I've been following the news of LPNT's sale of Coastal Carolina Medical Center to Tenet. The sale closed on Sunday, July 1.
http://www.islandpacket.com/news/local/story/6570164p-5848559c.html
The highlights of the sale are that Tenet is CCMC's third owner since 2004 (Province > LPNT > Tenet) and the facility is expecting $7 million in pre-tax losses.
One quote in the article caught my eye....
"Newcomer Teresa Urquhart will serve as interim CEO at Coastal Carolina until a full-time replacement is found. Urquhart is the chief operating officer of a 351-bed Tenet-owned hospital in El Paso, Texas. She will replace Eric Deaton, who will leave to work at another LifePoint medical center in Virginia. It's unclear what his new role will be or the name of the hospital where he'll work."
Think Mr. Deaton is headed to southside Virginia?
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Well, at least Deaton actually moves into the city where the hospital he manages is located.
"Coastal Carolina CEO Eric Deaton this month placed the Rose Hill home he had built in 2005 up for sale, according to real estate records."
http://www.islandpacket.com/news/local/story/6559096p-5837871c.html
And, flash back to those rosy days in 2004 when LPNT was just taking over CCMC:
"Coastal Carolina Chief Executive Officer Eric Deaton said Wednesday good things will come from the acquisition.
"This is very positive for us," he said. "I know the folks in leadership positions at LifePoint. I know (LifePoint Chief Operation Officer) Bill Gracey. We've worked together before. He was my boss" at a previous job.
Deaton said the larger LifePoint will open up "our access to capital."
"We're still the same hospital. We're focused and moving forward," he said.
LifePoint officials, Deaton said, "are very excited about Coastal Carolina. I think we'll get more support and interest from LifePoint. ... Their management philosophy complements our goal to provide the local community with access to quality care in an affordable setting.""
http://www.lowcountrynow.com/stories/081904/LOChospital.shtml
That link is
http://www.lowcountrynow.com/
stories/081904/LOChospital.shtml
Deaton said the larger LifePoint will open up "our access to capital."
Obviously it didn't open the access enough....
Mr. Deaton is going to the LifePoint hospital Wythville.
We had a CEO candidate touring the hospital today from Florida.
The candidate from Florida has been in town since at least Saturday... I don't think he's a candidate, I think he is the new CEO!
Lets hope it isn't one of these guys.....old cronies of Art's
Princeton Hospital CEO ousted
Orlando Business Journal - January 9, 1998by Susan LundineStaff Writer
ORLANDO -- In the latest of a series of shake-ups, Princeton Hospital CEO Randy Phillips has been fired, the hospital's chief financial officer has accepted a job on an unidentified island and a Tennessee turnaround specialist has been brought in to shore up Princeton, the last independent hospital in Central Florida.
"We needed a change in leadership and direction to create passion for the renaissance of the hospital," says Art Doloresco, president of NewCare Hospital Corp., a subsidiary of Atlanta-based NewCare Health Corp., hired by hospital investors to run the facility. "Although Randy is a nice person, I don't think he demonstrated that passion."
Phillips, a 28-year health industry veteran, says he plans to remain in the field, but declined further comment.
Bob Truckenmiller, Princeton's chief financial officer, resigned effective Jan. 23. The former CFO could not be reached for comment. NewCare officials say he has accepted a job on an island somewhere in the Atlantic.
Meanwhile, Russell Goldberg, a Tennessee health care consultant, has been hired by NewCare to run Princeton as interim CEO for the next 30 to 60 days.
During that time, NewCare will search for a new permanent CEO to lead the financially-troubled hospital, which has faltered in interest payments on roughly $40 million in junk bond debt and spent the last few years dogged by low occupancy rates.
NewCare began managing the 150-bed, not-for-profit hospital in October, pledging $6 million in cash to help relieve Princeton's financial problems.
Although the company made a $2.1 million payment on Princeton's $45.5 million bond debt Jan. 2, and recently advanced $250,000 in working capital to the hospital, the facility remains deeply in the red: It is currently more than 120 days behind in about $3.1 million in accounts payable.
"At Princeton, everyone has just been working toward how to pay the payables," Doloresco says. "We're going to try to get their minds off that and onto how to make the hospital work."
So far, NewCare's plans for saving Princeton have included layoffs, cutting salaries and allowing the hospital's only magnetic resonance imaging scanner (MRI) to be repossessed.
(Doloresco says Princeton may joint venture with an independent MRI company to provide less-expensive scans to hospital patients.)
There also has been talk of possibly closing or reducing services at Princeton's emergency room and maternity ward.
More recently, NewCare has decided to sell its investment in a 120-bed nursing home currently under construction by Mariner Health Group in southwest Orlando. The sale is expected to fetch the hospital $1.1 million.
In an interview with Orlando Business Journal, Goldberg admits he hasn't yet worked out other specifics on how he is going to save the health facility, which has teetered at the edge of bankruptcy for the past two years.
He does plan to "look at the gaps the other hospitals are not filling and go there."
Adds Goldberg, "I am a catalyst for change. I plan to spend time with everyone, from the housekeepers to the physicians. They determine the future of the hospital. If they own it, we can do remarkable things. A lot can be accomplished in 30 to 60 days."
Doloresco, who praises Goldberg as "a miracle worker," says, "I know nobody better to jump-start this than him. Hospitals usually beg him to stay after 30 days.
"The employees are longing for the bickering to end and for somebody to take charge."
However, the management shake-up appears to have created more tension between the new management team and the hospital's local governing board, which previously has criticized NewCare for not keeping it informed of major changes, including the recent round of layoffs.
Virginia Goren, a longtime member of the local governing board, says the newest change "has taken us all by surprise. We had no idea, nor did the physicians." And, she adds, "The governing board was totally supportive of Randy."
How did this end?....."In 1999, the Orange County Health Department closed Princeton Hospital, a facility that served patients from underserved and less..."
The new guy's name is Brian Flynn, former CEO at Manatee Healthcare System in Florida.
Flynn was all over town today....he d'man, I think. What do we know about him?
Doing due diligence, it appears he was well thought of at Manatee. Only remotely bad thing found was he abruptly resigned last Sept. during a brew haha with physicians complaining of having to work in ER without being reimbursed (medicare problem).
Seems like our best candidate yet.
Just a note about the IMPORTANCE of PHYSICIAN CREDENTIALING.....
Anyone hear the news this morning about the attempted car bombings in England? Reports on national news are that 6 out of 8 suspects are DOCTORS! Some had moved there in as little as 15-18 mos. ago.
Further commentary on the news asked "Why Americans hadn't seen some of the same attempts" ......Perhaps we have....but in different forms....hmmm...wonder what tool they would have at their easiest disposal to harm people if there were in fact possible terrorists posing as physicians in America?
Puts new light on the subject, don't you think?
If Art's not quite gone yet, and the new guy is here......Does that mean Ruth will never have the chance to be "in charge"? Wonder how the pay works out on that.
Excerpt from article on: http://www.sarasotabusiness.info/Articles/2007/02/Going-Naked.asp
.....Some community service-conscious doctors have had to resort to applying for bank loans to meet payroll, but so far these physicians have not taken their displeasure beyond the moaning-and-groaning level.
That's in contrast to the headline-triggering brawl that exploded in 2006 at Manatee Memorial Hospital, which is owned by Pennsylvania-based Universal Health Service Inc. (UHS), a for-profit hospital chain.
Differing opinions as to who's to cover the dollar gap left by deadbeat patients at the hospital's emergency room caused a surgeons' rebellion. In January 2006, 15 surgeons signed a letter threatening to quit. Nine months later, Manatee Memorial CEO Brian Flynn surprisingly resigned.
Reflecting a nationwide trend, Manatee Memorial's emergency room has been swamped with patients over the past few years, many of them uninsured and unable or unwilling to pay their bills. Total bad debt and charity care losses at Manatee Memorial rose from $48 million in 2004 to $49.7 million in 2005, and again to a projected $51 million in 2006.
Unpaid emergency room duty has placed an undue burden on doctors, physicians say, and caused the number of medical specialists to shrink in Manatee County.
"We're unable to recruit new physicians to this area, because they can't make comparable income," says Dr. Thomas Braxtan, a kidney specialist and former chief of staff at Manatee Memorial who has been a vocal defender of physicians' interests in Manatee County. "We can't replace the specialists that are retiring."
Manatee Memorial Healthcare System physicians scheduled a meeting with the hospital last November. Both parties agreed in principle on a voluntary call program for the emergency room; in other words, E.R. duty would not be mandatory anymore. The program will be effective Feb. 1, but they have yet to figure out the details. In the meantime, new hospital CEO Moody Chisholm told The Bradenton Herald he would try to seek more county funds to pay emergency room doctors......
The problem with Danville Regional is not "Who the next, last, or future CEO is" It is the corporation and its long term goals. After the recent turnover in CEO's, to hope for a sudden "fix it CEO" is promoting false hope.
I'm not trying to throw a wrench into morale here, its just time to be real. THIS CORPORATION DOES NOT MAKE DECISIONS FOR THE OVERALL GOOD OF THE COMMUNITY AND DOES NOT DELIVER QUALITY HEALTHCARE. They have an overall plan here folks, and quality care and employee support is not part of the agenda!
I don't care WHO the new CEO is, he will not be "a fix" to the underlying problems and their roots!
Exactly.....and remember whoever is here is merely a puppet whose strings are being pulled from Brentwood. Now the puppet can be howdy doody or godzilla (one is more fun to be around) but his movements will be the same.
Right! ......
Wake Up Everyone! This is not just a bad dream where prince charming jumps in and saves the day! It's more like a nightmare that just repeats itself chapter after chapter, after chapter after chapter etc. until you wake up into reality!
How many times do you have to read....."This hospital is not safe!"
How many warnings have to be exposed? How many "awful stories" have to be expressed? How many horrible rankings in hospital care have to be published?
For you to wake up and realize, this healthcare corporation conducts its business in a way which causes serious harm and even death to its community members!
They set it up that way!(They intentionally make budget cuts that put "quality of care" in jeapardy and DO NOT RE-ENFORCE IMPROVEMENTS-although initially they "say they will")
They do the same thing over and over again! (No matter how many people and good employees they hurt!)
How much torture does a community have to take, until we realize-that something is definately very wrong here!
Looks like to me, that the new CEO may as well be called "Howdy Doody" and Danville Regional should be renamed "Humpty Dumpty Medical Center" because all the Kings Horses and All the Kings Men couldn't put it back together again-under the current network and executive(home office) management!
The answer WILL NOT come from Brentwood or any other "for profit" healthcare corporation!
It is virtually and absolutely impossible! These guys are leaches!
Feedback I have heard from those who had a chance to meet with the candidate from Manatee were very positive.
Let's give him a chance.
Let me rephrase.....
"ELVIS has left the building"-(quality healthcare was stomped out a few years ago when the bank boys sold our "non-profit hospital out to a "for profit group")
"The next CONCERT will be done by an Elvis Impersonator"-(He might look and sound something like a good CEO, but it is absolutely impossible-he's got other motivation $$$$$$$$$$$$$$$$$$!
He might even throw a few scarfs out, and sing "Don't Be Cruel" but he is just TRYING TO SELL MORE TICKETS! And these tickets are way overpriced already! The costs for allowing him to "sing-on" are very expensive. Lives are at stake.
I agree....the road to restoration with Lifepoint in place is way too rocky. It won't be an easy task to return to where we were without them, with them, I don't see it happening. Somehow, someway, we need to start over non-profit, working for ourselves and get back what we lost.....imagine how hard folks would work to return us to our former selves if Knifepoint was gone.
Mr. Brian Flynn of Manatee is truly a babe in the woods. He has never worked for LifePoint and has no idea where the landmines are. Ruth and her minions will absolutely eat him alive; the guy will never know what hit him.
I have read many posts throughout and have chosen to be silent up until this point. The overall tone of this particular blog (CEO replacement, that is) leaves me with a big question mark and a frown. There have been many posts stating that there is nothing against the nurses working at DRMC; however, the post above me appears to be directed at nursing. Obtaining a new CEO and nursing care have nothing in common at this point. I work at DRMC and take pride in my job and nursing care. I have not had complaints on my care nor with those working around me; in fact, we have had numerous compliments in the quality of care we provide. Therefore, bringing in a CEO that could possibly provide improved morale for other units and personnel shouldn't be shot down immediately. We cannot continue to walk around "shell shocked" by previous wrong-doers and their poor actions. We must all move forward with a positive outlook that someone will turn this place around.
I knew of a nursing home several years ago that was started by selling their own mutual funds. Initial purchases of the bonds were not all that large. They started at $5000. each and began paying interest after one year. Investors could buy as many bonds as they wanted. It started out small and then grew to be quite large. Could this be a possibility in building another locally owned hospital?
Even if it started small, could be an option. Of course overhead would have to include the expense of interest, opposed to dividends, but the community would have better control of management and no huge home office executive salaries to pay. It just seems that more could be invested back into effective operations this way, and the interest could go back to the community if the bonds were sold mostly locally.
I FOR ONE HAVE BECOME TIRED OF ALL YOU CLUELESS PEOPLE BITCHING ABOUT ABOUT DRMC. I HAVE WORKED HERE FOR OVER 30 YEARS AND HAVE NEVER GIVEN A PATIENT BAD CARE NO MATTER HOW I FELT ABOUT ANY ISSUES GOING ON HERE. JUST LIKE ANY BARREL OF APPLES WE ARE ALL NOT PERFECT BUT FOR THE MOST PART THE STAFF HERE AT DRMC GO THE EXTRA MILE TO MAKE SURE YOU OR YOUR FAMILY GET GOOD CARE.
SO IF YOU WANT DANVILLE TO BE FLUSHED DOWN THE DRAIN JUST KEEP UP YOUR BITCHING AND NOT SUPPORTING DRMC. THERE ARE ABOUT 1200 OF US WHO SUPPORT WHATEVER VOCATION YOU ARE IN AND IF WE LOSE OUR INCOME THEN YOU CAN WAVE YOURS BYE-BYE ALSO.
KEEP SMILING.
The choice of a CEO should not be taken lightly. Nor should we start to be critical until the person has had a chance. this person will set the tone for the entire organization and hopefully one of trust, and integrity. To do this RUTHless needs to leave town soon. This CEO should demand her gone before he arrives...otherwise she will create the same havoc she did with the last one. people need to understand who spearheaded the demise of Mr. Doloresco and who assured we never got to know the real man.
First, I've seen little or no "bitching" about the nurses or staff at DRMC.
The ones receiving criticism are almost all from Lifepoint. If you don't consider Ruth a landmine, look at how she treated Art behind his back.
As far as "not supporting" DRMC, I have to assume you mean put on a smile and pretend everything is fine...if that were the case with everyone here, nothing would ever change. If you are fine with everything just as it is and not interested in making this better then smile on until retirement....some folks aren't satisfied with that and choose to point out what we see as wrong and try to make it better. If everything gets swept under the rug, thats where it will stay.
And imagine how pissed Ruth will be if her replacement arrives "before" she ever takes charge.
Guys, Face reality. Lifepoint is a multibillion dollar corporation. Danville will not hurt it, no matter what happens. Trying to throw stones at Goliath will not work in this century. There are quality problems that are being addressed. Staffing levels are concerning but not horrendous. Things could be much worse, believe it or not. To keep "boycotting" the hospital does not hurt Lifepoint, they will make money selling gas to you leaving town. It only hurts the quality people staying behind doing their jobs. Then when things hit the fan, you will have a "transfer station" that hopefully will take care of you. In reality that does NOT exist. You are not going to build another hospital. The Boys at the Bank will grovel until the furor dies down and not contribute anything to help us. Lifepoint will go on, with or without you. Face reality! This is, what it is. If there are specific concerns, bring them up, to the newspapers, to the attorney general, to your doctor. Blanket condemnations do not work and do not bring about change. We asked for a new CEO, now we have one. Stop for a minute and give him a chance. Do you even know what to ask for next?? If so, be specific! Otherwise the only losers in all this will be the doctors, staff and patients (now and future) that live in Danville. You can bet Lifepoint and the Boys could not care less.
In the end, I have a feeling those that are never happy with the "goings on" at DRMC, will never be happy with DRMC. These were also the ones that were complaining about the hospital before the Lifepoint bought out DRMC. Misery enjoys the company (Lifepoint).
O.K. I'll bite........
1)Next Question: How about the guarantee of a future job with assurance of continued hospital accredidation?
2)Didn't little ol' David end up killing Goliath?
3)Didn't you forget to mention Joint Commission and Dept. of HHS as far as reporting authorities?
Accreditation can be regained; just because there is a preliminary denial (for things that were non-patient care related) does not mean that the hospital will shut down.
To the poster above...this is a very good thought-provoking question...
"Stop for a minute and give him a chance. Do you even know what to ask for next?? "
Do we know what to ask for next? If he gets the job and holds employees forums to say "okay, I'm here...what can I do to help?", how would we answer? We know what is wrong, but do we know how to suggest fixes.
Your question is one that all should consider and be ready to answer if given the opportunity.
Good point.
Amazing. How can anything a hospital does/or doesn't do-correctly or incorrectly be non-patient care related?
Isn't this supposed to be the overall goal of a hospital?
There are aspects of a hospital that are non-patient care related... Im sorry you didn't get that memo... Not everybody that works in the hospital is there for to serve the patient. Additionally, there are other aspects of a hospital that the patients are not involved.
Oh! And just what activity is that? Send me the memo please.....I want to clearly understand just how the hospital provides quality care for its patients.
For example, there is a human resources department; they do nothing but take care of their employees. Another example, there is an education department; their function is solely to keep the employees abreast of the latest. There are administrative secretaries that never even come into contact with patients. And most importantly, there is a branch of administration that handles the financial portion of the hospital, you know the department you keep griping about.
...and all of these people do not have the same goal in mind? Providing quality patient care?
Excuse me, but are we discussing a hotel, college, or hospital here?
NO, THEY DO NOT!! The hospital's goal is quality patient care; however, there are ancillary personnel who do not have patient care goals in mind... Apparently, your mentality of a hospital is just from the outside looking in because you don't fully understand that a hospital has employees that are not there just to provide patient care. It takes more than patient care personnel to run a hospital... Maybe, once you become a tad bit open minded you will grasp this concept...
"keep smiling"
I just want to know what department you are working in that is so great, because I want to work there. I can tell you that most nursing floors I have been on are working with skeleton crews. Even the most basic needs are not able to be met, not because we don't want to provide the care, but because the number one priority is to keep patients alive. So if you believe that nursing care is not an issue then just keep dreaming. I see patient care compromised every day because having 8 very sick patients is just too much.
Actually, there are a few departments that are staffed efficiently. Yes 8 sick patients are a load; however, 10 to 12 sick patients could be worse or even disasterous. Besides, if they weren't sick they wouldn't be in the hospital. Additionally, there is a float pool that helps out. There are other hospitals that have those ratios consistently and they weren't bought out by a for-profit facility that everyone seems to despise.
Dear "NO...." You are obviously in over your head. Take a few days off.....really.....I don't think we will miss you. But thanks for identifying yourself through your frustration. You're right. You don't have quality patient care as your goal, and you have no idea what it takes to be someone that does. You just get to boss the ones that do from time to time. Maybe an extended leave would be the best medicine at this point.
I am not posting for you to attempt to personally attack me, nor for me to attack you. I am posting to provide a point. A point apparently that you did not compute appropriately. If you disagree that's one thing, but putting me under attack when you do not know me or the quality care I DO provide. This blog is meant to be a sounding board for opinions, not for personal attacks. Apparently from your attacking you are the one that needs the time off.
"For example, there is a human resources department; they do nothing but take care of their employees. Another example, there is an education department; their function is solely to keep the employees abreast of the latest. There are administrative secretaries that never even come into contact with patients. And most importantly, there is a branch of administration that handles the financial portion of the hospital, you know the department you keep griping about"
Human resources- Takes care of the staff who treat the patients, without staff, no patient gets treated...sooooooo not hands on with patients but def. affects patient care.
education department- function is solely to keep the employees abreast of the latest.....results in better treatment for patients...sooooooo not hands on with patients but def. affects patient care.
administrative secretaries- assit caregivers in paperwork and see to it billing is correct and timely, agreed not hands on but still relates to a patients overall care...sooooooo not hands on with patients but def. affects patient care.
branch of administration that handles the financial portion of the hospital- and without them, the bills wouldn't get paid, no electricity and the machines and lights wouldn't work. That would definitely affect a patients care.sooooooo not hands on with patients but def. affects patient care.
Felt the need to bring this in from another thread...
Anonymous said...
"It's amazing that the community was complaining about these things before Lifepoint and NOW they need to be addressed and by a committe no less."
I've lived here my entire life, have family whose entire careers are with DRMC and spent 10 years there myself. I never recall the community complaining as it is now. ER waits have been an issue here and everywhere and that is the fault of the community not the hospital, but staffing levels, cleanliness, services, computers, have NEVER been under question as they are now.
These are much worse than "growing pains" or "reaction to change". It is well documented all of these areas have DECLINED since Lifepoint. Maybe internally there were "concerns" about these issues and maybe they weren't where we wanted them to be, BUT these issues have grown far worse under Lifepoint. If they were concerns before then they are MAJOR concerns now.
If you will research the internet you will find this is a habit and a trend with Lifepoint....most of the changes they have instituted were cost saving measures not health and welfare improvements. And yes we may have been spending more in these areas than was absolutely necessary, but I would rather spend money to have too many people, too clean a facility, too modern a computer charting system etc. etc. (And still earn millions in profit) Than cut all of those areas so we can send some more money to Brentwood.
Any way you cut it "The Boys" knowing the above, chose to take the money so they could build community centers and fund DCC and the Institute over staying the tough course and managing the hospital. It was an easy out for them. They didn't want to be the ones who had to make the tough decisions to keep the hospital going.
If nothing else we could have taken a small portion of annual profits and hired a hospital management firm to make those decisions. That way they would report to a group of our citizens and join us in making the best decisions.
It was a cop out by "the boys" and worse than that they profited from being weak.
You are right. Lets frag the "boys". Give them hell for being the wimps they were. But lets get on and deal with the situation we have.
"You are right. Lets frag the "boys". Give them hell for being the wimps they were. But lets get on and deal with the situation we have."
Perfect assessment of the situation!!
I did not post to pick a fight with anyone, simply to prove a point.
One house simply cannot serve two masters. They will constantly fight one another. It results in an age-old tug of war with no real wins or losses, and in this instance, the health and welfare of a community are the victims. Under Lifepoint, or any other "for profit hospital corporation" the community's healthcare will always be profit against quality healthcare.
It's an age-old battle. I didn't invent it; I simply just encouraged you to help me prove it.
Now, Danville can stay on this ferris wheel as long as they want, but the true reality of the situation and it's problems, will not change. Only the faces pushing the buttons will change. And they will let you climb on as many times as you want-for a price-Just how much time, money, labor, hopes, and dreams do you have available? Because they'll keep going until they have acquired it all. Can we afford it?
Real quality healthcare is trapped in this situation. It cannot flourish because the people pushing the buttons DO NOT HAVE A CLUE what it involves and the compassion it takes to deliver it. These two roads will not ever acheive the same goals or end at the same destination, no matter how many times you slice it, grind it, or make soup out of it. It is impossible.
Think of it as trying to put a square peg into a round hole. It isn't going to happen. Now that's reality.
To the writer who wrote:
Anonymous said...
NO, THEY DO NOT!! The hospital's goal is quality patient care; however, there are ancillary personnel who do not have patient care goals in mind... Apparently, your mentality of a hospital is just from the outside looking in because you don't fully understand that a hospital has employees that are not there just to provide patient care. It takes more than patient care personnel to run a hospital... Maybe, once you become a tad bit open minded you will grasp this concept...
Excuse me but EVERYONE who works for the DRMC goes to work to provide Quality care to patients. The person who cleans the rooms,fixes the toilets, recruits quality staff, works to maintain competence, types memos, mow the grass etc. ALL contribute to the care that patients receive. If you don't think they do then you do not deserve to work there and if you don't work there then you do not understand the committment these NON-PATIENT care givers have to the care given. Do not write what you know nothing about!
RUTHless was referred to as a landmine and that she is. Ask her what she has done to FIX nursing? Oh yes bring in travelers to the cost of over a quarter of million dollars a month. that might increase the numbers but has she focused on how to provide better processes of care, delineation of staff roles to allow more efficient RN functioning, standards of practice for all disciplines, safety and regulatory concerns. She does not visit the units, has never participated in any of the joint commission preparations. She spent her time courting physicians, and building walls between her nursing directors and the other departments. She has placed incompetent leaders in control and now is doing damage control on 3B. She listens to no one and struts around like she is God's gift. Please people open your eyes. this women needs to leave. She must be alpha dog and takes no prisoners.
I'm not sure it matters who the new CEO is....Ruth will destroy him from down under. She'll have his legs off before he can hang up his jacket.
Oh yes she is a landmine and she sneaks up in stealth fashion. She has been prancing about with all the nashville suits like a queen be shouting look at me I am so wonderful! She is smart no doubt but she is no friend of Danville, no friend of the staff. her only friend would be herself. And she works very hard to maintain the veneer of a caring, supportive leader concerned about the quality of care. her concern? assurring she is seen as the best and the brightest. We are seeing signs that a strong cohesive leadership team will soon be forming..I hear the CEO and the CNO candidates are strong. The CFO starting this week is also well respected form martinsville. We need to demand that this snake in the grass leave before she starts the destructive cycle all over again.
She doesn't remove their legs...she goes for castration and she hurt Mr. Doloresco bad!
Just think where that 250,000 dollars a month being flushed down our expensive wastewater system for contract/traveling staff could go towards imporvements?
And honestly, the travelers are there just to take their cash to the bank. They have no care nor compassion towards the patients or the counterparts they work aside. And do not try to tell them how to adapt to working at DRMC; they will quickly tell you that they are not here for nothing but the check.
That money used toward travelers could be used to increase wages to improve satisfaction. Even if it was no more than 50 cents; how many of us got that during evaluations? Additionally, the IV pumps are way outdated (among other pieces of equipment) and need to be replaced. Hey wait a minute; I just figured out what to do with $250,000. I don't even have an administrative title behind my name!!
Has Flynn been hired?
I heard there was some sort of blip with him and Dr. Williams. It was a third-hand report, so who knows.
If the truth be known, much of the equipment is outdated, and takes more of our time to keep it operating.
Could be a good time to ask for some updating....
any news on a COO?
Maybe we should do what another blogger suggested with the hospital in Texas as our "Christian Duty" and send this blog to the prospective CEO, so he'll think twice about coming to put up with such a bunch of icks and subject his family to such a miserable little community.
Are you trying to scare away a person who could turn it around? What is wrong with you. If you makes you feel any better, I am sure any CEO applicant has researched the situation before submitting their name to the pool. No one would jump into this mess not fully informed. They need to know this community is so destructive.
I was being a bit cynical. I've seen the 'Christian' banner waved here a few times, trying to sound so self righteous...was trying to make a point. There will be whining and finger-pointing no matter who teh CEO is, I'm convinced of it. This community is way too full of victims.
Victims of NAFTA CAFTA the soon to be SAFTA and Corporate greed aimed at the lesser educated and those without resource.
VICTIM MENTALITY + DANVILLE MENTALITY + CHRISTIAN DUTY......how does one get anything accomplished in this armpit of a town without these "tools" ?
Now that would be the answer to the $200M question. I would bet that the most talented exectutives in the country will have a hard time making things work for DRMC, with the incessant need for whining. I know...let's all commit to shed the cloak of anonymity and use our names ON THIS BLOG!
Can't do it, the power of the few outweigh the desperation of the many.
And to the above : I guess those responsible for the Boston tea party were whiners.
Micro vs Macro economics But the dictatorial mentality and destruction of an environment coupled with the risk to life, well...there it is.
What are you smoking??
I don't smoke .PAY ATTENTION.
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and I invite you to do the same. If it gets down to choose a correct partner utilizes your savings in a right way - that`s AimTrust!.
I make 2G daily, and my first investment was 500 dollars only!
It`s easy to start , just click this link http://sasebicamu.arcadepages.com/daxyrub.html
and lucky you`re! Let`s take this option together to get rid of nastiness of the life
Hello !.
You may , perhaps very interested to know how one can collect a huge starting capital .
There is no need to invest much at first. You may commense to get income with as small sum of money as 20-100 dollars.
AimTrust is what you haven`t ever dreamt of such a chance to become rich
The firm incorporates an offshore structure with advanced asset management technologies in production and delivery of pipes for oil and gas.
Its head office is in Panama with affiliates around the world.
Do you want to become really rich in short time?
That`s your choice That`s what you wish in the long run!
I feel good, I began to get real money with the help of this company,
and I invite you to do the same. It`s all about how to choose a correct partner who uses your money in a right way - that`s AimTrust!.
I earn US$2,000 per day, and my first investment was 500 dollars only!
It`s easy to join , just click this link http://gaqelapu.digitalzones.com/ipozol.html
and lucky you`re! Let`s take our chance together to become rich
Hello !.
You re, I guess , perhaps curious to know how one can manage to receive high yields .
There is no need to invest much at first. You may commense to receive yields with as small sum of money as 20-100 dollars.
AimTrust is what you need
The firm incorporates an offshore structure with advanced asset management technologies in production and delivery of pipes for oil and gas.
Its head office is in Panama with structures everywhere: In USA, Canada, Cyprus.
Do you want to become really rich in short time?
That`s your choice That`s what you really need!
I`m happy and lucky, I started to take up income with the help of this company,
and I invite you to do the same. If it gets down to choose a proper partner who uses your savings in a right way - that`s it!.
I earn US$2,000 per day, and my first investment was 500 dollars only!
It`s easy to start , just click this link http://ajesoqybe.freecities.com/finefawa.html
and lucky you`re! Let`s take this option together to get rid of nastiness of the life
Hello !.
might , probably curious to know how one can reach 2000 per day of income .
There is no initial capital needed You may commense to receive yields with as small sum of money as 20-100 dollars.
AimTrust is what you need
The company represents an offshore structure with advanced asset management technologies in production and delivery of pipes for oil and gas.
Its head office is in Panama with structures everywhere: In USA, Canada, Cyprus.
Do you want to become an affluent person?
That`s your chance That`s what you really need!
I`m happy and lucky, I started to get income with the help of this company,
and I invite you to do the same. It`s all about how to select a proper partner utilizes your savings in a right way - that`s AimTrust!.
I take now up to 2G every day, and my first deposit was 1 grand only!
It`s easy to start , just click this link http://exyqysane.wtcsites.com/utybev.html
and lucky you`re! Let`s take this option together to get rid of nastiness of the life
Hi !.
You may , perhaps curious to know how one can reach 2000 per day of income .
There is no initial capital needed You may commense to get income with as small sum of money as 20-100 dollars.
AimTrust is what you thought of all the time
AimTrust incorporates an offshore structure with advanced asset management technologies in production and delivery of pipes for oil and gas.
Its head office is in Panama with affiliates everywhere: In USA, Canada, Cyprus.
Do you want to become a happy investor?
That`s your choice That`s what you desire!
I`m happy and lucky, I began to get real money with the help of this company,
and I invite you to do the same. It`s all about how to choose a proper companion utilizes your funds in a right way - that`s AimTrust!.
I earn US$2,000 per day, and what I started with was a funny sum of 500 bucks!
It`s easy to start , just click this link http://sodeladuwa.greatnow.com/jiqira.html
and go! Let`s take our chance together to get rid of nastiness of the life
Good day, sun shines!
There have been times of troubles when I didn't know about opportunities of getting high yields on investments. I was a dump and downright pessimistic person.
I have never thought that there weren't any need in big starting capital.
Nowadays, I feel good, I begin to get real income.
It's all about how to choose a proper companion who uses your funds in a right way - that is incorporate it in real business, and shares the profit with me.
You may ask, if there are such firms? I'm obliged to tell the truth, YES, there are. Please get to know about one of them:
[url=http://theblogmoney.com] Online investment blog[/url]
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Hi everybody!
Let me introduce myself,
my name is Peter.
Generally I’m a social gmabler. all my life I’m carried away by online-casino and poker.
Not long time ago I started my own blog, where I describe my virtual adventures.
Probably, it will be interesting for you to read my travel notes and reports about winnings and losses on this way.
Please visit my blog. http://allbestcasino.com I’ll be glad would you find time to leave your comments.
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