ServingCentral Oregonsince1903 75
WEDNESDAY August27,2014
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REDMOND MAGAZINE
OUTDOORS • D1
bendbulletin.com TODAY'S READERBOARD A Duck's humpy rideThe hurdles MarcusMariota overcameonthewaytobecoming a Heismancandidate. C1
BUSINESS • C6
NEGOTIATIONS
Plils —The difference in Sean Mannion.C1
A well-shot summerSee readers' top photos from around Central Oregon.D2
ain H OI OCB inics
IeeaSe, aVaia eonine By Markian Hawryluke The Bulletin
High-tech cruisesRoyal Caribbeanannounces robot bartenders.Cg
Changing times — The Mindset List shows a little bit of how this year's college freshman view theworld. A3
In world news —LI.S.is mobilizing allies to widen assault on Islamic State.A2
And a Wed exclusiveAmid North Dakota's oil boom, a national park struggles to stay removed. bendbnlletin.com/extras
EDITOR'5CHOICE
Driverless car takes a
big-city spin By Ashley Halsey III The Washington Post
WASHINGTON — The
little car is tootling around Washington — pretty
Patients can look up quality ratings for 20 loM physician clinics and see how their primary care The ratings, released Tuesday by the nonprofit group Oregon Health Care Quality Corporation, are based on billing data from government and private health plans. While patients can search by clinic or doctor name, at www.partnerforqualitycare.org, results are given on a clinicwide basis,
state average on 13 mea-
sures, such as how often they prescribe generic medications or order cholesterol tests. Fall Creek Internal Medi-
cine in Bend had the highest scores among the region's clinics, with four of 13 measures above average and one below. Cascade Internal Medicine in Bend was the only other area clinic with
multiple measures above average. Mosaic Medical, which serves a high number of low-income and uninsured patients, had worse results, with between two and four
measures below average at its Bend, Madras and Prineville locations.
Mosaic clinic officials questioned whether their
data was accurate, but preferred to look at the potential benefits offered by the rat"We have no idea whether it's valid or not, but that's far
about'? Hard to
Oli AS b e i n g driven by computers, and wild waving is a bit
less relevant to us right now," said Dr. Divya Sharma, medical director of complex care at Mosaic. "What's important
to us is that we continue to participate in the process of
console and puts his hands on the steering wheel.
transparency.... We're certainly going to look at where we possibly have our weaknesses as an opportunity for improvement." Results were generally worse in Prineville and Madras clinics than in Bend or
"Autonomous ready," the
Redmond. That might reflect
voice of the computer says
the difficulty of getting rural patients into the clinic on a timely basis or financial barriers to care. Addition-
too complicated for them to
understand. Passenger Jarrod Snider taps a button on the center
a fraction of a second later,
eager to take control again. SeeDriverless/A5
ally, the data was not able to account for patients who
Oregon Health CareQuality Corp. used private insurance, Medicaid and Medicare data to provide ratings on13 quality measures for local physician clinics. Clinics could score at, above or belowaveragefor each of the measures. ::Town Clinic Above : Average: Below l n snffiAverage Average: cient data : :Bend 1: 11 : Bend Memorial Clinic 0 : Bend 0: 1: : Bridges Health 2 10 : :Bend 4: 1: Cascade Internal Medicine 2, 6 : :Redmond 6: : Central OregonFamily Medicine 1: 2: 4 : :Redmond 4: : 1: 0. 8 Central Oregon Pediatric Associates 0. Central Oregon Pediatrics (West Bend side) 4.: Fall Creek Internal Medicine Bend 2.:' 1. 7:' 1: High LakesHealth Care Bend 1 7:' High Lakes Health Care(East side) Bend 1,: 0 7:' Internal Medicine Associates Redmond 0: 0: 6',: LaPine Community Health Center, :LaPine 6:' : Madras 1: Madras Medical Group 3: : :Bend 8:' Mosaic Medical 3 6:' : :Madras 0: 4: Mosaic Medical : :Prineville 6',: Mosaic Medical 0: 2 5 7:' : Redmond 0: Redmond Medical Clinic 0 6 : :Bend 0.: 8:' St. Charles Family Care 4 12 :' : :Redmond 0: 0: St. Charles Family Care 1 St. Charles Family Care Prineville 0: 3 2 0: : Bend 4 Weeks Family Care 3 Source: Oregon Health Care Quality Corp.
The Bulletin
An IndependentNewspaper
Voi. 112, No. 239,
32 pages, 5sections
Q We use recycled newsprint
: 'IIIII I o
88 267 02329
Residents in southeast Bend could get a new community park in the near future, if the Bend Park & Recreation District
purchases 37 acres of land from the Ward family.
tersection of SE 15th Street and the future extension of
Murphy Road. "It's our most underserved area of town, and it
doesn't have a community park at all," district Executive Director Don Horton
said Tuesday. "So this is our opportunity to buy a park in that part of town.
Also I think once housing development really gets started down there, when
the city puts in the sewer line, it's going to open up a lot of that area for residen-
tial development." See ParkIA4
Southeastyark The BendPark &Recreation District is negotiating to purchase roughly 37 acres in southeast Bend from theWardfamily for as much as $3.6 million.
Existing '. canal trail
Progosedpark 1
Proposed Murphy Road extension
2,000
might have gotten their care a cervical cancer test, beelsewhere. cause they might have gone "For a lot of these clinics,
their populations also go outside for services," said Katrina Kahl, communica-
tions director for the quality group. "So sometimes, we might not actually be picking up that they got a mammogram or they received
to a different clinic, like a
Planned Parenthood." The group, also known as Q-Corp., released similar ratings in 2008, but at the
cent of claims from the Ore-
Andy Zeigert Ths Bulletin
of private insurance claims and 92percentofM edicare claims.
"So now we actually have quite good representation
time had only 41 percent of
across all of the different
Medicare claims in Oregon in its database. The group
payer types and populations," Kahl said. SeeClinics/A4
now has access to 100 per-
Source: Bend Park & Recreation District
gon Health Plan, 80 percent
Mostly sunny High 89, Low 53
Business C5-6 Dear Abby D6 Calendar B2 L ocal/State B1-6 Classified Ef-8 Obituaries B5 Comics/ Outdoors Df-6 P uzzles E3-4 Sports C f - 4 Crosswords E4 TV/Movies D6
By Hillary Borrud
AndyZeigert/The Bulletin
TODAY'S WEATHER
INDEX
southeast
ating with the family and expects to pay roughly $3.6 million for the undeveloped land near the in-
Physicianpuality
The ratings classify clinics as at, above or below the
ings nonetheless.
GraPhiC say. The car is
for Bend's
The district is negoti-
and only for offices with three or more providers and at least 30 patients.
a police officer bolts into within spitting distance of the Capitol dome. What is the cop waving
in works
The Bulletin
doctors performed on preventive health screenings and chronic care management.
much on its own — when the road ahead of it, almost
New park
Some kids'livestockshowsgrowing lessfair
Radioactive
mishapstill a mystery By Ralph Vartabedian Los Angeles Times
A 55-gallondrum of nuclear waste, buried in a
salt shaft 2,150 feet under By Lydia DePillis
sleeping on shavings. One
the New Mexico desert, vi-
The Washington Post
russet brown and one black — Fire and Brimstone, she
olently erupted late on Feb. 14 and spewed mounds of
named them.
radioactive white foam.
Tiffany LaRue, 17, had not
been lucky with her pigs this year. One had its placenta detach, killing the embryos. Another was supposed to have been pregnant when they bought her, but wasn't.
Another, LaRue said, just simply didn't take. That left LaRue with one
option if she wanted to show a pig at the West Virginia
The flowingmass, laced with plutonium, went air-
Still, LaRue and her
younger brother Levi took care of their hogs as they'd
borne, traveled up a ventilation duct to the surface
been taught how in 4-H and
Future Farmers of America, walking them every day to build muscle, bathing and carefully measuring their feed.
and exposed 21 workers to
t'
low-level radiation.
h
The accident con~ ed the nation's only dump for nudear-weapons waste
But she knew they were
— previouslya focus of pride forthe EnergyDepartment
State Fair: Buy one from the
doomed to lose, when other
pig farm down the road. "By
kids could scour the country
Layla Pence, 8, rests on horpig, Miss May, before showing horat
— and gave the nation's
that time, it was so late that
for the best pigs money could buy.
the West Virginia State Fair. Though lowor-key than massive state fairs in lowa and Indiana and Ohio, West Virginia's fair still sees
nudear chemists amystery
all we could get were these," she said, pointing at two hogs
SeeFairs /A4
McKenna Ewen/The Washington Post
some fierce competition.
they still cannot unravel.
SeeNuclearIA4