Dr. Kappenmann stays on with SCRHCD
JULY 17, 2017 - Dr. David Kappenman, MD, has signed a 3-year contract with the Sublette County Rural Health Care District (SCRHCD). Kappenman attended medical school at the University of South Dakota and completed his internship and residency at the Rapid City Regional Hospital Family Practice Residency Program. He is a board-certified family practice physician who joined the District in 2007 and has dedicated over 10 years to this community. Read more...
Collaboration meeting between Sublette County Rural Health Care District and St. John's Medical Center on June 28th, 2017
The Neenan Archistruction Group and Dougherty Mortgage to present their planned scope of work to the public –
Tuesday June 27th, at 7pm in the Lovatt Room in the Pinedale Library
June 26, 2017 - Sublette County Rural Health Care District, in conjunction with St. John’s Medical Center, has approved professional services from The Neenan Archistruction Company, Dougherty Mortgage, and BKD. These companies will use real data from our community, market and competitors to devise a customized facility plan that works for our patients and business plan. Through evidence-based design and Lean thinking, they create hospitable spaces that help patients heal and enable staff to be more efficient. From operational assessments and funding strategies to master planning, architecture and construction, Neenan’s team of in-house experts and strategic partners will guide us through an actionable plan for sustainable growth. This means our critical access hospital, once approved, will be properly sized with the right mix of outpatient and inpatient services to meet our business goals and serve the needs of Sublette County.
On Tuesday, June 27th, at 7pm in the Lovatt Room at the Pinedale Library, two representatives from the Neenan Archistruction Group and Dougherty Mortgage will present their planned scope of work to the Public. Please join us to learn more! Or click scope of work for an overview.
The Neenan Company has 18 years of service to critical access hospitals throughout the Western US. To learn more about them, and to see examples of critical access hospitals the Neenan Company has worked with, click here:
Free health screenings offered Wednesday, June 28
June 27, 2017 - Did you know that a simple blood pressure check can tell you a lot about your health? If you don’t have a regular source of healthcare or you haven’t had had your annual reading of your blood pressure, you’re not alone. According to the National Center for Health Statistics, nearly 26 percent of men in the United States do not have a regular source of healthcare to complete medical tests and screenings to keep you healthy. The local community wants to help reverse this trend by raising awareness this at Wednesday’s Men’s Health and Safety Expo.
Presented by Partners - Sublette County Rural Health Care District, Wyoming Cancer Resource Services, Southwest Counseling, Proactive Rehabilitation, and Sublette County Public Health, the health and safety expo will feature medical advice from RHCD medical directors, a safety presentation from Tip Top Search and Rescue, and important health education from more than 15 informational booths to increase awareness of available resources and services that can enhance the health, safety and wellness for the men of Sublette County. Appointments are not necessary and the FREE screenings are available on a first-come, first-serve basis from 5 - 8:00 p.m.
"The screenings we're providing will let you know if you're on the right track with your health and wellness," said Stephanie Lund, Nurse Manager of Sublette County Public Health. "We're happy to be able to offer free blood pressure and diabetes screenings during the Men's Health and Safety Expo."
Men attendees will also be able to tour Wyoming Cancer Resource Service’s interactive display to learn the importance of Colon FIT Testing to look for colon cancer in men who have no symptoms. RHCD team members will be taking Pulse Ox readings that measures the capillaries in your fingers to test oxygen levels. If low, it can be a sign of a more serious illness. Further, they will be talking to men about Life Flight membership plans in the unforeseen case of an emergency. Proactive Rehabilitation will be on hand to measure grip strength and share back health tips while Southwest Counseling will visit one-on-one with men on the signs and symptoms of stress.
The Sponsors – Pinedale Properties, Great Outdoor Shop, Dr. David Kappenman, Castle Rock Pinedale, and Bucky’s Outdoors will be present during the health expo to present one lucky winner of one of five terrific grand prizes; a Redington Vapen Red Fly Rod, a car detail or 4 free oil changes, a full day fly fishing float trip, and a Stihl battery powered trimmer. Free 307-Q smoked pork sandwiches and coleslaw for men and their guests will be available along with a chance to win over $2,000 in grand prizes and giveaways. Take advantage of the free health screenings and look forward to great health at the first annual Men’s Health and Safety Expo on Wednesday, June 28 from 5 - 8:00 pm at Sublette County Library located at 155 South Tyler in Pinedale. For more information, please call Amanda Key at (307) 367-0018.
Sublette County Rural Health Care District has selected local Amanda Key as the District's Practice Manager
June 22, 2017 - The Sublette County Rural Health Care District (SCRHCD) organizational chart has the Health Care Administrator position at the pinnacle. This position is currently held by Malenda Hoelscher. Hoelscher has held the position since July 2013 and recently accepted the position of Executive Director for the Living Center at St. John’s Medical Center (SJMC) in Jackson, WY.
During the search for a replacement earlier this year, it became evident that without a firm plan for the hospital, and a salary commensurate to the job description, the interest of qualified candidates in the position waned. With recommendations from the operational analysis conducted by Eide Baily (overseen by the County Commissioners) the SCRHCD Board of Trustees decided to adopt a transitional organization chart. The SCRHCD will temporarily replace the Health Care Administrator position with a Practice Manager. Once the SCRHCD Board has a clear direction and possible timeline for hospital construction, the SCRHCD Board will pursue a Health Care Administrator that can successfully assist them and the community in the transition to hospital services, while maintaining the Practice Manager to oversee clinic operations. Amanda Key will be assuming her position on July 1st, with transition of leadership from Hoelscher to be completed by the end of July. Read more...
Fitzsimmons and Kappenman to answer questions about men's health
June 21, 2017 - The first annual Men’s Health and Safety Expo is a special evening dedicated to Sublette County men, complete with education, resources, and physician’s advice. Sublette County Rural Health Care District’s (RHCD) Medical Directors, Dr. Brendan Fitzsimmons and Dr. David Kappenman along with Physician’s Assistant, Brian Barton, will be available to answer anonymous questions for the “Ask a Doc” panel discussion at 6:30pm. Additionally, RHCD’s team members will be available to discuss with men who don’t have a regular source of healthcare about the district’s family health and urgent care services available at the Marbleton and Pinedale Medical Clinics.
The event runs 5 to 8:00 p.m. on Wednesday, June 28 at the Sublette County Library’s Lovatt Room in Pinedale. The evening will include Sublette County Rural Health Care District, Wyoming Cancer Resource Services, Southwest Counseling, Proactive Rehabilitation, Sublette County Public Health, and county wide health and safety information groups who have come together for Men’s Health Month to raise awareness of the health and safety resources and services available to the men of Sublette County. Free smoked pork sandwiches and coleslaw for men and their guests will be available along with a chance to win over $2,000 in grand prizes and giveaways. For information contact RHCD's Amanda Key at (307) 367-0018.
Malenda Hoelscher is taking on a new position at St. John’s Medical Center
June 9, 2017 - The Sublette County Rural Health Care District (SCRHCD) organizational chart has the Health Care Administrator position at the pinnacle. This position is currently held by Malenda Hoelscher. Hoelscher has held the position since July 2013 and recently accepted a position as Executive Director of Senior Living at St. John’s Medical Center (SJMC) in Jackson, WY.
The SCRHCD is losing a great asset. Hoelscher has achieved many accomplishments for the District during her time. Thanks to her leadership, she has:
Health and Safety Expo set for June 28th
June 7, 2017 - Men throughout the Sublette County shouldn’t have an excuse of cost when it comes to attending the annual Men's Health and Safety Expo. That's because this year's event is free of charge, will have free smoked pork sandwiches, and will give out more than $2,000 dollars worth of free grand and raffle prizes for those present to win.
The event runs 5 to 8:00 p.m. on Wednesday, June 28 at the Sublette County Library’s Lovatt Room in Pinedale.
Presenting event organizations include the Sublette County Rural Health Care District, Wyoming Cancer Resource, Southwest Counseling, Proactive Rehabilitation, and Sublette County Public Health, where all agree too many men in Sublette County fail to take care of themselves like they should.
"It's not unmanly to see a doctor," Amanda Key of Sublette County Rural Health Care District said. "It's hard to work well and live well if you don't take care of yourself first. What we hope through this health and safety expo is that the men we all love will take a serious look at their health, fitness, and general wellness. And get regular check-ups."
The evening will feature 15+ health and safety information groups who have come together for June’s Men’s Health Month to raise awareness of available resources and services for the men of Sublette County. Toward that end, Sublette County Public Health will will perform blood pressure checks and A1C checks.
“We are very excited to be able to hold this event in Sublette County,” Dina Porter of Wyoming Cancer Resource said. “Men don't always want to reach out and ask for help. This is a great opportunity for the community to come together and get some answers to those questions that might be on their minds. We not only want to talk about physical health but mental and financial health as well as general safety. There are so many resources available right here in Sublette County and we want to let everyone know what and where they are. Come down and learn about everything from the dangers of high blood pressure to how to check you home for radon. We have a great night planned with a lot of activities and important information. Come for dinner, stay for the great presentations, and of course, some awesome prizes.”
A variety of vendors are lined up to talk to men one on one about their health, including Sue Holz on back health (ProActive Rehabilitation), Aaron Preece on mental health (Southwest Counseling), Dina Porter on colon health (Wyoming Cancer Resource) and Kyla Bowers on skin health (Altitude Drug).
Then at 6:30 pm, a panel of Sublette County Rural Health Medical Providers will take the stage to answer questions from cards submitted by men followed by a presentation, “Surviving Sublette County”, by Kenna Tanner of TipTop Search and Rescue.
The first annual event is sponsored by Bucky’s, Pinedale Properties, Great Outdoor Shop, and Castle Rock. MC’s for the night are KC Lehr and Aaron Preece. Food will be compliments of Stoney Vance of 307- Q Catering. For expo information, contact Amanda Key at 307-367-0018 / email@example.com.
An Update from the Rural Health Care District
June 5, 2017 - In recent years, we have all become aware that maintaining the current health care system in Sublette County is problematic due to mounting financial concerns. The Rural Health Care District (RHCD) operates two family practice clinics that offer primary, urgent and emergent care along with radiology and lab services. Along with the necessary supplies and equipment, EMS staff and the recruitment of highly qualified clinic staff to provide those services, there is simply a mismatch. The expense of providing care under this model exceeds the dollars we receive from tax revenue, private payers, insurance companies and governmental programs that provide reimbursement for this care. The RHCD Board of Trustees believes that a stronger affiliation/partnership with St. John’s Medical Center (SJMC) in Jackson, WY will help the RHCD maintain its health care system.
For many decades, the RHCD and SJMC have played important roles in providing primary, urgent, emergent and specialty medical care for residents of Sublette County, WY. In recent years, the collaboration between these two medical communities has been formalized and has grown, with St John’s providing valuable new services and offering administrative guidance for our clinic operations. Beginning in 2015, the RHCD and SJMC began working even more closely to address the medical needs of Sublette County patients. We have seen the addition of new services at no cost to the RHCD, including screening colonoscopy and mammography. These are essential cancer screening services that prevent unnecessary travel and inconvenience.
This Spring, the RHCD and SJMC signed a new non-binding Letter of Intent that captures the spirit of what we hope to accomplish moving forward. We will continue working together over the next several weeks to develop a management agreement to expand the current partnership. The goal is to help ensure the continuation of medical services in Sublette County and the financial sustainability of our clinical operations. This agreement will maintain the independence of the RHCD while will allowing access to the expertise and resources of that SJMC can offer.
Once a draft agreement has been finalized by a joint working committee, it will be available for both Boards to review with their attorneys and then be open to public comment. Comments will be reviewed and any necessary revisions will be made. A decision at that time by both Boards to move forward will be decided by a formal vote.
While SJMC is interested in helping Sublette County develop sustainable medical services, they want to do so with confidence that our towns and county need and desire this assistance. Representatives from SJMC will be meeting with our elected government leaders and other citizens over the next couple weeks to share thoughts and ideas.
The RHCD Board of Trustees appreciates your patience and participation as we explore this exciting possibility to ensure that quality, accessible health care continues to be available in our communities.
St. John's Medical Center and SCRHCD Expand Partnership -
May 3, 2017 - St. John's Medical Center (SJMC) and Sublette County Rural Health Care District (SCRHCD) will expand their current affiliation agreement, formalized in 2015. As a next step, the two medical communities will jointly develop a management agreement to provide administrative guidance for SCRHD by SJMC to assure success with shared goals in quality of care and sustainability.
April 2017 Revised Statement of Position Regarding the Critical Access Hospital
April 20, 2017- The Board of Trustees of the Sublette County Rural Health Care District (Board) maintains that the construction and operation of a Critical Access Hospital (CAH) in Sublette County is the best way to provide the level and quality of health care services that the citizens of the county desire and deserve.
With the cooperation of the Board of County Commissioners (BCC) and the Sublette Center and St. John’s Hospital, four (4) financial feasibility studies have been done. Each of these studies has determined that a CAH is the best way forward for the continuation of health care services in Sublette County. Therefore, this Board is still committed to construct and operate a CAH in Sublette County and will continue toward that goal. The Board’s plan includes the continued operation of the two clinics and EMS. It also is still committed to returning 24/7 ER to the Big Piney-Marbleton community if a financially feasible way can be reached.
Due to the Board of County Commissioners’ recent denial of this Board’s request to build a CAH at the Pinedale Clinic with a co-location at the Marbleton Clinic, this Board finds it necessary to issue a move in a different direction to reach this CAH goal and sees the following as the basic steps towards accomplishing that goal:
RHF Funds Higher Resolution CT Scanner for Health Care District Thanks to Anonymous Donor
April 13, 2017 - Sublette County residents now have access to enhanced quality healthcare close to home. This is in part due to a generous monetary gift from an anonymous donor to the Rural Health Foundation of Sublette County (RHF). The donation was utilized by the Sublette County Rural Healthcare District (RHCD) to replace the Pinedale Medical Clinic’s aging computerized tomography (CT) scanner. “The current scanner was installed with the construction of the Pinedale Medical Clinic in 2007 and was at “end of life” from not only a replacement part stand point but also a regulatory one. In the past year, Centers for Medicare and Medicaid has issued stringent regulations regarding the amount of radiation dose that is delivered to patients receiving CT scans. The regulations also have accompanying monetary penalties to facilities that are using dated equipment. The RHCD has lost potential revenue associated with those penalties. In addition, numerous scans have been sent to outlying facilities for completion due to the local provider’s concerns regarding radiation dosing. The substantial gift could not come at a better time especially when you look at the lack of monies available in county for capital projects of this extent.” states Malenda Hoelscher, administrator for the RHCD.
EMS and After Hour Services
School and Sports Physicals
Free to Sublette County Students K-12
Tuesday, July 25th, 2017
8:00 AM - 12:00 PM
First Come, First Serve
Prior to arrival, please fill out a
Physical Examination Medical Record
If student is alone, please have your
Physical Examination Medical Record
completed and signed by a parent
or guardian prior to your physical.
Pinedale Medical Clinic
625 E Hennick Street
Pinedale WY 82941
Pinedale WY 82941
Marbleton-Big Piney Clinic
103 W Third Street
Marbleton WY 83113
Marbleton WY 83113