1. Columbia River General Hospital “Community Commitment” Reorganization Plan

2. Reorganization Factors Industry-wide over-bedding crisis Industry-wide over-bedding crisis Fewer hospitalizations Fewer hospitalizations Persistent pressure from private insurers Persistent pressure from private insurers Medicare cost-cutting among doctors and hospitals Medicare cost-cutting among doctors and hospitals Reimbursement disputes between hospitals and private and public insurers Reimbursement disputes between hospitals and private and public insurers

3. Community Commitment “Promote quality health care and commitment to the communities we serve by keeping facilities open and workers employed.”

4. Plan Implementation Expand Emergency Department at Columbia River General Hospital Expand Emergency Department at Columbia River General Hospital Build new Emergency Room Build new Emergency Room Build new Acute Care unit Build new Acute Care unit Reconfigure lobby and registration area Reconfigure lobby and registration area Install new lighting throughout the hospital Install new lighting throughout the hospital

5. Plan Implementation, cont. Relocate all psychiatric services to Fremont Medical Clinic Relocate all psychiatric services to Fremont Medical Clinic Build new psychiatric emergency services center Build new psychiatric emergency services center Invest $12 million in new capital investments Invest $12 million in new capital investments Create community-based health and research facilities Create community-based health and research facilities

6. Plan Implementation, cont. Relocate adult daycare program Relocate adult daycare program Expand outpatient/community services Expand outpatient/community services Bilingual primary care practice Bilingual primary care practice Crisis center and walk-in clinic Crisis center and walk-in clinic Expand fitness center Expand fitness center

7. Changing Demographics Reduced population Reduced population Older patient base Older patient base Need for additional outpatient and community services Need for additional outpatient and community services Need for additional bilingual healthcare professionals Need for additional bilingual healthcare professionals