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Re: Brain damaged baby case (long) From: rmodugno@aol.com Wed Mar 29 13:56:59 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: fran wilson: "Re: Pain management" Previous message: Joanne Bulley, MD: "Re: Pain management" In reply to: Seele, Mona: "Re: Brain damaged baby case (long)" Oftentimes, those "rules' are interpreted by the hospital - and very often the intrepretations do not make sense. Robert Modugno MBA FACOG Marietta, GA -----Original Message----- From: Seele, Mona <Mseele@tmh.tmc.edu> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Wed, 29 Mar 2006 12:34:26 -0600 Subject: Re: Brain damaged baby case (long) JCAHO and other regulatory bodies are the "kings of the kingdoms". Hospitals are herded by them in order to stay in business. There are sooooo many rules now that do not make sense to us on the front lines, but we are required to follow or face sanctions by those regulatory bodies. Mona Seele, RN, MSN, CNS From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry Gregor Sent: Wednesday, March 29, 2006 11:17 AM To: Multiple recipients of list OB-GYN-L Subject: 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 > New Yahoo! Messenger with Voice. Call regular phones from your PC for low, low rates. Methodist. Leading Medicine. Named by FORTUNE magazine's "100 Best Companies to Work For" in 2006 Named by U.S.News & World Report as one of "America's Best Hospitals" ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or its relevant affiliates and may contain confidential and privileged material for the sole use of the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. If you are not the intended recipient (or authorized to receive for the recipient), please contact the sender and delete all copies of the message. Thank you. Next message: fran wilson: "Re: Pain management" Previous message: Joanne Bulley, MD: "Re: Pain management" In reply to: Seele, Mona: "Re: Brain damaged baby case (long)"

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