The Globe reports a Suffolk Superior Court judge yesterday rejected the mega-hospital holding company's plans to buy three hospitals in the Boston area as anti-competitive.
Steward owned Quincy, having taken it over in a deal. They also own Carney, St E's, and Norwood in this area (plus others nearby). They have been incrementally cutting services and options back in several. So much so that some doctors have been pulling out.
Among these, Carney has been cutting back services and surgeries for several years in small batches. I'd not be surprised if they are next to go. They already do not have a great reputation in some circles.
''Steward was formed when Cerberus acquired the six hospitals previously operated by Caritas Christi Healthcare in 2011. It has since acquired five more properties along the Eastern Seaboard.''
They are trying to make the system profiable and then sell it off. These things are going to happen until they hit their target. I love the Carney. Go down the street to the Erie for anesthesia , back up the street to surgery!
I agree PHS is a little on the large size (okay thats an understatement) but I wish they would take over those hospitals. Hallmark Health is bleeding money, and really needs to unload these hospitals to someone who can run them properly. Much like Quincy Hospital, community hospitals do serve a purpose.
But I do see Maura's point.. but on the flipside. who else can buy and run these hospitals?
None you mentioned are in any position to buy and run more hospitals. Most are hemorrhaging money. PHS is the only one who is financial stable enough to do so AND bring the level of patient care up at these hospitals (where it's abysmal now) with an influx of cash.
The Outpatient Experience, Doctor-Patient Communication for Outpatients at Partners HelathCare Brigham and Women's Hospital http://www.partners.org/About could be improved. One example are the AVS After Visit Summary sheets that need to be prepared more particularly to the Visit recorded in the AVS for Outpatients. Doctors Instructions for Patients aren't recorded in the AVS defeating the purpose of the AVS.
More needs to be done to improve Partners HealthCare Outpatient Experience, Doctor-Patient Communications.
The outpatient software (LMR) absolutely has the ability to print or send patient instructions electronically through Patient Gateway along with the AVS or VSR (visit summary report). The problem is that physicians usually aren't finished documenting and thus print an incomplete VSR/AVS in order to meet the meaningful use threshold (VSR/AVSs need to be sent to patients within 24 hours of the visit). The issue is not a Partners one, but one that lies with the work flow of the individual private affiliate practice.
Partners HealthCare Brigham and Women's Hospital Urology Clinic Doctors, Imaging/MRI Doctors and Orthopedic Clinic Doctors give outpatients instructions in the Examining Room verbally. Verbal instructions might vary from general information. Retaining the verbal communication for multiple instructions fails for many outpatients. The Examining Room can be an unfamiliar stressful environment. Misapprehend, misperceive what goes on in the Doctor-Patient communications even for that ten or twenty minutes and there's no ready backup to remind outpatients. Call center practices complicate attempts to telephone. M.D.s don't use the online Patient Gateway. After documenting on the next day or week, a more robust AVS After Visit Summary could be made available by postal mail if necessary.
Enter the Partners HealthCare Brigham buildings and it's the environment of a railroad station, disorienting instead of guiding outpatients, unnecessarily sending outpatients back and forth between floors. Partners Brigham building entrances are confusingly signed making it difficult to figure out the best entrance to drop off/pickup outpatents. Changing areas/apparel lockup areas for Imaging/MRI are badly designed and unsanitary especially bathrooms.
This is what we call a benchslap. This judge completely obliterated the potential settlement and essentially made former AG Coakley look terrible. There is just no other way to say it.
The impression I am left with after reading the opinion, other than that this was a terrible proposed settlement, is that Coakley was completely incompetent in terms of investigating this transaction protecting the public.
Thanks for the nudge to read the opinion. Well worth the time--even funny in places. I send a vote of appreciation to the Court for a clear and principled decision.
in the Globe that described a doctor (I forget which tribe) who worked at MGH and at a hospital in Framingham? For the identical procedure, performed by the same doctor, MGH billed insurers more than twice as much as the Framingham hospital. MGH (Partners) gets away with it because they are so big, they can threaten insurers effectively. They need to be made smaller, not bigger.
Comments
Make them take over and
Make them take over and operaate the Quincy City Hospital and you got a deal !
Carney May Be Next
Steward owned Quincy, having taken it over in a deal. They also own Carney, St E's, and Norwood in this area (plus others nearby). They have been incrementally cutting services and options back in several. So much so that some doctors have been pulling out.
Among these, Carney has been cutting back services and surgeries for several years in small batches. I'd not be surprised if they are next to go. They already do not have a great reputation in some circles.
''Steward was formed when
''Steward was formed when Cerberus acquired the six hospitals previously operated by Caritas Christi Healthcare in 2011. It has since acquired five more properties along the Eastern Seaboard.''
They are trying to make the system profiable and then sell it off. These things are going to happen until they hit their target. I love the Carney. Go down the street to the Erie for anesthesia , back up the street to surgery!
I think they wanted to buy it
I think they wanted to buy it but were denied
Hmm
I agree PHS is a little on the large size (okay thats an understatement) but I wish they would take over those hospitals. Hallmark Health is bleeding money, and really needs to unload these hospitals to someone who can run them properly. Much like Quincy Hospital, community hospitals do serve a purpose.
But I do see Maura's point.. but on the flipside. who else can buy and run these hospitals?
who else can buy these hospitals?
Maybe another somewhat smaller chain or hospital group? Cambridge Health Alliance, Beth Israel Deaconness, Tufts, or Lahey?
But
None you mentioned are in any position to buy and run more hospitals. Most are hemorrhaging money. PHS is the only one who is financial stable enough to do so AND bring the level of patient care up at these hospitals (where it's abysmal now) with an influx of cash.
Outpatient Experience, Doctor-Patient Communication
The Outpatient Experience, Doctor-Patient Communication for Outpatients at Partners HelathCare Brigham and Women's Hospital http://www.partners.org/About could be improved. One example are the AVS After Visit Summary sheets that need to be prepared more particularly to the Visit recorded in the AVS for Outpatients. Doctors Instructions for Patients aren't recorded in the AVS defeating the purpose of the AVS.
More needs to be done to improve Partners HealthCare Outpatient Experience, Doctor-Patient Communications.
??
And what relevance does this have to Partners buying three community hospitals?
Misleading
The outpatient software (LMR) absolutely has the ability to print or send patient instructions electronically through Patient Gateway along with the AVS or VSR (visit summary report). The problem is that physicians usually aren't finished documenting and thus print an incomplete VSR/AVS in order to meet the meaningful use threshold (VSR/AVSs need to be sent to patients within 24 hours of the visit). The issue is not a Partners one, but one that lies with the work flow of the individual private affiliate practice.
Partners Brigham Women's Hospital AVS After Visit Summaries
Partners HealthCare Brigham and Women's Hospital Urology Clinic Doctors, Imaging/MRI Doctors and Orthopedic Clinic Doctors give outpatients instructions in the Examining Room verbally. Verbal instructions might vary from general information. Retaining the verbal communication for multiple instructions fails for many outpatients. The Examining Room can be an unfamiliar stressful environment. Misapprehend, misperceive what goes on in the Doctor-Patient communications even for that ten or twenty minutes and there's no ready backup to remind outpatients. Call center practices complicate attempts to telephone. M.D.s don't use the online Patient Gateway. After documenting on the next day or week, a more robust AVS After Visit Summary could be made available by postal mail if necessary.
Enter the Partners HealthCare Brigham buildings and it's the environment of a railroad station, disorienting instead of guiding outpatients, unnecessarily sending outpatients back and forth between floors. Partners Brigham building entrances are confusingly signed making it difficult to figure out the best entrance to drop off/pickup outpatents. Changing areas/apparel lockup areas for Imaging/MRI are badly designed and unsanitary especially bathrooms.
I just read the full opinion...wow.
This is what we call a benchslap. This judge completely obliterated the potential settlement and essentially made former AG Coakley look terrible. There is just no other way to say it.
The impression I am left with after reading the opinion, other than that this was a terrible proposed settlement, is that Coakley was completely incompetent in terms of investigating this transaction protecting the public.
Thanks for the nudge to read
Thanks for the nudge to read the opinion. Well worth the time--even funny in places. I send a vote of appreciation to the Court for a clear and principled decision.
Remember the Spotlite series
in the Globe that described a doctor (I forget which tribe) who worked at MGH and at a hospital in Framingham? For the identical procedure, performed by the same doctor, MGH billed insurers more than twice as much as the Framingham hospital. MGH (Partners) gets away with it because they are so big, they can threaten insurers effectively. They need to be made smaller, not bigger.