CEO talks about hospitals financial situation
By Trisha Maldonado

Douglas Dispatch


Published/Last Modified on Wednesday, December 19, 2012 11:25 AM MST


As health care questions in Douglas continue to swirl Southeastern Arizona Medical Center (SEAMC) continues to struggle financially.


“We are still struggling financially, but I think we have some options available for us,” SEAMC Chief Executive Officer, Annie Benson said.

Back on Sept. 12 former SEAMC CEO Brian Bickel, presented to Mayor Danny Ortega Jr. and council the possibility of sponsoring the hospital in the Safety Net Care Pool (SNCP).

SNCP was established in 2011and was approved by Arizona Health Care Cost Containment System (AHCCCS) in 2012, to reimburse participating hospitals for uncompensated care cost provided to AHCCS members and the uninsured.

Eligible hospitals must receive disproportionate share payments and have a local governmental entity sponsor.

The former CEO also approached the county to be the entity sponsor. Cochise County agreed to be the governmental entity sponsor believing they are in a better financial position to sign into such agreement and providing the $300,000. The City of Douglas and Cochise County will enter in an intergovernmental agreement for the city to pay their half of the $300,000.

The funds are to be paid directly to AHCCCS then matched by the federal government two-to-one and distributed to the hospital quarterly. SEAMC had until Sept. 30 to have this agreement signed and returned to AHCCCS for processing if they wanted to take part in the SNCP.

The request was signed and submitted to the state on Oct. 2.

“AHCCS has approved it and now it is sitting in Centers for Medicare and Medicaid Services (CMS) hands,” Benson said. “It was approved by AHCCS about two weeks ago. We are waiting for CMS to approve it once they approve it we can move forward.”

“What I’m concerned about now is that we won’t receive the five quarters we will only receive the four quarters which will add up to $900, 000,” added Benson.

These funds will go to bringing some of their vendors’ current, said the CEO. “But I would like to take a portion of that, but that would be up to the board, to use it as an investment to build a new hospital in Douglas,” she said.

Benson feels there are other options out there if their application does not go through as planned.

The Arizona Health Facility Authority has provided SEAMC with a grant in the amount of $25,000 to pay for a consultant that will be coming to the hospital in January.

The Authority provides grants for rural and underserved areas of the state. Grants are available in three categories: capital equipment; technical assistance; and sponsorship of community health events and conferences. Eligible technical assistance requests include architectural, facility planning, financial management and fundraising. Technical assistance requests are limited to no more than $25,000 each.

“He will be doing a complete financial and operational review,” the CEO said. “Hopefully he can help give us some recommendations on what we need to change or provide in order to move forward.”

Benson feels that the Patient Protection and Affordable Care Act also known as the Obamacare will have a positive impact on the hospital. “Depending on how it all filters down if everyone has insurance, so in a way that should be beneficial to us,” she said. “Depending on what the reimbursements are.”

Currently Copper Queen Community Hospital announced their plans to build a health facility care (urgent care) in Douglas. They are working on purchasing property in Douglas to build this facility.

“Certainty it will hurt us, I don’t know if it is necessary, we provide urgent care right here in this hospital. I don’t know why we need another facility like that. I feel it is a duplication of services,” Benson said.

An emergency room is essentially one wing of a hospital, and has the equipment and trained medical personnel to handle major traumas. An urgent care center may have the means to treat broken bones or other non-life threatening conditions.

“An urgent care center is not necessarily good for the people who cannot pay because of an urgent care center can turn away people if they do not have the ability to pay for the services at the time,” Benson said. “Looking at the indigent population in Douglas I don’t see really where it is going to help.”

Hospital emergency rooms are required by law to provide emergency treatment to anyone who requests it, regardless of the patient's ability to pay.

However, an urgent care center, can exercise the right to refuse uninsured patients.

Since Benson has been appointed CEO there have been no talks of layoffs.

“We are looking at moving responsibility and positions around. There are other ways we can maintain and survive without doing any cuts in personal,” she said. “As for the morale I think the employees are doing better. They can hold their heads up. We work very well as a team I have very dedicated and confident staff.”

 

Comments

    New Hospital wrote on Jan 15, 2013 8:37 PM:

    " Our community needs a hospital, SAMC does a great job regardless of resources, but they do not have the equipment or specialist to treat some conditions and that is when they need to transfer patients to Sierra Vista or Tucson leaving patients and families with higher costs since Arizona Ambulance or Life Net are making very good business, plus the higher deductible, copay, food, hotel, gas, etc. The City of Douglas needs to step forward and think about the needs of our community. We need a new Hospital!! "

    It it is too good to be true... wrote on Jan 14, 2013 5:57 PM:

    " If it is too good to be true, it usually is. Not only are ppl in Douglas putting themselves and their loved ones in danger by risking the time to travel there, (minutes can mean the difference between life and death in a true emergency) but you are trading a quick and incomplete assessment by a physician that is notorious for seeing patients quickly that have subsequently had bad and even fatal outcomes for a thorough, yet slightly longer evaluation time. I guess it comes down to what you want...if you want a drive-thru medical exam and you are willing to risk your life for it...go right down the road. DR has a mounting number of patients and patients' families that undoubtedly are making appointments with attorneys at this very moment. If you would like to join them, go there. He has been run out of every other hospital in the county and they all cant be wrong. Trust your instincts and give the new administration at the hospital a chance to earn your business and your trust again. Don't sell out to Bisbee. Their CEO never cared about Douglas...never will... and if he has stepped into our arena, it is because he sees a monetary gain. Dont be fooled by gimmicks and doctors that see you as a number. Dont be satisfied with "virus" and "follow up as needed". The next person you follow up with may be the mortician. Dont join the ranks of all the Douglas residents that have sold out to the CEO and his empire. Own your care, make wise choices and live to tell about it. "

    Denise wrote on Jan 10, 2013 8:49 AM:

    " I recently took my daughter to Bisbee, and she was diagnosed with a "virus", she wasn't getting any better and so I had to take her to her doctor where she was diagnosed with RSV. i had to take her to SEAMC and she was transfered to TMC were she stayed there as a patient for 4 days. I will not take my kids or family to Bisbee. "

    to tired of it all wrote on Jan 9, 2013 10:32 AM:

    " I would NEVER go to Bisbee, my friend recently died after being discharged from there. She had been going to Bisbee hospital for days with migraines, we finally took her to SEAMC where the attending doctor did an MRI and found she has an infection in the brain, she was transferred to a Tucson hospital and ended up in a coma until she died, So please don't encourage people to go to Bisbee, Dr,Roe is SCARY and a horrible
    physician. Doesn't assess his patients properly. I will be sticking to SEAMC. "

    Tired of it all wrote on Jan 7, 2013 8:49 PM:

    " Just go to Bisbee hospital they are great stopped going to Douglas years ago "

    K.A. wrote on Jan 6, 2013 11:48 AM:

    " John M. may look like a bad guy but i got to know him. Everyone has their bad sided and so did he but really the only person to blame here Brian Bickel. He had the worst plans and he now Annie Benson will try to recover what has been lost. Be smart about the decisions you make now because then the community wont have a hospital to go too. Make the ER for emergences only if u fell sick in some way make an appointment with your doctor we need the beds for real emergencies. I wish you the best luck ever Annie Benson. "

    ER Nurse wrote on Jan 3, 2013 12:34 AM:

    " I am an ER Nurse, not in Douglas but in Sierra Vista. I do live about 10 minutes from the hospital in Douglas and I used to work there as a tech in the ER. I can understand what Annie is saying when she states that the urgent care will hurt the hospital. As it has been stated, the hospital sees a significant amount of patients that have minor complaints but have no other means of being treated. Those with insurance help pay the bills for the hospital. When the urgent care comes to town, all that will be seen at the hospital are those that don't have insurance as you cannot be seen at urgent care unless you pay up front. This will further burden the hospital's financial situation. I am very disturbed by the individual that posted regarding his feelings of disgust toward the hospital staff after the ambulance from Mexico arrived with a young child. Having been a paramedic for many years, working both ambulance and in the ER, I challenge him to maintain composure when faced with a critically ill child. When the ambulance comes across the line, you can be assured that the person in the ambulance is on the verge of death. I can speak to this as I have seen it time and time again. Nobody likes working on sick kids; I have seen more dead kids than I could have ever cared to see, but let me assure you that working on them NEVER becomes easy! "

    Throw the first stone disgusted with disgusted wrote on Jan 2, 2013 6:40 PM:

    " Hey, disgusted...have you ever seen an an injured infant? Have you ever been faced with an emergency? Would you have been calm? Would your voice not elevate a few octaves? That is what they were doing. Sometimes things are not what they seem...you cannot criticize what you dont know. What you may have heard was life-saving measures...people actually getting appropriately excited over a very appropriate emergency. Maybe what you saw and heard was not accurate because you are not a medical person. How can you irresponsibly put something like this on the web. How can you use such a tender, raw story about an injured baby to make a stupid point of which you know nothing of. You and anyone who uses this site as a soap box to blanket thrash anyone or an organization is despicable and irresponsible. And ask anyone who has ever had a TRUE emergency...(not the usual non-emergent, chronic need for pain meds) they will tell you that they are alive because they went to the hospital. Not because they didnt. You used to go there...but now that it is not popular, you are thinking of not going there anymore. You make me sick. You want to appear concerned...if you truly had a conscience, you would not have posted anything for fear of hurting that (baby's) family's tender feelings. You unfeeling, careless, freakin idiot. Throw the first stone...Oh, I forgot. You already did. Signed Mary Magdalene "

    Disgusted wrote on Jan 2, 2013 6:37 AM:

    " The more I think about it, the more I agree with people who say this community doesn't need a hospital. I recently was in the hospital with my son when the Mexican ambulance showed up. i was across the bed from that poor infant and all you heard was confused nurses, everyone was shouting, no one seem to know what to do I pray that baby made it, but it made me think I want to leave. I used to take my mom there all the time about 2 yrs ago before she passed away, and the staff there was so nice, you would ask them a question and you would get an answer right away, now the nurses seem bothered by questions. Or they seem clueless, one young nurse with long blond hair was so rude to a patient another time I was there, I literally wanted to say something to her. I feel the community deserves a hospital with competent nurses, I will think twice before returning to that facility. "

    Confused wrote on Dec 31, 2012 2:42 PM:

    " I don't quiet understand how Annie can say an urgent care would be a bad thing for the community, I personally would rather pay $60.00 vs $450.00 copay. Annie continues to employee a horrible person, who was aware of all the poor judgments Brain Bickle made, and also had a secret affair with the famous john m. in which it wasn't to secretive. Annie be smart and allow Sierra Vista to take over the in patients, this facility will not survive if they don't. Your billing team needs to know how to collect co pays right, in which the heavy lady that works over there will hound you until you give her $5.00, and the worse part is she has to refund pts back, and the facility is unable to refund them because there isn't any money. You have another nurse who sits back in a little office in acute care pretending to work, get rid of her she does nothing to help that facility, Annie look at your staff, you were brought in to clean up a horrible mess Brian Bickel left behind, but at the same time BE SMART! "

    Ed H wrote on Dec 30, 2012 4:59 PM:

    " John M would know quite well. He also threw a lot of his own people in the lab under the bus, myself included along with three other people all on the same day after he had only been there less than a month. In most cases, it was solely for political vendettas against those who were not the yes people he wanted that he knew would not bow down to him while telling them "It's nothing personal. Just business." He has the record at SEAMC for the highest turnover of pesonnel terminated of any department in such a short time! If the hospital is in such dire straits as he claims, he had a major hand in it in his lack of competence and mismanagement of the lab. Fortunately, he and Brian Bickle left the scene just in time and the hospitl now has a chance with Annie Benson, and hopefully they can find a competent Lab Manager! Any comment by John M can be attributed to the last remnants of a slowly fading bad dream for SEAMC and counts for little. "

    to john m wrote on Dec 23, 2012 7:00 PM:

    " funny how you can't keep your comments to yourself, your wife only resigned after you threw her under the bus, when you leaked out info on financal issues. YOU BOTH DID US A HUGE FAVOR!!!!. "

    john m wrote on Dec 21, 2012 1:17 PM:

    " there is lay-offs coming. the hospital is in heavy loss, no chance to recover. "

    finally wrote on Dec 19, 2012 9:17 PM:

    " We do need an Urgent Care Clinic in Douglas! So many people already use the ER as a clinic for their sniffles and sprains that are days old. Co-Pays for those of us with insurance are much lower for Urgent Care than they are for ER visits. ER should be used for Emergencies only. SEAMC could have and should have opened an Urgent Care in town years ago when it was proposed by a certain board member.CQMA Urgent Care may hurt the hospital initially, but it will be great for our community and save the ER beds for the true emergencies. There is room and demand in town for both facilities and Annie Benson should not be talking bad about it.It makes her look petty. "

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