Annual Reports
Client: Lexington Memorial Hospital 1990-1991 Annual Report
Service Provided: Writing, photography and graphic design
1990-1991 Annual Report: Changes & Challenges
The 1990s will be remembered as one of the fastest-changing,
most challenging decades in health care history. Management
decisions we make today must serve our hospital and our
community well into an uncertain future Within this
environment, we at Lexington Memorial Hospital remain
committed to providing the high-quality personal, progressive
care you’ve come to expect from us.
John H. Frank, FACHE
President, Lexington Memorial Hospital
Keeping Costs Affordable:
Lexington Memorial’s Charges One-Third Lower Than State
Average
According to the most recent report of the North Carolina
Medical Database Commission, Lexington Memorial’s average
charges were 33% percent lower than average charges by other
North Carolina hospitals during the year ended September 30,
1990. All 124 hospitals in the state are required to report
charges to the commission which compiles the information in
its annual Summary Guide to Hospital Utilization and Charges.
While charges per case averaged $5,990 statewide, charges per
case among Lexington-area hospitals averaged as follows:
| Lexington Memorial |
$3,433 |
| Davie County |
3,679 |
| Community General |
3,944 |
| High Point Regional |
4,590 |
| Forsyth Memorial |
5,308 |
| NC state average |
$5,990 |
Growing to Serve Our Community:
Hospital Building and Medical Park Expansions Underway
Lexington Memorial has begun the first phase of a long-range
facilities expansion project. The hospital is also developing
additional medical office building sites in the Medical Park next
to the main building. Both projects are designed to meet our
community’s growing needs for certain types of health care
services.
During Phase One of the hospital expansion, space is being
added to the Physical Therapy and Laboratory departments to
accommodate growing usage. A new general storage area,
laundry and space to accommodate MRI equipment are also
part of the project’s first phase. Construction began in
September and is expected to be completed in nine months.
The 11.6-acre tract to be developed in the Medical Park is
bordered by the hospital’s main entrance drive and Old
Salisbury Road. Access to the building lots will be provided by
an L-shaped drive ending in a cul-de-sac near the pond in front
of the hospital. Several doctors have expressed interest in lots
in the new section of the Medical Park.
Financing for the Future:
Duke Endowment Grant
The Duke Endowment awarded Lexington Memorial Hospital a
$140,000 grant to help finance $1,197,000 in construction costs
for the first phase of the hospital’s long-range facilities
expansion project.
The Duke Endowment is one of the nation’s largest private
foundations, with assets of more than $1 billion. Established in
1924 by the late James Buchanan Duke, the endowment
supports education, children’s homes and not-for-profit
hospitals in North and South Carolina. Since 1935, the Duke
Endowment has awarded more than $1.6 million to Lexington
Memorial for capital projects and general operating support
Keeping Up With Advancing Technology:
New Equipment
This year, Lexington Memorial doctors and patients gained
access to two new high-tech tools that help diagnose a variety
of illnesses with greater precision and accuracy. In cooperation
with several area hospitals, Lexington Memorial contracted
with Mobile Technology, Inc., to lease a magnetic resonance
imaging, or MRI, unit one day each week. The hospital also
acquired a new Single Photon Emission Computerized
Tomography, or SPECT, unit, the latest in modern nuclear
imaging cameras.
MRI equipment uses a powerful magnet, radio signals and a
computer to create images of internal anatomy. The images
look like conventional X-rays, but are much clearer and more
detailed. Like MRI or CT scanners, the SPECT camera gives very
accurate, detailed images showing thin cross-sections of tissue
or bone. The camera rotates around the patient, allowing views
from different angles and in more than one dimension. The
main difference between SPECT and other imaging technologies
is the use of radioactive materials.
Preparing Patients to Return Home:
Ambulatory Monitoring
Unit
Cardiac patients at Lexington Memorial Hospital now have
access to a new four-bed Ambulatory Monitoring Unit (AMU)
featuring advanced equipment to monitor and transmit their
vital signs to a central nursing station using wireless telemetry
technology. The typical patient in AMU has had a heart attack
several days earlier and, while ready to move out of the
Intensive Care Unit, still needs to be watched. The unit is also
used by patients who need monitoring while their doctors
adjust the type or dosage of their heart medicine and by
patients whose doctors suspect heart problems and wish to use
the monitoring equipment to help make a definite diagnosis.
Once admitted to the AMU, patients continue the recovery
process in an attractive, comfortable setting while beginning to
learn about caring for themselves after they go home.
Maintaining Industry Standards:
Lexington Memorial Accredited for Three Years
In May, Lexington Memorial was awarded a three-year
Certificate of Accreditation by the Joint Commission on
Accreditation of Healthcare Organizations, a private, not-forprofit
organization that sets quality standards for hospitals and
other health care providers throughout the country.
Participation in the Joint Commission’s accreditation program
is voluntary and involves a comprehensive review of all aspects
of the hospital’s management and operation. The process
includes a two-day, on-site evaluation by a survey team made
up of a physician, a registered nurse, a hospital administrator
and a medical technologist. In their written evaluation of the
hospital, the team reported Lexington Memorial meets or
exceeds accreditation requirements in all aspects of its health
care services, procedures and facilities. Lexington Memorial has
gone through the accreditation process every three years since
the 1930s.
Personal, Progressive Care at Home:
Piedmont Home Care
During 1990, Lexington Memorial established a new home
health care agency to serve Davidson, Davie, Guilford and
Forsyth counties. The agency, Piedmont Home Care, offers a
full range of home health care services for adults and children.
Like the hospital, Piedmont Home Care is a not-for-profit
organization. Services are available around the clock.
Piedmont Home Care works with each patient’s doctors and the
hospital staff to coordinate the transfer of care from the
hospital to home, developing a customized plan of care for
each patient. If a patient needs services in addition to those
Piedmont Home Care provides, the agency refers the patient to
appropriate community organizations.
Increasing demand for professional health care at home
prompted the hospital to open the agency. Besides cutting
health care costs by reducing the length of hospital stays, home
health care services allow patients to stay in comfortable,
familiar surroundings.
During its first year, Piedmont Home Care visited more than
260 patients 5,869 times in their homes. The staff grew from 11
to 37, and the volume of visits doubled. The agency recently
doubled its office space, too.
Rewarding Outstanding Personal Care:
Career Advancement for Nurses
A task force of the hospital’s nurses and nurse managers spent
most of the ‘90-91 fiscal year designing a new Clinical
Advancement Program to create career opportunities for staff
level registered nurses who prefer to remain at the bedside
rather than advance their careers through administrative work.
CAP will benefit hospital patients by encouraging skilled nurses
to remain directly involved in patient care. CAP is also
expected to help lower recruiting and training costs by helping
keep qualified nurses on staff and by helping the hospital
compete with other employers for the best-qualified job
candidates.
Helping Us Meet Our Challenges:
The Lexington Memorial Hospital Foundation
During its first two years of operation, the Lexington Memorial
Hospital Foundation has raised a total of $160,165, with gifts
increasing 35 percent from the first year to the second. The
number of donors increased from 271 during the foundation’s
first fiscal year to 364 the second year.
At its annual meeting, the foundation’s Board of Directors
agreed to use $71,750 in unrestricted gifts received during the
1990-91 fiscal year to replace the hospital’s current
mammography equipment. Donors of unrestricted gifts allow
the hospital use their contributions where the foundation board
determines the funds are most needed. The remaining $20,169
of the $91,919 total contributed to the foundation during the
year ending September 30, 1991, will be used as directed by
each donor.
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