[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6671038,"mediaKeyId","2171605-93142ddef7e8bd35851f09fa49edfe4b","parentId",2171605,"title","Board presses hospital on clinic staffing and Upton clinic hours after reports of closures and inconsistent coverage","audioSeconds",154,"startMs",7606000,"endMs",7760000,"viewUrl","/Search/View?dp=1&key=2171605-93142ddef7e8bd35851f09fa49edfe4b&start=7606&end=7760","thumbnailUrl","https://assets.pipeline.soar.com/2171605-93142ddef7e8bd35851f09fa49edfe4b/thumbnail_7606000.jpg","articleUrl","/articles/6671038/Weston-County/Wyoming/Board-presses-hospital-on-clinic-staffing-and-Upton-clinic-hours-after-reports-of-closures-and-inconsistent-coverage","mediaUrl","https://secure.pipeline.soar.com/6671038-152c0900c2c88c3a1a27178c6bccc6fa/orig.mp4?Expires=1771159762&Signature=JqCPjY-z5MfShNmSZstIR1u5w-4z7t6X~zULyulLTsaAi4cPEIwlxah-Z~97EV0PnkImrIlyRMswRziwn83usdXjsFpGHanutM4Mj5L6m115Lh4pkqU7hw-GgzM2r0wFRGp9tTtubTJFZ3SAtll12ZSVyCN3ul81wp1aC6QogQclzyUMGzfSJJYzHYnhiT0MPDLa7d3Ye~R9tkMOHekQCpthq6Aig2RvrT2ojhr5FjCVoP4Q9HeLX2ZS9j8ytwNFGCAZTATfxbqyoDzj0iEe044iSHRS8Iz44k046mRjNJwT6a8HBu2byOav7oI2QgRviqdU-7KKrhZetQps4ASDMQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Weston County","date","2025-01-25T05:09:07.807Z","article","Board members expressed concern about clinic staffing and inconsistent posted hours at the Upton clinic and other outpatient sites, saying community members reported closures during posted hours.

Management response: Hospital operations staff acknowledged the closures and said holidays and employee leave contributed to reduced clinic days; staff also reported active hiring and training efforts (including CNA training) and said they expect additional hires to improve coverage. Board and managers agreed clinic operations and scheduling should be clarified and that a clinic manager should present regular operational metrics to the board once in place.

Why it matters: Clinic hours and local access to basic services were described as important to residents in Upton and surrounding towns. Board members said the hospital needs clearer public schedules and better local outreach so residents are not left uncertain about whether clinics will be open.

Other operational items raised: Separately, managers reported improvements in ED arrival-to-discharge metrics and discussed patient wristband compliance in the emergency department; staff proposed purchasing a second wristband printer to speed wristbanding as a patient-safety and billing improvement. Board members supported pursuing foundation funding for nonessential technology that assists operations.

Next steps: Management will provide a plan to post reliable clinic hours at all outpatient locations, accelerate recruitment for clinical staff, and ask the clinic manager to join future board or committee meetings for operational briefings.","mediaType","Video","parentTitle","Weston County Health Services Board of Trustees meeting. Thursday, January 16, 2025.","oneSentenceSummary","Board members raised concerns about clinic staffing, missed posted hours and service availability in Upton and other outpatient locations; management said staffing volatility and holidays contributed and pledged corrective steps and future clinic-manager reporting.","taxTitle","Weston County, Wyoming","taxId",28920,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6671041,"Hospital reports billing, inventory and IT migration issues; auditors and staff given timelines to fix errors",390,5350000,5740000,"/Search/View?dp=1&key=2171605-93142ddef7e8bd35851f09fa49edfe4b&start=5350&end=5740","https://assets.pipeline.soar.com/2171605-93142ddef7e8bd35851f09fa49edfe4b/thumbnail_5350000.jpg","/articles/6671041/Weston-County/Wyoming/Hospital-reports-billing-inventory-and-IT-migration-issues-auditors-and-staff-given-timelines-to-fix-errors","https://secure.pipeline.soar.com/6671041-d8b545bbe6daa86420abf83c97cda7f5/orig.mp4?Expires=1771159762&Signature=BeYVgDgq-WgagCFwE4~NsrgDY3N-QmUopxVGZCGpbOfWv9n5-nO7kyUGuDjhNGdZUpKNaQpAiAkgXNjihB~-sA6kkLbwFo~kv4nMmmECIjHBSYf7jrw2GYdbc174lZ0hEFWBPAHdriMaSrTNX50s5nz~VKeex2EV8a5bOsmBSwvyzoUNreczBbUs-Tk0jlaEpJR4FMEO3RI-uQ9YHGpopjNcfA939zYzW4xtnABuj~c4fkVgDMFvioyYSTFXgbYfor36ynMQ696WUBVTk2HnK9JqaWjPazBx3~9i9rLZAXznDiL4seQvx-9gVI~IOI8yt0WvvThQpeh~4ugar9yyCQ__&Key-Pair-Id=KUT5TJCACFTXG","Hospital finance and operations staff told the Weston County Hospital Board they are working to resolve a series of billing, inventory and IT-migration issues that are affecting revenue reporting and patient charge data.

Why it matters: Board members were shown that data from the prior electronic health record and billing system (Meditech) has not been fully migrated into the hospital’s accounting software (Sage). That incomplete migration — together with missing charge-master entries and inventory pricing anomalies — produced overstated or unexplained balances that staff said they are now correcting. The board was told these issues affect reported bad-debt totals, accounts-receivable activity and the hospital’s public price-transparency posting.

What staff reported: The CFO and finance staff said the migration is a quasi-manual process requiring detailed trial-balance exports and journal uploads; staff estimated roughly 20 months of monthly journal entries need conversion but planned a compressed schedule. They described one-off mapping fixes, identified a large cumulative bad-debt figure in Epic that does not align with the general ledger, and reported accounts-receivable days near 52.4.

Inventory and charge-master: Staff said some inventory items were missing or had anomalous prices (examples included discontinued items and unusually high prices for some supplies). Staff are verifying item-level pricing and preparing a corrected charge-data master for upload. Management told the board that fixing the inventory/charge-master will enable improved billing for supplies and reduce unbilled charges and lost revenue.

CMS price-transparency and payer contracting: The hospital acknowledged an earlier CMS notice for a formatting error in the posted machine-readable price file. Staff said they submitted a corrective action plan and expected to have the corrected file uploaded by a deadline; if errors persist CMS issues additional notice periods. The finance director also reported ongoing discussions with payers and third-party groups about potential contracts and membership volumes; the board asked staff to bring concrete contract terms back to finance committee for review.

Board direction and timeline: The finance director said she will meet with auditors and continues remediation work; staff set near-term deadlines for the migration tasks and asked to complete a majority of the conversion and inventory corrections in coming weeks. Board members asked for progress reports to the finance committee and asked management to ensure any large write-offs are transparent to the board.

What’s next: Management will provide a timeline to the finance committee for the Meditech-to-Sage upload, a corrected charge-data master for review, and a reconciliation of bad-debt totals between Epic and the general ledger.","Hospital finance staff reported ongoing work to migrate data from Meditech to Sage, correct inventory and charge-master anomalies, and address CMS price-transparency and accounts-receivable issues; managers described steps and timelines to resolve the problems.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6671046,"Weston County Hospital board approves purchase of Philips CT and Veritas lab analyzer, OKs fundraising and backup borrowing",4553,537000,5090000,"/Search/View?dp=1&key=2171605-93142ddef7e8bd35851f09fa49edfe4b&start=537&end=5090","https://assets.pipeline.soar.com/2171605-93142ddef7e8bd35851f09fa49edfe4b/thumbnail_537000.jpg","/articles/6671046/Weston-County/Wyoming/Weston-County-Hospital-board-approves-purchase-of-Philips-CT-and-Veritas-lab-analyzer-OKs-fundraising-and-backup-borrowing","https://secure.pipeline.soar.com/6671046-3493a13ce770041ed682069c3ae20c11/orig.mp4?Expires=1771159762&Signature=Ufm9ciKi0FbtvwMc6dQXit5RWIcg0-V-ewDkAW6N0nzKBzmAq56q-Pn6jh0I3fqIiL6gGPQUd8Y8IxHTo0oljagDFtluk~JWjFZw2vBUWwrEorrEvg-ANs7bO6t1u~A4~~cNAiMHapH3BfbTy6kMttkmBEa~PYsW9p9PT1E1wByywnV~4cBGX-V117bX9F8odTFE1LNRK8Jnbny-owOHakI7z9DXjjd9SgfyUElenb6EuZJAFv5OPJwnACYZjpsOkmvyOFHQ~aQF-j6VHd3jgEOvt4AtLm9K6spuV7cs0QI~TQ2T-alaPni-q88rTTP9IcqGfCYMWbFTMAt87urHEw__&Key-Pair-Id=KUT5TJCACFTXG","The Weston County Hospital Board approved purchases of a Veritas 56100 chemistry analyzer and a Philips CT scanner and authorized a fundraising campaign — with a back-up borrowing authorization — to cover the remaining unfunded balance.

Board members said management had negotiated a donor-funded package that would cover most of the cost but left an outstanding amount that the hospital must raise or borrow. The board voted, by voice, to approve the purchases pursuant to terms negotiated by management and to initiate a campaign to fund the unfunded balance. The board also authorized management to seek financing for any remaining amount not covered by fundraising.

Why it matters: The equipment is intended to expand local diagnostic capacity; the board described the purchases as time-sensitive because negotiated pricing and additional equipment offers would expire if not secured. The donor committed roughly $500,000 to the package, but the CT price and associated items leave a shortfall that the hospital must address before final payment is due.

Details and votes: During discussion management described having signed paperwork to lock the purchase price and a favorable interest rate for potential future borrowing but said no binding purchase payment had yet been made. The board passed three related motions in sequence:
- Approval to purchase the Veritas 56100 chemistry analyzer pursuant to terms negotiated by management (mover recorded in minutes: Nathan; second: Benjamin). The motion passed on a voice vote.
- Approval to purchase the Philips CT scanner pursuant to terms negotiated by management (mover recorded in minutes: Nathan; second: not specified). The motion passed on a voice vote.
- Approval to initiate a fundraising campaign for the unfunded balance of the CT machine and authorization to borrow any amount needed to complete the purchase if fundraising falls short (mover/second not specified in the transcript recap). That motion passed on a voice vote.

Financial figures discussed in the meeting: managers said the Veritas analyzer was priced at about $182,000 and the CT package at roughly $495,000, which included approximately $65,000 of additional equipment obtained as part of the negotiated deal. The donor had agreed to provide about $500,000 split between the lab analyzer and CT package; after applying the donor funds to both items the board was told there remained something on the order of roughly $180,000–$200,000 to be raised or financed for the CT scanner.

Board and staff direction: The board instructed management and the CFO or finance designees to pursue community fundraising and simultaneously seek the best available financing options so the hospital can meet vendor timelines and secure the negotiated pricing. Legal counsel (Allison) was asked to review any financing contract before final execution. Board members emphasized that any final purchase and borrowing decisions should be documented in minutes and return to the board when commitments are finalized.

What’s next: Management will move ahead with fundraising outreach and will return details on proposed financing terms, timelines and any donor conditions to the board. Vendor delivery timelines were described as several months out, giving the hospital a window for fundraising and lender shopping.","Board approved management-negotiated purchases of a Philips CT scanner and a Veritas lab analyzer funded largely by a donor gift; members also authorized a community fundraising campaign for the remaining balance and gave staff authority to secure financing if needed.","actionData","errors"]

Article not found

Board presses hospital on clinic staffing and Upton clinic hours after reports of closures and inconsistent coverage

Hospital reports billing, inventory and IT migration issues; auditors and staff given timelines to fix errors

Weston County Hospital board approves purchase of Philips CT and Veritas lab analyzer, OKs fundraising and backup borrowing