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 square-foot 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 the current financial and functional outlook for the facility.
- Describe the two most imminent issues facing the facility.
- Describe the areas of strengths and weakness impacting the long-term future of the facility.
- Describe the potential impact on the community if Bear River Valley Hospital is closed.
- Describe the ways that the facility might modify the delivery of health care to improve the long-term future.
- Describe how the facility might utilized new technology to improve the delivery of healthcare to the community.
POPULATION STATISTICS
|
Bear Valley |
Total Population |
White |
Black |
Other |
|
2014 |
1,965 |
1,942 |
14 |
9 |
|
2019 |
1,935 |
1,924 |
6 |
5 |
Ages and Gender
|
Under 5 |
5-14 |
15-24 |
25-44 |
45-64 |
65-74 |
75+ |
|
|
Male |
60 |
140 |
133 |
292 |
210 |
68 |
55 |
|
Female |
54 |
146 |
139 |
294 |
226 |
75 |
73 |
Insurance Coverage (%)
|
No Coverage |
Employer Provided |
Self-Employment |
Medicaid |
Medicare |
|
|
14.1 |
6.0 |
40.8 |
9 |
31 |
Household Income
|
Less than $25,000 |
41% |
|
$25,000- $49,000 |
30% |
|
$50,000- $74,999 |
15% |
|
$75,000 or more |
12% |
Revenues
|
Patient Services Revenue |
2018 |
2019 |
|
Inpatient Net of Allowances |
52,240,653 |
53,286,192 |
|
Outpatient Net of Allowances |
22,742,147 |
22,147,554 |
|
Total |
74,982,800 |
75,433,746 |
Expenses
|
2018 |
2019 |
|
|
Salaries and Wages |
30,275,410 |
31,952,632 |
|
Fringe Benefits |
8,225,293 |
8,925,471 |
|
Supplies |
20,513,755 |
21,539,851 |
|
Professional Fees |
12,541 |
13,887 |
|
Interest |
575,774 |
524,899 |
|
Depreciation |
2,000,124 |
2,220,521 |
|
Amortization |
851,440 |
855,108 |
|
Other |
10,143,221 |
8,152,147 |
|
Total |
72,597,528 |
74,184,516 |
NET INCOME FROM OPERATIONS
|
2018 |
2019 |
|
|
Net Income |
2,385,272 |
1,249,230 |
Top 8 DRG Discharges
|
2018 |
2019 |
|
|
Normal Newborns* |
31 |
28 |
|
Vaginal Delivery, no complications |
25 |
24 |
|
Medical Back Problems |
125 |
141 |
|
Chest Pains |
126 |
178 |
|
Coronary Atherosclerosis |
150 |
161 |
|
Simple Pneumonia |
27 |
21 |
|
Digestive Disorders |
19 |
12 |
|
Cesarean Section |
5 |
4 |
|
Totals (excluding births) |
477 |
541 |
*counted as births, not discharges.
Patient Days by Payer
|
Payer |
Medicare |
Medicaid |
Other |
|
Total Days |
26.9 |
14.2 |
58.9 |
CMS Core Measures
|
Category |
CMS Core Measure |
Benchmark |
Bear River |
|
Timely and Effective Heart Attack Care |
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG |
7 minutes |
9 minutes |
|
Timely Surgical Care |
Percentage of surgery patient whose preventive antibiotics were stopped at the right time |
98% |
95% |
|
Timely Emergency Dept Care |
Average time patients who came to the emergency department with broken bones had to wait to getting pain medication |
54 minutes |
44 minutes |
|
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 |
93% |
94% |
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