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Show October 2n9 201 Hospital, will different data Question: Under the grant, systems be able to "talk" new projects are acceptto each other and informa- able. IHC has opened 2 tion shared? Or will some Community Health Clinics testing have to be repeated? elsewhere in Utah. Was If referred to specialists IHC ever asked to convert within the IHC system, will the Kazan Clinic to a Comthey have access to records munity Health Clinic? as well? Intermountain has not WCHC has a different opened any Federally EMR(Electronic Medical Qualified Health Centers Record) from IHC. Cur- (FQHC) in Utah. I asrently these two systems do sume the question is refernot talk to each other how- ring to the FQHC recently ever our current providers opened in Cedar City and/ have full access to HELP or a school clinic that was 2 the IHC record to look at opened recently in St. any tests that are done or George. I don't know hospitalizations. They have much about the school access to any patients they clinic. However in Cedar have sent so that they can City, a free clinic, which check up on the patient and was located in the hospibe up to date on their care. tal, was created and which There is no reason to repeat utilized physician and staff tests since Garfield Hospi- volunteers. This was an tal or IHC is doing all of the evening hour clinic. After tests. some time, this clinic got Specialists in the IHC bigger and the Rural Exsystem have access to all of tension Office that is mantheir tests in their records. aged by Dennis Moser took When our provider sends charge of the operations for one of our patients to a spe- this clinic. Overtime, they cialist regardless of wheth- moved out of the hospital er they are IHC or not they because the hospital needhave all of the primary care ed the space. This clinic information and test results worked with the FQHC in to treat them effectively. St. George to become a satWCHC ellite of St. George's FQHC Question: How many Gar- similar to what is going on field County patients are with Bicknell and Escalancurrently being served at te. Intermountain has no the existing WCHC? operating responsibilities 320 WCHC for any FQHCs. GMH Question: According to the The Escalante HealthWCHC website, the mini- care Committee also remum co pay now stands at ferred this question to the $16. Patients at or below Intermountain Healthcare the poverty level pay this VP for Public Affairs in amount. Patients with an SLC. His response was income of 100% to 200% consistent with the GHC of the poverty level pay ac- response. IHC is not intercording to a sliding scale. ested in starting IHC-run Those patients at 200% rural healthcare centers. or above pay the standard They are, however, supfees for the clinic. What is portive of the concept and the percentage of patients, have expressed their supserved by the clinic within port for our proposal. It is these three categories? important to note that when Our minimum co-pay the Committee was considjust changed to $25. A to- ering options the idea of tal of 46% of the patients joining some other commuseen in our clinic have ac- nity healthcare center was cess to the sliding rate. We considered. The Cedar City also have 12% verified over opinion was specifically 200% poverty and cannot considered and found to not use the sliding fee program. meet Escalante's needs. We There are 42% of our pa- elected to propose merging tients that choose to not with WCHC for the followdisclose their income which ing reasons: (1) They are is their right. The only time the nearest to Escalante, (2) you would need to disclose They already serve so many your income is if you want Escalante residents, (3) The access to reduced fees. population that they serve WCHC is very similar to that of Question: If a "sliding Escalante, (4) They have a scale" patient is referred proven track-record of sucto Garfield Memorial Hoscess, and (5) They have the pital, what happens to their administrative, financial, sliding scale rate? and medical knowledge to We can only discount our implement this proposal. fees not other entities. My EHC understanding is that IHC has their own program to Question: As it is proposed help patients that struggle in the grant, what perwith medical bills. They are centage of the total grant also a private nonprofit just amount is allotted to administration costs and how as WCHC. WCHC Correct. Our current much to patient care? There are no adminispolicies and practices are to provide financial assistance tration fees paid with grant as needed. There is an ap- funds. WCHC gave back to plication process which community double of what verifies and confirms pa- we received from the grant funds. Last year that was tient need. GMH Question: If there are cur- close to 1 Million dollars. rent patients of IHC that None of this funding was prefer not to be treated by spent on administration. WCHC, where would they I cannot say what Kazan Clinic will use since it is need to go for treatment? I am not sure why any- smaller and just starting. one wouldn't want to con- There will be some start up tinue to see their current costs for dental equipment provider since they would and x-ray equipment and still be IHC providers, still anything else we need to do covered by their insur- to get up to speed but after ance but just under differ- the initial few years all of ent management but if that the grant funding should go is their choice they can go to patient care. WCHC anywhere they like. My Question: What percentage understanding is that Pan- of the current budget is curguitch or Bryce Valley are rently spent for these same the nearest places that have items at the Kazan Clinic physicians or midlevels for by Garfield Memorial Hosprimary care. WCHC pital? Since the hospital operates the clinic, we do not allocate administrative costs to the Escalante clinic. The cost of administrator's time, billing, malpractice, etc are all in the hospital budget. Currently all that is in the Escalante department budget is the direct costs of the clinic. I am not going to take the time to try to figure out an estimated administrative cost for Escalante. GMH I would like to add a personal note - Alberto Vasquez I know many are concerned about this change. The committee has been very thoughtful and careful about this effort to convert the Escalante clinic to a Federally Qualified Health Center (FQHC as a satellite of Wayne Cornmunity Health Center, a FQHC. The quality of care will not change as it will be the same providers and staff. The relationship with Garfield Memorial Hospital will be the same. The FQHC/WCHC will bring additional resources that are not available through Intermountain Healthcare. The WCHC has a strong reputation and its quality of care is well documented as it is accredited by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO). Meeting JCAHO standards is no easy accomplishment. There are very few clinics that achieve this high standard. The conversion will bring some changes to the operations of the clinic but the changes are minor especially compared to the benefit that the new clinic will bring. However, the basic function of the clinic is the same, providing primary care to the community. In addition to increased access to primary care, dental and other services will come as the clinic matures. I have addressed comments about if the clinic fails, will the Intermountain return to Escalante. I say again, we will. Statements that have been made by anyone that Intermountain would not are irresponsible and incorrect. Also, some have asked if Intermountain feels insulted or unappreciated that some in the community are seeking this opportunity. Absolutely not. This is not about personal or company ego. If there are other options that can provide improved access to care, that is great and Intermountain is supportive of these efforts. Intermountain is proud of what they have accomplished over the many years that they have serviced the community. We look forward to serving the community in the future. However, now we have the potential of having a partner with the Wayne Community Health Center. Signed: Alberto Vasquez, Garfield Memorial Hospital I= =I I= =I MMMMMM OFFICIAL BALLOT GARFIELD COUNTY, UTAH TUESDAY, NOVEMBER 2, 2010 4 14124,1 COUNTY CLERK INSTRUCTIONS TO VOTERS: To vote for the candidate of your choice, completely darken the OVAL • next to the • candidates name. To vote for a person whose name is not on the ballot, darken the OVAL next to 'Write-In" and write in the candidate's name on the Write-in line, To vote on a measure, fill in the oval next to your choice. Use ballpoint pen with dark ink (not red). All distinguishing marks or erasures are forbidden and make the ballot void. If you tear, deface, or wrongly mark this ballot, contact the County Clerk's office or Poll Worker. VOTE LIKE THIS: • VOTE BOTH SIDES OF THE BALLOT Voting this Straight Party Race is optional. It is permissible to vote for candidates of various political parties in this election. STATE RACES GOVERNOR (Vote for One) (Vote for One) (REP) n LELAND F. POLLOCK GARY R. HERBERT GREG BELL STRAIGHT PARTY (Vote for One) (DEM) W. ANDREW MCCULLOUGH ARIC M. CRAMER SR. 1.11; C ) DEMOCRATIC PARTY (DEM) GARFIELD COUNTY COMMISSIONER SEAT B (Vote for One) (LIB) 7,1 CLARE M. RAMSAY (UNA) (CON) GARFIELD COUNTY RECORDER (Vote for One) LES BARKER UTAH STATE SENATE DISTRICT 28 tCONRTITITTION 'I GARFIELD COUNTY SHERIFF OP UTAH Write-in (LIB) O JAMES D. PERKINS JR. (Vote for One) ef, MIKE NOEL (Vote for One) ) MIKE LEE GARFIELD COUNTY TREASURER (Vote for One) (REP) Write-in U.S. SENATE n JEANNIE W. HENRIE (REP) Write-in COUNTY RACES (REP) GARFIELD COUNTY ASSESSOR (Vote for One) (DEM) , ) SAM F. GRANATO ) SCOTT N. BRADLEY Write-in JUDICIAL RETENTIONS Shall William A. Thorne, JR. be (CON) 0 JOE THOMPSON (REP) retained in the office of Judge of the Court of Appeals of Write-in Utah? GARFIELD COUNTY ATTORNEY 0 YES ) U.S. HOUSE OF REPRESENTATIVES, SECOND DISTRICT (Vote for One) 0 NO BARRY L. HUNTINGTON (Vote for One) MORGAN PHILPOT (REP) JIM MATHESON (DEM) (REP) Write-in GARFIELD COUNTY AUDITOR AND CLERK (CON) RANDALL HINTON , DAVE GLISSMEYER (UNA) - - WAYNE L. HILL (UNA) Write-in (Vote for One) ▪ Shall Paul D. Lyman be retained in the office of Judge of the Juvenile Court of the Sixth Juvenile Court District? YES ,; NO (REP) CAMILLE A. MOORE Shall Russell B. Bulkley be retained in the office of Justice Court Judge of Garfield County? Write-in YES r Shall Elizabeth A. Christensen be retained in the office of Justice Court Judge of Escalante City? — YES NO Shall Martin Nay be retained in the office of Justice Court Judge of Panguitch City? YES NO SCHOOL BOARD RACES UTAH STATE BOARD OF EDUCATION DISTRICT 14 Shall the Utah Constitution be amended to provide a property tax exemption to nonprofit entities for their: • water rights and specified facilities used within the state to irrigate land, provide domestic water, or provide water to a public water supplier; and • land occupied by and, under certain conditions, immediately adjacent to some of those facilities? FOR — AGAINST (Vote for One) CONSTITUTIONAL AMENDMENT D DIXIE LEE ALLEN =JOHNY THAYNE Write-in GARFIELD COUNTY SCHOOL BOARD DISTRICT #4 (Vote for One) KENNETH G. PLATT Write-in GARFIELD COUNTY SCHOOL BOARD DISTRICT #5 (Vote for One) — CHERYL COX Shall the Utah Constitution be amended to: • establish a five-member legislative ethics commission whose members may not include sitting legislators or registered lobbyists; • authorize the commission to conduct an independent review of complaints alleging unethical legislative behavior; and • authorize the Legislature to provide for: • procedures and requirements for filing a complaint; • the qualifications, appointment, and terms of commission members; and • commission duties, powers, operations, and procedures? GLADYS H. LEFEVRE O FOR Write-in C AGAINST CONSTITUTIONAL AMENDMENTS CONSTITUTIONAL AMENDMENT A Shall the Utah Constitution be amended to specify that elections currently required to be by secret ballot include elections under state or federal law for public office, on an initiative or referendum, or to designate or authorize employee or individual representation? FOR AGAINST CONSTITUTIONAL AMENDMENT B Shall the Utah Constitution be amended to: • specify the residency requirements for a person appointed to fill a vacancy in the office of state senator or state representative; and • prohibit a person appointed to the office of state senator or state representative from continuing to serve in that office if the person ceases to be a resident of the district for which the person was appointed? FOR FOR SALE! — We have hired - Eric Douglas from Kanyon Ant ACTIVECARE PROWLER FROM THE SCOOTER STORE 389 N. Main Panguitch Utah 435-676-8300 NO CONSTITUTIONAL AMENDMENT C AGAINST CONTACT GRETCHEN @ 676-3086 COME CHECK IT OUT PANGUITCH DRUG (REP) O Write-in UTAH STATE HOUSE OF REPRESENTATIVES DISTRICT 73 FEDERAL RACES (Vote for One) (REP) ^, DENNIS E. STOWELL LIBERTARIAN PARTY (REP) Write-in (Vote for One) PARTY (REP) - -1 Write-in FARLEY M. ANDERSON STEVE MAXFIELD ▪ -, Write-in CONSTITUTION PARTY (REP) Write-in (REP) 0 PETER CORROON SHERYL ALLEN REPUBLICAN PARTY GARFIELD COUNTY COMMISSIONER SEAT A "Here to Serve You" Your Vehicles & Toys |
