Better pediatric care standards

The Issue

Proactive or reactive? How many adverse outcomes have to happen until there is an impetus to change? If we change nothing, nothing will ever change.

Sign our petition if you also desire to see Midland Memorial Hospital change and better their ability to deal with critical care pediatric patients.

We’re calling for change in the name of Kennedy, Miliana, Brooke, Jude, Jaymecin, Bryce, Brandt, Charlotte, Colten, Jemma,  Poppy, Aiden, Samantha, Hannah, and all the children whose stories we don’t know and future children yet to come. We are calling for change in the name of the wounded hearts of mothers and fathers that hold hope for the future. We are calling for change at Midland Memorial Hospital. If you have a child, if you know a child, then this is incredibly important in helping to change the landscape of the healthcare community in the Permian Basin.

Why Midland Memorial Hospital? You don't know the quality of care in a hospital until you are a patient. Nothing can describe the hopeless feeling of watching the clock tick while your child lies dying in a hospital bed. A week before Christmas in 2016, despite a referred diagnosis by an urgent care facility, my daughter, Kennedy Grace, was never considered for the diagnosis she came in for and was actually misdiagnosed on multiple occasions. She continued to get worse and because of the lack of specialized training in critical care pediatrics, the doctors were unable to give her adequate or timely care. After pressing in, posting publicly, and asking some tough questions, we have discovered this seems to be a common theme at MMH. Dismissed diagnoses, lack of adequate treatment, refusal to treat if patients could not pay, lack of specialized equipment in stock to stabilize pediatric patients... Kennedy Grace is still with us today because we insisted on a transfer to Cook Children’s Hospital, in spite of the fact that they tried to discharge us twice. If we had gone home, our sweet Kennedy Grace would not be with us today. As a result of misdiagnosis and delayed treatment, her tiny body was shutting down from septic shock. The transport team had to spend two hours stabilizing her before she could even get on the plane. What if we didn't know we had the right to transfer? What if we had accepted and trusted the diagnosis given? What if we had accepted the "run around" that was given both times we asked to transfer? This cannot happen to another family.

The hospital is currently structured around adult medicine. In the ER especially, our children fall through the cracks. My inbox is filled with heartbreaking stories of children with adverse outcomes at the hands of MMH. We've had the privilege of talking to former MMH nurses, former MMH physicians, as well as current MMH employees both openly and under the condition of anonymity. Even though they have a newly adapted "culture of ownership" many members of administration have refused to acknowledge these concerns by staff, both former and current. There are unsafe patient ratios, vastly underpaid nursing staff, and a lack of staff retention due to a culmination of these issues and more.

We stand with them in our dedication to grow Midland Health, as they have so recently rebranded themselves. We stand with them, but no longer silently. We have spoken with administration. Many times! We will continue to communicate with them to help advance the hospital. We will join the patient advisory council and help teach from our perspectives how to have excellent patient outcomes, satisfaction in their stay/hospitalization, and delivery of quality care. These things are not mutually exclusive. We seek accountability, specialized training, and sepsis protocol implementation hospital wide, with an emphasis on pediatrics. This isn't about bad press, far from it actually. We've tried to be very careful about acknowledging our good experiences there and the effective policies that are already in place. Since Dr. Nabulsi has been Chief of Staff, many pathways have been implemented making the facility much safer and more effective. He is a proponent of developing a child life program which is geared toward child advocacy, therapeutic care/play during tough procedures and more. Our hope is that our presence will start a conversation. We desire constructive, positive dialogue and a plan of action. We want our voices to be heard. Could we have filed a lawsuit? Absolutely, but it doesn't change the landscape of the healthcare system. We want better for the children in this area. No family should ever be put in the situation that we faced, that so many others have faced...

Our heart and hope is to come alongside the hospital in truth and love to help make change that will better the quality of care for our families and bring peace to all of us here concerned for safety, especially of our children.

In closing, we seek patient advocacy, accountability, a just culture, and departmental change that enhances skills and training of those that handle critically ill pediatric patients. West Texas is a huge community of families. These children deserve a better standard of care. Midland Memorial Hospital has the capability to set that standard of care, and to raise that bar high. Kennedy's heart (and life) was saved because we demanded a transfer and wouldn't accept the treatment plan here. Our goal is to save the next heart that comes in. And the next. And the next. We have an opportunity and obligation to advocate for families here.

This petition had 1,132 supporters

The Issue

Proactive or reactive? How many adverse outcomes have to happen until there is an impetus to change? If we change nothing, nothing will ever change.

Sign our petition if you also desire to see Midland Memorial Hospital change and better their ability to deal with critical care pediatric patients.

We’re calling for change in the name of Kennedy, Miliana, Brooke, Jude, Jaymecin, Bryce, Brandt, Charlotte, Colten, Jemma,  Poppy, Aiden, Samantha, Hannah, and all the children whose stories we don’t know and future children yet to come. We are calling for change in the name of the wounded hearts of mothers and fathers that hold hope for the future. We are calling for change at Midland Memorial Hospital. If you have a child, if you know a child, then this is incredibly important in helping to change the landscape of the healthcare community in the Permian Basin.

Why Midland Memorial Hospital? You don't know the quality of care in a hospital until you are a patient. Nothing can describe the hopeless feeling of watching the clock tick while your child lies dying in a hospital bed. A week before Christmas in 2016, despite a referred diagnosis by an urgent care facility, my daughter, Kennedy Grace, was never considered for the diagnosis she came in for and was actually misdiagnosed on multiple occasions. She continued to get worse and because of the lack of specialized training in critical care pediatrics, the doctors were unable to give her adequate or timely care. After pressing in, posting publicly, and asking some tough questions, we have discovered this seems to be a common theme at MMH. Dismissed diagnoses, lack of adequate treatment, refusal to treat if patients could not pay, lack of specialized equipment in stock to stabilize pediatric patients... Kennedy Grace is still with us today because we insisted on a transfer to Cook Children’s Hospital, in spite of the fact that they tried to discharge us twice. If we had gone home, our sweet Kennedy Grace would not be with us today. As a result of misdiagnosis and delayed treatment, her tiny body was shutting down from septic shock. The transport team had to spend two hours stabilizing her before she could even get on the plane. What if we didn't know we had the right to transfer? What if we had accepted and trusted the diagnosis given? What if we had accepted the "run around" that was given both times we asked to transfer? This cannot happen to another family.

The hospital is currently structured around adult medicine. In the ER especially, our children fall through the cracks. My inbox is filled with heartbreaking stories of children with adverse outcomes at the hands of MMH. We've had the privilege of talking to former MMH nurses, former MMH physicians, as well as current MMH employees both openly and under the condition of anonymity. Even though they have a newly adapted "culture of ownership" many members of administration have refused to acknowledge these concerns by staff, both former and current. There are unsafe patient ratios, vastly underpaid nursing staff, and a lack of staff retention due to a culmination of these issues and more.

We stand with them in our dedication to grow Midland Health, as they have so recently rebranded themselves. We stand with them, but no longer silently. We have spoken with administration. Many times! We will continue to communicate with them to help advance the hospital. We will join the patient advisory council and help teach from our perspectives how to have excellent patient outcomes, satisfaction in their stay/hospitalization, and delivery of quality care. These things are not mutually exclusive. We seek accountability, specialized training, and sepsis protocol implementation hospital wide, with an emphasis on pediatrics. This isn't about bad press, far from it actually. We've tried to be very careful about acknowledging our good experiences there and the effective policies that are already in place. Since Dr. Nabulsi has been Chief of Staff, many pathways have been implemented making the facility much safer and more effective. He is a proponent of developing a child life program which is geared toward child advocacy, therapeutic care/play during tough procedures and more. Our hope is that our presence will start a conversation. We desire constructive, positive dialogue and a plan of action. We want our voices to be heard. Could we have filed a lawsuit? Absolutely, but it doesn't change the landscape of the healthcare system. We want better for the children in this area. No family should ever be put in the situation that we faced, that so many others have faced...

Our heart and hope is to come alongside the hospital in truth and love to help make change that will better the quality of care for our families and bring peace to all of us here concerned for safety, especially of our children.

In closing, we seek patient advocacy, accountability, a just culture, and departmental change that enhances skills and training of those that handle critically ill pediatric patients. West Texas is a huge community of families. These children deserve a better standard of care. Midland Memorial Hospital has the capability to set that standard of care, and to raise that bar high. Kennedy's heart (and life) was saved because we demanded a transfer and wouldn't accept the treatment plan here. Our goal is to save the next heart that comes in. And the next. And the next. We have an opportunity and obligation to advocate for families here.

The Decision Makers

Russell Meyers
Russell Meyers
President, CEO Midland Memorial Hospital
Responded
Midland Memorial Hospital (MMH) was built by a group of local donors who knew how important it was to have a hospital in Midland, Texas. MMH was a private, non-profit hospital for almost 30 years. Realizing we needed a facility that could meet the needs of all members of our community, regardless of their ability to pay, the hospital district was formed in 1977. Over the past 67 years, MMH and its board members, physicians, employees and volunteers have done our best to provide excellent care and experiences for the people of Midland. Both Midland County Hospital District taxpayers and local donors have continued to make this possible, because they believe in the hospital’s mission, vision and purpose to serve the vast healthcare needs of our community. With that said, we realize there is always room for improvement and continuous quality checks and system reviews are built into our daily routine. We welcome the feedback of our current and past patients and their families so we can learn and grow from their experiences and continue building a system of healthcare we all want to have available when we need it. For the past several years, we’ve invited past patients and their family members to participate in our patient and family advisory councils and share feedback to help us learn from mistakes and celebrate the accomplishments we have every day. After receiving feedback from Mrs. Casey about her experience in early February, this same invitation was extended to her as well as an additional invitation to share with our local pediatricians and nurses at a more focused meeting related to her concerns. Although it’s already an expected part of our culture and taught at new employee orientation, Dr. Bob Dent, Dr. Lawrence Wilson, and other leaders have been reinforcing our TeamSTEPPS™ philosophy (click for more info: https://www.ahrq.gov/teamstepps/index.html), our culture of patient safety, and addressing questions and concerns during leadership rounds related to our employees’ ability to speak up if they have a patient safety concern. I have additionally offered my ear and reinforced an open door policy, for any employees who feel their concerns still have not been heard, with a promise of confidentiality, if needed. A Pediatric Emergency & Critical Care Task Force has been formed to look into the emergency & critical care process for pediatric patients and to help identify areas for improvement. This task force will include clinicians as well as community members such as Mrs. Casey, to review all aspects of the care we provide to pediatric patients, especially children who come to the ED with serious illnesses requiring hospitalization and possible transfer to a children’s hospital. We have been and will continue to work with Covenant Children's in Lubbock to further develop our pediatric hospitalists program and sub specialty clinic on campus. Although physician recruitment has often been a challenge in this area of specialty, we have just signed a contract to add neonatology services, to help us handle more advanced newborn care and premature babies. Through the investigation of recent complaints, we have found cases where the care may have been appropriate, but our communication or empathy skills were lacking. To help improve this part of the care process, we will begin rolling out a customer service and empathy training program to all employees in April to help improve basic service and communication skills. Finally, our quality management department has monitored every complaint that has been posted on social media, attempted to investigate each claim and has followed up with all parties involved, if their patient information was found in our system. Patient privacy regulations will not allow us to respond publicly to these concerns, but we are in the process of responding individually to those patients and their family members who have expressed concerns about their care. If you have had an unsatisfactory experience in our care, please email or call our quality department so we can investigate your concerns and ensure all steps are taken to leverage opportunities for improvement. You can contact them at 432-221-1603 or lorri.fields@midland-memorial.com At the end of the day, the hospital administrators, nurses, physicians, housekeepers, facility workers, respiratory therapists and everyone else in our 2,000+ workforce all want the same thing the people of our community want: To have the best possible healthcare available in Midland Texas. We are fathers, mothers, sisters, brothers and friends of people who will need or have needed our care at some point. We welcome anyone who wants to work with us and help improve the patient experience through productive and effective communication and teamwork.
Bob Dent
Bob Dent
Sr. VP/COO/CNO Midland Memorial Hospital
Robyn Kedzie
Robyn Kedzie
Executive Director of Quality/Risk Management Midland Memorial Hospi

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Petition created on February 19, 2017