HJ - CRHC Board IHA Certificates 2019

Four members of the Clarinda Regional Health Center (CRHC) Board of Trustees were recognized for being certified hospital board members by the Iowa Hospital Association (IHA). From left are health center Chief Executive Officer Chuck Nordyke, board members Dale Fulk, Rob Marsh, Ron Richardson and Bryan Whipp. “Our Board continues to work hard at gaining the knowledge needed to guide the vision of CRHC. The IHA certification program provides educational guidance to ensure excellence, innovation and accountability in health care governance.” The IHA requires each trustee completes a total of 12 hours of continuing board education every two years. (Herald-Journal photo)

Despite President Trump’s executive order requiring health-care facilities to post their fees for services, Clarinda Regional Health Center Chief Executive Officer Chuck Nordyke said it’s not as good as it sounds.

“It’s terrible,” Nordyke told the center board June 25 during their regularly scheduled meeting. “It’s not going to be the same since there are so many variations.”

According to the White House, Trump’s intention June 24 was to develop price and quality transparency to ensure patients can make “well-informed decisions about their care.”

Nordyke used a procedure for an injured knee as an example. He speculates the final cost may not be what was posted after the health-care provider discovered more treatment would be needed, adding to the cost. He also predicted people will compare fees among multiple hospitals for the same procedure.

“Unless you know what you are looking for, you won’t know,” he said.

Trump’s directive “describes the characteristics of the most effective price transparency efforts: they distinguish between the charges that providers bill and the rates negotiated between payers and providers; they give patients proper incentive to seek information about the price of health care services; and they provide useful price comparisons for ‘shoppable’ services (common services offered by multiple providers through the market, which patients can research and compare before making informed choices based on price and quality).”

The report continues.

“Shoppable services make up a significant share of the health care market, which means that increasing transparency among these services will have a broad effect on increasing competition in the health care system as a whole. One study cited by the Council of Economic Advisers in its 2019 annual report, examined a sample of the highest-spending categories of medical cases requiring inpatient and outpatient care. Of the categories of medical cases requiring inpatient care, 73 percent of the 100 highest-spending categories were shoppable. Among the categories of medical cases requiring outpatient care, 90 percent of the 300 highest-spending categories were shoppable.”

“Unless you can compare apples-to-apples, you won’t know,” Nordyke said.

In other center news…

Represenatives from most every department in the center have created the Culture Club which is intended to improve the culture within the center for employees and patients. The program began in April and uses the CRHC acronym for its directive; compassionate, respectful, holistic and collaborative.

“We’ve had a lot of changes in the past couple of years,” said Ty Green, a spokesperson for the club, adding how a motivation was for employess to plan and implement the improvements.

Remodeling of the Villisca clinic continues as office equipment is expected to arrive next week.

Beth Muller was announced as a new employee in marketing for the center.

Board member Kathy Boysen was not in attendance.

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