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Feather River Bulletin
Quincy, California
October 27, 2010     Feather River Bulletin
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October 27, 2010

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lZA weanesaay, Oct. 27, 2010 Feather River Bulletin PHYSICIANS, from page 1A have some other draw." If a physician is married, "the spouse has to be happy -- we need to get them con- nected in the community." For young, single doctors there aren't a lot of potential partners. Hayes said, "One of the biggest things our patients want is continuity. We know that, we want that too, but it's very difficult." One dqctor EPHC spoke with has school-age children involved in dance and opera. "We can't offer that," he said, "and it hinders our efforts to get them to locate here permanently." In March 2009, the Califor- nia Hospital Association (CHA) hired the nonprofit National Health Foundation (NHF) to do a study of"Physi- cian Workforce Shortage Issues in California Rural Hospitals." The study covered a myriad of issues that seemed to affect the 56 (out of 69 total) responding California rural hospitals in a remarkably similar manner. Most are in isolated areas where the local economy has been severely hit by the national downturn. In many areas, hospitals not only pro- vide health care, they're also the largest employer. According to the study, the economic strain has caused six of these hospitals to close in the past four years and 75 percent of the remaining ones to reduce their range of services. Because a hospital can't generate revenue without doctors, and these hospitals are already in a precarious position, the difficulty re- cruiting doctors hits them hard. With the other difficulties plaguing rural hospitals, the recruiting problem isn't easy to solve. EPHC and PDH have discussed jointly recruiting a surgeon, but have met with numerous roadblocks. For such an effort to be successful, affected doctors and administrators at both hospitals must be on board. Hayes keeps collaboration central to his vision of EPHC's survival. When PDH has been unable or unwilling to work cooperatively, he's gone further afield, to Tahoe Forest Hospital in Truckee or Renown in Reno. With PDH and EPHC talk- ing openly and regularly now, there's a hope some collabora- tion, as well as shared ideas, will benefit both hospitals. Survey results: Physician recruiting According to hospitals responding to the survey, which includ- ed Eastern Plumas Health Care, Plumas District Hospital and Seneca Health Care District, the difficulty recruiting physicians means: Rural hospitals don't have sufficient physician coverage, espe- cially primary care doctors and specialists; There is a diminished access to healthcare; Inability of rural hospitals to employ physicians directly guaran- teeing an income and other benefits; doctors usually opt for a larger system with a guaranteed salary, benefits and fewer ad- ministrative duties. Rural hospitals have to employ "creative approaches to recruit and retain physicians." Successful efforts typically include: Focus on doctors who are already looking for a rural lifestyle; Patients tend to delay care, travel long distances, endure longer Invite candidates (and spouses) to visit before hiring, and ensure wait times and sometimes don't seek necessary care; the physician is a good fit for the community; The isolated location means a lack of job opportunities for spouses; Reimbursement from MediCal doesn't adequately cover patient care, and there aren't enough patients with private health in- surance that reimburses at a much higher rate. Rural hospitals have trouble competing with urban counter- parts, where pay is much higher, especially important when the cost of medical school is astronomical; Utilize telemedicine for access to specialists when possible; Collaboration -- EPHC and PDH utilizes specialists from Reno, Nev. and Truckee for a clinic at a rural hospital once or twice a month to perform resulting procedures and simple surgeries there; and Hospitals sometimes offer young physicians medical school loan reimbursement programs; the state matches the hospital,s pay- ment, usually the physician stays at least two years. Plans for park bench derailed Diana Jorgenson Portola Editor djorgenson@plu As the city of Portola extended the Riverwalk down Gulling Street to City Park, city staff took DISTRICT HOSPITAL Health Service Schedule Physicians Family Practice & Obstetrics Jeffrey Kepple, M.D. Ross Morgan, M,D. Rachel Hurlburt, D.O. Erin Barnes, M.D. For appointments 283-5640 Emergency Room Director Mark Satterfield, M.D. For information 283-7110 Family Practice & Internal Medicine Lawrence Price, M.D. For appointments 283-0650 General Surgery Steen Jensen, M.D., F.A.C.S. Vincent Frantz, M.D., F.A.C.S. For appointments 283-1506 Mid-Level Providers Edie O'Connor, P.A.C Stephen Johnson, F.N.P., P.A.-C For appointments 283-0650 Elizabeth McGee, A.G.N.P. Janet Thompson, R.N.P. For appointments 283-5640 Oral Health Care Providers General Dentistry David Reed, D.D.S. Pooja Patel, D.D.S. For appointments 283-3915 Dental Hygienist Cynthia Warner, R.D.H.A.P. For appointments 283-3915 Orthopedics Tuesdays November 2, 9, 16, 23 ]ohn V. Foley, M.D. For appointments 283-7988 Podiatry Fridays November 5, 19 Kennon J. Martin, D.P.M. For appointments 283-3904 Urology Thursdays. November 4 Angelo Kanellos, M.D. John Freeman, M.D. For appointments 283-7990 Services Cardio-Pulmonary Services For appointnwnts 283-7108 Counseling Services Kathleen Hughes, LCSW For appointnwnts 283-5640 Doppler/Echocardiography Thursdays November 4, 11, 18 For appointments 283-7108 Emergency Room Services For information 283-7110 Hospice Services For information 394-7228 Medical Nutrition Therapy For appointments 283-5640 MRI Services November 1, 2,8, 9, 15, 16, 22, 23, 29, 30 For appointments 283-7155 Laboratory For information 283-7132 Radiology & Mammography For appointments 283-7155 Telemedicine In partnership with UC Davis For appointments 283-7133 Specialty Clinics Cardiology Thursdays November 11, 18 Milind Dhond, M.D. For appointments 283-5640 Ultrasound For appointments 283-7155 Gynecology & Gynecologic Urology Saturdays. November 20 Norman C. Nasise, M.D. For appointments 283-7951 Ophthalmology Wednesdays November 3 Thomas R. Conklin, M.D. 68 Central Ave., Quincy For appointments 283-2206 note of 'blights' that pre- vented the walk from being a pleasant one. At the Commercial Street end of the Gulling Street Bridge and behind Clock Tower Park, an 'uninhabit- able eyesore' called the Blevins House marred the view of both the river and rail yard activities. The property was owned by Union Pacific and in 2008-09, the city entered into an agreement with Union Pacific Railroad to demolish the house at city expense. And so they did. City Manager Jim Murphy noted that UP appeared to have no useful need for the property as it is well away from the yard below and spoke to Wes Lujan of UP about the possibility of the city obtaining permission from UP to improve the property as a small park with landscaping, park bench and picnic table. "The location seemed to be an appropriate 'out-of- the-way' setting for users of the Riverwalk to stop and rest and for visitors to the city to rest and observe activities inside the UP Rail yard as a tourist attraction," said Murphy. Lujan agreed to contact UP officials in Omaha, corporate headquarters, to facilitate and get approvals for that use. Murphy emphasized that discussions always centered around free usage of the land, but that the city would handle insurance coverage. Time dragged on and Lujan was transferred to Chicago. And then one day very recently, the city received a lease agreement from UP's Rebecca Hoffman, manager of the railroad's real estate division. The lease was 19 pages long. They wanted a fence. They wanted to make sure the city paid all the property taxes that increased due to its improvements. They covered water rights, care of the property, hazardous materi- als and a lot of other stuff. But mostly, they wanted $2,000 per year rent. "The proposal is not in the previous context of a public facility partnership between the city and UP or in the spirit of cooperation between the city and Union Pacific where the city was proposing to landscape an otherwise isolated and uninhabited piece of property that appears to be no use to UP," said Murphy. "Under our original pro- posal, the city, at local taxpayer's expense, would be improving the appearance and value of the UP property at no expense to UP," Murphy concluded. The use of the property does not justify an expense of $2,000 per year indefinitely, Murphy suggested. The council agreed. The city declined. Why would for W? : Your local DISH Network connection, Serving t989 ........ ' ' : 1 800 434 7428 5328"171d0000l 530-257-5767 NETWORK. Visit us online at: AmOmB IilrAILlgl Digital Home Advantage pian requires 24-month agreement and craft quaLfaton. If seico is terminat beora the end o agreement, a canmtiatn fee of $17.50/month mmeining applies. 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