
Read the inspiring article here.
I just talked with another disaffected ex-E$$ent employee, and as we were discussing the ills of the hospital, he mentioned that the ER was about to lose a significant number of its nurses. He referred to it as the second wave, since we'd already gone through one change over.
I had heard that they were going to try to open the North Campus ER, and couldn't really figure where they would get the extra trained personnel, but now more were leaving? Not good.
On the floor, where it's generally calmer, and you can point a traveler to the various supplies, locations of equipment, etc. In the ER, you generally don't have the time to babysit, so a traveler is more of a liability than a help. Even someone floated from the floor, having a general idea of where things are, is not going to be in sync with the "flow" and what the standard procedures are.
A serious bottleneck was created when they were floating ER nurses to the floors--and got caught by an influx of patients. Now, they have a similar situation, only with nurses that they have to orientate as well. Want to bet on waiting times?
When I was there, there was always a few leaving, but it would seem like a good chunk of the corporate knowledge is walking out the door. But, since even Bonham pays nurses about $6 per hour more, the drive doesn't seem quite as far....
My great uncle was one of the founding physicians at our little hospital and my father practiced there for nearly 50 yrs.
I managed the facility for nearly 22 yrs. and considered it my own and treated it as such. I guess you could say I cared about the place. Having grown up here makes you feel a part of a unique fraternity that honestly shares something with those who have come before.
At any rate, we were feeling the wolf's breath the past few years and in 2005 decided to look for someone to purchase us. Several look-sees came but no one bit. Along comes Essent in early 2005 and after much "due diligence" and careful research decide to buy us. Well the sale was consummated and on Oct. 11, 2005 they officially took over. The new CEO asked me to come up to his office that morning and said it was about to happen.
Not knowing what was in store I agreed to hang around. The first person to be escorted from the building was our HR person. In a brief span of time, almost 10% of our workforce was summarily erased from the books that morning. In short, they were not asked to join the new company.
Shortly after this a poll was taken throughout the hospital to create a new name for the hospital. After much suspense the official winner was "Southwest Regional Medical Center". Imagine that, a name overwhelmingly approved by the recently deposed board of trustees, the medical staff, the hospital staff, and the community at large! Think of it: A little hospital that has been known since the early 1930's as Greene Co. Memorial Hospital. WOW! what a leap of faith! Tim Leary would have been proud.
I could see the standards we have lived by would be slowly eroded in the name of "moving forward”. They do not like the speed at which the bureaucrats who regulate us proceed so they have chosen to circumvent their authority and proceed with total disregard.
The community meanwhile has recoiled at many of their activities and especially the continued release of many long-term dept. managers. These events have generated a great deal of doubt in their leadership. What would you think at seeing a want-ad for 3 new dept. manager positions at the same time from a hospital with only 54 beds? Perhaps this is the transition of converting from not-for-profit to for-profit.
I think our community expects more than this from an institution who has been a presence in various forms since 1907. I have seen many good people let go because they would not speak the party line. My concern is for the folks who go to this institution to receive medical care. Stay tuned, I think other things are in store for us...
1. Doubling the number of beds. From just a numbers perspective, we had about the same number of licensed beds in our facilities as they had in the entire corporation.But back to loans...you can't ask lenders to prop up losing hospitals, but you can ask for building funds, and point out that a hospital was doing poorly because of being 'under construction'. That would fit with buying a new PACs, while the portable x-ray machine in the ER looks like it's ready for the scrap yard...having two out of four x-ray machines down...or numerous hospital beds that can't be raised or lowered. And that would explain the need to transfer patients to floors that have working wall suction, rather than fixing the leaks...all while putting in flat-panel TVs.
2. Cash flow. There were enough blatant inefficiencies that needed fixing that they figured that most of the other problems could be fixed as easily. They werewrong.
"I am a former employee of GCMH. There is no doubting the way I feel about Essent. I have never tried to hide it. I want to be very clear that I left the hospital, and was not asked to leave. All of this took place of a course of two months. Why? Well it goes like this.Upon Essent's take over one of the very first things that was done was that every employee's records were gone through to see who was going to be weeded out. At that time decisions were made without any consultation of the Department Heads on who was going to be let go. I lost three very good employees and had no say in it. I was left with twelve employees--only three that actually had a clue about giving care in a rural community....
...As much as I hated to, I decided then and there that I would not stand back and watch what I spent 5 years of my life building go down the drain. And that is exactly what is going on. Our clinic, when I left in December of '05, had already lost 50% of its patients because of lack of care. E$$ent has not figured out that the reason people were being paid what they were being paid is because we have already proven that we are a valuable asset to our employers and the community.
...A lot of good people no longer work for that hospital. And I bet that will lead to its demise."
1. The Parker County Hospital District board of Directors will receive information from administrators, employees, and medical staff members of Paris Regional Medical Center, as well as, past and present members of the Paris Regional Medical Center regarding Essent Healthcare and other groups that have submitted proposals to lease Campbell Health System. The Parker County Hospital District Board of Directors will not vote on whether to lease the Hospital to any entity during this meeting. THIS IS AN INFORMATIONAL SESSION ONLY.
2. Executive Session: The Parker County Hospital District Board of Directors will enter into Executive Session Pursuant to Section 551.071 and 551.072 of the Texas Government Code. The following will be discussed:
A. Consultation with attorney regarding potential lease of real property located at 713 E. Anderson, Weatherford, Texas3. Return to Open Session (There will not be a vote on any item)
4. Adjourn
Essent Healthcare seems to have absolutely no moral compass to follow, and that sort of culture comes from the top. It's a shame that the residents of Greene County are now left to suffer with this sad choice for employment, and healthcare. Certainly, they need to become more aware of this ugly organization that has slimed its way into our community. Your blog is one way to accomplish at least that much.And:
Hello. I just ran across your interesting, and insightful blog a few days ago. You've really hit the nail on the head regarding Essent's business model of oppression, and fear! I was an employee @ the old (and much better) Greene County Memorial Hospital in Waynesburg, PA. I simply cannot believe that our board of directors allowed such an amoral group to takeover the sole hospital into our county. In the board's defense, they weren't really heavy thinkers. :)And I did, let him know, that is....I know many current, and an ever-increasing pool of ex-Essent employees who may have information that would interest you, and your blog readers. Are you interested in that sort of information? If so, I will point them in your direction.
Please let me know, and keep up the great work!!!
Someone who has the "Granite Fixtures" to drag all the cockroaches in the PRMC program out into the glaring light of day. May you be commended. Having been a patient in that ER and a Parent with a sick child there, it is undoubtedly gone down hill past the point of rock bottom and has begun to dig with a clam-shell steam shovel. Both of my kids were delivered at the woefully gone McCuistion, at the hands of the late and sorely missed Dr. A. Frank White, MD (glad this isn't paper there would be tear stains.) God rest his soul, he would be turning like a whirling dervish in his grave to see the medical care fall apart the way it has. L.P. McCuistion would be calling for the heads of the POWERS THAT BE to roll like bowling balls.And I did ask if I could publish it. Here was the response:
Medicine is supposed to be a service TO the people, NOT a SERVICING OF the PEOPLE!
If the people of Paris are smart they will use a little extra gas and go to Dallas or a lot extra and head south to Houston. With the choice no longer MRMC and St. Jo the people in Paris would do better going to one of the Vet Hospitals on the loop, they would get quicker care in the case of an emergency.Some of the nurses are ok, others should be sent back to their rolls as Dominatrix and there they should stay. Yeah, you know who you are! The procedures and policy book at that hospital should be read a little more and not be used to even up a table leg! The Employee horror stories are many and diverse and if a book were written about all of the screw-ups and idiotic actions it would make War and Peace look like a pocket book!
For what it is worth the people of Paris should demand the closure of the PRMC campuses and find a bank to loan the city the money to make it a city owned medical care facility. If they don't, the lord high masters will close down and move out in a snit!
Thanks for letting me get this off my chest
Frank,
You can use the whole bloody letter I wrote if you so choose! Tired of seeing the employees have to bend over and try not to smile. In the classic words of Frat boys in initiation, "Thank you Sir, May I have another".
If they don't have the hospital closed in the next 12-18 months it will be a God sent miriacle.