If you can’t join them, beat them: BIDMC in takes over Milton hospital

When the Harvard hospitals decided to join forces as Partners, they cut BIDMC out of the deal. So, this story from the Globe  – on Beth Israel Deaconess Hospital-Milton –is worth noting:

partnersdownloadConsolidation in the health care industry has been viewed with suspicion, leaving critics worried that the state’s biggest health care networks want to leverage increased market power into higher rates. Partners HealthCare, the largest health care system in Massachusetts, recently abandoned its bid to acquire South Shore Hospital in Weymouth in the face of such criticism and a ruling from a judge who said Partners’ growth would raise costs for consumers.

…The Milton case shows how consolidation — though it often increases costs to consumers — can also offer a lifeline to a struggling hospital. The brand alone of a big Boston health care network can be a powerful force, analysts said.

 

#BOSnow How hospitals and other provider are coping with six feet of snow

Here’s the Globe story on how the hospitals are coping. Usually a perennial but this yearBOSnow feb920150209_0094 is a little different — 72 inched and it’s snowing again.

With snow piled up to historic levels, and the region’s subways and commuter rail systems halted Tuesday, administrators labored to keep their hospital doors open, hobbled by a stranded workforce and patients unable to get home.

“This has put us in a capacity crisis situation,” said Dr. Paul Biddinger, Massachusetts General Hospital’s medical director for preparedness.

From Twitter:

Hospitals consolidation: Brill says yes, new Massachusetts AG says no

From Shirley Leung’s Monday column in the Globe:

partnersNo judge or jury delivered a verdict on the Partners HealthCare settlement Monday, but we didn’t need either after Attorney General Maura Healey’s three-page court filing.

She thinks the deal stinks, and if given the chance, she would bring an antitrust suit to block Partners’ efforts to expand. And just like that, the 43-year-old rising political star dared to rock the biggest boat in Massachusetts health care. In the wake of her threat, Healey left a list of winners and losers.

From Steven Syre’s column in today’s Globe:

Maura Healey has been on the job less than a week, but we don’t have to wonder where she stands on the biggest health care conflict in Massachusetts.

And, a Q. & A. from Steven Brill, author of “America’s Bitter Pill: Money, Politics, Backroom Deals and the Fight to Fix Our Broken Health System. That book looks at focuses on the debate over the Patient Protection and Affordable Care Act. But it also returns to Brill’s indictment of high hospitals costs that filled an entire issue Time magazine in 2013. His solution looks very much like a combination of the Kaiser Permanente insurer-plus-provider approach and the Partners’ plan.

HLM: Why will this consolidation approach work to curb costs where other reforms have failed?

Brill: The reason this idea may work is it is going to happen without my writing about it. It’s going to happen. The question is, do we seize that momentum, turn it around jujitsu- style and attach a whole bunch of regulations to it?

I really started thinking about this after my [heart] surgery. I decided: New York Presbyterian, it’s a damn good place and the guy who runs it is a good guy. [Later] I was watching a panel including Toby Cosgove [CEO of Cleveland Clinic] and someone said: You’re gobbling up Cleveland and your market share is way too high.

Cosgrove said, the FTC would never let us have too much of a market share. I’m thinking, this guy Cosgrove, he’s a celebrated surgeon, a war hero. He seems like a pretty good guy to me. The idea the he wants to control and provide healthcare all over Ohio, why is that such a bad thing?partners-logopartners-logo

Storify: Brigham and Women’s Hospital doctor Davidson fatally shot

Daily Dose archived, health blogger Kotz leaves “The Boston Globe”

Deborah Kotz,  the Globe’s Daily Dose health blogger for the past four years, has taken a buy-out and that Daily Dose will be archived.

We’ll miss Kotz. While often stuck fielding the barrage of journal studies coming out of Boston medical centers,  she always managed to avoid disease-of-the week reporting.  Some stories just confuse readers. But writers who skip them often have to face editors asking “Why didn’t we have this?”

Still, it’s the kind of reporting that wins health writers like Kotz kudos.

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The Globe no longer shares content with Boston.com, so that website produces its own health reports. Mostly aggregation, but a few stories. We’ll miss the science touch Kotz brought to that site before the Globe/Boston.com divorce.  We wish them well as they find their way.They seem to have taken over the @bewellboston twitter feed.

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Check in here for your sort-of-weekly, but always insightful dose of local health blogging. Or check out WBUR’s CommonHealth for daily posts.

Compare Massachusetts doctors via quality reports and patient feedback

CR MA. Doc Ratings Insert_300Searching for health care services on the Internet can be like searching info about food, hotels or pets. You have to sort through a lot of low quality or scraped sites that don’t offer much.

Healthcare Compass looks like a good destination for Bay Staters.

On this website, there are two different ways to compare doctors’ offices:

  • A survey of more than 40,000 patients across Massachusetts that collected details about the care they receive at their own doctors’ offices.
  • Reports that measure how well the doctors’ offices achieve nationally recognized standards for high-quality primary care…

This website helps patients answer two questions about their health care quality:

Are primary care doctors giving their patients the correct preventive care services (such as cancer screenings) and chronic disease care (such as asthma or diabetes care)? The Clinical Quality report looks at how this of care was given to patients at doctors’ offices.
Learn more about the Clinical Quality Report

 How are patients’ experiences with their doctor office? Does their doctor’s office know about them and the care that they should be receiving? The Patient Experience Survey is a statewide survey that asks patients to report about their experiences with a specific primary care doctor and with that doctor’s office. 

Learn more about the Patient Experience Survey report

 

Also, click here for a source of raw data: Patient HealthDecider 

 

The Boston Globe series that Steward Health took to court — before the stories ran

The Globe’s narrative story about one man’s struggles with his mental health care is running this week. And the company that runs one of the hospitals where he was treated was not allowed to read it first.ssLast week:  

A Suffolk Superior Court judge ruled Thursday that Steward Health Care System has no right to review the reporting or records collected by The Boston Globe for a yet-to-be-published article about a man’s journey through the mental health care system.

Judge Jeffrey Locke said the for-profit health care company may comment broadly to the newspaper and answer limited questions on the patient’s care without violating medical privacy laws.

Steward, in a suit filed against the Globe Wednesday, asked the court to permit release of the patient’s private medical records, which the company said it needed to rebut a Globe story that is scheduled to be published this weekend.

The hospital chain also served papers to the man profiled in the story. Read the full story above a full run-down of the legal contortions hospital lawyers performed to argue that they were not going after the patient or trying to repress the story.

This is more about more than a thin-skinned story subject.  Health care reporters seeking comment or information for stories can come up against overly broad interpretations of patient privacy laws.  Worth watching.

Finally, a question: What would The Cheescake Factory do? 

 

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