Michigan hospital rejects woman’s heart transplant, recommends she raise $10K

https://www.beckershospitalreview.com/finance/michigan-hospital-denies-woman-s-heart-transplant-recommends-fundraising-to-pay-for-it.html?origin=rcme&utm_source=rcme

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After rejecting a 60-year-old woman’s request for a heart transplant for lack of “a more secure financial plan,” Grand Rapids, Mich.-based Spectrum Health recommended that she start a $10,000 fundraiser to come up with the money, according to a Detroit Free Press report.

The recommendation came via a Nov. 20 letter from a nurse with Spectrum Health’s Heart & Lung Specialized Care Clinics. In the letter, the nurse told Hedda Martin of Grand Rapids that the multidisciplinary heart transplant committee determined she is “not a candidate at this time for a heart transplant due to needing more secure financial plan for immunosuppresive medication coverage.”

Immunosuppresive drugs help prevent a person’s body from rejecting a new heart or other transplanted organ. The nurse also told Ms. Martin the transplant committee “is recommending a fundraising effort of $10,000.”

The letter was reportedly posted on social media, sparking backlash from some commentators over the committee’s decision. According to the report, some commentators on Twitter compared the committee to a “death panel.”

A Spectrum representative was not available to speak with Detroit Free Press on Nov. 25.

The health system posted a statement on its website stating that Spectrum does not comment on specific patient situations due to privacy, but it “cares deeply about every patient that enters its doors.”

“While it is always upsetting when we cannot provide a transplant, we have an obligation to ensure that transplants are successful and that donor organs will remain viable. We thoughtfully review candidates for heart and lung transplant procedures with care and compassion, and these are often highly complex, difficult decisions,” Spectrum said.

“While our primary focus is the medical needs of the patient, the fact is that transplants require lifelong care and immunosuppression drugs, and therefore costs are sometimes a regrettable and unavoidable factor in the decision-making process. We partner with our patients throughout their care and work closely with them to identify opportunities for financial assistance. Our clinical team has an ongoing dialogue with patients about their eligibility, holding frequent in-person meetings and inform patients in-person to ensure they fully understand their specific situation,” the health system added.

As of Nov. 26, a GoFundMe page set up by Ms. Martin’s son had raised $15,675 for the anti-rejection drugs. 

Access the full Detroit Free Press report here.

 

Americans are still struggling with drug costs

https://www.axios.com/americans-struggling-drug-costs-goodrx-0b487b1b-a362-4776-8f43-8b118651d606.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosvitals&stream=top

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More than 2 out of 5 Americans say paying for their prescription drugs in the past year was difficult, even though most have health insurance, according to a new survey from GoodRx, a consumer site that compares drug costs.

Why it matters: Drug prices are a top public concern because many people take medications every day and see the toll on their wallets. The survey shows people aren’t really feeling any relief amid the political promises to address the issue.

By the numbers: The GoodRx survey, which mirrors other public tracking polls, found:

  • A third of people have skipped filling a prescription in the last year due to the cost. Rising coinsurance rates and deductibles often are the culprits.
  • Almost 20% of Americans said they’ve had to use money from their savings to pay for their drugs. (Separately, another 12% said they didn’t have any savings to draw from.)
  • The survey got responses from more than 1,000 people, 70% of whom take at least one medication.

 

 

300 nurses walk off job at Pennsylvania hospital

https://www.beckershospitalreview.com/human-capital-and-risk/300-nurses-walk-off-job-at-pennsylvania-hospital.html

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More than 300 Indiana (Pa.) Regional Medical Center nurses went on strike on Nov. 26, according to a KDKA report.

Nurses walked off the job at 7 a.m., despite hospital leaders previously asking them to cancel the strike due to the $1.5 million in estimated costs to hire temporary workers.

Nurses initially scheduled a one-day strike. But hospital leaders have said striking nurses who don’t report to work Nov. 26 won’t be able to return to work for an additional four days because of a minimum five-day commitment required to hire temporary staff.

According to the report, no scheduled surgeries and appointments were canceled due to the strike.

The hospital has been in negotiations with the Indiana Registered Nurses Association, which represents about 380 nurses at the hospital. Health insurance costs and wages reportedly have been key sticking points in the negotiations.

Both sides are scheduled to return to the bargaining table Nov. 29.

California DOJ approves CHI-Dignity merger, with conditions

https://www.beckershospitalreview.com/hospital-transactions-and-valuation/california-doj-approves-chi-dignity-merger-with-conditions.html

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The California Department of Justice conditionally approved the proposed merger of Englewood, Colo.-based Catholic Health Initiatives and San Francisco-based Dignity Health on Nov. 21.

Here are five things to know:

1. Under the California Justice Department’s conditions, the combined system, called CommonSpirit Health, is required to maintain emergency services and women’s healthcare services for 10 years.

2. To make any changes to emergency or women’s healthcare services during years six through 10, CommonSpirit will be required to notify the Justice Department to determine how the changes will affect the community.

3. CommonSpirit is also required to allocate $20 million over six fiscal years to create and implement a Homeless Health Initiative to support services for patients experiencing homelessness.

4. Starting in 2019, CommonSpirit’s California hospitals are required to alter their financial assistance policies to offer a 100 percent discount to patients earning up to 250 percent of the federal poverty level.

5. CHI and Dignity signed a definitive agreement to merge in December 2017, and the organizations expect to complete the transaction by the end of this year. The new $28.4 billion health system will include more than 700 care sites and 139 hospitals.

 

 

4 dead, including gunman, in shooting at Chicago’s Mercy hospital

https://www.beckershospitalreview.com/patient-flow/multiple-victims-in-shooting-near-chicago-hospital-police-say.html?origin=schaine&utm_source=schaine

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A gunman opened fire at the Mercy Hospital & Medical Center campus in Chicago the afternoon of Nov. 19, killing a Chicago police officer, a physician and a first-year pharmacy resident, according to CBS Chicago.

The reported gunman, 32-year-old Juan Lopez, was killed by a police bullet to the abdomen, but the Cook Count Medical Examiner’s Office noted on Nov. 20 he also sustained a self-inflicted gunshot wound to the head, according to ABC 7. 

The shooting stemmed from a domestic violence incident involving Mr. Lopez’s former fiancee, Tamara O’Neal, MD, an emergency room physician, according to WGN 9. The shooting began as an argument in the hospital parking lot between Mr. Lopez and Dr. O’Neal, Mr. Lopez’s first victim.

Dayna Less, 25, a pharmacy resident who recently graduated from Purdue University, was shot as she left an elevator, according to WGN 9. Chicago police officer Samuel Jimenez, 28, was in a shootout with Mr. Lopez and later died after being taken to University of Chicago Medicine —  a level 1 trauma center. He joined the force in February 2017, the Chicago Tribune reports.

At the time of the attack, Chicago Police Department spokesperson Anthony Guglielmi tweeted that there were “reports of multiple victims.”

CBS Chicago cited dispatch reports that a woman had been shot, as well as an officer.

About 200 patients were being treated at Mercy, but authorities only evacuated the hospital’s emergency room.

Mercy Hospital posted a tweet at 2:41 p.m. Nov. 19 stating, “A shooting took place at Mercy Hospital & Medical Center this afternoon. The shooting at Mercy Hospital is over. Chicago Police Department have secured the hospital and patients are safe.”

Mercy conducted an active shooter drill just last month, Mercy CMO Michael Davenport told the Chicago Tribune.

Illinois Health and Hospital Association President and CEO A.J. Wilhelmi issued the following statement about the incident:

“On behalf of our 212 hospital members and their 250,000 healthcare employees, the Illinois Health and Hospital Association expresses our condolences to the family and friends of the victims of the senseless act of violence that occurred at Mercy Hospital in Chicago. We are incredibly saddened by the tragic loss these victims and their families have suffered.  This was an unexplainable act that took the lives of three people who went to work every day to protect and save lives in their community. We owe it to them to find ways to stop the violence, and the hospital community remains dedicated to helping in that important endeavor.”

The shooting comes in the wake of a nationwide discussion among healthcare professionals about gun violence after a controversial tweet by the National Rifle Association. Physicians have been responding to the tweet —  which told “self-important anti-gun doctors to stay in their lane” — by sharing photos and stories about their experiences treating victims of gun violence.