[{"_1":2,"_87":-5,"_88":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6549736,"mediaKeyId","5429442-4723ce2db356179facc6a1c7549b24bc","parentId",5429442,"title","Hospital reports CNA enrollment gains, missing med‑card keys and staff drug‑testing after incidents","audioSeconds",3125,"startMs",556000,"endMs",3681000,"viewUrl","/Search/View?dp=1&key=5429442-4723ce2db356179facc6a1c7549b24bc&start=556&end=3681","thumbnailUrl","https://assets.pipeline.soar.com/5429442-4723ce2db356179facc6a1c7549b24bc/thumbnail_556000.jpg","articleUrl","/articles/6549736/Weston-County/Wyoming/Hospital-reports-CNA-enrollment-gains-missing-medcard-keys-and-staff-drugtesting-after-incidents","mediaUrl","https://secure.pipeline.soar.com/6549736-5a800fc2c56f1e623204c656a22ae9b9/orig.mp4?Expires=1771139252&Signature=LBJNDFrm1H-UbEPbdjtbOs~QqwzCdw5gdlxj64jjJkJtVFF3WKEca7quh3Kq~kMF-hgUjvW3-mmW2nnZQgULxNwRRRhnBbQV13Kmf762YECqmVNwB05Ik~FGYILwELChujklxo0-BnUui2F209E6q~YCKrNO2WL295OHfc4f3KfIkBa2KhHsXaSVj8UNFWU7wvd3m4NgFMq2helaLOpLjD-iJEyN-fVYv1vARUE4h4xTxdBl~rCR3rOynW5UBUA9ONr7EkS9gx2q-Fra3ASpAn9B5NHtSxaJBAShttwBYnTYc~uFYu9pp6FBg~wae9jxuC2wq3WsEqqKsarKKoPSnw__&Key-Pair-Id=KUT5TJCACFTXG","author","Weston County","date","2025-07-18T22:44:40.617Z","article","Hospital clinical leadership reported ongoing staffing shortages but steps to increase caregiver capacity, and described an internal root‑cause review after medication‑card keys went missing and led to new controls and testing.

A staff update said 15 students are enrolled in a hybrid certified‑nursing‑assistant program and the hospital applied for six temporary CNA licenses; three candidates recently failed their skills test and will re‑test without repeating the full class. Three additional candidates are awaiting testing.

Medication cards and diversion review
Leadership said several medication‑card keys went missing; staff performed a root‑cause analysis, ordered replacement med cards and tightened access processes. Nurses are now signing for keys at shift start to record accountability. Staff also said that when keys cannot be found the matter is handled under the facility’s drug‑diversion policy and may include testing.

Drug testing results and staffing actions
Board members were told a staff drug test returned positive for an employee who had prescriptions disclosed as part of the review; staff said they are assessing the case and have removed at least one employee after a positive test. Leadership described testing as both a safety and employee‑protection measure.

Patient transfers and trauma review
Hospital leaders raised several recent patient transfer challenges, including one patient with sepsis who could not be moved promptly because ambulance resources were unavailable; staff said weather and staffing at transport providers sometimes prevent air transport, and they are discussing these cases with EMS partners. The hospital’s trauma review identified at least one case where faster access to blood products would have helped.

Staffing levels and services
Reports to the board noted nursing‑home and agency staffing: nine agency staff (one nurse and eight CNAs) on the skilled side, an LPN expected to start by month’s end and an RN interview scheduled for August. The hospital reported Medicaid pending cases had dropped to five, with two ready pending state approval.

Ending
Leadership said they will continue training and credentialing efforts, apply tighter controls on controlled‑substance access, and follow up with EMS and trauma partners about transfer protocols.","mediaType","Video","parentTitle","Weston County Health Services Board of Trustees regular meeting. Thursday, July 17, 2025. Newcastle.","oneSentenceSummary","Board heard updates on clinical staffing levels, a CNA hybrid program with 15 enrollees and several failed skills tests, investigations after missing medication‑card keys and a positive drug test in a new hire; patient transfer challenges with EMS were also discussed.","taxTitle","Weston County, Wyoming","taxId",28920,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6549741,"Weston County hospital finance committee outlines audit timeline, accounts-receivable fixes and chargemaster review",1379,1092000,2471000,"/Search/View?dp=1&key=5429442-4723ce2db356179facc6a1c7549b24bc&start=1092&end=2471","https://assets.pipeline.soar.com/5429442-4723ce2db356179facc6a1c7549b24bc/thumbnail_1092000.jpg","/articles/6549741/Weston-County/Wyoming/Weston-County-hospital-finance-committee-outlines-audit-timeline-accounts-receivable-fixes-and-chargemaster-review","https://secure.pipeline.soar.com/6549741-f92acda81e96ed42962e2070f57f319b/orig.mp4?Expires=1771139252&Signature=SJOvedOID3nWh01zwvfTXDzkZPJnPQKowAoTKWL4Fw8pKx2ZKPkXA8epfbmD8YSdipgwol4rQSF7~W3WTMpp5ePLCCUzLrZ3edHuRvYQYBNbBBaH460ZdUTXCucpXWuM~-OQpaXwJgYlIOxXyyAHYKxkxkmpjeMNrUrmrtEXUF8BcCP1ELncBDbTxHq4TxzdWSwopzphbiYkE65F4OcGdsPISBnvfph2BTYfWoCNyqetz1MTnKWt7rjJGfVG4ri~GXTx9i0km4XrDkk605~UIFlBmyDva8dQP-X13TS11Q4WeQobroaD6IGJ39kws-jVLApZslafSiVTS91lc4QwYA__&Key-Pair-Id=KUT5TJCACFTXG","Finance committee leaders told the Weston County Hospital Board on a monthly update that work to stabilize the hospital’s revenue cycle is under way, with a revenue‑cycle consultant completing interviews, internal Epic transmission fixes in progress, and a chargemaster review scheduled ahead of Medicare updates.

Board members heard the timeline and key technical fixes the committee says are needed to reduce accounts‑receivable days and improve monthly reporting.

The board was told the consulting group Nova Revenue Group has completed staff interviews and is documenting process recommendations; the committee also discovered the hospital’s claims “back end scrubber” was not activated in Epic, a tool that should compare electronic claims to contracted rates and route exceptions into a work queue. “That piece is missing,” the presenter said, adding that without it billers must research payments manually, slowing collections.

Why it matters: the consultant work, systems fixes and a chargemaster update are meant to reduce outstanding claims, make month‑to‑month results more reliable and position the hospital for Medicare timing changes this fall.

Board discussion and next steps
The finance committee set a goal to have department‑level financial reports available for committee review next month and to keep full board distribution limited while formats are tested. Committee members said Epic transmission issues remain partially unresolved and that those fixes will change accrual and revenue recognition for fiscal year reporting.

Auditors and timeline
Committee members said auditors have completed the accounts‑receivable portion of the audit and that the audit could be finished in about 5–8 weeks. The completion date matters because final corrections for fiscal 2024 roll into the 2025 numbers and affect cost‑report filings; staff said they will continue weekly coordination calls with the auditors and the state (Myers & Stauffer).

ChargeMaster and pricing changes
A ChargeMaster review is under way with updates planned before Medicare’s November/January cycles. Staff said a limited, not blanket, 3% price adjustment is under consideration, and that some charges will increase, some decrease and many will remain unchanged; certain low‑volume services (for example, mammography) likely will be left alone to preserve local affordability.

Cash flow, transfers and collections
Cash collections were down roughly $300,000 in June but staff reported those receipts arrived in the first two weeks of July. The board reviewed a new cash‑flow sheet that lists recent transfers from the money‑market account and why the funds were drawn: $186,000 for lab equipment, $42,659 for the RadX line tied to the CT project and $17,750 for an injector. Staff said these transfers are drawn from designated buckets (donations or project reserves), not general savings.

Inventory and tech
Staff said the inventory system is working but the scanner hardware supplied during the Sage implementation is old and may need replacement; staff are seeking quotes and attempting software fixes first. Radiology and CT revenue coding issues are being addressed as part of the ChargeMaster review.

What the board asked for
Board members asked for a stand‑alone fiscal‑year‑end document for FY2025 as accruals and audit corrections come in so the board can track the final year outcome independent of monthly operating reports.

Ending
Committee staff said work will continue on accounts receivable, audit coordination and the ChargeMaster; the finance committee will report back with updated formats and more detailed department‑level numbers.

","Hospital finance leaders told the board they are working with a revenue-cycle consultant, addressing Epic transmission issues and a missing claims scrubber, and expect audit closure within weeks; cash-flow timing, transfers from the money‑market account for capital projects, and a chargemaster update were also discussed.","actionData","errors"]

Article not found

Hospital reports CNA enrollment gains, missing med‑card keys and staff drug‑testing after incidents

Weston County hospital finance committee outlines audit timeline, accounts-receivable fixes and chargemaster review