“Community Commitment”Reorganization Plan

Reorganization Factors

• Industry-wide over-bedding crisis– Fewer hospitalizations– Persistent pressure from private insurers

• Medicare cost-cutting among doctors and hospitals

• Reimbursement disputes between hospitals and private and public insurers

Community Commitment

“Promote quality health care and commitment to the communities we serve by keeping facilities open and

workers employed.”

Plan Implementation

• Expand Emergency Department at Columbia River General Hospital– Build new Emergency Room– Build new Acute Care unit– Reconfigure lobby and registration areas

• New lighting installed throughout the hospital

Plan Implementation, cont.

• Relocate all psychiatric services to Fremont Medical Clinic

• Build new psychiatric emergency services center

• Invest $12 million in new capital investments

• Create community-based health and research facilities

Plan Implementation, cont.

• Relocate adult daycare program• Expand outpatient/community services– Bilingual primary care practice– Crisis center and walk-in clinic– Expand fitness center

Changing Demographics

• Reduced population• Older patient base• Need for additional outpatient and

community services• Need for additional bilingual healthcare

professionals