(18 Total References)
Jimmy Rigsby, the CEO of ...
Jimmy Rigsby, the CEO of Campbellton-Graceville Hospital, has also seen expansion in recent years, namely in the realm of an up-and-coming healthcare phenomenon involving "swing beds."
Facilities that offer swing beds, or beds that can be used for acute impatient hospitalization or "swing" to skilled nursing facility beds, are classified as part of The Critical Access Hospital
Program, an addendum created by the 1997 federal Balanced Budget Act as a safety net for Medicare
"Eighty-five percent of our business at this hospital is Medicare patients," said Rigsby
The Jackson County Floridan | Back Medicare payment to take C-G hospital out of the red
Campbellton Graceville Hospital Director Jimmy Rigsby shows off the facilities sleep testing room Monday.Campbellton Graceville Hospital Director Jimmy Rigsby shows off the facilities sleep testing room Monday.
GRACEVILLE ? Things are at last coming together for the Campbellton-Graceville Hospital
, bringing it to a level it hasn't been at in years.
Renovation of the building is complete, hospice care is coming back, the books will soon be out of the red, and a new family doctor is in town. Bringing hospice back is a step that will please a lot of folks, says hospital administrator Jimmy Rigsby.
"We're in the process of making an agreement with Covenant and Emerald Coast to have hospice care," Rigsby
said."It's one of the things people in this county have told us they wanted."We felt real bad we had to get out of it; it's one of the services we can provide that is very much needed."
The hospital had hospice for a number of years, but a Medicare glitch meant a loss of revenue, Rigsby
said.How Medicare was judging the hospital's patient load was affected, he
"We realized we could not afford to continue doing this, so about two years ago we got out of being a hospice provider.But since then Medicare has said (we) are entitled to what they call a 'carveout' ... . We don't have to count (the hospice patients) toward our cost patient reimbursement, so now we will still get our Medicare payment," he
was recently told by a local hospice provider that without a hospice hospital in Jackson County
, the provider was having to staff homes 24 hours a day.
"But now, by putting them in (as in-patients), it's better for the patient ... and we have all the equipment they may need, so it's much better," he
This is happening because Medicare "is going back and paying us for that time we had hospice in here," Rigsby
..."I'm really looking forward to that day," said Rigsby, who became administrator at the hospital after retiring as the Jackson County Health Department administrator,
Another good thing, Rigsby
said, is that a hometowner is setting up practice just as Dr. Barry Nolin closes his.
"What we're trying to do," Rigsby
said, "is find some way to provide hometown care for the people who need medical care in this district.
In this file photo, Campbellton ...
In this file photo, Campbellton Graceville Hospital Administrator Jimmy Rigsby is seen coming before the Jackson County Commissioners to request assistance in furnishing the...
The Jackson County Floridan | Hospital still aiming toward being debt-free
Under new leadership ? including that of administrator Jimmy Rigsby ? the income and outgo of hospital funds has been scrutinized.
But while some steps have taken the hospital forward, others have led back.
But at the end of the regular meeting in January, Rigsby
said that even with the huge raises, though "we're not where I wanted us to be, we're better than we have been in the past."
But more income is expected soon, according to Rigsby
Getting about $300,000 more from Medicare has put the hospital on a better financial basis.After years of challenging Medicare's reimbursements, the hospital learned last fall it was getting some money it had said it was due.The hospital was told it would arrive in November, then in December, then in January. Rigsby
told the board that it still was possible the hospital will get more back money, and the hospital's being able to offer hospice rooms again will bring more revenue.
A few years ago when Medicare made an interpretation about hospice that brought a penalty, the hospital closed its rooms to patients in the end stage of their lives.
With Medicare changing their interpretation of the law, the hospital is preparing to go out for bid for hospice service again.In the regular monthly meeting, Rigsby
said three rooms were "basically ready." He
spoke of another area where the hospital disagrees with Medicare, and said, "If we had got it, we would have met our goal." Rigsby
has challenged Medicare on manning the hospital's emergency room, which does not have a full-time physician.When a doctor is on duty but not working, Medicare says that expense is not reimbursable, but Rigsby
and, according to him, other hospital administrators in Florida, believe it is.
In fact, Rigsby
says Medicare does reimburse that expense in other states, but interpretations are made differently by various contracting agencies.
In the special meeting, which was called to review expenses that weren't bringing any return, Rigsby
said the fitness center took in about $17,000 in membership fees in 2006, but lost more than $45,000.
said the center was providing a good service to older people, as well as others who didn't want to travel miles to exercise, and those using it asked for it to stay.
...Since Rigsby became administrator about two years ago, about nine people have been added. Rigsby
reported that the number of full-time equivalent employees had crept up from 69.78 to 78.36, partly because doctors had requested more in the laboratory and respiratory therapy.He
was going to try to get it back down to below 70.
is under contract as the full-time administrator but he
does not get benefits.He retired as the administrator of the Jackson County Health Department and took the job at the Graceville hospital, he said at the time, because he wanted to continue working.
said the known Medicare reimbursement will reduce the hospital's debt; another Medicare cost report settlement is expected; and ad valorem tax revenue comes at the first of the year.In addition, he
said the hospital would continue to claim reimbursement for physicians on duty in the ER. He
said the hospital had made much progress under his
administration and he
thought it would continue to do so, but he
was willing to give his
extra pay back if it came to that.
The addition of staff in the lab had cost money, he
said, "but we saved on call-back money," and, "Look at all the things that have been added ... . We have to be a good, clean provider of services." Rigsby
said he'd "waited two and a half years" for the raise. He said another way he was trying to cut back was to reduce weekly hours of some employees from 40 to 32 and had already laid off a member of the cleaning crew.
Jimmy Rigsby had voluntarily ...
Jimmy Rigsby had voluntarily given up his raise earlier this year after the hospital's financial condition deteriorated even worse than it was already was.He brought up the subject in the hospital's board of trustees meeting Monday, and got a 3-1 favorable vote.
said if it came to it, he
'd give up the raise again, but nothing was on hold that he
could see, he said, except his
gets no benefits, part of the agreement he
made when hired.He has been the hospital's administrator for several years, since he retired as head of the Jackson County Health Department.
has really stepped up to the plate."
was given the raise earlier, disagreement arose among board members as to whether they had done the right thing.That's when the administrator opted not to accept it.
One of the hospital's staff member noted that if Rigsby
were to leave, the board couldn't find an administrator for $85,000.
Also at the meeting, the board directed the administrator to ask for a dollar proposal from the group of doctors who has expressed interest in buying the hospital.Rigsby
believed a proposal should be in hand before the board held a community meeting to hear from residents about the possible sale.