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Show The Garfield County Insider KAZAN CLINIC Q B A October 21, 2010 Questions submitted by Residents of Escalante concerning the conversion of the Kazan Clinic (IHC) to a satellite clinic of the Wayne Community Health Center (WCHC) Note: Responses prepared by WCHC were written by Gina Flanagan and are indicated by WCHC at the end of the response. Responses from Garfield Memorial Hospital were written by Alberto Vasquez and are indicated by GMH. Responses from the Escalante Healthcare Committee (EHC) were written by Drew Parkin and are indicated by EHC. Question: A detailed that the current employ- WCHC has with a physician nineteen people, with the Memorial Hospital Govern- may have to grow for a few staffing plan is required in ees' retirement and benefits that travels from Richfield number increasing as more ing Board), Elaine Lott (Es- years to have that coverage. the grant application. What would not be affected by to Bicknell. I have already people became aware of the calante resident) , Chyleen WCHC submitted this information Committee's work. The MacKay (Boulder resident) The term emergency is the staff breakdown as the change. GMH far as days each for Phy- Question: Will Judy be re- to Intermountain's contract- City Council was kept in- Drew Parkin (Escalante services is probably not sicians, Physician's Assis- tained in her current office ing department and they are formed of the Committee's resident), Jerry Taylor (Es- the correct term that should tants, Registered Nurses, position? Will her IHC re- working on the contract. progress through frequent calante Mayor), Alyssa be used. WCHC menpresentations at City Coun- Thompson (Boulder resi- tioned after hours clinic or Licensed Practical Nurses, tirement and benefits be af- GMH Question: The grant re- cil meetings by Committee dent), Jackie Withers (Es- care. Emergency services office staff or any other nec- fected in any way? Judy will be retained in view criteria requires an members. This informa- calante resident), Emilee is a hospital service and essary clinical staff? After discussions with her current position. She increase in access. How do tion was also included in the Woolsey (Escalante resi- no emergency services are Garfield Hospital my un- has indicated that she does you propose to increase the City newsletter. Several dent), Sheri Woolsey (Ka- planned for Escalante, howderstanding is the current not want any more access for Boulder clients? outside healthcare experts zan Clinic staff and Es- ever, as stated, after hours Cutting the drive in half were invited to Committee calante resident) call which may include on days will remain the same hours so we will need to and reducing the risk of meetings and their underhire someone to cover the Healthcare experts and call 24/7 may be an option for their staff. Since they are driving the mountain pass standing of rural healthcare days she is not available. county commissioners who depending on demand and already coming Mon, Wed, Her benefits will not be afin winter months is increasadded a great deal to the attended one or more Com- support. Garfield and Fri they would continue fected in any way according ing access and I have heard Committee's understandmittee meetings include: Question: Under the grant, that schedule to tie into their that the Boulder town counto Alberto her boss. WCHC ing of the issues involved. Gina Flanagan (CEO, dental care, treatment for other clinics schedules. LoSee question B. GMH cil has voted to support this Garfield County CommisWayne Community Health substance abuse and mencal staff would be hired to What would be effort wholeheartedly. I Question: sioners also attended some Center), Eileen Fraser tal health must all be adcover Kazan clinic on the the estimated number of have also received numerof these meetings. The idea (Board Member, Wayne dressed. Will the current other clinic days and after new positions or hires creof joining forces with the ous letters of support from Community Health Center) dentist become part of the hours. The additional staff Wayne Community Health Dell Lefevre (Garfield system or be in competition hired may also work on ated at the opening of the Boulder. WCHC the days that Garfield pro- WCHC in Escalante and Question: Besides the Center was one of the alter- County Commissioner), with it? That will depend on him viders come depending on what are the projected hires Board of WCHC, who else natives discussed at these Dennis Moser (Executive need. I know we will need by the end of the two year must vote on the content of meetings and it ultimately Director, Utah Center for and his schedule. I have the grant request for this became the option that the Rural Health, Southern spoken with Justin Marsh, one full time provider (PA grant period? There would be need for expansion before it is for- Committee elected to pro- Utah University), Leland DDS and he seemed very or ARNP) Our current ratio pose. Pollock (candidate for Gar- interested in working with is 1-2 MA's (Medical Assis- a provider (PA or ARNP), mally submitted? Once a preliminary pro- field County Commission- us which I would love to No one. WCHC tants) per provider and 1-2 assistants unless Sherry will The WCHC response posal was in place the Com- er), Clair Ramsey (Garfield do. I do not want to put Dental Asst per dentist and continue in that role, denfront desk staff to answer tist, dental asst., front desk is correct. However, it is mittee proposed to the City County Commissioner), words into his mouth so I phones and make appoint- staff, pharmacy technician. important to note that the Council that a public meet- Alberto Vasquez (Admin- would recommend speakments to give you an idea After two years all services Escalante Healthcare Com- ing be held to present the istrator, Garfield Memorial ing with him. WCHC about staffing needs. There must be provided adding a mittee, the City of Escalan- proposal and hear the opin- Hospital), Kevin McCulley Question: Will dental ofwill also be the pharmacy therapist part time. WCHC te, the Garfield County ions of residents. At this (Association for Utah Com- fices need to be added on or Commission, and Inter- meeting the proposal was munity Health) be located off-site from the component which will Question: In five years? It depends on the commountain Healthcare/Garpresented by the CommitOn several occasion the clinic? probably require a pharfield Memorial Hospital are tee and a written summary munities support. We curCommittee also consulted I had hoped to add on macy technician on site to rently have 38 employees all actively engaged. EHC of the proposal was made with Intermountain Health- to the current clinic but it dispense medications. It Does it need to and double your population Question: available. Healthcare excare officials in SLC and St. currently looks like we will will be staffed depending be unanimous? for our catchment area. So perts and county commisGeorge via telephone. EHC need to be located off site on demand and how the I could estimate 18 if the No, this is a democracy, sioners were invited to atQuestion: IHC currently right now. We will need to community uses the clinic. community supports the as long as we have a quotend and answer questions pays rent to Escalante City find a building and set it up WCHC clinic and the tourists that rum majority rules. WCHC raised by meeting attendin the amount of $400 per for dental and rent it from a Yes, that is also GarHas a public income thru Escalante. We Question: ees. The meeting was held month, and pays the utili- local person. WCHC field's understanding. Also, currently have 330 people formation meeting concernin August and was attended ties for the building. In the Question: Would the mental having the planned PA/ ARNP in Escalante will al- driving to Bicknell for care ing this expansion, been by over 100 local residents. grant, what financial ar- health and substance abuse low the clinic to stay open from Sevier County about held with the Wayne County At the end of the meeting rangements are proposed portions of clinic services people with an interest in between Escalante City and be located in the present when Garfield is not able the same distance you are Commission? No, the county commis- the topic were invited to at- WCHC? clinic or require additional to cover the clinic due to from Panguitch. WCHC We would probably want space or locations? our medical staff schedule. Question: Who would be sion has no power or sway tend future meetings of the over WCHC we are private Committee. As a result, set up a long term lease. I am not sure I have not Currently, our practice is to doing the hiring? The manager of the non-profit business with a Committee meetings held All utilities on the building received the blue print of just close the clinic. GMH Question: Who would be clinic, with the input from mission to provide services since the public meeting would be the responsibility the clinic to determine what responsible for the over- Garfield Hospital partners to underserved communi- have been particularly well of the leasee as it is in most could be done. My hope is leases. In many communi- that we could accommodate sight of any additional mid- and the executive director ties. Garfield County Corn- attended. In addition to the nine ties the community lead- the service there. WCHC mission has indicated suplevel staff present during of WCHC. WCHC the additional clinic hours? Question: Would the Doc- port for this project as did Committee meetings and ers are so thrilled to get the Question: What is the esWCHC will need to con- tors (IHC) have input on Wayne County Commis- the public meeting, repre- services for their commu- timated schedule for the sion when we started. I per- sentatives of the Commit- nity members they support implementation of mentract with one of the doctors hiring? Absolutely, since they sonally have also received tee held three meetings in the expansion in multiple tal health care, substance at Garfield Hospital to supervise any medical provid- will need to either be su- over 200 letters of support Bicknell with the Wayne ways. This can sometimes abuse and dental health er at the Kazan clinic. They pervising or working with from Escalante Residents. Community Health Cen- be buildings or land for ex- care? ter's board of directors, ample to build a new clinic All services have to be ofwill be employees of Kazan the staff at Kazan Clinic. WCHC Who are the management, and senior WCHC Question: on. From my perspective fered by the end of the two Clinic a satellite of WCHC. members of the Healthcare Question: Committees and staff. These meetings also the community members year grant period. WCHC Dr. Chappell has met with Committee? How many agencies involved with included tours of the Health would rather have services Question: The WCHC restaff of Garfield Memothis change recently met meetings has the CommitCenter facility. Also, in than rent money but that is quires a Board of at least rial to answer any questions with the Doctors from Pantee had? Was the public September representatives up to the community and 9 members. Are these they may have. WCHC guitch (IHC). Are the Docinvited to any or all of these from the Committee atyour town representatives. Board members selected or Question: Would Sherry, tors committed to continue meetings by public notices? tended a public meeting You ask about admin costs elected and by whom? Will our current Registered providing care at the clinic Following is a chronolsponsored by the Boulder in another question the there be an open applicaNurse, still be working with patients or will she be re- under a different provider? ogy of the activities of the Alliance at which they pre- more admin costs you have tion process? Our current Board is quired to take on additional Will IHC continue to recruit Escalante Healthcare com- sented the proposal for en- to pay the fewer dollars you or different responsibili- Doctors for the Escalante mittee and a list of Commit- hancing the Kazan Clinic. have to give back to your 11 members. These are not Clinic, or will that task be tee members. Based on this the Commit- community. To answer your elected positions. In our ties? In March of 2010 a group tee was invited to make a question in this case there community we represent all That is up to Sherry you delegated to WCHC? Garfield Memorial of Escalante residents with presentation at the Boulder have not been any financial of the towns (9) and users will need to ask her. She is the perfect candidate for Hospital has not recruited an interest in enhancing lo- Town Council. A two-page arrangements made to date. of the clinic. For instance if you had a large Hispanic managing the clinic since physicians for Escalante. cal healthcare services at- summary of the proposal WCHC she has been managing Garfield has recruited phy- tended an organizing meet- was also made available and Question: What are the population you would want Kazan Clinic for so many sicians for Garfield Memo- ing on the subject. This was distributed it widely in planned hours for standard a Hispanic representative clinic operation? When is so that you can provide the years. If she chooses to rial Hospital and the physi- meeting was a result of a the Boulder community. Escalante and Boulder it estimated that emergency services that population take the management posi- cian may or may not work discussion at City Countion she would have added at Escalante. Garfield will cil meeting, in which the residents who attended services will be available may need. We might go to the Hispanic community responsibilities along with continue to recruit as need- Council indicated their sup- multiple meetings of the 24/7? ed. Assuming the grant port for Mayor Taylor to Escalante Healthcare ComThat will depend on your and get the names of people her patient care and she will is approved, any recruitlook into ways for enhancmittee are listed below. board members. The board who are civic minded and also have two extra days ment for Escalante will be ing healthcare services proSeveral additional local decides the hours of op- want to help their comin Escalante to accomplish WCHC's responsibility. vided at the Kazan Clinic. residents attended a single eration I imagine the hours munity and then visit with those tasks. If she wants to Garfield Memorial Hospital Following the organizing meeting of the Committee. will be 9-5 Monday thru them to see who would be continue in her current roll is committed to providing meeting these residents Greg Allen (Escalante City Friday. We are required to the best candidate. The with IHC and do patient Council Member), Deon care to Escalante regardless proposed to the Escalante have some hours outside board is a non-paid board care only then she will keep of who is actually running City Council that a commitAlvey (Escalante Member, the bankers hours that can of directors and is self perher current schedule and the Kazan Clinic. GMH Garfield Memorial Hospital tee be formed to consider either be an evening on petuating or the current travel to Panguitch on the WCHC would hire any Governing Board), Al Barlocal healthcare issues. a weekday or a Saturday board members choose days she is needed there. full time doctor for Kazan low (past Escalante MemWith City Council encourclinic but the board mem- new board members. There Kazan would then need a Clinic. WCHC agement the Committee ber, Garfield Memorial bers from you area would is not an open application full time manager. WCHC Question: Will her IHC re- Question: Has Garfield was formed and met nine Hospital Governing Board) help make that decision. I process although we have tirement and benefits be af- Memorial Hospital ap- times between March and Jean Bramble (Escalante hope to see after hours dur- had individuals come to the proved a contract for ser- October. The City Coun- resident), Judy Brooks ing the week as soon as we board to let them know they fected in any way? Garfield Memorial has vices for their staff with cil encouraged residents ((Kazan Clinic staff and can get a provider hired so would be interested in servwho were interested in the Escalante resident), Lori that would happen rather ing. It is a board decision agreed to contract with WCHC? Intermountain has a con- subject to join the commit- Coleman (Escalante resi- quickly. We would need not a political one. WCHC WCHC to provide the staff and medical staff. This tract in draft and one that tee. Each meeting was at- dent), Brent Griffin (Es- two providers to have all Question: If patients are reagreement was made so would be similar to what tended by between six and calante Member, Garfield weekend call covered so we ferred to Garfield Memorial |