Case Studies

Rural Hospital Model of Success: Yoakum Community Hospital, Yoakum, TX

The Situation

Over the past several years, small rural hospitals across the United States have been struggling to stay afloat. Yoakum Community Hospital was no different. Declining reimbursements, an unfavorable payer mix and sagging hospital operations had together created a negative bottom line for the hospital.

“Before CHC came on board, we didn’t have the infrastructure or insight we needed to improve the hospital’s performance. Today, there is such a tremendous energy around here.”

Karen Barber, CEO, Yoakum Community Hospital

Background

Yoakum Community Hospital...


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Case Studies

Need for “a la carte” consulting leads to CHC: Great Plains Health, North Platte, NE

The Situation

Many hospitals come to Community Hospital Corporation (CHC) in critical condition. Others come to optimize their good health. Great Plains Health in North Platte, Nebraska, is hale and hearty, with robust finances and a governing board that asks smart questions. Managed for nearly 25 years by an outside organization, Great Plains in 2009 began to question the partnership’s value and looked instead for an advisory partner to provide specific hospital consulting services according to need. Hospital leaders tapped CHC Consulting, the management and consulting arm of CHC, leading...


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Case Studies

Rural hospital leverages USAC funding to save on telecom services, provide better care – Yoakum Community Hospital, Yoakum, TX

The Situation

Yoakum Community Hospital’s antiquated data network and low-speed internet fell short of meeting today’s healthcare industry demands, including use of electronic health records. “We need to be up 24-7 with reliable connections and redundant circuits in case of a primary system failure,” says Crystal Harris, the hospital’s IT director. CHC leveraged federal USAC funding for IT upgrades including high-speed internet and disaster recovery. Citing improvements in patient care as well as operational and financial performance, hospital CFO John Olivares calls the upgrades a “quantum leap forward” for the...


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Case Studies

Reaping the Benefits of Meaningful Use — Incentives Are Just the Beginning: St. Mark’s Medical Center, La Grange, Texas

The Situation

Like hospitals everywhere, St. Mark’s Medical Center in La Grange, Texas, made a substantial investment to switch over to electronic health records (EHRs). Offsetting this expense, the Centers for Medicare & Medicaid Services (CMS) provides incentive payments for the “meaningful use” of certified EHR technology to improve patient care. But demonstrating “meaningful use” as defined by CMS is a rigorous three-stage process. CHC provided the strategy and support St. Mark’s needed to reap the full benefits of meaningful use, starting with incentive payments and progressing to improved...


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Case Studies

Turnaround program improves hospital’s profile and prospects: Memorial Health System of East Texas, Lufkin, TX

The Situation

After six decades of regional prominence, Memorial Medical Center-Lufkin, the flagship hospital of a four-campus system in East Texas, weathered a multi-year trend of dwindling patient volume and cash reserves resulting in a bond rating downgrade. Determined to get back on track, hospital leaders hired CHC to design and implement a hospital turnaround program to restore the facility’s financial health and credit, as well as the system’s prospects as a whole. Recently, the system announced a strategic partnership made possible in part by the turnaround program’s impressive results.

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Case Studies

Turnaround from Technical Default to Nationally Ranked Hospital: Gunnison Valley Health, Gunnison, CO

The Situation

A 180-degree turnaround followed by an upward surge. That’s how CEO Rob Santilli describes Gunnison Valley Health’s (GVH) experience working with CHC to address financial circumstances that came to a head in 2012. Following an unexpected steep decline in volumes, GVH recruited Santilli for change management and entrusted the financial and operational overhauls to CHC. The trust was well-placed, says Santilli: “We did a one-eighty and then shot straight to the sky by every measure of hospital strength and performance.” Subsequently, the independent data firm iVantage Health Analytics ranked GVH among...


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Case Studies

Enthusiastically On Board: Essential Elements of a High-performing Board at Yoakum Community Hospital, Yoakum, TX

The Situation

Yoakum Community Hospital serves as a model of positive CEO-board relations, but establishing this level of board engagement did not happen overnight. CEO Karen Barber has led the 25-bed critical access hospital in rural Texas to a status worthy of national recognition, with strategic direction from an engaged, effective board of trustees. Barber says she feels “fortunate” to be backed by a high-performing board, but it was her own efforts along with the trustees’ that put all the elements in place for the exemplary board Yoakum has today.

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Case Studies

Operational Assessment: Hillcrest Health System – Waco, TX

The Situation

When the board of trustees at Hillcrest Health System began analyzing its strategic direction, they engaged Community Hospital Corporation (CHC) because of the firm’s direct and ongoing experience successfully managing other community hospitals. CHC owns, manages and consults with hospitals across the country, and focuses exclusively on serving the needs of community-based hospitals.

Initially, Hillcrest Health System leadership requested the services of Community Hospital Consulting (CHC Consulting), the management and consulting arm of CHC, to help them evaluate the operations of Hillcrest Baptist Medical Center, a 236-bed acute...


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Case Studies

Planning for Uncertainty: Wills Memorial Hospital, Washington, GA

The Situation

Wills Memorial Hospital in Washington, Ga., found itself in the midst of a perfect storm five years ago, when events good and bad converged. The hospital had completed necessary renovations, including a new patient wing, but was left with a $13 million bond debt. This debt obligation combined with years of significant losses and new healthcare regulations left the hospital in a bad spot, says hospital CEO Tracie Haughey: “We knew we were sinking and needed help.” A comprehensive operational assessment by CHC Consulting and its accompanying action...


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Case Studies

Small hospital realizes big savings: Community Hospital, McCook, NE

The Situation

Community Hospital in McCook, Nebraska, previously bought its supplies and services from a nationwide hospital network. As part of the network’s supply contracting company and group purchasing organization (GPO), Community Hospital was subject to volume-based tier pricing. Under that business model, the small rural hospital paid approximately 35 percent more than larger hospitals for orthopedic implants. Higher prices were just one disadvantage of belonging to a network in which smaller hospitals typically are not shown the same attention as their larger counterparts. Community Hospital was poised for supply...


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