Carson Tahoe closure reflects health care ‘changing landscape’


Officials at Carson Tahoe Health and Carson City Health and Human Services said that while the upcoming few Carson Tahoe Health closures reflect the new realities of the post-pandemic world, patient access and care will continue to suffer. does not have any adverse effects.

Walmart clinics in North Carson and South Gardnerville will be closed on May 31. According to the CTH, some of the providers serving these facilities will be relocated to Carson Tahoe His Medical Group primary care facilities in Minden and Carson City where they will be able to offer same-day appointments. It’s a schedule.

Two CTH facilities will be affected at the former hospital site off Fleischmann Way. Outpatient testing services at specialized medical centers will be closed. Starting June 9, testing services will be available at Carson Tahoe Regional Medical Center, Carson Tahoe Sierra Surgery, Minden Medical Center, and Dayton Medical Center. Information is available at https://www.carsontahoe.com/lab-services.

Carson Tahoe Continuing Care Hospital, which is located on the site of the old hospital, will also close by July 14.

“While the number of patients visiting Walmart clinics has dropped to less than five per day in recent years, the need for access to primary care has increased throughout the community,” said CTH Community and Patient Experience Management. Kitty McKay, of By email to appeal. “By closing the Walmart clinic, we are allowing the health care providers who served there to be redeployed to the Carson Tahoe Medical Clinic at Minden Medical Center and the Eagle Medical Center in Carson City.”

CTH is still fine-tuning the details of the workflow, but the move to other medical facilities will allow for “walk-in primary care,” McKay said.

“This will allow us to start offering ‘walk-in primary care’ Monday through Friday from 8am to 5pm, and hopefully make it a more accessible option,” she said. rice field.

McKay said the shutdown would not include job cuts.

“We have a few staff members who are voluntarily moving to other jobs, but there are no layoffs,” she said.

The restructuring news comes following a community needs assessment conducted by CCHHS in partnership with CTH. From his more than 1,500 community surveys, stakeholder interviews and focus groups conducted during last year’s evaluation, he identified four priority needs in Carson and the surrounding rural counties. mental and emotional health. Access to health care for certain people. Prevention, treatment and recovery from drug use.

Assessments show that access to primary care is particularly difficult for low-income and underinsured people, with waiting times of one to four months. CCHHS Director Nikki Acker said on appeal that the CTH change would not result in longer wait times.

“The latest Community Health Needs Assessment found that vulnerable people have long wait times for primary care,” she said. “The community has not lost a healthcare provider, and same-day appointments are being offered, so this integration should not result in longer wait times for these people.”

In the coming months, CCHHS will develop a community health improvement plan that addresses needs. The goal is to bring together diverse partners, including the public, to assess service gaps and barriers while developing new strategies and programs.

“We are committed to continuing our role as a vital hospital in the region,” McKay said. “This requires agility in the changing landscape of healthcare as a whole. The triggers for these closures are changes in how people access care, changes in federal regulations, and no longer lasting. It was in response to a real shift in finance that could no longer provide a cushion to subsidize impossible services.”

McKay noted in a recent report by the American Hospital Association that hospital costs across the country increased 17.5 percent between 2019 and 2022.

“After three years of unprecedented challenges and caring for millions of patients, including more than six million COVID-19 patients, America’s hospitals and health care systems have the necessary resources to care for patients and communities. “We are facing a new existential challenge of sustained and substantial increases in costs, jeopardizing our financial stability,” the AHA’s April report read. “A combination of factors, from historic inflation driving up the cost of medical supplies and equipment to severe labor shortages that forced hospitals to rely heavily on more expensive contract labor, 2022 will be the toughest year for hospitals financially since the pandemic began.”

CTH President and CEO Michelle Joy said in a press release that the company is committed to successfully serving its communities and “navigating the changing landscape of healthcare in a post-pandemic world.” reflected on the balance between

“Our ‘new normal’ requires us to continually observe, listen and respond to the changing needs of the people we serve,” Joy said of the closure of CTH. . “The last few years have seen a significant decline in the use of these places and services, while other focus areas have grown. We are committed to being present in a way that best supports their health and well-being.”

One of the sites affected by the landscape change is the Carson Tahoe Continuing Care Hospital on the site of the former hospital.

“Carson Tahoe Continuing Care Hospital opened in 2008 to meet the needs of the community and to standards regulated by the federal agency Centers for Medicare and Medicaid Services (CMS),” McKay said. rice field. “These hospital models of care are termed ‘long-term acute care’ and refer to patients with clinically complex medical conditions who receive hospital-level care for extended periods of time (usually 20 to 30 days) at higher levels. Providing continuum of care to patients in need” provides care that goes beyond what skilled nursing homes can provide. ”

Five years ago, McKay said CMS made a “substantial change” to patient admission criteria, resulting in an average of eight patients per day, down from more than 25.

“During this same period, the (CTH) system has given out more than $20 million in subsidies to maintain these services,” she said. “However, given today’s financial climate, such subsidies are unsustainable and this closure is achievable without the risk of diminishing patient care.”

McKay said the facility’s patients would remain at CTH or be housed at another appropriate facility.

Carson Tahoe Health is a non-profit healthcare system and an affiliate of Utah Health College. For more information, please visit www.CarsonTahoe.com.





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