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Hospital Closures Stress Health System

[preamble]Mismanagement, unions, poor leadership, too much money given to them without accountability, simple not needed. Those are a few of the reasons hospitals need to close – we are in no shape to pump in $15 million a month to save a non needed institution. NO one asks WHY its losing $15 million a month – because they are afraid of the answer – union pensions, bad management and NO BUSINESS> Of course nurses at other hospitals will complain – they now have to work! You can hear the union mantra – “safety” blah blah – their famous emotional response. Nurses and doctors at other hospitals can easily take up the slack – stop winning when you actually have to work and not be able to take extended breaks.
I will sit in Methodist hospital emergency room and “watch” for a few days – lets “see” what happens. Actually i know what happens because I have actually done this to several hospitals – ya know what nothing happens – the staff is on auto pilot – slow and ponderous – aka unionized.

close every hospital that is costing us money, fire every executive that has run the hospital into the ground – make unions accountable for losses. Run them like a business and watch them succeed. Doctors should NOT have a large say in the running of any business/institution – being around them for over 20 years, i can say for a fact – they have no idea of business (majority of them) they love the status quo – they cant see past their lab coats – they are doctors – make them employees NOT in charge of the institution.

Now that we closed LICH, can we have our $15 million back?[backtopost]
July 29, 2013

A nurse at New York Methodist Hospital has been slammed at every shift she’s worked since Long Island College Hospital, two miles away, stopped accepting ambulances.

Instead of caring for between four and six patients, some nurses had more than 20, including those who needed intensive care, one nurse told ABC News on condition of anonymity. Emergency room patients endured waits up to seven hours just to see a doctor. Those who needed beds had to wait up to 24 hours at one point.

“You just have to ignore whoever can be ignored. It’s really bad,” she said. “I had a 75-year-old lady with pneumonia who was like, ‘Forget it. I’m just going to leave.’ We have lots and lots of walkouts.”

The controversial LICH closure, which health workers, unions and politicians have fought for months with protests and lawsuits, appears to finally be coming to fruition.

Read about the Walter Reed Army Medical Center closure.

Earlier this month, ambulances were ordered not to go to the hospital, so many went to Brooklyn Hospital a mile and a half away. But extreme temperatures, too many patients and an air conditioner problem caused Brooklyn Hospital to start diverting patients, too, overwhelming Methodist Hospital.

“We were short-staffed before this happened,” said the Methodist Hospital nurse. “They haven’t hired anyone new.”

And if LICH stays closed–which looks likely now that hundreds of staffers have been handed pink slips and told not to come back–other hospitals may be routinely overwhelmed for some time.

Developers were “salivating” at the prospect of turning the estimated $1 billion property into luxury housing, according to a May New York Daily News article. But the hospital issued a formal request for proposals earlier this month from only bidders who can provide community health services “up to and including a full service hospital,” said LICH spokesman Robert Bellafiore.

Still, union members fear it will be sold to developers for non-health care purposes anyway.

“What nurses are saying is that the situation in Brooklyn is dire,” said New York State Nurses Association Executive Director Jill Furillo.

Methodist Hospital’s spokeswoman Lynn Hill said the situation has been “a little exaggerated” by the nurses at her hospital. She said that the average wait time from “door to doctor” is still under an hour.

Twelve hospitals have already closed around the country since January, and that number could jump to 16 soon, according to Becker’s Hospital Review reporter Bob Herman, who has tracked the closures since January. The four hospitals set to close include LICH, nearby Interfaith Medical Center and two hospitals in Texas.

The hospitals’ reasons for closing vary, according to published reports. LICH’s closure has been blamed on mismanagement and bad billing practices, according to Furillo and other union members. LICH’s owner, SUNY Downstate, has said it is losing $15 million a month. Interfaith has been in bankruptcy court since December. The two Texas hospitals may close in part because their owner allegedly engaged in billing fraud.

In Brooklyn, dozens of nurses and doctors had been showing up to work to tend to fewer and fewer patients, until Wednesday when they were given administrative leave notices on pink sheets of paper and escorted out by security guards, union representatives said.

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Costly Vermont health IT projects may not earn ROI for 10 years

[preamble]10 years on a maybe and a waste of OUR $225 million dollars – which we know will triple by the time its completed.[backtopost]

By Susan D. Hall

Vermont and the federal government will spend more than $427 million to launch and run two healthcare-related IT projects but will not see “quantifiable savings” for five to 10 years, according to independent analyst firm BerryDunn.

The two IT systems are the state’s new health insurance exchange and the Agency of Human Services’ integrated eligibility system, which will link together eligibility systems for all human services programs, according to a vtdigger.org article.

BerryDunn estimates that getting the exchange, Vermont Health Connect, up and running will cost $224 million by the end of 2018. The price tag for the eligibility system is estimated at $95 million, including $123 million in staffing and operating expenses for the new systems.

The estimates were based on data before the state was awarded it latest federal grant–$42.7 million. All told, Vermont has received $168.1 million in federal grants for the exchange, with a 90 percent match promised many of the other associated expenses.

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Minimum wage is ridiculous – pay everyone prevaling wage!

David bacon act
Prevailing Wage
Unions
All designed to increase the cost of ownership. I cant wait to pay $20 for a McDonalds hamburger.

Lets get this understanding – a job in McDonalds, Burger King, Pizza Hut or any other minimum wage job is NOT A CAREER! Its not designed to live on! Its not permanent!

Its meant as a transitory job.
Anyone who thinks they should live off it is either lazy or has reached their intellectual level. If that’s the case, than they do not deserve more than minimum wage – but i digress in today’s society we all deserve prevailing wage.

Look it up prevailing wage, David Bacon act – you will be surprised and disgusted.

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Big data use could save $450 billion in healthcare costs

[preamble]Here we go again – developing new ways to piss our money away. Big Data means nothing. Banks, insurance companies etc.. all work with big data – so why are we spending our money “studying” it? Read the article –
“Patients will not benefit from research on exercise, for example, if they persist in their sedentary lifestyles. And physicians may not improve patient outcomes if they refuse to follow treatment protocols based on big data, and instead rely solely on their own judgment.”

We don’t need “big data” to tell me that i am fat and need to exercise and stop eating or to take my meds. I am human its the best it can be unless you legislate it and all this means it WILL be legislated and controlled so i am forced to be healthy – healthy in terms of what the government deems healthy.

For example, they estimate that, when combined with big data, efforts to combat a chronic condition like coronary heart disease such as taking aspirin, undergoing early cholesterol screening and smoking cessation, could bring care costs down by $30 billion.

end to privacy – once the government controls the data we are i big trouble – when this folly ends.[backtopost]

April 5, 2013 | By

Big data could help U.S. citizens save as much as $450 billion in healthcare costs, but fundamental change is necessary to meeting such goals, according to a new analysis published this month by consulting firm McKinsey & Company.

Among some of the changes needed, according to the analysis, is a continuation of the move away from fee-for-service care, as well as recognition on the part of both providers and patients that data can be an effective tool.

“[A]ll stakeholders must recognize the value of big data and be willing to act on its insights, a fundamental mind-set shift for many and one that may prove difficult to achieve,” the analysis says. “Patients will not benefit from research on exercise, for example, if they persist in their sedentary lifestyles. And physicians may not improve patient outcomes if they refuse to follow treatment

The authors point out that seemingly simple interventions performed on a large scale could lead to huge savings. For example, they estimate that, when combined with big data, efforts to combat a chronic condition like coronary heart disease such as taking aspirin, undergoing early cholesterol screening and smoking cessation, could bring care costs down by $30 billion.

“Our estimate of $300 billion to $450 billion in reduced healthcare spending could be conservative, as many insights and innovations are still ahead,” the authors say.

In a recent Hospital Impact blog post, Kent Bottles, M.D, a senior fellow at the Thomas Jefferson University School of Population Health, says that leveraging big data represents a paradigm shift in healthcare.

“I am convinced big data and algorithms will disrupt healthcare in ways that are only now becoming appreciated,” Bottles says. He adds, however, that there are “definite risks and unintended consequences” to using big data, particularly with regard to ensuring privacy, something the McKinsey analysis authors point out, as well.

“Privacy issues will continue to be a major concern,” they say. “Although new computer programs can readily remove names and other personal information from records being transported into large databases, stakeholders across the industry must be vigilant and watch for potential problems as more information becomes public.”

NIH commits $96 million to make sense of big data

By Ashley Gold Comment | Forward | Twitter | Facebook | LinkedIn

 

The National Institutes of Health has committed $96 million to fund big data research centers, aimed at improving the ability of the research community to use and make sense of large and complex datasets.Over a four-year span, $24 million annually will be set aside to establish six to eight Big Data Knowledge Centers of Excellence. The money will be used for the “development and distribution of innovative approaches, methods, software, and tools for data sharing, integration, analysis and management,” according to NIH.The ability to manage big data is a problem for many healthcare providers, researchers and patients alike. Much of that, NIH says, is due to a lack of tools, accessibility and training. The Big Data to Knowledge Initiative plans on announcing even more funding opportunities in upcoming months.

“This funding opportunity represents a concerted effort to leverage the power of NIH in developing cutting-edge systems to address data science challenges,” NIH Director Francis S. Collins said in a statement. “The goal is to help researchers translate data into knowledge that will advance discoveries and improve health, while reducing costs and redundancy.”

Products from the research will be shared and distributed to the research community, and the centers are supposed to interact as a “consortium” that builds on individual research efforts.

It’s been predicted that big data could save $450 billion in healthcare costs, but big change could be necessary for meeting such goals first. Providers and patients must both recognize that data can be an effective tool, according to Kent Bottles, M.D, a senior fellow at the Thomas Jefferson University School of Population Health.

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Doctors Prescribe Fruit for children – city pays for it – parenting is ended

Our beloved city now pays for fruit for our children. Seems parents are “concerned” about the diabetes disease and their fat kids who only eat at McDonalds. Hence, they need a doctor to prescribe fruit and “we” the people of NY pay for subsidies. HMMM – what happened to parenting? They have money for McDonalds BUT NO money for an apple? Is this a joke? Parenting skills are gone and we need our government to help us. Of course this is prevalent in the inner cities – low income, black and Latinos – sorry its the truth the numbers don’t lie. Of course these parents are “so happy” that the city now pays for their food. Reduces even more their responsibility.

Am I the only one that sees something wrong with this? You cannot defend this. You cannot defend giving free housing, free food, free education free clothes free cable add.. nausea – To people and expect NOTHING in return.

Idea – anyone in public housing has top spend 2 day a week maintaining the property and if its not maintained they have to pay for repairs – watch how fast things get better. Idea – anyone going to the Emergency room has to pay $20 – watch how fast you clear out the emergency room and end the “crisis”. ACCOUNTABILITY – RESPONSIBILITY.

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Stand your ground law – APPROVED BY OBAMA!

Obama in Illinois voted for and pushed this law. hmm convenient he forgot or now changed the rules – its ok a dictator can do as he pleases – hell with the constitution.

stand your ground law had nothing to do with case
stand your ground law was not a factor in decision
stand your ground law in all states for all the years has never had a problem

So why are our politicians moaning about it? Because ti makes headlines and they are doing “something” this is their new “crisis”

Are we this stupid?

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Detroit bankrupt – lets bail them out!

Detroit went bankrupt because it had bad leaders and policies – period. So now what to do? Hmm lets bail them out! Don’t worry we still have plenty of OUR money left to bail out and reward bad behavior. How bout we let it fail and watch what comes of the rubble – rising of the phoenix. If we keep bailing out failures – than failure has no meaning since it does not exist – now if someone will bail out my mortgages?

ACCOUNTABILITY!!!!
RESPONSIBILITY!!!!

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Mayoral Candidates sleep in city housing

I find it interesting that NO ONE says to the people getting FREE housing to buy a can paint. Clean your house, Clean your hallway, wash the walls – do anything that shows you respect the FREE services that I pay for for you. Everyone in free housing should once a month be required to police the hallways and grounds. Clean up their apartments, vacuum and make sure the free housing given is livable. Oh and if they have a cell phone or other luxury, than they must pay a specific amount to the federal housing since they are not soo “broke” for every luxury – and yes these are luxury’s since i am taxes as such (check your bill) people should have to pay for the services and if they don’t clean or follow the rules, they are tossed out.
RESPONSIBILITY!!!!!!

this leads us to the next post……

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No more IRS scandal?

Guess we all forgot about the IRS scandal. Now we hear our president wants to be like Trevan martin – a thug. Al Sharpton still causing problems YET has not addressed the other days shooting of 5 blacks by a black.

Lets see what else we can think about….. ah a Obama care Advocate got on the radio and decided to quickly state that “we all have to have insurance” she repeated this multiple times very low and fast – than said MY/Our health insurance will be about $300-$700 a month. Hmmm is that affordable? We have the same people in power, same procedures in place and now we toss in a trillion dollars more a month for all the same failures. I guess it will be like our auto insurance – we HAVE to have it to drive – yet, my rates have always – always always gone up – 30 years no accidents, no claims – 1 seat belt ticket – that is on my license for what 15 years – you know ANY reason to raise insurance.

I refuse to pay any tax or penalty for a product i do not want – period. I will put all my employees on part time and i will release one at a time as my fees increase.