[{"_1":2,"_123":-5,"_124":-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",[32,75,87,99,111],{"_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",6584736,"mediaKeyId","5665743-c7499d5967840a5514f822c3e04a2f82","parentId",5665743,"title","Votes at a glance: Inova RCM, mammogram software, DZA cost reports, locum hire and credentialing approved","audioSeconds",1774,"startMs",874670,"endMs",2649020,"viewUrl","/Search/View?dp=1&key=5665743-c7499d5967840a5514f822c3e04a2f82&start=874&end=2649","thumbnailUrl","https://assets.pipeline.soar.com/5665743-c7499d5967840a5514f822c3e04a2f82/thumbnail_874670.jpg","articleUrl","/articles/6584736/Weston-County/Wyoming/Votes-at-a-glance-Inova-RCM-mammogram-software-DZA-cost-reports-locum-hire-and-credentialing-approved","mediaUrl","https://secure.pipeline.soar.com/6584736-36b8f23ea6926d851c8b7874bb4157c1/orig.mp4?Expires=1770589735&Signature=QCAH-JpU3Hy~ae1JvwbmkOBvfnKCfJoxDo7ae069g6MS81BHr5JyLaNfXQDuYJC7Tkwbo5hTVDH9vNM3a-xq3RmwDc2X1iEEzb0h4SaYPOnDiih-TqTxLPLpbI7DqR4quFIwSjpU74L2ZAYvQ7ZGNFPcJcnTGuZzm2faqwRJE4j6DaD48oQbmdCwuh9VGG8fsJ~6EdeTGjBCOpfaVjYEkAqS5ZZ7VKy~hVolw469Ae2PJzHInQSFPUBPx0H5ZXSBko9AwkQSMVocX158Ya7EWIX7rHnt9dFkZleAyAbEatHykUNYFJuWNgt45C0BbBggHcXZ8LX87mLcZqmcUwCryQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Weston County","date","2025-08-23T02:41:57.92Z","article","The Weston County Hospital Board recorded the following formal actions during the meeting (voice votes; individual roll‑call tallies were not recorded in the transcript):

- Software updates for mammogram machine and blood‑gas analyzer: The board authorized Kathy to engage MedSource Imaging for a software update on the mammogram machine and to update the blood‑gas analyzer, for a combined cost not to exceed $35,000. The motion was amended on the floor to name MedSource Imaging as the vendor and passed by voice vote.

- DZA accounting engagement (cost reports and audit): The board authorized the engagement of DZA Accounting Advisers to prepare Medicare and Medicaid cost reports and to perform the audit scope described in the engagement letter, for a total not to exceed $27,000. The board discussed past expenditures and the benefits of continuity with DZA; the motion passed by voice vote.

- Inova Revenue Cycle Management: The board authorized Kathy to negotiate and, if terms are acceptable, enter into a contract with Inova Revenue Cycle Management for billing, credentialing and coding services. The motion also included authorization for Kathy to restructure the business office contingent on the contract being executed. The board approved the motion by voice vote.

- Locum family nurse practitioner recruitment/trial: The board authorized staff to explore bringing a family nurse practitioner (FNP) on a locum (temporary) basis for an evaluation period and permitted staff to sign any necessary short‑term agreements related to the trial engagement. The board discussed candidate timing (an example availability window offered was Oct. 6–Jan. 30) and recruiter fee arrangements; approval passed by voice vote.

- Credentialing approvals: The board approved the credentialing of multiple providers, including Syed Mir, MD (Neurology); Vanessa Su, MD (Neurology); Craig McCarty, MD (Family Medicine); Xiaoyu Yuan, MD (Neurology); David Delman, MD (Neurology); and Adam Graham, MD (Neurology).

Notes: All actions above were recorded as approved in the transcript by voice votes. The meeting record does not contain detailed roll‑call vote tallies for each motion; where a maximum dollar limit was specified in the motion text, that amount is reported above.","mediaType","Video","parentTitle","Part 2 of 2 - Weston County Health Services regular meeting. Thursday, August 31, 2025. Newcastle WY","oneSentenceSummary","The Weston County Hospital Board approved multiple operational and financial items by voice vote, including vendor engagements for revenue cycle services and equipment software updates, a DZA engagement for cost reports and audit, a trial locum family nurse practitioner hire and several provider credentialings.","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},6584740,"Board authorizes negotiation with Inova RCM and OKs conditional business‑office restructuring",296,3471770,3768680,"/Search/View?dp=1&key=5665743-c7499d5967840a5514f822c3e04a2f82&start=3471&end=3768","https://assets.pipeline.soar.com/5665743-c7499d5967840a5514f822c3e04a2f82/thumbnail_3471770.jpg","/articles/6584740/Weston-County/Wyoming/Board-authorizes-negotiation-with-Inova-RCM-and-OKs-conditional-businessoffice-restructuring","https://secure.pipeline.soar.com/6584740-70247ddbddc9bcee092fad3003500d89/orig.mp4?Expires=1770589735&Signature=ZRO0YaZkjv4kZ95zYgK-UmZnZxECi6kcFBARNbgRvxDHwYW5qBzUr-g7nZCuN9f97qyFuN22CfBb164qUk~qzwZCXddzKonX0wFYlVaQdKC8vaqhJWjqOQU2BIPqikmW4I9Asqcj2cMWGJRq67bFfbBl6osh14GgUbWmz~Ei7pz-bVMAPDOyU~hzyDAKdafpmixcIr57kNmE2O4SXQMLQ7k9OKwITog-ZmIStxwrRPdq8dYfrwpbnsR9CJYsP0i2QqX1jplMIq3SqN2xzZGwwwqIo9dHmOPyEmbabDZonSb5xUxZCf90gdjGOO4jVaEJetDdTUniMyOLA3XyiOgW3Q__&Key-Pair-Id=KUT5TJCACFTXG","The Weston County Hospital Board on a voice vote authorized staff to negotiate and, if acceptable, enter a contract with Inova Revenue Cycle Management for billing, credentialing and coding services and approved a conditional restructuring of the hospital business office tied to that contract.

Board members said the move is aimed at improving revenue collection and credentialing processes. Kathy, a hospital staff member who led the presentation, disclosed early in the meeting that she owns a revenue cycle management company—but said it operates only for physician practices and not for Wyoming hospitals: \"I do own a revenue cycle management company. However, my revenue cycle management company doesn't do anything, anywhere in Wyoming or anything to do with hospitals.\" She also told the board she does not believe that creates a conflict and volunteered the disclosure.

The board heard that proposals from multiple vendors were reviewed. A motion made during the meeting authorized Kathy to negotiate and, if terms were favorable, to enter a contract with Inova for the three functions (billing, credentialing and coding). Directors clarified on the record that entering the contract would also trigger authorization for Kathy to restructure the business office to align staffing and workflows with the new vendor arrangement. The board approved the motions by voice vote; no individual roll-call tally was recorded in the transcript.

Board members discussed fee structure in broad terms during the exchange. An early comment on pricing mentioned a targeted percentage (an initial reference to a 6% starting point was made during discussion), but the final authorization recorded in the minutes permits negotiation and execution only if the board’s staff determine the terms are acceptable.

Why it matters: revenue cycle management affects the hospital’s cash flow and compliance with payer requirements. Board members framed the decision as a step to shore up billing and credentialing, and to allow operational changes in the business office if the vendor contract proceeds.

Next steps: the record shows staff were authorized to finish contract negotiations with Inova and to sign the contract if terms are acceptable; if that contract is executed, the board authorized Kathy to implement restructuring of the business office to align with the vendor’s operations and the hospital’s revenue goals.","The Weston County Hospital Board authorized CEO‑level staff to negotiate and, if terms are acceptable, enter a contract with Inova Revenue Cycle Management for billing, credentialing and coding services and approved a conditional plan to restructure the hospital business office if the contract is signed.",{"_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},6584722,"Foundation secures $40,000 donation toward CT project, board hears",46,2794220,2841110,"/Search/View?dp=1&key=5665743-c7499d5967840a5514f822c3e04a2f82&start=2794&end=2841","https://assets.pipeline.soar.com/5665743-c7499d5967840a5514f822c3e04a2f82/thumbnail_2794220.jpg","/articles/6584722/Weston-County/Wyoming/Foundation-secures-40000-donation-toward-CT-project-board-hears","https://secure.pipeline.soar.com/6584722-33824c946175c8ec3be9a49fb5df82ef/orig.mp4?Expires=1770589735&Signature=XW-U5tNhtBkQZiBvH45jj270hXqS50mmZZb~9v9wKi1optjW1wRUcT4M8b2IHrrvXN6enzziOw8qMbz6Sx848pCp4hpQ5kpC-rsR-76-G~cCVhF5Fcirs~Ok50HUUj0lYbLqjGrbItjtb~SlrJNpXG~-aL2HkeV~vsgDbJoZE6STYTI~BodL5tO3boaFaAjN5z25O7~-ErbgQ4z7rP9UDnSGen08kA-YY3bsB65~L18~DgvHcalj35U19cL7BC65nBaRnxunmh-Cxbmuo5a2i7vzh~tJ0xgCM1gxM5SLhDSqWBlwuhK-4n0Xff9J9LC2znkL4qIlG-HgwwlhKxT8aQ__&Key-Pair-Id=KUT5TJCACFTXG","Members of the hospital foundation reported that the foundation had received a $40,000 contribution from Barbara Crow and her husband toward a planned CT‑scanner project. The board heard that the donation reduces the outstanding loan or service agreement balance on the facility's current CT machine and brings the project closer to funding.

The foundation committee said the donor contribution will help cover replacement or service costs and that the committee continues fundraising and planning work for the CT project. No formal board vote was recorded for accepting the donation in the transcript excerpted; the foundation update was informational.

Why it matters: the gift advances a capital project intended to sustain local diagnostic imaging services and reduce the hospital’s net cost for CT equipment and service agreements.

Next steps: foundation and hospital staff will continue fundraising and report updates to the board.","The hospital foundation reported a $40,000 gift from Barbara Crow and her husband to support a CT‑machine project; the board was briefed that the donation materially reduces the hospital’s out‑of‑pocket cost for the CT service agreement.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6584726,"Board approves $35,000 software update for mammogram machine after cybersecurity and compliance concerns",203,490280,693964,"/Search/View?dp=1&key=5665743-c7499d5967840a5514f822c3e04a2f82&start=490&end=693","https://assets.pipeline.soar.com/5665743-c7499d5967840a5514f822c3e04a2f82/thumbnail_490280.jpg","/articles/6584726/Weston-County/Wyoming/Board-approves-35000-software-update-for-mammogram-machine-after-cybersecurity-and-compliance-concerns","https://secure.pipeline.soar.com/6584726-57704dd7cefb323d4bef11a9052b1fad/orig.mp4?Expires=1770589735&Signature=jTRAuknrQn56zCOz6sVhSlD5Bg~e6~ylGkp~Jk0~Hf-SVQUuYCllTYcpnlq~agD0ZTp1VYJVkf6hgfbMjm7oX9klDCeByEW~5c5DuoLER3G0r7CTG1GsyLlH3IpjRGYshy1VDYVDCWgmZk9pLlCW~fAsse8RlZDNaFK9hJNhAi5Pj2lWyt6OIgseR-gibE0Q5xyXrLhr-u7YsS7UvTlo1X4mHqCQNMt1K3l5GL1YhMwceQz2ktfTgOZ1tPPhRay0i2urKdzLsMTtBYhODU-VWEs~85aHmVjk9Z4xjO-BXvWCQ~qzTBxzdV1gnDWxDtWPsZSO6oyl-7pLMBSnKeExZQ__&Key-Pair-Id=KUT5TJCACFTXG","The Weston County Hospital Board approved a one‑time software update for the mammogram machine, naming MedSource Imaging as the vendor, for a cost not to exceed $35,000. The motion passed by voice vote.

Kathy told the board the mammogram unit and a blood‑gas analyzer were running software from around 2007. Staff reported the blood‑gas analyzer update could be handled under its equipment service, but the mammography software upgrade would require a separate vendor upgrade. Kathy said the hospital had been turning the mammogram machine off when not in use to reduce exposure to potential cyber vulnerabilities and that the update was important to restore compliance: \"The reason that this is important in a critical spend is because if we don't do that, what we have is an open hole for hacking...so today...I'm asking you all to support them because, otherwise, we are at risk for compliance.\"

Board discussion noted that radiology is a revenue generator for the hospital; staff reported the radiology department had recently generated roughly $100,000 in revenue in a month cited during discussion. The board approved the one‑time software expense and asked staff to proceed with vendor arrangements and scheduling.

Why it matters: running outdated software on diagnostic equipment raises cybersecurity and regulatory compliance risk and can affect the hospital’s ability to provide radiology services.

Next steps: staff were authorized to contract with MedSource Imaging and to schedule the update; board requested notice when the update is scheduled.","The board authorized a software upgrade for the hospital's mammogram machine (vendor MedSource Imaging) for up to $35,000; staff said the machine runs 2007 software and leaving it unpatched presents a compliance and cybersecurity risk.",{"_33":112,"_35":36,"_37":38,"_39":113,"_41":114,"_43":115,"_45":116,"_47":117,"_49":118,"_51":119,"_53":120,"_55":56,"_57":58,"_59":121,"_61":62,"_63":64,"_65":122,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6584731,"Board approves trial locum family nurse practitioner as part of push to restore women's and pediatric services",353,978750,1332660,"/Search/View?dp=1&key=5665743-c7499d5967840a5514f822c3e04a2f82&start=978&end=1332","https://assets.pipeline.soar.com/5665743-c7499d5967840a5514f822c3e04a2f82/thumbnail_978750.jpg","/articles/6584731/Weston-County/Wyoming/Board-approves-trial-locum-family-nurse-practitioner-as-part-of-push-to-restore-womens-and-pediatric-services","https://secure.pipeline.soar.com/6584731-3a98630c3d3b4546d738e186f0383b67/orig.mp4?Expires=1770589735&Signature=CrY4LsBQv0mUOVlMj~tbZM2uruLprQDbYGSNVXFrm4OLBKxNGf68LR9cNECqQ16RswVBqvlQke8OB3WaUggqulNotcxV9eNFAHVp77AXdXIxl~WM-zsDTOv7PVlT3N7SiLlUTHMpMzIj7Y88eH9pIcH8VjWYlIKrvh-32Jw90F86xL8CNxqr80e~nfyJ1ChBSJe86ocUKc4qSVwIo~MaGGs5F58SGrernOefsIqnDNKTttSe2a6D2yVYD0IjIZeDQ5axR~MDEicn2EWwFWOIxyxm0aO8IOKcabKZu0i9hsD1jiQgjSHIYvFQBkkbqNV1CRqpC5iORNjysit8BOvnYg__&Key-Pair-Id=KUT5TJCACFTXG","The Weston County Hospital Board authorized staff to explore bringing a family nurse practitioner (FNP) on a temporary, trial (locum) basis to provide women's health and pediatric services.

Kathy told the board she had identified a candidate through a recruiter who indicated a willingness to come for a trial period; Kathy told the board she signed a 15% recruiter agreement to preserve the candidate option. Kathy said she \"went ahead and signed the contract for the 15%\" to hold the recruiter’s arrangement. Staff described the candidate as experienced in women's health and pediatrics and cited an example availability window—Oct. 6 through Jan. 30—to allow sufficient time to assess fit.

Board members discussed whether to prioritize hiring an MD over an advanced practice provider. One board member said community fit and clinical competence were most important, regardless of whether the hire was an MD or a nurse practitioner. The board also noted clinic staffing levels (nurses and medical assistants) and existing providers who sometimes cover pediatric care.

Why it matters: board members emphasized the community need for a female provider who can provide routine women's health and pediatric continuity that some local residents have lacked. The trial locum is intended to increase capacity for wellness visits, screenings and chronic‑care programs while staff evaluate long‑term recruitment options.

Next steps: staff were authorized to bring the locum for a trial period, arrange logistical and travel details, and report back to the board on trial outcomes and any proposed longer‑term hiring. The recruiter fee and signed hold remain part of staffing negotiations.","The board authorized staff to pursue a temporary family nurse practitioner (locum) to provide women's health and pediatrics coverage and to test fit for a potential longer‑term hire. Staff also secured a 15% recruiter hold for future placement.","actionData","errors"]

Article not found

Votes at a glance: Inova RCM, mammogram software, DZA cost reports, locum hire and credentialing approved

Board authorizes negotiation with Inova RCM and OKs conditional business‑office restructuring

Foundation secures $40,000 donation toward CT project, board hears

Board approves $35,000 software update for mammogram machine after cybersecurity and compliance concerns

Board approves trial locum family nurse practitioner as part of push to restore women's and pediatric services