Very specific failure

September 24, 2015

A reader sent in this link from our current county judge’s web site:

http://www.epcounty.com/Judge/epincchildrenshosp.htm

It is a reprint of an El Paso, Inc. article titled  Proposed children’s hospital: the pros and cons.

She offers no comment but we have to think that she likes it, otherwise it would be relegated to obscurity and certainly not still on her web site.

From the article:

The Children’s Hospital, Valenti claims, will help address the pediatrician shortage. To staff the hospital, Thomason is dedicating $18 million over the next three years to work with the pediatrics department at the Texas Tech medical school to recruit and retain clinical experts in a number of pediatric specialties.

Because of that relationship with Texas Tech, specialists will be more willing to come to Thomason, Valenti said.

Note that our hospital administrator says that the specialists will be working at the county hospital, not the children’s hospital.  Maybe he had the current situation planned all along.

As for the bond cost the article told us:

If approved, the children’s hospital bonds will increase property taxes on a $200,000 home by $4.76 a month or $57.12 a year in 2009. The tax will gradually become less expensive as the principal is paid off and by 2015 taxes for the hospital on the same home will cost $3.98 a month or $47.76 a month.

It should have said “The tax will gradually become less expensive if the principal is paid”.  Paying on the never never showed us that at the current rate or principal payments it will take 140 years for us to pay off the bonds.

The article made it clear that the children’s hospital had to be  separate from the county hospital:

Even though it will occupy building space owned by the El Paso Hospital District, it must be governed by a separate board of directors than the one that oversees Thomason to qualify as “separately licensed.”

“Even though the children’s hospital is under our umbrella, it will be governed separately. There may be one or two members of the Thomason board of managers who sit on the children’s board but they won’t have controlling interest. There are very specific rules and laws on that for separately licensed children’s hospitals,” Valenti said.

Those very specific rules seem to have been thrown out the window now that their project has failed.

Follow the money

The article pointed out why the hospital had to be a separate entity:

Why is it necessary that the children’s hospital have a separate board of directors, as well as separate administration and staff?

In a word, money.

When the children hospital’s governance becomes distinct from Thomason’s, it qualifies for preferential reimbursement from Medicare and the Texas Medicaid program.

Hospital officials estimate that designation will allow the children’s hospital to bring in an estimated $7.5 million in additional money.

Now we are hearing that our county hospital wants to take over the children’s hospital.  So much for separation.  So much for preferential reimbursement.  So much for the truth.

We deserve better

Brutus

 


Stand alone hospital no longer necessary?

September 23, 2015

This note came in from a reader:

Remember, one of the major arguments for the CH. We needed a “stand alone” children’s hospital in order to get the full benefit of federal funding. This was one of the arguments to counter the Sierra Providence supporters. The judge and Valenti argued that SPHN’s children’s hospital was not “stand alone.” Hence, it didn’t have the full funding potential to afford different specialists. Apparently, we’ve forgotten this. Now, we are hearing that the CH should not be stand alone.

How we forget what was said in the past.
The people involved are hoping that you do not remember.
We deserve better
Brutus

Wondering why

September 22, 2015

Why is it that with all of the controversy surrounding the children’s hospital that we have not heard anything about the care that they have provided?

They evidently have a number of highly paid pediatric specialists.  What extraordinary cases have they cured that could not have been handled at traditional hospitals?  How busy are these specialists?

We deserve better

Brutus


Get out your checkbook

September 21, 2015

Let’s take a few moments to consider what will happen if our county hospital takes over the children’s hospital.

Firstly, we will pay for it.

As we wrote in County hospital losses their 2014 audited financial statements showed them losing $72 million in 2014.  Of that $60 million was recognition of the inability of the children’s hospital to pay its bills.

The other $12 million came from plain old operating losses.

If the county hospital takes over the children’s hospital they will need to add another $10 million to that number because they will no longer be able to charge rent.  They will also lose around another $10 million since they will not be able to charge for the other services they are contracted to perform for the children’s hospital.

We pay roughly $82 million in property taxes for the county hospital now.  Will they look to us for the other $32 million?

Will we have to fund pay raises for the hospital administrators since they will be burdened with so much more work?  Should we expect to have to pay bigger bonuses since they will tell us that they saved the day?

We deserve better

Brutus

 


Wrong answer

September 20, 2015

We have now learned that EPISD’s report of severely declining enrollment was wrong.

Mistakes happen but something is wrong when an error of this magnitude gets by without getting caught.

We should hope that the superintendent takes steps to avoid this kind of thing happening again.

We deserve better

Brutus