HomeMy WebLinkAbout770506 BOARD OF HEALTH
Weld County 11ea1t1i .Department DAVID WERKING. DOS. Greeley
FRANKLIN D. YODER, MD. MPH RALPH MB.Greeley
Director - 1516 HOSPITAL ROAD WILLIAM BUCK, Roggen
GREELEY, COLORADO 80631 DORIS DEEFKE. Greeley
DONALD HERGERT. Windsor
43031353-0540 • ANNETTE M. LOPEZ.Greeley
- HERSCHEL PHELPS, JR.. M.D.,
Greeley
August 12, 1977 KATHLEEN SHAUGHNESSY.Ault
JOE STOCKTON.Gilcresl
RECEIVED AUG 1 1:•177
Board of Directors
Central—Northeast Colorado Health Systems Agency, Inc.
7290 Samuel Drive, Suite 316
Denver, CO 80221
RE: Health Systems Plan
Oncology/Radiation Therapy Section
Dear Board Members:
Northern Colorado, particularly Planning and Management District 2 (Larimer—
Weld counties) has grave concern regarding the above report.
First, it should be said that the technical portions of the report are apparently
correct. It is difficult for even a physician to judge some of the technical
conclusions unless that physician happens to be a medical or surgical oncologist.
The plan is based on the general assumption that patients needing radiation
therapy will come to the Denver Metropolitan Area. The Denver area radiation
therapy installations are the result of a non-plan. The unfortunate clustering
which has resultedjis only compounded by much of the above plan. It should be
said at this point that the six MEV supervoltage machine which has now been
approved and is under construction to be ready late this year in Greeley, will
treat 95 percent of local patients requiring radiation therapy. The five percent
can logically be expected to enter the Denver area for megavoltage treatment. This
radiation therapy facility at the Weld County General Hospital in Greeley will serve
for a period of years but there will be need for further radiation therapy units
in the Northern Colorado "medical trade area" which is expected to have 410,000
people by 1985. Facility placement should depend upon actual population growth
and technological developments between now and that time. It should be kept in
mind that the percentage of patients needing radiation therapy who actually seek
treatment is directly related to the proximity of a treatment facility.
There is, however, another way in which Northern Colorado as well as the Northeastern
and Eastern part of HSA-1 (Planning and Management Districts 1 & 5) can be better
served to increase the percentage of patients requiring radiation therapy who
actually receive such treatment. A Traveling Tumor Board should be envisioned
consisting of-specialized physicians such as a surgeon, radiologist, pathologist,
medical oncologist, etc. This Tumor Board can consult on local visits with physicians
in even the most remote areas with doubly beneficial effect. First, they enable
the local physician and/or clinic to better plan treatment for individual patients.
The meeting of the Board in the local area also serves as a follow-up check of
patients who have already received or are receiving therapy and need continued
surveillance.
770506
� So o7
BOARD OF DIRECTORS
CNCHSA, Inc. -2- August 12, 1977
We urge that HSA-1 Health Systems Plan amend our plan for operation of a
Traveling Tumor Board.
There are many other things which can be discussed in more detail once amendment
to the plan is approved. In closing let me point out that radiation therapy is
not, a one time encounter like a surgical operation. Treatment requires numerous
visits to a radiation therapy installation over an extended period of time.
Yours sincerely,
Franklin D. Yoder, M.D.
FD':/hv
cc: Beth Jenkins, President-HSA-1 Board
Dolora Cotter
Honorable June Steinmark
Alberto Dominguez, Jr.
Wayne Ericson, PhD
Audrey Shinsky
June Twinam , Exec Dir.-CNCHSA, Inc.
05 .111 0
Beni
!Ilk
Pa
rte 3Qp• #
JOE % Iij � < jj j - 33Bi
a u !iUs1i
z
ti
] ea "u 3jigls
z3� :3 1111nnt
e 4% s 3 3 F - O u r iil1'flthlni
_ } gi j a C _an 4
z 3r , 1 ii [323 $ i • i Ns $ aj; 11IF, <- 3ii13 il > € i lr ij III i pile il l i 'AI- 1111111111111111
g $3j3I .
aiii3t u 1 tO aA -...^.,,e b EC'1 ! EBB EBB'S - _Ea 8 _ 2 P1111 !
_• It ¢lj1 gjj3
•
u. _
2i-
3
r Z Y
-nu ;^
uter 77
< z 3j E 33 3 3 33 33 3 3 333 3 °1
H
t
z P ' 3 i 1 a is I A s nruf sfa• .He ' Jr r;3s3 8jsat _ 3 Ed .10 1 ; ] -'s1 ell
.� s_ N j C.Y s `_
le If E.ReiK99 3lg $ 3 ' 111 � 3 ea). 11 ;2 4f 1_]
'jQ net 1 1t1NNN <W ma e S L g SW C6 u; $f, W . 1,3 - -
P- 1.6 2. W 4 VN ad ,O L - deg ?. -pirivel • O= Wi SW " OW -B
Q K a 4 iN do O dau OY1
W
I > j
3 I 3
i i 3 3 3
! s s 3
_
$ . A 333333 '__33 �3 t3 'a 3
u Y ?_ & f \ 4
�' 1 3I dL 6 I '1 I
F la f
i - < yXe . '< .. ti
jar 2. j ≥12 Il I7 'jr: 1:6z P .x351- 3 ₹ Zy1E.i i A c UH ₹ I » * IcI �li3 §I4i3'-3a . = 1t : a=< 11Yi i
fir is 3 C. ! OA « E3 - li ' i < 3 ) 3 - 3I: ; LEl S 5 n�_ p -pan-a g
i fir iiy a
; ? 3 • j 10 t ?_ I J ' 255152 . LEI 33 '; - o n
r. Z <OUOu• W O <=UC = <= ! < =40J = <
• - > S 5
Z
5
A-- A..
CENTRAL-NORTHEAST COLORADO HEALTH SYSTEMS AGENCY, INC.
OPERATIONS EXPENDITURE STATEMENT
Month ended JULY 31, 1977
•
Y.T.D.
Year-to Year-to Variance
Expense Annual date date (+ Overbudget)
Classification Budget Budget Expenditures (-Underbudget)
PERSONNEL COSTS
Salaries $419,923 $ 34,993 $ 32,786 _ - 2,207
Payroll Taxes:
CNCHSA FICA MATCH 18,000 1,500 1,539 + 39
State Unemployment Ins. 2,950 246 - 0 - - 246
Workman's Compensation 535 45 - 0 - - 45
Fringe Benefits: 73,696 6,141 5,348 - 793
Group Health Insurance
Group Life Insurance
Disability Insurance
Retirement Plan
Recruitment and Relocation 356 + _ 356
ADMINISTRATIVE COSTS
Rent:
Office Space 35,292 2,941 2,951 + 10
EQuipment 13,632 1,136 192 - 944
Communications:
Telephone 12,240 1,020 - 1,020
Postage 6,900 575 180 - 395
Office Supplies 19,200 1,600 8 - 1,592
Reproduction and' Printing
-Graphics 11,400 950 - 950
R & M (Equip. Maint. .
Contracts) 600 50 45 - 5• _
Depreciation
Staff - Travel 12,000 1 1,000 34 - 966
Liability Insurance 400 33 — , 33
Discounts Earned
CONTRACTURAL/CONSULTANT/
OUTSIDE SERVICES
Audit Fees and
Accounting Costs 4,000 333 - 333 _
Legal Fees 2,000 167 - 167
Consulting Fees 5,000 417 - 417
Travel Associated with Above
Other Outside Services 1,551 129 68 — 61
Computer and Data Processing 5,000 417 — 417
AGENCY DEVELOPMENT
?looks, Subs. ,& Pamphlets 1,200 100 70 — 30
Conferences, Seminars, Related
Travel, Tuition, and Dues 2,000 167 — 167
Public Relations
BOARD EXPENSES
Board-Travel 11,000 917 240 - 677
Meeting Expense 1,000 83 72 - 11
MISCELLANEOUS, CONTINGENCIES NOT
COVERED BY EXP. CLASSIFICATIONS _ 295 + 295
f----
Total $659,519 $ 54,960 l $ 44,184 -10,776
. , / /
. A. Bra don, Fiscal Administrator HAB/jm
8/77
Hello