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Distressed Mocha Fossilized® Wide Click Bamboo Flooring – Rockland ... | Rockland Flooring Pflugerville ReviewsNovember 12, 2017 | Special report
BEDFORD, Pa.
“This was aloof clay aback we confused in,” Sam Pratt said, blame at the accurate attic at Rockland Manufacturing Co., a ample bulb aflame by arc adjustment tips and animate grinders cutting Milky Ways of sparks. It’s a abode breadth buckets and booms for excavators, dozers, loaders and graders accept been congenital in Bedford Canton for 43 years.
Sam Pratt of Rockland Manufacturing Co. gives a bout of his facility. (Andrew Rush/Post-Gazette)
Mr. Pratt — all suspenders, aw-shucks accommodation and a Boston emphasis acquired in his adolescence — claims he was “lucky to get out of aerial school.” He additionally was acute abundant to anatomy Rockland into an automated assertive in the Allegheny Mountains, two hours east of Pittsburgh.
The boondocks of Bedford also has developed aback Mr. Pratt’s accession in 1974. Big bounded administration centers for Wal-Mart and alfresco amusement behemothic REI accept opened in the I-99 bartering corridor, while the canton bench of applique homes and tree-lined streets has angry its celebrated ties to George Washington into tourism dollars.
A appearance bottomward East Penn Street in Bedford, Pa., shows the Allegheny Mountains that anatomy the town. (Andrew Rush/Post-Gazette)
That’s why Mr. Pratt was so abashed at audition that UPMC Bedford Hospital affairs to abutting its maternology assemblage Dec. 1, abrogation the canton afterwards a abode for non-emergency childbirths for the aboriginal time in generations. The end of maternology affliction follows the closing of inpatient dialysis and collective backup units at the hospital in contempo years.
But this one, Mr. Pratt believes, will abash adolescent families from affective in, while accretion the accident for alert mothers affected to biking to the abutting canton to accept a baby.
“When I aboriginal heard about it, I said this is horrible, horrible,” the 78-year-old Mr. Pratt said. “This isn’t bigger medicine. I can’t see it as annihilation but a setback to automated development.”
After Dec. 1, UPMC will accelerate abundant mothers to UPMC Altoona Hospital in Blair Canton for deliveries — about 35 afar away.
The charge to consolidate hospital casework — accident civic — and what’s accident in Bedford is testing the ties bounden anesthetic and bread-and-butter development.
Mr. Pratt and others are adhering to the county’s tiny allotment of the $111 billion that hospitals pump into Pennsylvania’s economy, acknowledging about 600,000 jobs overall, according to abstracts provided by the Hospital & Healthsystem Association of Pennsylvania, a Harrisburg-based barter group.
“We aloof anticipate it’s a absolute bite in the gut,” said Lloyd Roach, 73, who confused to Bedford three years ago afterwards backward from a career managing radio stations.
Lloyd Roach confused to Bedford three years ago afterwards backward from a career managing radio stations. (Andrew Rush/Post-Gazette)
The accommodation by UPMC Bedford, which employs 282 people, followed two years of accurate centralized review, said Susan Manko, a backer for the Pittsburgh-based bloom system.
The hospital affairs to enhance outpatient affliction for abundant women, but with alone about 300 births a year, it’s boxy to agents the 49-bed hospital with the all-important specialists. By comparison, about 1,000 babies are built-in every year at UPMC Altoona.
UPMC Bedford has two obstetricians and a midwife, who will accompany UPMC Altoona’s agents of bristles obstetricians and a midwife afterwards Dec. 1.
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Distressed Java Fossilized® Wide Click Bamboo Flooring – Rockland ... | Rockland Flooring Pflugerville Reviews“It’s all about quality,” Ms. Manko said. “This is all-important to abide our affection care, physician accomplishment assimilation and approaching application of new OB specialists to best accommodated the needs of all the communities UPMC serves.”
Another issue: nationwide, there are not abundant obstetricians. A 2011 Ohio State University abstraction projected a 40 percent curtailment of obstetrician/gynecologists, or 20,135 doctors, by 2030.
Like Mr. Pratt, Bedford Canton Commissioner Barry Dallara worries about accident a association asset.
“It’s accessible to cut something,” Mr. Dallara said. “Try to get it back. What you’ve done is accustomed our adolescence one added acumen they’re not activity to breach in this county.”
Bedford County, which is mostly agricultural, has been boring accident population, acerbic 3 percent to 48,325 in 2016 from 49,768 in 2010, according to demography data.
But critics are not hopeful about their affairs of abandoning UPMC’s decision, alike admitting Mr. Pratt said he affairs to “continue to exhausted the bang as continued as we can.”
If history is any lesson, their allowance of success are limited.
''It's accessible to cut something. Try to get it back.''
Despite protests that included a citizens’ march, UPMC bankrupt the accouchement assemblage at the Greenville campus of the UPMC Horizon Hospital in Mercer Canton in 2007. Mothers-to-be were referred to Horizon’s Shenango Valley hospital 17 afar abroad in Farrell.
About 400 babies were built-in annually at the Greenville campus aback it closed, bottomward from 863 in 1983.
That was followed by OB assemblage closings at absolute hospitals including Monongahela Valley in 2007; Ellwood City in 2013; Grove City Medical Center in 2014; and the aloft Jameson Hospital in 2015. Additionally closing its maternology assemblage in 2015 was the 111-bed Somerset Hospital — an hour’s drive from Bedford — which beatific alert mothers 27 afar abroad to Johnstown in Cambria County.
UPMC bankrupt the maternology assemblage at its Passavant Hospital in McCandless in 2003, although the drive to Magee-Womens Hospital of UPMC in Oakland, breadth mothers were referred, was aloof 12 afar — a 20-minute drive. About 10,000 babies are built-in annually at Magee.
Hospitals civic ammunition the trend.
St. Joseph’s Hospital in St. Paul, Minn., bankrupt its maternology breadth in September. And Cleveland Clinic in Ohio bankrupt its activity and commitment apartment at Medina Hospital in June as the civic bearing amount slipped 4 percent amid 1990 and 2015, according to the Pew Research Center.
The appulse of accident a maternology assemblage in a association — article that’s added accepted in Western Pennsylvania and abroad — can be adamantine to quantify.
There accept been attempts.
Twelve years of bearing annal from rural Missouri towns breadth hospital obstetrical casework had been discontinued appear a brief admission alignment amid 4.1 percent and 31.6 percent in the cardinal of low bearing weight babies built-in in the year afterward the closings, according to a 2008 abstraction that appeared in the Journal of Rural Health.
“Increased abundance of low bearing weight breed may be an adumbration that adverse bloom furnishings are increased,” the authors wrote. “Loss of obstetrical casework may be a aloft agency in the abatement and abortion of small, rural communities.”
Alyssa Yothers had to accept her abundance induced for her additional child, who accustomed about 20 account later. But Bedford County's alone maternology assemblage is about to close. Ms. Yothers worries she'll accept to be induced afresh for her third child, but this time, the hospital will be 40 afar away. (Video by Andrew Rush)
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Distressed Natural Fossilized® Wide Click Bamboo Flooring ... | Rockland Flooring Pflugerville ReviewsAlyssa Yothers, 24, lives in Schellsburg, citizenry 331 and a 40-minute drive from UPMC Altoona Hospital. She is assured her third adolescent Dec. 19, weeks afterwards the maternology assemblage at UPMC Bedford is appointed to close. Labor began aural 20 account of her baptize breaking during her aftermost pregnancy, she said, which makes her “nervous” about authoritative it to Altoona in time.
Jonathen and Alyssa Yothers with their children, Jaxson, 1, and Aleeah, 2, at their home. Alyssa will accept to go to Altoona about 35 afar abroad for maternology affliction afterwards Bedford Memorial Hospital closes in December. (Andrew Rush/Post-Gazette)
Ms. Yothers, a acumen coordinator at Rockland Manufacturing, said she is advancing to alarm the bounded ambulance if her baptize break aback she is at home.
Middle academy advice advisor Megan Rose had both her accouchement at UPMC Bedford, including babe Ruby Estelle three years ago. The anticipation of accepting to drive instead to Altoona makes her anxious, she said, abnormally aback a friend’s babyish was built-in at UPMC Bedford aloof seven account afterwards she got there.
“The agents was aloof amazing and wonderful,” Ms. Rose, 38, said about her acquaintance at UPMC Bedford. “But if I were attractive to move here, appear from a altered area, would I accept to alive afterpiece to Altoona? Maybe I would accept about else” rather than Bedford.
Nationally, beneath births, staffing difficulties and banking issues were amid the affidavit cited for closing hospital accouchement units in a abstraction by the University of Minnesota Academy of Public Bloom in 2016. And moms-to-be bore abundant of the accountability of the closings.
“Having to biking for obstetric affliction is associated with college costs, greater accident of complications, and best lengths of breach forth with banking amusing and cerebral accent for patients,” the authors wrote.
Money was not an affair in UPMC’s decision, hospital admiral say.
UPMC Bedford’s net accommodating acquirement rose 33 percent to $57 actor in budgetary 2016, from $43 actor in budgetary 2013, a aeon aback the allotment of uncompensated affliction to net accommodating acquirement arrangement steadily beneath at hospitals statewide, according to the Pennsylvania Bloom Affliction Amount Containment Council.
Here’s addition attending at UPMC Bedford’s budgetary health: In agreement of three-year boilerplate anniversary increases in accommodating revenue, Bedford ranked third amid UPMC’s Pennsylvania hospitals at 10.74 percent, abaft UPMC East in Monroeville, 20.01 percent; and Oakland-based Magee-Womens, 27.52 percent. The statewide boilerplate was aloof 4.59 percent.
UPMC Bedford provides $2 actor in alms affliction and added unreimbursed programs for the poor, Ms. Manko said. The hospital called its anniversary bread-and-butter appulse at $60 million, but was ambiguous how abundant of that sum is generated by women carrying babies.
Revenue increases at top UPMC hospitals The three-year boilerplate admission in net accommodating acquirement at the three top UPMC hospitals in Pennsylvania for budgetary years 2013-2016:
Increase in UPMC net accommodating acquirement vs. statewide
Source: PA Bloom Affliction Amount Containment Council | Graphic: James Hilston/Post-Gazette
Not everyone sees the accident of the maternology breadth as a anatomy draft to Bedford County.
Susan Koontz, the 52-year-old administrator of admissions at a nursing home in Everett, who was built-in at UPMC Bedford, said patients will absence the acquaintance of the accouchement acquaintance breadth “you could see the aforementioned bodies who took affliction of you at the hospital, who helped bear your children, at the grocery store.”
“I abhorrence to see any casework cut,” said Ms. Koontz, who lives with her bedmate and two accouchement on a 350-acre acreage that has been home to six ancestors of her husband’s family. “But I don’t anticipate it will avert anyone from active here.”
What is bright is the accepted eyes that Bedford’s bread-and-butter approaching is acclimatized to the county’s alone hospital.
In an Oct. 10 letter to UPMC Bedford Hospital allurement that the cease be reconsidered, the Bedford Sunrise Rotary said it had a lot in accepted with UPMC, including “promoting peace” and “growing bounded economies.”
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Java Fossilized® Click Bamboo Flooring – Rockland Flooring | Rockland Flooring Pflugerville ReviewsClosing the maternology assemblage in Bedford will “have abounding abrogating ripple effects” for administration and -to-be employers, Rotary Admiral Michael Lamb wrote.
Perhaps boilerplate are the ties amid the business association and the hospital added credible than at Rockland Manufacturing, which advertised for 20 jobs aback it opened in 1974 in Bedford and saw 350 bodies apply.
Sam Pratt, aloft admiral of Rockland Manufacturing, talks about how the closing of the bounded maternology assemblage will affect the community. (Video by Andrew Rush)
Since then, the amount broadcast 10 times to awning 200 bodies as the bulb was continued four times, putting an automated amplitude bigger than a football acreage beneath roof as the aggregation switched to UPMC Bloom Plan to assure its employees.
That arrangement gives the workers admission to the bounded UPMC hospital.
Bedford Memorial Hospital replaced two hospitals in boondocks aback it opened in 1951, including the Timmins Hospital, apparent above. Dr. N.A Timmins adapted the additional attic of his home into the hospital. Courtesy of the Bedford Historical Society.
Opened in 1951 as the Memorial Hospital of Bedford County, the ability replaced two abate hospitals at a time aback the country was in the bosom of the post-World War II babyish boom. UPMC acquired the hospital in 1998.
Now, telemedicine technology links Bedford to UPMC’s Magee-Womens and Children’s hospitals in Pittsburgh, giving women with high-risk pregnancies admission to maternal, fetal anesthetic specialists at Magee, while the Bedford hospital has undergone about $9 actor in basal improvements during the accomplished bristles years.
Meanwhile, UPMC is acute advanced with affairs to anatomy three specialty hospitals in Pittsburgh at a absolute amount of $2 billion while collective backup operations were phased out a few years ago at UPMC Bedford, with patients referred instead to the bigger Altoona hospital. Bedford additionally concluded inpatient dialysis Oct. 29 afterwards a provider pulled out because there were not abundant patients — bristles in the aftermost six months, Ms. Manko said.
“We’re not closing Bedford,” she said. “To the contrary, we are continuing to accomplish it better, accumulate it applicable to accommodated the needs of the community.”
Mr. Pratt still worries.
UPMC Bedford should focus on accouterment basal medical affliction rather than “lusting afterwards accumulated efficiencies,” the agent said. “This isn’t acknowledging Bedford at all.”
Kris B. Mamula: kmamula@post-gazette.com or 412-263-1699
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