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Medical Clinic

  • Physicians are Board Certified in Family Practice
  • Emergency Care
  • Lab Services
  • X-Ray/EKG

Faith in Action

Ancillary Services

  • Chiropractor
  • Hospice & Palliative Care
  • Massage Therapy
  • Physical Therapy

PV Health Services Doctors
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Health Services
Bringing People Together Who Care

Serving Collbran, Mesa, Molina, DeBeque and the Western Slope of CO since 1924

Plateau Valley Hospital District
58128 Hwy 330 Collbran, CO 81624

Plateau Valley Medical Clinic
970-487-3565
Office Hours: M,W-F 8:00-5:00
Tuesdays: 7:00-5:00
After Hours: 970-248-0222
Business Office 970-487-0211

Board Meetings are at 5:20 pm

April 16, 2007
May 21, 2007
June 18, 2007

All of the community is welcome!

Current month's minutes as a Microsoft® Word doc (368k)

Minutes from other Months

PLATEAU VALLEY HOSPITAL DISTRICT BOARD MEETING MINUTES

Monday, March 19, 2007

Attendance:  Board:  Helen Spence , Frank Wagner, Dave Bristol, Bob Wilson

Staff: Dr. Rollins, Shannon Currier , Jessi Clark, Debbie Johns, Rene Castillo .

Meeting called to order at 17:18 by Helen Spence , President.

1.        MINUTES

February 19, 2007 Regular Meeting

  • Resolution 1:   Be it resolved that the Minutes of the February 19, 2007, regular meeting be approved as presented.  Dave Bristol motioned and Frank Wagner seconded.  Motion carried unanimously.

2.        CLINIC CONSULTANT REPORT

  • Fee Schedule – HMO is increasing 4% in their reimbursement rates.  The contracted fee schedule for all insurances was increased to adjust for that even though Medicare’s reimbursement remained about the same.  The numbers of HMO patients are decreasing because of employers opting for other companies and because many Medicare patients are switching to other company plans.
  • Physician Shortage – There are a lot of patients in Grand Junction without doctors due to many retiring and/or closing practices.  Some may want to be seen here which will affect our tax paying patients ability to be seen in a timely fashion.  We will close to new patients except those meeting certain criteria such as living within the District.  Those criteria will be put in writing and distributed to the Board and staff.
  • Fee Schedule – We have not increased our self pay fee schedule in over 4 years.  Debbie and Jessi will increase it to be more in line with what is needed for Medicare guidelines.
  • Resolution 2:  Be it resolved that the Board of Directors approves the fee schedule increase for 2007.  Bob Wilson motioned and Frank Wagner seconded.  Motion carried unanimously.
  • Collections – The collection agencies will only go after out of state accounts if the amount is over $300-$500 depending on the company and thestate.  Jessi will talk to the staff at the next staff meetings to be aware of this so they can collect if a patient is from out of town and without insurance.
  • NPI – The National Provider Identifier is a government mandated number that all physicians and facilities must get and be using by May.  We are in the testing period of using these numbers prior to the mandated usage date.  Most insurance companies are not ready to accept these and so claims are encountering several different problems depending on the insurance companies.  Claims that previously paid in 15 days are taking 30-45 days.  Everyone’s collections are falling due to the delay in reimbursements.  Our accounts receivable is already up due to this. 
  • Rural Health Care Designation – If we qualify, this would increase our reimbursements.  We meet the rural criteria for designation, but not the Health Provider Shortage Area designation needed.  We would also need to have a mid-level provider on staff to qualify.  There is a forum on getting qualified, but we will not send anyone to it since we don’t meet the requirements yet.
  • Vaccines – There was discussion on whether to keep this service since we do lose money on it.  It was decided that it is a service that we need to continue to offer since we are subsidized with tax money.
  • Contract – Our contract with Debbie and MMC is due for renewal.
  • Resolution 3:  Be it resolved that the Board of Directors approves the contract renewal with Debbie Johns and Monument Medical Consultants.  Dave Bristol motioned and Frank Wagner seconded.  Motion carried unanimously.

3.        CONSULTANT CPA REPORT

February 2007


Charges

Write Offs Misc. Inc.

Gross Profit

Operating Expense

Net Ordinary Income

Other Income/Exp

Net Income/(Loss)

Clinic

35,599.74

-7,264.1

28,335.64

-55,028.26

-26,692.65

0.00

-26,692.65

Clinic-Mesa

0.00

0.00

0.00

-257.50

-257.50

1,000.00

742.50

Construction

0.00

0.00

0.00

-165.88

-165.88

0.00

-165.88

Grant

0.00

0.00

0.00

0.00

0.00

0.00

0.00

Administration

1,177.40

0.00

1,177.40

0.00

1,177.40

14,314.32

15,491.72

     Subtotal

36,777.14

-7,264.10

29,513.04

-55,451.67

-25,938.63

15,314.32

-10,624.31

FIA

0.00

0.00

0.00

-164.96

-164.96

0.44

-164.52

     Total

36,777.14

-7,264.10

29,513.04

-55,616.63

-26,103.59

15,314.76

-10,788.83

PV Medical Clinic Property Tax Status

PV Medical Clinic YTD Net Income

PV Medical Clinic Gross Billings

PV Medical Clinic Net Billings

  • Resolution 4:  Be it resolved that the Accounts Payable & Payroll Checks (#45249-45305) are approved.  Bob Wilson motioned and Frank Wagner seconded.  Motion carried unanimously.
  • Resolution 5:  Be it resolved that the Board of Directors approves the February write-offs in the amount of $7,264.10.  Frank Wagner motioned and Dave Bristol seconded.  Motion carried unanimously. 

4.        COMMUNITY IN ACTION

  • Coordinator Report – The 501(c)3 application is ready to send.

5.        ENVIRONMENTAL SERVICES

  • Awning for door to the upstairs – It will cost about $1900 for a canvas one or $700-800 for a wood and metal one.  It needs to stretch from the front door all the way over due to ice fall from the roof.  The broken cement needs repair as well.  Bids are being sought.  It was decided that we no longer need to make this doorway the main door.  We will continue to use the front door since we do have renters in that area.  Last meeting it was decided that we would only rent the mid wing due to fire concerns over portable heaters.  We found thermostatic heaters for renters in the old wing.  There are now three rooms either rented or about to be rented in the old wing.

6.        OLD BUSINESS

  • Mesa Clinic Progress Report – Work is continuing.  Our logo has been emailed to Nathalie to work on signage.
  • Collbran Clinic Renovation – Stucco work has begun.  Jessi explained that the USDA grant has to be used for materials only and not labor.  That is no problem between the cost of the stucco and the windows.  Jessi will send a letter to the USDA about the requested change.  Forms for the grant were signed.

7.        NEW BUSINESS

  • Insurance – It is time to renew our employee policy.  The employees are happy with it.  We will continue with it.
  • Equipment – The clinic wants to get 4 automatic blood pressure cuffs, one for each room, and 2 electronic thermometers.  This will help with efficiency and repetitive motions.
  • Resolution 6:  Be it resolved that the Board of Directors approves the purchase of the blood pressure cuffs and thermometers for $960.  Frank Wagner motioned and Bob Wilson seconded.
  • Chartware – We need training on the EMR to really get it up and running.  Jessi presented the costs of attending their workshop and the cost of bringing them to us.  It was determined that Chartware coming to us to train would be more cost effective. 
  • Resolution 7:  Be it resolved that the Board of Directors approves the cost of Chartware training at the Clinic up to $4000.  Dave Bristol motioned and Bob Wilson seconded.  Motion passed unanimously.

8.        CLINIC REPORT

  • Census

2007

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

Year to Date

Total Dr Appt

352

308











660

# Days

22

20











42

Ave/Day

16

15.4











15.71

Lab/Inj

109

60











169

Pharm

27

27











54

AH Pharm

0

1











1

After Hours

8

15











23

Other

11

20











31

Paged Calls

85

71











156

Clinic New Pt

23

36











59

Clinic 1X Pt

8

5











13

  • Office Manager Report – The Board will consider whether we will rent to people that have been fired as patients from the clinic.  It will be discussed at a later date.

9.        MARCH  EVALUATION / RAISES

  • Annual:                    None
  • 3 Month:                  None

10.        Clinic Coordinator – The position was discussed, job description reviewed and salary discussed.

Meeting adjourned at 20:00.

Respectfully submitted,

Jessi Clark, secretary to the Board

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