Palomar doctors protest against contract change
Doctors and Palomar Health supporters marched on the sidewalk of Palomar Medical Center Monday morning to protest the contract change announced by the hospital district as a cost-cutting measure. They put up signs with slogans such as “Our documents are of better value” and “Doctors care about us too”.
Dr Sabiha Pasha, chief of staff at Palomar Medical Center, said hospital doctors need to see more patients per day than safe under a new contract won by a company called EMA (Emergent Medical Associates). I warned that there were. The Palomar Health District Commission was approved and replaced the existing company. The former company Vituity provided emergency medical personnel for 40 years, including 8 years for hospital doctors and 6 years for resuscitators.
Hospital physicians treat inpatients and intensive care specialists treat patients requiring intensive care.
Most people are unaware that California law does not allow health care providers to hire doctors directly. They must contract with a private medical group. Under the new deal, EMA and another company, Benchmark, will likely hire most of the doctors who worked at Vituity. Many doctors are not satisfied with it.
Diane Hansen, CEO of Palomar Health, announced the changes in a statement. EMA’s suggestions allow you to retain your staff and reinvest your saved resources to improve your healthcare. “
The contract will come into effect on August 1. “The EMA has pledged to provide jobs for around 100 doctors and 45 other self-employed people affected by this change. Based on its experience, Palomar Health worked with the relevant doctors. We estimate that 90-95% of the non-salaried staff will maintain the current capabilities of Palomar Health, ”the announcement said.
The supplier was selected through a tender (request for proposal), Hansen said. “Nationally respected emergency healthcare provider EMA was chosen through a competitive process as it best aligns with Palomar Health’s future strategic goals,” said Hansen. I go. After the tender process, the board decided on Wednesday June 16 to approve Hansen and his management to complete negotiations with the EMA and sign a binding contract. It must be completed this week.
According to Hansen, the relationship between patients and their doctors and specialists will not change. “Our community and our patients expect us to be good stewards of our resources. On EMA’s proposal, we will keep all our staff and reinvest the resources saved. Can improve patient care. “
With the money saved, Palomar Health can buy “three new CT scanners, a new MRI machine” and invest in cardiology, women’s services and orthopedics, “she said.
Dr Pasha is skeptical. “Because capital investments come from different budgets. What does this have to do with doctors’ contracts?
Dr Pacha said Times-Advocate The EMA approached her and other doctors with an offer revealing that the number of doctors on call would be reduced. She said it gave them five days to decide.
She says: “On May 11, the contract for a group of approximately 110 primary care physicians was terminated immediately for no reason. They worked in the emergency room, intensive care and upstairs during last year’s COVID-19 pandemic. A doctor who put his life in danger taking care of this community. “
They worked faithfully last year, Dr Pasha said. “A year ago, we want to remind everyone that we don’t understand the coronavirus, how it is spread and how to control it. Trusted information on how to protect yourself. Because there aren’t any, these doctors came to work every day to do their best. Later, when hospital directors decided to open a federal health post for financial gain, those same doctors came to the federation. We have stepped up our efforts with health post staff, making it possible to provide care to COVID-19 patients from afar outside our health district.
Dr Pasha is concerned that the hospital’s board has refused to meet with staff, including himself, to insist he does not cancel Vituity’s contract. I refused to meet with the medical executive committee. Its job is to “report quality issues to the board. The committee makes recommendations for quality care. The reason doctors don’t get direct orders from the government is to protect them. “
She added, “Running a hospital is a three-legged stool. You have a board of directors which is the manager who executes the contract. The medical staff is the body that reports directly to the board of directors. I as a chief of staff The job is to take good doctors to the hospital and make sure they work with the board to make sure they have what they need to practice advanced medical care. “
The EMA says, “We are running a program that forces doctors to see more patients than they can safely see. An average of 15 patients is ideal and maintains compassion. 25 for this group. It’s comparable to “Hello, bye, I hope you are feeling better”. “
She said Palomar Health was not transparent about how to choose EMA. “Before the district published an RFP (Request for Proposal), the EMA placed a classified ad. They knew they were going to sign a contract before them. [Palomar] Launch a call for tenders. “
According to Palomar Health: “By law, Palomar Health did not have to go through an open tendering process, but to ensure completeness and transparency, a tender was published and it is competitive. in the hope that Vituity will continue to be a partner. We are now able to offer suggestions. Six different service providers have expressed an interest in the tenders. It’s a tough decision, but Palomar Health must continually look for ways to improve patient care. This gives the hospital system the ability to treat the highest quality patients in the most efficient manner. To date, 90 current doctors have already met with EMA and they remain at Palomar Health. I expect that. “
Dr Pacha said Times-Advocate: “Last Thursday, the board of directors decided to give a contract to the EMA. The nurses took to the street and we joined them, and that’s where you found us.
Dr Pasha continued. “All three bidders arrived at the same price. For a public district RFP, we need to clarify why we changed “A” from “B” to “C”. I don’t know what the norm was. They ignored us. “
According to Palomar Health: “Of the six organizations of interest, the proposal submitted by the EMA has impressed the board of directors and executives of Palomar Health with the best practices established to improve the effectiveness of care using ‘advanced statistical analysis. The EMA uses proven models to reduce patient wait times, reduce discharge times, and improve the diagnostic testing process, among other positive changes in the emergency department.
The chief physician is elected by a colleague. Therefore, Dr Pasha is not part of the group employed by the EMA. “I’m putting myself in danger, but it’s a risk worth taking at this point,” she said. “Ideally, medical staff work with hospital managers to isolate medical decision-makers from excessive effects caused by motives for profit or other reasons unrelated to patient care. “
She continued. “My intention to go public is not to offend or offend anyone. We just weren’t reliable. We want you to hear, but upset or upset someone. I don’t want it. I didn’t know where to go Maybe if we go with a new band we can also confirm with the general public that the quality will deteriorate and there is a risk of coming to the hospital. You can. I don’t want to get on fire. We are the guardian of the quality and safety of care. We cannot let the board change this behavior, so I have to warn the general public, so my duty will be filled. “
Dr Pasha concludes, “Ask the citizens of this community to write to the elected board members and immediately stop this process so that an external and impartial body can perform a full forensic assessment of the situation. Your health, well-being and perhaps your life depend on it. “
RN President Lindagria Hospital issued a statement in support of Hansen’s actions. “I fully support the government’s decision to contract with the Emergency Medical Associates (EMA) repository to undertake emergency care and other services at Palomar Medical Centers in Escondido and Poway.”
She added, “The majority of the board believes this decision will improve the patient experience by implementing new and improved industry-leading practices. As an emergency care nurse, alongside a talented and talented doctor. We understand how important it is to work and it’s our plan to keep it going. We understand that change is difficult, but we are not satisfied with the recent decisions of the Executive Team of the Medical Executive Committee. I disagree with the confidence resolution. On the contrary, I have complete confidence in the leadership team of Palomar Health and they make strict decisions to put patient safety first in all decisions and lead the district towards a better future. I know I have to give you. “
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