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funds would be monitored by the Board. He said Catholic Healthcare West <br /> would give the Board of Directors a portion of the sale proceeds which are <br /> obtained from District taxes. <br /> Mr. Britschgi estimated a decision needs to be made by mid-March and an <br /> election for affiliation with Catholic Healthcare West, if needed, would be on <br /> the November ballot. He said Sequoia is re-engineering the jobs at the <br /> hospital to make it the most cost efficient. He stated Sequoia wants to <br /> continue to give good caring service to the community. <br /> Mr. Britschgi said he is concerned that the issue of abortion will become the <br /> focal point of the decision to select either Catholic Healthcare West. He stated <br /> that only 17 abortions were performed at Sequoia Hospital last year primarily <br /> because there are several other providers of this kind of service in the <br /> community. The community forums will be co-sponsored by Sequoia <br /> Hospital and the League of Women Voters and will be moderated by the <br /> League. <br /> The Commissioners asked about Columbia and Mr. Britschgi explained <br /> Columbia has over 350 hospitals with the majority of its holdings in Florida <br /> and Texas, and they are especially interested in getting into the California <br /> market. Catholic Healthcare West has 17 hospitals in California. The <br /> Commissioners also asked if any analysis of these two organizations will be <br /> presented to the public at the public forums. Mr. Britschgi noted the Board <br /> has asked the Bond Council to provide that information in addition to <br /> obtaining information on their research findings. He noted that Medicare is <br /> currently facing big cuts and Sequoia provides a considerable amount of <br /> service to Medicare recipients, which means that Sequoia does not anticipate <br /> any revenue increases. <br /> Councilman Ruskin asked how Sequoia could remain a community hospital <br /> with Catholic Healthcare West. Mr. Britschgi mentioned their goals and <br /> community services are very similar to Sequoia's. In addition, Catholic <br /> Healthcare West has a larger purchasing and contracting ability than Sequoia <br /> which enables them to reduce operating costs. <br /> The Commissioners asked about any other scenarios envisioned at this time <br /> and Mr. Britschgi explained that HMOs have had a major impact on the way <br /> hospitals are run, technology has improved, and stays are shorter. Many <br /> procedures can now be done in the doctor's office or as an outpatient. <br /> Lynne Murphy of the Sequoia Senior Services Department explained they are <br /> developing a new Community Case Manager position to look at revolving, <br /> recurring high risk patients. This manager will look at managing these <br /> patients early on in their treatment with a focus on preventative measures <br /> and education. <br />