July 2, 2019
Meeting was called to order by Carol Johnson at 7:30am.
Peggy gave a history moment.
Jack moved to accept June 25 meeting minutes, seconded by John B. Motion passed.
Tom Hightower, Charlie McCaughan, MaryAnn and Carol.
Kiwanis is not meeting this Thursday but on the 11th will feature Jim McEntire.
John B. and Edna talked about July 4th apple pie contest. Olympic Game Farm is the sponsor.
Peninsula Long Rifle Rendesvous is July 25, 26 & 27 on 20 acres on Slab Camp Rd.
Dan G. said there will be a fly-by at 6pm at the start of the parade.
PA Symphony is moving to its temporary facility on C Street, tickets are still available.
Andrew moved to extend the meeting up to 15 minutes, Edna seconded. Motion passed.
Program: OMC Hospital Commissioner District 2. Andrew May moderated.
Warren Pierce, Nate Adkisson and Ann Marie Henninger
Ann has spent 23 years in Sequim, is a registered nurse and has spent 2 years attending meetings, studying the district and board and how it functions. Top issues are reimbursement, workforce, provider access, and advocacy at local, state and federal levels. She has held several volunteer positions in the community.
Nate has been in Sequim since 2006 and will be a voice for patients. There should be improvements in transparency of pricing and a more active role in helping school bonds pass.
Warren is from Chicago and moved to Sequim in 2014. He is a tech / data / financial professional who has managed budgets up to $25M. He sits on the YMCA board, is a volunteer accountant and has a diverse skill set including being a good listener and communicator. He has experience in strategic planning and is interested in patient care.
OMC costs are usually 4 – 5 times higher than other hospitals and staff have no idea what their prices are when other hospitals do. Why?
Warren: Commissioners oversee the process, but CEO’s normally set those policies.
Nate: for OMC to provide pricing it must be part of their strategic plan. It is possible to be accurate in this day and age.
Ann: It’s a shame people leave the peninsula for healthcare and there is a need for pricing transparency.
Warren: OMC must spend money bidding for physicians and paying for Medicare is race to the bottom.
Nate: Administrative costs need to be reduced.
Ann: The current board is savvy. They are great stewards and look for ways to improve.
Is it okay to compare hospitals from other areas?
Warren: Yes, in like markets.
Nate: Should do both: compare rural, beds, all factors.
Ann: It is helpful to find what’s working well, but it won’t be identical.
Nate: OMC should be transparent. There are different levels of pricing, but the public isn’t aware. The push for transparency is happening now.
Ann: Prices change all the time, she’s not sure how practical it is to have them online.
Warren: The real problem is prices should be more aligned with what they should be. He’s for transparency, the system is broken.
Nate: Once a law is in effect everyone will find a way to make technology comply with transparency.
Ann: Value-based insurance is coming.
Is single payer insurance a solution?
Ann: It’s better for businesses, people would be healthier, there would be a decrease in spending per capita. Other countries are healthier. Cons are huge tax hikes and a way for services for weeks or months. Competition goes away. If there is a way to pay and implement it, she supports it.
Warren: Is for it. The model system is Germany. Average people is 7.5%.
Nate: Supports the idea of it, but it won’t happen in his lifetime. Working with the current system is where they should focus.
Rate access to, and quality of, healthcare
Warren: Excellent for both.
Nate: Average quality. We need increased access to primary car.
Ann: Quality is outstanding, access is good. Walk-in hours are expanding.
Nate: His community contacts state quality is average, headed towards excellent.
Warren: it’s all personal experiences.
Networking and insurance coverage
Nate: Groups are conglomerating and prices are rising. They are doing it out of necessity, independents find it hard to survive and are combining costs.
Ann: Networking is vital and they partner with Swedish, Cancer Care Alliance, Peninsula College and more.
Warren: Efficiency helps with productivity and costs.
Is OMC worrying more about money than patient care?
Warren: If they don’t hit a 2% margin they won’t be able to add new equipment or services. There is a high percentage of Medicare patients.
Nate: He’ll rely on medical professionals. It’s in the strategic plan to improve patient care and they are working on it.
Ann: As a nurse, patient care is a priority.
How do you educate the public about Medicare supplements and programs?
Nate: It’s part of OMC’s strategic plan to advertise those programs, they can do better.
Ann: They can do a better job.
Warren: Most people with Medicare can’t afford the supplements.
Meeting adjourned at 8:45am.