As a person new to Sierra County, I am very interested to learn about the issues surrounding health care and the Sierra Vista Hospital. Kathleen Sloan has done a wonderful job of giving a summary of the history and an overview of current proposals before the public.
It is ironic that the community I am moving from has approximately the same population, is rural, and has had a very similar health care situation. The local hospital system there does have a health district board (five members), as well as a governing board (five members), and has struggled for years.
Almost three years ago, the hospital and its clinics were within days of being permanently closed due to mismanagement and a) over-expansion of clinics and services, b) inflated loans to pay off, due to enormous remodeling projects of the hospital, and c) excessive staff—all issues missed by the two boards. In a sudden move, a small group of people approached the governing board to express concerns, and the board ultimately fired the top three administrators and then contracted with a management company based in Texas.
The management company brought in its own administration and, through consolidation, good financial management and streamlining services, the health care system slowly became financially viable.
Health care in the 21st century is a specialized business that requires oversight and management with expertise in billing/insurance reimbursement, provider retention in rural areas, networking with specialized providers, accountability, quality assurance and risk management—all of which makes providing rural health care a big challenge for even the most experienced administrative staff.
This community may want to consider some of the following questions:
1. What are the benefits of having two boards? List them.
2. What qualifications are necessary for board members, keeping in mind that oversight and accountability of healthcare management is their most important responsibility?
3. What are the benefits of turning over management to a larger New Mexico-based health care entity such as (just for example) Presbyterian Healthcare Services that has decades of experience managing a variety of facilities, providers, nurses and a varieties of staff members on a statewide scale.
4. Some health care institutions have patient/family advisory boards that meet with administration and act as liaisons with the community. What if the members of the current boards retained interest, influence and ideas by becoming an advisory board to the management administration?
Thank you to the Sierra County Sun for providing a platform for discussion and for covering vitally important news. With more than four decades of health care experience working in communities in New Mexico, Utah and Colorado as a paramedic, intensive care nurse, quality assurance manager, risk manager, HIPPA compliance officer, and legal nurse consultant, I care deeply that the health care system of Sierra County succeeds in providing the best quality health care.
Lee Ungnade, BSN, RN, LNC
Truth or Consequences
I found Ms. Ungnade’s comments and suggestions pertinent and valuable. I am curious what community she lived in prior to moving here and what particular hospital she is referring to. It might be useful in evaluating her thoughts about the value of an outside management company.
Good morning Dave:
Thank you for responding to my comments about health care management.
At this point in time, I’m reluctant to say more about a particular system as I left their employment only a year ago and do not want to in any way appear negative toward them or to the management firm the boards hired.
What I’d like to emphasize is that a tried-and-true New Mexico health care system such as Presbyterian has decades of success, positive customer service and knows/understands the care needs of rural New Mexico such as close-by Socorro General Hospital.
Presbyterian is the largest health care system in New Mexico and can provide trained professionals and a highly credentialed Services Board of Directors.
The Board’s credentials are amazing, as can be seen on the website: https://www.phs.org/community/legacy-of-caring/leadership/Pages/phs-board-of-directors.aspx
The current boards in Sierra County could provide excellent information about the specific needs of their communities and work in concert with the professionals.
Turning over control is never an easy process, certainly one that produces anxiety, but it would be a worthwhile effort to at least discuss possible benefits.
Best wishes to you and Sierra County residents for a safe and healthy holiday season.
Lee