Governance
The Authority is governed by a Board of Trustees appointed by the Board of County Commissioners of Comanche County, subject to a majority of that governing body, to serve a maximum of three five-year terms. Members of the Board of Trustees must be residents of Comanche County, and
A-6 at any time not more than three of the Trustees may be residents of the City of Lawton. The Authority’s principal offices are located at the Hospital.
The leadership of the Board is determined through the annual nomination and election of officers.
Members of the Board nominate and elect members of the Board to serve in the capacity of Chairman, Vice Chairman and Secretary. Each member of the Board of Trustees serves on the Finance Committee of the Board.
The current trustees of the Authority are as follows:
Name Office Occupation
Dennis Butler Vice Chairman Attorney 11 July 1995
Robert Love, M.D. Secretary Physician 9 July 1997
John Zelbst Member Attorney 9 July 1997
Clayton Green Member Business Owner 4 months July 2006
Administration
The management of the Authority, including the Hospital, has been delegated by the Board of Trustees to the Administrative Staff. The Chief Executive Officer and the principal members of the Authority’s administration are as follows.
Randall K. Segler, CHE, Chief Executive Officer. Mr. Segler joined the Hospital in 1992 as Executive Vice President and Chief Operating Officer, and was promoted to Chief Executive Officer in 1997. Prior to joining the Hospital, he served as the Executive Vice President and Chief Operating Officer of Saint Joseph’s Hospital (a 524-bed tertiary care referral center) in Marshfield, Wisconsin, from 1990 to 1992, and Senior Vice President and Chief Operating Officer of Northwest Texas Hospitals (a 250-bed acute care hospital and 134-bed psychiatric and substance abuse facility) in Amarillo, Texas, between 1986 and 1990. Prior to that, he served as Associate Administrator of Longmont United Hospital (a 143-bed hospital 45 miles northwest of Denver, Colorado) in Longmont, Colorado, from 1981 to 1986, and Grady Memorial Hospital (a 156-bed community hospital) in Chickasha, Oklahoma, from 1977 to 1980. Mr. Segler holds a Master of Healthcare degree from Trinity University, San Antonio, Texas, and a Bachelor of Science degree in business administration and allied health services from Southwestern Oklahoma State University. Mr. Segler is a Certified Diplomate of the American College of Healthcare Executives and serves or served as a Board member of the Oklahoma Hospital Association, City of Lawton Chamber of Commerce, Lawton Public Schools Foundation, Great Plains Vo-Tech Foundation and Southwest Oklahoma Medical Residency Foundation.
Douglas Kent Weaver, Chief Operating Officer. Mr. Weaver joined the Hospital as Chief Operating Officer in 1999 from Memorial Hospital and Physician Group in Frederick, Oklahoma, where he served as Chief Executive Officer since 1994. Prior to that, he served in various progressive positions, including Department Director, Assistant Administrator and Chief Executive Officer of Memorial Hospital of Texas County in Guymon, Oklahoma, from 1980. Mr. Weaver holds a Master of Business Administration degree in management from Wayland Baptist University in Amarillo, Texas, a Bachelor of Science in pharmacy from Southwestern Oklahoma State University, and Associate of Science degree from Seward County Community College in Liberal, Kansas. Mr. Weaver is a Diplomate of the American College of Healthcare Executives and served as a member of the Board of the Oklahoma Hospital Association, and served as a member of a Regional Policy Board of the American Hospital Association.
A-7 David Blackmon, C.P.A., Chief Financial Officer. Mr. Blackmon joined the Hospital in 2000 as Chief Financial Officer from Triad Hospitals, Inc. (formerly HCA & Healthtrust, Inc.) where he served as Chief Financial Officer of Longview Regional Medical Center and Alice Physicians and Surgeons Hospital since 1993. Prior to 1992, he served as Chief Financial Officer of Healthfirst Management Corporation from 1991, and Cambridge International Inc. and Affiliated Companies (a four hospital, 300-bed system, physician clinic and public foundation) from 1984. From 1982 to 1984, Mr. Blackmon served as Controller of Park North Hospital and Laurelwood Hospital as an employee of Contemporary Health Management. Mr. Blackmon holds a Bachelor of Science degree in accounting from Louisiana State University, and serves on the Board of the Lawton Kiwanis as a past President.
Raymond Thomas Steinmetz, Jr., C.P.A., Senior Director of Finance and Information Technology. Mr. Steinmetz graduated from Southwestern Oklahoma State University with a Bachelor of Science degree with a major in accounting and finance. Since joining the Hospital in 1993, Mr. Steinmetz has served in various progressive capacities, including Staff Accountant – Clinics, General Ledger Analyst, Decision Support Analyst, Senior Financial Analyst, Director of Accounting, and Controller.
Joe Kip Cummins, Senior Director of Physicians Business Services. Mr. Cummins graduated from Cameron University with a Bachelor of Business Administration degree and from University of Oklahoma with a Master of Science in Health Administration degree. He joined the Hospital in 1990 as a Resident in Hospital Administration. After completing his residency, he served as the Assistant Vice President of Ancillary/Support Services, the Vice President of Ancillary/Support Services and is currently the Senior Director of Physicians Business Services. Mr. Cummins is a Diplomate of the American College of Healthcare Executives.
Don Austerlitz, Senior Director of Human Resources. Mr. Austerlitz holds a Master’s degree in Counseling, a Bachelor’s degree in Management with emphasis in personnel and a Bachelor’s degree in Psychology from Central State University. Since joining the Hospital in 1976, Mr. Austerlitz has served as Personnel Director and Vice President of Human Resources.
Jo Ann Knecht, Senior Director of Operations. Ms. Knecht holds a Master of Business Administration degree from Oklahoma City University and a Bachelor of Science in Medical Records Administration degree from Southwestern Oklahoma State University. Since joining the Hospital in 1977, Ms. Knecht has served in various positions including Medical Records Director, Vice President of Quality/Risk Management and Vice President of Staff Support Services. Ms. Knecht serves as an officer of the Lawton Philharmonic Orchestra and Chairman of the Personnel Committee.
Linda Leith, Chief Nursing Officer. Ms. Leith holds a Doctor of Nursing Science degree from Indiana University, a Master of Science in Nursing Administration degree and a Bachelor of Science in Nursing degree. She has a National Certification through the American Nurse’s Credentialing Center as an Advanced Certified Nurse Administrator. Ms. Leith joined the Hospital in April 2003 as Division Director of Nursing. Prior to that, she was Chief Operating Officer and Chief Nurse Executive in Danville, Illinois, for two years and Vice President of Patient Services in Valparaiso, Indiana, for fifteen years. Ms. Leith authored two books on grief and several articles in professional journals on nursing administration. She has also taught nursing at both the undergraduate and graduate levels at Valparaiso University in Indiana.
A-8 BED COMPLEMENT, SERVICES AND MEDICAL STAFF
Bed Complement
The Hospital is currently licensed for 283 beds. Staffed beds totaled 232 beds as of June 30, 2006, with the distribution noted in the table below.
Bed Complement By Service – June 30, 2006
Service Staffed Service Staffed
Medical/Surgical 95 CCU 4
Rehabilitation 30 Obstetrics 14
NTU 18 Cardiovascular Care Unit 16
Gero-Psych 19 Nursery 24
ICU 12 Services
The Hospital currently provides and expects to continue to provide the patient services as indicated in the below table.
Patient Services
Ambulance Services Home Health Services Pharmacy
Anesthesiology Industrial Rehabilitation Physical Therapy
Angiography Intensive Care Unit Plastic Surgery
Bone Densitometry Internal Medicine Podiatry Breastfeeding Resource Center IV Infusion Therapy Poison Control
Cardiac Catheterization Laboratory Pre/Perinatal Education Cardio-Electrophysiology Linear Accelerator Psychiatry - Adult Inpatient
Cardiology Lithotripsy Psychiatry – Geriatric
Cardiovascular Surgery Magnetic Resonance Imaging Pulmonology Clinical Psychiatry Mammography Radiation Therapy Cosmetic Laser Center Metabolic Support Services Radiation Oncology Dedicated Women’s Center Neonatology Radiology
Dentistry Nephrology Rehabilitation Services
Dermatology Neurosurgery Respiratory Therapy
Diabetes Service Neurology Rheumatology
Diagnostic Radiology Nuclear Medicine Rural Health Clinics Durable Medical Equipment Nursery Skilled Nursing Services Ear, Nose & Throat Nutrition Counseling Sleep Studies
Echocardiology Obstetrics Social Services
Electrocardiography Occupational Medicine Speech Therapy Electrophysiology Occupational Therapy Sports Medicine
Emergency Services Oncology Sports Rehabilitation
Endocrinology Ophthalmology Stereotactic Breast Biopsy Services
Endoscopic Services Oral Surgery Teleradiology
Family Practice Orthopedic Surgery Ultrasound
Gastroenterology Pain Management Urgent Care Center
General Medicine Pathology Urology
General Surgery Pediatrics Wound Care Center
Gynecology Perinatology
Hematology Peritoneal Dialysis
A-9 Medical Staff
As of June 30, 2006, the medical staff was categorized as follows:
Staff Status Number of Physicians
Active 117
The table below provides an overview of the active medical staff acute admissions, by specialty areas and number of physicians within the specialty area, for the fiscal year ended June 30, 2006.
Specialty
A-10 For the period from July 1, 2005, to June 30, 2006, the 10 most active physicians accounted for 32% of the Hospital’s 11,159 admissions. The average age of the 10 most active physicians is 48 years.
The following table presents a summary of the 10 most active physicians for the period from July 1, 2005, to June 30, 2006:
Total All Admitting Physicians 11,159 100%
The following table shows the turnover of the members of the medical staff from June 30, 2002, through June 30, 2006:
Changes in Medical Staff
Staff Level 2002 2003 2004 2005 2006
Active, Courtesy, Affiliate 147 149 153 137 140
The Hospital has an ongoing recruitment strategy, which includes physician recruitment to fill existing medical staff needs and recruitment for medical specialties, which will enhance current specialties and/or expand the scope of services provided by the Hospital. This latter recruitment strategy targets patients who have had to leave the community to receive service.
The Chief Executive Officer and Chief Operating Officer of the Hospital are responsible for physician recruitment. Once candidates are identified and a preliminary review is completed by the Chief Executive Officer and Chief Operating Officer, physicians are brought to Lawton to meet with (a) the Senior Director of Physician Services, (b) Senior Director of Human Resources, and (c) other doctors in the specialty or related area. Subsequent to such meetings, a decision, with input from the physicians in the specialty or related specialty area, is taken by management on whether to extend an offer to the physician under consideration for employment.
As a result of the number of employed physicians and their breadth of specialties, the employed doctors constitute a multi-specialty clinic. Management is working with the physicians to assist them in changing their approach from that of a collection of individual specialists to a multi-specialty clinic. By