Potential Impact on The Community if Big River Hospital Is Closed Discussion

Describe and discuss the potential impact on the community if Big River Hospital is closed.

Case Study #2 Red Bear River Valley Hospital is one of the small, scattered villages located in rural northern Utah and about 40 miles from the Big Swift, the closest town and commercial center. The only transportation linkages to Red Bear River Valley is rural county and state highways. These routes are closed or not easily utilized between 7-10 days a year. Red Bear River Valley Hospital offers a basic emergency room and 16 inpatient beds in a 44.000 squarefoot facility. An adjoining medical clinic, Red Bear River Clinic, provide an additional 20,000 square-feet of space. The Bear River Clinic provides for basic outpatient care. The hospital is supported by 10 physicians. Attached are the following data for Bear River Valley Hospital: • • • • • Population Statistics Statement of Revenues and Expenses for the last three years Top eight DRG Discharges Patient Days by Payer Best and Worst percentages for Performance against CMS Core Measure Based on the data given, consider the following: • • • • • • Describe and discuss the current financial and functional outlook for the facility. Describe and discuss the two most imminent issues facing the facility.

Describe and discuss the areas of strengths and weakness impacting the long-term future of the facility. Describe and discuss the potential impact on the community if Bear River Valley Hospital is closed. Describe and discuss the ways that the facility might modify the delivery of health care to improve the long-term future. Describe and discuss how the facility might utilized new technology to improve the delivery of healthcare to the community. POPULATION STATISTICS Bear Valley Total Population 1,965 1,935 2014 2019 White Black Other 1,942 1,924 14 6 9 5 Ages and Gender Male Female Under 5 60 54 5-14 140 146 15-24 133 139 25-44 292 294 45-64 210 226 65-74 68 75 Insurance Coverage (%) No Coverage 14.1 Employer Provided 6.0 Household Income Less than $25,000 $25,000- $49,000 $50,000- $74,999 $75,000 or more 41% 30% 15% 12% SelfEmployment 40.8 Medicaid Medicare 9 31 75+ 55 73 Revenues Patient Services Revenue Inpatient Net of Allowances Outpatient Net of Allowances Total 2018 52,240,653 22,742,147 74,982,800 2019 53,286,192 22,147,554 75,433,746 Expenses Salaries and Wages Fringe Benefits Supplies Professional Fees Interest Depreciation Amortization

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DRG Discharges Normal Newborns* Vaginal Delivery, no complications Medical Back Problems Chest Pains Coronary Atherosclerosis Simple Pneumonia Digestive Disorders Cesarean Section Totals (excluding births) *counted as births, not discharges. 2018 31 25 125 126 150 27 19 5 477 2019 28 24 141 178 161 21 12 4 541 Patient Days by Payer Payer Total Days Medicare 26.9 Medicaid 14.2 Other 58.9 Benchmark 7 minutes Bear River 9 minutes 98% 95% 54 minutes 44 minutes 93% 94% CMS Core Measures Category Timely and Effective Heart Attack Care CMS Core Measure Average number of minutes before outpatients with chest pain or possible heart attack got an ECG Timely Surgical Care Percentage of surgery patient whose preventive antibiotics were stopped at the right time Timely Emergency Dept Average time patients Care who came to the emergency department with broken bones had to wait to getting pain medication Blood Clot Prevention Percentage of patients who go treatment to prevent blood clots on the day of or the day after hospital admission or surgery