Re: Hospital Governance

[David Nelson <dnelson@moscow.com>]

It seems to me that the hospital boards took one major
option off the table before the study and now that is THE major division
point. 

That option is keeping Gritman as the single hospital in the area. 
I know that is politically infeasible in Pullman but is seems
economically very logical to Moscow.    The basic question
becomes why spend $35 million for a hospital in the corridor when Gritman
is in good shape and only needs moderate investment ($3.5 million) over
the next 10 years. 

You kind of wonder why the Gritman Board bothered to have the study if
this wasn't included.    I guess the Pullman Board was
more clever at the PR game to get it removed from the study.  
It does seem like a necessary option to include.  

David Nelson



>Do most other people understand how the Moscow hospital is governed,
or
>are they like me? I have a favorable impression of the hospital,
based on
>service rendered to people I know, but I don't know how it is
governed AND
>I have great difficulty believing there is no way for Moscow and
Pullman
>to get together and operate just one hospital efficiently. To the
naive
>observer (me), it seems the hospital boards are taking turns saying
no
>joint effort is feasible, and just now it is the Moscow board's turn.
Is
>the word "compromise" not even in their vocabularies?
>
>I suspect vision2020 participants can fill me in and, in the
process,
>inform at least a few other participants of the facts.
>
>Don H. Coombs
>




David Nelson
Nelson & Roseme, Inc.
Phone 208 883-7699
FAX   208 882-8143
Email dnelson@dnai.com