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Re: Brain damaged baby case (long) From: Henry Gregor (henrygregor@yahoo.com) Wed Mar 29 10:14:49 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: Pain management" Previous message: Henry Gregor: "Re: book" In reply to: Joe Cutchin: "Re: Brain damaged baby case (long)" Oh yes,,,, years ago, I was in a hospital that :"disappeared" letters critical of its processes, Docs that gave a crap about standards and process were quickly tagged disruptive and subjected to treatment worhthy of KGB techniques. Saddest thing was the willingness of the administration to devote dozens of administrative work hours to denial and coverup and whitewashing, as opposed to one or two simple corrective hours. Part of the process, I thought, then and now, involved for profit management contracts by a national firm, in a non profit institution. Though have seen similar issues in nonprofit with inhouse management. Hank Joe Cutchin <forcep@intercom.net> wrote: Lynn: I'll bet that most of us have similar stories. Hospitals are little kingdoms unto themselves ,supported by a national and state hospital associations ,made legit by JACHO,herd MD's with hy-laws that the hospital uses for its own purposes,etc. Oh my, here I am getting cynical. Joe C Lynn Montgomery, MD wrote: > Now I am not advocating suing physicians, but let me play the devil’s > advocate here based on my personal experience: > > -Current hospital setting without ANY quality assurance in the OB > Section for eight years. > > -Two JCAHO inspections during that time and > passed with flying colors. > > -Several previous hospitals with QA programs, but when deficiencies > identified, no action is taken. > > -At least two instances where a significant problem was identified with > patient management where the physician refused to respond to any inquiry > on advice from his counsel – despite the supposed confidentiality of > peer review. No action taken regarding the cases. > > -Two and now possibly three physicians with a literal stack of charts > with untoward outcomes. QA recommendation that privileges be suspended > pending additional training, etc, only to be laughed at by hospital > counsel who state that we will all be sued and the suspension will not > likely stand. > > So, given these issues, how are we supposed to accomplish “Physician > police thy self”. And if we cannot police ourselves, which we have > apparently shown we can’t; who is going to? > > It is easy to be critical of lawyers suing us, but I feel that we bear a > good share of the responsibility by engendering a “good ole boys club” > and rubber stamping our peer's practice patterns, whether appropriate or > not – fearing that if we are critical of a peer's practice patterns, we > may be next… > > I learned quality assurance from Bob Carpenter and Ray Kaufman and have > been struggling my entire career to duplicate their approach, only to be > met with frustration at every turn. > > Lynn > Next message: Henry Gregor: "Re: Pain management" Previous message: Henry Gregor: "Re: book" In reply to: Joe Cutchin: "Re: Brain damaged baby case (long)"

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