Burciaga speaks of need for services


Published on Tuesday, February 16, 2010 10:18 PM PST

Susan Barr
Kern Valley Sun

Kern Valley Healthcare District Chief Clinical Officer Cynthia Burciaga addressed the need for additional patient services, such as dialysis and mammograms at the Wednesday board meeting.

During her Feb. 3 report to the board, Burciaga reiterated administrators’ awareness of the public’s desire to see more, much-needed services brought on board.

KHVD Board Chair Victoria Alwin, left, and board member Dr. Robert Gross ask CCO Cynthia Burciaga for clarification during the Feb. 3 board meeting.

“In order to coordinate and provide these services, we need to capture some of the costs associated with the services that are rendered at the Healthcare District,” she said. “I am asking the public, you, your friends, your family and your neighbors to assist us in providing those services to the community.”

For example, patients using the emergency room as a doctor’s office for things such as chronic pain, colds, and even prescription refills drives up costs, she said.

“By choosing not to go to a local doctor’s office, where they would pay a $10 or $20 co-pay and get the necessary treatment, some individuals go to the ER.” Burciaga aded that the Rural Health Clinic and the hospital have a sliding scale payment system available to qualifying individuals.

The CCO reminded the audience that patients are required, depending on their helath coverage, to pay a portion of the services when they come to the emergency department.

“We’re doing our part and even exceeding our part,” Burciaga said. “Emergency services will always be provided to anyone that comes into the emergency department without regard to payment.”

Board member Kay Knight discussed the upcoming 58th annual Association of California Healthcare Districts Meeting in Lake Tahoe and proposed that interested board directors be allowed to attend the conference. Though the cost of attending was unknown, the motion was approved.

After the meeting, Marge Swedelson of Lake Isabella remarked, “I have never been in favor of these conferences being attended. They are extremely expensive and are always held at high end locations.” She added that in times of economic belt tightening it might be more prudent for directors to abstain from attending such events.

Comments

48 comment(s)

    Mac wrote on Mar 26, 2010 4:17 PM:

    " washingtonpost.com/wp-srv/special/politics/what-health-bill-means-for-you/

    This is an address to a calculator which shows how the health bill will affect you. You simply input your age, income level, filing status, if you are employed, and hit enter. "

    Truth wrote on Mar 26, 2010 12:56 AM:

    " Jeff: Perhaps I should tell you, there will be a great "come-uppance" for the Progressives in this valley in the very near future, it is not too late to change your attitude. "

    Jeff wrote on Mar 22, 2010 5:45 PM:

    " Barbara/"truth" Perhaps you should join Rush Limbaugh in leaving the country now that a health care bill has passed.I'm sure many on these blogs would be supportive of you doing that. "

    Truth wrote on Mar 22, 2010 12:43 PM:

    " No one said the end is near, I just told you the truth about what the Senate portion of the Healthcare Reform bill reads; also by 2014 all congress and house reps will have the same Healthcare Benefit Package We The People have, so you see, some good came from the conservative side. I think you are the radical one as you relate all you are opposed to as linked with Faith and belief, talk about screwed up thinking! You remind me of some of those who spoke in the House yesterday in favor of this passing. "

    to truth wrote on Mar 22, 2010 10:15 AM:

    " the sky is falling! The sky is falling! Quick go check out the "Jesus Christ"email I think the end is near so run for the hills.....really run for the hills way up in the hills away from any civilization and computers so you can't spew so much toxic waste. "

    Truth wrote on Mar 21, 2010 8:47 PM:

    " Hey, guess what, all you Progressive Gays for Alliance, the Health Care Reform bill just passed in the house. Remember what I told you, gays will be the first "ethnic group" getting cuts on their healthcare, then Seniors, then minorities. All people will be mandated to purchase healthcare insurance to the tune of $12,000 per year minimum depending on size of family. KVHD will close as all nursing homes will be closed, KVHD cannot survive without the Medicare money for the 75 patients who live at the SNF! So SAD! 215 jobs lost in KRV, are you proud now? "

    Noble etc. wrote on Mar 20, 2010 4:01 PM:

    " To cab9960: Perhaps you are unaware the Board of Trustees who are elected by the public are the bottom line in say-so of services, the CEO is the one who actually runs the hospital, the Board of Trustees hire the CEO. You, the public are in control of who is elected to this so called experienced board. Why not start at the top? By the By-
    MOO-MOO, Victoria Alwin is the Board Member who caused problems with the CCO-followed by a vote from Doc Robert Gross....micro-managing to the max! "

    moo-moo wrote on Mar 13, 2010 12:17 PM:

    " The most former CCO: Burciaga, is working at Cedars Sinai in Los Angeles.Why couldn't she get a different job at the hospital?! Maybe she just couldn't see eye-to-eye with the Board or physicians. Grow up and learn to get along! Adults or children?Micro-managing from the Board? Stay out of every day operations and let Admin do their job!! And be respectful to those who actually do the job for ya! WHO IS this board member that Burciaga had issues with? He/she should be voted out! "

    cab9960 wrote on Mar 13, 2010 12:11 PM:

    " KVHD administration works with the information provided to them by the 'experts' . Important decisions are made every day. The community will get answers but sometimes the answers are either "No" or "Not at this time". Mammography- absolute necessity. Dialysis- absolute necessity.The CURRENT administration has received information to obtain a feasibility analysis for provision of dialysis.Will it be cost-effective here in the Valley? Let's see what the CEO/CFO does with the information. I recommend thorough investigations & SECOND professional opinions for current and potential services and decisions (such as the retail pharmacy)BEFORE the Board and/or CEO makes decisions. "

    cab9960 wrote on Mar 13, 2010 12:05 PM:

    " More on KVHD: Come to the hospital ED? If you have a primary care physician, call him/her for non-emergent advice/questions. If you don't have a primary care physician, get one! Economical 'crisis' has hit our valley and is a personal & community issue. NO patients will be turned away at the ED!! Play it safe, if in doubt of emergent situation, come to the ED. BUT - be prepared for personal and financial accountability if the patient is screened and not deemed an emergency. ALL patients will obtain a medical screening - regardless of personal financial "

    cab9960 wrote on Mar 13, 2010 12:00 PM:

    " A couple of clarifications about KVHD hospital and the Rural Health Clinic. the ED at KVHD saves lives. The ED personnel are experienced professionals who stabilize critical patients and coordinate transfers to the appropriate facilities, such as San Joaquin. The ED physician and staff (and the former CCO) work closely to facilitate professional relationships with specialized physicians and staff at the Bakersfield (and sometimes Los Angeles/Ridgecrest) hospitals for OUR patients (and visitors) receive quality and efficient care. The air ambulance and paramedic/nurse transfers out of the valley are intact and support OUR residents and visitors. More... "

    Pedro wrote on Mar 12, 2010 6:12 PM:

    " I have never heard such diatribe from people who use the hospital for their problems. Get a life, a job,a partner, empty your bag, or packit, and leave. I thought comments was for the use of constructive ideas, not that which I have been reading. Who cares about sexual orentation, politics or color. Be positive and get to the root of things, without all the name calling. "

    To stupidandboring wrote on Mar 10, 2010 12:11 PM:

    " Since when have you had children? This is bogus. "

    Re-Truth wrote on Mar 10, 2010 10:24 AM:

    " Quoted from truth "but at least the people I know are not making sure that for every dollar that comes to the Healthcare District, $5 goes into their pockets....what do you say to that?" I say it is mathematically impossible. Perhaps if you explained what your real gripe is than we could try and understand and make some sense of it all. That being said, there are a lot services needed in this valley but the reality is we can't afford the ones we have now. "

    Noble wrote on Mar 9, 2010 11:05 PM:

    " What I said was in jest...too bad you could not see the irony in it. No, I have not "caught the gay" but it sure looks like some in Sacramento and Washington DC have.
    For Boring: You came to this valley too late, it used to be a beautiful place to live, everyone I know is moving away because of the "change of climate here."
    But my Grandmother used to say the "climate" can be that way everywhere in the world if God is not present, obviously my Grandma was right. "

    Ann wrote on Mar 9, 2010 9:31 PM:

    " The clue was the "heh heh heh" Babs you are so predictable. I do wish you the best and hope sincerely that you have not caught the Gay. That would be tragic for you, so hope you are safe. My best wishes, in the mean time... they are sort of sincere, perhaps not. "

    stupidandboring wrote on Mar 9, 2010 8:04 PM:

    " this forum is stupid, my kids have more productive discussions. I have not heard one thing that has helped me understand what is going on. My friends talk to me,b ut nothing in the paper nothing on this swebsitel. We will not stay here, this area is on a downfall, along with all teh factors hospital, schools, racism, nothing for our children,it has potential, but it didn't have the right people or really the right kind of people. Sad to see such stupidity week after week. Do you people work for the hospital? that makes us afraid. "

    Ann wrote on Mar 9, 2010 7:32 PM:

    " Dang, I am slow tonight. Noble, you are Truth. Do not deny it. Have a great evening, wake up tomorrow to face a beautiful day. "

    Ann to Noble wrote on Mar 9, 2010 7:13 PM:

    " Yeah, you are right. And I do tend to feel mild outrage at opinions that are creepy and there seems to be a lot of creepy opinions here in the Valley -- so be it. What marketplace do you suggest? "

    Noble wrote on Mar 9, 2010 12:43 PM:

    " Ann: You should get yourself a "bucket" to carry your worrys about others to the "marketplace" heh heh heh..... "

    Ann wrote on Mar 8, 2010 3:18 PM:

    " To nonsensemeter. Thank you. I made a decision several weeks/months ago to not buy into the Truth/Babs lingo. I appreciate on a personal level your post because it helps explain the insanity. "

    to everyone wrote on Mar 6, 2010 7:45 AM:

    " STOP TRASHING YOUR HOSPITAL AND SUPPORT IT! GOOD GRIEF....WHERE WOULD YOU BE WITHOUT IT???? "

    Truth wrote on Mar 6, 2010 12:04 AM:

    " I have not heard of the Hospital filing bankruptsy, that is not since Bob Knight wanted to do that in 1999, but then we all know he has been senile and has serious mental problems overlooked by his adoring public for a long time, so who can take any of this seriously? "

    nonsensemeter wrote on Mar 4, 2010 8:15 PM:

    " Bravo, what a thread of nonsense. Anyone who really knows Casas knows it is true she has acted altered in the last few years, maybe demented, maybe alzheimers? Let's leave her alone at her advanced age, and the facts are that she was used by those around her whom she still trusts apparently. Yes, she is deluded, so if you are not deluded then dont pick on those who cannot defend themselves. Two comments: Who went to the meeting, what happend? And no bankruptcy, walk away let it go a private company would love to buy it and run it "

    Dude to Truth wrote on Feb 28, 2010 8:59 PM:

    " Goodbye. I fear you and your dangerous viewpoints. You make my skin crawl and fill my heart with fear and my psyche with stress. That is awesome... no one else has had that power over me. So, adios. Have a great life woman. Barbara. "

    Truth wrote on Feb 27, 2010 6:04 PM:

    " Dude; You are not commenting constructively; you are simply getting personal. Because you do not have anything constructive to say, I will not honor any of your posts! I do not hate, that is part of your agenda. Goodbye. "

    Dude wrote on Feb 26, 2010 9:36 PM:

    " Barbara, Truth and all your other handles, we in the Valley know who you are and you can no longer hide behind your ficticious names. Why R U so full of hate for those of us who live here and do not buy into the conservative republican agenda? We are not necessarily progressives or liberals, we just do not support the ultra conservative agenda. What, exactly is your problem or gripe? Are you constipated? "

    Truth wrote on Feb 26, 2010 7:50 PM:

    " You call me insane because you do not have any comment on the "Truth" that I reveal to the public, but at least the people I know are not making sure that for every dollar that comes to the Healthcare District, $5 goes into their pockets....what do you say to that? I have proof! Too bad you people are as dim-witted as the liberals in Congress, see no evil in the liberals, even when it is "shoved down the publics throats!" "

    jjones wrote on Feb 26, 2010 3:24 PM:

    " When does everyone figure it out, that hospital is a joke! "

    To Truth wrote on Feb 25, 2010 11:29 PM:

    " The latest today? Burciaga left a couple of days ago, where have you been? "

    Observer wrote on Feb 25, 2010 10:25 PM:

    " How does Truth feel to be insane? Oh Brother. "

    Truth wrote on Feb 25, 2010 6:43 PM:

    " To Agree and Jeff: Sounds like you two must be in "cahoots" with the Doctors who have reduced the services of the hospital to that of a "clinic." I was told today, the hospital is now operating as a clinic because of the personnel (read "not real doctors there") daily...and from the latest today, the new CCO has left the premises. Could you Jeff be a friend or cash receipant of those who are "ripping off" the District? Oh brother, I see a recall election before long--better hold on to what you have, closure is assured soon! "

    Agree with Jeff wrote on Feb 24, 2010 9:38 PM:

    " Mental hospital is what you were referring to in regards to Barb? Right on. Her denial is laughable at best!! "

    lynn wrote on Feb 24, 2010 9:32 PM:

    " If people need to go straight to Bakersfield they already do, whether by ambulance or air. The paramedics (not EMTs they drive the ambulance) already evaluate and stabilize people, and then take them where ever it is appropriate. Bakersfield is too busy to waste its time evaluating people only to find out they could have been taken care of here. The system already works, leave it alone. Or move to a city if you don't like small town medical options. "

    Jeff wrote on Feb 24, 2010 2:41 PM:

    " Ah the irony. Truth "knows all" but not who I am even though I use my name. She demands to know who I am yet refuses to say who she is. We all know it's you Barbara now stop trashing doctors who are trying to help. And may I suggest a special type of hospital for you. "

    Local one wrote on Feb 24, 2010 2:08 PM:

    " Here's my 2 cents! There are some kinks to be worked out, but Air ambulance is not a bad idea. The Hospital can not accomodate many life-threatening emergencies, so people are flown out to Bako anyways. Give the critical hour of diagnosis to Bako, instead of KVHD to figure out they can't do anything. The "Hospital" could act as an urgent care facility, and EMTS can take care of stabilization in emergencies. Air ambulance is covered by insurances under certain circumstances. KVHD's lack of ability, equipment, personnel, ect..is a covered circumstance. "

    Truth wrote on Feb 23, 2010 12:56 AM:

    " To Jeff: I have nothing against people who are truly charitable; that is charitable without taking their share of what is given and putting it in their back pocket. I have seen much of this action regarding the Trustees. I simply know the facts, and also know the reasons for all the cover-ups; I pray that voters will open their eyes and vote out trustees who take advantage of their positions. P.S. My name is not Barbara, I live near enough to know all! Who are you, Jeff? "

    Jeff wrote on Feb 22, 2010 10:29 AM:

    " Barbara(aka "truth") We all know you have some personal gripe against Dr's Gross, who have not done anything against you and would save your bigoted a--if need be. So how about doing what many have suggested, take your meds, get therapy and stop spewing your crazy hateful speech. It's very unbecoming. "

    To Truth wrote on Feb 22, 2010 8:57 AM:

    " The doc you are talking about doesn't work at Sienna Wellness. He works at the hospital. You said physicians, like there were a lot of them. "

    Truth wrote on Feb 22, 2010 1:13 AM:

    " To the person who wrote to Truth: Hey, clean out your ears, that is exactly what I said, there is a Physician who works for Sienna Wellness who also works at ER at the hospital, and that person works primarily at the Sienna Wellness, he also works at the emergency room, I call this a conflict of interest, "direct competition" is what it is called in business, and frowned upon by the California Health and Safety Code. Check out the relationship regarding doc gross also, board member, and owner of clinic in competition with the hospital! GEEZZ! "

    To Truth wrote on Feb 21, 2010 9:58 PM:

    " No ER doc works at Sienna. Maybe you are confused because ONE of Gross's hospitalist docs also works in the ER. "

    Truth wrote on Feb 21, 2010 12:59 PM:

    " Thanks for your comment regarding ER at the hospital Mac, first sensible thing you have written lately. You deserve to have a hospital that has an emergency room with qualified personnel; qualified personnel are hired by the Chief Executive Officer who happens to be McGlew at this time. The Board of Trustees hire the CEO, perhaps you should inquire why ER personnel includes Physicians that work primarily at the Sienna Wellness clinic which is the primary business of Dr. Robert Gross, who also is a Trustee who was elected by the KRV population. Isn't this a conflict of interest? "

    Mac wrote on Feb 18, 2010 4:35 PM:

    " Air ambulance is incredibly expensive. I don't know who you think is going to pay for that. Not your insurance, unless you are in very critical condition. There is nothing wrong with this hospital. Myself, my husband and my daughter have all had to use the ER over the years and I can tell you I'd much rather go over there than bother with the canyon when I'm either sick, in pain or needing stitches. "

    chickenchowder wrote on Feb 17, 2010 5:26 PM:

    " What about a flying ambulance service? You could be in a chopper or plane right out of the airport and be flown to Bakersfield in a shorter period of time than it takes to be checked in at the local hospital.
    There's a lot of us retirees who would be happy to create a new service. Why keep paying for a hospital which doesn't work, and just pay to get the injured to a hospital which does.
    It would be quicker to just put them aboard than wait to see if the locals can save you. Wings. "

    themessenger wrote on Feb 17, 2010 5:20 PM:

    " Is the newspaper saying not to go to the ER with a cough or cold? Or is it the hospital saying that? If the cough is unusual should I go to the ER? Is sliding scale the only available remedy other than insurance? What should I do if I think my infant has a cold, but I'm not sure? What if my son runs out of asthma medication, should I borrow it from our neighbor? If my husband was recently laid off, and we have no insurance, can we get assistance? Could the author let me know? "

    Mac wrote on Feb 17, 2010 4:42 PM:

    " Well, I'm perfectly healthy and have a good car, but I can well imagine someone who is elderly and/or very sick and without reliable transportation might benefit greatly from having dialysis services available in the valley. Mammograms - if those could make money or pay for themselves it would be a great service, but I agree they aren't really an urgent need. I do definitely agree that people need to quit using the ER as primary care. It's an EMERGENCY room, not an "I don't want to wait for an appointment with my doctor" room. "

    Local one wrote on Feb 17, 2010 12:45 AM:

    " Ridiculous- I agree completely! "

    Rediculous wrote on Feb 11, 2010 9:35 PM:

    " Bakersfield is an hour away. We need EMERGENCY services. That's it. Day to day services can be had at Bako. Enough already, we're NOT going to set our little hospital up for BANKRUPTCY by engaging in expensive, risky behavior. That would be STUPID! "

READER COMMENT CRITERION

Use the form below to post a brief comment to this story, or respond to other readers. Please use the word count tool to assist you in keeping your remarks to 100 words or fewer.

  • Be respectful of others, the writer and the subjects in the story. 
  • Comments need to be relevant to the story that is being discussed.
  • Posters are responsible for the opinions they express and the accuracy of the information they provide. 
  • Be aware that, in accordance with the Communications Decency Act and provisions upheld in judicial appeal, you, not the Kern Valley Sun, are responsible for comments posted on this Web site.  
  • We encourage a civil, collegial, and non-insulting tone.  

Comments that are unrelated to the story, repetitious and/or redundant, potentially libelous or damaging innuendo, contain obscene, explicit, or racist language, personal attacks, insults or threats will not be accepted. 
Comments are unedited and approved by an editor before appearing on the Web site. Your thoughtful contribution to the online discussion is appreciated.

(optional)
Current Word Count:
   


Multimedia

Classifieds

Contact us: 760 379 3667
Click for Lake Isabella, California Forecast