Senior Living
Firefighters back in school Page A7
Pages A11-12
$1.50
Wednesday, October 27, 2021
thechronicleonline.com
Serving Columbia County since 1881
Is it time for a hospital in Columbia County?
Metro Creative Connection / The Chronicle
In 2009, the Oregon Health Authority denied an application submitted by Columbia Health District to build a 12-bed hospital in St. Helens. JEREMY C. RUARK jruark@countrymedia.net
New discussions concerning hospital care in Columbia County are likely to be held in the coming months as Oregon moves into the rescue and recovery phase of the COVID-19 pandemic. To gain insight into why there is current no main hospital in Columbia, The Chronicle spoke with Columbia County Public Health Director Michael Paul. The Chronicle: Currently, for folks in Columbia County needing hospitalization, where must they go? Michael Paul: Hospital level of care is not available in the county. Depending on zip code and specific need, residents may receive care at hospitals in Clatsop, Washington, Multnomah or Cowlitz counties. The Chronicle: Why is there no
hospital in Columbia County? Paul: Like many states, several decades ago the Oregon State Legislature established a health planning program within the Oregon Heath Authority, and it directed the Oregon Health Authority to adopt rules specifying criteria and procedures for making decisions as to the need for new health care facilities, including hospitals. The primary goal of the program is to assure that health services are adequately distributed around the state, without unnecessary duplication of services or excessive costs to patients. In 2009, the Oregon Health Authority denied an application submitted by Columbia Health District to build a 12-bed hospital in Saint Helens. The Chronicle: Specifically, what is the need in Columbia County for a hospital and who would be best served with such a facility?
Paul: The state rules require the applicant to demonstrate the need for a hospital. The state will only issue a certificate of need if the application addresses the criteria in the rules so it’s premature to say there is a need until the analysis is completed. That said, the county regularly hears from residents, business owners and employees about the availability of health care in our communities. Community health needs assessments identify access to health care as dominant concern in our communities. We need to delve further into these concerns. For instance, when residents identify access to care as inadequate, are they thinking about the availability of a vaccination, a surgical procedure, an ambulance ride, or are they thinking about acute care at an emergency department? More importantly, though, we have to look at the most recent hospital utiliza-
tion data by community, as well as outcomes for our residents versus Oregonians who live closer to a hospital. It’s possible that the analysis shows the service area can’t financially support an additional hospital, or maybe it shows health outcomes can be improved by investments to our emergency medical services. The Chronicle: What type of hospital do you believe would best fit Columbia County and would that be a trauma facility? Paul: As you suggest, there are different types of hospitals. Before choosing size and type, an applicant will first need to conduct an analysis of utilization data and nearby facilities, and the applicant will need to complete a financial analysis. The Chronicle: Where would the most critical need be in the county to place a hospital and why that area?
Paul: If distance to care is the only consideration, a hospital would be positioned centrally so that it was equidistant to the greatest number of population centers. But distance to care is not the only consideration; many additional factors are considered, including geography, availability of suitable land, access to workforce, population age, as well as future growth projections and transportation patterns. Columbia County is vast, but there are geographic barriers, the population is not evenly distributed, and there are existing hospital facilities in adjacent counties to consider. For example, if you put a hospital in Clatskanie, is a Scappoose resident going to travel to Portland, Hillsboro, Longview or Clatskanie? It might depend on capacity, preference, quality, specific need, distance, and/or cost. See HOSPITAL Page A7
Food bank built to remove barriers ZOE GOTTLIEB chronicle2@countrymedia.net
Columbia Pacific Food Bank (CPFB) has entered the finishing phase of its latest construction renovation project. The CPFB’s is moving from its current location on Milton Way to a new home in the building formerly known as Columbia Electric Feed & Seed on Columbia Boulevard in downtown St. Helens. The new CPFB 12,500 sq. ft structure will feature a walk-in freezer, walk-in cooler, ‘residential’ style kitchen, storage space, and a multipurpose community room, according to Lower Columbia Engineering Interiors Project Manager Mandi Jenks. “When you walk in, it’s very inviting. It feels somewhat like a normal market with higher ceilings and stocked shelves,” Jenks said. “It’s a bit less intimidating for those that might be coming in financially burdened, and the emotional stress that goes with that, which I think facilitates a much more enjoyable, humane experience.” The new location will also generate more visibility for the food bank, according to Jenks. “While it’s not a waterfront downtown area, it is a prime real estate location, with high exposure both to vehicular and pedestrian
Opinion ..................... A4 Poll ............................ A4 Community Calendar A5
Obituaries ................. A6 Crossword ............... A7 Classified Ads ......... A8 Legals .................... A8-9 Sports ..................... A10 Senior Living ..... A11-12
This is a conceptual drawing of the new Columbia Pacific Food Bank building.
traffic,” she said. Bid documents state that the renovated distribution facility will receive, sort, prepare and distribute 2 million pounds of food annually (up from the current 1 million pounds) to the countywide distribution network. Need for change Columbia Pacific Food Bank Executive Director Casey Wheeler
told The Chronicle that the transition to a new facility will create ample space for employees to conduct these large-scale distributions. “The layout of the space is going to be much more efficient,” he said. “So, it’ll be a lot easier to do things than with the configuration we have in our warehouse. You get more than three people max in there, and they’re falling over each other.” Additional features of the facili-
Courtesy photo
ty include a conference room, bottle drop, and gender-neutral restrooms for patron and employee use. Jenks said that the kitchen space, a place where families can practice their cooking skills and receive free, professional cooking lessons, is designed specifically for their comfort. “The idea is that the kitchen emulates a residential home — recipes you can cook with microwaves, simple kitchen appliances that
See CPFB Page A10
Halloween 2021 wraps up this weekend ZOE GOTTLIEB chronicle2@countrymedia.net JEREMY C. RUARK jruark@countrymedia.net
After weeks of dispensing candy and invoking hair-raising terror in those who dare to attend, Halloween activites in St. Helens will round out the season with culminating events. Boulevard Trick-or-Treat
Vol. 139, No. 43
operate on standard outlets in the wall versus dedicated circuits,” she said. “It (also) has a natural electric stove, which is often what people in need might have more access to rather than gas stoves.” Design elements aside, Jenks said that CPFB is taking things one step further than the Oregon Food Bank with its methodology. “They want to have not just a really approachable experience, but an area that serves to provide fresh produce for the community that’s really easily accessible on a daily basis, without checking in on some of the things administratively that hinder that process,” she said. “Anyone, in theory, could just pull up and go on in and get some apples or greens for their salad.” The need for a central food bank location in Columbia County is widespread, according to Wheeler. “About one in 10 folks in the county access our services on a regular basis,” he said. “And that’s partly because of the situation in Columbia County. You have to commute for the most part to have a good-paying job.” The food bank so far has been able to accommodate these numbers, in part due to its strong network of volunteers.
The annual Big Halloween Parade held in St. Helens each October was cancelled last year and again this year due to the COVID-19 pandemic but a local group hopes they have found a traditional way to continue the spirit of Halloween with a safer event. The Columbia Boulevard Trick-
Courtesy photo
A Boulevard Trick-or-Trick opportunity for children will be held Friday afternoon, Oct. 29, along Columbia Boulevard in downtown St. Helens.
or-Treat will be held from 3 to 5:30 p.m. Friday, Oct. 29. Organizer Betsy Stephens of the Heather Epperly’s American Family Insur-
ance in St. Helens, said she and the event volunteers reached out to neighboring small businesses to participate offering a trick-
or-treating opportunity for local children of all ages. The event also is designed to help support local small businesses. Businesses participating are encouraged to offer family friendly items for trick-or-treaters of all ages. The businesses are also encouraged to decorate their establishment. The route of the Columbia Boulevard Trick-or-Treat begins at Heather Epperly’s American Family Insurance and moves up Columbia Boulevard. Sunshine Pizza and Mailboxes Northwest will be the last stop on the climb up the boulevard and the route then crosses over to Christina’s Chest and heads back down Columbia Boulevard. See HALLOWEEN Page A5