Transcript Recruitment, Selection and Assessment of the CEO and the Board

What’s so
about
Rural Hospitals?
Bob Pascasio, FACHE
CEO, Bayside Community Hospital, Anahuac
David Pearson, FACHE
President/CEO, TORCH, Austin
Texas is largely a rural state.
• 177 rural counties (about 75% of the state)
• 3.2 million people in ~530 small towns
• 94% of all rural towns in Texas
The population of rural Texas = population of
Alaska + Delaware + North Dakota + Vermont +
Wyoming
Texas has almost twice the farms and ranches of
any other state. 78% of total acreage.
70% of the counties in Texas have been
designated as primary care health professional
shortage areas (HPSA); 112 of these counties
have whole and 46 have partial designations.
Fully three-quarters of the counties with whole
county HPSA designations are in rural areas.
Some 177 counties are designated as medically
underserved areas.
There are 580 hospitals in Texas, of which 164 are
rural, acute care facilities.
Of the total 72,073 licensed beds in the state,
8,393 (11.6%) are rural.
Texas has 74 Critical Access Hospitals (CAH),
which are hospitals with 25 or fewer beds. The
state ranks fourth in the nation with the most
number of CAHs.
Sixty-three counties in Texas today have no
hospitals.
117 counties are served by a single hospital.
With rare exceptions, they are the only
sources of primary care in their county and
communities.
Analysis by The Perryman Group shows that “the
healthcare industry is crucial to the state economy.”
• 15% of overall state output
• 16.5% of earned personal income
• 17.2% of all employment
The medical sector and associated spin-off productions
also yield $6.6 billion in annual state revenue.
The impact of hospital facilities on the Texas economy is
enormous, supporting almost 700,000 permanent jobs in
the state and almost $87.5 billion in economic activity
every year.
According to the National Center for Rural Health
Works, in most rural communities health care is
the largest employer and accounts for at least 10
percent of total local employment.
On average, every dollar spent at home on health
care recirculates inside the community one-anda-half times.
For every five jobs in the health sector, four jobs
are generated inside the community.
Here are some of the issues that hospitals
are always facing:
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Changing state and federal regulations
Complex reimbursement methodologies
Quality and performance improvement
Insurance, uninsurance and managed care
Health careers promotion and training
Here are some more issues that rural
hospitals are facing:
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Access to health care services
Provider recruitment and retention
Aging physical infrastructure
Rapidly changing technology
Economic and demographic shifts
Been in continuous operation for over 56 years, providing
for the general acute needs of Central Chambers County
and surrounding communities.
• Recognized by the Texas Rural Health Association in
2002 with the “Community that Cares” award.
• Recognized by the Texas Medical Foundation in 2005
with the “Award of Excellence in Healthcare Quality
Improvement,”
• Bayside offers the only state designated Trauma Center
(Emergency Room) in Chambers County.
• Designated a Nurse Friendly Hospital by the Texas
Nurse Association.
• Recently awarded funding to establish and FQHC.
Since 1990, TORCH has been the voice for rural hospitals
in Texas, and is a model for rural hospital organizations
across the US.
• TORCH is a full-service trade association offering
advocacy, education, programs and services targeted at
rural hospitals.
• TORCH has six affiliated organizations, including a forprofit corporation, a non-profit foundation, an insurance
pool, and three other healthcare-related trade
associations.
• Taken together, the entire enterprise includes 150 rural
and community hospitals, 137 rural health clinics, 100
provider-based home care agencies and 147 corporate
members and endorsed business partners.
• Rural and community hospitals are an
important part of the overall health care
delivery system for the State of Texas.
• Rural hospitals are resilient and they’ll
continue to evolve in order to meet the
healthcare needs of the many small and
isolated rural communities in Texas.