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Porter Memorial Hospital creates patient advocate post

 

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By VICKI URBANIK

Beginning in January, Porter Memorial Health System will offer patients an advocate who will work on their behalf to resolve whatever problems may arise, such as billing concerns or questions about their care.

PMHS has created a “patient advocate” position that will be filled by Janet Pakish of Jackson Township, a 27-year veteran of PMH. Pakish currently serves as administrative assistant to PMHS President and CEO Ron Winger, and has served in that post for Winger’s predecessors as well.

At a briefing with reporters prior to the public meeting Wednesday, Winger said he’s used to having such patient advocates at his previous places of employment, but that PMH has never had such a position before.

“We are being progressive here,” he said.

Winger said the new position should make it much more convenient for patients and their families to resolve concerns, since Pakish will take their concerns to the appropriate hospital department for a response. Currently, he said people with problems often are “bounced around” from department to department as they try to resolve their problem.

Winger added that Pakish is perfect for the post, because by virtue of her current position, she already takes numerous calls from people who need help or seeking information. “Those calls by default come to her,” he said.

The new position is featured in the most recent issue of PMHS’ magazine, Stay Healthy. As the article notes, the patient advocate office will be located on the first floor of PMH near the lobby.

In another sign of the changing times, the PMH Board approved the appointment of a new certified nurse midwife at Portage Community Hospital. Though the matter fell under the somewhat routine part of the board meeting during which new appointments and staff privileges are made, the approval is noteworthy in that the new midwife, registered nurse Kathy Hanson, is now only the second midwife to work at PMHS.

“I think over time, it’s going to change,” Winger said of the emerging acceptance of midwifery as an option for pregnant women.

Also Wednesday, PMHS announced that a new laparoscopic technique is now available for urology patients at PMH through Dr. Mark Dabagia, who recently joined the PMHS medical staff. He is the only physician in Northwest Indiana who performs the minimally invasive procedure known as laparascopic nephrectomy.

The procedure will allow patients who need urological surgery, such as bladder surgery, removal of the adrenal gland or kidney removal, to undergo the procedure by having only a few small incisions, compared to an invasive surgery that can often involve an incision as large as 12 inches. Laparoscopy has long been used for general surgery, but has only recently become an option for urological surgeries, states a PMHS press release.

Also at Wednesday’s media briefing and board meeting, PMHS officials took note that they do not have a monthly financial report to present as usual, since the financial staff has been involved in a major audit of the health system.

PMHS has opted to take advantage of a change in the state law allowing public hospitals to hire a private auditor, rather than have the State Board of Accounts scour their books. PMHS has hired Deloitte & Touche for its annual audit, at an estimated cost of $60,000, but has also hired Ernst and Young to help prepare its records for the audit. Winger noted that two of the largest accounting firms in the country are now auditing PMHS.

PMHS Chief Financial Officer Gary Chawk said the difference between a state audit and a private audit is that the state has focused on whether PMHS was in compliance with state procedures and policies. The Deloitte & Touche audit is expected to be much more comprehensive, looking at accounting practices from a risk-based standpoint, he said.

Typically, the December PMH Board meeting also includes approval of the budget for the following year. The 2003 budget, along with a rate increase, will be presented in January.

Winger confirmed that PMH is considering a small rate hike but that the numbers aren’t yet finalized.

 

Posted 12/19/2002

 

 

 

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