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Patient
Safety in Arkansas
By
James R. Teeter, President and CEO, Arkansas Hospital Association
Our
friends at the Robert Wood Johnson Foundation (RWJF) recently reported
that 81% of senior hospital executives participating in a RWJFstudy
said they'd witnessed serious medical errors. Even more physicians95%
of 600 surveyedsaid they'd seen serious errors firsthand,
as had 89% of 400 nurses who were quizzed.
"Medical
error" was defined as failure to carry out a medical task as
intendedgiving the wrong drug or performing surgery in a
way not planned. Underscoring how entrenched the problems are, 61%
of the healthcare professionals said they accept common errors as
"routine practice." And, did they think healthcare providers
are doing a very good job of providing safe and effective treatments?
"No," said 58%. Seventy-two percent (72%) said the healthcare
system needs fundamental change.
The
RWJF study is but the most recent aftershock of two major, unsettling
reports by the Institute of Medicine (IOM). The IOM's first report,
published in 1999, concluded that medical errors kill 44,000 to
98,000 people each year in U.S. hospitals. Its second report, published
in March, 2001, urged reform of the system and called for Congress
to spend $1 billion to make healthcare safer, more efficient, and
more science-based.
Since
most of the providers surveyed said they're not doing as good a
job preventing errors as they should, and since 72% recommend fundamental
change, we believe the Congress should listen to the IOM. We hope
the Congress will spend $1 billion to help bring improvements.
And, we're grateful that the RWJF will provide $21 million in grants
to hospitals willing to revamp their operations to reduce medical
errors.
The
RWJF says it has already received more than 200 grant applications
from hospitals. Twelve will receive initial planning grants this
summer. Eventually, six of the twelve will receive up to $3.5 million
more to pursue their plans. These hospitals will serve as models
to other healthcare providers nationwide.
Meanwhile,
what are we doing here in Arkansas to enhance patient safety by
reducing medical errors? Well, the AHA is one of eleven Arkansas
organizations representing doctors, nurses, pharmacists, and hospitals
that formally organized last November to take part in the Arkansas
Patient Safety Initiative (APSI). Dr. William Golden, clinical coordinator
for the Arkansas Foundation for Medical Care and APSI leader, says
the focus of the initiative is on preventing medical errors, particularly
those attributable to limitations and processes hospitals and other
healthcare providers have in place.
A
major first goal of the APSI is to allay hospital and other providers'
fear of penalty if they report errors. APSI members hope to do this
by creating an educational, non-punitive forum where incidents are
discussed openly and solutions are developed and implemented. Only
through open discussion will true solutions be attainable. We're
confident that hospitals, physicians, nurses, and pharmacists all
throughout Arkansas will support the APSI. We're equally confident
that we'll soon see meaningful system reform throughout our great
state.

Arkansas
Community Hospital Financial Indicators (click to view chart)

Arkansas
Newsmakers and Newcomers
Chris
Dent, vice president for patient care at Arkansas Heart Hospital
in Little Rock, has been named by Governor Mike Huckabee
to a four-year term on the Breast Cancer Control Advisory Board.
Her term expires January 1, 2005. Dent succeeds Judy Adams,
retired administrator of Little River Memorial Hospital in Ashdown.
Scott
Street has been appointed administrator of St. Bernards Medical
Center in Jonesboro where he will be responsible for the day-to-day
operations of the medical center, according to Ben E. Owens,
president of St. Bernards Health Care. A native of Cherokee Village,
Street is a former vice president with Baptist Health in Little
Rock.
Brian
R. Holt has been named CEO of SemperCare Hospital of Little
Rock. He is a former CEO of Summit Hospital in Sulphur, Louisiana.
Gary Weeks, who was acting CEO until Holt's appointment,
has returned to his position as vice president of operations for
SemperCare in Dallas.
Joe
Smith, former administrator of DeWitt City Hospital, has been
named administrator of Dardanelle Hospital. Smith succeeds Shawn
Cathey who has taken an administrative position with Winrock
International.
Greg
Meyer has been named interim administrator of DeWitt City Hospital,
following the departure of Ed Hogan, who returned to nursing
home administration with Beverly Healthcare in Jonesboro.
David
G. Blackburn, president of the Arkansas Heart Hospital since
its opening, completed his tenure there with his retirement which
became effective April 6. Originally planning to spend retirement
years in the greater Cincinnati area, Blackburn has decided to stay
in Little Rock where he will be on call to serve as an interim hospital
administrator wherever such services might be needed in Arkansas.
Barry
Pipkin, CEO of The BridgeWay Hospital in North Little Rock,
has been promoted to Group Director for the Behavioral Health Division
of Universal Health Services. In his new position, Pipkin will assume
oversight responsibilities for Ridge Behavioral Health in Lexington,
Kentucky, while continuing day-to-day management of The BridgeWay.
Wilbur
C. West, retired trustee of Jefferson Regional Medical Center
in Pine Bluff, was awarded the United States Air Force Silver Star
Medal in a special ceremony at the Little Rock Air Force Base April
23. West was awarded the long-overdue medal for bravery while bombing
Hitler's oil supply in Romania in 1942 during World War II. Upon
receiving his medal, West said, "I don't know anyone who was
flying missions for medals. We were flying for the country...trying
to do a job."
Jonathan
R. Bates, M.D., president and CEO of Arkansas Children's Hospital
in Little Rock, and George H. "Buzz" Gray, Jr.,
director of the Central Arkansas Veterans Healthcare System in Little
Rock, received Chancellor's Awards during the May 19 commencement
ceremonies of the University of Arkansas for Medical Sciences in
Little Rock. The awards were presented to recognize outstanding
service to the university and for professional leadership in their
healthcare fields.
Ray
Kordsmeier, trustee at Conway Regional Medical Center and president
of the Arkansas Association of Hospital Trustees, was featured in
a trustee profile in the May 2001 issue of Trustee magazine.
Kordsmeier also serves as a trustee alternate to the American Hospital
Association's Region 7 Regional Policy Board.
Tim
Hill, president and CEO of North Arkansas Regional Medical Center
(NARMC) in Harrison and an AHA board member, was the recipient of
the North Arkansas College Board of Trustees Award during the college's
May 12 commencement ceremonies. With Hill's support, the College
and NARMC developed the North Arkansas Partnership for Health Education
to provide health-related educational services for hundreds of healthcare
professionals and area residents each year.
David
Cox has been named administrator of Eureka Springs Hospital,
succeeding Jack Morris who will continue to work with Cox until
July 31. Cox has more than 14 years experience in healthcare management,
most recently with Washington Regional Health System in Fayetteville
from 1990-2000.

New
Seclusion, Restraint Standards
The
Health Care Financing Administration (HCFA) May 21 released new
standards for the use of restraints and seclusion that must be met
by psychiatric residential treatment facilities providing service
to Medicaid beneficiaries under age 21.
The
rule adds a requirement that these facilities, which are rapidly
outnumbering hospitals as an alternative for children with psychiatric
disorders, inform HCFA of any deaths involving restraints and seclusion.
It
also stipulates that restraints and seclusion in a Medicaid-covered
facility may only be performed under the supervision of a physician,
registered nurse, or other licensed practitioner permitted by the
state to issue such orders, and who has been trained in the use
of emergency interventions. The rule took effect May 22, 2001.

Calendar
- July
13, Paragould
Arkansas Association of Health Care Engineering Small Hospital
Meeting
- July
17, Little Rock
Arkansas Society for Directors of Volunteer Services
- July
27, Hot Springs
Arkansas Organization for Nurse Executives
- August
2, North Little Rock
August 3, Fayetteville
EMTALA Workshop
- August
3, Nashville, TN
Continuous Survey Readiness (CSR) Program(For CSR members only)
- August
16-17, Hot Springs
Healthcare Financial Management Association
- August
23, Little Rock
August 24, Little Rock
Annual Medicare Update
- September
6, Little Rock
Compliance Forum
- September
19, Jonesboro
September 20, Camden
EMTALA Workshop
- October
7-9, Little Rock
AHA Annual Meeting and Trade Show
- November
14, Little Rock
Continuous Survey Readiness(CSR) Program(For CSR Member Hospitals
only)
- November
15-16, Little Rock
Healthcare Financial Management Association
- December
5, Little Rock
Compliance Forum
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