Some Problems With University Hospital Partnership Emerge. How Bad Is It Really?

Much Distress Among the Home Team.

KentuckyOne Health’s announcement of major cuts in expenditures, layoffs of employees, and possible hospital closure(s) is bad news to lots of people. The organization’s facilities and employees in Louisville are in the bullseye too. It is no surprise that nervous employees are reaching out to the media, hoping perhaps for some external recognition or oversight of their plight. KentuckyOne seems to be making a genuine attempt– perhaps too late and too little– to show some openness. In my opinion, the University of Louisville and KentuckyOne have developed a reputation for secrecy but they have not yet earned a reputation for transparency or accountability. Hiding plans from the public also hides them from their employees. The pain felt by these latter is both financial and emotional. Continue reading “Some Problems With University Hospital Partnership Emerge. How Bad Is It Really?”

KentuckyOne Health Financial Woes Leading to Staff Layoffs.

University of Louisville Hospital to share in the employee cuts.

Breaking Information. 6:00 p.m.

It is no secret that KentuckyOne has been losing money continuously across the state. Contacts have told me that the amounts are as much as $70 million per quarter and growing. Little wonder then  that KentuckyOne and Catholic Health Initiatives (CHI) may not have transferred the funds they promised to the University of Louisville and to the Governor to seal their deal to take over University Hospital. The remaining shoe has finally dropped. Continue reading “KentuckyOne Health Financial Woes Leading to Staff Layoffs.”

UofL Protests UK Moving In On Its Turf!

What did they expect?

There was a big fuss in the news yesterday and today. Norton Healthcare and the University of Kentucky (UK) announced an expansion of their clinical and academic interactions to include the pediatric services at Norton Kosair Hospital in downtown Louisville. The new announcement itself seems fairly benign– the only two children’s hospitals in Kentucky agree to share their expertise and quality protocols in service of the children of the Commonwealth. Norton Kosair is by far the larger of the two children’s hospitals in the state and has much to offer UK. Children could receive care closer to home instead of having to travel to Cincinnati, Nashville, or even further. The two hospitals will “remain separate, but will be operated jointly through collaboration.” It is anticipated that it will be easier to recruit pediatric sub-specialists to Kentucky, which is something of a problem now. An increase in clinical volume from retaining Kentucky patients instead of sending them elsewhere will help build experience and quality. Having a good network in place will facilitate the coming state Medicaid expansion.

Details remain to be worked out, but the project seems like more than a simple agreement to cooperate. For example, clinical operations will be coordinated and integrated including “clinical guidelines and patient care protocols, joint opportunities for teaching and research, and even integrating finances.” The new partners hope to further develop a statewide network of perinatal and neonatal care providers for high-risk mothers and babies, and developing more children’s outreach clinics in the state.” The medical staffs of the hospitals will not be consolidated and will have their own medical staff bylaws, rules and regulations. UofL is promised by Norton to continue to receive the academic support that it is due. How can this be a bad thing for the Commonwealth? Continue reading “UofL Protests UK Moving In On Its Turf!”

How Much Information Is There In Informed Consent at UofL?

A Retraction.research-man

Is informed consent being censored?

I take some pride that I have not, until now, had to retract anything of factual substance that I have written in these pages despite the fact that I have always invited others to offer corrections or to point out misinterpretations. I freely admit to offering a healthy amount of speculation about matters that turned out otherwise. However, I always identify speculation as such and do so in the interest of bringing a variety of issues into the arena of public discussion. However, I must now retract my earlier article congratulating KentuckyOne Health and the Catholic Church for joining the 21st century with respect to their apparent changing views on justified contraception and termination of pregnancy. I was wrong.

Continue reading “How Much Information Is There In Informed Consent at UofL?”