a2 TVS FACT SHEET
eS eed Definition of a Critical Access Hospital
Bon Secot
5s Richmond Health System began a commitment to quality,
com nate care for the Northern Neck and Middle Peninsula with the
acquisition of Rappahannock General Hospital (RGH) in December of 2014
On May 1, 2016, RGH became a Critical Access Hospital (CAH), which is a
Medicare designati ‘al hospitals that meet rigorous administrative
and quality measures. This new desig
stability of RGH while allowing for
for n
nation has assisted in the financial
rowth in patient services in areas of
need. The combination of financial stability and growth in services will help
secure the future of RGH as this rural area’s only hospital, a major employer,
and contributor to the local economy.
PUNT Neen Key Facts
(lS) S57.Vee aire -
By operating as a CAH, RGH receives cost-based reimbursements from
Medicare. Prior to attaining CAH status, RGH was only reimbursed for 65
percent of the cost of care.
+ Some of the requirements for the transition to a CAH include: having no
more than 25 inpatient beds; maintaining an annual average length of
stay of no more than 96 hours for acute inpatient care; offering 24-hour,
seven-days-per-week emergency care; and being located in a rural area
at least 35 miles from any other hospital.
+ There is a “swing bed” provision within the 25-bed limit which allows
physicians to transition a patient from one level of care to another while
staying in the same facility. For the aging population RGH serves, this
is particularly helpful since some patients may need additional time to
recover from a surgery, illness, or injury. Once the physician swings the
Oy lad bed, the patient can stay longer at RGH where there is easy access to
General Hospital nursing care and therapies, versus being transferred to a nursing home.
DT The objective of swing bed programs is to assist the patient in becoming
(Clear as independent as possible before discharge.
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Q: Are you considering
closing Rappahannock
General Hospital (RGH)?
Ne
: Will the proposed
transitions result in layofts,
of reduced hours for
employees?
AN
:Is the hospital profitable?
‘A: No. In fiscal yeat ending
March 31, 20)
acquisition of RGH, the
hospital lost more than $
million, and in the eight
months following that, the
losses exceeded $12 million.
Bon Secour
hose combined losses
were unsustainable and
depleted the available
reserves the hospital
held. That prevented RGH
from investing further in
the community's health
care needs.
since then, Bon Secours has
brought new resources to the
community while continuing
to operate at a loss.
Q:Isit possible for new
services to be added to the
hospital in the future, and
how is that decision made?
A: Yes. Care models that
most effectively deliver
health services to rural
areas are based on the
demonstrated needs of the
community.
@: Whatis a Critical
Access Hospital?
A: Please see Critical
‘Access Hospital
designation fact sheet.
FREQUENTLY ASKED QUESTIONS
G: Is there a four-day
limit on lenath of stay in
the hospital?
Hospital designatior
determining the lenath
by each patient's condition
and their
@: Why are you suspending
the Intensive Care Unit (ICU)?
A: Over the past few year:
Bon Secours has seen a
shift to larger centers with
available specialty care fo
many intensive care level
patients.
: What types of care
would | receive if! were
awaiting transfer toa
nearby ICU?
A: Patients awaiting
transport to a nearby ICU
may receive inpatient care
ineither a Progressive Care
Unit or in the Emergency
Department.
Q: What is a Progressive
Care Unit?
A: A Progressive Care Unit
refers toa unit within a
hospital; itis not a type
of hospital. The care is
@: Why did you transition to
only day shift surgeries in
the Perioperative Unit?
J
ne shift. We wall realign
our resources toward
ambulatory surgical services
hour surgeries proms
{Q: What if! come in through
the Emergency Department
after hours and in need of
surgery?
‘A:in that case, a transfer to
the appropriate higher level
of care facility would be
facilitated
@: Are you planning to
transition RGH to a Short
Term Hospital?
A:No.
@: What services have you
added recently?
‘A: Same-day mammography,
a state-of-the-art nuclear
medicine camera for
enhanced imaging
provided by specially trained diagnosis capabilities
medical professionals and
is designed to stabilize a
patient awaiting transfer t
a higher level of care.
@: What is the cost of being physi
transferred to another
hospital that has an ICU?
‘A; Transport costs vary
‘st. Mary's | Memorial Regional | Richmond Community
Westchester Emergency Center | Rappahannock General | Bon Secours Medical Group
sleep lab, and electronic
‘medical records. Additional
0 infrastructure updates
include a hospital
emergency generator,
al plant chiller, Rad
Fluor Unit, and medical
‘vacuum pum
y | St. Francis |