Vancouver Business Journal

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Introducing the Accomplished & Under 40 Class of 2014

Introducing the Accomplished & Under 40 Class of 2014

The Vancouver Business Journal is pleased to announce the Accomplished and Under...

East county bridge proposal causes contention within freight industry

East county bridge proposal causes contention within freight industry

After $200 million taxpayer dollars were spent on the botched Columbia River Cro...

Angels bringing ideas to light

Angels bringing ideas to light

Most new businesses come to being with a great idea. How to get that great idea ...

Vancouver-based children’s apparel brand sold to Utah investor

Vancouver-based children’s apparel brand sold to Utah investor

Oakiwear, a children’s apparel brand headquartered in Vancouver, has been sold t...

Creatives converging on Washougal

Creatives converging on Washougal

It’s hard to say exactly when it started, but the city of Washougal has quietly ...

Technology changing the work site

Technology changing the work site

From handheld apps to 3-D maps, high-tech innovations are changing how today’s c...

Banking & Money Management

Angels bringing ideas to light

Angels bringing ideas to light

Most new businesses come to being with a great idea. How to get that great idea from concept to marketplace reality is often what separates them.

Entrepreneurs can come into business with substantial investment and savings of their own, enjoy a low overhead-quick return scenario or be completely reliant on financial help.

“When you are in a position where you get to decide if you wish to seek ou...

Education & Workforce Development

WSU Vancouver: Enhancing the business community for 25 years

WSU Vancouver: Enhancing the business community for 25 years

25 years ago, Washington State University opened its Vancouver branch on the Clark College campus. From the very beginning, the university has been closely tied to Clark County’s business community, and those partnerships have grown even stronger over the last quarter-century.

WSU-Vancouver Chancellor Emile “Mel” Netzhammer joined the campus in July 2012, and has glowing praise for the relationsh...

News Briefs

Ed Lynch to be honored with Legacy Builder award

Ed Lynch to be honored with Legacy Builder award

The Vancouver Business Journal is proud to announce that Ed Lynch – philanthropist, businessman and World War II Veteran – has been selected to receive the Kyle W. Corwin Legacy Builder Award. The award recognizes one person annually who has spent their career leading, mentoring, building a business and giving back.

Spotlight

Dynamic Events finds success in service & technology solutions

Dynamic Events finds success in service & technology solutions

When you attend a conference or a large corporate event, you might assume that the registration process will be smooth, dinner will be served on time, and the speakers’ presentations will work flawlessly. But Allison Magyar, president of Dynamic Events, doesn’t take any of these details for granted.

“We provide complete meeting and event management and software, plus registration services and gra...

Sluggish economy, sicker patients

It's not just the economy that's sick. According to healthcare professionals at several local urgent care clinics, Clark County's high unemployment rate is fostering a trend of healthcare procrastination.

It's not just the economy that's sick. According to healthcare professionals at several local urgent care clinics, Clark County's high unemployment rate is fostering a trend of healthcare procrastination.

Many colds and coughs can turn into something more serious, like bronchitis or pneumonia. But, if money is tight - or nonexistent - patients are often reluctant to visit a doctor's office.

"Many of our patients are in a desperate situation, and should have been looked at a month ago," stated Dean Barrus, owner of two Urgent Medical Centers, one at the corner of Fourth Plain Boulevard and Vancouver Mall Drive, the other in Salmon Creek.

Anna Axlund, office manager for the Fisher's Landing Urgent and Family Care Clinic, reported the same pattern, with fewer people coming in for coughs and colds - but more coming in for hospital stay follow-up treatment.

Making Care Affordable   

Barrus said his clinic tries to mitigate patients' healthcare expenses by offering a discounted cash rate and establishing a payment system for those who need it. But, he added, it's a juggling act to meet the needs of the poor but still be able to pay his own bills.

Efficiency in delivering care, in billing and in processing patients and data, said Barrus, is the key to this juggling act. Raelene Jarvis, clinical manager for Memorial Urgent Clinic on Main Street in Vancouver, also stated that efficiency is critical for a successful business.

"We're looking at our processes from A to Z, to determine which steps are vital, and which are redundant," Jarvis said, adding that not only does efficiency help keep costs down, but it also gives the patients what they really want: to come in, see the doctor and go home.

Washougal-based Columbia Gorge Medical Center, owned by nurse practitioner Sarah Russell, has another approach to making healthcare affordable for those who do not have insurance.

Russell, who bought the clinic from Urgent and Family Care owner Ron King last February, has instituted a Patient Assistance Program, which connects local nonprofits, businesses and churches with patients who need help in paying for healthcare.

"It looks a little different for each organization who participates," Russell said. "Some make a fixed donation each month, others commit to helping a set number of patients every year."

Patient Volume Still Growing

Waiting rooms at urgent care clinics across the county are busy. Axlund reported that her clinic treats 45 to 55 patients a day, with walk-ins experiencing an average wait-time of 20 to 45 minutes. Russell said that last year, she saw five to 10 patients per day - a number that has climbed this year to 18 to 24 per day.

Barrus said that his patient volume has grown about 10 percent over 2008, with 6 to 7 percent of that increase being made up of Medicare and DSHS patients. To accommodate this growth, Barrus' Fourth Plain clinic moved to a new location at the end of August, doubling their square footage to 10,000 square feet.

The new clinic, built by TEAM Construction, offers a digital X-ray system and a full complement of testing equipment for occupational medicine. Barrus has added one additional care provider and is currently interviewing for another open position.

Axlund stated that although her clinic reduced hours of operation due to the recession, they have added new staff to keep up with patient demand. Currently, the clinic employs two receptionists, two office managers, two medical assistants and three care providers. Russell added a second front desk person in September as well.

With the exception of Memorial, which makes no appointments, most clinics take a mixture of walk-ins and appointments for a mixture of urgent care and traditional family care.

Axlund said her group preferred appointments for those patients who wanted to establish a primary care relationship, but that for urgent health matters, walk-ins were always welcome. Russell stated that the great majority of her patients were scheduled, with only four to five walk-ins per day.

Flu Still a Threat

Urgent care professionals see a lot of flu patients, both the normal seasonal flu and the H1N1 flu. Although media coverage of H1N1 has dropped off considerably compared to a couple months ago, Jarvis cautioned that people shouldn't give up taking precautions against infection, such as washing one's hands. "All models, and our experience in the Southern Hemisphere, predict a second wave of H1N1," she said.

Barrus concurred, stating that his clinic had been "jam packed" on various days with flu patients, and that "we're not through it yet."

With Clark County's unemployment rate hovering around 13.7 percent, that could mean urgent care clinics may continue to see patients later, as well as sicker.

Opinion

Focus Column

Now is the time for apprenticeships

Now is the time for apprenticeships

There is much talk of the “skills gap” – the widening space between the technical skills that employers need and the ski...

Towne Square project is a win for the local workforce

Towne Square project is a win for the local workforce

Our economy continues in fits and starts to recover. Workers struggle to find employment providing a living wage. Famili...

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