The Feds Are Pretty Sure Parkland Hospital Won't Kill You Now

Categories: Healthcare

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Parkland Memorial Hospital, the Dallas County-run hospital, has had a rough go of it the past few years: the psych patient dying after being illegally restrained; the tainted vaginal instruments; the resident whose sexual assault of a patient was swept under the rug; the federal government's declaration that the hospital "has caused or is likely to cause serious injury, harm, impairment or death to a patient." As if that wasn't enough, The Dallas Morning News spent the year pounding on the hospital with series of scathing editorials and in-depth investigative pieces.

It's high time for a dollop of good news, which arrived today: After two years facing a hospital-shuttering loss of federal funds, the Centers for Medicare & Medicaid Services have given the all clear. In a letter to hospital administrators today, the agency declares Parkland to be in "substantial compliance" with federal regulations.

"Parkland is where it needs to be," said David Wright, deputy regional director for the U.S. CMMS, told the Morning News. "They've put themselves in a position to provide sustainable safe care."

In other words, the feds no longer think a trip to the hospital will be detrimental to your health, which counts as a ringing endorsement given recent history. Just as important, the announcement gives Parkland the freedom to focus on other things, like convincing the public to go along with that Calatrava-style arch over Harry Hines.


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25 comments
DebbieDummyBrainless
DebbieDummyBrainless

The truth about Parkland is that they really didn't demonstrate any improvements in areas of serious deficiencies or fundamentally change their culture to pass this resurvey with CMS. 

They pretty much had to agree to shut down their own operations in key areas (e.g., psychiatry, urgent care, ER, kitchen, food services, etc.) and outsource those services under CMS's watch to private physician and other private hospital groups (i.e., Green Oaks Hospital, EmCare, ESP, private venders, etc. etc....)

Imagine that. A public safety-net teaching hospital outsourcing all their troubled services to private venders. That doesn't demonstrate any confidence in their affiliated academic partner, UT Southwestern.

Anyone could have passed a final inspection if they did that.

devtrentner
devtrentner

Parkland: Run by white people to kill black people. If minorities or the poor cause a ruckus in Dallas, all the rich whites have to do is restart the Parkland orgy of death.

holmantx
holmantx topcommenter

Parkland is too big to fail.

The Feds had no choice.  Parkland's neonatal unit ALONE births 10 to 15,000 babies a year at $4 to$6,000 a pop, half of which is covered by the federal taxpayer (Medicaid).  And that's just a small chunk which is reimbursed by federal tax revenues and deficit borrowing.  Soon, the state of Texas will have toi pick all that up, once Obamacare fully kicks in.

They are NOT going to cut that off.  This Administration?  I think not.

Local taxpayers could not come even close to covering the annual costs of running that behemoth.  It is a government operation.

Besides, a new funded with bonds Parkland is coming out of the ground to replace the old physical plant.  We can't pay for that locally.  Not even close.  Not even if we drill, baby drilled and dedicated the proceeds to Parkland.

Parkland needs every indigent and illegal they can get their hands on in the count to show the Feds how much money they deserve.

Like the VA system, its a government hospital and the services it provides is as good as it gets when you sell your soul to the public store.

(see: the UK's National Health Service.  It's 52 years old and is a wasteland).

Soon, we won't have private healthcare as a more expensive alternative.  Ich ben ein Parlanders now (we are all Parklanders now).

ParklandRocks
ParklandRocks

GREAT NEWS!  Finally the hard working and underappreciated folks at Parkland can go about the business of running a top-quality hospital!  It's been a long time coming - if you read the DMN, you'd think it was a horrible place, but most people I know would choose Parkland over any other Dallas area hospital if they were in need of urgent care. Congratulations to everyone!!

DrFarnsworth
DrFarnsworth

Once all the fraud and safety monitors are gone from Parkland in five years, the Parkland orgy of death will rise again. There's no disagreement about that.

Parkland's motto is: Metrics, smetrics. Where will we find more cheap live cadavers for our medical students and trainees to experiment on?

devtrentner
devtrentner

@bvckvs Parkland has earned all the heckling they've been getting. "Too big and too important to fail." Anybody who is taught to be that arrogant to their patients by their own corporate culture deserves all the jeers they can get.

mavdog
mavdog topcommenter

@holmantx 

"we can't pay for that locally"

Parkland bonds are given an AA+ rating, which was an AAA rating until the operational audit mentioned in the article was ordered. They will likely get the AAA rating back now the audit is done. The underwriters refer to the large, stable tax base of Dallas County,

Parkland has ended the year with positive cash flow the last few years.

chicken little, the sky is not falling.

devtrentner
devtrentner

Same arrogance as usual. Parkland is more important than the people they kill. Where have we heard this message before?

ScottsMerkin
ScottsMerkin topcommenter

@ParklandRocks you are kidding right?  I know there are great doctors and nurses there, but Parkland is the last place I'd choose to go, if given a choice.

devtrentner
devtrentner

@mavdog @holmantx Which is why Parkland lost $5.3 million just in the month of June (one of the busiest months of the year.) Apparently, private paying patients are leaving the hospitals in droves.

Fitch will also have to look at the hospital's 5-year CIA federal probation. I don't expect Parkland will get its AAA bond rating anytime soon. You have to do a lot more than not killing your patients for that.

holmantx
holmantx topcommenter

@mavdog @holmantx 

What are the sources of revenue for Parkland?

where does the money come from to operate Parkland?

Why would the spectre of a loss in federal support influence the rating of the underlying bonds?

Parkland is too big to fail.  At least, not on this Administration's watch.  Unless it can be demagogued and blamed on Texas.

like West, which was milked for all it could then FEMA suddenly finds the money or God steps in and waives the requirements in this case, and the sycophants drop and pray to Washington D.C. 

WE'RE NOT WORTHY

holmantx
holmantx topcommenter

@devtrentner Same moronic blather.  Don't know where the money comes fro.  Don't CARE where the money comes from.  Don't understand why the state of mind at Parkland exists in the first place, how it got there, why it cannot be "world class" and, what's for lunch?

People, you get what you deserve.  You want government to take care of you.  This is as good as it gets.

roo_ster
roo_ster

@ScottsMerkin @ParklandRocks Last place to go for minor ailments & minor surgeries, for sure.

Still the FIRST place if some thug just shot you in the gut or your Prius got T-boned by a drunk illegal driving a pickup with his extended family in the truck bed.

The upside to all the non-asian minority shootings and DUI wrecks in Dallas is that by the time some taxpaying solid citizen gets caught in the crossfire, the docs at P-land have had a lot of practice.

devtrentner
devtrentner

@mavdog @holmantx The drop in the bond rating is considered bad news to Parkland. It pretty much shows that their scandals are really scaring their creditors, so they will have to pay millions more for interest on bonds. WOMPwomp!

mavdog
mavdog topcommenter

@holmantx 

you ask questions that aren't very hard to answer if you take the minute to look....

http://www.parklandhospital.com/whoweare/pdf/AR_2012.pdf

the ratings were lowered for the issue of uncertainty. uncertainty in expenses, uncertainty in the future operation. AA+ is a very, very high rating. what is called "institutional quality".

the mantra "too big to fail" is a joke. too important to shut down would be appropriate, but then that reality doesn't fit your desire to bash everything you can somehow in a convoluted way tie to the current Administration, and to wail about the financial apocalypse you see happening.

and really, a Wayne's World reference? my gosh..

devtrentner
devtrentner

@whocareswhatithink @ScottsMerkin @ParklandRocks Wow! You've got to be off your rocker. With all the problems they have with infection control, Parkland is the last place I'd go to if I had any kind of cut or wound. They don't wash their hands.

Christ, even their food was found to be unsanitary there! They had to spend some $2 million to outsource their kitchens, so that CMS wouldn't close them down!

roo_ster
roo_ster

@ScottsMerkin @roo_ster @ParklandRocks Not the smart move.  If it is trauma, Pland is all over it like white on rice.  Do you want the doc at PvtHospital who has done a score of those operations in his career, or the doc at Pland who did a score LAST MONTH?

They get more practice and they attract surgeons who love the blood & guts of trauma.  And Pland is where they get their fix.

ScottsMerkin
ScottsMerkin topcommenter

@roo_ster @ScottsMerkin @ParklandRocks certainly if Im burned or shot in the head or stabbed by a crazy homeless in downtown, then I have no choice, but If my leg gets snapped off, im choosing somewhere else.  

ScottsMerkin
ScottsMerkin topcommenter

@2dollaholla @ScottsMerkin @ParklandRocks what the fuck?  You contradict yourself.  yup $$$ money talks, and if they could get the same pay plus all the under the table kickbacks and illegal medicaid billing at another hospital, they'd go work there too

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