Friday, September 14, 2007

Did you know...

...that the Healthcare Leadership Council met last night?

I now bring you all of the media coverage of that meeting that I have been able to find this morning:





Hmmm...something seems to be missing here.

Thursday, September 13, 2007

Hospital Survey on Patient Safety Culture

The newly formed patient safety committee at DRMC has issued a survey for all associates to fill out related to patient safety issues in the hospital.

It is IMPERATIVE that every associate complete one of these surveys. This is an opportunity to anonymously indicate your exact working conditions.

Several questions that I feel are important:

"We have enough staff to handle the workload"
"Staff in this unit work longer hours than is best for patient care"
"We work in 'crisis mode' trying to do too much, too quickly"
"Hospital administration provides a work climate that promotes patient safety"
" The actions of hospital administration show that patient safety is a top priority"

There is a stack of surveys located on the table outside the cafeteria along with a box to place the completed survey. The committee is accepting these thru Sept. 17th.

Let your concerns be heard!

Wednesday, September 12, 2007

Why ‘skeleton crews?’

Danville Register and Bee
September 12, 2007

I have heard and read so much about how the public’s opinion of Danville Regional Medical Center is in jeopardy and how it is working so hard to repair the damage that has been done in the past. Here are my recent experiences.
My 85-year-old grandfather fell and broke his hip - a serious injury. EMS transported him to the hospital, where he was cared for very quickly and with great care. Surgery was done immediately to repair the break. It went great and he was well on his way.
As expected, he had an undetermined amount of time to spend in the hospital for recovery. Unfortunately, he is a chronic obstructive pulmonary disease patient and pneumonia is always a concern. As his time in the hospital lengthened, the danger of pneumonia or other lung-related illnesses became more imminent.
The weekend rolled around and talk of “skeleton crews” started. Over the weekend, a chest X-ray was taken due to the respiratory problems that he was having. That comforted the family. Then the report that the X-ray may not be read for a couple of days due to the Labor Day weekend became a great burden. See, they were operating on “skeleton crews.” Yes, he is an 85-year-old man with a history of COPD (he was hospitalized for it for five days last month) that just had emergency surgery and was currently facing the fear of pneumonia, but he will just have to wait for his X-ray results. But that’s OK, because they only had “skeleton crews.”
I must say that my grandfather - as well as his children - seemed to be happy with the caregivers that were attending to him. In no way am I trying to take away from those people that gave him aid when needed.
My 75-year-old grandmother is as stubborn as a mule. It’s hard to make her sit down and take care of herself sometimes. She lives alone, cleans several homes, mows her own grass, sits with her 94-year-old mother … get the picture? She also has had a horrible time with her knees.
After years of trying to convince her to have them replaced, she has finally given in. Her appointment was set. She had her consultation at the doctor’s office and do you want to guess what they told her to expect? “Skeleton crews.” They actually told her to try to provide someone to sit with her around the clock while she was in the hospital because of the nursing shortage.
Now she has even more to worry about than the original issue with her knees. She has to worry about inadequate care, not because of an angry person’s rumor, but because her care provider has actually showed a concern about the ability of the hospital to provide care for her. How’s that for patient confidence?
Recently my father, also a COPD patient, was taken by ambulance to the Emergency Department for difficulty breathing. When I got there, I was concerned because of the condition that I found him in - in a room by himself, coughing to the point of gasping for air and definitely unable to tell me what he needed. Two nurses came in and showed genuine concern. His cough subsided and he caught his breath and was able to speak clearly. The nurses assured him they would get him another breathing treatment and we felt a little relief.
His condition seemed important at the time. So after about 20 minutes and several more coughing episodes, I began to wonder what had happened to the staff. I walked into the hallway and thought to myself, this must be what they mean by “skeleton crews.” It was like ghost town - no nurses, no doctors, not even a custodian. I had to go looking for someone to ask help from. I eventually found our two nurses hugged up to a security guard, laughing and joking. Evidently, they didn’t want to share the subject of humor with me because they quickly gained their distance and the smiles and laughter went away. They assured me help was on the way. Another 20 minutes passed and he got his treatment.
I know I’ve said a lot and maybe some things that should not have been said. I can only imagine other stories that are being told. The sad thing is that Danville and Pittsylvania County residents just don’t have a great deal of choices. They have to rely on the only hospital that we have. So, they take it. That’s all they can do.
The statements I just made do not reflect the feelings of the patients I mentioned, or my family. Just me. My insurance requires that I go to Centra-Health in Lynchburg for treatment. I used to think that was an inconvenience, but now I think it’s a blessing.
I know there are a lot of hard workers at Danville Regional - people who really care about others and do their best to help people heal. My hat is off to them. Don’t take it personally; we know it’s not your fault. For those of you who would rather goof off and play games while others lie in pain or suffering, get another job.
In closing, for those of you who are responsible for putting our loves ones in the hands of “skeleton crews,” shame on you - you are in the wrong business. Oh, one more thing. Since patients are getting skeleton crew-care, are they being charged skeleton-crew bills?

CHRIS ANDERSON
Chatham

Friday, September 7, 2007

"The next step"

Danville Register and Bee
Friday, September 7, 2007

The Healthcare Leadership Council is a newly appointed local group designed to track the progress - or lack thereof - at Danville Regional Medical Center.
The Council is the successor to the Citizens Commission, a seven-member body that was appointed earlier this year by local doctor and Danville Mayor Wayne Williams to hear complaints about Danville Regional. Just one Citizens Commission member - Arlene Creasy of Pittsylvania County - is on the new group.
“I know, I see, and I hear from a lot of the people in the city and the county,” she said. “I can be a voice for the people and I am accessible for them. I bring the voice from the northern end of the county. We have medical options (Danville or Lynchburg) and we need to be sure this voice is heard.”
Creasy and other Citizens Commission members heard plenty of complaints about the quality of care at Danville Regional after it was purchased by LifePoint Hospitals Inc. in July 2005. The expectation is the new group will keep the lines of communication open with the hospital’s management.
“It is a group of trusted citizens separate from groups related to the hospital; therefore, they can offer an unbiased evaluation of what is happening at the hospital both good and bad,” Williams said.
Unlike the Citizens Commission, the Healthcare Leadership Council includes residents of Caswell County, N.C., and its members have been appointed by the local governments in Danville, Pittsylvania and Caswell.
While the hospital sale and LifePoint’s management since it bought Danville Regional is still a controversial topic, the hospital has maintained full accreditation from the Joint Commission this year after several months of operating under a “preliminary denial of accreditation.”
The Healthcare Leadership Council will give local people another way to express concerns about and problems with the hospital. Local residents should use the new Healthcare Leadership Council to keep Danville Regional honest - and improving.
The real test of hospital-community relations won’t be the number of complaints the new Healthcare Leadership Council receives, but the number of local people and physicians that put their trust in Danville Regional. If the worst for the hospital is really over, word will get out to the people who have had their confidence in Danville Regional shaken by the events of the past two years.

Tuesday, September 4, 2007

"Danville Regional Launches New Advertising: Associates Featured in Campaign "

View the news release.

And take a look around the site, Healthcare Neighbor to Neighbor.

"Lifepoint revamps leadership roles to boost performance"

[This article was posted last month in the Nashville Biz Journal, but just recently became available to non-print subscribers. Thought you might find it interesting reading...]

Nashville Business Journal - August 3, 2007

Following a poor second quarter showing that stunned Wall Street, LifePoint Hospitals Inc. is planning a handful of corporate changes to whip its performance back into shape.
Brentwood-based LifePoint (NASDAQ: LPNT) reported earnings 38 cents per share below analyst expectations on July 23, bringing in net income of $13.4 million, or 23 cents per diluted share - down 62 percent from the second quarter of 2006. An average of analysts' estimates projected the company would earn 61 cents per share.
"This caught everyone by surprise," says Robert Hawkins, analyst with Stifel Nicolaus & Co. "It just made people kind-of shake their heads in disbelief and make them wonder can these guys operate these hospitals."
William Carpenter, LifePoint president and CEO, says the company isn't satisfied with its second quarter results, either - which were hurt by bad debt, higher medical malpractice insurance expenses and contract labor costs and professional fees - and it is "executing strategies that we know will improve our performance."
The company has given three of its most senior executives - Joné Koford, Scott Raplee and Mike Weichart - the responsibilities of heading up initiatives to focus on growth, improving operational performance and levering up a value-added corporate center, Carpenter says.
"These are things we've always been focused on, but they're things we recognize needed additional attention in order to be very successful over the long term," Carpenter says. "So we are devoting additional resources to those areas in order to deal with the industry trends we've been seeing."
Koford is president of LifePoint's American division, Raplee is senior vice president, operations CFO and Weichart is president, national division.
Each of the three executives will get a chief operating officer to assist his efforts, and LifePoint will add a chief medical officer to focus on clinical quality.
The company will continue to work on other initiatives to improve results - including comprehensive risk management assessments at hospitals with the highest frequency and severity claims, a premium credit risk reduction program for all hospitals, and targeted programs to minimize incidents and claims in the most frequent risk areas, the company said on the earnings call.
Whit Mayo, analyst with Stephens Inc., says he expects these changes to take longer than a quarter to have an impact.
LifePoint lowered its earnings guidance following the announcement. It expects to report $21.5 to $2.25 per share for the year on revenue of $2.63 billion to $2.65 billion. The company previously predicted earnings of $2.42 to $2.52 per share on revenue of $2.68 billion to $2.69 billion.