Sunday, May 10, 2009

Danville Regional CEO gets 18-month check up

Register & Bee Published: May 9, 2009

Jerel Humphrey, CEO of Danville Regional Medical Center, took time last week to reflect on what has been accomplished at the hospital during the almost 18 months he has been at the helm.
Humphrey, most often seen without a tie and wearing a sweater vest, laughs and jokes easily, but quickly turns serious when talking about what has transpired for the good and what still needs to be done at the hospital since its purchase by LifePoint Hospitals Inc. four years ago.
In a January 2008 interview with the Danville Register & Bee three months into his tenure, Humphrey said the hospital was still putting its executive team together. He said Tuesday that had been accomplished.
“We’ve now had a year-plus of an administration team working together,” he said. “We have rounded out our team and have Becky Logan as our chief nursing officer and Mark Anderson as our chief financial officer. Eric Barber has been added as a chief operating officer, and our chief medical officer is Tim Starling, a past president of the medical staff, as well as having served 32 years as a nephrologist with the Danville Urology Clinic. Frank Campbell has become the chairman of the board.”
Another area that has become more focused in the past year has been community outreach. Although the hospital has “sporadically” helped with community organizations in the past, Humphrey said this past year the hospital has tried to be more consistent with it.
“(Recently) we’ve done fundraising with the Free Clinic of Danville, signed a contract with PATHS and worked with Salvation Army,” he said.
Other community organizations that have been supported by Danville Regional through sponsorships and donations include Habitat for Humanity, the Free Clinic of Danville, the Boy Scouts, Special Olympics, the Langhorne House, the Danville Life Saving Crew and the YMCA, among many others.
The hospital’s 2008 Community Benefit Report reveals it has spent $21 million on charity care and bad debt; $172.1 million on government-sponsored health care (Medicare and Medicaid); $705,104 in community benefit programs ($35,820 in financial contributions, $94,585 in health professionals education and $574,699 in physician recruitment); and $896,000 in state taxes, $224,000 in local sales tax and $832,000 in property taxes.
Recalling the initial theme for his leadership as building trust with the community, Humphrey said he has made himself available and given talks to several community groups.
“The feedback has been that people appreciate open communication, our recommitment to the community and our recruitment efforts to bring in new physicians,” he said.
In the past year, 12 new physicians have been recruited, a process that can be lengthy.
“We identify people who want to come and then we have to get them properly credentialed to be on our medical staff and then sign any agreements involved,” Humphrey said, adding with a laugh, “And then they have to come.”
The number of physicians leaving the area has “trickled,” he said.
The hospital has received nothing but good comments about the re-affiliation of the Duke Heart Center with the hospital’s Heart Center of the Piedmont at Danville Regional Medical Center for the hospital’s cardiovascular services, according to Humphrey.
“The agreements with Duke are fully signed, and Dr. Richard Embrey, the cardiothoracic surgeon, has seen a doubling of his cases already,” Humphrey said. “The (open-heart surgery) volumes are very much coming back.”
In another partnership, Danville Regional is working with the LifePoint-owned Martinsville Memorial Hospital to provide cardiology care for their patients.
“The need for cardiology coverage in Martinsville is greater than the cardiologists in the area can currently provide, so we met with and requested that the Danville cardiologists assist with the coverage issue,” Humphrey said. “To their credit, they became credentialed and privileged to practice in Martinsville. Duke Heart Services is also lending its support with one of their cardiologists covering two days a week and the Danville cardiologists covering three days a week, which includes some Saturdays.”
He said that was an intermediate measure, since the Martinsville hospital is currently recruiting cardiologists.
Danville Regional has also partnered with the Edward Via Virginia College of Osteopathic Medicine to bring in a residency program, which Humphrey said has brought positive comments from the community.
“The hospitalist program has also been getting a lot of positive comments from physicians and the patients being taken care of,” Humphrey said.
Hospitalists care for the patients in the hospital once they are admitted by their own physician.
Four hospitalists out of the current 15 on staff are scheduled to leave, one to pursue a fellowship and others for family reasons; however, the hospital is actively recruiting for replacements.

Millions in investments
Since LifePoint purchased Danville Regional Medical Center, the corporation has invested about $45 million in the hospital for facility improvements and equipment.
“We really do hear a lot of positive comments about the continued investment into the infrastructure of the hospital,” Humphrey said.
He cited the nursing staff as another big plus for the hospital and said that the usage of contract nursing staff has been eliminated, which he calls a “major accomplishment.”
“We have about a 5 percent turnover rate now, which is outstanding, and we are very proud of that,” he said. “The majority of the class (graduating from the hospital’s School of Nursing) this year will be hired. That’s always our game plan with the nursing school program.”
The nursing staff is “basically” fully staffed at this time, although Humphrey said that there is always some ebb and flow.
The patient census, or the number of admitted patients in the hospital at any given time, also has peaks and valleys, he said, but remains solid.
“We’ve seen a little softening of the census with the economic downturn and people putting elective procedures off as long as can,” he said. “Some of the physicians also say their patient loads are up and down. It’s really uneven right now.”
In other initiatives in the past year, the hospital has just opened a wound treatment center and an inpatient rehabilitation center and purchased another bloodmobile.

Revisiting impressions
New to the area 18 months ago, Humphrey said that his initial impressions of the Danville community were that “the people in Danville are open and friendly, there is a great future with all the economic developments and nobody knows how to merge.”
On Tuesday, Humphrey revisited those observations and said that the Danville community is still open and friendly and that, although economic development has been “stymied,” he remains “cautiously optimistic.”
On that last count, however, he holds to his original opinion, as many others do, that Danvillians are still merging-impaired.

1,159 comments:

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Anonymous said...

Let them go after me. I have the witnesses (2) and document before alteration. I would love to make a fool out of a fool.

Anonymous said...

Very very true, many legal cases popping up over this very thing.
Don't let your anger and frustration lead you down the wrong road!

Anonymous said...

Anonymous is anonymous.

Anonymous said...

"Anonymous is anonymous."

Actually, its not. Everyone who posts here can have their IP address tracked thru their internet provider right down to the computer in your living room or office. The only way to truly remain "anonymous" would be to post from a public access computer such as in a public library or workplace. Even wireless access at places like Starbucks will track the unique ID of your computer and when you were logged on and where you surfed.

Anonymous said...

Except the internet provider would have to be give up the records by subpoena and many cases have shown that they won't do it....even if issued a subpoena.(yahoo verizon etc)

Anonymous said...

Of course if they do go after those that make these comments, if they truly do have proof then the hospital would have put themselves in a bad situation. Based on some of the antics I have seen, it would not surprise me if there was some truth to the allegations.

Anonymous said...

So now we not only have legal experts posting here, we have IT/Legal experts joining the fray. I feel much, much safer.

Anonymous said...

Rather than just say you have 2 witnesses and documentation...if it's the truth, just get it out there. Go to the right authorities and make your case.

Or...could it be that it's not as you say?

Anonymous said...

Hmmmm, could be , but....

Anonymous said...

THE JOINT COMMISSION IS EXPECTED AT DRMC THIS WEEK.

Anonymous said...

Anyone see in Sunday's paper where the new nephrologist was arrested for domestic assault and battery?

Anonymous said...

Arrested? no way!

Anonymous said...

How about the hospital rankings showing the poor scores compared to all others, locally and nationally??

Anonymous said...

DRMC fared very poorly in the national polls. Lifepoint is drectly to blame for this since we have no shortage of good people. With lifepoint, Jess Judy, and Jeral Humphreys running things it can only get worse from here.

Anonymous said...

Good lord....is this just the endless cycle of conjecture, hypothetical, rhetorical and all whine, no fix?

Anonymous said...

It was fixed ......until lifepoint. just take an online survey of all of the hospitals lifepoint has bought and destroyed and you'll see

Anonymous said...

The last 18 months PRIIOR to the sale, things at DRMC were on the fast track to what were to become some of the best times for the facility.
Leadership at the helm was strong and goals were set and measurable, positive outcomes in nursing were on the rise. There was a true vision of providing healthcare excellence close to home and staff had buy in.This was not a false state of being, it truly existed.
Sadly, for all concerned, the state of the hospital, is no where near this today.There is no trust, between anyone, at any level. The level of buy in staff has come to appreciate is that what is said is only real in the moment it is spoken.If you had time to speak with dept directors and managers,in an environment where they felt safe to do so, you will hear/feel their sense of desperation and ineffectiveness in being able to rectify the situations. Granted, some of the ineffectiveness truly lies within the individuals(s).

Anonymous said...

Sorry guys, you're on crack. Lifepoint may have destroyed DRMC, but it was AT BEST a mediocre hospital before they started. And, there was that nasty little issue of Medicare billing compliance that got swept under the rug when it was a locally owned and run and may well have been the reason the hospital was sold in the first place (take the money and run...).

I'm certainly not defending what Lifepoint has done with the hospital by any means, but I have lived around here all my life and DRMC was NEVER up to the standards of Moses Cone, Lynchburg General or Roanoke Memorial.

Anonymous said...

"was NEVER up to the standards of Moses Cone, Lynchburg General or Roanoke Memorial."

We're not "on crack" and you're wrong: The only reason DRMC was not "up to the standards" of other noted facilities, as it still is not was because of the stupidity that has kept the City of Danville behind for decades, the same stupidity that sat idley by while the smaller cities(Greensboro and Lynchburg) overtook and surpassed danville as a whole.
Coincidentally DRMC was on it's way to becoming a fine institution, however, the same stupidity and indeed the same "management professionals" ie the "5" that have raped and plundered danville for decades are the same inept fools that sold the last remaining point of hope in an economically depressed doomed city.

Anonymous said...

From the Wall Street Journal
(edited to fit in this space)

LifePoint Hospitals Posts Unexpected 2Q Profit Drop

LifePoint Hospitals Inc, beset by sharply declining admissions and higher expenses, posted a 5.4% drop in second-quarter profit, missing Wall Street estimates and raising concerns about the hospital company's turnaround efforts.

LifePoint Chief Executive William Carpenter said the company is "where we expected to be for the quarter" and "tracking at the upper end of our full-year guidance."

Analysts, however, were skeptical, noting that LPNT seemed to be struggling more than its peers. Investors recently sent shares down 10.3%, or $2.88, to $25.16. "The miss is particularly surprising given strong 2Q results from publicly traded peers," analyst Ralph Giacobbe wrote. LifePoint's second-quarter results "do not give us confidence" he added.

"It never ceases to amaze me how (LifePoint) continues to reach around and pat itself on the back no matter how poorly they do, and even at the top end of the (forecast) range, EPS will be essentially flat for at least three years despite share repurchases and significant revenue growth," said CRT Capital Group analyst Sheryl Skolnick. "I do not understand why LPNT shareholders put up with this."

LifePoint posted a second-quarter profit of $26.3 million, or 49 cents a share, compared with $27.8 million, or 52 cents a share, a year earlier. Earnings from continuing operations fell to 54 cents from 55 cents. Revenue increased 10.4% to $735.3 million. Analysts polled by Thomson Reuters, on average, had estimated earnings of 59 cents a share on revenue of $721 million.

The Brentwood, Tenn., company reported that admissions at hospitals it operated for at least a year declined 5.3%, in part because of a shift from admissions to outpatient visits; that implies a deterioration from a 3% run rate decline in the first quarter, according to Goldman Sachs. Same-hospital admissions adjusted for outpatient visits declined 0.1%. Growth in imaging, lab, emergency room and outpatient cardiac procedures caused a surge in outpatient revenue on a same-facility basis, the company said. CEO Carpenter, on a conference call, said growth in the outpatient arena "is the leading indication that our physician recruitment efforts are gaining traction." Those efforts will be more fully realized next year, he said.

Meanwhile, second-quarter adjusted earnings before interest, taxes, depreciation and amortization declined 1.2%.

"Management keeps saying that (LifePoint) is at high end of plan," said Skolnick, questioning whether the company had expected to show lower Ebitda even with an acquisition. "That's ahead of plan? So how much worse was the bottom of the range? And since they're not kind enough to share their internal plan, it's easy for them to argue that they're at the high end or above the high end of the range. How can we really test that statement."

The period represented the ninth straight quarter of declining admissions for LifePoint, according to Skolnick. It was also another quarter when the expense for patient bad debt rose -- it increased to 12.5% of revenue from 11.3% a year earlier -- "and the trend is not improving," she said.

Goldman Sachs analyst Shelley Gnall said LifePoint missed expectations mostly because of an increase in salary expense, and Wells Fargo analyst Gary Lieberman said the company is inconsistent with its peers in not benefiting from the weak labor market.

"It is perhaps the only hospital company to see its salary expense and other operating expense increase sequentially as a percentage of revenue," Lieberman said.

Goldman's Gnall said the Ebitda margins contracted sequentially far more steeply than average, with the full-year guidance implying atypical Ebitda margin recovery in the historically weaker second half.

Anonymous said...

"It is perhaps the only hospital company to see its salary expense and other operating expense increase sequentially as a percentage of revenue," Lieberman said."
translation: it's coming to a point where lifepoint can't even pay people to work there.

"CEO Carpenter, on a conference call, said growth in the outpatient arena "is the leading indication that our physician recruitment efforts are gaining traction"

What a liar, the only traction the MDs are gaining is on clawing their way out of the God for saken mess of lifepoint..

Anonymous said...

Recently spent some time at another lifepoint facility didn't know it was lifepoint until i asked how things deteriorated so quickly after listening to patients complain.(not martinsville)......verdict , same thing happened there, services,number of RNs, MDs, and staff, decreased to dangerously low levels.

Anonymous said...

Where?

Anonymous said...

ALL within 350 miles

Anonymous said...

C'mon with the cryptic crap. If you won't say where, then it didn't happen.

Anonymous said...

Just what I said all of them within a 300 mi circle of Danville

Anonymous said...

What is Joint Comm after danville for now ?

Anonymous said...

Again, another liar. Your first post stated that you spent time at "ANOTHER Lifepoint facility." Then it was "ALL within 350 miles." Now it's ALL OF THEM within 300 miles."

It's this sort of "I can fabricate and say anything I want" sort of crapola that totally disarms your point of view and invalidates any judgements you make.

Anonymous said...

OK genius, first of all you don't know what I do, second if you aren't smart enough to know geography, READ.
When I say all I mean ALL:
Since you aren't smart enough to know what type of disgraceful corporation you're dealing with here are the hospitals that I am talking about ,
Danville, Danville Regional Medical Center
Martinsville, Memorial Hospital of Martinsville and Henry County
Richlands, Clinch Valley Medical Center
Wytheville, Wythe County Community Hospital

If you don't like the mileage estimates get a GPS.
sorry to disappoint you but not everyone is a liar .

"invalidates any judgements you make."
You just invalidated your own statements with ignorance and assumption on your part...

Anonymous said...

Listen MORON, you said you visited ANOTHER Lifepoint hospital. You tried to mislead everyone that you had actually been to another,
SPECIFIC hospital besides DRMC.

When questioned, you then said all
hospitals. You are a liar and didn't visit any other hospital. You are just making this stuff up.

This isn't about LPNT, it's about YOU. You want to drag everyone else down to your own dispicable and pathetic level of deceit and self-loathing.

You are just a sad, sad person lacking in character and values.

Anonymous said...

"you had actually been to another,
SPECIFIC hospital besides DRMC"

I have and can prove it.
The sad pathetic one is YOU for not seeing the obvious and for obviously going nowhere except into your PATHETIC NARROW MINDED little existence.

"You are just making this stuff up"
Prove it ! I can I have the paperwork.!!

"lacking in character and values."
I have more character in my toenail than you have (obviously) I can also prove that with years of evaluations from those that you cherish the opinions of so much..
DEAL WITH IT , DROP IT and MOVE ON.!!!!

Anonymous said...

"Prove it ! I can I have the paperwork.!!"


"They also said artificial sweeteners were safe. They said there were WMDs in Iraq. And they said Anna Nicole married ...... for love."

(Levon Helm in the movie "Shooter")

Not gonna drop it, Liar.

Anonymous said...

Your recall of pop culture is impressive , your understanding of the truth is ....nonexistent. Ignorant fool.

Anonymous said...

Uh , well said , now what about the Joint commission crawling all over DRMC lately , what happened now?

Anonymous said...

Like I said, it's not over. The above poster has continued to contaminate this blog with his/her lies and intent of mislead the other readers. No proof of anything. They said they visited another LPNT facility, and then, when asked a simple question "where" they began their usual convoluted, illogical and irrational confabulation "all within 350 miles" or was it 300 miles? No matter.

You know, you could have just said "Raleigh General Hospital in Beckley, WV" and no one would have known any different and we would have moved on.

But you're not even smart enough to lie well.

MORON

Anonymous said...

What an idiot , uhmmm joint commision anyone?

Anonymous said...

Well,this idiot is getting a lot of amusement running this woeful little pity-party of a blog into the dumper.

Anonymous said...

glad you're enjoying yourself , now, Joint commission visit anyone ?

Anonymous said...

Joint Commission....no brainer!!! With all the complaints, this will be a "party" for Joint Commission!!!

Anonymous said...

The joint commission needs no new complaints. I am sure they have more than enought to work with. I wonder how Humphries and crew will hide their screwups and violations this time. It wouldn't be the first time. You can only lie, cheat, and change the records so many times before someone catches you.

Anonymous said...

Speaking about lying, "if the shoe fits"!! This is really becoming quite comical I have to say, just occasionally reviewing this blog for a laugh. Seems like some blogger has a personal vendetta!! Just a bunch of garbage, threats, and speculation. Geez get a life.......or make some comments that don't make you sound like an idiot.

Anonymous said...

Here's one from a "new to the blog" poster: Lifepoint is a dispicable corporation that has no business in healthcare.
Solid statement with no valid counter-argument.

Anonymous said...

Solid opinion with no factual back-up...right?

Anonymous said...

opinion based on experience and numbers from quaterly info and yearly losses, especially in danville.

Anonymous said...

"opinion based on experience and numbers from quaterly info and yearly losses, especially in danville."

Financial performance data on individual LPNT hospitals is not publically available.

Anonymous said...

it is privately though

Anonymous said...

"it is privately though"

Perhaps, but probably not to you.

Anonymous said...

You wouldn't know. turn about is fair play.

Anonymous said...

True. I don't know for certain. But I'd bet against it.

Anonymous said...

ohhhh I'm sorry you didn't win but we have lovely parting gifts for you, just like lifepoint does experienced employees.

Anonymous said...

Leave and give up the opportunity to harrass you at random?

Nahhhhh....

Anonymous said...

idiot you're harrassing multiple people...not one

Anonymous said...

Even better - thanks!

Don't you just love these public blogs? Gotta be the best American invention, ever. Right after crystal meth and napalm.

Anonymous said...

both of which you appear to be inhaling etc.

Anonymous said...

goodbye blog , goodbye any hope for a real hospital to return, goodbye danville...

Anonymous said...

Herd a few secretaries were laid off yesterday 9/9/09. Today some nurses were let go and a few were demoted. Any know information on this?

Anonymous said...

uuhhhhh....how did the JCAHO visit go?

Anonymous said...

Apparently DRMC got rid of the nursing float pool. Rumor has it that corporate told them they were 100 FTE's over what the hospital should have. I guess if no patients come to the hospital, you don't need anyone to work there, either. The hospital's volumes and revenue are falling so rapidly that they can't cut operating costs fast enough to keep up.

Anonymous said...

Truth is...DRMC has been allowed to run over the standard from the day they were purchased. If you were to compare to the LifePoint Hospital which was just named top 50 best places to work, you'd be ashamed of how thick the staffing is in Danville. Just more low hanging fruit.

Anonymous said...

Not sure what list that came from CNN list the top 100 places to work in the US. I did not see any Lifepoint Hospitals listed the only single hospital in the top 50 was King's Daughters Medical Center in Norfolk VA ranked 45. I guess if you looked long enough you might find a list they show up on. Say the worst hospital system in the US.
No way would I ashamed of have more nurses at our hospital. Data shows more care givers better care unless they are controled by Lifepoint.
Many of us will go else were for our care untill lifepoint is gone. They only keep new inexperienced personal low pay and old outdated less cared for equipment. Not were I want to go and in trust me life.

Anonymous said...

Most of the Lifepoint staffing ratios are determined at their typical, rural, low-acuity hospitals, some of which do not even have an ICU. These ratios do not translate into larger hospitals such as DRMC, with a much higher patient acuity.

One critical flaw in the LPNT management is that they have no experience actually running hospitals (senior management are lawyers and CPAs, no former hospital CEOs), and as such do not understand the important differences between individual hospitals. What is appropriate at one facility may not work at another. They can't figure that out and is one major reason why they had a - 23.2% return for its investors last year. DRMC is no longer competitive with its surrounding non-profit community neighbors because of its poor quality of care and low level of service to patients and referring physicians. LPNT's "operational excellence" (ie., low overhead) business model has no provision for strategic investment and thus cannot ever succeed in a competitive environment.

Nine straight quarters of declining admissions says it all. Large investors are fed up with LPNT management in Brentwood and it would not be any surprise to see a shake up within the next 18 months.

Anonymous said...

Modern Healthcare Magazine Best Places to Work in Healthcare. This week's edition. Jackson Purchase Medical Center. Danville should be so lucky. Great Hospital in Jackson Purchase area. Outstanding Leadership. Also a Lifepoint hospital. Hmmmmmm.

Anonymous said...

What positions did they cut?

Anonymous said...

Not much of a comeback....

Anonymous said...

The lack of response reflects a general apathy within the Danville community as to what happens at or to DRMC. The people who work there, the physicians and many people of Danville have given up any hope that the hospital can ever actually provide an acceptable level of care. No one cares anymore. We just go to Lynchburg or Greensboro to see doctors and receive care. To many people, DRMC might as well be closed.

Anonymous said...

That Just about said it all. Those that can aford it go else were. Those that can not are stuck with the care at DRMC. I just hope survive that it.

Anonymous said...

Read this on WBTM site:

(DANVILLE) -- DANVILLE CITY COUNCILMAN ADAM TOMER (pictured, left) IS CALLING OUT LIFEPOINT, SAYING THE COMPANY THAT PURCHASED DANVILLE REGIONAL MEDICAL CENTER FOUR YEARS AGO HAS REFUSED TO RESPOND TO TWO LETTERS FROM THE CITY’S MAYOR. TOMER SAYS THE FIRST LETTER, DRAFTED NEARLY A YEAR AGO, PASSED ALONG QUESTIONS FROM THE COMMUNITY ABOUT RECENT DECISIONS AT THE HOSPITAL. TOMER SAYS LIFEPOINT NEVER RESPONDED. HE CLAIMS THEY ALSO HAVEN'T RESPONDED TO ANOTHER INQUIRY THAT WAS HAND-DELIVERED TO THEM BY THE MAYOR FIVE MONTHS AGO. MAYOR SHERMAN SAUNDERS SAYS A MEETING THAT WAS SCHEDULED EARLIER THIS YEAR WAS CALLED BECAUSE OF A THREAT OF BAD WEATHER. HE’S HEARD NOTHING FROM LIFEPOINT SINCE THEN.

Anonymous said...

Hmmm, I see it's SOP as usual at DRMC's administrative suite!

Anonymous said...

uuhhhhh....how did the JCAHO visit go?

Anonymous said...

When is that lackluster CNO Becky Logan leaving? Soon? Maybe a chief nursing officer that is a champion for the profession could be hired?

Anonymous said...

uuhhhhh....how did the JCAHO visit go? Or do you just need more time to craft your latest whining excuses?

Anonymous said...

I for one have not heard anything about the outcome of the JCAHO visit. Perhaps the commission hasn't sent their findings to the hospital yet. Or, just as likely, I'm not in the loop.

Anonymous said...

Did you see the teaser on the front page of today's Register Bee?
"Under the microscope: Resident, city officials have a lot of questions about emergency care"

Well, that might be worth reading in the Sunday paper!!

Anonymous said...

JCAHO has not come yet.

Anonymous said...

Anonymous said...
THE JOINT COMMISSION IS EXPECTED AT DRMC THIS WEEK.
August 4, 2009 6:05:00 AM EST


Guess fellow posters once again really don't nearly as much as they would have us think. Why don't we have an agreement that unless you know fact, you don't post. Sound ok?

Anonymous said...

Gee, where's the fun in that? Then no one would post....

Anonymous said...

Article in the Register Bee turned out to be pretty worthess dribble.

DRMC is saved again by the fact that the only institution in Danville that is worse than the hospital is the newspaper.

Anonymous said...

FYI...the Joint Commission visit in Danville was delayed.....as has been the case,by JCAHO, at two other Virginia facilities. ;-)

Anonymous said...

Let me guess...those money-grubbing for-profiteers in Nashville paid JCAHO to stay away while they recreate every chart and employee file in the hospital. Any conspiracy-theory takers here??

Anonymous said...

There is a "mock" JCAHO site visit going on today at DRMC. Apparently, a group of the "Brentwood Boys" (and girls, of course) will be here walking thru the hospital looking for potential JCAHO violations.

It'll be fun to see if the CNO and CEO can even FIND the patient care areas in order to lead the tour....

Anonymous said...

The CNO participate in leading a tour? Oh no, now THAT is rich!
Of course her trained monkeys will be out in front. On Martha, on Marsha and the best of all Pam !! As what's her name, oh yes, Becky, directs from the office.

Anonymous said...

So it's going around (here in a nearby state) that DRMC is about to close due to lack of services or lack of use by patients/potential patients, lack of hearts, outpatient surgeries etc.
Comments ?

Anonymous said...

No such rumor around the halls of DRMC. While utilization has declined(it's down at many hospitals across the country as well, presumably due to the economy), it appears that LPNT is still able to eek out a small operating profit from running DRMC.

No rumor of a sale, either.

Anonymous said...

yep , lifepoints profit strategy = layoffs = saved salary = profit. need more profit ? layoff more people, funny how the nonprofits are expanding isn't it.

Anonymous said...

yep nonprofits expanding,
for-profits contracting
The country can't support millionaires overinflated salaries anymore ....and lifepoint is loaded with 'em.

Anonymous said...

Apparently somebody got stupid again. A recent patient is talking to an attorney and another lawsuit is about to be filed. Sorry, but can not give specifics yet to protect their identity.

Anonymous said...

Love how we have the identity police now running amock on the blog. Looks like a pitiful power kick. Oh well, if that's what floats your boat...

Anonymous said...

Why did OR management tell staff not to wear OR home laundered scrubb caps when Life Point Corporate was in the building?

Anonymous said...

How are home laundered caps worse than home laundered scrubs? How can you prove scrubs are washed after each use?

Anonymous said...

Home laundered caps are actually cleaner due to the agents used to clean them. the disposable caps are frequently contaminated with the friable fiberglass and other materials they are made from, from other countries such as china and the whole of asia that have no manufacturing standards. just as some of the masks are made of dangerous and sub-standard materials.
As for the order to not wear individualized caps "all heil lifepoint" they want a bunch of no brained robots to do exactly what they say when and with no opinion or thought process, just as the "real" facilities go to shared governance" lifepoint continually marches to a communist state of healthcare. To lifepoint execs: when you learn to do our job then you can have a say, until you acheive the level the staff has best to be quiet, oh and by the way, I am trained to do your job and mine too so don't try the reversal argument.

Anonymous said...

I don't think that you can make the argument that home laundered caps are cleaner. The only real studies out there are about home laundered scrubs (not caps) and no one knows if the scrubs are cleaner or not. However, the infection rate is the same or slightly lower if the scrubs are laundered at home rather than in the hospital laundry.

Anonymous said...

"the infection rate is the same or slightly lower if the scrubs are laundered at home rather than in the hospital laundry"

thank you for clarifying, that actually is my point I just didn't convey it properly....

Anonymous said...

Don't know about you, but I'm thankful to have given up my job for the stupid stuff that the Danville Regional Foundation is doing. I guess you can either die from uraninum mining or being a patient at DRMC. They should study the latter.

Anonymous said...

Seems the momentum of things actually going well at DRMC has finally passed the postings on this blog. Just look at the last 6 or 7 posts and you'll see what I mean. Nice to see positive posts over on the other blog. Sort of a breath of fresh air.

Enjoy the rear view here...

Anonymous said...

I'm not sure what the last poster means. Things are hardly going better at DRMC. Another round of layoffs, the ED is a public hazard and the hospital is mostly empty.

Anonymous said...

Yep , I think that poster is mistaking lifepoint for a real hospital, DRMC is a wasteland..

Anonymous said...

The only difference at DRMC these days is the sense of futility. No one complains anymore on this blog because they know that its a lost cause. That's all that's different.

Anonymous said...

what's the other blog?

Anonymous said...

Home laundered scrubs may be cleaner than hospital laundered ones, but what about the MRSA, VRE, etc that staff takes home on them? Just one of many concerns that OR staff had about home laundered scrubs that were blown off by management and infection control. "How dare you question our expertise?"

Anonymous said...

Does DRMC REQUIRE O.R. personnel to launder their own scrubs at home, or simply allow them to do so if they so desire?

I wear the hospital-supplied scrubs and change every day. I would never dream of taking scrubs home, covered with who-knows-what germs, to be washed with my family's clothes. I think the warning about taking MRSA and VRE home is a good one.

Anonymous said...

O.R. staff is REQUIRED to launder their scrubs at home and have been for a few years now.

Anonymous said...

The MRSA and VRE arguments were blown off by infection control.If I'm not mistaken AORN is totally against home laundering.But I think it was about the cost of scrubs for the hospital and the cost of laundering them.

Anonymous said...

Well, that sucks if you have to carry soiled scrubs home. Most hospitals that have problems with scrubs disappearing use some sort of pass card system to check out clean scrubs and check the dirty ones back in before you can get another set.

Another piece of evidence that DRMC is the worst hospital in the country. Thanks Lifepoint!

Anonymous said...

you have absolutely got to be kidding me. This is so very Danville and even more so this blog. Home laundered scrubs as a practice is perhaps the most thoroughly researched topic in the past decade....that's 10 years for us here in Danville. What drove the idea???? OR nurse preference. Most infection control folks will argue till they're blue in the face...and then you show them the evidence. Fact is...way more MRSA on the floor and how many nurses and aides do you see commonly wearing scrubs outside the hospital. Good heavens, come kicking and screaming into the 90s at least. We'll save 2009 for later. Heaven help us...

Anonymous said...

This isn't a question of whether scrubs laundered at home are acceptable to wear in the O.R. No question that doesn't harm the patients and the infection rate is slightly lower than hospital laundered scrubs.

The real question is: what if I don't want to take my dirty scrubs home after I have been exposed to MRSA, VRE and C-difficle, so that they don't sit in a pile with my kids clothes, drag across the top of the washing machine and can cross contaminate every object in my home and risk transmitting these pathogens to my family?

It's not about the patients this time. It's about my family. Do I have that choice? Or does the hospital simply want to save money by me paying for hot water, detegent and electricity so they don't have to, and thus risk my own family's health?

Anonymous said...

From a letter by Nate Belkin in the AORN Journal(2008):

In the article "Sterilization: Would Your Facility Pass a Standards Audit" (Vol 87, January 2008), the author addresses the laundering of OR attire. He points out that AORN's "Recommended practices for surgical attire" does not recommend home laundering, and he states that "using scrub attire as street wear poses a threat not only to patient health but also to the public at large." He supports this position by citing a study that revealed the ability of Staphylococcus aureus and methicillin-resistant Staphylococcus aureus (MRSA) to live on a variety of fabrics found in the health care environment.

A review of that study indicates that it was designed to determine the life-expectancy of MRSA and vancomycin-resistant enterococci on "commonly used" fabrics. It should be noted that after the fabric pieces were impregnated with the infectious organisms, they were never subjected to a laundering process whose chemical formulation included chlorine bleach. The studies' authors noted the importance of disinfecting these type of fabrics. Thus, the author of the AORN Journal article should have stated not that the scrub attire itself poses a threat, but that scrub attire that has not been disinfected poses a threat.

In fact, AORN's "Recommended practices for surgical attire" does not preclude laundering the garments at home, PROVIDED THEY ARE PROPERLY DISINFECTED BY INCLUDING SODIUM HYPOCHLORITE (IE, CHLORINE BLEACH) IN THE CHEMICAL FORMULATION.

The results of several studies provide reasons to be concerned about the home laundering of scrub clothing. These studies show that

* 95% of clothing is washed in cold water;

* only 15% of home launderers use chlorine bleach;

* dryers in the home setting may not heat to temperatures high enough to kill viruses and bacteria; and

* of 100 home washing machine tubs cultured, 60% tested positive for coliform bacteria and 20% tested positive for Staphylococcus bacteria.

Other studies have found that

* MRSA and vancomycin-resistant enterococci are spread by health care provider's hands, equipment, and clothing;

* MRSA is frequently transmitted to the household by health care personnel who are colonized and

* the uniforms of 65% of nurses who wERe caring for patients with MRSA were contaminated with MRSA.

Wearing contaminated scrub clothing home contaminates the environment (ie, seat belts, car seats, other inanimate objects). A National Institute for Occupational Safety and Health study on washing workwear at home found this practice presents risks for families and communities.

AORN does not recommend home laundering. A professional appearance can be achieved by using a health care organization-approved laundry. If home laundering is done, the American National Standards Institute/ Association for the Advancement of Medical Instrumentation criteria for home laundering should be followed.

The "Recommended practices for surgical attire" is scheduled to be updated in 2009, at which time any new information will be incorporated. Literature supports the need for further research. Serious regulatory concerns exist regarding the prevention of transmission-based infections being brought into the home environment from health care facilities.


In considering the practice of home laundering, it is important that the difference between the terms soiled and contaminated as defined by AORN be clearly understood. Soiled garments are "worn or dirty, especially on the surface. Smirched or stained by body perspiration, body oils, or other substances." Those that should not be laundered at home are those contaminated by "pathogenic organisms (eg, blood, other potentially infectious material) on or in the material."

Anonymous said...

The OR staff had been laundering their own scrubs YEARS before Lifepoint bought us. Don't make this a Lifepoint issue...it began years ago. What's the difference between the OR staff who is gowned/gloved during an OR procedure and a nurse on the floor tending to a MRSA patient? They are exposed to the same types of germs. Nurses launder their own uniforms...

Anonymous said...

I don't think that there are any hospitals around in the surrounding area that allows home laundering.

Anonymous said...

I've been in DRMC OR many many times and worked in DRMC, scrubs were always available laundered for staff. Is this supposedly something new lifepoint is doing to save money to feed the 6 figure salaries ? I wised up and left years ago just after lifepoint bought it(destroyed it) and leaving is the best decision anyone could make.

Anonymous said...

Then maybe you should wise up and leave this blog and leave the discussions to those of us that are still trying to make a difference. Quit standing on the sidelines and throwing rocks. Like poster above said...this was being done waaaayyyyyy before lifepont bought the place.

Anonymous said...

Then maybe you should wise up and leave this blog and leave the discussions to those of us that are still trying to make a difference. Quit standing on the sidelines and throwing rocks. Like poster above said...this was being done waaaayyyyyy before lifepont bought the place.

Anonymous said...

i like what the other poster said...heaven help us!

Anonymous said...

Probably is a bad idea to wear scrubs home, Lifepoint or no Lifepoint.

Anonymous said...

"The OR staff had been laundering their own scrubs YEARS before Lifepoint bought us. Don't make this a Lifepoint issue...it began years ago."

DRMC wasn't a great hospital before Lifepoint bought it. Lifepoint just dragged it down from mediocrity to true God-awfulness.

Anonymous said...

OMG, some real inaccuracies here......SCRUBS ARE AVAILABLE FOR OR STAFF everyday.
It is not a requirement that one home launder.

Let's focus,please.

Thanks.

Anonymous said...

On the contrary, OR personnel are REQUIRED to home launder scrubs. The hospital provided/laundered scrubs are located in the OR locker rooms for physicians, visitors, sales reps and anyone who enters the OR who is not a hospital employee. If a hospital employee is seen wearing hospital owned/laundered scrubs they are chastised by management for doing so. I am an OR employee....and I do know what I am talking about. Also, home laundering did not come about because of OR employee preference. We were made to purchase and home launder our own scrubs in order to save DRMC money. Do not post on this or any other subject if you don't know what you are talking about. Again, I work in the OR and I know what I'm talking about.

Anonymous said...

There you have it. Seems like a cost-cutting move. Also seems like we ARE focused, thank you very much.

Anonymous said...

"this was being done waaaayyyyyy before lifepont bought the place."

Your stupidity to do so. In all my time there DRMC has always provided scrubs, and as for throwing rocks , if you think you are making a difference , well... enjoy that fantasy world....

Anonymous said...

I've never "home laundered" my OR scrubs and I work there, everyone gets scrubs, never heard of ANY hospital not providing scrubs...

Anonymous said...

"Then maybe you should wise up and leave this blog and leave the discussions to those of us that are still trying to make a difference" What an idiot, nothing can be done to salvage what is left of this joke of a hospital. Lifepoint has destroyed all credibility, cut services, and then put several jokes in charge until they found the biggest joke of them all....Humphries. We want "our" hospital back and Lifepoint out of here, when are you going to face up to that. Until it happens, the people who have common sense will go elsewhere.

Anonymous said...

Honey, you ain't in Kansas and it ain't your hospital;never was.
I war my hospital laundered scrubs.....EVERYDAY I WORK THERE.

Anonymous said...

So, I still don't know the answer:

Does DRMC allow O.R. staff (not surgeons or guests) to wear hospital laundered scrubs, or are staff REQUIRED to launder their own O.R. clothing at home? Or, is home laundering OPTIONAL for DRMC staff?

Which is it????

Anonymous said...

If you don't know, then you must not work here and....you just don't matter.

Anonymous said...

This is really quite comical, are we just looking for SOMETHING to complain about?? Scrubs??? are you serious?? Who the heck cares, who washes them or where they come from!! You can find any type of document or statistic on anything you want nowadays! Doesn't mean it happens! Get real, if this is what you are using to drag the hospital down you are really searching.
Oh hey, I saw a piece of paper laying on the floor the other day on one of the floors! Geez I guess they are reducing housekeeping!
Or how about, one less green bean on a patients tray?? Reduction in food service?
Or printer ran out of paper,couldn't find a pen to write with, reduction in supplies?

Anonymous said...

Hey that is really funny!
Got to agree with the above post!

Anonymous said...

Watch out...every time a voice of reason appears here those nattering nabobs of negativism appear.

Anonymous said...

The home laundered scrub issue came about as the result of the original question that was never answered: What is the difference in wearing home laundered scrubs and cloth hats that management made staff hide during their corporate visit? Why is it ok to wear home laundered scrubs but not hats? Just an example of how management "covers" up certain issues and how this particular issue doesn't make sense. Also....anyone who says they wear hospital laundered scrubs is NOT an OR employee. Maybe managers of certain departments allow their employees to wear hospital scrubs but the OR employees are NOT allowed to do so. And as for really needing to dig deep to find something to complain about.....the point is that OR management doesn't care and will not hear employees concerns about taking certain organisms home. "The OR is a controlled environment" is the philosophy of those who don't work there and don't know.

Anonymous said...

oh geez educate yourself, it is no different than every where else!!
This controversy has been going on for the last 20 years, nothing new!!

Anonymous said...

If home laundered scrubs are cleaner that hospital laundered ones, does that mean patients should bring their own bed linens with them to the hospital because they will be cleaner than the hospital supplied/laundered ones?

Anonymous said...

"you just don't matter"
That's pretty good to say to a potential customer of the facility...you must have learned from lifepoint.
"it ain't your hospital" It was , families and entire generations paid for and built that hospital until 5 idiots stole it and sold it for play money.
FACT: DRMC and every other facility provides scrubs for their employees ALL employees...
FACT: environmental services HAVE been reduced to nothing as has every other service, ya don't need them when people don't come.

Anonymous said...

Bad attitude from employees who can't even agree on whether they are required to wash their O.R. scrubs at home, crappy and apparently disingenuous mangagement, ER waits that take a calendar to measure and a patient census that you can (almost) count on your fingers and toes.

Why does LPNT even try to keep that disaster of a hospital open?

Hospital executives at Centra, Moses Cone, Carilion and Duke will get together and send "thank you" Christmas hams to Bill Carpenter, David Dill and Scott Raplee. Maybe two hams for Raplee...

Anonymous said...

Maybe you should try to find out a lot more about folks before you make a disparaging remark like that. I don't work for Lifepoint, but I know Scott. Chances are, you couldn't carry his jockstrap. Typical Danvillian comment.

Anonymous said...

Staff on the nursing units wear home laundered scrubs to work and back home every day. They are exposed to much more bacteria than the OR staff. So OR staff, are you saying it is OK for us to be exposed and carry it back home to our family but not you? What makes you any better than us? Studies have shown that home laundered scrubs are just as clean if more more so than hospital scrubs. Would you want to wear clothes washed with feces, urine, wound drainage, etc?

Anonymous said...

Raplee is an idiot that doesn't know the first thing about running a successful hospital. The LPNT leadership is running the company into the ground.

Anonymous said...

Idiots are as idiots write.

Anonymous said...

you should change that to idiots are as idiots cant see the truth the poster that said "as writes" obviously cant see the truth.
Oh and lifepoint isnt running it into the ground they did that already a 100 times over.

Anonymous said...

Hey, did you read that joke of a letter to the editor about lifepoint hiring "quality doctors"?

Anonymous said...

Mark my words, Carpenter, Dill, Raplee and the crew will be on the street within two years because they cannot produce value for the LPNT shareholders. You heard it here first.

Anonymous said...

"Hey, did you read that joke of a letter to the editor about lifepoint hiring "quality doctors"?"


With all do respect to Dr.Campbell (and there is a lot of respect for him) LPNT and DRMC have trouble recruiting physicians in part because LPNT refuses to actually employ doctors. Stark laws only apply if you set the docs up in practice, and not if you employ the doctors directly. Lifepoint in general does not choose to employ doctors because they don't want the financial risk, instead preferring to transfer that risk to the physicians. As such, the company limits their ability to recruit true "quality" physicians to our community.
Six or seven of the ten docs Dr. Campbell refers to are hospitalist physicians who do not actually see any patients outside DRMC, and do not contribute to restoring or expanding the level of medical service in Danville.

If LPNT would put their money where their mouth is, things might change in Danville.

Anonymous said...

No, the OR staff is not saying they are any better than others with regards to home laundering scrubs. But, bottom line, AORN standards do not support this practice. PERIOD. How do you tell the OR staff that they cannot wear artificial nails because they are against AORN standards but you must wash your scrubs at home (which is also against AORN standards) because we want to save money? You devalue all of the standards when you pick and choose which ones you enforce/follow. If you don't have to practice one particular standard, why do you practice any at all?

The hospital does require all employees to purchase and launder their own scrubs. As with everything else at DRMC, it depends on who you are if management actually enforces this practice. Certain employees are allowed to wear the hospital scrubs just because management allows them to get away with it. Not all employees are treated equal.

Anonymous said...

Recruit quality physicians? Don't see that happening. A physicians reputation can not be any better than the hospital he is affiliated with and we all know the quality of care at Lifepoint!!! So, the substandard care will continue.

Anonymous said...

What would you like to bet they'll still be here and you'llstill be whining in 2 years. Just remember...you heard it here first.

Anonymous said...

The following is reflective of the current environment present thru out the divison of nursing at DRMC. It's impact is deeper in some areas vs others,but is an accurate assessment of the current state of the division.
A recent article in a nursing publication speaks to "lateral violence" (nurse-to-nurse violoence or bullying) in the workplace. This is disruptive behavior that interferes with effective healthcare communication and threatens a culture of patient safety. Lateral violence is counterproductive to quality health care and has a negative effect on the health and well-being of health care professionals as well.
Examples of lateral violence include;
>nonverbal innuendo (behavior that may disregard or minimize another nurse ) {sit in on a nsg leadership mtg sometime}
>verbal affronts
>undermining attempts {jockeying for position}
>undermining activities
>withholding of information !!
>sabotage
>scapegoating !!
>backstabbing !!
>failure to respect privacy and
>broken confidences

The Center for American Nurses position statement on lateral violence asserts that these behavioors are "toxic to the nursing profession" and contribute to an organization's ability to retain quality staff members.This is of particular concern at a time when there is a shortage of qualified nursing professionals.
A Joint Commission survey revealed 77% of respondents had witnessed disruptive behavior in physicians and 65% of respondents had witnessed similar behavior in nurses.The same survey recognized that nurses are primarily bullied by physicians, yet nurse-to-nurse hostility was not uncommon. An additional survey by the American College of Physician Executives revealed that 38.9% of respondents admittted that MD's who generate high amounts of revenue are treated leniently when they exhibit negative behavior.
Studies show the primary reason lateral vioence is widespread among nurses is they do not the bavior as something to be corrected. It is often accepted "as the way things are.." expressions such as "nurses eat their young" have long been a hallmark of the profession, which is ironic in a profession that prides itself in being a caring and nurturing community.
Factors that contribute to a workplace setting of this type are often; high patient acuity, stress of of patint care, a shortage of EXPERIENCED personnel and others that allow negative behaviors to be more easily concealed.

Anonymous said...

to the above poster that wrote "you'll still be whining..." we'll... there's the research and it's not whining. You don't understand the problem with lifepoint, it breeds this activity by coersion and well... backstabbing and an environment of fear. Or are you one of the bullies....

Anonymous said...

"Maybe you should try to find out a lot more about folks before you make a disparaging remark like that. I don't work for Lifepoint, but I know Scott. Chances are, you couldn't carry his jockstrap. Typical Danvillian comment."

I suspect that some of the upper echelon corporate types are lurking around the blog....

Who else would get bent out of shape about the Raplee comment? Very few "Danvillians" even know who he is....

Anonymous said...

Lateral violence is exactly what goes on and is tolerated in the OR. Employees have been to management complaining of how they are being treated by other employees and are told, "that's just the way he/she is. Just deal with it."

Anonymous said...

The top echelons at Lifepoint are not capable of managing people. Humphries is non-responsive to the issues because either he doesn't care or Jess Judy above him is tying his hands. Humphries assistant either will not make a decision or is prevented from doing so by his superiors. Either way, management is among the worse in corporate America and needs some serious direction changes if this hospital is going to recover. I sort of doubt that recovery is possible without a sale.

Anonymous said...

Couple of things re: above post. Jess Judy is no longer over Humphrey or DRMC. He's been moved elsewhere in the company.

Secondly, it is very unlikely or impossible that DRMC will (ever) be sold by Lifepoint. They way overpaid for the hospital (perhaps as much as $50 to $80 million) and if Lifepoint sells the hospital, they will need write that loss off during the quarter in which the sale is made. Lifepoint executives will never take that kind of hit against the bottom line. (Perhaps because it would reveal how little they know about buying and running hospitals.)

Anonymous said...

" suspect that some of the upper echelon corporate types are lurking around the blog....

Who else would get bent out of shape about the Raplee comment? Very few "Danvillians" even know who he is..."

My friend: you highly overestimate the interet level of any senior exec in this blog. You failed to read my post. I DO NOT work for LifePoint, but do know Scott Raplee. Your disparagng comments re: two turkeys for him go far beyond usefulness on this blog and demonstrate the level of competence that faces any business attepting to do business in lil ol' Danville.
What a concept it would be for us to try for a week to turn every post into something constructive. Naww....that would be way to hard.

Anonymous said...

How do you join the OR flower club?

Anonymous said...

Couldn't think of anything constuctive or find anything constructive here so did not post for a week.

Anonymous said...

The only constructive thing that could ever come out of DRMC now is the news release of a sale of the hospital.

Anonymous said...

The Nashville Post
October 22, 2009

Analyst blasts LifePoint's management

Now at Pali Research, veteran researcher calls leadership weakest in sector, sees no earnings growth in coming year

By Erin Lawley



Veteran hospital analyst Sheryl Skolnick has initiated coverage on Brentwood-based LifePoint Hospitals with a 'neutral' rating based primarily on concerns about the hospital company’s management team.

Skolnick, a two-time winner of the Wall Street Journal's "Best on the Street" survey, was blunt in her assessment of LifePoint's prospects. We'll let her do the talking.

“LPNT distresses us. We see the company as having the weakest management in the sector based on a track record of poor physician relationships, deeply troubled acquisitions, poor quality scores and a lack of operating experience anywhere in the ‘C-Suite.’ We are troubled by management’s seeming inability to admit when it has had a poor quarter and by the significant decline in YTD cash flows. Therefore, we are not surprised that earnings have been relatively flat for the last three years and probably will be again in 2009 and 2010.”

The consensus among analysts covering LifePoint is that the company will grow profits per share 8 percent next year to $2.63.


Skolnick, who has 21 years of equity research experience, joined Pali Capital's equity research group in September after working more than three years with CRT Capital Group. She wrote that Pali would become “more aggressively negative” if LifePoint acquires more hospitals. That, she said, would compound the problems the company is having in managing the hospitals they already own.

As of June 30, LifePoint owned or leased 48 general acute care hospitals in rural communities throughout the country. The company's shares (Ticker: LPNT) have risen 36 percent this year, almost double the S&P 500 but 100 percentage points less than its closest peer, Brentwood neighbor Community Health Systems.


The only positive Skolnick mentioned was the company’s relative lack of leverage. Its secured leverage ratios and total leverage ratios are the lowest in the sector.
__________________________

Anonymous said...

As if there was any doubt how poor of a corporation LPNT is ....

Anonymous said...

It's nice to see an "expert" in the industry confirm what we already knew. We have seen first hand in Danville just how sorry LPNT management is. They are non-responsive to urgent issues, don't care about staff and worse yet, uncaring about patients.

Anonymous said...

See todays article ? A flood of doctors coming to danville ? Oh Please , this is sensationalistic journalism at it's best !!!!

Anonymous said...

They did not include the fact that 2 docs they recruited are in the process of leaving now and that DO residents fill some positions. It was pretty sickening to read. You can't count on 2 hands the great speciality MDs they ran out of here. And they replaced those with people that don't understand our language or culture.

Anonymous said...

Not only that, almost all of them are" hospitalist". Ain't that a shame.

Anonymous said...

So let me get this straight...Three physicians (an Omcologist, and ENT and an Internist) are featured in the paper ("Local doctors divulge on Danville’s draw") and why they like coming Danville and someone on this blog is going to find something inherently negative about this piece of good news. Calgon, Take me away. It just never ends with the negativity that courses through your veins, does it??

Anonymous said...

Actually, yes. The article is misleading. Not to take anything away from Dr. Smith or Farmer or Rosen, but of 25 physicians recruited by DRMC, 16 I believe are hospitalists. That means they staff the hospital and do not take care of patients outside - you can't call them and make an appointment to see them. They only take care of patients once they are hospitalized at DRMC. Many of them are needed because so many of the internists and family doctors no longer go to the hospital to see patients.

Of the nine or ten doctors hired by DRMC in the last two years who work in the community, two have already decided to leave. Not to mention 4 or 5 of the hospitalists as well.

Hardly a healthy medical community.

Anonymous said...

Hospitalists are such a typical model these days....you act like they're out of the ordinary. Is Danville just that special that they won't work? Sounds like a phrase I heard recently...terminal uniqueness!

Anonymous said...

Hospitalists tend to be fly by night, here only short term to have school loans repayed quickly as a bonus for being in a medically underserved area.
The typically have poor communication skills and NO interest in the area, seen too many examples of this in various hospitals. And DRMC is unique it's SURROUNDED by TOP NOTCH teaching, non profit, facilities that are on the cutting edge, Danville was appropriate for it's niche, now it's a horrible loser in the game.

Anonymous said...

"Hospitalists are such a typical model these days....you act like they're out of the ordinary. Is Danville just that special that they won't work? Sounds like a phrase I heard recently...terminal uniqueness!"

No,that is not what I meant at all. The claim by Lifepoint that they recruited 25 physicians to Danville is inflated by the fact that 2/3 of the 25 are hospitalists, who solely staff the hospital but are not available to meet the medical needs of the Danville community. Only about 9 or 10 of the docs that DRMC recruited ACTUALLY SEE PATIENTS outside the hospital.

Of those nine, two have already decided to leave.

The article is misleading.

Anonymous said...

They failed to mention we have lost 2 Oncologists.

Anonymous said...

Next whine...
Would you like some cheese?

Anonymous said...

with lifepoint running things it'll be government cheese smart@#!...

Anonymous said...

whine whine whine. Nothing is good enough is it! You whine because you want physicians, we get them, then you complain about their ethinicity or their language or their practice. Do some research and educate yourself as to what is going on in hospitals across the country and maybe look outside of this 100 mile radius. Compare us to facilities same size in cities the same size with the same general negative "attitude".
In this economy, I think many people are just glad to have industry and jobs in their area. I am relieved that at least we have a hospital in this area which provides needed jobs to a lot of people. Maybe you should look at things from a different perspective. At least you have a choice where you want to go! If you would rather go to another facility that is your choice, but lets not forget that a lot of people depend on this hospital for their care and jobs!

Anonymous said...

It is true that many in our area rely on DRMC for jobs and for care. A lot of people worked for Enron and Bernie Madoff, too. Hardly justification for running a crappy hospital that gives poor care, treats it's employees poorly and whose management looks down its nose at the very people it is dependent upon to survive.

Lifepoint is an awful company that is lead by people who do not even understand the very industry in which they work. It is very unlikely to survive in the highly competitive environment of health care in the years to come.

That doesn't help us much in Danville, of course. We'll just continue to drive to Lynchburg or Greensboro where we can find world-class care provided by organizations that are responsive to the needs of their customers.

Anonymous said...

Very well said .
Settling for substandard staff members (mostly not the case)the loss of jobs(has and will happen after each CEO bonus), or substandard management of a facility (definitely the case) from a corporation running a facility built by donations of the citizenry is criminal.It is settling for last place.

Anonymous said...

You may call it whining, but when the physician doesn't speak the language well a lot is lost in translation. Personal experience is one not understanding the questions and therefore no answers. We need quality physicians and won't get them until we have a quality hospital.

Anonymous said...

Go to Duke and ask if they any eastern Indian physicians there.

Quit generalizing...borders on racist.

Anonymous said...

" We need quality physicians and won't get them until we have a quality hospital."
Sorry, why would any "quality" physicians want to come here with this general "negative" "racist" attitude. Its not the hospital or the owners its "you". "You" are the problem here, can't move forward, don't really want change.
" from a corporation running a facility built by donations of the citizenry "
get over it already, running a dead horse into the ground, how many years before you let this go!
Really was going down hill in the end, do you not remember,or were you so oblivious that you had no clue,take your blinders off.
Of course I guess it depends on what position you were in! Us "caregivers" knew what was going on. Things were "NOT" as great as you think.

Anonymous said...

I would have to agree with the above posting that DRMC was never a top-tier hospital and was on the decline before LPNT bought it.

HOWEVER, Lifepoint took a mediocre hospital and turned it into a filthy,inefficient, low service death trap.

The company hired burned-out, has-been administrators to run the local facility because LPNT couldn't get anyone else to take the job, and they knew the CNO and CEO couldn't get jobs anywhere else, so that took care of the turnonver problem (was it 5 CEOs in 5 years?). Then, they tied their hands anyway, imposing arbitrary personnel and operations benchmarks that prevent anyone from improving the level of service and care that it is provided at that hospital.

Yes, DRMC wasn't all that great before Lifepoint. But Lifepoint made it the worst hospital in the United States.

And Lifepoint did it with a macabre efficiency that rivals the Nazis and their death camps.

Does anyone else find it interesting that you never see the name "Lifepoint" at the hospital or in DRMC advertising? It's as if the company doesn't even want its name associated with such a dump (eventhough they created it and profit from it). Kinda like absentee slum lords, I guess. They pocket the rent money, never come around or deal with the leaky roof and rat infestations, and then deny to friends that they own the property in casual conversation over drinks at the golf club.

Anonymous said...

Somewhat of an insider view perhaps?
In the case of the CNO (Becky Logan) yes, she alsmost didn't get hired even here. She has a blemish on her license from her employment in Georgia. (Public Record)
Then, too, talk with her or watch her in a meeting.Antsy, antsy,antsy. Then again, she'll let loose her monkeys on you if she feels threatened.

Anonymous said...

any idea why she doesn't show up on the nurse license look up as a licensee ?

Anonymous said...

Try looking up Gladys Rebekah (Becky).......reprimand in Georgia

Anonymous said...

https://secure.sos.state.ga.us/mylicense%20weblookup/docs/2000_0933_rn084175_001.pdf

Anonymous said...

Hmm... sounds like we got us a mole!!

Anonymous said...

Not necessarily. All this is publically available thru internet search engines.

Anonymous said...

Makes me wonder why someone would even post this link??? Seems kind of underhanded to me, just trying to dig for things and push people under the bus.

Anonymous said...

"Makes me wonder why someone would even post this link??? Seems kind of underhanded to me, just trying to dig for things and push people under the bus."

Oh come on! It is simply a matter of public record - no one is trying to push anyone under a bus. Everyone is free to go and look at the document and draw their own conclusions:

While the CNO at Spalding Regional Hospital in Georgia, Ms. Logan allowed (unlicensed) nursing students to administer medications to patients. This was a violation of state law, and Ms. Logan was given a public reprimand for allowing this to take place in the hospital.

She didn't lose her job over this, and in fact a year and a half later was promoted to Chief Operating Officer at Spalding.

All-in-all, probably a minor issue that was put to rest in a straight forward manner.

Anonymous said...

oh yeah, my mistake, this is so insignificant, lets move on..

Anonymous said...

yeh . insignificant unless it's your family , or you getting the meds from someone unlicensed.

Anonymous said...

I just heard that another Doctor is leaving Danville. OB-Gyn doc. ???

Anonymous said...

Anyone see that ad in the paper for Centra heart doctors coming down from Lynchburg to Danville to see patients? I've seen them a couple of times over the past week or so. Is Centra going to buy DRMC?

Anonymous said...

We Can Only Hope.

Anonymous said...

www.centrahealth.com

Vandyke is the medical director in Gretna, Nygaard is the director in Lynchburg.

Patient & Visitor Centra Medical Group - Danville
Centra Medical Grouup - Danville provides you with direct access to cardiologists, a neurosurgeon, urologist, orthopedist, occupational rehab, and physical therapy at a convenient location in Danville. We are a part of Centra's non-profit health care system, and we are dedicated to serving you and this community with our award winning care. If you need a specialist, give us a call today.

Our Physicians
Tom Nygaard, MD, Cardiolgist

Michael Valentine, MD, Cardiologist

William Van Dyke, MD, Cardiologist

James C. Dunstan, MD, Rehabilitation

Andrea A. Stutesman, MD, Occupational Rehab

Shawn Clark, MD, Neurosurgeon

David Leffke, MD, Urologist

Centra Medical Group - Danville
404 Airport Drive, Suite C
Danville, VA 24540
434.797.1383

Anonymous said...

Centra buy DRMC? Laughable.

The rest of us live ina world called free market economy. Why buy it when you can just take it??

Anonymous said...

Centra could put DRMC out of business in 90 days if they want.And with the docs coming and sending patients to Lynchburg it looks like we may be free of this joke of a hospital...... soon?

Anonymous said...

Centra brings specialists to Danville

Tara Bozick tgomes@registerbee.com

By Tara Bozick
Published: December 10, 2009

Centra Medical Group opened a Danville facility to bring some medical specialists to the area.


Centra noticed an increase in Danville area residents coming to Lynchburg last summer, said Skip Leavitt, vice president for physician practice management. While health care providers can always expect some residents to go to other cities for care, the numbers were steadily increasing.

Then, Dr. Paul Settle of Piedmont PrimeCare called to let Centra know he was having trouble getting patients appointments with certain kinds of specialties in Danville.

Some specialists in Danville had left town, Leavitt explained. Centra started calling physicians in Danville to gauge the need and to assess whether they should send specialists to the community.

“We’ve been very welcomed,” Leavitt said. “A lot of the other doctors are feeling stressed as well.”

Now, Danvillians can see a neurosurgeon, urologist, orthopedist, physiatrist, physical therapist or cardiologists at the Centra offices at 404 Airport Drive in Suite C next to Piedmont PrimeCare. The office opened in March.

“The message that we’re getting is that there’s a need for services. So, we’re trying to respond,” Leavitt said. “Part of our mission as a not-for-profit hospital system is to do what we can.”

Centra works with Piedmont PrimeCare and receives referrals from other physicians in the Danville area. The medical group accepts private insurance, Medicare and Medicaid. Centra operates facilities throughout the region, including Gretna.

Dr. William Van Dyke Jr. appreciates taking a part in expanding access to health care services for the Danville area. He is one of four cardiologists who rotate coming to Danville on Wednesdays from The Cardiovascular Group in Lynchburg.

Patients can do testing at the Danville office. Surgery and more intense studies are still performed in Lynchburg. He simply enjoys taking care of people and stresses prevention because once someone gets cardiovascular disease, it’s never really cured, just treated.

“People are very nice. They’ve been really receptive,” he said about Danville. “We are just getting started.”

Mildred Brooks of Chatham accompanied a friend to a cardiovascular appointment at the Centra office in Danville on Wednesday. She thinks residents will appreciate having specialists nearby instead of having to travel to Lynchburg.

“I think it’s great,” Brooks said. “It gives you more choice.”

Centra specialists who offer services in Danville:
• Shannon Jones, physical therapist
• Dr. Andrea A. Stutesman, physiatrist
• Dr. James Dunstan, orthopedics
• Dr. David Leffke, urology
• Dr. Shawn Clark, neurosurgery
• Dr. William Van Dyke Jr., cardiology
• Dr. Michael Valentine, cardiology
• Dr. Thomas Nygaard, cardiology
• Dr. Matthew Sackett, cardiology

If You Go
• Centra Medical Group
• 404 Airport Drive in Danville
• Office hours from 8 a.m. to 4:30 p.m. Monday-Friday
• Physical therapist on-site five days a week.
• Appointments preferred, but urgent walk-ins welcome.
• For more information, call (434) 797-1383.

Anonymous said...

the end of lifepoint has begun !

Anonymous said...

The next response will be from the Moses Cone system, which receives the majority of referrals for patients with heart problems from Danville. Watch for them to move into Danville with some specialists, or perhaps buy one of the local cardiologists' practices and upgrade it with new doctors.

The good news? Danville will finally start getting some decent medical services that the local doctors and local hospital can't provide.

Anonymous said...

Are two OB doctors leaving? Who else?

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Anonymous said...

Moses Cone is no longer interested. In the beginning of this mess MCHS was seriously considering Danville. DRMC has been driven so far into the ground by Lifepoint,the costs to revive it would be outrageous. Until this country gets the health care issue resolved, I will bet you nobody will step up.

Don't forget to "Thank" the men that sold it out from under us....

Anonymous said...

You are correct, no one is going to buy DRMC. It is more valuable to Centra and Moses Cone as a force for drving patients into their facilities than it would ever be if one of them bought it and had to bring it up to standards.

The great thing is that Moses Cone and other hospitals in the surrounding communities will have to respond to Centra's move into Danville, or risk losing patients. That means that they, too, will put specialist offices in town and we will finally have access to some good doctors here locally, rather than the group of quacks that have clung on with Lifepoint.

As for DRMC, it's a goner. A hollow memory of better times, like the White Mill and Dimon.

Anonymous said...

No, there will be no Moses Cone employed physicians setting up office in Danville.
CONE DOES NOT want to seek licensing,etc to do business across state lines.

Perhaps some independent provider from the Guilford county or surrounding area who REFERS TO a Moses Cone facility will seek an office in Danville.

Anonymous said...

Then Centra has the Danville market to themselves. No problem; they're a good outfit and will serve the area well. Glad they're finally here.

Anonymous said...
This comment has been removed by a blog administrator.
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