Cone Hospital review [August, 1988]

              THE • MOSES • H • CONE
5£
MEMORIAL. HOSPITAL
August 1988
Day Care Center
Update
The mission of The
Moses H. Cone
Memorial Hospital
is to provide high quality
health care to the community we serve.
An area that is constantly
being evaluated in the fulfillment of this mission is the
retention and recruitment of
the highest quality health
care professionals. In an attempt to provide a work environment and benefits
package that is structured to
retain existing employees
and attract other health professionals to Moses Cone
Hospital, the Hospital has
been exploring the possibility of day care options for
employees. Moses Cone
Hospital is dedicated to taking the lead in promoting
quality child care for the professional family.
Day care planning began
over 12 months ago and has
included two surveys of existing employees. This plan
proposes an on-site day care
center located across from
the employee parking lot on
Tankersley Drive.
Moses Cone Hospital
owns a 11.2-acre tract of land
at this location that the
Hospital leased to the City of
Greensboro in 1975. The
lease was part of an agreement with the city to jointly
build Tankersley Drive.
When Moses Cone Hospital
leased the land required for
a right-of-way to the city, they
also leased the 11.2 acres
along Buffalo Creek.
"Hospital officials at that
time did not anticipate our
growth and the need for
this land. They always felt the
Hospital had adequate property on the existing campus," said Peter Kariher, Vice
President of Health Services.
When Moses Cone Hospital entered into the agreement with the City of Greens-
boro, Hospital officials
stipulated that the land must
be maintained as a natural
area.  The city then  con
tracted with the local
Audubon Society to use this
area as the T. GiIbert Pearson
Audubon Natural Area.
A Parks and Recreation
Commission public meeting
was held on July 13 to discuss
the possibility of releasing
1.5 acres of the 11.2-acre tract
from the 1975 lease to be used as a day care center site.
Although that meeting was
held during our 3 p.m. shift
change, 54 Moses Cone Hospital employees were in attendance, and the names of
1,071 employees were signed on a letter of support to
the commission members.
"The support that
employees showed through
their attendance at that
meeting and signatures on
the letter shows the need for
this project. I would personally like to thank each of
them for their time and
dedication," Kariher said.
"We continue to feel good
about the day care project
and are committed to providing this important service
to our employees," he continued.
The proposed center
would accommodate approximately 170 children on
two shifts. A May survey of
employees revealed that
Hospital employees have 496
children under the age of six
who require day care.
Parents of 85 children are interested in enrolling their
children immediately. The
day care center as proposed
would be open from 6 a.m.
until midnight, 365 days of
the year.
The Parks and Recreation
Commission will be voting
on this issue at their August
meeting. Their recommendation will then be reviewed
by the City Council at their
September meeting. The
final vote on whether the
City releases the 1.5 acres of
land required for the day
care center will take place at
the October City Council
meeting.
REVIEW
Moses Cone Hospital
1200 North Elm Street
Greensboro, North Carolina 27401-1020
Address Correction Requeued
Non Profit Org
Bulk Rate
U.S. Postage
PAID
Permit No  195
Greensboro, N.C.
Melody Schell, Editor
Nursing Home Planned On
Hospital Campus
On July 8, The Moses H.
Cone Memorial Hospital
received the necessary approval from the state of
North Carolina to build a
126-bed nursing home facility on the Hospital campus.
Moses Cone Hospital submitted a Certificate Of Need
(CON) application in January
of 1988 requesting the 126
nursing home beds that
were indicated as needed in
Guilford County by the
North Carolina State Medical
Facilities Plan. A total of 13
other applications for those
beds were reviewed by the
North Carolina Department
of Human Resources, CON
Section.
"We are thrilled to be
chosen from the field of applications to build a nursing
home facility. Moses Cone
Hospital is committed to providing a comprehensive service for older adults in our
service area, and this nursing
home facility is a vital component of our overall plan,"
said Jim Roskelly, Vice President of Corporate Planning
and Development.
Tht nursing home will be
built on the Hospital campus
between the Day Surgery
Center and the Hospital
apartments. It will include 60
Skilled Nursing Facility (SNF)
beds, 66 Intermediate Care
Facility (ICF) beds, and 24
Home for the Aged (HA)
beds. HA beds do not require a CON application for
construction but were part of
Moses Cone Hospital's proposal.
"By having this mix of SNF,
ICF and HA beds, we will be
able to offer a continum of
long term care services.
These different levels of care
will also support the goals of
enhanced independence and
quality of life for older patients. We plan on implementing a case management approach to long term
care, allowing reduced
average lengths of stay and
improved availability of support services, such as outpatient rehabilitation, home
health care, and day care,"
Roskelly said.
Moses Cone 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     firm
specializing in services for
the elderly, have worked
with Moses Cone Hospital to
establish a two phase plan to
serve the elderly in the
Greensboro area.
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 to 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 day care,
respite care and housing
options.
Late Notice
Nursing Home
CON Appealed
Since the original writing
of this article, an appeal of
the state's decision was filed
by VHA Long-Term Care of
Memphis, Tennessee. VHA
Long-Term Care is affiliated
with Voluntary Hospitals of
America of which Wesley
Long Hospital is a member.
Moses Cone Hospital's attention will now be focused
on the appeals process
which could take up to nine
months to resolve.
"We are disappointed that
Wesley Long and VHA have
chosen to go this route," said
Kathy Black, Director of
Public Affairs."We regret that
it will delay the opening of
beds for the hundreds of patients in Guilford County
who are in desperate need of
nursing home placement."
The Birth Of
A Hospital
The planning is underway
for the conversion of Greensboro Hospital to a women's
and infants' specialty hos-
A Women's and Infants'
Hospital Planning T
been formed compi-is^La^^
representatives from Hospital administration, nursing
administration, and members of the medical staff. A
nationally recognized consulting group specializing in
women's health
ing   and
Spokane, Washingt'
been hired to assist with the
planning process.
To date, the following pre
liminary planning has been
completed.
•  Three site visits have been
scheduled to  existing
women's  and   infants'
specialty facilities arou nd
the country. Locations include:
St. Luke's Hospital
Fargo, North Dakota
St. Mary's Hospital
Minneapolis, Minnesota
Women and Children's
Hospital
Charleston, West
Virginia
Members of the Planning
Team have visited these
sur-
r 3p~
ealth care, Dear
l^sociWfc oimm
4 :£
hospitals to talk with their
staff to gain insight into
which services should be
included in our own hospital.
The consulting firm, in
conjunction with Moses
Cone Hospital has surveyed women in Gre
borotogain agreate
preciation for the types of
services to be offered in
the planned women's and
infants' facility. Market
research has included:
200 employees com-
d uestionnaires.
in patients com-
ted uestionnaires.
community women
mp! ted telephone
rvey ■
s groups were
Id for additional in-
W m
A task force has been
formed to study the issue
of whether Pediatrics services should be included
at the new hospital. The
task force comprises representatives from administration, nursing administration, pediatricians
and other physicians involved with pediatric
patients.