North & South health care
Eggs that flv
I wenty , u teams o f students com
peted in a tournament at lone
Schools November IV t w o student
teams were challenged to design and
construct a vehicle to carry a raw
egg Iron» Aviator Marv Peterson s
perch near the gym ceiling safely to
ihc gym floor 30 tcct below
learns were awarded points lor
. reativny . passenger com fort, sur
i ival and re eiitr • link' No tk-rb-' i
scores w ere record ed , said a
spokesperson lor the project About
one third o l the passengers surviv
cd the flight
the teams were composed o f the
district s fifth through eighth grade
talented and gifted students enroll
cd in the Challenge Program
Certificates were awarded to the I
first place team Seth Smythe and
Amy Dalton both of Sam Bojrdman
second place team Kenny Mounts of
Sam Boardman and Kyan Halvorscn
ot lone, third place team Jeff
Saunders o f A C Houghton in Ir
rigon and Bob Krein. Heppner.
fourth place team I ndy Hednun.
Heppner. and Mark I vans. A C
Houghton, fifth place team Chris
T allm an . Sam Boardm an and
Crystal Minster, lone, and suth
place team Mandi Marchek o f Sam
Boardman aikl Amy Pointer of lone
Left Aviator Marv Peterson
Below
students create
egg-craft
M o r n «* Clinic and the ambulance,
the approxinulc rate (or the north
end would he si* cents per $101)0
The approximate rate (or the vnith
end would he $2 7.)
The la* support required (or North
end serv ices and South end sere ices
have differed (treatIs since the begin
rung o ( the N M M C in 11)77
Tax figure* provided hy County
Bud)tet O fficer lo R a v n e Bowman
show that (or 19X1. the lust year the
N M M C and a.nhulancc were on
their own. apari from the hospital
budget.the clinic asked $3h.X58 to
balance their budget and the hospital
nursing home ambulance asked
SUt thS to balance their budget h *
19X4 the clink asked $27 .hhh. I hoi
north M orrow ambulance asked
$3,184. and the hospital asked
S O X .25* (-or I98V the clink need
ed $1 l.X X ' to balance their budget,
the ambulance did not ask to levy a
ta * . and the h ospital asked
V» 19.7(4 (-or 198/v the clinic need
cd $ 1 2.'X ' to balance their budget,
the ambulance asked $h. 172. and the
hospital asked $"H .7<)2 to balance
their budget
It's difficult to split out the costs
(or the nursing home (rom those o f
the hospital from those for the am
bulance. Pioneer Memorial Hospital
Administrator John Hempcl said
Monday It can be done in several
wavs, to lavor cither the hospital or
the nursing home, but the hospital
has to use costs based on the most
current medicare cost report The
number o f beds and the percent o f
occupancy in the nursing home have
increased in the last year, he said
" I 'm optimistic about the nursing
home W e 're providing better quail
ty care and getting a higher utih/a
lion rate " The Hospital Board will
have to make some decisions corker
ning the acute care provided by the
hospital, he said
Because the
hospital is partially ta* supported the
daily bed rate, is less than at either
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Taking C aw rf
The ('a m t n 'i
Business
the H erm iston o r P en d le to n
hospitals
The laves the hospital asks for de
pend on the number o f people who
use the hospital. Hempcl said The
greater the use. the less ta* money
the hospital needs to balance its
budget
Many people do not realize that
nuns o f our c»*Ms are fixed e*
penses Our malpractice insurance
docs not depend on whether w e
serve one or 12 patientv It is the
same, he said The hospital is re
quired to have a minimum of one
Registered Nurse per shift exc luding
the Director o f Nursing Sers k c s
which state law says must he in the
hospital eight hours each das Now
we have 32 nursing home beds and
12 acute care beds Perhaps we real
ly should have only m * acute care
beds, he said That might best suit
our needs now. if we could switch
si* beds from acute care to nursing
home care The state tells us if we
can do that
The hospital must alv> keep
medical supplies, even if w e 'v e had
no need tor a particular item for a
year, we have to keep it in stock, or
we arc putting ourselves in a posi
lion for a possible lawsuit In addi
lion, the federal government tells us
how much we w ill get lor people
who are on medicare W e cannot
turn to out supplier and say. " W e 'r e
not going to pay 20*3 more for ban
da ids this year because w e r e only
g ettin g a
$ ‘3 increase fro m
medicare
The hospital also might consider
a Preferred Provider Organization
arrangement with local businesses
For a membership lee. employees
would receive a discount for services
at the hospital
Die hospital will probably always
need some ta* support, but with
switching si* beds from acute «.are
to nursing home status and a PD ) ar
rangement. in three or lour years,
Ihc a its >unt may be reduced to
$I25.<XX>. he said
The hospital uses volunteer am
hulaikc drivers and volunteer I M is
when possible T w o (-.M l Ills, one
F M T II. and three I M I Is arc on
stalf at the hospital
Donations to the hospital, accor-
ding to business manager I imta Ken
n y. were *b.K02 for l9Xh $ 13.175
for 1985. V),5X8 for I9K4. and
$2.7X0 tor 1981
The N orth M orrow M edical
( l i m e began in 1977. according ta*
Board V ic e Chairman Don Pppcn
bach Three doctors from Hemusion
built a clink in Boardman and subse
quently abandoned the practice At
that tunc. I ppcnhach said, the coun
ty acquired a halt interest in the
building The other half is owned by
an investment firm
I ppcnbach was on the first clinic
board At that time the ambulance
was also under the direction ot a
seven member clinic board Five
years ago. the clinic board hccaiik-
a five member hoard, separate from
the Pioneer M em orial Hospital
Board and at the same time a
separate ambulance board was also
formed A ll three hoards arc ap
pointed bv and submit budgets to the
county cinirt
From page 1
At the early clink hoanl meetings,
i pprnhach said the primary concern
was the creation of a separate district
w hich w ould p ro v id e funding
because the clink building would
need funds for expansion and
upkeep Dr Jim An dervm was the
first doctor at the cininty subsidized
clink After he left. Fpprnhach said,
it became a community |oke hev ause
we never knew which d tvtor would
he serving there on which day until
Dr Sam Pobanz o f Hikkl R iver was
hired for three davs a week in Board
nun and one halt day a week at Ir
ngon He had a slow but steady
practice. Fppcnhach said, but the
travel began to wear and he wav ask
ed to take over the einergenc y ward
at Hikkl River
W e consulted a physician place
ment serv ice offered hy ( Iregon
Health Scrvu.es after Dr Pohanz
gave his notke W e considered slat
fing the clin k with nurse practi
tioners. hut because we saw large
resistance in the community with a
parttime physkian. we thought there
might a lv i he resistance to nurse
practitioners The placement serv ice
referred tw o doctors for inters icwv
Dr Steve Zielinski, was a recent
graduate o f his second year o f intern
ship and was eager to come to a new
hkation
"W'e know if the clinic
were to survive the transition from
parttime to fulltime, we needed so
ineone voluble and knowledgeable
Dt Zielinski's teachers said that he
was a brilliant student and they
wanted to keep him on staff hut
couldn't afford to at the tu n e ,"
The potential exists for a fulltime
clinic operation able to handle
emergencies, pppenhach said Part
o f ihc problem is that w e 're work
mg in a building we have no control
over, he said It's currently valued
at approxmutcly $I25.<KX). and it
needs a new roof The clinic pays
$200 per month rent to the county
and $21X1 to the investitk-nt firm
which owns the other hall W e arc
responsible tor all upkeep The clinic
also needs additional medical equip
ment. he says an old * ray machine
was fine when it was purchased 10
years ago T w o years ago it hail to
he completely refurbished, but the
newer machines will give a much
dearer picture and a cheaper price
Basically, the clinic tries to pro
vkle the best nkilk al coverage possi
blc for the North end o f the county
W e have encouraged the doctor to go
beyond the borders of the county and
now have patients from Arlington
and Hermiston who com e to the
clinic
Imiik'diate funding needs. Fppen
bach says arc a replacement * ray
machine, a defibnlator, improved
emergency medicine facilities, and
a new rikit for the building
W e 'r e also likiking into the
possihilitv ot providing an mlorma
tion center, he said The diktor must
travel as tar as Portland or San Fran
c is c o som etim es fo r on e day
seminars and a satellite dish could
bring spec uli/ed medical programs
here relatively cheaply N o other
tac ilitv in the area prov ides that set
vice
The c lime hoard contacted Si An
thony Hospital in Pendleton two
Ph 989 8221 •
N o w . Si Anthony has nude a pro
posal. hut it wav very generalized
The Board did not receive it well
because it was not specific enough
Basically, they offered to take over
the operation o f the clinic staff it.
and handle the traffic through there
and pay the county $ 1 per year Die
counts would viill be responsible for
rent and upkeep on the building, he
said The N u rd also was skeptical
because no time frame wav in
d icjted W e don't want to find out
a year from now that the offer wav
for only one year
Housing project
From page 1
intend to nuke any changes in policy
hut to nuke a more "p olish ed
p o lic y ."
M ayor Cara Costa said the
policies have to be a liv ing document
and subtcct to change She suggested
that at the next meeting the original
changes proposed he written as
adopted so council members could
make needed changes
She announced a resignation from
the council had been received from
Marvin I ane and a new member will
be appointed at the next meeting
She said the city was incorporated
Feb 9. IXX7. so plans for a centen
nial should he undertaken soon
City
Adm inistrator M arshall
la o g r c n said the Heppner T V fran
c hive expires in the spring and if the
council wants to nuke changes they
should be made soon as a 90-day
notice is required He also said he
was telling department heads to get
to work on budget requirement*
The mayor said an effort would be
nude to get started on budget
meetings in January A motion to cn
dorse passage o f the school district
serial levy was approved
Kale Jones o f G regor Professional
Corporation. Fugene. auditors, gave
a report on the city audit, saying the
city had accurate records, and the
debt reserve was in place as it should
be Che city's audit is in the com
puter at the company and will thus
provide better services Bids will be
called lor next year's audit. M ayor
Costa said
The copy machine for the city tv
so old paper can no longer be obtain
ed tor it
W e 'v e know this was g o
ing to happen tor five y ea rs," Coun
cilnun Ployhar said He said the
budget committee had instructed the
city to run it until it broke down, and
this looked like it Cost o f a replace
ment will he $1.295 and this was
authorized hy the council.
Corrections
T h e annual children's church
schikil Christnus program at the
Heppner Cniled Methodist Church
will begin at b p m Sunday. Dec
7 The wrong time was submitted for
week*
p u b lic a tio n
in
last
Gazette Tim es
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