January 20, 2015, Hospital District Withdrawal Decision Agenda

BOARD OF GRANITE COUNTY COMMISSIONERS

January 20, 2015, 10:30 a.m.

 

BOARD AGENDA

Granite County Commission Decision on Petition for Withdrawal of Drummond High School District #2 from Granite County Hospital District

 Call To Order                                                                     Chairman

 Conflicts of Interest                                                Commissioners

 Background                                                                        Chairman

  • Petition to Withdraw Received on October 22, 2014
  • Signatures on Petition were Verified
  • 506 taxpayers reside in Drummond High School District #2
  • 379 out of 405 signatures on the Petition were Verified; 26 were stricken for a total of 74.9% of taxpayers in Drummond High School District #2 signing the Petition
  • A duly noticed Public Hearing was held on the Petition on November 19, 2014, at 7:00 p.m. at the Granite County Museum in Philipsburg
  • Written public comment was received and accepted through December 1, 2014
  • The Commission has read and considered all of the public comment and reviewed the transcript of the Public Hearing on November 19, 2014
  • Six persons spoke in opposition to the Petition on November 19, 2014 and of those six, three also submitted written comments. Nineteen additional persons submitted written comments within the written public comment period. Two people submitted written comments after December 1, 2014. Those written comments did not contain any new information.
  • Five persons spoke in support of the Petition on November 19, 2014 and of those five, four also submitted written comments. One letter from a person not attending the Public Hearing was read aloud. Twenty-eight additional persons submitted written comments within the written public comment period. One law firm submitted comments on behalf of a group of petitioners.
  • Section 7-34-2156 sets forth the statutory criteria regarding the Petition which is whether the area (Drummond High School District #2) benefits by remaining in the district (Granite County Hospital District).

 

Comments Received Directly Related to Whether the Area Benefits by Remaining in the District:

 Comments in Opposition to Granting Petition:  Why area is benefitted

 Residents of area use/used Drummond Clinic

Residents of area use/used Critical Care Hospital in Philipsburg

Residents of area use/used Emergency Room in Philipsburg

Residents of area use/used Nursing Home in Philipsburg

Residents of area use/used Medical Laboratory in Philipsburg

Residents of area use/used Physical Therapy services

Residents of area attend Health Fairs in Drummond and Philipsburg

Residents of area use Vaccination programs

Residents of area use Dental Clinic

Well-child clinic available

Athletic physicals available

Allergy shots are available

Medications can be and are filled

Drummond Clinic – 71 patients visits August of 2014

60 patient visits September of 2013

Employers in area have employees who benefit from services – important for employers to have medical

services for medical treatment of employees and their families

Dollars service everyone much better in a unified district

Ease of access in an emergency or disaster

Life Flight and Ambulance services provided

Everyone who signed petition is able to derive benefit; it is their choice to

utilize or not utilize services

Podiatrist services offered

Medication dosages can be checked

Assistance with enrolling in insurance programs

Area residents have representation on Hospital District Board

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Comments in Support of Granting Petition:  Why area is not benefitted

Drummond Clinic takes second place to other services – don’t receive fair share of services

Area residents mostly obtain health care services elsewhere

Drummond Clinic only open two days a week which is inadequate

Drummond Clinic is a walk-in clinic without a primary medical caregiver

Cannot pursue other service providers to run the clinic while area remains in District

Parade of providers at Drummond Clinic – lack of consistent provider

Inconsistent days and hours at Drummond Clinic

No primary care at Drummond Clinic

Transit van and dental van have been discontinued

Elderly in area go to Missoula or other locations in western Montana for nursing homes

Difficult for some areas, i.e. Rock Creek, Drummond and Hall, to travel to Philipsburg in bad weather

Taxation without representation

Some specialized services not available

Nursing home license was let go and those beds in Philipsburg are now long-term beds

Minimal medical benefits provided to the area

Granite County Hospital is not an authorized VA provider

Utilization of services should only be considered after 2009 when the District was created

Long-term care wing accepts person from outside Granite County so no benefit received if you are a

District member

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Statistics regarding usage from Granite County Hospital District were provided as part of the Public Comment and were also considered (only statistics from 2009 forward were used as the Granite County Hospital District was created in 2009):

Survey by the Granite County Hospital District:

  • Of 117 persons surveyed, 35 had used the Granite County Medical Center in Philipsburg and 0 had used the Drummond Health Center
  • Of 115 persons surveyed, 32 of participants from Philipsburg and 3 from Hall had used the Granite County Medical Center. 0 people from Drummond had used the Granite County Medical Center.
  • Of 167 persons surveyed in 2012, 40 stated they would use the Granite County Medical Center if someone needed to be hospitalized in their household in the future. Note: The Drummond Health Center is not a hospital and 0 persons stated they would utilize the Drummond Health Center for hospitalization in the future.
  • An analysis of 152 persons surveyed showed that 66 persons from Philipsburg, 0 from Drummond and 3 from Hall had utilized the Granite County Medical Center in Philipsburg. 1 person from Philipsburg, 16 from Drummond and 5 from Hall had used the Drummond Health Center.
  • An analysis of 48 persons who saw a health care specialist in 2012 showed that 32 saw a health care specialist at the Granite County Medical Center and 3 saw a health care specialist at the Drummond Health Center.
  • An analysis of 158 persons surveyed regarding where a member of their household would see a health care specialist in the future showed that 35 participants chose the Granite County Medical Center and 10 chose the Drummond Health Center.
  • An analysis of 171 persons who saw a dentist, 15 stated that they saw a dentist in Philipsburg and 0 stated that they saw a dentist in Drummond.
  • An analysis of 168 persons surveyed regarding where they would chose for future emergency medical services for a household member showed that 95 stated they would use the Granite County Medical Center.

 

Granite County Medical Center Utilization Statistics (Average):

  • Average Monthly Use of GCMC Clinic in 2010-2011, 209 patients; 2011-2012, 190 patients; 2012-2013, 202 patients, 2013-2014, 182 patients
  • Average Visits Per Day at GMC Clinic in 2010-2011, 8 patients; 2011-2012, 9 patients; 2012-2013, 10 patients; 2013-2014, 9 patients
  • Average Monthly Use of Drummond Clinic in 2010-2011, 129 patients; 2011-2012, 131 patients; 2012-2013, 126 patients; 2013-2014, 66 patients.
  • Average Visits Per Day at Drummond Clinic in 2010-2011, 8 patients; 2011-2012, 8 patients; 2012-2013, 8 patients; 2013-2014, 5 patients.
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Public Comment                                                                                      Public

 Findings by Commissioners:

Findings will be made by Commissioners on a consensus basis.  Findings will be based on public comment and statistics received.

Decision on Petition: 

          A decision on the Petition will be made by a motion and     second.   The motion will be discussed prior to a vote on    the motion.  A written Order detailing the consideration of      the Petition and all objections thereto as well as the merits of the Petition will be issued.

 

Adjourn Hearing                                                                                Chairman