Georgia House Rural Development Council Memorial

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Description: Georgia House Rural Development Council Memorial Hospital and Manor Bainbridge, Georgia Dean Burke M.D. - Medical DirectorChief Medical Officer Gregg Magers - Interim CEO Glennie Bench - Chair of Hospital Authority Presenters: Memorial

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slide1. Georgia House Rural Development Council Memorial Hospital and Manor
Bainbridge, Georgia<br>
slide2. Dean Burke M.D. - Medical Director/Chief Medical Officer

Gregg Magers - Interim CEO

Glennie Bench - Chair of Hospital Authority Presenters:<br>
slide3. Memorial Hospital and Manor

80 Licensed Beds-staffed for 45

107 Bed attached Nursing Home

450 FTE’s

Annual Net revenue-$45 Million<br>
slide4. FY 2015 - Loss of $4.83 million

FY 2016 - Loss of $6.35 million
“Going Concern” letter from auditor

FY 2017 - Net Income $230, 000

First quarter FY 2018 - Net Income $244,000 MHM-Financial Comeback<br>
slide5. Back to basics on revenue cycle

Resized Cost Structure

Improved productivity and lower operating costs

City and County Support for refinancing debt

Indigent care reimbursement from County and City

New service lines/business opportunities MH-M Financial Recovery<br>
slide6. Now it’s our turn: MH-M

Executive Team and employees must continue to perform at a high level

Patient care and patient satisfaction

High Level Patient Outcome and Patient Safety Performance<br>
slide7. Employee Satisfaction-salary challenges

Workforce Development and shortage
Technology, Nursing, Mental Health and Therapy

Technology Tools and Analytics Staff for Population Health Initiatives are needed

New Service Line Support

Physician Recruitment and Retention MHM Continuing Challenges<br>
slide8. Collaboration:
Member of Stratus Healthcare
Emory University Affiliation
MCG medical student training site

New Service Lines:
Telenephrology project in progress
Expanding Outpatient Lab Services
Exploring or expanding other service initiatives

Aggressive Physician Recruiting

Blocking and Tackling-high performing operational efficiency MH-M How We are Facing the Future<br>
slide9. How Can the State of Georgia Help?

Financial

Develop grant programs to support investment in software and personnel for population health initiatives and value based contracting.

Enhance reimbursement and support for mental health integration into primary care.

Reevaluate physician recruiting initiatives to rural Georgia<br>
slide10. How Can the State of Georgia Help?

Financial Support

Increase grants for readmission prevention and home health care programs to prevent ED overutilization

Continue to support PCMH grants for practice transformation

Provide reimbursement for population health/wellness initiatives in the community setting.<br>
slide11. How Can the State of Georgia Help?

Workforce Support

Improve incentives for physician recruitment to rural areas

Increase support for development of rural residency programs

Increase scholarship incentives for technology schools training workforce in rural areas<br>
slide12. How Can the State of Georgia Help?

General Support

Increase development of Hospital Authority Board member training and scholarships for members who obtain training

Consider Rural Center of Excellence for Healthcare
To increase access to best practice support available to rural hospitals in all areas of expertise required

Expand USG support of internships and training opportunities in rural Georgia<br>
slide13. How Can the State of Georgia Help?
Clinical Support

Decrease bureacracy and administrative burdens from Medicaid, DCH, and Care Management Organizations for rural practices

Encourage standardization of quality metrics from all payers

Allow update to attestation of all rural primary care physicians

Develop Swing bed, post acute and home health initiatives for PPS (prospective payment) rural hospitals.<br>
slide14. Why are rural health delivery systems important?

Extremely poor current health outcomes-statewide 49th out of 50 states
Maternal Mortality rates one of the worst in the nation

Mental Health System remains a challenge

Healthcare jobs vital to rural economy

Healthcare access vital to new or expanding industrial development.<br>
slide15. State has to:

Improve prevention and wellness efforts in rural counties-the most effective way to improve outcomes and lower cost

Develop new health care models for access to care for counties that demographically cannot continue to support a traditional hospital.

Address mental and population health challenges

Address generational poverty and lack of opportunity
Education, job training, housing and transportation<br>
slide16. Communities have to:

Be willing to accept change to status quo

Be part of the solution

Provide resources and collaboration in problem solving

Elect servant leaders who can focus on viable solutions and are willing to collaborate with all stakeholders

Embrace education initiatives focused on workforce development<br>