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Justin Upton reportedly headed to San Diego December 19, 2014
I have no need to insure you on are my page, perhaps you could make your own efforts. I don't speak without knowledge. My knowledge and experience of the attitudes and policies governing the decisions and behaviors of heavy handed profiteers is also real and true. Funny, you seem to be in the distinct minority here. I wont let you make this a personal thing about you, or you and I. Continue your cheerleading and god bless. The rest of us will continue to be an alternative voice.
There is a plethora of publications and research dealing with JCHAO or "TJC" as you refer to it. A minimal effort to research it will show the controversies. I'm sure you "don't get the read on arrogance from Phoebe". While you seem to be quite the cheerleader for a system that has some rather severe issues, there people that have experienced both sides and know of the ugliness that is rooted deep in the core of the decision making processes and practices and the results that come from them....more than is openly presented to the public and more than admitted by the cheerleaders planted on this or other sites. I digress though, give some effort to a little research about JCHAO, it is not the be all end all and certainly does not acquit Phoebe of the Leapfrog revelations. The point is the responses of brushing these things aside as if they didn't exist or carry importance is part and parcel of how the general public, patients, and employees feel they are treated (in my experience and by those related to me). Cant make it much clearer than that, shouldn't have to.
Im glad you and your family have received satisfactory care, it is a blessing. To be clear, JCHAO accreditation has been shown to lack in consistency from institution to institution. Additionally studies have clearly shown that quality of hospital care does not improve with JCAHO accreditation, even though one might think it does. There are now other accreditation agencies and it will be interesting to see how they might affect care. When information like this comes to light it should be dealt with in a proactive manner. Being arrogant enough to simply push it to the side is emblematic of the pervasive attitude of the profiteers that run things. This is not about histrionics or bad publicity. Patient care, safety and dignity should always come first, profits not withstanding. The patients and the community that that support this institution or that have no choice but to use it deserve more respect than the response (or lack there of) given. It is simply representative of the culture that runs the system, nothing more or less.
Funny, I submit a lengthy (admittedly) post with straightforward and honest comments. It doesn't get airtime but immediate responses from from the admin are put up right behind it. Are we submitting to PPMH first for their approval first? Speak to people in Albany and the surrounding areas. Physicians, nurses, attorneys and others will relate stories that are worrisome on multiple levels, and would offend the sensibilities of many (you will have to do it on the QT though because folks know what happens when they speak out). This is what happens when profit, production, and power are put at the forefront of all concerns and patient care and quality (beyond "getting the paperwork right" so it all looks good) become secondary. Excuses seem to be the norm, explain it away and it will fade into the background. I feel sorry for the communities that are subjected to this with no other choice with which to turn.
These responses are typical for the Phoebe machine. Plenty of excuses, little ownership and accountability. THE most important things are money,power, and control...make no mistake about it. If you have doubts I implore you to talk to staff employed by the behemoth, you will have to do so off the recored though because they know what happens to people that speak out. Once a culture has been created that always puts money, profit, power, and "production" first, things like this are bound to come to light.
There are people that are employed by this corporate bully that know the points in the article have merit and know of other issues regarding very lean staffing and the push for a "production driven" environment among other issues....at the "big house" AND the multiple satellite feeder facilities. Seems every time we hear something negative, whether issues like this or the growing monopoly they are just explained away and fade into the background yet again. Wake up people, you have lost control of your hospital to a corporate bully with money and the search for dominance put first. What happened to actually putting patients first? Once putting a nice face on things and "getting the paperwork right" for core measures and other things is done, its back to the assembly line to maximize billing and profits at all costs.
Number 6? Working up to number one in more ways than one it seems. Sickening. As usual it will be explained away and the public will be fed the pablum that Phoebe expects everyone to accept without complaint.
"It’s an easy checklist — largest employer, nearly $1 billion in economic impact that benefits everyone, more than $120 million in community benefits annually and advanced technologies and the best medical professionals available anywhere"
How interesting that the primary arguments for this start with economic impact and the words billion and million and then end with a brief mention of the best medical professionals anywhere. Is the order of importance relevant here?
" We will continue to partner with the doctors, nurses and health care professionals who have made the community’s health and healing their top priority." Has the Authority polled the doctors, nurses, and health care professionals to see how this partnership with health and healing being a top priority is going? I don't think so but certainly the public should poll them at least informally, ask the ones you know, the answers may be quite revealing.
"Not surprisingly, there is a campaign of misinformation." As a community member trying to educate myself I think terms like "campaign of misinformation" should be explained and justified in detail so that we too can make quality decisions. The tone of the letter almost sounds as if the decision to pursue the lease is and was a forgone conclusion. If indeed all of the facilities, services, technologies and programs belong to the community, shouldn't every effort be made to hear all of the community's feedback at a time that affords most of them an opportunity to show up and give input about all of the assets and services they own?
"Those who oppose this arrangement offer no alternative solution that guarantees access to all, and burden to none." Quite the blanket statement of condemnation of any dissenting opinion there wouldn't you say? Dr. Stubbs and other members of the community might take issue with that. More likely the alternative solutions offered that would preserve some choice and some competition are immediately disregarded and receive that same blanket condemnation. As for the access to all and burden to none, most of us would beg to differ. I'm not sure what utopia the authors of the above letter live in but those that pay taxes, those that have no or little insurance but still struggle to pay large health care bills might take issue with that statement.
Is consolidation happening all over the country? To some degree yes and in many but not all markets. Does the "growth of resources" define the success of these mergers and acquisitions, and more importantly should it? Should all of this growth come at the expense of choice and fair competition?
It seems that there are many voices that want to be heard, that have a desire for the "facilities, services, technologies and programs" that they own to be managed in alternative ways. Can all of these people be wrong? It would seem unlikely. Are they being presented as wrong because they disagree with those with the power, influence and money? It seems likely.
I think he has "gone national" in ways that many other physicians haven't, as evidenced by his term as president of the ACP, and other endeavors. Perhaps he deals with the local phenomenon because this is his home, this is where his patients and colleagues are, and this is where he decided to put his effort. I didn't see anything in the article that indicated he was saying this is only a "local phenomenon". As for his agreement with HCA what does that have to do with the subject of the article? He is likely trying to insure the survival of the practice as most are physicians in this day and age (look around and see how many private practices are left). Perhaps instead of trying to discredit Dr. Stubbs or detract from his thoughts we could concentrate on the information he provides and its impact on the community? There is a bigger stage so to speak, but the efforts have to start somewhere. I applaud him for having the conviction to speak his mind, especially after what has happened to other physicians that chose to do the same. Just sayin'
Kudos to Dr. Stubbs for such an informative an honest assessment of the issue. A monopoly is good for no one. The relentless heavy handed pursuit of power and profits is already negatively impacting the medical community at large.
Take a look around, what are the options for patients and physicians that want an alternative in our area? Drive 70-100 miles or more? Is this really acceptable and "healthy" for physicians and patients, for local businesses?
When health care is run like a corporate structure overseeing a factory based on production NO ONE wins except the administrative power brokers and their minions.
Take the time to talk to patients, and even more interestingly physicians and nurses in the community and get some honest assessments of the situation. Ask about the relationships as they are now and wonder if there will ever be a chance for improvement with a sole powerful monopoly controlling patients and physicians and ancillary staff.
Do not let apathy lend tacit approval to putting the last nail in the coffin of choice and freedom. Show up at the public hearing, make the Hospital Authority live up to their duties. Take the time to look at the PBS documentary Do No Harm.
Last login: Wednesday, December 5, 2012