HomeMy WebLinkAboutRESPONSE - RFP - P 863Poudre Valley Hospital
City of Fort Collins
Proposal # P=863
Occupational Health Services
1330 Oakridge Drive
Fort Collins, CO 80525
Phone: 970-495-8450
Fax: 970-495-7664
Rehabilitation and injury prevention services have been enhanced at OHS
through the incorporation of the WorkSTEPS Employment Testing
Program. WorkSTEPS provides evaluation and assessment of a job
applicant's or employee's capabilities correlated with the physical
demands of the job he or she is required to perform. The program
successfully:
Identifies persons who have previous work -related injuries.
Assists employers in appropriately matching current employees to
safe/appropriate job positions.
Expedites rehabilitation and return -to -work post injury through the
gathering and documenting of baseline data at the time of hire.
E. Emergency and After Hours Care
The Emergency Department at Poudre Valley Hospital is the point of entry
for emergency care. Open 7 days per week, 24 hours per day, the
Emergency Department is a Level II Trauma designated facility.
Harmony Urgent Care Center at the Harmony Campus, 2127 E. Harmony
Road, provides urgent care services 7 days per week between the hours
of 9 am and 9 pm.
F. Ancillary Services
Complete laboratory and radiology (x-ray) services, including CAT
scanner & MR], are available both at PVH and the Harmony Campus. In
addition, PVH Express Lab is available at 1020 Doctor's Lane for ease of
access to employees receiving lab work for physicals.
All lab and radiology reports are available on-line to OHS physicians.
These reports are posted immediately following the testing which allows
for more timely responses to work -injury issues.
V. SCOPE OF WORK
Occupational Health Services has two clinic locations in Fort Collins. The north
clinic at 1025 Pennock Place is open from 8:00am to 5:00pm Monday through
Friday. The south facility is located at 1330 Oakridge Drive and hours of
operation are 7:00 a.m. to 6:00 p.m. Monday through Friday. Patients are seen
on a walk-in basis for urgent care Monday through Friday at both clinics from
8:00am to 5:00pm. Harmony Urgent Care Center, 2127 E. Harmony Road, is
available for urgent care when the OHS clinics are closed. HUCC hours are
9:00am to 9:00pm every day including weekends.
Appointments are available for physicals, drug testing, and other services
provided by OHS.
For emergency care, employees can be seen 24 hours a day, seven days a
week, through the Emergency Department at Poudre Valley Hospital.
Patients seen initially in the Emergency Department or at Harmony Urgent Care
Center who are placed "off work" will be seen in OHS the following business day.
When an OHS physician places an employee "off work," the physician will
personally contact the Risk Manager to discuss reasons for restriction of work.
Occupational Health Services is staffed daily by Level II accredited physicians.
Initial injury visits are scheduled for 15 to 40 minutes, depending on severity. All
follow-up appointments are scheduled for 15 to 20 minutes. The physician does
have the ability to communicate the need for shorter or longer appointments and
this request is then built into our computerized scheduling system.
Medical records are maintained on -site at the clinic where the patient was
treated until the case is closed. Records will remain at the clinic post-MMI for 30
days at which time they will be filed in Medical Records at Poudre Valley
Hospital.
The individual patient record contains all Division of Workers' Compensation
required documentation, including, but not limited to:
Colorado Division of Workers' Compensation Form WC M164:
• Physician's Initial Report
• Progress Reports
• Physician's Report of Maximum Medical Improvement (MMI) and
Impairment —Closing Report
The patient record also contains specialists' reports, rehabilitation progress
notes, lab/x-ray reports, and any other information pertinent to the work -related
injury.
10
Occupational Health Services follows the Colorado Division of Workers'
Compensation statutes regarding the release of medical records. As defined in
C.R.S. 8-47-203(1), "... the filing of a claim for compensation is deemed to be a
limited waiver of the doctor -patient privilege to persons who are necessary to
resolve the claim."
Persons necessary to resolve the claim include:
• The injured worker/patient.
• The payer or insurance carrier.
• The employer.
• Attorneys representing the injured worker, employer or the insurance carrier.
• The Division of Workers' Compensation.
• Other medical advisors or medical examiners.
Any record that deals directly with the work injury would be retained by OHS.
These include:
• Any record that deals with secondary problems that have been caused or
magnified as a result of the injury.
• Any information concerning non -work injuries/conditions that contributes to
keeping the injured worker off work or on restricted duty.
• Information that a psychiatrist or psychologist has documented regarding a
work injury or a worker's inability to return to regular duty.
While OHS is aware that workers' compensation medical information is exempt
from the new HIPAA regulations, there is enough concern and ongoing
interpretation of these guides that PVH will work diligently to assure compliance
with both PVH and City of Fort Collins' employee records. This may require
changes in the way we currently exchange physicians' dictated reports. At this
time, the PVH Compliance Department suggests that OHS send all dictations to
the City's TPA, and that that entity distribute these reports to the City Claims
Administrator and employee as requested.
When OHS is notified that an attorney is involved in a workers' compensation
claim, we are required to release all pertinent medical records to the claimant's
attorney. Any information released by OHS about an injured worker will be
released to both the City and the injured worker's attorney at the same time.
The OHS Case Management system provides the client company with one
principal contact, a nurse case manager. The system tracks cases from initial
visit until the employee returns to work. A written Work Status report (WC M164)
outlining an employee's functional gains or losses, changes in work status and/or
work restrictions, and prognosis for return to work, will be provided to the
employee and to the City Risk Management office. OHS will transmit this
information via electronic mail.
11
The Physician's Initial Report of injury, whether the employee is seen in the OHS
clinic, the Emergency Department at PVH, or the Harmony Urgent Care Center,
is faxed to the claims administrator within 48 hours. This report outlines how the
injury occurred, identifies work -relatedness, outlines the treatment plan and work
restrictions, and provides the date and time of the next appointment.
OHS has a specific procedure for making referrals to other physicians/specialists
(see Section Vill, Specialist Referrals). Referrals will be made using the
"Specialist Referral List" (Attachment G). The "Consultation Referral Letter"
(Attachment H) will identify the specialist, the appointment date and time, and
the reason for the referral.
Risk Management will be informed of any hospital or facility admission
immediately upon OHS's knowledge or recommendation for such a referral.
It is the responsibility of the OHS physician to provide all pertinent referral
information to receiving physician/specialist, hospitals or other facilities.
OHS will provide a wide spectrum of specialty services as requested by Risk
Management. These services will include but not be limited to:
• Physical examinations
• Audiograms
• Radiologic services
• EKGs
• Immunizations
• Physical and Occupational therapy
• Employment testing to determine range of motion baselines and to assess an
individual's fitness for duty. OHS provides computerized ROM/inclinometer
testing for complete documentation of back injury or impairment. This
documentation follows the AMA guidelines and can be used to identify pre-
existing ROM limitations with pre -employment testing, to demonstrate
treatment efficacy, and to assist the physician identify Maximum Medical
Improvement (MMI).
• Pulmonary function testing
Occupational Health Services continually orients our physicians to the critical
aspects of the evaluation and treatment of work -related injuries and illnesses.
Occasionally this orientation includes meeting with risk managers and industrial
health personnel from various client companies. These visits, along with tours of
the actual work site gives medical providers a better perspective of the specific
work performed. Regular case management meetings with client companies are
especially instructive for the treating physician.
Currently, all OHS physicians are Level II accredited through the Colorado
Division of Workers' Compensation. Any new physician employed in the clinic
will be Level II accredited or obtain the accreditation within six months of
employment.
12
The OHS clinic physicians and/or case managers will meet twice a month with
the City and the City's claims administrator to review specific cases and discuss
treatment plans.
13
VII. CLIENT COMPANY REFERENCES
The OHS client companies listed below have been chosen as references due too
the variety of services they require of our program, and because they have some
similar occupational health management needs to those of the City. These
companies are particularly concerned that they receive cost effective health care,
and that the emphasis remain on safety and injury/illness prevention services for
their employees and business.
Colorado State University
Dan Pena
Environmental Health Services
Fort Collins, CO 80523-6021
(970)491-6745
Celestica
Trudy Trimbath
4701 Technology Parkway
Fort Collins, CO 80528
(970)207-5245
New Belgium Brewing Company
Andy Troccoli
500 Linden Street
Fort Collins, CO 80524
(970)221-0524
Anheuser Busch
Karen Hirsch, R.N.
2351 Busch Drive
Fort Collins, CO 80524
(970)490-4544
Advanced Energy
Kody Braistad
1625 Sharp Point Drive
Fort Collins, CO 80525
(970)407-6284
Written reference in Attachment 1, others listed have agreed to be available
for phone references.
14
VIII. SPECIALIST REFERRALS
To achieve the highest quality of care in a cost-efficient manner, OHS has
developed specific requirements for referrals.
A mutually agreed upon list of specialty providers (Attachment G) will be utilized
for all referrals. In a situation where an appointment is not available from this list
of providers, OHS will contact the City Risk Management office and request
authorization for a referral to an appropriate outside provider.
Only OHS physicians can refer; the referral provider/specialist is restricted from
making subsequent referrals. If a specialist determines a second specialist's
services are needed, the OHS physician is to be contacted so that authorization
can be obtained. The referral procedure will be initiated by the OHS physician to
the second specialist.
The referral procedure is as follows:
• The OHS physician chooses a specialist from the City/OHS list.
• OHS will fax the completed "Consultation Referral Letter' (Attachment H) to
the specialist and to the City.
• OHS will send all pertinent medical information (history, radiology, lab results)
to the specialist.
• The patient must be referred back to the OHS physician for:
• Change in work status.
• Referral to other specialty services
• Final determination of MMI and if applicable, assessment of
permanent physical impairment.
• Release from care.
This procedure must be followed by OHS and by all specialty providers so that
the OHS physician maintains control of the case management. Failure to follow
these procedures by a referral provider risks their exclusion from the City/OHS
specialty list.
15
IX. PRACTICE GUIDELINES
Occupational Health Services at Poudre Valley Hospital has utilized practice
guidelines and algorithms with good results for a number of years. We often
discuss, amend, and modify these working documents to keep pace with
changing diagnostic technology, to reflect the standard of care in our state, and
to include statutory requirements of importance.
Practice guidelines, in general, are driven by presenting symptoms and signs
rather than specific diagnoses, because injured workers enter our system with
complaints that must be accurately diagnosed before treatment, education, and
prevention can be discussed. Situations necessitating immediate medical or
surgical attention are emphasized.
Our clinical practice guidelines (Attachments J) clearly present current best
practices for clinical and preventive care. These guidelines help reduce variance
between different practitioners within our system. Emphasis on accurate
diagnosis and treatment immediately following an injury is critical, because the
degree of similarity between cases and other complicating factors increase over
time.
MENTAL IMPAIRMENT PROTOCOL
A thorough history and physical examination are provided at the time of the initial
visit to Occupational Health Services. Prior mental health problems are detailed
as part of this history and any current mental health complaints are assessed
during the initial visit.
Pre-existing mental health problems can be exacerbated by work -related injuries,
however the use of mental health specialty care is generally not needed in
managing these exacerbations. When specialty evaluation is indicated in order
to prevent a work -related exacerbation of the underlying illness, treatment
options such as biofeedback, stress management or counseling are considered
as part of the effort to control underlying problems. This strategy is effective in
preventing delayed recovery and/or mental impairment claims.
In the rare event that a work -related injury, illness or trauma predisposes a
worker to mental impairment, an aggressive evaluation and treatment protocol
utilizing Occupational Health Services providers in conjunction with mental health
professionals is undertaken. The goal is to prevent impairment and minimize the
effects of a suspected impairment risk. All mental health professionals utilized by
OHS are familiar with workers' compensation and work related injuries. These
specialists are experienced with the issues of causation, delayed recovery and
exacerbation. When a mental health consultant is utilized, the OHS provider will
closely monitor and maintain control of the case.
Although extremely uncommon, any mental health impairment issues are
addressed by Level II accredited OHS physicians in accordance with current
16
Colorado Division of Workers' Compensation Guidelines to include appropriate
apportionment for pre-existing conditions.
Mental Impairment
Treatment Algorithm
Causation' evident
(eg. witnessed death)
psychotic, homicidal,
suicidal.
I
Pre-existent problem
Routine History
and Physical
I Work caused. I
Case manage-
ment by OHS.
,personal
cal ins., or
mal physician. IR by
Maintenance Rx
only as needed.
Claim of mental impairment
with unclear causation.
If W.C. aggra-
vation, Rx till
back to "pre -
injury status".
IR by OHS
MD (only if
meets criteria)
Maintenance
mlv as needed.
Review past medical,
speak with personal
physician.
If not W.C.
aggravation.
EAP, personal
physician,
personal
medical ins.
NoIR
17
X. SUMMARY NOTE
Occupational Health Services has delivered locally controlled and responsive
occupational health services from a not -for -profit community hospital setting for
more than fifteen years.
Our mission is to be an independent, viable department within the Poudre Valley
Health System and to provide innovative, high quality, and comprehensive care
that exceeds customer expectations. We pursue this mission within our vision of
being the premier occupational health provider in Northern Colorado.
We recognize that you are approached by a variety of providers for occupational
health services and we value your involvement in the process of evaluating and
implementing health and safety programs for the City of Fort Collins. We are
confident that Occupational Health Services will continue to serve you well in
maintaining the health of your workforce and in lowering any unnecessary health
and safety costs.
We truly believe that Occupational Health Services creates a win -win -win
relationship between our program, your company, and your employees. We look
forward to working with you toward this end.
Thank you for the opportunity to respond to the RFP for the City of Fort Collins
for occupational health services. We feel strongly that our proposal meets the
requirements and intent of the RFP. We anticipate a facility tour and an
opportunity to address any further questions regarding this RFP and our ability to
meet and/or exceed your expectations.
18
I. EXECUTIVE SUMMARY
The City of Fort Collins and Occupational Health Services/Poudre Valley
Hospital have developed a strong partnership over the past ten years through
the provision of high quality, cost-effective occupational health services for City
employees.
As the dominant, locally based occupational health medical provider in the Fort
Collins region, Occupational Health Services has provided prompt response to
the City's needs for early appointments, rapid turn -around of comprehensive
dictations, fitness -for -duty assessments, yearly surveillance exams, and on -site
physician visits (including in-service presentations). OHS physicians are solely
committed to occupational medicine. They are continually updating their skills
through internal and external educational opportunities to provide the highest
quality medical care.
Key points addressed in the content of this RFP include:
• Provider staffing under the medical direction of William Milliken, M.D., Board -
Certified in Occupational Medicine. Medical staff includes two additional
Board -Certified, Level II -accredited physicians.
• A 6% discount off of the Colorado Medical Fee schedule for Occupational
Health Clinic charges (see Section III, Page 5).
• Two dedicated Nurse Case Managers to assure consistent communication
with the injured employee and all persons necessary to resolve the claim.
• Two clinic locations providing comprehensive occupational medicine,
industrial rehabilitation and prevention/employment testing services.
• Immediate access to information systems and documentation of services
provided within the Poudre Valley Health System.
• Network support, via COMPAS — Colorado Occupational Medicine Provider
Affiliate System assures access to a statewide database, systems,
efficiencies and protocol development.
• Computerized tracking of appointments, recheck dates, extent of treatment
including lost time, time to closure, case duration and cost, ICD9 coding, etc.
(Attachments A)
Detailed and timely typed narratives from first visit to closure, with appropriate
impairment assessment (if required).
ATTACHMENTS
U
Occupational Health Services
1330 Oakridge Dr.
Fort Collins, CO 80525
INJURY TREND ANALYSIS
Injury Date Range from 7/1/2002 to 9/30/2002
Far Company ID: FC
ICD9 Description
380.10
Infective ptotos externa, unspecified
506.3
Asthma, due to inhalation of fumes
682.0
Ceilulitis/abscess other sites
692.9
Contact dermatitis
727.05
Tenosynovitis, fnger,hand,wrist
727.42
Ganglion, tendon sheath
729.1
Myofascial pain
840.9
Sprain/Strain, Shoulder/arm
844.9
Sprain/strain, knee and leg
845.00
Sprain/sprain, ankle
846.1
Sprain/Strain, Sacroiliac ligament
847.2
Sprain/Strain, lumbar
873.0
Open wound, scalp
884.0
Open wound, arm
891.0
Open wound, lower leg/ankle/knee/calf
918.1
Corneal abrasion
920
Contusion, face and head
923.20
Contusion, hand
923.3
Contusion, finger
924.20
Contusion, foot
924.8
Contusion, multiple
927.3
Crush injury, finger(s)
959.7
Injury, unspec.knee,leg,ankle,and foot
987.9
Toxic effects, gas,fumes,vapors
E905.3
Poisoning/toxic react hornets/wasps/bees
E906.4
Nonvenomous arthropod bite
AVERAGES
Light Days
Lost Days
Duration
# Cases
Visits
CL
CO
CL CO
Of Case
Cost
I
1
0.0
0.0
0.0 0.0
0.0
100.24
1
4
0.0
0.0
0.0 0.0
8.0
399.04
1
t
0.0
0.0
0.0 0.0
69.0
142.24
2
2
0.0
0.0
0.0 0.0
9.0
251.71
1
2
8.0
8.0
0.0 0.0
15.0
248.68
1
2
0.0
0.0
0.0 0.0
22.0
274.20
1
10
6.0
6.0
0.0 0.0
53.0
876.00
2
6
17.5
17.5
0.0 0.0
28.5
374.54
4
10
6.0
6.0
0.0 0.0
56.8
686.06
5
3
6.4
6.4
0.2 0.2
17.0
282.10
1
II
24.0
24.0
0.0 0.0
52.0
77T44
5
9
23.2
23.2
0.2 0.2
41.0
738.41
1
3
6.0
6.0
0.0 0.0
8.0
42.00
1
2
2.0
2.0
0.0 0.0
2.0
291.64
2
3
2.5
2.5
0.0 0.0
16.0
206.83
1
4
0.0
0.0
0.0 0.0
7.0
356.08
1
3
1.0
Lo
0.0 0.0
3.0
29T70
1
2
6.0
6.0
0.0 0.0
7.0
42.00
2
3
1.5
1.5
0.0 0.0
9.0
124.34
1
3
6.0
6.0
0.0 0.0
8.0
248.68
1
2
0.0
0.0
0.0 0.0
18.0
291.64
2
3
5.5
5.5
0.0 0.0
25.0
249.29
2
3
11.0
11.0
0.0 0.0
3.5
21.00
2
1
0.0
0.0
0.0 0.0
0.5
142.24
2
2
0.0
0.0
0.0 0.0
5.5
142.24
1
1
0.0
0.0
0.0 0.0
0.0
110.02
11/13/2002 Page I
ForCompanylD: FC
ICD9 Description
Total Number of Cases:
Avg Duration of Case (Days)
Avg Number of Visits:
Avg Cost per Case:
Occupational Health Services
1330 Oakridge Dr.
Fort Collins, CO 80525
INJURY TREND ANALYSIS
Injury Date Range from 7/1/2002 to 9/30/2002
I AVERAGES I
Light Days Lost Days Duration
# Cases I Visits CL CO CL CO Of Case Cost
Clinic Totals
45 Clinic Company
21.8 Avg Light Days per Case: 6.8 6.8
4 Avg Lost Days per Case: 0.0 0.0
$ 341.53
NOTE: This report includes only closed cases. The duration of case is calculated from the date of injury to closure date of case.
11/13/2002 Page 2
ALPHA LIST
For 11/12/2002 through 11/12/2002
Patient ApptDate
Company SSN
Ini. #
Ina. Date
Med. Rec. #
With
Type
11/12/2002
FC 06000040"
STAR
PHY
11/12/2002
FC iMmommMr9
2
01/28/2002
1004773
BAW
OHP
�rrror�➢a�ii
11/12/2002
FC
1
10/23/2002
1142165
MILLN
RE
11/12/2002
FC --- -- --
4
05/01/2002
1123894
MILLN
RE
11/12/2002
FC
4
05/01/2002
1123894
DH
OHO
11/12/2002
FC oMged"&
4
10/23/2002
1134573
PPB
OHP
iilfi�aaa��
11/12/2002
FC agM@Yfil
2
10/16/2002
1466669
STAR
REO
11/12/2002
FC Aionfifidiil
3
07/29/2002
1375034
DH
OHO
11/12/2002
FC 48*041
M 3
10/01/2002
1047662
MILLN
RE
11/12/2002
FC "0040mm"
NURSES
UDC
11/12/2002
FC dalawbow
1049919
STAR
PHY
11/12/2002
FC fia iamidw
2
02/14/2002
1009068
DH
OHO
iiiaaiaiaaw
11/12/2002
FC Oklo boOM
NURSEN
UDC
11/12/2002
FC dfa&Wkl *w
1242732
PPB
FCE
Pdnted:11/13/2002 12:16:OOPM Page 1
Z�7 POUDRE VALLEY HEALTH SYSTEM
1024 South Lemay Avenue
Fort Collins, Colorado 80524-3998
(970)495-7000
w .pvhs.org
November 11, 2002
James O'Neill,11, CPPO
Director of Purchasing and Risk Management
City of Fort Collins
256 West Mountain Avenue
Fort Collins, CO 80521
Dear Mr. O'Neill:
It is with great pleasure that Poudre Valley Hospital submits a response to your proposal for the
continued provision of occupational health services for the City of Fort Collins. Poudre Valley
Hospital's full service comprehensive occupational health program concentrates not only on
injury management and aggressive case management, but also on prevention and wellness.
Another key dimension of our program is the high priority we place on communication between
the hospital and the employer assuring the best possible medical care for the injured employee.
We are committed to delivering the most convenient, cost-effective, highest quality care to the
City of Fort Collins for occupational health services. In order to accomplish this goal, services
are now provided at our south location on Harmony Road, and our north site located at Lemay
Avenue and Pennock Place. After hours, care can be obtained at the Harmony Urgent Care
Center or Poudre Valley Hospital Emergency Department. All sites are fully educated and
integrated to meet your and your employees' needs.
The mission of our two organizations is very similar. We both strive to provide innovative, high
quality, and comprehensive services that exceed our customer expectations. As a show of our
interest and commitment to delivering cost-effective care, we are including a discount rate for
occupational health services of 6% within the body of this proposal.
Should you have any questions, please do not hesitate to contact Jill Fitzgerald or David Sutton at
495-8450. Poudre Valley Hospital looks forward to continuing our rewarding relationship with
the City of Fort Collins as its designated provider for occupational health services.
Sincerely,
raigXins
Vice President
Ambulatory & Support Services
CL/jak
0
2002
Year in Time
d!7 I'OUDRE VALLEY HEALTEI SYSTEM
Farf C���Ilin.. COlui;ul�,
J]", I-g
Poudre Valley Health System
Board of Directors
Thalne Michie, Chair
James Davidson, Jr., MD, Vice Chair
Tom Gleason, Secretary/--reasurer
Rulon Stacey,
President/Chief Executive Officer
Frank Carson, MD
Melvin Cruger
Nancy Hartley, Ph.D.
24 7 3
www.pvhs.org/pvhs/leadership
Susan Kirkpatrick, Ph.D.
Beryl (Brownie) McGraw
William Neff, MD,
Chief of the Medical Staff
Laurie Steele
Nicholas T. Yobbagy
Senior Management Team
Rulon Stacey,
President/Chief Executive Officer
Margo Karsten, Chief Operating Officer
i
Stephanie Doughty, Chief Financial Office,
Linda Gesick,Vice President,
System Development
Craig Luzinski,Vice President,
Ambulatory & Support Services
Kevin Unger,Vlce President,
Planning & Strategic Development
Poudre Valley Health System
We Are
Poudre Valley Hospital
Heart Center of the Rockies
Regional Neurosciences Center
Regional Orthopedic Center
Regional Trauma Center
Harmony Ambulatory Surgery Center
Harmony Cancer Center
Harmony Cardiac Catheterization Lab
4armony Clinical Lab
Harmony Imaging Center
Harmony Urgent Care Center
Cardiac Rehabilitation
Orthopaedic Center of the Rockies
Outpatient Surgery Center
Mountain Crest Behavioral Healthcare Center
gamily Medicine Center
Jccupational Health Services
Rehabilitation Services
Breast Diagnostic Center
Centre Avenue Health & Rehab Facility
Sleep Lab & Neuro Lab
Aindsor Medical Center
Poudre Valley Hospital Foundation
Aspen Club
Healthy Kids Club
www.pvhs.org
Hospital Relationships
poudre Valley Health System works closely
to coordinate services and patients' care with
hospital officials and physicians at:
Estes Park Medical Center
Haxtun (Colo.) District Hospital
Ivinson Memorial Hospital (Laramie, Wyo.)
Kimball County (Oshkosh, Neb.) Hospital
Memorial Health Center (Sidney, Neb.)
Morrill County Hospital (Bridgeport, Neb.)
Sedgwick County Hospital (Julesburg,Colo.)
Yuma (Colo.) District Hospital
Two Separate Organizations
Poudre Valley Health System and Poudre Health Services District
District Board
How It Works
nd our clinics are part
Poudre Valley Hospital, Harmony Campus, aof Poudre Valley Health System,
a private, not -for -profit corporation.
PVHS and the Poudre Health Services District are separate organizations, and have their own boards of
directors and employees.
-term lease with the Health District. The lease began May 1, 1994,
PVHS runs the hospital under along
when PVHS and the Health District became separate.
PVHS and the hospital do not receive property tax revenue.
A Few Key Differences
Poudre Valley Health System Poudre Health Services District
Property Tax Revenue
• No Property Taxes Public
Private
Appointed Board of Directors
Hospital, Outpatient, Clinic Services
Leases PVH Building
Founded 1994
Under IRS Regulations
24 7
Elected Board of Directors
Health Van, Clinic, Dental,
Outpatient Mental Health Services
Owns Hospital Building and Land
• Founded 1960
Governed by State Law
No Text
II. QUALIFICATIONS OF FIRM AND STAFF
A. Poudre Valley Hospital Fact Sheet and Guide (Attachment B).
B. Occupational Health Services
Poudre Valley Health System offers a comprehensive occupational health
program designed to assist the employer with the treatment,
management, and prevention of work -related injuries or illnesses. We
take an aggressive approach to identification of work -relatedness in an
injury situation; then immediately establish a highly directed and case
managed treatment plan. The program's approach is to implement
strong, consistent case management early in the treatment of the injury.
Our goals are to deliver prompt, quality care to injured workers, to
communicate with our client companies so that they are informed at each
stage of the treatment process, to return injured employees as quickly as
possible to their pre -injury work status, and to provide area employers with
additional assistance in the areas of prevention and pre -placement
services.
Established in 1987, the Occupational Health Services department of
Poudre Valley Hospital has grown in response to the needs of area
businesses. Under the direction of a full-time Board Certified
Occupational Medicine Physician, the program is designated a preferred
provider by a number of workers' compensation insurance carriers.
Membership in these preferred provider networks is based on our ability to
demonstrate quality care, to provide cost-effective treatment, and to
manage the case effectively to closure.
As a member of Pinnacol Assurance's SelectNet provider network, OHS
has demonstrated a consistently high level of performance as evidenced
by Pinnacol's annual report card. This report compares OHS with other
similarly sized providers in the Northern Colorado region. It shows our
strength in containing costs for employers in the network, as well as in
returning employees to work. OHS would be allowed to share this report
in its entirety, if requested.
Occupational Health Services with Poudre Valley Health System is solely
in operation to provide occupational health services to area employers.
An estimated 65% of the OHS volume is management of job -related
injuries. The remaining 35% of the OHS business is in provision of other
occupational specialty procedures such as pre -employment and DOT
physicals, immunizations, drug screening, and employment testing.
Occupational Health Services is an affiliate of COMPAS — Colorado
Occupational Medicine Provider Affiliate System. Inclusion in this network
for occupational health services will mean access to a statewide
7
Poudre Valley Health system: Year in Review
PVHS has been through the busiest period in its history.The health system opened
project
Harmony Campus for outpatient care in 2000, and embarked upon a
remodel Poudre Valley Hospital. The hospital now offers new nursing units, including
many private rooms for patients and comfortable waiting areas for families.
The nursing care has been recognized by the American'
Nurses Credentialing Center, which designated PVH.'
as a "Magnet Hospital." At the time of the award,
PVH was the 18th hospital nationally and the first In
the Rocky Mountain region to receive it. In addition,,
PVH was named a"Top 100"orthopedic hospital.
In 2000 PVHS had costs for commercial and managed;
care insurance patients that were lower than the
average prices at hospitals in Denver and along the
Front Range, according to the Colorado Health and
Hospital Association. "The fact that we can provide
high quality care at a lower cost is due to the
com-
mltment,training, and quality of our employe
es and
local physicians," Stacey pointed out. (see story on
page 26)
"Health care In our service area of northern Colorado,
southern Wyoming and southwestern Nebraska has
been in great demand," said Rulon Stacey, president
and CEO of the health system.
In 2001, PVHS provided care to 15,091 inpatients.
There were 2,448 babies born. Our ambulance crews
provided 6,519 patient transports, and 41,934 people
were cared for in our Emergency Department.
"Those numbers reflect the quantity of our service,
but the real story Is the high quality of the care we
provide at one of the lowest costs in Colorado;"
Stacey said.
24 7
Some recent highlights include:
Discussions with North Colorado Medical
Center in Greeley about a possible partnership.
Those talks continued this year.
Harmony Campus' continued growth since its
opening two years ago. An Urgent Care Center
and Cancer Center were opened,joining Cardiac
Rehabilitation, Harmony Imaging Center, Breast
Diagnostic Center, Ambulatory Surgery Center,
Clinical Laboratory, and Cardiac Catheterization
Lab. Harmony also includes offices for dozens of
physician practices.
The PVH Foundation's continued progress
in raising an endowment for long-term financial
support for the Children's Clinic. The funding will
allow the clinic to increase the number of children
it serves from lower income families.
The PVHS'and Salud Family Health Centers'
initiative that qualified the Children's Clinic and
Northside Health Center for additional funding,
allowing the clinics to expand services. PVHS
donated $1 million to the initiative. Salud took
over operation of the clinics this spring.
More intensive preparation for bioterrorism
attacks and community disasters after 9/11. The
community responded to the September attacks
with increased blood donations and volunteering
(see story on page 14). PVHS'Mountain Crest staff
counseled those in the community who needed
assistance.
PVHS agreed to repay the U.S. government
about $952,000 related to unintentional billing
errors for patient services at the Family Medicine
Center. PVHS had informed the government
when the errors were discovered in 1998. One-third
of the repayment represented interest; the other
two-thirds reimbursed the government for its
original payments.
PVHS web site (www.pvhs.org) expansion
with resources community members can use to
improve their health. New items include the
nationally -certified LaurusHealth service; physicians'
articles on the Health Report page; Web Links to
other sites; and Patient Info Resources, electronic
versions of many of our printed patient education
notebooks.
The launch of an online service, Health a -News,
with news articles and a calendar of local health
events. Free subscriptions are available at
www.pvhs.org/news/healthenews.
Continued expansion of the Healthy Kids Club
program for students in Fort Collins, Windsor,
and Loveland.
The Aspen Club's growth to more than 1 1,000
members. Its free or low-cost services include
screenings, health education classes, and social
activities. Aspen Club is for people 50 and older.
"All of us at PVHS try to be caretakers who help you
achieve and maintain the best possible health,"
Stacey said. "Thank you for the opportunities you've
given us to do that,'
24
The Future: A Second Hospital
The rapid population growth in Fort Collins and other parts of northern Colorado,
southern Wyoming, and southwestern Nebraska has created a need for additional
medical facilities — specifically a second hospital in or near Fort Collins that is accessible
to residents of the region.
The health system began studying options for a second hospital in 2001. Construction
could begin in 2003.
In addition to offering a variety of medical services, the second hospital will increase
the number of beds beyond the 235 at Poudre Valley Hospital..
"We've reached the point where population growth is starting to outpace available
medical services," said Rulon Stacey, president and CEO of PVHS. "Our goal is to develop
a second hospital that, along with Poudre Valley Hospital, Harmony Campus and other
PVHS services, will meet the short- and long-term needs of our communities."
Diabetes 101: It's Your Life
Kathryn Velasquez, who went back to school as an older adult and taught community
college classes, finds herself still learning at age 66.
This time she's learning how to stay healthy and
take care of a chronic illness. Her teachers are her
doctor, nurses, and a dietitian. And like many
younger students, Kathryn finds that how much
she learns depends on her attitude. How good
she feels and how long she lives depend on It.
"I'm accepting my diabetes and learning to live In
partnership with it, instead of at war with it," she
says. "I know now that I don't have to give up to
give in and accept it"
Diabetes hasn't always been an easy lesson.
"There was a time when I was bitter. I was in denial;"
Kathryn remembers.
Her doctor at the Family Medicine Center, Donna
Sullivan, helped change her mind. "She led me down
the path;' Kathryn says. "She said,'You're going to
die. I want to help you, but I don't know if I can:
"I had to be ready to do it for me. I'm such a rebel —
you can't tell me what to do,"a feistiness she's had
since she was a young girl growing up on a farm in
Missouri with her father and grandparents.
In her lesson, Kathryn has learned details about how
to improve her health by keeping blood -sugar levels
normal and eating balanced meals. She's had the
help of a nurse and dietitian in the Diabetes
Management program at PVH.
3ut as it often does, diabetes has complicated things.
She's had surgery to repair damage to the carotid
artery in her neck, and physical therapy to help her
egain her balance since she had a toe partially
amputated. "You don't always realize what a com-
plicated piece of equipment your body is," says the
`ormer neighborhood leader in the Buckingham area
of Fort Collins. "Now I have to think about it when
I walk, It doesn't come automatically anymore. -
But Kathryn has persevered, and Dr. Sullivan recognizes
ner effort, "We've worked together for nearly 10 years,
focusing on the things she could do, and making
gradual changes,"the family practice physician says.
"She's a delight and our relationship reflects the
reasons I'm still a happily -practicing physician. Kathryn
makes the effort to help herself, asks great questions,
brings in ideas from outside sources, and trusts my
opinions," Dr. Sullivan says.
"I think I'm doing pretty well, now that I realize what's
going on with the diabetes," Kathryn says. 1 try to
,have a goal every day. When life gets precious to you,
like mine is now, I can look back and say I did it."
"Melissa (her nurse) and I feel like we're part of
Kathryn's family, " Dr. Sullivan remarks. "We've been
together through some good times and not -so -good
times. We make a good team and we care about
each other. That makes it all worthwhile. -
Family Medicine Center
FMC offers general medical care for people of all
ages at its clinic two blocks north of Poudre Valley
Hospital, FMC's services include Poudre Valley Prenatal,
which gives pregnant women and their babies -to -be
a healthy start; Counseling and Wellness Services,
which offers individual and family counseling;
pediatrics; medical acupuncture; and biofeedback.
FMC accepts most government and private insurance;
it also provides care for those in the community
without insurance.
FMC trains 18 resident physicians in family medicine,
guided by its faculty and assisted by physicians in
private practice in Fort Collins. The faculty includes
physicians, a psychologist, a licensed marriage and
family therapist, a pharmacist, and a health promotion
coordinator. The program's graduates include many
physicians who practice in Fort Collins and in rural
communities around Colorado.
FMC is celebrating its 25th anniversary this year
The program is accredited by the Accreditation
Council for Graduate Medical Education.
www.pvhs.org/clinics/family
For information call (970) 495-8800.
Diabetes Management Services
The American Diabetes Association has recognized
PVHS' Diabetes Management program, based on
the ADA's national standards. The program was
established in 1975. PVHS'staff of certified diabetes
educators provides individual and group education
and counseling for adults and children with diabetes.
The staff includes nurses and dietitians. They teach
morning, afternoon, and evening classes to help
People learn how to stay healthy and take care of
their illness.
www.pvhs.org/health/classes.php3
For information call (970) 495-8205.
A Timely House Call
Most often, Zela Honea's regular health care appointments in her living room have
hPPn mutine visits. But not always.
in February, Zela, who is 83, developed a mysterious
and potentially dangerous condition in her left hand.
It quickly spread into her wrist and arm. When
Deborah Bayliss, Zela's nurse case manager, came by
three days later for their scheduled appointment, her
left hand and forearm had become swollen, red, and
painful to touch.
At Deborah's urging, Zela went to the Emergency
Department at Poudre Valley Hospital. Treated as an
infection, her condition cleared up with intravenous
and oral antibiotics. She also saw several specialists
to help complete her treatment.
"My hand is much better now,"Zeta says. "The pain
is gone, although the hand isn't quite as strong as it
used to be. They told me I could have died from it, so
I'm just very glad I got help so quickly."
Zela has lived in far-flung parts of the United States,
from the Pacific islands of Palmyra and Hawaii to
Alaska, Oregon, Virginia, and Maryland. The moves
were part of her late husband Leo Sr.'s work with
the National Bureau of Standards and its W WV time
and radio transmitter, which he helped set up near
Wellington. And her life has had its exotic moments.
In addition to the places where the family lived, the
occasion of the birth of her son, Leo Jr., on Palmyra
in 1947 was marked with a special memento from
a U.S. Navy physician who noted that the delivery
was believed to be the first recorded on the atoll.
Zela's three daughters were born in Hawaii, Oregon,
and Maryland. But now she stays put and lets
Deborah come to her north Fort Collins home of
36 years.
Deborah visits Zela every two weeks as part of
Community Case Management's services. "She takes
my vital signs and checks out everything to make
sure I'm doing okay,"says Zela, who is the second
person in her family to use the Case Management
program. Deborah first got to know Zela when she
was helping Leo Jr. with his recovery from an auto
accident in 1999.
Last year Zela called the Case Management office
for help with insurance coverage and medical care.
"She needed to change doctors because her insurance
was changing, and she wanted to make sure she
would still be covered," Deborah says. Zela's new
doctor, Roger Bermingham, MD, had also been her
son's and her husband's physician.
The Case Management program's advanced practice
nurses and medical social worker make home visits
and provide other assistance to PVHS clients who
don't qualify for traditional home health services. The
program is a community benefit provided by PVHS.
"It always gives me a lift to see her," Zela says of
Deborah's visits. "She's interested in me, and I know
she's there for me. I can call her if I need her. It's
been a great help."
Community Case Management
The program, which is in its eighth year, serves PVHS
clients who live in Larimer County and the Windsor
area. Case managers help with such issues as physical
health problems, pain management, home safety
evaluations, safe medicine use, education on specific
illnesses and treatments, stress management, emo-
tional support, and assistance in finding other
resources,such as community and church programs.
For information call (970) 495-8554.
Giving & Receiving
Helping each other. Giving our friends and neighbors better health. Or life.
Community involvement forms the foundation of our Blood Center, Bone Marrow
Donor, Organ Donor, and Volunteer programs. Donor and volunteer support make
those programs possible. It's about people helping each other.
Those programs have succeeded over the years during "normal" times. And then
there are extraordinary years, like the one we experienced last year. After 9/1 1 more
people called to volunteer. And many, many more called -and came in - to donate
their blood. It was an almost overwhelming response.
Garth Englund Blood Center
Last year,volunteer donors contributed 7,783 units
of blood or platelets for patients for their surgery
or other treatment, reports blood center supervisor
Tonya Winder. Typically, the blood center has about
600 donors each month. In September 2001, we had
777 blood donations, and the following month we
counted 871 units that community members gave.
We appreciate your generosity!
To become a new donor, check the requirements
and sign up online.
www.pvhs.org/services/blood—donor-php3
For information call (970) 495-8705.
Rocky Mountain Marrow Donor Center
Last year, the center registered 536 new volunteers
in an international database for potential bone marrow
transplants. Two of the center's volunteers actually
donated their marrow to others in 2001. That makes
a total of 33 donations since PVHSjoined the National
Marrow Donor Program in 1988. Unfortunately, one
of the 2001 recipients died; the second, an infant,
was said to be doing well, notes program coordinator
Joanne Coolman. Marrow transplants — infused
through an IV line like blood — are used most often
to treat leukemia.
To be registered in the international donor database,
volunteers complete a health questionnaire and give
a sample of blood.
For information on marrow donation
call (970) 495-8708.
Organ Donor Services
During 2001,83 people who died at Poudre Valley
Hospital gave a gift that helped others live, reports
Lari Walter, a nurse who coordinates PVHS'organ and
tissue donor program. The patients donated theirorgans,
bones, tissue samples, or their eyes to people around
the country who needed a transplant. Organs and
tissue are removed after death in specialized surgeries,
at PVH;the transplants are performed at designated i
medical centers around the country. l
A national shortage of donated organs has been a
fact of life for many seriously ill people on transplant
lists. Please consider becoming an organ and tissue
donor. Donors can be of any age; there are a few
medical exclusions. You can sign up on your Colorado,
driver's license or by filling out a donor card.
Volunteers Program
Last year, some 800 community members volunteered
to work at Poudre Valley Hospital, Harmony Campus
or one of our clinics. They donated 78,407 hours of
their free time helping patients, visitors, and staff,
volunteers director Nan Walters reports. They were
adults,college,or high school and junior high students.
They visited patients and families, delivered flowers,
conducted tours, worked in our Gift and Thrift Shops,
raised funds for patient care programs, and worked
on clerical projects. The Volunteers program also
helped people fill out living wills, made reservations ! 1
for out-of-town families at one of our"partner" motels, ,—,
and arranged for pet therapy and clown visits to
cheer patients (and staff, too!). ^'
For information call (970) 495-8580
or go to www.pvhs.org/volunteer and send us an
e-mail. We appreciate your interest!
--"'NE1M11OILY venefit
During 2001, PVHS provided $25 million in free or
subsidized services to the people of Fort Collins and
other communities. These included charity care for
patients, health classes and screenings, support for
local medical research, physician education, and
subsidized care for people in the Medicare, Medicaid,
and Colorado Resident Discount programs.
In 2000, the PVHS "community benefit" totalled $ 75.7
million. An increase in the value of services for
Medicare patients accounted for the change from
2000 to 2001.
Here are some ways that PVHS services benefit
the community:
Family Medicine Center. A program to educate
and train family practice physicians, FMC is a health
care resource for people without insurance and those
served by the Medicare and Medicaid programs. About
20% of people who use FMC are uninsured. Health
care is provided at reduced or no cost. Financial
counselors help patients by identifying programs
they are eligible for. FMC also accepts patients with
insurance.
"Strap and Snap" Program. PVHS Healthy Kids Club
>taff provides more than 2,000 elementary -age students
with bike helmet safety education. Helmets are offered
ree to children in need, thanks to the support of
he Colorado State University Alumni Association.
lelmets are distributed by the City of Fort Collins
rnartTrips office.
Cardiac Rehab Program. This is an exercise and
rehabilitation program for people with heart disease.
Follow up studies at three and six months after
completion of cardiac rehab show that all participants
have improved their"Met level,"which measures the
energy the body needs at rest. Patients'average Met
levels increased to 2.4 in 2000 to 3.0 and higher in 2001.
Community Case Management. This program
serves health system clients who need assistance
from community programs, and whose health puts
them at high risk for future hospitalization. The nurses
and social worker focus on people with chronic
illnesses or those with preventable problems, who
have limited financial resources and don't qualify for
home health services. The community case managers
helped 396 area residents, and made 4,836 home
visits in 2007.
C.
database, enhanced efficiencies through adoption of "best practice'
models, and participation in a physician network focused on development
of treatment protocols to improve outcome for workers' compensation
injuries.
Qualifications of the Staff
Poudre Valley Hospital, as a JCAHO a
employee credentials upon hire, and
ongoing competency for all staff. Yearly
safety training as well as job specific
essential functions and critical job skills.
Physicians:
Medical Director:
ccredited institution, must verify
assume responsibility to assure
standards are established for life
professional competencies for
Bill Milliken, M.D., MPH, MRO (Attachment C)
Occupational Medicine, Board Certified
Staff Physicians:
Donna M. Brogmus, M.D. (Attachment C)
Family Medicine, Board Certified
(Currently completing coursework toward board
eligibility in Occupational Medicine.)
William M. Basow, M.D. (Attachment D)
Family Medicine, Board Certified
Physician Extender:
Linda Boylan -Starks, NP-C, MSN (Attachment D)
Nurse Practitioner, Certified
Nurse Case Managers:
Mary Davidson, R.N., COHN (Attachment E)
Mike Asmus, R.N. (Attachment F)
community Health Activities
Healthy Kids Club outreach
For the past four years, in ea PVHS community wellness, d safety
Program has provided h,
activities for elementary -age children in Fort Collins,
d. Our goal Is to teach
Windsor, and Lovelan
good
health habits early, and to encourage family
involvement.
We typically serve about 300 youngsters each
week through after -school programs, "Health Break"
activities, and the City of Fort Collins "RAD" Van
program, Laurie Zenner,the program coordinator,
trap
reports. Many kids have also attended oou SSwim
and Snap" bike -helmet -safety programs,
Smart" classes, and our summer activity programs.
In addition, more than 400 kids participate In the
annual "Healthy Programs
Kam Run Sactivities for juniorhas high
sponsored p 9 and kickboxing.
d nts such as cooking, yoga,
stu e
e success Of
Community collaboration is a key tothe a partners
who help
Healthy Kids Club, and os 'bleTethe City of Fort Collins
make our programs p departments,
Parks and Recreation and SmartTrips
r School District, th
Poudre School District,
afe Kids1CoaWnds�tion,t
State
Exercise and Sp he Colorado e
Latimer County Sports Science and Food Science
State Edepartments, the Colorado State
and Human Nutrition dep Thanks to all of you!
Alumni Association,and Base Camp.
For information call (970) 495-7511.
Aspen Club
Membership climbed again in our highly popular
program for those who are 50-plus. The Aspen
Club signed up 515 new members last year, ending
2001 with 11,033 members. Programs and services
attracted 14,563 participants, says Jill Taylor, the
Aspen Club manager.
Here are a few ways that Aspen Club programs
served its members:
2001 Community Skin Cancero creeenings notlude
195 members participated
apa
community residents)
92 had a cancerous or precancerous condition
and were referred for follow up
Colorectal Cancer Screening
. 415 members participated
. 8 with positive screening results underwent a
colonoscopy
Kmart Pharmacy Discount Card their
Members filled 6,075 prescriptions using66
Kmart discount and saved a total of $.41,1.7
over Kmart's "usual and customary price.
Medicare Counseling
The Aspen Club staffa elped 472 clients with
Medicare benefits, p I
d other
insurance issues.
Exercise Classes a, and
312 membersjoined us forTai Chi,yog
other exercise classes.
wwv,.pvhs.org/cOml"inity/aspen
8560.
For information call i )
Wet) Resources
d wellness resources to Its
PVHS added health an
web site. The new features at www.pvhs.org include: _
Lauu�se a ewh' and fe tcertified resource that
ulres stories, an encyclopedia
and illnesses, and a listing of hundreds
of conditions ais accredited by the American
of medicines. nd ill
Accreditation use lth( us ontheir are isweb site�re than
80) hospitals
Patient Info Resources, with seven electronic versions
of printed notebooks on childbirth, heart disease, kids'
surgery, and orthopedic and neurosurgery.
Health Report, an archive of articles published
since 1999 in The Coloradoan, Parent Magazine, and
HealthAware, PVHS' quarterly community newsletter
Web Links, a page of links to health -oriented web sites
I:ommunity Health Classes
Area residents attended 21,853 hours of communh
classes through our Education Services Department;
almost half of hwere
and (ly Eucation their children.lasses
for parents, parents -to -be,
Check classes at vt,ww.pvhs.org/health/classes.phr
Supporting Community Health
For more than a quarter century, the Poudre Valley Hospital Foundation has worked
with local donors to improve the well-being of people in our community. The PVH
Foundation uses community gifts to create partnerships that help local residents lead
healthier lives.
During 2001 our friends and donors helped us raise The PVH Foundation Board of Directors
nearly $1.5 million to accomplish that goal.
The Foundation supported affordable health care Clayton E. Hartman, Chair
for uninsured families through the Family Medicine Averil Strand, RN, MSN, Vice -Chair
Center and Northside Health Center, for uninsured
pregnant women through the Poudre Valley Prenatal Margaret (Meg) Brown, Secretary/Treasurer
and Prenatal Plus programs, and for uninsured kids
and young adults through the Children's Clinic. John Conway
The Foundation also supported prevention programs
that are designed to create lasting change. Prevention
programs give people the tools and services needed
to help maintain good health --something we often
take for granted until it's lost.
Please call the PVH Foundation at (970) 495-7400 to
find out how we can work together to help ensure
our community remains one of the best - and
healthiest - places to live, work, and raise a family.
Larry D. Kieft, MD
Dennis Houska
Susan Morehouse
Roger Sample
Rulon Stacey, PVHS President/CEO
Ruth Lytle-Barnaby, PVH Foundation Director
Lri
POUDRE VALLEY HOSPITAL
v FOUNDATION
For details visit www.foundation.pvhs.org
Quality Initiatives
Medical Research Studies
Local residents, physicians, and PVHS take an active
role in national medical research project s, which
bring the community proposed new medicines and
other treatments.
In 2001,the health system's Institutional Review
Board approved 67 new research studies, with 51 of
them in various oncology trials sponsored by the
National Cancer Institute.
The IRB renewed another 110 existing research
studies last year.
More than 1,200 local residents participated in
research studies last year, by filling out surveys or
helping test new medicines or other treatments.
Area residents have the opportunity to participate
in 96 cancer research projects. Eighty-five persons
have met eligibility criteria and enrolled in oncology
trials since 1997.
Call Education Services, (970) 495-7320, for
information on research trials and eligibility criteria.
Back Injury Prevention for Staff
PVHS' program to help prevent back injuries to
employees enjoyed a successful year. Fewer employees
reported on-the-job injuries in 2001 overall, including
those for back strain.
The activities that made for a less painful year were:
• An injury prevention course that teaches proper
body mechanics and lifting techniques, especially
to nurses and materials management staff. New
employees also learn stretching and strengthening
exercises for back health.
^1
• An analysis of tasks and behaviors in higher -risk
departments.
• Disability management review to return injured
workers to productive assignments as soon as
appropriate.
!"1
Q
�
Q
n
i
^i
••• ••�
Non -Patient Care Patient Care
-1
Back Injuries Back lnjuries
,1
"l
-1
1
Certifications, Accreditations & Awards
Poudre Valley Health System
Three-year accreditation by Joint Commission for the Accreditation of Healthcare Organizations
Poudre Valley Hospital
Magnet Award for Nursing Excellence
Conferred June 2000 byAmerican Nurses Credentialing Center
of the American Nurses Association
Poudre Valley Hospital
One of 15'America's Promise"Hospitals for youth health programs
Conferred July 2007 byAmerican Promise
Regional Orthopedic Center
'Top 1000.S. Hospital"for Patient Care Excellence in Orthopedic Surgery
Awarded November 2000 by Solucient consultants
Regional Trauma Center
Designated as a Level I/ Center by State of Colorado
Breast Diagnostic Center
Accredited by American College of Radiology
Clinical Laboratory
Accredited by College ofAmerican Pathologists
Diabetes Management Program
Recognized byAmerican Diabetes Association
Garth Englund Blood Center
Accredited by the American Association of Blood Banks
Cancer Program
Accredited by the American College of Surgeons' Commission on Cancer
Family Medicine Residency Program
Accredited by the Accreditation Council for Graduate Medical Education
Harmony Ambulatory Surgery Center
Accredited by Joint Commission for Accreditation of Health Care Organizations
Ambulance Service EMT Reserve Program
2002 Best Practices -American Hospital Association
3
Physician and
Patient Use of Our Services
IRegional Center
: - -,.,.. _ _ ,- - , _ :-----------
z Where Patients Live
Persons Hospitalized-
00
Fort Collins
9,813
65%
Loveland -Berthoud
1,293
8.5%
Estes Park
309
2%
Windsor & 1-25
544
3.5%
Elsewhere in Northern
Colorado 921
6%
Wyoming
760
5%
Southwest Nebraska
270
2%
Other
1,181
8%
PATIENTS' INSURANCE COVERAGES IN 2001
I]
[i
Percents are rounded.
Use of PVHS Services
1999
rrt
2001
Number of People Discharged from Our Hospitals
14,154
14,104
15,091
Births
2,299
2,452
2,448
I
Number of People Who Had Surgery
10,802
11,028
11,470
Number ofTimes People Were Treated in the PVH ER
40,229
40,385
41,934
Ambulance Transports
5,921
6,178
6,519
Cafeteria and Patient Meals Served
417,956
534,598
568,294
(including Meals on Wheels)
Number of Radiology Tests
125,770
110,576
126,087
(X-ray, Cr and MRl scans, ultrasound, nuclear medicine, mammograms, etc.)
gg
4-�
Appointments at Family Medicine Center
27,030
28,759
26,186
Number of Visits To Clients by Community Case Managers
4,392
4,352
4,836
Patients'LabProcedures
598,207
665,164
709,351
A Numbers Snapshot for 2001
I
J
Charity Care for Patients
I
Bad Debt for Patient Bills
Number of Employees
I
I Number of Full -Time Equivalent Jobs
I
Number of Hours Worked by Teen-age, College,
and Adult Volunteers
Our Cost of Medical Supplies & Drugs
I'
Our Utility Bills
I'
I Average Hospital Stay
I'
I
Members of Aspen Club 50-Plus Program
I' Number of Physicians
93% hold board certification from their specialty
societies or colleges
I. Details are available at w .pvhs.org/pvhs/fact
I
$1.6 million $1.8 million $1.6 million
$4.6 million $4.1 million $4.5million
2,201 2,156 2,315
1,562 1,595 1,643
78,987 79,500 78,407
$25.0 million $25.8 million $28.9 million
$2.2 million $2.2 million $2.6 million
4.03 days 4.04 days 3.90 days
9,653 10,518 11,033
356 351 363
Poudre Valley Health System Financial Results
Total Revenue $232.4 million $257.9 million $297.7 million
Deductions
$65.3 million
$84.2 million
$101.1 million
-�
7,
Net Revenue
$167.1 million
$173.7 million
$196.6 million
-
-- -----------
----------------- -
Total Expenses
$153.7 million
$163.7 million
$181.2 million
Salaries & Benefits
$80.3 million
$83.4 million
$90.6 million
All Other Expenses
$73.4 million
$80.3 million
$90.6 million��
Net Earnings
$13.4 million
$10.0 million
$15.4 million
Q
O
Q
Capital Spending
$31.3 million
$46.4 million
$26.7 million
d
C
All numbers are audited and final.
r�
What The Numbers Mean
� )tur charges for all the medical services anSupplies d
clinics m
Plus such other terns as investmen SU `ce Provide for ncomd �O
e an uti p`
„ r ntrib
Ons
�3X v.'SSS?�S.S •�§ F•.x
A inF b '
✓e subtract this number from
compar��e5 and c m Total Reven,
)ov�rnment ue It is th"
aisabilities} and health pro ra e amour rt we are n,
Medicaid (for lo'w incor g individuals) uch s Medicare (For sen
This also includes
fhe amount the federal an
)ay d state governments, insurance tom
us, plus such items as invest
ment income and po h an.
contributions to the P�
:aLi�a i ter,
chat it costs us to run our hospitals and clinics and
rd benefits make up about half our costs.
provide medical services.
Employees' wages
'Ot-for-profit Organization, PVHS reinvests its earnings
ethnology, or it puts the move holders nt new se existing services, like buildings
who own stock, so it doers not savings account or reserve. pU
pay out any of its profit to Shareho does not have
strives to provide services to the cornrnunit
paves by not Paying Y that e
iunit ge 9 taxes on most of its income.goal or exceed the amount of
Y nefit page of this re More information money
11 port.mation is available on the
a�dssi rd.
we spend to buy medical and other equipment, and to re
model or build buildings.
Therapy Staff:
3 Physical Therapists
Paul Braunlin, PT — Paul has 19 years of experience
as a physical therapist. He specializes in spinal and
orthopedic injury rehabilitation.
Heather Kenney, MSPT — Since 1995, Heather has
specialized in orthopedic injuries and rehabilitation.
Barbara Walden, MSPT — Barb has been a physical
therapist for 10 years, focusing on orthopedic types of
injuries.
2 Occupational Therapists
OHS Clinic Staff:
Office Staff:
Dianne Holland, OTR — Graduating from CSU in
1999, Dianne has focused her OT skills in hand
therapy and educating patients in proper job task
positioning.
Michelle Weatherly, OTR, CHT — A certified hand
therapist, Michelle has been with PVH for 14 years
specializing in upper extremity and hand injuries, job
site analysis and pre -employment testing.
1 Registered Nurse
3 Medical Assistants
2 Technicians
In addition to their skills in patient intake and triage,
OHS clinic staff is certified in conducting drug and
alcohol testing, spirometry exams, audiometric
exams, and administering immunizations/vaccines as
requested.
3 Schedulers
1 Receptionist
2 Billers
2 Medical Records Clerks
4
Comp Your Cost of HosP"p, Ital In 2000 comp to the )
Comparing ared favorably
tallzation at Poudre Valley Hosp
These comparisons are based on Infor-
The cost of hosp or hospitals in Colorado. Health
& Hospital Association,
cost of care at other ma to the Colorado H December 2001. ,
mation reported by member hospitals
CHHA in its annual Reference Guide, released la ge din iscounts on patient -
and published by anies negotiat
i h insurance comp Range, in the end PVH `\jas less,
k The results show that although
cause its basic charges for insurers were far lower in
bills with hospitals in Denver and other cities on the Front
expensive on average in 2000 be
Cot Persons with Commercial lnsurance
5g,978
Other Urban Average
Metro Denver Average
Cost for Persons with Managed Care Insul
$4,�
PVH
Other Urban Average
Metro Denver Average
WINNOW' -
or includes l3 hospitals.
atient's stay " category represents data forl4is the
in 2000. "Other Urban category Y hOSP
es for the average p anies and hospitals. "Net Cost"
Based on hospitals'total charges plus Grand Junction.'nsurance come g
one) e outside Denver, es" are negotiated by
on the Front Rang typical patient's hospital stay, after the discounts. Because this Is an average,'
Denver and suburbs. "ce countmpa ies for a typ
expense to all Insurance comp differ. 'Managed Care" patients were e
insurance company results may .
dliional indemnity health insurance.
ommercial" patients are those who had anafor example.
"Cand CHAMPUs.
,C HMO, PPO, or"direct contract" health p such as Medicare, Medicaid,
These results do not cover costs for government programs,
Commercial Discount Percentage Commercial Discount Amount Net Cost to Insurers
wl
:0
28.0% $5,850 $15,042
r 8.8% $386 $3,996
r'
42.9% $6,043 $8,044
58.2% $10,243 $7,356
r
It ; i .,Inc.
i
���
�7`--
i
4$i POUDRE VALLEY HEALTH SYSTEM
1024 South Lemay Avenue
Fort Collins, Colorado 80524-3998
www.pvhs.org
C
e a An integral part of our oc-
cupational medical team,
Linda has been at Occupa-
tional Health Services since
i
1996. She provides valu-
able services to the em-
plovers in the community
and by traveling on -site to assist with well-
ness programs. Her background in emer-
gency medicine coupled with occupational
services gives her "hands on" experience in a
variety of situations. Linda helps manage the
injuries and works directly with the specialist
in the community.
Linda Boylan -Starks. NP-C. MS\
• A.A. 1982, Miami -Dade Community Col
lege. Assoc. of Nursing
• B.S. 1986, University of North Florida.
Jacksonville, Nursing
• Masters 1995, Florida International Uni
versity. Miami, Nursing
• National Nurse Practitioner Certification
1996
Dr. Basow has been in
family practice in Fort
Collins since 1978 before
joining Occupational
r
Health Services (OHS) in
1997. He served as Resi-
dency Director at Poudre
Valley Hospital's Resi-
dencv program where he provided valuable
knowledge, insight and training to the resi-
dents. At Of he is an integral tearn player
in treating injured workers in the Fort.
Collins market. In 1978, Dr. Basow volun-
teered medical work in Nicaraiva and Hon-
duras.
William M. Basow. M.D.
• B.A. 1970, Universitv of Kansas — Zool-
ogy, Phi Beta Karma
• M.D. 1974, University of Kansas. Alpha
Omega Alpha
• Residenev 1977. Family Practice Resi-
dency, Cedar Rapids, Iowa
• American Board of FP, 1977
• Re -certification of F11. 1983, 1989 and
1995
• Level 11 Accreditation
E
Mary A. Davidson
Education
University of Northern Colorado
B.S. (Nursing) 1974
Minor in Psychology
Principles of Epidemiology, 1984
Certified CPR Instructor, AHA, 1989
COHN-S Certification, 1994
Continuing Education seminars and courses (nursing), 1974 — 2002
Emplovment Histo
1996 - Present Care Coordinator — Poudre Valley Hospital, Occupational Health
Services
1989 — 1996 Occupational Health Nurse, State Farm Insurance
Greeley, CO.
1986 — 1989 Community Health Nurse, Larimer County Health Department,
Fort Collins, CO.
1982 — 1986 Community Health Nurse, Weld County Health Department,
Greeley, CO.
1980 — 1982 Family Planning and Children's Assessments, Dawson County
Family Planning Development Assessment Services, Glendive,
MT.
1975 — 1978
1975
1974 — 1975
AFFILIATIONS
Nursing Supervisor, Washington County Health Department,
Fayetteville, AR,
ICU/CCU Charge Nurse, Springdale Memorial Hospital,
Springdale, AR.
Surgical/Medical/OB Nursery Nurse, Mount San Rafael Hospital,
Trinidad, CO.
Member, American Association of Certified Health Nurse Specialists
Member, Colorado Association of Occupational Health Nurses
F
Michael I Asmus
Education
Bachelor of Science Degree in Nursing
University of Northern Colorado, 1988
Bachelor of Science Degree in Health Arts
College of St. Francis, 1982
Certificate, Critical Care Practitioner
American College of Surgeons, 1978
Diploma in Nursing
Presbyterian Medical Center, School of Nursing, 1976
Professional Experience
Care Coordinator, Poudre Valley Hospital, Occupational Health Services
1995 - Present
Coordinator, Employee Health Services
October, 1987 — 1995
Clinical R.N., Level III, Emergency Department
October, 1985 — September, 1987
Charge R.N., Emergency Department
May, 1982 — September, 1985
Staff R.N., Emergency Department
September, 1976 — May, 1982
Float R.N.
June, 1976 — August, 1976
Other Pertinent Information
Member, International Massage Therapy, 1999 — Present
Supervisor, Poudre Valley Hospital Modified Work Program, 1995
Certificate, Occupational Hearing Conservation, 1990
Employee of the Year, Poudre Valley Hospital, 1989
SPECIALIST REFERRAL LIST
G
ORTHOPEDICS
Orthopaedic Center of the Rockies
2500 E. Prospect Road
Fort Collins, CO 80525
970-493-0112
NEUROLOGY
Tim Allen, MD
2121 E. Harmony Road
Suite 270
Fort Collins, CO 80528
970-221-1993
Michael Curiel, MD
2121 E. Harmony Road
Suite 270
Fort Collins, CO 80528
970-221-1993
PHYSIATRY
Bruce Lockwood, MD
John Bender, MD
1330 Oakridge Drive
Fort Collins, CO 80525
970-495-8470
PSYCHOLOGY
Ron Carbaugh, Psy.D
1330 Oakridge Drive
Fort Collins, CO 80525
970-495-8470
ALLERGY
John James, MD
1136 E. Stuart Street
Bldg. 3, Suite 3200
Fort Collins, CO 80525
970-221-1681
NEUROPSYCHOLOGY
Greg Thwaites, PhD
1517 16'" Avenue Court
Greeley, CO 80631
970-392-2190
ANESTHESIOLOGY
Scott Hompland, DO
1330 Oakridge Drive
Fort Collins, CO 80525
970-495-8470
Richard Alessi, MD
1241 Riverside Avenue
Suite 200
Fort Collins, CO 80524
970-484-0722
DERMATOLOGY
Bruce Kornfeld, MD
1006 Centre Avenue
Fort Collins, CO 80526
970-482-9001
C. Paul Sayers, MD/
Brad Baack, MD
2121 E. Harmony Road
Suite 350
970-484-6303
OTORHINOLARYNGOLOGY
Mark Loury, MD
2001 S. Shields Street
Bldg. E, Suite 101
Fort Collins, CO 80526
970-493-5334
GENERALSURGERY
Thomas Chiavetta, MD
2121 E. Harmony Road
Suite 250
Fort Collins, CO 80528
Chris Cribari, MD/George Tutt, MD
1148 E. Elizabeth Street
Fort Collins, CO 80524
970-221-5878
CHIROPRACTIC
Scott Parker, DC
1330 Oakridge Drive
Fort Collins, CO 80525
John Zimmerman, DC
1017 Robertson Street
Fort Collins, CO 80524
970-472-5000
H
OHS South Clinic
1330 Oakridge Dr.
Fort Collins, CO 80525
Phone:970-495-8450
Workers' Compensation Referral
Sean Grey, MD
2500 E. Prospect Rd.
Fort Collins CO 80525
970-419-7150
Patient Name:
Diagnosis:
Sprain/Strain, Shoulder/arm
Date of Injury:
8/22/2002
Employer:
City of Fort Collins
215 N. Mason Street
P. O. Box 580
Fort Collins CO 80522
Referral Appointment:
11/14/2002
Reason for Referral:
Recheck
Workers' Comp. Ins.:
CCMSI
700 Broadway
Suite 1132
Denver CO 80273
Ins. Phone #:
800-548-1469 Ext:
Insurance Fax #:
303-831-3069 Ext:
November 13, 2002
Claim #:
If changes in the work status are indicated, the patient must
obtain a new Work Status Report from our office as soon as possible.
AUTHORIZATION IS REQUIRED FROM REFERRING OHS PHYSICIAN FOR:
1. Additional testing (i.e. MRI, EMG, etc.)
2. Secondary referrals
3. Hospital admission
4. Surgery - In/Outpatient
5. Rehabilitation
6. Impairment Ratings
7. Other:
Mail or fax consult summary to:
OHS South Clinic
1330 Oakridge Dr.
Fort Collins, CO 80525
Fax: 970495-7664
PVH Occupational Health Services has contractual arrangement as the case managers for this company's Workers'
Compensation cases. If you have any questions, contact the Nurse Case Manager at (970) 495-8450.
November 6, 2002
To Whom It May Concern:
�.+oloP
University
Environmental Health Services
Fort Collins. Colorado 80523-6031
(970)491-6745
FAX; (970)491-4804
http://elienid,it l.ehs.colostate.edt,
Our department, Environmental Health Services of Colorado State University has worked
closely with Occupational Health Services for the last eight years. During this time, we
have received timely doctors and case management status reports. We have been able to
communicate closely with all the physicians, other administrators and staff concerning a
variety of needs. Occupational Health Services is able to accommodate our requested
meetings, our requested paperwork and our requested visits to our employees work sites
at Colorado State University.
We feel our employees receive the best care available when they are treated at
Occupational Health Services. Employee responses we do receive, overwhelmingly state
they are satisfied with the medical care, case management, and referrals made by
Occupational Health Services.
The medical professionals and staff of Occupational Health Services are able to
humanistically treat our injured employees and at the same time focus on returning our
employees to work as fast as medical treatment will allow.
If you want further information concerning our working relationship with Occupational
Health Services, feel free to call me at Environmental Health Services, (970)491-6745.
Sincerely,
N
Daniel J. Pena
Workers' Compensation Coordinator
Environmental Health Services
Colorado State University
I)ni.io,, of Grr, i,.r,
LOW BACK INJURIES
No
Discogenic
Signs
No--
-48 hours bedrest
-NSAID's
-7 muscle relaxant
walk
- avoid sHbno
No
Weekly reevaluation
for "weeks
-continue conservative
RX
- home exercises
- PT
-RTW Wan
-48 hours bedrest
relaxant
Clinical
Reevaluation
I Acute Back Pain 1
Progressive Weakness
Persistent
Neurologic Yes Re-evaluate
Signs
every 4&72
hours
Improvement? -__- ► YModified Duty
plan
No 7
Surgical evaluation; Progressive
.Ak 8lor psych evaluation; Program
MRI; rehabilitation for return
program to full duty
Yes
Surgical
evahafbn
AL
MRI or
CT
Persistent
Signs
OCCUPATIONAL HEALTH SERVICES C.
III. FEE SCHEDULE
The following fee schedule reflects the Colorado Workers' Compensation
Medical Fee Schedule rate and the discounted rate offered to the City of Fort
Collins. Occupational Health Services will accept 94% of the Medical Fee
Schedule for clinic visits, impairment ratings, rehabilitation therapies, reports and
telephone calls. Discounted charges are listed for specific specialty services,
i.e., physicals, drug testing, etc.
There is no charge for the case management meetings held twice a month. This
is a service we feel adds value to our care of the injured worker to allow
opportunity for input from the employer regarding specific job related issues and
clarification of treatment plans.
New Patient
Colorado Comp
City of FC
Fee Schedule
Fee
(per visit)
(per visit)
Brief
$ 46.54
$ 43.75
Limited
$ 68.02
$ 63.94
Intermediate
$ 100.24
$ 94.22
Extensive
$ 143.20
$ 134.61
Comprehensive
$ 186.16
$ 174.99
Established Patient
Colorado Comp
City of FC
Fee Schedule
Fee
(per visit)
(per visit)
Brief
$ 25.06
$ 23.56
Limited
$ 42.96
$ 40.38
Intermediate
$ 64.44
$ 60.57
Extensive
$ 96.66
$ 90.86
Comprehensive
$ 139.62
$ 131.24
Impairment Ratings
Colorado Comp
City of FC
Fee Schedule
Fee
Treating Physician $112.50/30 min., max $279.24 $108.00/30
min.
Consulting Physician $112.50/30 min., max $537.00 $108.00/30
min.
5
CARPAL TUNNEL SYNDROME
Pos
Fx Rx;
cast, splint
Wrist splint
espec. at nights
NSAID's
Activity modification
early M.D. recheck
Initial history & exam, including
recent trauma, occupational history,
Sx's resolve
Anticipated Outcome Meeaurea
-Pain reduction
- Improvement of sensation Wor motor function
-Reduction of paresthesias
-Improving dexterity and grip strength
-Improved vasomotor function
-Prevention of further deterioration in nerve function
Expected Duration of Care: Confirmed CTS
- Non -operative: 2-3 months
-Operative 2-6 months
If Surgery:
1) splint in position of slight extension
2-3 months
2) No PT/OT necessary
3) Consider job modification,
especially if work is repetitive
i
No traumalnsidicus onset
Pas Hx:
diabetes,
pregnancy,
sorcoidosis,
myxedeme,
rheumatoid
arthritis,
To primary
M.D. for
appropriate
Rx
Sx's persist
despite
Pas Tinel's
Pos Phalen's;
atrophy or
EMG/NCV;
Local
cortisone;
? surgical
release;
i job site
Neg Hx
for other
medical
wrist splint
espec at
nights,
NSAID's
PT/OT
eg on -site
work site
exercises
No
resolution
of pain,
numbness
or
tingling
within
LMD
Exam neg
or
equivocal
Continue PT
NSAID's,
splint
No
resolution Resolved
OCCUPATIONAL HEALTH SERVICES
CHEMICAL EXPOSURES
Utilize Software
_ poison resource
-all known MSDS
OHS Reference
Library: ag Proctor
& Hughes,
Casarett & Doull.
See Appenduc for
Attached:
Scientific
American
Medicine
OSHA Standards Table
Accurate history from patient,
Supplement with work place '
supervisor interview
Symptomatic treatment,
Antidotal treatment
Thorough exam of
patient, also others
Diagnostic leads
suggesting chemical
-respiratory distress
-cyanosis
-comatose
_mildly intoxicated
-look for organ -
specific effects
_correlate with
known organ
system effects
• asphyslants
• neurotoxins
• nephrotoxins
• others
- blood
- x-rays
-urine
testing
OCCUPATIONAL HEALTH SERVICES
EYE INJURIES
History 8
initial exam
Abrasions/
Foreign bodies
Penetrating
Chemical
I
surface of
injuries:
Bums
of lids
eye; comeal
eyeball
abrasions
contusions
Copious
Remove
Topical
Anterior
irrigation
Traumatic
particulates
anesthetic
segment
retinal After
drops;
V.
detachmetanalgesics,
Copious
spud or fine
scleral
cycioplegics
irrigation
gauge
location
needle
Irrigate until
Sutures
for FB.
pH 7.3-7.7
Contusion
range by pH
Avoid
Fluorescein
strip
marginal
to mark
notching
abrasions
Observation
Ointment,
patch,
Repairs
Antibiotic
frequent
must be
ointment;
Ophlhalmobgy
rechecks
within
7 cyclwegic
refenal
24 hours
drops
Watch for
late or
Inspect in
delayed
2448 hours
glaucoma,
comes]
scarring,
etc.
Thermal
Orbital
bums
fracture
Rash bums'
Topical
Bkhvout
anesthetic
fractures need
drops for
repair if:
exam
a) persistent
diplopia
Topical
b) enophthalmos
antioioties,
> 2 mm
sterile
c) large fracture
dressings,
Delay surgery
t-2 weeks if
H
possible - see
if decreased
swelling helps
OCCUPATIONAL HEALTH SERVI('FS
Cracked?
Enamel Dentin Pulp
Non -emergency:
DDS referral
Dental emergency Minimal
Periodontal referral I I I.,.x......
Solt Diet for
2 weeks:
expect
Note:
DENTAL INJURIES
Confirmed
bv'wobble"
I where is the tooth?
Significant
"wobble"
Stabilization
by ER doc,
or
Xray below gums for
"intruded` tooth wor
Xray chest to rule
In all situations, wam the patient that the
damaged tooth could die, leading to pain and/or
discoloration.
Found:
transport in milk
"back in socket
Immediate
re -implantation
with subsequent
traces or
supports - arch
bars, ligature
wire
Involve DDS
r oral sumeo
OCCUPATIONAI HFAI TH RFRVIRFR
Depositions
Expert Testimony
Colorado Coma
Fee Schedule
$ 250.60/60 min.
$ 400/60 min.
City of FC
Fee
$ 235.56/60 min.
$ 376.00/60 min
Testimony Fees: As defined in Rule XVIII (Medical Fee Schedule) of the
Department of Labor and Employment, Division of Workers' Compensation.
Medical Conference
$ 71.60
$
67.30
Telephone Calls:
Brief
$ 14.32
$
13.46
Intermediate
$ 28.64
$
26.92
Complex
$ 42.96
$ 40.38
Physical Medicine
Colorado Comp
City of FC
Fee Schedule
Fee
Initial Eval PT
$
71.00
$
66.74
Re-eval PT
$
48.00
$
45.12
Initial Eval OT
$
71.00
$
66.74
Re-evalOT
$
48.00
$
45.12
Hot/Cold Pack App.
$
9.00
$
8.46
Mechanical Traction
$
20.00
$
18.80
Elect. Stimulation
$
16.00
$
15.04
Vasopneumatic Device
$
17.60
$
16.54
Paraffin Bath
$
13.00
$
12.22
Whirlpool
$
20.00
$
18.80
Manual E-Stim (15 min)
$
20.00
$
18.80
lontophoreses (15 min)
$
22.00
$
20.68
Ultrasound (15 min)
$
18.00
$
16.92
Therapeutic Exercise (15 min)
$
22.00
$
20.68
Neuromuscular Re -Ed. (15 min)
$
22.00
$
20.68
Aquatic Therapy
$
20.00
$
18.80
Gait Training (15 min)
$
20.00
$
18.80
Massage (15 min)
$
24.00
$
22.56
Manual Therapy (15 min)
$
27.00
$
25.38
Orthotics Fit/Train (15 min)
$
21.00
$
19.74
Therapeutic Activity (15 min)
$
22.00
$
20.68
Self Care/Home Mgmt. Tng.
$
33.00
$
31.02
Physical Performance Test
$
42.00
$
39.48
11
Other Specialty Services/Fees
OHS Fee
City Fee
Fit for Duty Evaluation (1 st hour)
$ 125.00
$ 117.50
Fit for Duty Eval. (each add. '/2 hour)
$ 112.50
$ 105.75
OSHA Respirator Physical
$
30.00
$
28.20
Basic Physical
$
55.00
$
50.00
DOT Physical
$
60.00
$
50.00
Dipstick Urine
$
5.00
$
5.00
Vision Testing
N/C
N/C
Whisper Hearing Test
N/C
N/C
Breath Alcohol Testing (BAT)
$
25.00
$
25.00
Random DOT Drug Testing
$
15.00
$
15.00
(Collection only)
Pre -employment Drug Testing
$
30.00
$
25.00
(On -site testing)
Audiogram
$
20.00
$
20.00
Range of Motion Testing
$
70.00
$
70.00
(Per AMA Guidelines — 5 sites)
WorkSTEPS Employment Test
$
95.00
$
95.00
EKG including interpretation
$
108.00
$
108.00
Immunizations — as requested for Rabies, Influenza, MMR, etc.
(Fees per schedule + 20%)
7
IV. DESCRIPTION OF FACILITIES
A. Poudre Valley Hospital is a 220-bed, full -service hospital, located at 1024
South Lemay in central Fort Collins. The Joint Commission of
Accreditation of Health Care Organizations (JCAHO) accredits the
hospital. PVH has also been awarded the distinction of being a "Magnet
Hospital for Nursing Excellence." This is an award given to the top 100
hospitals nationally for providing high quality, comprehensive medical
care.
Poudre Valley Health System has been named "Best in Business" in
Larimer County by the Fort Collins Coloradoan. PVHS has also received
top recognition in two other categories: "Best in the Work Place" and
"Best Corporate Citizen" in Larimer County health care.
B. Occupational Health Services
In 2000, Occupational Health Services opened a satellite office at 1025
Pennock Place, and moved its primary location to 1330 Oakridge Drive.
This relocation offers two clinic sites, adding accessibility to the various
locations of City employees for both medical care and rehabilitation
services.
The continuum of services offered, from initial injury management to
rehabilitation and wellness, provides a unique opportunity for our
programs to communicate consistently and frequently to assure quality
outcomes for injured workers. By providing this continuum within the OHS
model, the physicians are also better able to control of all aspects of the
work injury as gatekeepers in the management of each case.
C. Pharmacy
Prescription medications are available through the outpatient pharmacy
located in the Emergency Department of Poudre Valley Hospital, the
Harmony Campus Pharmacy, or Spring Creek Pharmacy. These three
sites are managed by the same network and will accept OHS workers'
compensation prescription requests. Occupational Health will also work
with any City of Fort Collins designated pharmacy.
D. Rehabilitation
The rehabilitation services provided at Occupational Health include
Physical and Occupational Therapy. The therapy staff has exceptional
depth and expertise in all areas of physical rehabilitation; their primary
focus is on industrial rehabilitation. Prevention -focused programs are
offered, including a Back Education program, Upper Extremity Injury
Prevention, and workplace ergonomics.