Lewis Gale Regional Health System
HCA Virginia
Geographic Location of Services
•Southwest Virginia
Ownership
• Parent company is Hospital Corporation of America (HCA Inc.)• headquartered in Nashville, Tennessee• nation's leading provider of healthcare services• comprised of locally managed healthcare
facilities• hundreds of hospitals and freestanding surgery
centers in 20 states and England. • LewisGale is part of HCA's Capital Division.
• Chairman and Chief Executive Officer of HCA--Milton Johnson
Type
•For profit
•Multihospital system
• Acute Services and Post-acute Services• e.g. subacute, outpatient, long-term
care
• vertical integration• physician-hospital organization
Network
• 4 hospitals
• 6 outpatient centers
• 2 cancer centers
• Imaging centers
• Surgery centers
• 700 physicians
• >160 affiliated locations
Services
Tests & Imaging
Gastrointestinal
Ophthamology
Senior Care
Urogynecology
Urology
Sleep Center
Mental Health Care
Cancer Care
Women’s Care
Primary Care
Surgical
Sports Medicine
Workplace Wellness
Wound Healing
Oral Surgery & Pediatric Dentistry
Rehabilitation
Hematology
ICU/NICU
Podiatry
Dermatology
Palliative Care
Pulmonary Care Orthopedic
and Spine Care
Inner Workings of Hip, Knee, Shoulder
Allergy & Immunology
Endrocrinology
Pain Management
Nephrology
Ear, Nose,Throat
Arthritis & Rheumatology
Neuro & Stroke
Diabetes
Emergency
InfectiousDisease
Heart and Vascular Care
*Core Services listed in blue
Leadership
•Lewis Gale Regional Health System Administrative Team• Jon Bartlett - President/CEO• Angela Reynolds – Chief Financial Officer• Jayme Carrico – VP Oncology Services• Loressa Cole - Chief Nurse Executive • Nancy May – VP Public Relations & Marketing• Scott Kendrick - VP Cardiovascular Services• Open Position – VP Orthopedic & Spine Services• Paula Mitchell – VP Behavioral Health Services• RJ Redstrom – VP Human Resources• Steven Urglavitch – Assistant VP Sales
Insurance & Billing
• Participate in all major insurance and managed care programs in Southwest Virginia
• Charity care and financial discount policy• free hospital care for patients that have received non-
elective care, who do not meet qualifications for Medicaid, and whose income is less than 200% of the Federal Poverty Level (with proper documentation)
• patients not meeting the charity criteria and expected to pay out of pocket are offered a managed care like discount
• All uninsured patients (except those getting cosmetic procedures and certain "package" procedures) are given an uninsured discount.
Other financial services
•Financial counselors
•“Healthcare Payment System” online
• Online Cost Estimates
Rehab Services
•Full continuum of rehab services• acute care • inpatient rehab• outpatient and sports medicine clinics
•Outpatient: offer one-on-one 45-minute treatment sessions by licensed therapists.
•Physician referral required for all rehab services
4 Hospital Facilities
• Montgomery: 146 bed, general acute care, Level III trauma center
• Pulaski: 54 beds, general medical and surgical
• Alleghany: 204 beds
• Regional Medical Center-Salem: 506 beds, serves as a regional referral center for comprehensive medical services
Focusing on Montgomery
•Magnet recognition for nursing excellence• designation held by less than seven percent
of U.S. hospitals
•Leadership•Chief Executive Officer – Alan Fabian•Chief Operating Officer – Matt
Mathias •Chief Financial Officer – Tim Haasken
LewisGale Hospital Montgomery Board Officers
• Aaron Prussin, M.D., ENT, LewisGale Physicians – Chairperson
• Dr. Jack Lewis, President, New River Community College – Vice Chairperson
• Alan Fabian, Chief Executive Officer, LewisGale Hospital Montgomery – Secretary - Treasurer
• Joseph Joyce, M.D. – Chief of Medical Staff Ellen Linkenhoker – Chief Nursing Officer
LewisGale Hospital Montgomery Board Members
• Michael Aronson, M.D. • Larry Ball, CEO, MOOG Components Group • Richard Ballengee, Mayor, Town of Christiansburg • Mildred Johnson, Director of Undergraduate Admissions, VT• Jim Rakes, President and CEO, National Bankshares Inc. and
NBB• Joe Meredith, Ph.D., President, Virginia Tech Corporate
Research Center • Ron Rordam, Mayor, Town of Blacksburg • Kristi Snyder, Administrator, Rainbow Riders• David Stoeckle, M.D., LewisGale Physicians
Comments
• Montgomery Regional is an excellent leadership example because the team represents a diverse cross section of the community in order to satisfy the complex dynamic of a small town/rural area that is home to a major university and it’s subsequent infrastructure and population
• Lewis Gale is a comprehensive regional health system that is managed by a national company, but seems to do a good job addressing local needs and utilizing/embracing local leadership.
Resources
• http://lewisgale.com/
• http://hcahealthcare.com/
• Sandstrom, R.W., Lohman, H.L., & Bramble, J.D. (2014). Health Services: Policy and Systems for Therapists, 3 ed. New Jersey: Pearson Education, Inc.