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Appointed
Shawn McNerney of Woodstock, left,  and Joseph M. Adiletta of East Woodstock, were appointed to the Day Kimball Healthcare board of directors at the organization’s recent annual meeting. Courtesy photo.


PUTNAM — At its recent annual corporators’ meeting Day Kimball Healthcare reported that the fiscal year 2012 finished in the black. However, management cautions that 2013 will be a challenge due to state reimbursement cutbacks to hospitals, which could result in delaying the company’s new emergency department renovation project.
Management reported that the integrated health system’s positive bottom line in fiscal year 2012 demonstrated the continued positive impact of the growing shift from hospital revenue to outpatient and physician/ provider services revenue.
At fiscal year-end Sept. 30, 2012, DKH reported $867,638 excess of revenues over expenses. Of the $138.4 million in total net revenue, 64.9 percent came from hospital outpatient services and physician/ provider services. In fiscal year 2011, those two categories made up 56 percent of total net revenue.
“Through our patient-centered medical home (PCMH) business model, we’ve made a concerted effort to shift our emphasis from a ‘sick’ care to a ‘well’ care model,” said Robert E. Smanik, FACHE, DKH president and CEO. “This makes for healthier patients and a healthier fiscal state for our organization.” Smanik explained the PCMH approach places primary care physicians at the center of all patient care, coordinating all aspects with the assistance of physician assistants, nurse practitioners and other providers.
“Day Kimball has worked extremely hard over the years to change the way we deliver care in order to improve quality and lower cost, and we’re experiencing success,” Smanik said. “However, recently announced major cuts to Day Kimball Hospital’s Medicaid reimbursements due to Connecticut’s budget crisis are going to make it difficult to continue our progress in the New Year.” Smanik said that the state informed him that the hospital is being cut $3.8 million in state reimbursements for fiscal year 2013.
Smanik said that one of the most disturbing outcomes of the cutbacks is that the Day Kimball Hospital emergency department renovation project could be negatively impacted.
“Preliminary indications are that we may be forced to delay construction on our new emergency department,” said Smanik. “Though we raised over $3 million in contributions through the overwhelming generosity of our community, there is still a major financing component needed to complete the project. We’re now reviewing our operational budget to determine what definitive steps need to be taken throughout our operating system to offset the dramatic reimbursement reductions in state aid.” Smanik added that he is in ongoing discussions with local legislators on this topic.
Smanik said, “It’s important that our patients know our top priority continues to be to maintain the high level of care that they are accustomed to receiving from all parts of our healthcare system.”
Additional information can be found in DKH’s 2012 Online Annual Report, available at daykimball.org.
Newly appointed to the DKH board: Joseph M. Adiletta, E. Woodstock, and Shawn McNerney, Woodstock. Re-elected to the DKH board was Rochelle Alix of Danielson. McNerney was also appointed as a corporator.

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