Shaping the Future Success of Indiana Healthcare Delivery

TOGETHER

2014 ANNUAL REPORT

WWW.INDIANARURALHEALTH.ORG/INSRHN

MISSION

What is the mission of the Indiana Statewide Rural Health

Network (InSRHN)?

To create a network of rural providers

dedicated to improving their ability

to deliver high-quality health care to

rural residents. In doing so, InSRHN

provides support to rural entities in

the development of formal healthcare

networks in order to coordinate;

improve and expand access to quality

essential health care services; and

to enhance the delivery of quality

healthcare in rural areas.

InSRHN Executive Advisory Committee

Decatur County Memorial HospitalLinda Simmons

CEO

Gibson General HospitalEmmett Schuster

CEO

Logansport Memorial HospitalDavid Ameen

CEO

Putnam County HospitalDennis Weatherford

CEO

Rush Memorial HospitalBrad Smith

CEO

Could you deliver a 461% return on investment?In an era of healthcare when just breaking even is often a cause for celebration, what would result if your hospital or clinic managed to deliver a 461% return on investment? Of course, saving lives and improving a community’s

quality of life transcends measurement in dollars and

cents. But what if your healthcare operations could make

an investment that returned 461% ROI in real money?

That’s precisely what collectively happened to the 30

hospitals and clinics that tapped into the power and

benefits of the Indiana Statewide Rural Health Network

(InSRHN) in 2014. Through InSRHN, hospitals were

able to secure significant savings for pharmaceuticals,

IT development and support, purchasing discounts,

insurance, high-speed fiber-based Internet, HR training,

legal expenses and much more. In a time where savings

and efficiencies count, InSRHN was able to help member

hospitals and clinics tally up real savings of more than a

half a million dollars.

Perhaps surprising, the real savings and advancements

came from tapping into the peer groups and service

training benefits offered by InSRHN, according to

member hospital CEOs. “Shared industry knowledge is

the most valuable thing that they [InSRHN staffers] bring

to the table,” said David Ameen, CEO of Logansport

Memorial Hospital. Asked about the worth of InSRHN,

Randy White, CEO of Fayette Regional Health System,

said he could sum it up in one word:

“Invaluable.”

Other CEOs and C-level healthcare professionals have

given us similar feedback. As Dennis Weatherford, CEO

of Putnam County Hospital, noted, there is

“a great advantage” in the fact that the InSRHN network

hospitals were geographically separated to the point where

there “was essentially no competition for area patients.”

Accordingly, he was able to talk frankly with other hospital

CEOs to discuss challenges and solutions.

As a result, after receiving recommendations from other

CEOs and InSRHN staff, he was able to confidently retain

an emergency room medical staffing company, that he says

has done a “great job.” Similar accolades for InSRHN IT

forum exist as a result of the IT forum collaborating on

Meaningful Use and patient record quality and security.

Given increasing fiscal, HR, regulatory, and other

challenges for rural hospitals, delivering high-quality

healthcare with great outcomes is tougher than ever. While

InSRHN was privileged to partner with Indiana hospitals

for success in 2014, the bar will be set even higher the

months to come. We are pleased to outline our activities

for you in this report, and we look forward to even greater

achievements in 2015!

By Don Kelso

Executive Director, Indiana Rural Health Association

What We Do

• Help Indiana medical professionals and administrators best serve the

nearly two million Hoosiers living in rural areas and small towns

• Build profitable relationships with rural, small town and urban partners

• Identify and promote healthcare and management best practices for rural

hospitals, critical access hospitals (CAH) and clinics

• Enthusiastically facilitate stronger collaborative statewide relationships

between CAHs and rural hospitals with the focus on improving healthcare

delivery and the quality of life in Indiana small towns and rural communities

• Tap into the dedicated and professional expertise in rural hospitals and

effectively share resources and knowledge to improve rural healthcare

delivery across the spectrum

• Collectively break down inadvertent information silos and reduce the

sense of geographic isolation faced by rural administration and staff

• Identify, secure and make available critical administrative and supply

chain discounts through qualified resources to reduce operational and

healthcare delivery costs; increase buying power of rural purchasing

departments

• Identify critical workforce and technology needs (e.g., information

technology professionals) and help hospitals and clinics secure same

• Help rural hospitals decrease duplicative services and technology

• Develop network infrastructure support/tools

• Passionately facilitate and promote high-impact peer learning and

mentoring.

InSRHN Staff

Don KelsoExecutive Director

Deena DoddIRHA Network

Development Officer /

InSRHN Director

Cindy LargeProject Director and

Education Network

Director (IRHITEN)

Cody MullenNetwork Development

Coordinator

Partnering for Real SuccessWant to really find out what Indiana hospitals face in today’s challenging and often uncertain regulatory and financial environment?

Here’s one way: get in your car and drive across

Indiana to meet with multiple dozens of hospital CEOs,

medical administrators, CFOs, lawyers and others over

a period of 12 months. Then also throw in a few intense

trips to Washington, D.C., and conferences to meet with

legislators, staffers and agency professionals.

That’s precisely what Don Kelso, Cindy Large, myself and

others on the IRHA and InSRHN staff did in 2014.

The payoff was huge. In real dollars and cents, InSRHN

hospitals and clinics collectively saved more than a half

million dollars in discounts for supplies, services and

training, many times over their annual membership

fee. But as we were told on numerous occasions, CEOs

and members found their greatest value here: increased

access to industry information, confidential peer-to-peer

discussions about financial, management and technical

issues, engagement opportunities for legislators (state and

federal), access to grant dollars and services, and other

benefits.

Our hospital executive roundtable discussions were a

highlight of the year. During these peer group meetings,

executives and administrators were able to candidly

discuss best practices, current issues, thorny obstacles,

improvement opportunities, and how to deliver quality

healthcare in increasingly challenging environments. Many

found innovative solutions. Many forged new and non-

competitive partnerships. Many broke down geographic

silos and built productive collaborative relationships.

For us who serve InSRHN members, it was satisfying,

humbling and exciting – all at the same time.

Given the rapid rate of continuing change in healthcare

trends, 2015 promises to be even busier than 2014. But

with new partnerships and additional members, InSRHN

is up for the task!

By Deena Dodd

IRHA Network Development Officer / InSRHN Director

What our CEOs say

“If you’re a rural healthcare operator,

you need to get hooked up with these people

– it will be vital to you.”

“Networking opportunities – both formal and

informal – allow us to compare best practices with

other working professionals.”

State visits by InSRHN staffers “are fantastic.”

INSRHN staffers promote “quality and clinical

best practices that really make a difference in

performance and outcome improvements.”

Should a hospital be part of InSRHN?

“I absolutely recommend it.”

“The savings they bring pay for membership

many times over.”

“Government affairs is very important to

rural healthcare survival – InSRHN gives us

a voice – this is highly relevant.”

“They’re good people – I can have confidence

in them because they do their homework.”

“Staffers are easy to work with.”

“They put key issues in front of our administrators,

and help bring or build solutions.”

“The fact that member hospitals are not

competing for patients is a major plus – we can

talk privately peer-to-peer and get answers.”

Confidential Executive Peer Roundtables

– CEO, CFO, clinical, pharmacy, physician practice

manager, materials managers, Meaningful Use, and

Human Resources

Legislative and Regulatory Voice of Rural Hospitals

– Access to a certified rural lobbyist

Direct access to Indiana rural caucus

(Indiana legislators)

Direct access to Federal policy forums

(Federal Congressmen, Senators, staffers, and others)

Legislative and current industry trend briefings

to hospital boards

Health Coach Training through Iowa Chronic Care

Consortium for Rural Health Network members

Capacity to participate in IRHITEN

– the Indiana Rural Health Information Technology

Education Network

Access to selected qualified business partners

for training, legal, insurance, leadership development,

marketing, and other critical operational needs

Fiscal benefits of InSRHN

membership

InSRHN Achievements By the Numbers

Collective return on investment (membership dues):

461%

Average savings by hospital/clinic using discounted

services: $24,554

(High of $104,330, low of $6,000*)

*Every single InSRHN member hospital or clinic

more than recovered the cost of membership through

real network savings (and excluding real-time benefits

from training and peer contact).

Number of hospital and clinic members: 30

(including five new members in 2014)

What was the value of being a member of InSRHN in 2014?

InSRHN Achievements High-Impact Collaboration

InSRHN ROI 2014 SAVINGSAdkisson $42,000

Cardinal $301,895

CHNA $25,000

RHND $151,800

Alliant Purchasing $108,000

Community Infusion $12,000

IRHITEN $71,928

Staff Time $157,500

IRHA Membership $22,500

ROI 461%

Total Savings (less membership fees) 733,623

Participating HospitalsAdams Memorial Hospital

Cameron Memorial Community Hospital

Community Hospital of Bremen

Daviess Community Hospital

Decatur County Memorial Hospital

Fayette Regional Health System

Gibson General Hospital

Good Samaritan Hospital

Greene County General Hospital

Harrison County Hospital

Henry County Hospital

IU Health Bedford Hospital

IU Health Starke Hospital

IU Health Tipton Hospital

Jay County Hospital

Jasper County Hospital

Margaret Mary Health

Logansport Memorial Hospital

Memorial Hospital and Health Care Center of Jasper

Perry County Memorial Hospital

Pulaski Memorial Hospital

Putnam County Hospital

Reid Hospital & Health Care Services

Rush Memorial Hospital

St. Vincent Frankfort Hospital

St. Vincent Jennings Hospital

St. Vincent Mercy Hospital

St. Vincent Randolph Hospital

Wabash County Hospital

Woodlawn Hospital

2014 InSRHN ROI

InSRHN ROI 2014 Aggregate Totals

Adkisson 42,000

Cardinal 301,895

CHNA 25,000

RHND 151,800

Alliant Purchasing 108,000

Community Infusions 12,000

IRHITEN 71,928

Staff Time 157,500

IRHA Membership 22,500

Total Saving 892,623Expense-Membership 150,000

Expense-CHNA 9,000

Total Expense 159,000

ROI 733,623

Total Member Combined ROI

$733,623

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De KalbLake

Porter

La Porte

Starke

St. Joseph

Marshall

Kosciusko

LaGrange

Blackford

White

Daviess

Greene

Ohio

Rush

Franklin

Steuben

UnionFayette

Newton

Jasper

Noble

AllenWhitley

AdamsWells

HuntingtonWabash

Fulton

MiamiCass

Pulaski

Benton

Warren Tippecanoe

Carroll

GrantJay

Randolph

Delaware

Madison

Tipton

Marion

Fountain Montgomery

Vermillio

n

Putnam

Parke

Vigo

Sullivan

Clay

Owen

Morgan JohnsonShelby

Monroe Brown

LawrenceJackson

OrangeWashington

Posey

Gibson Pike

Knox

Vanderburgh

Warrick

Dubois

Scott

Spencer

Perry

Crawford

Harrison

Floyd

Clark

Jennings

Jefferson

Decatur

Ripley

Wayne

Switzerland

Hamilton

Henry

Boone

Clinton

Bartholomew

Martin

Dearborn

HancockHendricks

Elkhart

Organization Name First Name

Last Name Title Web Site Address

Adams Memorial Hospital JoEllen Eidam CEO http://www.adamshospital.com

Cameron Memorial Community Hospital

Greg Burns CEO http://www.cameronmch.com

Community Hospital of Bremen

David Bailey President/CEO http://www.bremenhospital.com

Daviess Community Hospital David Bixler CEO http://www.dchosp.org

Decatur County Memorial Hospital Linda Simmons President/CEO http://www.dcmh.net

Fayette Regional Health System

Randy White President & CEO http://www.fayetteregional.org

Gibson General Hospital Emmett Schuster President & CEO http://www.gibsongeneral.com

Good Samaritan Hospital Robert McLin CEO http://www.gshvin.org

Greene County General Hospital

Brenda Reetz CEO http://www.greenecountyhospital.com

Harrison County Hospital Steven Taylor CEO http://www.hchin.org/

Henry County Hospital Paul Janssen CEO http://www.hcmhcares.org

Indiana University Health Bedford Hospital

Brad Dykes President & CEO http://iuhealth.org/bedford

Indiana University Health Starke Hospital

Craig Felty President http://iuhealth.org/starke

Indiana University Health Tipton Hospital

Michael Harlowe President & CEO http://iuhealth.org/tipton

Jasper County Hospital Timothy Schreeg President/CEO http://www.jchh.com

Jay County Hospital Dave Hyatt Chief Executive Officer

http://www.jaycountyhospital.com

Logansport Memorial Hospital David Ameen President & CEO http://www.logansportmemorial.org

Margaret Mary Health Tim Putnam CEO https://www.mmhealth.org

Memorial Hospital and Health Care Center of Jasper

Tonya HeimVice President

Patient Services/

Chief Nursing Officer

http://www.mhhcc.org

Perry County Memorial Hospital Joseph Stuber President/CEO https://www.pchospital.org

Pulaski Memorial Hospital Thomas Barry President & CEO http://www.pmhnet.com/

Putnam County Hospital Dennis Weatherford CEO http://www.pchosp.org/

Reid Hospital & Health Care Services

Craig Kinyon CEO http://www.reidhospital.org

Rush Memorial Hospital Brad Smith CEO http://www.rushmemorial.com

St. Vincent Frankfort Hospital Thomas Crawford Administratorhttp://www.stvincent.org/st-vincent-frankfort

St. Vincent Jennings Hospital Carl Risk Administratorhttp://www.stvincent.org/St-Vincent-Jennings

St. Vincent Mercy Hospital Ann Yates Administrator http://www.stvincent.org/St-Vincent-Mercy

St. Vincent Randolph HospitalFrancis

“Cheech”Albarano CEO

http://www.stvincent.org/st-vincent-randolph

Wabash County Hospital MarilynCuster-Mitchell President & CEO http://www.wchospital.com

Woodlawn Hospital John Alley CEO http://www.woodlawnhospital.com

2014

2014

WWW.INDIANARURALHEALTH.ORG/INSRHN

© 2015 Indiana Rural

Health Association,

Indiana Statewide

Rural Health

Network (InSRHN)

All Rights Reserved.

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