HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM COMMITTEE

 

 

February 25, 2003   Hearing Room 50

3:00PM Tapes  38 - 39

 

MEMBERS PRESENT:            Rep. Ben Westlund, Chair

Rep. Steve March, Vice-Chair

Rep. Jeff Kruse

Rep. Jeff Merkley

Rep. Alan Bates

 

MEMBERS EXCUSED:            Rep. Randy Miller

                                                Rep. Susan Morgan, Vice-Chair

 

 

GUEST MEMBERS:               Rep. Mitch Greenlick

                                                Rep. Gordon Anderson

                                                Rep. Laurie Monnes Anderson

 

STAFF PRESENT:                  Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

 

 

ISSUES HEARD:            Informational Meeting - Invited Testimony Only

                                    Jim Wathen, Chief Executive Officer, Southern Coos Hospital and Health

                                    Center, Bandon Oregon

                                    Karen Whitaker, Vice Provost, Oregon Health Sciences University, Office of

                                    Rural Health

 

These minutes are in compliance with Senate and House Rules.  Only text enclosed in quotation marks reports a speaker’s exact words.  For complete contents, please refer to the tapes.

 

TAPE/#

Speaker

Comments

TAPE, 38 A

005

Chair Westlund

Calls meeting to order and introduces Ken Rutledge, President of Oregon Association of Hospitals and Health Systems and Jim Wathen, Chief Executive Officer, Southern Coos Hospital & Health Center, Bandon Oregon and opens the informational meeting.

INFORMATIONAL MEETING

011

Rutledge

Opens his presentation by introducing himself and submitting a correction to yesterday’s testimony. (EXHIBIT A)

054

Chair Westlund

Asks if this includes the long term care figure.

056

Rutledge

Responds no and continues.

062

Rep. Kruse

Asks if that would include the Medicaid dollars going through Department of Education and everything.

066

Rutledge

Responds.

070

Rep. Kruse

Comments that there is so many different streams of Medicaid funding.

075

Rutledge

Continues presentation.

083

Rep. Kruse

Asks if this data collected from Hospitals.

085

Rutledge

Comments that it is based on a surveys done with hospitals.

092

Rep. Kruse

Elaborates about his concern with the numbers.

097

Rutledge

Presented materials that Rep. March requested yesterday. (EXHIBIT A)

129

Rep. March

Relays a thank you for the materials that he requested and makes comments that the data provided in the material proves its value.

139

Rutledge

Comments about the material provided.

151

Rep. Kruse

We know why Managed Care worked the way it did, but why did the bottom fall out.

158

Rutledge

Comments about why the bottom fell out of Managed Care.

183

Rep. Greenlick

Asks if it is safe to say the those involved in Managed Care were Managing dollars instead of Managing Care.

190

Rutledge

Comments about those Managing dollars instead of Managing Care.

212

Chair Westlund

Asks if there is any further questions for Ken Rutledge.

231

Jim Wathen

Introduces himself as Chief Executive Officer, for Southern Coos Hospital & Health Center from Bandon Oregon, and begins his presentation.

325

Chair Westlund

Asks if he is to infer that there is a more than one to one employee to patient ratio.

330

Wathen

Responds to the questions about more than one employee per patient.

345

Chair Westlund

How is that for full time equivalents.  Asks then if his question is correct that they have more than one employee per patient.

370

Wathen

Responds yes, and continues presentation.

402

Rep. Kruse

Comments about the economic base of Coos County.  Asks if the physicians are taking any new clients.

405

Wathen

Responds about physicians accepting new clients.

410

Rep. Kruse

Asks if he ends up treating all those patients.

412

Wathen

Responds that if they feel they have no where else to go, they will use the emergency rooms.

415

Chair Westlund

Asks if that is a reimbursement rate issue with those three physicians.

420

Wathen

Comments that for two out of three of those physicians yes it is an issue.

425

Chair Westlund

Asks if that third physician has the highest pay.

430

Wathen

Responds yes.

447

Berkobien

Asks if he has seen a change of numbers in seniors in his community.

457

Wathen

Comments about the percentage of seniors in the south coast.

TAPE, 39 A

054

Rep. Greenlick

Asks how the emergency care system is in Coos County.

060

Wathen

Comments about the emergency care system in Coos County.

073

Rep. Greenlick

Asks if having the emergency room open helps to cut the costs rather than increase the costs.

083

Wathen

Responds to having the emergency room open.

116

Rep. Greenlick

Asks if no one shows up except true emergencies, have you ever thought of how the additional funds help maintain the emergency room services.

130

Wathen

Comments about funds in emergency rooms.

143

Rutledge

Elaborates about his understanding about funds in the emergency rooms.

156

Rep. Greenlick

Makes final comments about emergency rooms.

164

Chair Westlund

Asks if there is any other questions for Jim Wathen and calls Karen Whitaker to testify.

175

Whitaker

Introduces herself as Vice Provost, Oregon Health Science University, Office of Rural Health and gives an overview of her presentation materials. (EXHIBIT B)

275

Rep. Monnes Anderson

Asks if the injury prone are broken down by age.

281

Whitaker

Comments about the age of the injury prone, she will look into it and send the information later.  Continues presentation.

334

Rep. March

Asks for clarification about the comments of being more productive.

336

Whitaker

Give clarification about those that are more productive.

338

Berkobien

Asks if they tend to lose people (physicians) to the urban areas.

346

Whitaker

Made comments about the loss of physicians.

TAPE, 38B

010

Berkobien

Asks for a definition of critical access programs.

015

Whitaker

Gives a definition of critical access programs.

041

Rep. Kruse

Makes comments about the money to be given from the 5 special sessions.

046

Whitaker

Continues presentation.

130

Rep. Kruse

Comments about this issue in the 1997 issues.  Asks how far away Hepner is from the closest hospital.

150

Whitaker

Responds that it is 60 miles to The Dalles hospital.

158

Berkobien

Comments that we have heard a lot about medical liability and it’s impact on the system, asks if it is hitting rural Oregon.

160

Whitaker

Responds to the impact on rural Oregon.

176

Chair March

Asks if the rural hospitals closed, were they the only hospitals in their area, did they have competition.

180

Whitaker

Responds on rural hospitals that have been closed.

 

Chair. March

Meeting adjourned 4:23pm

 

 

 

 

EXHIBIT SUMMARY

 

A – Informational, prepared testimony, Ken Rutledge, 7 pp

B – Informational, Rural Health in Oregon, Karen Whitaker, 11 pp