Robley Rex Veterans Hospital is Rated Highest for Quality and Safety in Louisville

Breaking news!

The Joint Commission that accredits and certifies more than 19,000 health care organizations and programs in the United States has just released its 2012 Annual Report on Quality and Safety. In it is listed the top 620 hospital performers in quality and patient safety. This represents a big jump in number from the 405 hospitals that made the list last year.

No other Hospital in Louisville made the cut.
Sadly, only a single hospital in Louisville was on the list. Ironically, it is the only hospital in Louisville that is not a relentless self-promoter. I am referring to the Robley Rex Medical Center– our local Veterans Administration Hospital! I congratulate them as should we all.

There were a total of 18 hospitals from Kentucky listed among these top performers on key quality measures. I will have more to say as I analyze this brand-new document. It will be interesting to see to what extent the Joint Commission’s evaluation correlates with the safety and quality ratings from other organizations. Since all of America’s accredited hospitals have an obligation to report to the Joint Commission, its evaluation is arguably the most important.

More to come.

Peter Hasselbacher, M.D.
President, KHPI
Emeritus Professor of Medicine, UofL
19 September 2012

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.”

More Signs of Cooperation Between Norton and UofL!

Terry Boyd of Insider Louisville has reported rumors of an upcoming announcement by the University of Louisville concerning its Pediatric Heart Transplant Program. If this happens, it would not be totally unexpected. Norton Healthcare and the Department of Pediatrics have been advertising jointly for a pediatric cardiologist with experience in the medical management of these patients. (A former UofL cardiologist with those qualifications left last year to join a program in Texas.) The Division of Thoracic and Cardiovascular Surgery in UofL’s Department of Surgery still lists two cardiac surgeons with pediatric qualifications. The contact person for the advertised search is at Norton, leaving the question open of who will be hiring or paying for the new physician. Norton’s hiring away of UofL faculty has been a highly contentious issue for UofL. It is good to see that there is still some cooperation between the two competing healthcare organizations. Could this be a sign of bigger things to come?

It was noted that such a pediatric transplant program would not be completely new. Although I am told that there has been no heart transplant at Kosair during the last 12 months or so, a look at the numbers from the Organ Procurement and Transplantation Network (OPTN) confirms that Kosair Hospital has had such a program at least since 1988. The table just below shows the number of pediatric heart transplants done at Norton Kosair Hospital for Children. Continue reading “More Signs of Cooperation Between Norton and UofL!”

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.”