Kelley company's ownership transitioning to Hospital Foundation

August, 2006--August 2006 marks the 20th anniversary of the death of one of Grayson County’s most well-known businessmen, Walter T. Kelley. Known internationally as "The Bee Man," Mr. Kelley founded what would eventually be the Walter T. Kelley Company in 1926 in Louisiana. Based locally in Clarkson since 1952, the company manufactures beekeeping equipment and promotes the production of honey.
     September of this year will mark the next significant chapter in the storied Kelley Company history when ownership of the business is transitioned to the Grayson County Hospital Foundation, Inc. As he directed in his will, Mr. Kelley’s business and all of his assets were placed in a 20-year operating Trust upon his death, with the Foundation to eventually assume ownership. Looking to the future, Mr. Kelley and his wife wanted the legacy of their life’s work to continue to benefit Grayson County and its residents long after their passing.
     Armed with a degree in Entomology with a specialty in bees, some experience in beekeeping and an overwhelming passion for the business, in 1924 Mr. Kelley left a government job with the USDA and began keeping bees fulltime near Houma, Louisiana. He first named the business, "Gulf Coast Apiaries" but later changed it to "Gulf Coast Bee Company."
     In 1926, Mr. Kelley, a native of Michigan, met and married Ida Babin of Louisiana. The new Mrs. Kelley left her job as a Home Economist and became a full partner in the fledgling business.
     Looking for a better shipping location and cheaper freight costs, in 1934 the Kelleys moved their business east to Paducah, Kentucky. The Louisiana location continued to raise bees and queens; the manufacturing process moved to Kentucky, consisting of a woodshop for cutting beehive parts and a sheet metal shop to produce honey tanks. The Gulf Coast Bee Company name was changed to "The Walter T. Kelley Company" to coincide with the new Kentucky company name. Mr. Kelley maintained ownership of the Louisiana plant and properties until the late 1980s when he negotiated the sale and relinquished all holdings there.
     Disenchanted with industrial and postal changes in the Paducah area in 1951, the Kelleys began the search for a new rural location in Kentucky for his plant. In 1952, they moved the plant operation from Paducah to Clarkson where he had purchased 110 acres on Hwy. 62 east of Leitchfield, and by Spring 1953, the local company was in full operation, supplying bees and beekeeping accessories to all 48 states then and many foreign countries.
     Mr. and Mrs. Kelley traveled the world extensively promoting their company and beekeeping, and routinely entertained foreign guests at their Clarkson home who came to Kentucky to learn the business from the renown "Bee Man." When Mrs. Kelley died in 1978, Mr. Kelley devoted all his time to his company.
    Prior to Mrs. Kelley’s death, the childless couple decided the Grayson County Hospital Foundation, Inc. would be the sole benefactor of their estate. Making the fact known publicly after his wife’s death, Mr. Kelley said their decision was based on their close friendship with the local hospital’s general surgeon, Dr. Ralph G. Thomas, and their desire to give something back to Dr. Thomas, the hospital and the community. Included was a stipulation that a doctor’s office building be constructed along with the new hospital being built on Wallace Avenue. The Kelley Medical Center stands today as a tribute to the Kelleys’ foresight and generosity.
     When the Kelley Trust expires in September, the Grayson County Hospital Foundation, Inc. will assume ownership of the company, which will continue as a holding company for the assets of the Trust. The Foundation’s board will continue to ensure the Kelleys’ generosity will benefit the community for generations to come. The Kelley Medical Center at the hospital, the Kelley Medical Center West in Caneyville (occupied by the Caneyville Family Practice), and numerous pieces of medical equipment throughout the hospital, are the direct result of the Kelleys’ desire to continue to be a part of the community long after their passing. And looking to the future itself and wanting to further honor Mr. and Mrs. Kelley for their contributions, the Foundation’s board has earmarked one million dollars of funds from the Kelley Trust toward a proposed Community Healthplex for Grayson County similar to a YMCA with an indoor pool and recreation/fitness facilities. The balance of the Trust funds, in addition to future revenues from the Kelley Company as a holding company, will be used to create an endowment for future expansion of health care facilities and services in Grayson County.
     Mr. Kelley was an astute businessman, an inventor, an author, columnist and lecturer. He died on August 22, 1986 of congestive heart failure at age 89. The Kelleys’ monument, which they designed, reads, "Bees were our business," but their legacy will reach far beyond the contribution they made to the bee industry worldwide.

Press Ganey engaged for hospital's patient satisfaction survey process

January, 2006--Beginning January 1, Twin Lakes Regional Medical Center made a quantum leap in terms of measuring patient satisfaction. Press Ganey, one of the largest firms in the United States to measure patient perception of care, was engaged to handle the patient satisfaction survey process at the hospital. What makes this change so monumental is that Press Ganey provides these services to over 35% of the hospitals in this country and it is the predominate provider of patient satisfaction measurement for the majority of hospitals in Kentucky. Twin Lakes Regional will now be able to determine its level of patient satisfaction in comparison to area competitors, in comparison to hospitals of comparable size, and in comparison to hospitals throughout Kentucky.

The major event which precipitated this change is the CMS (Center of Medicare and Medicaid Services) regulation that every hospital in the United States will provide a patient services questionnaire to patients which includes mandated specific questions regarding different elements of their care. This information will be collected on a national basis, and CMS will, in turn, publish the results of the findings so that patients can make informed decisions as to which hospital they should go to for "quality" patient care.

Twin Lakes Regional's CEO Stephen L. Meredith said, "We are looking forward to these comparisons because we believe we provide a very high level of quality health care to our patients, and we want the public to be aware of this. We also want to go "head to head" competitively with the other hospitals within our service area. We want to be in the position where we will put our patient opinion scores up for comparison against any hospital."

Year in Review: 2005
January, 2006-- For the record, in 2005 Twin Lakes Regional Medical Center delivered 349 babies; performed 3,866 surgeries; recorded 2,560 admissions; performed 33,847 radiology procedures and 164,490 laboratory procedures; and recorded 19,654 Emergency Department visits and 37,411 outpatient visits.

KHHA "Awards of Excellence"
November, 2005--The Kentucky Home Health Association recognized the Twin Lakes Home Health Agency with three "Awards of Excellence". TLHH Director Mona Gail Fulkerson was a finalist in the "Home Care Administrative Professional" category and Nursing Assistant Denise Clark was honored as a finalist in the "Home Care Paraprofessional" category. There was a winner and two finalists in each category. KHHA President, Mary Lynn Spaulding, presented the awards at the state meeting held in Lexington. Sister Audrey Recktenwald was the winner of the 2005 "Home Care Advocate" award. Twin Lakes Home Health nominated Sister Audrey for the state recognition because of all the assistance she continually provides TLHH and its patients.

Employees, physicians recognized
November, 2005--Twin Lakes Regional's annual Employee Awards Banquet was held Nov. 4 at Rough River State Park. The annual gathering highlights staff accomplishments and service. CCU registered nurse Kevin Jenkins was honored as the "2005 Employee of the Year." The award is voted on by the hospital's employees from the year's Employee of the Month recipients. Medical Staff  Coordinator Robin Clark was named "Team Leader of the Year." This award is voted on by the hospital's team leaders themselves.

Special Team Leader recognition was also presented to: Dolores Hagan, Information Systems Director/Clinical Analyst and Rose Mary Goins, CCU Supervisor for their work with implementing the Patient Care module of the Meditech Information System; Marian Sims, Director of Patient Financial Services, for her department's efforts in decreasing Accounts Receivable Days; and Mona Gail Fulkerson, Director of Home Health, for Twin Lakes Home Health's market share increase and overall improvements in operations.

Humanitarian Awards were presented to Case Management RN Pam Langdon, Dr. Charles Jarboe, Dr. Gay Fulkerson and Engineering's Anthony Vincent in recognition of their mission trip to Nicaragua in Central America.

Four physicians were inducted into the newly established "Quarter of a Century Club" which was developed to honor those members of the hospital's medical staff who have provided over 25 years of service to Twin Lakes Regional and the community. Recognized were: Family Practitioner Dr. Victor Duvall, 35 years; Pediatrician Dr. Joseph Lee, 29 years; Family Practitioner Dr. Robert McClure, 27 years; and General Surgeon Dr. Joseph Petrocelli, 25 years.

Service Pin awards were also presented to 30-year employees: Mary Helen Kiper, Environmental Services; Nancy Kipper, RN, Emergency Department Supervisor; and Anita Bratcher, RN, Specialty Clinics; 25-year employees: Dorothy Smallwood, Med-Surg, LPN; Susie Mattingly, Health Information; Patty Bratcher, Administrative Secretary; Jim Bratcher, Lab; Mona Fulkerson, RN, Director of Home Health; and Merry Lynn Green, CRNA, Surgery; and 15-year employees, Pam McCrady, Director of Cardiopulmonary Services and Nellie Hardin, Environmental Services Supervisor. Five and 10 year employees were also recognized, for a total of 35 employees receiving service pins.

'Make A Difference Day' project
October, 2005--Twin Lakes Regional Medical Center’s employees were among millions of Americans across the country who participated in the 2005 National "Make A Difference Day". In its 15th year, Make A Difference Day is the largest community service effort in the nation, rallying corporations, government leaders, charitable organizations and everyday Americans into action on one day to do volunteer projects to improve their communities and help neighbors in need.

Last year on Make A Difference Day, a record 2.2 million volunteers participated and an estimated 22 million people-in-need benefited. National projects have ranged from a countywide cleanup involving thousands of people to a mentoring program in which members of a sorority provided one-on-one support to 35 underprivileged children. Projects can be large or small, and anyone can participate. Young and old, individuals and groups, anyone can carry out a volunteer project that helps others. It might be as ambitious as collecting truckloads of clothing for the homeless, or as personal as spending an afternoon helping an elderly neighbor or relative. For Twin Lakes Regional Medical Center and its partners, the Hospital Auxiliary and the Zeta Chi Sorority, it was raising money to benefit the Grayson County Community Alliance organization.

The Alliance is a community partnership that supports the needy in the community in numerous ways, the most familiar being operating the county food bank. By sponsoring a "homemade chili lunch and bake sale" on Friday, Oct. 21 at the hospital, employees’ efforts raised $768.50 for the project. The Hospital Auxiliary had pledged to match the amount raised by employees, thus a total of $1,537 was donated to the Community Alliance from the hospital employees and Auxiliary.

Also joining the Make A Difference Day effort was the local sorority, Zeta Chi, which supports the Community Alliance on a regular basis by donating personal items for the needy served by the organization. To participate in Make A Difference Day, Zeta Chi members enhanced the hospital’s donation to the Community Alliance by adding $130 of personal items, such as shampoos, deodorants, dishing washing liquid, toothbrushes and toothpaste, etc. Hospital employees also donated personal items and cans of food.

In addition to the donation to the Community Alliance, several hospital employees also gathered together on the actual Make A Difference Day, Saturday, Oct. 22, to go out into the community to do some small projects for people identified with needs. A local church provided the names. Three homes were visited and minor repairs were made and mowing/weedeating was done. It is hoped that as Twin Lakes Regional’s Make A Difference Day involvement grows each October, our team of volunteers going out into the community, and the number of projects they undertake to help people in need, will grow.

Held the fourth Saturday of every October, Make A Difference Day is the most encompassing national day of helping others — a celebration of neighbors helping neighbors.

'Best in Grayson County' honorees
September, 2005--Twin Lakes Regional employees Marla Cantway, Staff Development; Denise Meredith, Emergency Department; and Vickie Beville, Radiology were listed in the Grayson County News-Gazette’s 2005 "Best in Grayson County" special section. In the "Best Nurse" category, Denise was voted second place and Marla tied for third, and in the "Best Receptionist" category, Vickie tied for third as well. It’s always rewarding to have our employees recognized by the public for the job they do. Congratulations to Marla, Denise and Vickie.

Rowgena Cain joins Twin Lakes ENT Associates
August, 2005-- Dr. John DeBow is pleased to welcome Certified Family Nurse Practitioner, Rowgena Cain, ARNP, to Twin Lakes ENT Associates.  Rowgena, who also serves as the Infection Control and Employee Health Coordinator for Twin Lakes Regional Medical Center, will be working with Dr. DeBow's Leitchfield practice three days weekly.  A Grayson County native, Rowgena received a Bachelors of Science in Nursing (BSN), Summa Cum Laude, from Western Kentucky University in 2003. This past May, she received a Masters of Science in Nursing (MSN) from Western as well, graduating again Summa Cum Laude (4.0 gpa). She was awarded the 2005 Sigma Theta Tau International Honor Society of Nursing Outstanding Graduate Award in Leadership. She was the Masters of Science in Nursing Committee Class Representative at Western from 2003-2005, and she is listed among the Who's Who Among Students in American Colleges and Universities. Other academic honors have included receiving both the Bachelors of Science in Nursing Prelicensure Academic Award and the Bachelors of Science in Nursing Kentucky Association of Nursing Students (KANS) Award in 2003 at Western. She served on the Bachelors of Science in Nursing Student Advisory Board at Western from 2001-2003, and she was President of Western's chapter of the Kentucky Association of Nursing Students, 2002-2003.

DaVita opens Leitchfield dialysis center
May, 2005--Located in the newly-expanded Cave-Bland Medical Complex at Twin Lakes Regional, the DaVita Leitchfield Dialysis Center began seeing patients in May. DaVita provides dialysis services for those diagnosed with chronic kidney failure, a condition also known as chronic kidney disease (CKD). The company serves nearly 55,000 patients in 37 states and the District of Columbia from over 665 outpatient dialysis centers currently in operation. DaVita also provides acute inpatient dialysis services in over 369 hospitals across the country. All this makes DaVita the largest independent provider of dialysis services in the United States. For more information about the Leitchfield office, located at 912 Wallace Avenue, Suite 106 in the Cave-Bland Medical Complex, phone 1-800-424-6589 Ext. 2139. For general DaVita guest services, phone 1-800-244-0680 or visit the company's website at www.davita.com.

White assumes seat on hospital board
January, 2005-- Kerry White of Leitchfield began duties in January as the newest member of the Grayson County Hospital Foundation, Inc.'s Board of Directors. Representing the First District, White replaces Sara Manion whose term had expired. Manion, who had served six years on the board,  was not eligible for re-election. Re-elected to second terms were David Brown representing the Second District and At-Large member, Houston Elmore. Other directors include: Kevin Shaw, Third District; Raye Montgomery, Fourth District; Darrell Moll, Fifth District; Marla Cantway, Sixth District; and At Large members, Dr. Joseph Petrocelli and David Downs. The board elections were held in November at the hospital's annual stockholders' meeting.

Dr. Angeles relocates office
January, 2005-- Neurologist Dr. Victor Angeles has relocated to the hospital campus. His office, previously located on Commerce Drive in Leitchfield, is now on the second floor of the Kelley Medical Center, Suite 201. His office number is 270.230.0212.

Two new rehab services offered
December, 2004-- Twin Lakes Regional's Rehabilitation Department now offers an important new therapy program to assist diabetic patients with peripheral neuropathy, as well as therapy for women suffering from incontinence or pelvic floor dysfunction. For more information on both services, follow this link to Rehab Services.

Clarkson welcomes nurse practitioner
December, 2004--Certified Nurse Practitioner Greg Brandenburg, ARNP, has joined Dr. Victor F. Duvall at Twin Lakes Family Practice in Clarkson. Greg received his undergraduate degree from the University of Louisville and a Master's degree from Vanderbilt University in Nashville. His work experience prior to joining Dr. Duvall in practice included serving as a nurse practitioner at both Luther Luckett Correctional Complex in LaGrange and Health Essentials, Inc. in Louisville. Greg is a member of the American Association of Nurse Practitioners and the American Nurses Credentialing Center-Advanced Practice Registered Nurse.

Surgeons, ENT occupy new offices
November, 2004-- The hospital's nearly completed expansion project has allowed the relocation of two physician offices. Twin Lakes Surgical Associates (Drs. Petrocelli and Claffey) and Twin Lakes ENT Associates (Dr. DeBow) are now located on the second floor of the new Emergency Department addition. Also included on the floor is a computer classroom for the hospital staff. Construction continues on the third floor of the building to create a women's center. When completed, the hospital's OB/GYN's will be relocating their offices to that new suite. The anticipated completion date for the third floor is February.

Second Orthopaedic Surgeon joins Medical Staff
August, 2004--Twin Lakes Regional Medical Center welcomed Grayson County native, Ted B. Rogers, M.D., to its Medical Staff earlier this month. An orthopaedic surgeon, Dr. Rogers opened his practice, "The Center for Orthopaedic and Sports Medicine," in Leitchfield on Aug. 2.
      Raised in Clarkson, Dr. Rogers is the son of Mary Jane Rogers of Louisville and the late Sid Rogers. He completed medical school at the University of Louisville, and his internship and residency were completed at U of L affiliated hospitals. He is Board Eligible with the American Board of Orthopaedic Surgery.
      Twin Lakes Regional’s CEO, Stephen L. Meredith, said about Dr. Rogers’ recruitment, "With the ever-increasing shortage of physicians of this specialty, we are extremely pleased and excited to have Dr. Rogers join our medical staff to add to and complement our existing orthopaedic services."
      Meredith added, "It is always rewarding to have our young people return home to Grayson County to share their skills and talents. Along with our other orthopaedic surgeon, Dr. Casey Starsiak, I am looking forward to Dr. Rogers helping us build one of the best orthopaedic programs in Kentucky."
      "I’m very happy to join Twin Lakes Regional," Dr. Rogers said, "and I look forward to a long and satisfying relationship with the medical staff, hospital and community."
     The Center for Orthopaedic and Sports Medicine is located in the Cave-Bland Medical Complex, Suite 104, at the hospital. For more information, call 270.230.0124.

Twin Lakes Regional awarded accreditation from Joint Commission
June, 2004--By demonstrating compliance with the Joint Commission on Accreditation of Healthcare Organization's national standards for health care quality and safety, Twin Lakes Regional Medical Center has earned the Joint Commission's Gold Seal of ApprovalTM.
      "We sought accreditation for our organization because we want to demonstrate our commitment to safety and quality care," says hospital CEO Stephen L. Meredith. "We view obtaining Joint Commission accreditation as another step toward achieving excellence."
      "Above all, the national standards are intended to stimulate continuous, systematic and organization-wide improvement in an organization's performance and the outcomes of care," said Kurt Patton, executive director, Hospital Accreditation Program, Joint Commission. "The community should be proud that Twin Lakes Regional is focusing on the most challenging goal -- to continuously raise quality and safety to higher levels."
      The award of accreditation is for the three-year period, 2004-2007. Founded in 1951, the Joint Commission on Accreditation of Healthcare Organizations seeks to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations. The Joint Commission evaluates and accredits nearly 17,000 health care organizations and programs in the United States, including approximately 9,000 hospitals and home care organizations, and 8,000 other health care organizations that provide long term care, assisted living, behavioral health care, laboratory and ambulatory care services. The Joint Commission also accredits health plans, integrated delivery networks, and other managed care entities. An independent, not-for-profit organization, the Joint Commission is the nation's oldest and largest standards-setting and accrediting body in health care.
      In surveys separate from the hospital's, the Twin Lakes Home Health Agency and Twin Lakes Regional's Laboratory were also awarded accreditation by the Joint Commission.

Hospital expansion project continues
April, 2004--An expansion project underway since June 2003 at Twin Lakes Regional Medical Center is bringing more space for physician offices and other services.
The Cave-Bland Medical Center is undergoing a dramatic change, with a 17,000 square foot expansion. The project will provide office space for four additional physicians and other services, and will include shelled-in space for future projects.
      The second phase of the expansion will include finishing out the current shelled-in second floor over the Emergency Department and adding a third floor to that section, thus providing space for five physician offices. (Click on photos for larger images.)
      The construction is actually Phase 1 of a 10-year master plan that maps out expansion efforts for the hospital over the next decade. CEO Stephen L. Meredith said the plan is subject to change through the years, though, based on the hospital’s needs and the health care needs of the public.
      "A need that may have looked like a priority for the hospital when architects devised the master plan last year, may change in the months, years to come," Meredith said. "With technological advances and the ever-changing face of healthcare, it’s difficult to predict what will come next."
      Prior to moving to its current location in 1979, the hospital was a 14,000 sq. ft., 40-bed facility in downtown Leitchfield with a medical staff of 5 physicians. Today, the hospital is 126,000 square feet with multi-services, advanced diag-nostic technology, and a 28-member medical staff. The hospital’s last expansion project in 2001 resulted in the addition of the new Emergency Department and an expanded and remodeled radiology department. Expansion projects beginning in 1994 added the Thomas Surgery Center, the Cave-Bland Medical Complex, and added a second floor to the Kelley Medical Center.
      Meredith said Twin Lakes Regional is "unique" because the hospital’s growth is unusual for rural hospitals nowadays. While other hospitals have had to cut services to keep their doors open the past 10 years, Twin Lakes Regional has been able to move forward, adding services and physicians. Meredith said this is because the hospital has been able to generate a bottom line based on volume.
      Currently, the hospital is enjoying more than 70 percent of the market share in its service area which is also unusual for a rural hospital. "Most hospitals are happy if they can achieve a 50-percent share," Meredith said.
     Adding new services increases patient numbers and thus makes the hospital self-sufficient financially. All of the expansion projects, including the one underway, have been funded solely by hospital operations.
     "We haven’t had to borrow money thus far for the expansion project, and we haven’t had to go to the county or the public to ask for money," Meredith said. "I don’t know of any other county-owned hospital that can say that.
      The expansion is slated to be complete this summer.

Twin Lakes Regional recognized for outstanding performance
March, 2004-- Twin Lakes Regional Medical Center was the recent recipient of several prestigious awards from Alliant Management Services. These awards-- highest overall performance, second in financial performance, and tied with Fairfield Memorial Hospital in Fairfield, Ill., for second in customer performance -- were presented to Twin Lakes Regional on Friday, Feb. 27, at Alliant's annual meeting.
      “We have a long-standing relationship with the community based on quality health care,” said Board Chair Darrell Moll. “Our board and staff have a commitment to excellence and compassionate care. Being recognized by Alliant reinforces this commitment to maintaining consistent, quality care for patients in the region.” Moll and the board work in coordination with CEO Stephen Meredith.
      Twin Lakes Regional received the highest overall performance award. This award was given to the hospital that excelled the highest in the areas of financial performance, clinical outcome, and customer performance. These annual awards were based on data from 2003.
     The following are the criteria for the additional awards received by Twin Lakes Regional:

• Customer High Performance -- Customer service benchmarks considered measures on nursing care, emergency room and  hospital registration, cleanliness and patient satisfaction with ER physicians.

• Financial High Performance -- Financial performance benchmarks look at total margin, current ratio and total cash on hand, days in accounts receivable, full-time equivalents per adjusted patient day, salary and benefits as a percent of net revenue and long term debt to capital.

     The following are the other awards given by Alliant for the hospitals it has management contracts with: Clinical High Performance-- Clinical standards considered measures on inpatient falls, inpatient mortality rate and average emergency room turnaround time; and Best "Bottom Line"-- Because the profitability of a rural hospital is so volatile from one year to the next, the "bottom line" or net income is one of the most important short term measures of financial success.
     “The standards Alliant set with ratings and criteria contain the most important elements of effective health care,” Moll said. “The board and staff at Twin Lakes consider this award a challenge to continue to provide the best health care available.”
     Alliant Management Services, based in Louisville, is part of Blue and Company LLC., a regional Certified Public Accounting firm. In addition to the management service contracts it has with 13 hospitals, it has unbundled service contracts--for purchasing as an example--with another 30 hospitals throughout the Midwest.

Pictured from left: Michael Stigler, Director, Blue and Co., LLC; David Downs, Board Vice President, Twin Lakes Regional Medical Center; Stephen Meredith, CEO, Twin Lakes Regional Medical Center; Chris West, President, Alliant Management Services. 

Positron Emission Tomography (PET) added to hospital's diagnostic imaging
February, 2004--Through a mobile service, Twin Lakes Regional  Medical Center now offers Positron Emission Tomography (PET), one of the most advanced and powerful diagnostic imaging techniques available today to diagnose many diseases.
   Positron Emission Tomography (PET) is a camera that produces powerful images of the human body. It is a non-invasive procedure that provides unique information about the body’s metabolism, cell function and exact location of a disease. Unlike CT and MRI scans, which study anatomy or body structure, PET looks at body function.
    Because PET scans are pictures of the body’s chemistry, many diseases can be seen in their earliest stages. Research has shown that PET can effectively pinpoint the source of many of the most common cancers, and PET can give physicians important early information about cardiac and neurological diseases.

Berryman, Abell board terms end
January, 2004--Outgoing members James C. Berryman and Fran Abell were recognized at the Hospital Foundation Board's November meeting for their many years of service and dedication to the board of directors, hospital and community. Mr. Berryman, who represented the county's fourth magisterial district, served as chairman of the board his last term. Mrs. Abell, the sixth district representative, served as secretary/treasurer. Having served two consecutive 3-year terms on the board, they were not eligible for re-election. In early November at the annual Grayson County Hospital Foundation, Inc. Stockholders' meeting, Anna Raye Montgomery and Marla Cantway were selected to fill the vacant fourth and sixth district seats, respectively. Other board members include: David Brown, David Downs, Houston Elmore, Sara Manion, Darrell Moll, Dr. Joseph Petrocelli and  Kevin Shaw. When the new board held its first meeting in January, Darrell Moll was elected chairman; David Downs, Vice-Chairman; and Raye Montgomery, Secretary/Treasurer.

East Lake Drive entrance closed as new expansion project begins
June 9, 2003--  Spring has brought a new expansion project to Twin Lakes Regional Medical Center, and thus bringing more space for physician offices and other services.
   The Cave-Bland Medical Center will see the most dramatic change, with a 17,000 sq. foot expansion. The enlargement will provide office space for four additional physicians and other treatment centers, and will include shelled in space for future expansion projects.
  The second phase of the expansion will include finishing out the current shelled-in second floor over the Emergency Department and adding a third floor to that section, thus providing space for five physician offices. 
    As of June 9, and continuing during construction, the hospital entrance off East Lake Drive has been closed, leaving Wallace Avenue as the only entrance/exit to the facility. There are considerable changes in parking as well, mostly affecting employees, and patients will have some temporary changes in entrances to Cave-Bland physician offices and the hospital's rehabilitation department/fitness center. Every effort is being made to inform patients/the public about these changes through announcements in local newspapers and radio, and physician offices.