According to a recent study by the California HealthCare Foundation, there has been a signficant shift since the mid-1990s toward “hospitalists” rather than “primary care-directed hospital care.” A hospitalist is a primary care physician whose primary focus is hospital care for inpatients. After the inpatient is discharged, the hospitalist returns the responsibility for care for the patient to the patient’s primary care physician.
July 30, 2007
July 27, 2007
St. Jude Children’s Research Hospital is joining forces with Rady Children’s Hospital and the University of California San Diego.
The alliance will allow the institutions to combine resources and expertise for basic and translational research and clinical trials.
Patients in Southern California will now have access to previously inaccessible protocols, the first of which will focus on acute lymphoblastic leukemia.
“The alliance is designed to encourage and facilitate collaborative research that is of great interest to St. Jude, while allowing patients in the San Diego area to continue to receive medical care close to their homes,” said William E. Evans, St. Jude director and CEO, in a statement. “This alliance will allow St. Jude to continue its mission of advancing cures and means of prevention for pediatric catastrophic diseases through research and treatment.”
The first trials for children in Southern California will be for new cancer treatments. The hospital will later gain access to clinical trials for other catastrophic diseases.
Other focuses of the alliance include research in nanotechnology.
“This exciting collaboration will bring promising experimental therapies for children to San Diego and bring together the talents of the UCSD research community with those of St. Jude,” said David Brenner, vice chancellor for health sciences at UC San Diego, in a statement.
St. Jude, based in Memphis, offers free treatment for its patients and is internationally recognized for its research and cure rate for childhood cancer and other catastrophic diseases.
July 26, 2007
The HMO’s second such penalty in a year targets its handling of patient complaints at nine hospitals.
Kaiser Permanente will be assessed a record fine today for its haphazard investigations of questionable care, physician performance and patient complaints at its California hospitals, according to state HMO regulators.
The California Department of Managed Health Care said it will levy a $3-million fine against Kaiser, the largest HMO in the state, with 29 medical centers and more than 6 million members. If Kaiser makes necessary improvements, agency director Cindy Ehnes said, she will forgive $1 million of that.
The penalty marks the second time in a year that Kaiser has been publicly rebuked and fined for glaring breakdowns in oversight.
July 20, 2007
The Valley Chronicle, CA -He said 350 doctors of the 400-plus in the system have signed letters opposing the hospital sale, a rate of 85 percent to 90 percent.
The man behind the impending sale of all the hospitals within Valley Health System said he lost about $300,000 involving the now-shuttered Perris Community Hospital, but insists that experience should not be held against him as he pursues Riverside County’s largest hospital district.
If anything, Matthew Cutler, president and CEO of Select HealthCare Solutions of Del Mar, said, he picked up slack from the failed Perris hospital that he plans to put to use as he goes about acquiring Valley Health’s hospitals, which include Hemet Valley Medical Center, Menifee Valley Medical Center and Moreno Valley Community Hospital.
“It should affect it because it etched on my mind what to do with a medical development project,” said Cutler, who described himself as a manager in the failed Perris hospital.
Board members said they have found nothing to make them question Cutler’s trustworthiness.
Chairman Patrick Searl said the hospital district did a background check on Cutler as part of their due diligence. He added that district officials are aware of his involvement in the failed Perris hospital.
“He’s an manager like everyone else, and he lost money like everyone else,” Searl said. “My hopes for the future of Valley Health System rest with the Select deal.”
Darren Magness, one of the district board’s directors, said he still believes in Cutler. He said directors spoke with Cutler’s financial backers and are convinced that they could follow through with financing for Valley Health’s assets.
But others say Cutler needs to be more forthcoming with his role in the Perris hospital.
“He’s intimately involved with a failed hospital in Perris,” said Dr. Neal Simpson, who said some local doctors lost money on that venture.
He said there has been no discussion with doctors about Cutler’s involvement with the Perris hospital. Simpson added that the medical staff did not get a chance to talk to Cutler before the board chose Select HealthCare Solutions.
Select HealthCare Solutions bested three other suitors — including Kaiser Permanente — that wanted to acquire all or parts of Valley Health’s assets. Since agreeing to sell to the company, Valley Health officials have been working on an agreement that would address terms of the sale.
Voters within the district, which stretches from San Jacinto to Menifee, Idyllwild and Sun City, would have to vote to approve the sale agreement before it could be finalized.
Perris Community Hospital, also known as Valley Plaza Doctor’s Hospital, was closed in 2005 after years of financial struggle.
Built in the 1970s, the Perris hospital had endured bankruptcies, several previous closings, at least eight owners and repeated name changes.
Cutler said he invested in the hospital at the behest of another investors’ group with which he has worked in the past, but that investment ultimately failed, he said.
“If people are telling you that I’m responsible for the Perris hospital, that’s correct,” he said.
Officials of Southwest Hospital Development Group, which owned the Perris hospital at the time of its closure, were unavailable for comment Tuesday.
Cutler said several physicians each lost between $50,000 and $150,000 on the failed Perris venture. Local physicians who reportedly lost money could not be reached for comment this week.
“We’re not interested in Valley Health System because of the physician but because of the facilites,” he said.
More than 40 doctors at Valley Health System are calling on the hospital district to delay signing a contract with the potential buyer of the district’s hospitals until they have a chance to see what the contract says.
The hospital district board is finalizing the proposed sale contract with Select HealthCare Solutions of Del Mar to acquire all the Hemet-based hospital district’s assets, which include Hemet Valley Medical Center, Menifee Valley Medical Center and Moreno Valley Community Hospital.
Agreement on a contract is anticipated by Thursday, but it’s unclear whether it would be signed that day.
A petition signed by the doctors urges the board not to sign the contract until they have had time to review it and meet with the buyer and the board.
“I would like to know what the contract says,” said Dr. Tin Tun, a Hemet internist and one of the signatories of the petition.
“Nobody knows what it says,” he said.
He said he wants to know what the contract says about emergency-room operations and he also has questions about the track record of Select HealthCare.
Select HealthCare President and CEO Matthew Cutler said he has “no problem” releasing the proposed contract before it is signed, but said it is up to the board.
“It’s their game,” he said. “At the end of the day, it makes no difference to me because if the public doesn’t approve it, it’s not going to pass anyway.”
He said he expects the contract to be released to the public by the end of the month.
Dr. William Cherry, hospital district director, said he prefers that the contract be publicly released before signing, but does not know if that is planned.
“I would hope that the medical staff can take a look at it before it’s done,” he said.
Select HealthCare Solutions bested three other suitors that wanted to acquire all or part of Valley Health’s assets. Since agreeing to sell to the company to acquire the assets, Valley Health officials have been working on an agreement that would address terms of the sale.
Voters within the district, which stretches from San Jacinto to Menifee and Idyllwild to Sun City, have to vote to approve the sale agreement before it could be finalized.
Cutler said the proposed contract is now at least “a couple hundred” pages long, but described it as a “simple sale agreement” that is “very straightforward.”
Cherry said he has not seen a draft of the proposed contract.
Dr. Neal Simpson, a Hemet physician who initiated the petition, said the medical staff wants to see the contract so that issues that affect them could be addressed before it is finalized.
“Once the documents are signed, the language is fixed,” he said. “You can’t go back and change the language.”
He said doctors want to know details of the proposed contract, including what role, if any, the district’s key partner, Dr. Kali P. Chaudhuri, would play.
“Every doctor I know is concerned that this contract is going to change Dr. Chaudhuri from being a failed manager to majority owner of the district,” he said.
Both Cutler and Chaudhuri have said that Chaudhuri is not an investor in Select HealthCare, although as a physician, Chaudhuri would have the opportunity to participate in a hospital-ownership plan like any other doctor. Chaudhuri, in a previous interview, has agreed to step aside as manager of the hospital district to give way to Select HealthCare.
Cutler said that even if doctors do not see the contract before it’s signed, terms could be changed if both he and the board agree to it.
Press-Enterprise – The clock is ticking for Valley Health System’s key partner, Dr. Kali P. Chaudhuri.
Hospital board members want to cancel Chaudhuri’s management contract because they say he failed to meet a requirement that the district maintain a certain level of revenue.
“We’re just fulfilling our obligation under the contract,” said board Chairman Patrick Searl, noting that the revenue requirement likely will not be met because of losses over the past year.
The board has sent Chaudhuri a 90-day notice of cancellation of his contract. Chaudhuri said he plans to appeal the decision.
Chaudhuri, with the district, co-owns Valley Health Care Management Services LLC, which handles the district’s operations. Valley Health operates Hemet Valley Medical Center, Menifee Valley Medical Center and Moreno Valley Community Hospital.
Chaudhuri’s 15-year management contract with the district expires in 2013.
Valley Health officials have been working in recent weeks on an agreement that would address the terms of the sale of district assets to Select HealthCare Solutions of Del Mar. Voters within the district, which stretches from San Jacinto to Menifee and Idyllwild to Sun City, would have to approve the sale agreement.
If voters approve the sale, then the issue with Chaudhuri becomes a moot point, since Chaudhuri has agreed to step down as manager if the sale goes through, Searl said.
Board director Darren Magness said the management contract requires that the hospital maintain a certain cash flow over the district’s debt. He said the district spends about $9 million a year servicing debt, and current cash flow is below that required by the contract. He said the notice was sent to Chaudhuri about 10 days ago.
He said he supported board efforts to seek a bond, which failed, and subsequent efforts to sell the district assets. He said he also agreed to step aside as manager without a fuss to any buyer, as long as it was not Kaiser Permanente, which tried to buy the Moreno Valley hospital; or an old rival, Dr. Prem Reddy, chairman of Prime HealthCare, which also sought to buy Valley Health’s assets.
Chaudhuri said he has worked hard to keep the district hospitals open despite lack of financial support from the public.
July 16, 2007
PRNewswire/ — Before leaving the bench, Judge Jameson served as Presiding Judge of the Orange County Superior Court, Presiding Judge of the Court’s Appellate Division and Supervising Judge of Court’s Complex Civil Litigation Panel. He was named “Judge of the Year” by numerous organizations including ABOTA, Consumer Attorneys of California, the Orange County Bar Association Business Litigation Section and the Orange County Trial Lawyers.
July 15, 2007
Hospital construction oversight in California was shifted in 1973 to a new state agency, the Office of Statewide Health Planning and Development, in the wake of the 1971 Sylmar earthquake, which collapsed parts of two San Fernando Valley hospitals, killing 47 people. No hospital built since 1973 has collapsed in a quake. A new hospital in California can take twice as long to design, plan and construct than those in other states. more…
July 11, 2007
OC Register/-An Orange County judge said today that he will appoint an independent director to the board of Integrated Healthcare Holdings Inc., seeking to break a deadlock on the board of the troubled hospital company.
Judge Gregory H. Lewis of Orange County Superior Court said he was putting the public’s interest ahead of those of warring shareholders and management at IHHI, which owns Western Medical Center-Santa Ana and three other hospitals in Anaheim, Orange and Santa Ana.
Lewis said he wanted a director who is “beholden to no one, with the sense, ability and intelligence to make an appropriate vote.”
Lewis said he would name one of two retired Orange County judges, C. Robert Jamison or Robert E. Thomas. He gave attorneys for shareholders and management until 3 p.m. today to agree on a choice.
A deadlocked board of directors at IHHI has prevented the company from refinancing its high-interest debt, putting the company into default with its lender and contributing to financial losses.