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Monday, July 4, 2011 ❘ the gazette ❘

july Fourth inFormation Closings

Banks and credit unions: Most banks and credit unions closed today. Check with individual bank or credit union. Buses (Metro Transit): No bus service today. Government offices: Federal, state, city and county office closed today. Libraries: All Pikes Peak District Library branches closed today. Post office: Offices closed and no mail service today. The Gazette: Closed today; newspaper delivery unaffected. Malls: The Citadel and Chapel Hills open 10 a.m. to 6 p.m. today. Major department and grocery stores: Most are open regular hours today. Check with individual stores for hours.

Road conditions

Colorado: 1-877-315-7623, www. cotrip.org Arizona: 1-888-411-7623 Kansas: 1-800-585-7623 Nebraska: 1-402-471-4533 New Mexico: 1-800-432-4269 Oklahoma: 1-405-425-2385 Utah: 1-800-492-2400 Wyoming: 1-888-996-7623 Texas: 1-800-452-9292

Events more AT colorAdosprings. com TodAy

“TRI-LAKES INDEPENDENCE DAY FESTIVAL”: 7-10 a.m., pancake breakfast, St. Peter Catholic Church, 55 Jefferson St., Monument, call for cost; 964-9770; 10 a.m., parade on Main Street, Monument; 11 a.m. Monument street fair and Palmer Lake festival open with music and activities throughout the day; 9:15 p.m. Palmer Lake Fireworks Extravaganza. For a list of events, go to www.palmerlakefireworks.com. “FAMILY FOURTH”: Music, games and more, 10 a.m.-5 p.m., Rock Ledge Ranch Historic Site, 30th Street at Gateway Road, $8 for adults, $5 for seniors, $4 for ages 6-17, free for ages 5 and younger; 578-6777 or rockledgeranch.com. “4TH OF JULY CELEBRATION”: Food, beer garden, live music and fireworks, noon-9:15 p.m., city parking lot along the 300 block of Bennett Avenue, Cripple Creek; www.visitcripplecreek. com. “STATUE OF LIBERTY DEDICATION”: Patriotic music and installation of a new time capsule to celebration the Statue of Liberty given to the city in 1950 returning to its original home, 2 p.m., front lawn of City Hall, 107 N. Nevada Ave.; 339-7171. “OLD FASHIONED 4TH OF JULY”: 9 a.m.-5 p.m., with fireworks at dark, Memorial Park, Park Street and Henrietta Avenue, Woodland Park. More at city-woodlandpark.org. “4TH OF JULY CELEBRATION”: Food, game vendors, fly over, music and fireworks, 4 p.m., Air Force Academy Football Stadium, free; www.usafacademyband. af.mil and click on appearances, or call 556-9916. “MANITOU SPARKLE”: Fireworks, dessert bar and live music, 8-10 p.m., behind Manitou Springs High School, 421 El Monte Place, Manitou Springs, $5 per person, $20 maximum per family, to benefit the Manitou Springs High School Band; KatieStarkey@q.com. “FOURTH OF JULY AT CHEYENNE MOUNTAIN RESORT”: Music, dinner, fireworks at more, Cheyenne Mountain Resort, 3225 Broadmoor Valley Road. For a list of events, go to www.cheyennemountain.com. TUesdAy

“31ST ANNUAL SYMPHONY ABOVE THE CLOUDS” CONCERT AND FIREWORKS: 5:30 p.m., Woodland Park Middle School, 600 E. Kelly Road, Woodland Park, free; 687-1304 or www.symphony.findwoodlandpark.com.

MeMorial: Penrose is aiming for parity from page 1 —

rado by partnering with rural hospitals and other providers. Nearly lost amidst the furor over Memorial’s future is what’s going on at the city’s other hospital system, Penrose-St. Francis Health Services, which in recent years has developed joint partnerships to expand or create services, signed agreements with rural hospitals and is developing an integrated physician network where primary care doctors and specialists will work closely with the hospital. Sound familiar? That doesn’t come as a surprise to McEvoy. “When you hear about health care systems all trying to do the same things, there’s a reason for that: They are,” McEvoy said. “Everyone is trying to do GENNA ORD, THE GAZETTE the same thing.” What’s telling is that Pen- Penrose Hospital’s share of the Colorado Springs market has risen from 38 to 42 percent since 2008. rose-St. Francis, part of the nilly, Reinertsen warned, is going to pursue all of them,” faith-based, nonprofit Cen- beds filled.” One way to keep beds filled, tura Health hospital netlikely to be counterproduc- Sabin said. work, has seen its admis- as well as boosting outpative. What hospitals need is In addition to the physician sions jump while Memorial’s tient services and the bota shared vision and mission networks, both hospitals with their physicians. have fallen: Penrose’s share tom line, is to broaden the hope to pursue joint venof the Colorado Springs hospital’s reach. In addition “To me, the successful hos- tures with doctors’ groups market has risen from 38 to to her duties at Penrose-St. pitals are going to think that on everything from office Francis, Sabin oversees St. one through very carefully,” buildings to new clinics. The 42 percent since 2008. Larry Under the leadership of Mary Corwin Medical Cen- Margaret he said. “They’re not go- high-profile example here is McEvoy McEvoy and Penrose-St. ter in Pueblo and St. Thomas Sabin ing to chase every doctor in the agreement Penrose-St. Francis president and CEO More Hospital in Cañon City town.” Francis and Rocky Mountain Last week, the City Council Memorial launched its Me- Cancer Centers signed in Margaret Sabin, relations for Centura. One of her pribetween the rival hospital orities is getting Centura’s task force weighing Memo- morial Physician Network December. Before the agreesystems have been cordial, southern Colorado hospitals rial’s future invited Rulon last year and plans to hire ment, Penrose-St. Francis Stacey, CEO of Poudre Valley as many as 30 doctors this and Rocky Mountain providand they have worked to- to run as a unit. Centura is also branch- Health System in Fort Col- year. It signed its first large ed competing services, while gether on certain initiatives. But Memorial and Penrose ing out: It signed affiliation lins, to speak. Poudre Valley practice last month, hir- now Penrose-St. Francis proare still competitors. Sabin agreements with San Luis is a former county-owned ing the eight physicians of vides radiation oncology sersaid the 38 percent market Valley Regional Medical hospital that became an in- Associates in General and vices while Rocky Mountain share Penrose-St. Francis Center in Alamosa last year dependent nonprofit in 1994 Vascular Surgery. Those sur- focuses on medical oncology had when she arrived in and with Heart of the Rock- and has since grown to one geons were tightly aligned such as chemotherapy. For 2008 was unacceptable, ies Regional Medical Center of the state’s largest inde- with Memorial — not even its part, Memorial provides pendent health systems. their name badges will both kinds of treatments. and she plans to reach par- in Salida this year. For an urban hospital Stacey said an independent change with the shift — but ity with Memorial in the Memorial has tried such such as Penrose-St. Francis Memorial could forge part- Dr. David Corry, who heads joint ventures, although near future. “I told Larry McEvoy that or Memorial, along with nerships with physicians and the practice, said it’s a sign they required City Council’s we need to grow,” Sabin beds and budget, expand- hospitals across southern of things to come. Coming approval. It ended a partsaid. “We need to get to 50 ing its patient base means Colorado and become an eco- inside the Memorial tent nership for an outpatient bringing in more patients nomic engine for the Springs will improve patient care by surgical center this year percent, and we will.” For its part, Memorial has for specialized care, keep- — a formula that he said has creating a deeper team of and brought the facility inbeen consumed with the ing surgeons and specialists been the key to Poudre Val- caregivers that work more house. Memorial still has a ownership and governance sharp. For the rural hospi- ley’s success. Forty percent of closely together, he said. joint venture with a group of question, which a citizens tals, the partnership means Poudre Valley’s admissions “We are not getting any gastroenterologists. committee spent most of access to resources. For in- come from outside its imme- kind of better financial deal” Talk of teamwork raises 2010 studying before rec- stance, Centura sent a team diate service area. There’s no by being employed, Corry the question: Is this like ommending the nonprofit to help San Luis through a reason Memorial couldn’t do said. “What we’re getting is choosing sides for a pick-up option McEvoy favors and trauma certification and is the same, he said. the ability to integrate the game? If Penrose-St. Francis which a City Council task helping to bring a cardiol“There are hundreds of care that we provide.” is doing all the things Meforce is now re-examining. ogy practice to the region. millions of dollars and paMemorial’s future was a morial is planning, will all The hospital’s uncertain fu“It really says that we will tients waiting to be served concern, Corry said, but not the best players be taken if ture has stymied its ability look to each other first to if you can figure this thing a deal-breaker. That’s not the the city does decide to spin to move forward on strate- solve our clinical needs out,” Stacey said. case for many local doctors, the hospital off ? gic plans and is contribut- and to develop clinical prosaid Mike Scialdone, MemoThat’s a concern, McEvoy ing to the decline in admis- grams,” San Luis Valley CEO Doctors inside the tent rial’s chief financial officer. says, but as a smaller, indesions, McEvoy said. One area where Memorial There’s too many questions pendent system, he hopes Russ Johnson said of the af“If you’re a physician whose filiation agreement. “If (our may have a head start is in and too much uncertainty Memorial will be a more practice economics are un- doctors) need a specialist building a physician net- for Memorial to be an attrac- attractive partner for some stable under your feet, you’re or a consult, they can call work. While hundreds of tive partner, he said. hospitals and physicians looking for long-term stabil- the Centura Connect num- doctors have privileges at “Health care is in turbulent than Centura is. ity,” he said. “As docs look at ber and talk to a specialist each of the hospitals, only times,” Scialdone said. “Our “It hurts Memorial if the conditions their small in their system within five a handful are directly em- message is, ‘We think we they’re so good at it so fast practices are under, they’re minutes.” ployed by them. That’s likely have a great life line for you, that there’s just no room for not in a position to wait.” Heart of the Rockies CEO to change in the coming but we can’t throw it to you us,” McEvoy said. “One way As far as market share Ken Leisher said the alli- years, as changes to reim- right now or tell you what you could look at it is, ‘first goes, however, McEvoy ance isn’t an exclusive ar- bursement for hospitals and it’s really going to look like.” is best.’ Our goal is to do it said he’s not worried about rangement but makes Cen- doctors are pushing them Centura has a doctors net- better.” Penrose-St. Francis catch- tura the preferred partner. into closer partnerships. work in Denver that employs However, he said, the clock ing up. “The new wrinkle that’s more than 300 physicians. is ticking and the sooner Memorial hasn’t forged “Our belief is that it’s similar alliances yet. As a happening right now is the At Penrose-St. Francis, an Memorial moves, the better healthy to have two rough- city-owned hospital, Mc- changes in reimbursements integrated physicians net- its long-term chances are. ly equivalent systems,” he Evoy said, signing agree- that have tipped the balance work is still in the planning Over at Penrose-St. Francis, said. ments and sending resourc- in favor of employment,” stages, but Sabin expects to Sabin said she is committed es outside of the city limits said Dr. Jim Reinertsen, a move forward aggressively to making these changes Push to broaden borders would require City Council health care consultant and in coming months. They first — and best. The tricky thing, McEvoy approval and could run into former hospital CEO based don’t all need to be hired by “I think we have shown and Sabin agree, is that the legal and logistical snags. If in Wyoming. “Doctors are the hospital for integration that we are going to be the trends in health care are the city makes Memorial much more valuable inside to work, she said. preferred partner,” she said. aimed at reducing the use an independent nonprofit, the tent than outside the “There are four or five dif- “I have nothing but respect of hospitals and getting pa- however, creating those ties tent right now.” ferent ways we could part- for Memorial, (but) we are tients treated in less acute, would be a top priority, he Signing up doctors willy- ner with doctors, and we’re better positioned.” less expensive settings. And said. a half-empty hospital isn’t a Eighty-seven percent of Meresource, it’s a liability. morial’s patients come from “Those kinds of changes El Paso and Teller counties. are happening all over the That’s a narrow base to draw country,” said Steven Sum- from, McEvoy said. mer, president and CEO of “The secondary and tertiathe Colorado Hospital Asso- ry service areas have a big ciation. “If care is done the population that we haven’t right way, there will be less tapped into,” he said.

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