Choctaw Nation Health Services Authority

The Choctaw Nation Health Services Authority (CNHSA), located at 1 Choctaw Way, Talihina, OK, is dedicated to providing quality-focused healthcare services to the American Indian/Alaskan Native population in Southeastern Oklahoma. We offer comprehensive services, including primary care, specialized treatments, diagnostic services, mental health support, and wellness programs, through our hospital in Talihina and a network of clinics. Our philosophy centers on effective communication, teamwork, and respecting the dignity, cultural values, and health of every individual we serve. CNHSA is committed to providing state-of-the-art facilities and expanding our services to meet the evolving needs of our community, ensuring access to exceptional care close to home. For medical care questions, please call 800-349-7026.

Identifiers

Hospital Name Choctaw Nation Health Services Authority
Facility ID 370172

Location

Address 1 CHOCTAW WAY
City/Town Talihina
State OK
ZIP Code 74571
County/Parish LATIMER

Health System

Health System Independent
Health System Website Domain cnhsa.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 44
Health System Hospital Locations Oklahoma

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Tribal
Ownership Details Choctaw Nation Health Services Authority
Emergency Services Yes

Todd Hallmark

Executive Officer of Health Services

Improving the overall health of the Choctaw Nation continues to be the focus of the CNHSA (Choctaw Nation Services Authority) and Public Health team. [2] This partnership is critical in rural communities because the mobile model brings preventive health services to where children and families spend their days. [3]

Kelly Mings

Executive Director of Services- Talihina Hospital Administration

NA

Debbie Dalpoas

Chief Emergency Management Officer

NA

Mathew Akers

Clinic Operations Director

NA

Tye Baker

Senior Director of Environmental Protection Service

NA

Michelle Gibson

Director of Preventive Health

NA

Shauna Humphreys

Behavioral Health Director

NA

Johnny L. James

Director of Tribal Transit

NA

Rikki LaRoche

Public Health Director

NA

Andreasen (Drea) Matson

Senior Director OSH FSH WC

NA

Mindi P. McGehee

Strategic Delivery Senior Manager

NA

Jesse R. Petty

Director of Law Enforcement

NA

Janet Sharp

Quality Assurance Director

NA

Tammy L. Thompson

Executive Director of Services- Clinic Administration

NA

Claudene Williams

Senior Director of Health Service Food and Nutrition

NA

Krystal G. Wilson

Director of Strategy

NA

Manasi Ghatpande

Director of Biomedical Engineering

Located at the Durant Regional Medical Clinic in Durant, Oklahoma, she says that biomed supports the entire Choctaw Nation Health Services Authority.

Teresa Jackson

Senior Executive Director Of Health Services

NA

Dr. Jason Hill

Chief Medical Officer of Choctaw Nation Health

“We're proud to bring this much-needed service to the Antlers area,” said Dr. Jason Hill, chief medical officer of Choctaw Nation Health. [13]

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs Yes
Pediatric Residency Program No

Capacity & Services

Licensed Beds 44

Staffing & Personnel

FTE Employees on Payroll 1772
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 740
Inpatient Days (Title XIX) 1589
Total Inpatient Days 2674
Bed Count 44
Available Bed Days 15695
Discharges (Title V) NA
Discharges (Title XVIII) 179
Discharges (Title XIX) 714
Total Discharges 1039

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 740
Inpatient Days (Title XIX; Adults & Peds) 1589
Total Inpatient Days (Adults & Peds) 2674
Bed Count (Adults & Peds) 44
Available Bed Days (Adults & Peds) 15695
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 179
Discharges (Title XIX; Adults & Peds) 714
Total Discharges (Adults & Peds) 1039

Quality Summary

Care Quality Stengths High overall patient satisfaction. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. Patients were very positive about the cleanliness of the hospital. Patients were very positive about the quiet atmosphere of the hospital. The hospital is average in every measured mortality rate
Care Quality Concerns Hospital struggles with high infection rates

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 85%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) Not Available

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -30.8
Readmission Score Hospital Return Days for Pneumonia Patients -20.2
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 18.9
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.2
Readmission Group Hospital Return Days for Heart Attack Patients Not Available
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Number of Cases Too Small
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) N/A
CAUTI SIR (Standardized Infection Ratio) N/A
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) 0.000
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost
Bad Debt Expense
Uncompensated Care Cost
Total Uncompensated Care

Operating Expenses ($ thousands)

Total Salaries $123,122
Overhead Expenses (Non-Salary) $172,820
Depreciation Expense $19,031
Total Operating Costs $112,385

Charges ($ thousands)

Inpatient Charges $72
Outpatient Charges $4,820
Total Patient Charges $4,892

Wage-Related Details ($ thousands)

Core Wage Costs $0
Wage Costs (RHC/FQHC)
Adjusted Salaries $123,122
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances
Short-Term Investments
Notes Receivable
Accounts Receivable
Allowance for Doubtful Accounts
Inventory
Prepaid Expenses
Other Current Assets
Total Current Assets

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities

Balance Sheet – Equity ($ thousands)

General Fund Balance
Total Fund Balances
Total Liabilities & Equity

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1) $1,559
Outlier Payments
DSH Adjustment $47
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue
Outpatient Revenue
Total Patient Revenue
Contractual Allowances & Discounts
Net Patient Revenue
Total Operating Expenses $295,942
Net Service Income $-295,942
Other Income
Total Income $-295,942
Other Expenses
Net Income $-295,942

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio
Net Medicaid Revenue
Medicaid Charges
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic Community Connect
EHR Version EpicCare Community Connect
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Oracle
ERP Version Fusion 10
EHR is Changing No