to help at the Free Clinic and serve on its Board of Directors.
MCH also makes a major economic impact in Madison County. We employ 260 people and spend $12 million in payroll. We provide special services for the business community including health fairs, pre-employment exams, and drug screenings.
In 2009, MCH touched the lives of many Madison County families. During that year, 285 babies were born in our OB Department. Our physicians and specialists performed 1,500 surgeries, and there were 15,220 visits to our Emergency Department.
I am proud of our accomplishments during this time of economic instability. MCH seems to be thriving during the economic downturn while dozens of hospital across the state are struggling. Our bond holders are favorable and use us as an example of success when working with other hospitals. However, we must continue to prepare for the upcoming challenges hospitals face such as health care reform measures, the Governor’s hospital tax, and new technology requirements, including implementing electronic health records.
Thank you to the community for supporting us for almost 50 years. Thank you to our physicians and staff for your dedication to providing quality and compassionate care. It is with your support that we have been able to continue serving Madison County all these years.