Cone Hospital review [March, 1988]

              MEDICAL LIBRARY
THE • MOSES • H • CONE
M
MEMORIAL. HOSPITAL
March, 1988
The Need ♦ ♦ ♦
The over 65 age group is the
largest growing segment of the
population in the United States.
This group of people requires more
health care than any other age
group.
The population of persons 65 years
of age and older in Guilford County
is projected to grow from 31,940
to 43,606 between 1980 and 1990,
an increase of 36.5%.
Moses Cone Hospital Working
To Fulfill the Need . . .
The growth in the
aging population of
the United States
has presented unique
health care challenges for
our society.
The Moses H. Cone
Memorial Hospital identified a need in its service
area for a broad system to
aid the elderly in its Strategic Plan adopted in 1986.
Since that time, an Advisory
Committee on Health Care
Services for Older Americans along with Geriatric
Health Systems, a San
Francisco-based consulting
HAPPY
ST.
PATTY'S
DAY
MAR. 17
firm specializing in services
for the elderly, have analyzed the existing services in
the Greensboro area and
compiled a broad based
plan of action for the
hospital in caring for the
elderly.
"Consistent with our Mission Statement, Moses
Cone Hospital plans to address the varied needs of a
diverse older adult population while maintaining a
strong community service
orientation and enhancing
our existing system of ser
vices," explains James
Roskelly, vice president of
corporate planning and
development.
In a report entitled, "Defining a Distinctive, Effective Role for Serving The
Community's Older Adults"
Geriatric Health Systems
outlines a two-phase approach for Moses Cone
Hospital to meet the needs
of the elderly in Guilford
County and surrounding
areas.
"At Moses Cone Hospital, we see our role as work-
Moses Cone Hospital
Purchases Humana
Hospital Greensboro
The week of The Moses
H. Cone Memorial Hospital's 35th Anniversary
began with a historical
announcement.
On Monday, February 22,
1988, at 10 a.m., Moses
Cone Hospital signed an
agreement with Humana,
Inc., to purchase Humana
Hospital Greensboro.
In a press conference
that afternoon at the
hospital, Mr. Charles L.
Weill, chairman of the
board of trustees of Moses
Cone Hospital, announced
plans for the facility. "Initially, the hospital will continue to operate as a medical/surgical facility. Then,
over the next 12 months,
we will convert the facility
from its current use to a
REVIEW
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women's and infants'
specialty hospital."
The hospital will be the
first women's and infants'
specialty hospital in North
Carolina. Mr. Weill explained that through this facility, Moses Cone Hospital
will be able to expand the
quality and sophistication
of the health care services
for women in the region.
Dr. Julian Barker, chief of
obstetrics and gynecological services at Moses Cone
Hospital, stressed that this
specialty hospital will help
"attract additional first class
sub-specialty talent" to the
Greensboro area. "We will
be able to offer services
that were never before
available," Dr. Barker said.
Moses Cone Hospital will
take ownership of Humana
Hospital Greensboro after
the agreement is approved
by the North Carolina
Department of Human
Resources. That approval
and the change of ownership is anticipated close to
May 1, 1988.
"It is anticipated that by
May of 1989, the Maternity
Center and the Women's
Center at Moses Cone
Hospital will be moved
from Cone to the Humana
facility," explained Dennis
R. Barry, president of
Moses Cone Hospital.
(continual on pg. 2)
ing with the current system
of services that has been
established for the elderly.
We hope to provide leadership in further developing
these services to enhance
the quality of life of all
older adults in this area.
Because of our goals, we
have approached this entire issue from a very broad
perspective. This plan is
comprehensive enough to
ensure a continuing commitment by the hospital to
the elderly of this community," Roskelly continued.
Phase I:
• Establish an Older Adult
Service with a core staff
to serve as a patient care
triad.
• Utilize this Older Adult
Service for geriatric consultation and assessment
in assist private practitioners and their geriatric
patients with health problems to function at the
highest possible level,
• Establish an Older Adults'
Resources/Education Center to help establish
needed community-wide
services.
Phase II:
• Develop an Older Adults
Services And Care Center
to integrate a rehabilitation-oriented skilled nursing component with the
services developed in
Phase I.
• Evaluate opportunities for
adding, over time, geriatric rehabilitation, adult
da\ tare, respite care and
housing options.
It's Almost
SPRING .
Certificate
of Need
Is Filed ♦ ♦ ♦
In planning an overall
service program for
older adults, The Moses
H. Cone Memorial Hospital
filed two Certificate of
Need (CON) Applications
with the state of North
Carolina on January 15,
1988, one for the construction of an 126 bed nursing
home facility, and a second
for a 66 bed facility. Two
applications were filed to
give Moses Cone the best
chance at winning approval.
"The provision of long-
term care services will be a
central element in Moses
Cone Hospital's older adults
program. North Carolina is
well below the national
average in nursing home
beds per 1,000 people.
There is a tremendous
need out there, particularly
in Guilford County. In the
early 1980's, a moratorium
was placed on nursing
home beds in North Carolina. It has been seven to
eight years since a need for
additional nursing home
beds has been recognized
at the state level. Moses
Cone Hospital hopes to be
able to fill this recognized
need in our community."
Roskelly said.
Moses Cone Hospital is
not the only organization
filing a CON for these nursing home beds. There are
13 applicants and 10 applications that are being
reviewed by the North
Carolina Department of
Human Resources, CON
Section.
"We have tried to point
out that our application is
unique. Our request is the
result of an extensive planning process. With this
many applications, it could
be a long decision process,
but I think Moses Cone
Hospital's chances are very
good," Roskelly commented.
"The overall goal of our
older adult services is to
offer a network that
reduces nursing home
lengths of stay and allows
patients to be referred to a
less intensive, less costly
level of care as soon as it is
medically appropriate,"
Roskelly said.
Moses Cone Hospital - I