Serving Central Oregon since190375
SATURDAY July19, 2014
ower ea re: rememerin oer e COMMUNITY LIFE• D1
bendbulletin.com TODAY'S READERBOARD
PACIFICORP
Irrigation district sues over plant site
OREGON'S COORDINATED CARE EXPERIMENT
Exodus fromHonduras
A three-part Bulletin series:Oregon is conducting a unique experiment on Medicaid, to seeif a regional system
— How desperate do people have to be to risk their lives to get to the U.S.?AS
of "coordinated care organizations" can improve health care, improve health and lovver costs.
Friday:The Bulletin explored how reforms are changing health care.
Wheat, deCOded — lts DNA is more complex than you'd expect, but scientists are closer to cracking it.A3
Today:Weexamine how reform affects actual health — andhow to measurethat.
Sunday: W einvestigatehow money is being spent differently.
Q» Follow along atbeudbulletiu.cum/cuerdinatedcare
By Sheila G. Miller The Bulletin
The Central Ore-
gon Irrigation District has sued PacifiCorp for $36 million, alleging the utility violated its lease for the Cline Falls hydropower plant and left the site damaged
Plus: Badydoom—Reports often attribute increased births to power outages, or the government shutdown. But do the numbers back it up?A3
and environmentally contaminated.
According to the lawsuit, filed Tuesday in Deschutes County
A kinder Internet-
Circuit Court, a 1913
Several websites are capitalizing on people's desire for uplifting stories.O1
. :'There are to see if CCOs : are working and, like standardized : school testing, someare controversial.
And a Wedexclusive — CEOs' so-calledF-bombs, once tolerated in the heatof the recession, find a colder reception amid recovery. beudbulletiu.cum/extras
EDITOR'5CHOICE
Legal pot: A modern gold rush
station and electric
plant at Cline Falls on the Deschutes River.
Sivyer owned an 800-acre ranch and the pumping station delivered water to
the ranch; PacifiCorp was Sivyer's succes-
Carlisle tends to her garden this month
During the
glint of gold or rumors of oil in ages past, the advent of legal, recreational
marijuana is beginning to reshape economies in Colo-
exercise pro-
Marijuana is beckoning thousands ofentrepreneurs andworkers,investors
and hucksters from across the country, each looking to cash in on a rapidly changing industry that offers heftyportions of both promise and peril. At
convention centers and in hotel meeting rooms, startup companies are floating sales pitches for marijuana delivery services or apps to name-tagged investors who sip red wine and munch on hempseed snacks. This year, hundreds of people seeking jobs lined up for
Other metrics try tu gaugebuw patients feel: • About their access to care • And about how satisfied they are with their care. For some people, however, the subjectivity of surveys might pose a problem: Is it fair to base a clinic's funding onhow its patients feel?
blocks in downtown Den-
ver, resumes in hand, for an industry-sponsored marijuana job fair. See Pot/A4
Correction
Mere about metrics uuA6
In a story headlined, "Deschutes UnitedWayto distribute15% less," which appeared Wednesday,July16 on Page A1, the amounts raised inannual fundraising drives this year and lastyear were incorrect. The drive raised$1.383 million this year and$1.399 million last year. The Bulletin regrets the error.
diabetes. The benefited — andher condition will of the factors
that measure whether Medicaid reform
is working. John Kiicker For The Bulletin
elores Carlisle couldn't shake the was growing inside her brain. feelingthat somethingwas wrong.
Something was wrong with her health, it turned out. But it wasn't a stroke or cancer. Instead, the an-
swer lay in a single number — her hemoglobin Alc
BloombergNews
JERUSALEM — Israel's latest confrontation with
Hamas is also playing out on the digital battlefield as each side jockeys for the virtual upper hand. Hackers who took over the Facebook page of Domino's
left her with a serious head injury. Most of bines with hemoglobin, a substance in red blood cells
Pizza Israel this week warned that Hamas, the Islamist movement that con-
that carries oxygen throughout the body. A blood
trols the Gaza Strip,
A car accident 15 years earlier had level — already in her chart.
When sugar builds up in a person's blood, it com-
her memory before the crash was erased. test, then, indicates the average amount of sugar that She was too easily confused to hold down a job or drive a car. Unable to process and express her emotions, at times she seemed robotic to those around her.
has beencoursing through a person'sveinsin recent months. A healthy person's hemoglobin Alc level is between 4and 5.6 percent.The American Diabetes Association recommends that diabetic patients aim
for 7 percent or less. The higher the hemoglobin Alc
would unleash a
fifth of its estimated 10,000-rocket arsenal
on Israel in a single barrage. Israel's Shin Bet domestic security service said text mes-
level, the greater a patient's chances of complications such askidney disease,stroke and blindness.
sages were circulated
Carlisle's level was over 9 percent, so she turned up in a computer search by nurses compiling a list
But this winter, the 54-year-old worried about an-
of high-risk patients in their family medicine clinic.
other, bigger problem. The slow progress she had And because she is covered by the Oregon Health made over the years since the accident began to Plan, Carlisle's hemoglobin Alc level will eventual-
in its name about bo-
gus attacks and injuriesfrom rocket fire. Cyberassaults have
unravel. She was even more easily confused than
ly be one of several indicators of how well the state's
risen tenfold since fighting escalated
usual. She wondered if she'd had a stroke. Or a tumor
version of Medicaid is working.
last week, industry
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Some metrics count concrete numbers: • On primary care checkups • On drug abuse screenings • And on possibly unnecessary trips to the ER.
rado and Washington state.
SeePacifiCorp/A4
as part of an
to overhaul the Oregon Health Plan (Medicaid), officials have identified 33 quality"metrics" — 17 of whichare tied to financial incentives — for the regional coordinated care organizations.
DENVER — Like the
Cline Falls Power Co. as owner of the land.
Delores
state's attempt
New Yorh Times News Service
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Sivyer authorized Sivyer to build and operate a pumping
COID succeeded the
Let us count the ways •.•
By Jack Healy and Kirk Johnson
(
Power Co. and W.C.
sor in the lease, and
By Lily Raff McCaulou •The Bulletin
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