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November 20, 2008
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Rosebud Hospital has new CEO
Hospital is underfunded and short staffed

Left to right: Rosebud Hospital's Administrative team: IHS Chief Compliance Officer Dale Buckles,IHS Chief Executive Officer Earl Cournoyer, and IHS Administrative Officer Randy Jordan. PHOTO BY VI WALN
ROSEBUD - The Rosebud Comprehensive Health Care Facility has a new Chief Executive Officer Earl Cournoyer who comes to Rosebud from Wagner where he also served as CEO.

"My first day on the job was spent in a meeting with the clinical director," he said. "I will build on what is here." Cournoyer and his staff gave a short report to the tribal council last week and answered questions.

Currently, the facility is extremely underfunded. Total deficit for last fiscal year is approxi- mately $7.5 million. "We spent more than we have," said Administrative Officer Randy Jordan.

The hospital is also short staffed. In fiscal year 2008 the facility lost a podiatrist, a mid-wife, a family nurse practitioner, three physical assistants, a family practice physician, two emergency room physicians and a pharmacist. Active recruiting is ongoing in order to fill these vacancies as quickly as possible.

There is currently an appointment system in place. All providers will allocate 20 minutes for each appointment. Patients are required to check in at least 30 minutes prior to their appointment. Failure to arrive on time for an appointment will result in cancellation and a patient who has signed up to be seen will be given the open slot. Exceptions are made for elderly, terminal or medically handicapped patients.

Providers serve approximately 14,841 patient visits per month. The top ten diagnoses for outpatient include: refills, special screenings, and screening for alcoholism, hypertension, type II diabetes, dental exams, hyperlipidemia, esophageal reflux and other chronic pain.

Emergency room providers see about 1,540 patients per month. The top ten diagnoses for inpatients are: non-dependant alcohol abuse, pregnancy, chest pain, shortness of breath, cough, abdominal pain, fever, pneumonia, epilepsy, and syncope and collapse.

In addition, a "funds available check" is maintained Area-wide. Eventually it will be at the facility level which means if the hospital has no funding available, no goods or services can be purchased. This will be a major impact on the hospital. "We need the tribal council to continue to lobby for more funding for the Rosebud Service Unit," stated CEO Cournoyer.

Cournoyer began his Federal Service as the Budget Analyst at the Wagner Health Care Facility in 1999. He transferred to the Winnebago Hospital, Winnebago, Neb. in 2001 where he held positions as the contract health service supervisor, financial management specialist, and administrative officer.

He then returned back to the Wagner Health Care Facility in 2006 into his current position of chief executive officer.

Cournoyer holds a Bachelor of Science in Health Services Administration with Business Administration emphasis from the University of South Dakota, Vermillion.
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