Vancouver Business Journal

Fri12192014

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Pacific Continental announces major SW WA expansion

Pacific Continental announces major SW WA expansion

Pacific Continental Bank has inked plans to expand its presence in Southwest Was...

Freshii to open two additional Vancouver locations

Freshii to open two additional Vancouver locations

Less than one year ago, Doug and Rich Gillespie brought the Freshii franchise to...

Best practices for business seeking loans

Best practices for business seeking loans

With the right approach, applying for a loan doesn’t have to be painful. The fol...

Fit Right owners sell company

Fit Right owners sell company

Dave Sobolik and Robb Finegan, owners of Fit Right, a running store with locatio...

Women in construction: Building their success

Women in construction: Building their success

Some industries have been clearly dominated by one gender or the other; perhaps ...

“Erroneous cancellation” nixes 6,000 state health exchange accounts

“Erroneous cancellation” nixes 6,000 state health exchange accounts

Thousands of Washington state residents who signed up for health insurance cover...

Banking & Money Management

Best practices for business seeking loans

Best practices for business seeking loans

With the right approach, applying for a loan doesn’t have to be painful. The following best practices, garnered from local experts, can help business owners successfully obtain a new loan or restructure an existing one.

“Right now is a great time to restructure debt because interest rates are so low,” said Dave Hansen, Columbia Bank’s senior VP and regional manager for the Portland/Vancouver area...

Design & Construction

Women in construction: Building their success

Women in construction: Building their success

Some industries have been clearly dominated by one gender or the other; perhaps no industry more so than construction. However, in Southwest Washington, women are finding their place and respect amongst their male counterparts.

Leading to construction

As with most careers, there are a variety of paths that lead us to our chosen industry.

“I have always been fascinated with building things,” say...

News Briefs

State unemployment rate at 6.2 percent

Washington’s unemployment rate reached 6.2 percent in November, according to preliminary and seasonally-adjusted numbers released Wednesday by the state Employment Security Department. This is the third month in a row the state unemployment rate has gone up.

Spotlight

Killa Bites enters second year with sweet expectations

Killa Bites enters second year with sweet expectations

One year into operations, Killa Bites is going strong, poised for growth and delighting sweets-lovers far and wide. The Ridgefield-based business is operated by founder Laura Jhaveri and partner Donna Suomi, who create and distribute gourmet popcorn, biscotti and their signature “Cake Bombs.”

The idea for Killa Bites emerged in July of 2011 when Jhaveri’s husband Akhil was diagnosed with ALS (Amy...

The elephant in the room

There are two experiences everyone who lives on this planet shares - birth and death.  Birth is something we don't have awareness of and tend to experience through stories from our parents. Death on the other hand is a much more personal, first-person experience.     

There are two experiences everyone who lives on this planet shares - birth and death.  Birth is something we don't have awareness of and tend to experience through stories from our parents. Death on the other hand is a much more personal, first-person experience.     

Because our culture is one of life, few of us spend much time thinking, much less talking, about how we would like to die. As Congress and the nation have entered into the healthcare reform debate, how we die has become the elephant in the room. 

One of the facts about healthcare expenditures is that a disproportionate share occurs in the last year of life. A large percentage of these costs can further be classified as "futile care" since they neither change health outcomes nor improve the quality of life. Because our cultural and healthcare delivery system focuses on life, we are seldom willing to step back from aggressive treatment and ask the question, "Why are we doing this?"

The good news is there are alternatives in the form of Palliative Care and Hospice. Both of these programs work with the patient and their families to help them on their journey while allowing them to make their own decisions on which paths they would like to take. 

Palliative Care is available to anyone who is faced with a life-threatening illness and is still seeking curative treatment. It provides assistance with pain and symptom management, emotional and spiritual support and assistance with navigating the healthcare system.

The most important aspects of Palliative Care may be the support in establishing and clarifying the goals of care and providing education regarding the end of life. When the time comes and that cure is no longer an option, transition to Hospice care allows the patient and family to focus on quality of life. The primary goal is controlling symptoms so that life can be enjoyed as long as possible. Wherever hospice care is provided, there is an interdisciplinary team working with both the patient and the family to provide physical, emotional, and spiritual support and education.

From a public policy perspective, Hospice has the additional benefit of saving Medicare approximately $2,300 per patient. These savings are mainly the result of reduced "futile care" that does nothing to change the outcome or enhance quality of life.

One of the challenges of healthcare reform is the added cost of insuring an additional 40 million people. Legislation currently debated in Congress calls for about 50 percent of the cost to come from reduced Medicare expenditures - causing a reduction in Hospice and Home Health, two of the most cost-efficient Medicare programs.

In addition, the state of Washington is looking to totally eliminate Hospice for Medicaid to help solve their budget challenges.

On the federal level, Oregon Sen. Ron Wyden has offered an amendment to the Senate bill that reduces the Hospice cuts. As of press time, Sen. Maria Cantwell and Sen. Patty Murray, both of Washington, have not signed onto this amendment. 

If you have an interest in preserving options for everyone on their end of life journey, please contact Senators Cantwell and Murray and urge them to endorse the Wyden amendment to the Senate's healthcare reform bill.

For more information on Hospice and Home Health, visit the National Hospice and Palliative Care Organization at www.nhpco.org.

Marc Berg is director of HomeCare and Hospice at Southwest Washington Medical Center in Vancouver.

Opinion

Focus Column

Five planning tips to help your business succeed in 2015

Five planning tips to help your business succeed in 2015

As we look forward to watching the ball drop in Times Square at midnight on Dec. 31 and the start of a new year, it’s a ...

The small print in loan documents

The small print in loan documents

Part of the small print in the stack of papers making up your loan documents is the rules you are promising to follow fo...

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