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Assembly should remain neutral on surgery center

Posted: January 16, 2012 - 9:24am

The proposal to build a surgery center in Kenai has brought to mind several thoughts.

First, am I the only one that thinks it's a little strange that the self-appointed CPGH, Inc. board would have one of its members (now former) to vote in the Aug. 2011 meeting and then have his name attached to a Certificate of Need (CON) application the next month?

Second, after witnessing the board's thoroughness and diligence in researching and recommending the sale (joint venture) of our hospital, I find it very odd that they would not complete a 4th operating room, especially since it was the terms of CPH's CON.

Third, maybe we should listen to the doctors. If they are displeased with how things are operating at CPH and feel the need to operate somewhere else, we should support them. They wouldn't need to go somewhere else if the community put pressure on the board and its administration to make the hospital a physician-friendly environment.

Fourth, free enterprise promotes competition. Maybe next year, the board will think twice about raising their rates another six percent. I also know several surgery nurses that will be delighted to have other options for work since they are expected to work full days, then do surgeries at night and still return to work exhausted the next day.

Lastly, I think this is now being used as an example to show the assembly how difficult it is to own an asset like a hospital, which would make selling the hospital or padding the lease and operating agreement more appealing to the assembly. But cheer up assembly! You can own a great hospital and support economic growth in Kenai. You should remain neutral about the building of the surgery center.

Let the community express their concerns to the state on Thursday and let the state decide. Meanwhile, expect more from the hospital board, they should be more than capable to resolve conflict with their disgruntled physicians.

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RaySouthwell
953
Points
RaySouthwell 01/16/12 - 11:52 am
0
0
Thank You

Brenda,
Thanks for your letter. The Clarion refuses to print my letters about this issue.

The Borough Assembly has been neutral for far too long about the problems at our hospital.

We are told we have only two choices concerning the surgeons wanting to build an outpatient surgery center. This is an issue that will divide our community and continue to destroy the delivery of healthcare.

When will the public demand an investigation into the management style of the corporate board.

Politicians like staying neutral on concerns at the hospital. I am sure in the end they will stay neutral about such a divisive idea about an Ambulatory Surgery Center.

Why do the surgeons want to build a surgery center after having a 40 year working relationship with the Hospital Board?

Some say it is about greed. I believe it is their action to keep control of their medical practice. They have the courage to stand up to the Hospital Incorporation Board. I only wish the employees had the same courage as the surgeons.

Our hospital is being destroyed by the unelected board called Central Peninsula General Hospital Incorporation.

skeeter66
0
Points
skeeter66 01/16/12 - 12:24 pm
0
0
Surgery Center

I would think the proposed surgery center should meet the same critera as the hospital and provide medical care for emergency, medicaid, medicare, and all the other medical user groups that CPH services.
For over 40 years CHP has provided help and care for Peninsula residents, we need to protect it's future and growth. Do not take the monetary stream away from the tax supported hospital and required the taxpayer make up the short fall. If this happens the hospital will not be able to supply the expensive diagnostic equipment and services needed to support the high quality medical treatment that we have for all user groups today.

RaySouthwell
953
Points
RaySouthwell 01/16/12 - 12:40 pm
0
0
Skeeter66

Any ideas on why the surgeons want to build an outpatient surgical center?

Shouldn't that question be answered?

Norseman
2966
Points
Norseman 01/16/12 - 06:32 pm
0
0
money

Surgeons want to build it because of M-O-N-E-Y.
It is ALL about the profits they can make. You don't have to be a rocket scientist to realize this.

They know very well that they can make a boatload of money when they own it lock, stock, and barrel.

Just think about it. When they can charge you for everything, it all goes back into their pockets. Right now they are not getting the hospital charges, just the surgeons fees.

If they build their own center, then they will get every penny.

It is ALWAYS about the money. It will not be in the best interests of the borough taxpayer to allow this to happen.

It isn't like a group of surgeons opening up a surgical center in Ethiopia. They want it here because of the profit they can make.

RaySouthwell
953
Points
RaySouthwell 01/16/12 - 07:30 pm
0
0
Norseman

All about M-O-N-E-Y? How about this

Let me list the issues I am aware of since 2007.
I believed senior management was the problem. I was wrong. The problems are the direct result of the management style of CPGH Inc. board, with the blessing of the Borough Assembly.

Facts-
OR nurse is fired in December of 2006 for a careless error after working long hard hours. After three months of my documentation on the issue of nursing fatigue and how it relates to errors she was rehired. She receives all but two weeks of her back pay and all back benefits.
Spring of 2008. Imaging techs come to me wanting union protection with the Alaska Nurses Association.
Spring of 2008. A Housekeeper contacted the Laborers’ Union, for protection, of the management style, she believed ignored racial discrimination and sexual harassment.
Summer of 2008 an Imaging tech was fired after having an argument with a outside rent-a-doc. The previous radiologist had been pushed out and several rent-a-docs replaced him for several months. The Imaging tech sued the hospital and won his case against the hospital.
Summer 2008. The imaging techs are told by the CEO the department is a “cesspool of garbage.” In the spring of 2009 the CEO acknowledged he called their department a “cesspool” and apologized after I made the comment public.
November of 2008. One day after another Imaging employee was fired, he came back with a gun. An internal investigation established it was an arbitrary event that no one could see coming.
Spring of 2009-Nurses Union President is disciplined because she encourage nurses to fill out a survey on Patient care and send it in anonymously. (Independent company -Mountain Pacific Quality Health) Administration want to collect the independent survey and send it in. Later her discipline was removed after a filing with the National Labors Relations Board.
September 2009. A nurse is disciplined after writing a letter to the CEO. Two weeks later the discipline is removed and shredded in my presence.
October 2009- The Alaska Nurses Association (AaNA) has Dr. Judith Briles as our keynote speaker at our Statewide Conference. Her topic “Sabotage! How to deal with the Pit Bulls, Skunks, Scorpions & Slugs in the Health Care Workplace.”
October, 2009. The voting members of the Alaska Nurses Association General Assembly unanimously agreed to a new resolution pertaining to Workplace Bullying in Healthcare. This is, do in part because of the information given to the leadership of the AaNA, from nurses at CPH.
October 12,2009- The elected Hospital Service Area Board unanimously vote to have an operational audit of CPGH. The Borough Assembly rejects the idea.

I could go on but it is already too lengthy.
So I ask the question. It the problem the surgeons wanting more money or the CPGH INC. board?

Momofthree
0
Points
Momofthree 01/16/12 - 10:16 pm
0
0
I support freedom of choice and Kahtnu's ambulatory surgery cent

I would suggest that you contact any of the surgeons who will provide articles and supporting documentation that outpatient surgeries performed in an ASC cost the patient much less and affords them the opportunity for freedom of choice and less costly health care closer to home. I contacted a couple of the surgeons who provided a sufficient explanation of why this good for our community. I have friends who have gone to an ASC in Anchorage because it costs much less. Why shouldn't we have that same opportunity on the peninsula? Furthermore, I would ask why the hospital has been so resistant to having an ASC on the peninsula when they have had many opportunities to pursue this and to provide us with less costly care.

RaySouthwell
953
Points
RaySouthwell 01/17/12 - 07:57 am
0
0
mom of three

Momofthree,
It will cost less at the Ambulatory Surgery Center. However, if you have complications and need to be admitted, you will go to the hospital.

Healthcare dollars are shrinking. We believe competition is good. We will have competition until one or both of the systems no longer open there doors.

We must get the CPGH INC. board under the control of the people. They have threatened the surgeons for not joining them.

There is a third choice-Have the surgeons and CPGH INC. board reconcile their differences.

We are facing a lose-lose situation with the current two choices.

alaskasgem
1
Points
alaskasgem 01/17/12 - 09:21 am
0
0
Hopefully it will have ZERO

Hopefully it will have ZERO connection to ANY hospital. The price difference between a hospital and a surgery center are astounding! THOUSANDS saved in a surgery center. Been there, done that. Had to go to Anchorage to do it, but very thankful Anchorage has an excellent surgery center. Hospitals are legal thieves.

bewildered
9
Points
bewildered 01/17/12 - 11:57 am
0
0
Hospitals legal theaves and

Hospitals legal thieves and Surgery centers not? how crazy is that? Hospitals are under the scrutiny of many government agencies and have watchdogs and audit process that they HAVE to report statistics. Surgery centers DO NOT!!! Cheaper? Possibly. Better?? NOT!! Do you really want your health care going to the lowest bidder??? Not my health care. I want Better not cheaper.
Yes, I have had surgeries at both type of facilities surgery centers and hospitals from Soldotna, Anchroage, Washington, Texas and even Hawaii. CPH will ALWAYS get my business!! Look at the statistics.

bewildered
9
Points
bewildered 01/17/12 - 11:55 am
0
0
Ray: your "story" is

Ray: your "story" is imcomplete of some facts:
October 2009 - the union votes were a resounding no for the union in a 130 to 40 spand. Clearly not all share your point of view Ray. You will ALWAYS have disgruntled employees in any organization you work for.

RaySouthwell
953
Points
RaySouthwell 01/17/12 - 01:10 pm
0
0
More facts

Bewildered,
You are correct.

I will add-in June of 2010 a judge ordered the hospital to “remove from its file any reference unlawful discipline” in punishing a pro union employee. Fear is a great tool to keep employees quiet.

See the judges ruling here-

http://www.nlrb.gov/cases-decisions/case-decisions/administrative-law-judge-decisions

Click on year 2010. Thenscroll down to case number 19-CA-031917. (June,7,2010) Click on “view” and read the PDF file from the NLRB

Now, what do you have to say about the other facts I posted above?

Norseman
2966
Points
Norseman 01/17/12 - 01:41 pm
0
0
never should have been hired

Ray, this isn't about the surgical center. It is about you and your firing from the hospital.

WHY you were ever hired in the first place is what deserves an investigation. Your background and history as a trouble maker was and is well known.

Once you and norm were kicked out of the michigan militia and decided to relocate to nikiski to start another militia, you have continued with the same pattern.

Cause fear, spread discontent. It finally caught up to you and you got fired. Now you want to stand on every street corner ranting and raving about your so called mistreatment.

You have zero clout as a spokesperson for our local hospital. Your views on what should or shouldn't be done are clouded by your being a disgruntled ex employee with an attitude.

Our hospital is supported by citizens of this borough who pay their taxes. Have you paid your borough taxes? If you don't pay taxes, then you are not a shareholder of this hospital.

The shareholders have a say on what happens. The surgeons wish to expand their profits. That is the #1 reason. It will always be the #1 reason. Profits. More Profits. And More Profits.

Quit trying to tie this into your own personal demons with the hospital.

RaySouthwell
953
Points
RaySouthwell 01/17/12 - 01:59 pm
0
0
Norseman

Hope to see you tonight at the Borough Assembly meeting.

Please introduce yourself so I can put a face with such a strong name as Norseman.

Than again, the public will understand your motives, if we knew who you are.

bewildered
9
Points
bewildered 01/17/12 - 02:57 pm
0
0
Ray: "Now, what do you have

Ray: "Now, what do you have to say about the other facts I posted above?"

I have already addressed that: "You will ALWAYS have disgruntled employees in any organization you work for".

The issue in discussion is not over the employee/management of CPH. It is about a surgery center and the Hospital. Lets stay to the task.

RaySouthwell
953
Points
RaySouthwell 01/17/12 - 03:04 pm
0
0
Bewildered-Disgruntled emp[loyees?

So, now the surgeons are disgruntled or are they just greedy?

bewildered
9
Points
bewildered 01/17/12 - 04:01 pm
0
0
The surgeons that make up

The surgeons that make up Kahtnu Ventures, LLC a For-Profit business which is the proposed surrgery centers owners and operators are not employees of CPH, but have their own practices.

bewildered
9
Points
bewildered 01/17/12 - 03:53 pm
0
0
.

.

Allen
596
Points
Allen 01/17/12 - 04:24 pm
0
0
Letter Writer With An Agenda

Isn't the letter writer, Brenda Trefren, a disgruntled (ex?) Hospital employee as well as Roy Southwell?

RaySouthwell
953
Points
RaySouthwell 01/17/12 - 06:08 pm
0
0
bewildered

Bewildered,

The surgeons must comply with the dictates of the corporate board. You know, the dictates that states “my way or the highway.”

The surgeons have another plan.

RaySouthwell
953
Points
RaySouthwell 01/17/12 - 06:12 pm
0
0
Allen

Brenda still works at CPH. At least until she wrote this letter.

Roy Southwell was my father. I do not want to give him any discredit.

sparky
45
Points
sparky 01/19/12 - 04:35 pm
0
0
Agree with Brenda

WELL WRITTEN article.I agree with most everything you said.I also think this should apply to the City Council,State of Alaska,ETC. Let Free Enterprise Prevail

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