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Health Trends
Changes through
the century occurred in medicine, health care
By WANDA YODER
The News-Sun

LAGRANGE - A major change in health care in LaGrange County
came about in 1985 when the LaGrange County Hospital was sold
to VenCare Inc., a Louisville, Ky.-based health care firm. The
not-for-profit hospital was changed to a money-making venture.
Before 1985, fund-raisers were frequently held and federal
aid funded the county hospital.
In a contract with the county for 35 years, VenCare is to
continue to provide upgraded acute care hospital services. It
has embarked upon a building program intended not only to increase
the practicality of the hospital but also make it an attractive
setting for county residents and other patrons to share in the
LaGrange County Hospital tradition of "neighbors caring
for neighbors."
The LaGrange County Hospital was opened in 1950 with 34 beds.
A new wing was added in 1971 which was to house the medical
floor and increased the bed capacity to 62.
The hospital remained successful under the board of trustees
and administrator Edythe Gappinger for many years.
As changes in medicine occurred, trends in health care changed.
Under Elsie Willard's administration in 1974, LaGrange County
Hospital was the first in the state to have permanent emergency
room coverage by a physician.
In 1975, ambulance service, which was previously provided
by area funeral directors, became a hospital service. The ambulance
service is now being operated by the county. Escrow from the
original sale of the hospital to VenCare Inc. is used to fund
the service.
Willard, administrator of the LaGrange County Hospital from
1974 until its sale to VenCare Inc. in 1985, stated, "Medicare
laws required small hospitals to be affiliated with teaching
hospitals. Changes in the small county hospitals would require
renovations and added equipment. Now larger hospitals are sending
out specialists to the small regional hospitals and clinics but
that was not the trend in 1985. The larger hospitals had the
staff and the equipment."
"Things needed to be done." Dr. John Egli, a physician
on the staff in 1985, reported of the change in ownership. "County
ownership now became absentee ownership. Changes in medicine
necessitated those changes. Where would the LaGrange County Hospital
have been without Vencor?"
Vencor Hospital-LaGrange has recently renovated and expanded
its services to include an updated physical therapy department
and sleep disorder clinic.
Several out-patient and in-patient surgeries are performed
at the hospital as well as speciality clinics, radiology mammography
services, computerized axial tomography (CAT), magnetic resonance
imaging (MRI) and Ultrasound; and VenCare Occupational Health
Services: 24-hour-seven-day-physician coverage; and also, community
education, nutritional counseling, and discharge planning/social
services.
According to Egli, Vencor has the highest in the state of
percentage of physicians being State Board Certified in their
specialties.
And what of the future of Vencor?
Joe Murrell, administrator at Vencor Hospital-LaGrange, has
released a statement in light of the national Vencor Inc. chain's
recent filing for federal bankruptcy protection.
The chain, which now operates 300 nursing homes and 38 hospitals,
cited rising debts due to declining Medicare fees in filing for
Chapter 11 protection in Delaware.
"To provide care for people who cannot take care of themselves
is why this facility exists, and we have an unwavering commitment
to delivering quality care to those people whose health and well-being
is entrusted to us," said Murrell.
"Vencor, like other long-term care companies, is facing
serious challenges, including decreased federal reimbursements
and corporate debt. While our board of directors has elected
to restructure our debt through a filing for reorganization,
it is important to separate this issue from the daily operation
of this facility," he continued.
"Throughout the period of reorganization, we will continue
to pay our employees and vendors and maintain appropriate staffing
and supply levels, as well as the physical condition of our facility.
"We are your neighbors, your friends and your devoted
health care professionals committed to delivering the quality
services and compassionate care this community deserves and expects.
We do not intend to allow any issue to compromise the care we
provide for our patients and residents every day," Murrell
concluded.
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