10/18/2025
What is our Board and Hospital doing to support the local OB program?
https://www.youtube.com/watch?v=HZq94uLdj08
The linked video was prepared by an outside organization as an informational documentary about the difficulties of providing OB care in a rural setting. It helps to explain both the financial and quality of care complexities of our current situation. While LCH is featured, so is another hospital in Vermont. One of the purposes of this video was to bring awareness and to help rural hospitals talk to their legislators, something that I have done myself.
This is a national video, while it does address the effect of the OBBBA, what it does not mention is that our own WA State Governor has cut $782 million out of the current state’s Medicaid budget. This cut is more immediate than the OBBBA, which does not go into effect until 2027. The majority of births in rural settings are paid for by Medicaid, and this is certainly true for our hospital.
More importantly, what is our Board and Hospital doing to support the local OB program?
The community approved a new hospital, and since our opening in December of 2022, there are 4 brand new, big, beautiful labor and delivery rooms. Additionally, our most recent surveyors of the hospital said it was one of the cleanest hospitals they have ever seen (and not just because it was new). We provide 24/7 OB nursing services and must always have an operating room available in case there is an emergency.
This year alone:
- We sent a nurse to Spokane for 3 months of training in OB care.
- We’ve hired a pediatrician to support new moms and their children.
- We hired a lactation consultant.
- We purchased a newborn warming bed.
- We have provided advertising for our LDR services to the general community.
- In yesterday’s budget workshop, we funded additional nurse education and a new fetal monitoring system to be purchased in 2026.
Even though this is a service line that loses money at the Hospital level, the Board and Administration are committed to providing the best facility possible for as long as we can. This is one reason why bringing new specialty services used by more people is so important to the overall financial health of the organization.
The hospital district does not provide the doctors for this service line. We do not think it would be helpful to compete with our neighbors across the street, who are not employed by us. We have not changed any of the privileges of doctors who are providing prenatal care. Last year, our hospital assisted in the delivery of 85 babies, and this year, we are on track to assist with about 80 deliveries. This number may seem small, but many women from our area choose OBGYNs or midwives to deliver their babies, and these services are not offered in our area by local practitioners.
More than half of America's rural hospitals no longer deliver babies. Parents in rural towns often have to travel upwards of an hour to access essential heal...