Newspaper Page Text
The Wiregrass Farmer, January 13,2016 - Page 3
TRMC responds to Medicare report
Andy Smith; Tift County EMS, Mandy Brooks; TRMC Foundation and Robby
Royal; Turner County EMS.
EMS gets new LifePak from
Tift Regional Foundation
by Robby Royal
Turner County EMS
Turner County EMS Direc
tor, Robby Royal was excited
when he got a call from Mandy
Brooks with the TRMC Foun
dation early December. The
Foundation wanted to purchase
a new FIFEPAK 15 cardiac
monitor for Turner County
EMS.
I knew the Fifepak 15 was
coming, but I wasn’t expecting
it for another month or so
when Mandy called me last
Thursday to come pick it up on
Friday (01/08/16) morning. We
are very fortunate to have this
continued overwhelming sup
port from the Tift Regional
Medical Center Foundation.
Approximately 96% of
Turner County’s cardiac pa
tients are transported to TRMC
hospital. The ability to send a
12 lead EKG to the hospital
during transport has saved
lives by saving precious min
utes for cardiac patients.
On multiple occasions,
paramedics have gone straight
from the ambulance to the
Cath Fab with their cardiac pa
tient, bypassing the emergency
room because the doctor al
ready has a copy of the 12 lead
EKG in his hand.
Three of Turner Counties
four Fifepak 12 cardiac moni
tors have been purchased with
assistance from the foundation
in the past, with the most re
cent purchase in 2013. We will
be trading in one of the Fifepak
12 monitors purchased by the
Foundation in 2006. The Foun
dation is hoping to continue
over the next 2-3 years as the
Fifepak 12 is being phased out.
They will be obsolete by 2020.
The contribution of the
Fifepak 15 cardiac monitor
from the TRMC Foundation
will help to save lives as well
as the county taxpayers close
to $25,000. A huge “THANK
YOU” goes out to the TRMC
Foundation and Foundation
Director Mandy Brooks for
their generosity towards
Turner County and its Citizens.
The Tift Regional Medical
Center Foundation recently
presented the Tift County EMS
and Turner County EMS with
a Fifepak 15 monitor/defibril
lator. These units are designed
to perform a diagnostic EKG
enroute to the hospital. The
technicians will then send the
results to the Emergency
Room and to the physicians’
mobile phone. This will allow
Tift Regional and the physician
to prepare for the cardiac vic
tim before arrival and saving
valuable time.
The Fifepak 15 monitor/de
fibrillator were funded by the
2015 “Hearts and Diamonds”
Gala, which raised over
$61,000 for the Foundation’s
Heart Safe Community Pro
gram.
Tift Regional Medical Cen
ter (TRMC) is one of 758 U.S.
hospitals around the country
that will have its Medicare
payment lowered by one per
cent in 2016 for being placed
in the 25th percentile of risk-
adjusted national Hospital Ac
quired Condition (HAC) rates.
Hospital-acquired infec
tions is the primary condition.
TRMC officials said the
penalty assessment is based on
data that is greater than a year
old and TRMC has made sig
nificant improvements since
that time which has led to
recognition for quality by
VHA Georgia, the Feapfrog
Group, the Joint Commission
on Accreditation of Healthcare
Organizations and Georgia
Trend magazine.
Several nationally-known
healthcare institutions includ
ing two hospitals run by the
Mayo Clinic Health System in
Minnesota are included in the
HAC penalty as well as 30
hospitals in Georgia such as
Emory Hospital in Atlanta,
Georgia Regents Medical Cen
ter in Augusta, Navicent
Health in Macon, Memorial
Health in Savannah and
Phoebe Putney Memorial Hos
pital in Albany. The federal
government’s HAC assessment
is based on the frequency of in
fections, sepsis, hip fractures
and other complications.
“It’s important to note that
Medicare’s data is retrospec
tive,” said Dr. William Guest,
Chief Medical Officer and
Senior Vice President for Qual
ity, Clinical Integration and
Medical Affairs at Tift Re
gional Health System. “It is
based on data from 2012,2013
and 2014 and our metrics for
quality have steadily climbed
since that time, resulting in
recognition by various enti
ties.”
Dr. Guest stated, for exam
ple, that TRMC reduced its
MONEY
(Continued from Page 1)
ing homes isn’t doing it.
Mr. Berry suggested the
City get into gas appliance
sales. He specifically men
tioned water heaters. He said
the City could finance appli
ance purchases at zero percent
interest.
“Y’all have got to do these
kinds of things,” he said.
The City has access to pro
grams to help people buy nat
ural gas appliances, he said.
PROPANE
“It’s about the same place as
natural gas,” he said. The pro
jected income probably won’t
happen.
“There are ways you can
make it better if you decide to
keep it,” he said.
WATER
Mr. Berry said the Water de
partment is not generating
enough money to meet ex
penses. The City did raise
water rates in 2015. The City’s
annual audit, delivered late last
year, said the rate hike is gen
erating slightly more than
enough money to meet ex
penses. The auditor said that is
very good.
“The revenue is not reflect
ing it,” Mr. Berry said. “I’ll
double check those numbers.”
In his presentation to the
Council last year, the auditor
said the revenue is reflecting it.
Mr. Berry’s figures show
Water has a $100K loss and
Sewer has a $109K loss.
“Those have got to be ze
roed out at minimum,” he said.
“You are bound by law to
make those zero out. You can’t
run a deficit.”
Again, at the audit presenta
tion, the auditor said the two
funds are in good shape.
“Water use is down,” Mr.
Berry said. “The best you can
hope for in water & sewer is to
break even,” he said.
RATE HIKE?
Another rate hike is not
likely to happen, the mayor
said.
“I don’t think the people can
take no more,” he said.
The City’s main income
sources are the enterprise funds
and property taxes. The City
does have a”street fee” on util
ity bills. That money goes to
the general fund. The General
fund pays for City Hah, the
City shop, animal control, po
lice, fire, street and the Youth
Resource Center.
GARBAGE
He said there’s little the City
can do about garbage, but the
rate should allow the City to
collect some money for City
overhead and expenses.
Garbage is typically a pass
through with all the money
coming in going back out to
the garbage collector.
THE BUDGET
The City’s financial struc
ture needs work. He pointed to
the budget report he presented.
The general fund accounts for
the majority of the City’s
spending. The general fund
does not have enough money
to meet ah the expenses.
“The general fund is not
going to do that. It is barely
able to take care of itself,” he
said.
Cuts the City has made are
good and are working, but it’s
not enough.
“You can’t cut expenses
enough to get out of this. You
have got to be increasing in
revenue and decreasing in ex
penses. It doesn’t always have
to be a rate increase,” he said.
Mr. Berry said the City’s
budget “process” looks good.
The budget is a different mat
ter.
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large seats on the City Council are subject to election
on the Tuesday next following the first Monday in No
vember of 2016. The qualification fee for City Council
at-large positions shall be $126.00. The qualification
fee must be paid at the time a candidate qualifies.
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Standardized Infection Ratio
(SIR) for colon surgical site in
fections by 68 percent since
2013. Currently, the TRMC
colon surgical infection rate is
below the HAC reduction pro
gram national comparative. In
September 2015, VHA Geor
gia presented TRMC a 2015
VHA Leadership Award at the
organization’s annual expo in
Atlanta. TRMC won first place
in the 150-349 bed hospital
category for its team approach
in reducing surgical infection
rates and improving outcomes
specific to colon procedures.
VHA Georgia is an alliance of
not-for-profit hospitals offer
ing a clinical and financial in
formation exchange, collective
supply chain contracting and
synergetic services.
Dr. Guest said that TRMC
has also volunteered to be sur
veyed for quality measures by
the Leapfrog Group, a non
profit coalition of large U.S.
employers and health-care pur
chasers. In Oct. 2015, the
Leapfrog Group awarded
TRMC an A grade for its ef
forts to keep patients safe from
infections, errors and acci
dents.
The Joint Commission on
Accreditation of Healthcare
Organizations recently named
TRMC a Top Performer on
Key Quality Measures for the
second year-in-a-row for at
taining and sustaining excel
lence for heart attacks, heart
failure, pneumonia and surgi
cal care. The hospital scored
95 percent or above across ah
reported accountability meas
ures.
Georgia Trend magazine
announced in its December
2015 issue that TRMC is a top
10 Georgia medium-sized hos
pital for the fourth year-in-a-
row. Georgia Trend used
Medicare’s publicly available
data on quality indicators and
patient satisfaction to deter
mine the rankings.
Dr. Guest said that a July 28
study from the Journal of the
American Medical Association
concluded that hospitals that
receive HAC penalties fre
quently had more quality ac
creditations, offered advanced
services, saw more complex
patients and had better per
formance on other process and
outcome measures. “Some
times the data findings and re
porting periods can be
paradoxical,” said Dr Guest.
He added that Tift Regional
is committed to fostering a cul
ture of safety and quality. “We
will continue to enhance the
patient experience through the
utilization of performance im
provement initiatives,” said Dr.
Guest. “We are proud of where
we have come but also know
the journey to quality never
ends.”
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SALES EVENT
“Have the budget on paper
and that makes it a different
thing,” he said. “Whoever did
your budget did a pretty good
job.” He also said, “your cash
flow is not real good either.”
The cash flow is concen
trated in late fall and early win
ter when the bulk of property
taxes comes in. Mr. Berry said
the City needs a more regular
stream of income throughout
the year.
“You’ve got to find a way to
get revenue year round,” he
said.
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an
WOMEN’S
HEALTH DAY
ft As . IdA^ . ” Jl A/ ./It/
Tift Regional
Community Events Center
1657 Carpenter Rd, Tifton
rr-j^
TRMC
v ejxAA/ertaier/
WOMEN S
HEALTH SERIES!
• Women's health information
• FREE Screenings for blood pressure, blood sugar
and lipid panels (8 -10 a.m., appointments
required)
• Dr. Melissa Rampal, Nephrology, presents
"How Hypertension and Diabetes Affects Your Kidneys"
at 10 a.m.
• Vendors on various women's health services
This event is free and open to the
public . Refreshments will be served.
Call 353.6316
for more information or to
schedule an appointment.
Screening appointment
slots are limited and are
available on a first-call,
first-serve basis.
www.tiftregional.com
Tift regional
HEALTH SYSTEM