(20 Total References)
Opportunity Florida - Economic Development in Northwest Florida
Jackson County Health Department, Jimmy Rigsby - P.O. Box 310, 3045 4th Street, Marianna , FL. 32447 - Phone: 850-482-9858 - Fax: 850-482-9978 - Edit
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.
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.
The Jackson County Floridan | Hospital showing signs of improvement under new administrator
When Jimmy Rigsby retired as head of the Jackson County Health Department in August of last year after more than 18 years of service, he took on another challenge.He applied for and was hired as administrator of Campbellton-Graceville Hospital, which was struggling with a number of issues, not the least of which was lack of funding.
Today, there's a bright new look at the C-GH, enhanced medical services are available and there is a comprehensive plan to continue to expand the facility's scope of operation.The goal of administration, the facility's board of directors and its staff, is to draw local patients away from bigger metro medical facilities back to their hometown hospital.
"We need this hospital and we want people to feel comfortable using it," Rigsby
says, bone-density testing equipment has been ordered, and should be operational within 10 days.
Also on order is a "more up-to-date ultra sound machine, which should also be operational in 10 days," Rigsby
says.A company which provides MRI scans will also be at C-GH one day each week.
"In-patient is important, but we can make the total financial situation here better by offering more services," he
explained the ability to perform out-patient testing and procedures makes a big difference in whether or not a small hospital can remain financially viable.Rigsby
said another of his
goals has been to refurbish all patient areas in the hospitals."We want to make this a place where patients want to come and that it is clean, appealing and well equipped," he
added that it is his
belief that if patients leave the hospital with a "good feeling," they will use the it again.
The long-time healthcare professional said the biggest challenge when he
took over Campbellton-Graceville Hospital
was its "major debt."
"We struggled to make payroll; but we are making it," he
is working with the hospital board to consolidate the facility's debts and "find some kind of funding apparatus to give us long-term stability."
The 25-bed critical-access hospital has gone through many changes since Rigsby
took the lead.
...Rigsby said the data retained from monitoring the sleeping subject is sent via computer to a doctor in Dothan, Ala., with the results coming back within 48 hours or less.
"We've already tested 33 patients since the sleep lab was set-up and we have eight more lined-up," Rigsby
said under its current classification, "we are not supposed to keep a person over 96 hours in an acute situation."
"If they need to stay longer we can them move over to a swing bed," he
explained.Each swing bed unit is designed to "feel as much like home" as possible.An activity room for those patients has also been refurbished.Also new at the hospital is a suite of examining rooms for doctors who see patients at the facility. Rigsby
and the C-GH
board are working together to bring more and more physicians who can offer specialized services to the hospital.
"We have a 1,200-bed prison coming here.That means we've got to keep working to offer a quality hospital that they can at least use for triage," he
Also located in the hospital is a prescription-assistance program, operated under the Panhandle Area Health Network, where low-income patients can apply for and receive free prescription medicines if they are eligible.
"They have to have a chronic illness and be indigent," Rigsby
In addition to the myriad new services being offered the facility is now much easier to navigate through.New signs have been added both inside and outside the hospital to better directs patients.Rigsby
is proud of the strides the facility has made and that the continuing goal of his
administration is to continue to enhance the hospital and its services.
The Jackson County Floridan | New director picked to lead health unit
Jimmy Rigsby, current JCHD administrator, was at the meeting to explain the selection process undertaken to narrow down the candidates for the top job and to recommend that the commission hire Long. Rigsby is retiring from the health unit, but said he hopes to spend a few weeks with the new director before he leaves.Rigsby
said that 17 applications were submitted and sent to state officials who scored each candidate.The top five were called in for an interview before a committee. Rigsby
said Long has the qualifications for the job.
told the commission the health department is in good condition both financially and with staffing.