One victory! The Medical Executive Committee has ratified the results of the democratic election for the position of Vice-Chair and Dr. David Williams is now the Vice-Chair of the Emergency Department at the Maui Memorial Medical Center and this is because of all your support!
But there's so much more to do to move this hospital forward.
Let's review the Kaiser Permanente's Proposal for a Public-Private Partnership with the Maui Region of Hawaii Health Systems Corporation 8/24/2015 to get a better idea on the promises:
-Expansion of primary care =Demonstrate commitment to expanding primary
and specialty services care: ATTEMPTED
-" Active collaboration with community to identify primary care needs; expansion based on needs: NO COLLABORATION WITH THE PRIMARY CARE COMMUNITY
-Recruitment of specialty physicians based on identified needs, including gaps in call coverage, physician shortage areas, and community health needs, including behavioral health, cardiology, orthopaedics, urology, and neurology: RECRUITMENT IS HAPPENING BUT RETENTION IS NOT, WHICH IS DIRECTLY RELATED TO LEADERSHIP AND THE SYSTEMS SET UP
-Complete MD on-call schedule to provide 24/7 coverage without gaps: NOPE
-Development of behavioral health, orthopaedics, women's and children's, cardiac care, oncology and emergency services: NOPE
-Collaboration with all Maui County providers across continuum: NO COMMUNITY COLLABORATION OR OUTREACH DONE BY THIS ADMINISTRATION (EXCEPT MAYBE FUNDRAISING)
-Strong partnership with Maui community agencies; desire to keep patients near their homes for care: NOPE
-Improved utilization of Kula Hospital and Hale Makua for post-acute, long-term care ' Primary care as the foundation for coordination and preventive care: NOPE
-" Increased care for Maui patients delivered on Maui through physician recruitment, on-call physician coverage, and improvements in quality of care: NOPE , LOCUMS TENEME (TEMPORARY PHYSICIANS DEPENDENT OR ROTATING FROM THEIR CALIFORNIA PRIVATE COMPANIES IN CALIFORNIA, NOT ROOTED IN THIS COMMUNITY)
-Investments in care and infrastructure on Maui resulting in less reliance on Oahu hospitals for patients who live on Maui: MORE TRANSFERS ESP FOR GI, UROLOGY, PEDIATRICS, ETC
-Enhancement to current service offerings by increasing sub-specialty physician staffing and coverage, investing in a strong primary care delivery system, and the complete continuum of care: NOPE, PRIMARY CARE IS NOT A FOCUS AND RETENTION OF SUBSPECIALTY PHYSICIAN IS A HUGE PROBLEM DUE TO LEADERSHIP, SYSTEMS, TOXIC ENVIRONMENT
-Integration of Kula Hospital and Lanai Community Hospital under single management team: KULA IS STILL ON PAPER CHARTS
-Use of KP'svirtual/telehealth technology: NOT DONE
-Adoption of physician/administrator partnership structure (dyad) across clinical and financial initiatives throughout this proposal: SUBDUED PHYSICIAN ADMINISTRATORS DUE TO FEAR-BASED LEADERSHIP. PHYSICIANS IN ADMIN ARE SCARED TO LOSE THEIR JOB IF THEY GO AGAINST THE CEO
-" Promote strong collaboration with community partners : NOPE
-Implementation of KP's electronic medical record, Epic (KP HealthConnect®): YES, THIS IS DONE BUT THERE ARE PARTS OF IT THAT ARE DISJOINTED AND WITH CLINICAL SIGNIFICANCE
- Evidence-based management and population health programs = KP led training programs for physicians, nurses, and other providers: NO TRAINING PROGRAM EXCEPT YEARLY TRAINING ON CODING AND BILLING
-KP estimates reducing State operating subsidies by --$260M over ten years: WE NEED FINANCIAL TRANSPARENCY TO ACTUALLY SEE THIS SAVINGS
-KP will reduce the burden of the State by jointly investing in service expansion, facility improvements, community benefit and state of the art clinical systems: NOT MUCH IMPROVEMENTS GOING ON
-Competitive salaries and benefits provided by KP: HEALTHCARE WORKERS PROMISED KP BENEFITS, BUT SINCE THIS HOSPITAL IS NOT REALLY "KAISER KAISER" THEY ACTUALLY DON'T GET KAISER LIKE BENEFITS BUT A WATERDOWN VERSION OF WHAT WAS EXPECTED AND LESS THAN WHAT THEY WOULD HAVE GOTTEN UNDER COUNTY SYSTEM, ESP WHEN IT COMES TO RETIREMENT. THIS PART IS A LET DOWN.
-Implementation of KP's People Pulse Survey to evaluate workforce engagement: WE DON'T KNOW WHAT THEY DO WITH THESE SURVEYS BECAUSE NO IMPROVEMENTS SEEN
-Professional development opportunities for physicians and staff through KP's robust learning infrastructure: NONEXISTENT
-Strong labor relations: IF LABOR IS ACTUALLY UNDER THIS ADMINISTRATION'S CONTROL/INFLUENCE IS WHAT THEY MEAN, I THINK THEY'VE ACCOMPLISHED THIS
-Workplace improvement programs that engage physician and employee participation: NOPE
-Improved staffing efficiencies for existing clinical services and administrative functions, preserving local jobs to the greatest extent possible: NOPE GIVING JOBS TO LOCUMS TENEM (TEMP PHYSICIANS) AND TRAVELERS. However, they are hiring new graduates.
-Providing new opportunities for existing staff as programs/services grow and Maui Memorial Medical Center is recognized as a regional referral
center: UNABLE TO DO THIS SINCE THERE ARE SO MANY GAPS IN CARE.
THE THEME THAT TIES ALL THIS TOGETHER IS FAILURE OF LEADERSHIP (Mike Rembis has got to go!) AND FAILURE TO DELIVER ON THESE PROMISES AND NO ACCOUNTABILITY ON MAUI HEALTH SYSTEM TO DELIVER ON MEETING THE NEEDS OF THE COMMUNITY BECAUSE IT IS NOT COMING FROM THE MAUI HEALTH SYSTEM BOARD OF DIRECTORS NOR FROM THE MEDICAL EXECUTIVE COMMITTEE.
WHO IS GOING TO HOLD MAUI HEALTH SYSTEM ACCOUNTABLE IN THIS PUBLIC-PRIVATE PARTNERSHIP?