UofL Hospital Cuts Some Clinical Services.

A significant loss to the community or not?

On Aug 1, the Courier-Journal’s hard-working Laura Ungar reported that the University of Louisville was cutting some services available to its hospital patients. The digital version of the report was quickly picked up by national media. Ashok Selvam, a reporter for the industry news magazine, Modern Healthcare, could not elicit comment from the Hospital itself. His story gave the impression that the cuts were a consequence of last December’s failed merger with Catholic Health Initiatives. It seems to me that such an interpretation is exactly the story line that UofL has been using as it maneuvers to finally consummate such a marriage. Additionally, UofL has been forecasting reduced services to the indigent for many months as it argues before the Louisville Metro Council for additional public funding. Without some actual cuts in evidence, such promises might appear hollow. Given its claims of poverty and need for more tax dollars, I am not surprised that UofL might want to provide some kind of evidence that the sky really might be falling in.

Fortunately for Louisville, Ms. Ungar was very successful in eliciting more information. Despite the fact that UofL President Ramsey recently went out of his way to say that he makes it a point not to read the Courier-Journal, the Hospital would have lost much local credibility if it had stonewalled. So, what were the actual services that are said to be cut, and how might they be related to a failure of the merger or to the provision of indigent care? I must say that I agree with the comment from the Louisville Mayor’s office that “it appears these services are not critical.” Lets take a look ourselves. Continue reading “UofL Hospital Cuts Some Clinical Services.”

UofL Surgeons Sign Affiliation Agreement with Norton Hospital.

What does this mean?

Yesterday I received the following eMail announcement from University Surgical Associates (USA), the independent private practice corporation of part of the Department of Surgery of the University of Louisville. I think it was sent to me as a patient rather than a doctor or policy wonk. I received similar communications in the past, such as an announcement that USA had finally renewed a contract with Humana to see that insurer’s patients again. It was that break-up a few years ago that led the University to switch health insurance for its employees from Humana to United. (UofL supports the private clinical practices of its faculty in other ways too!) The present notice also appeared on a Department of Surgery website, but not yet on the Norton or the main UofL websites. Read the release here. Continue reading “UofL Surgeons Sign Affiliation Agreement with Norton Hospital.”

The RFP of the University of Louisville Remains Undead

UofL postpones partner selection for second time.

Just when you thought you were safe from any more non-data-driven updates from me about the status of the University’s search for a new business partner conducted under the invisibility cloak of its Request for Proposal (RFP), I got a reprieve. The Courier-Journal’s Laura Ungar reported over the weekend, that UofL had delayed its decision until “on or before September 28.” This three-month extension is longer than the the entire original RFP lifecycle filed earlier this year on February 23, with a deadline for responses of March 23, and an anticipated final selection the week of April 16! When April turned out to be the cruelest month, the decision deadline was extended to the end of June, and again now to the end of September.

On learning about the news, I offered the following statement:

This second postponement of an announcement about the RFP gives no clue how things are going from the University’s perspective. From my viewpoint, the news that the University wants to continue its top secret dealings about something so important to our community is very disappointing. UofL has justified many of its actions over the last few years in the name of providing indigent medical care, but those decisions are not the University’s alone to make. The longer the University administration delays engaging the public for its consent and support, the more we all have to lose. As Mayor Fischer recently pointed out, “there are outstanding questions regarding the most effective way to manage and provide indigent care.” That is a conversation that cannot be had behind closed doors.

Continue reading “The RFP of the University of Louisville Remains Undead”

Big News Day Yesterday!

Is the University of Louisville losing its grip on the messages?

Yesterday was a big news day for most of the threads that this policy blog has pursued over the last few months. You can follow the discussion by using the Topic Links below or at the right. The thing that ties them together is the involvement of the University of Louisville which has vested interests in the outcomes. Continue reading “Big News Day Yesterday!”