RE: Local hospitals

[Guest guest]

It's similar here for the patients.  We maintain good access and extended hours and have a waiting list of patients who want to flee the local hospital clinics.On the other hand, as a group practice we also compete with the local hospital for physicians and that's been frustrating.  Newly graduated physicians here are afraid of private practice and look to the big hospital groups for jobs.  These run their inefficient primary care clinics in the red as a loss leader.  Our local hospital haven't pushed the docs yet to reduce the losses so they are currently happy with their heavily subsidized, salaried jobs.   That is about to change as the new CEO has recently set aggressive productivity goal and we expect they'll have a lot of physician turnover in the next year.

PierceRockport, Maine

 

Here is the latest on the 2 local hospitals and their employed MD's in Puget Sound Washington.  Multicare has bought a local hospital out, and has just opened a new ER here with hospital to come.  Drastically need to expand their doctors.  But have just had 6 of the last 8 quit, after less than a year, due to horrendous demands.  They expect every clinic doc to see 35-40 patients a day in clinic, 5 min each, one complaint only.  This is all from the scheduler who has to schedule it, and is caught in the middle between the complaining and leaving doctors, and the admin who just want more more more. 

Meanwhile Valley Medical, the community hospital, has joined with the UW, just and in a contest to get another ER up next door to Multicare out here.  They just implemented the third EMR in 5 yr, (yes, my taxpayer dollars), Epic, and told all employees for the months of July and August, NO VACATION, as they have to get this EMR up and going.  Apparently this has gone over like a led ballon, and sick leave is rampant.  As a patient there, from call to get PE to the appt, it was a huge time sink.  Every appt for next 2 months scheduled for 30 min, or more, and I left with more paper than ever.  Hand outs about my plan, I wasn't asked, just got, Hand out about how to access my info on line, copies of my lab orders, EKG's, etc, Geez, this is electronic?  And when I called to get the appt it took 15 min to input all my demographics over, as " the new system doesn't cross over any data " .  I was asked by birth date 3x in 5 minutes. 

With competition like this, who needs to advertise?  Seems to me people will be fleeing these systems if they can.  Other thoughts from your locales?

CCote

[Guest guest]

, Thanks for your thoughtful e-mail yesterday; I think you did a great job ‘putting in a plug’ for your town, and after reading it I felt highly motivated to take a closer look at Rockport/Camden. Long story short, I came away a lot more impressed with the area than I was afraid I would and I’d like to talk to you in some depth about what we’re each looking for. If you’d prefer for me to send an introductory letter I can certainly do that (along with the C.V., references, etc.), but if you’ve got a few minutes to spare in the next day or two I think it would be nice to start with a conversation. Thanks, Ken From: [mailto: ] On Behalf Of PierceSent: Tuesday, July 31, 2012 1:06 PMTo: Subject: Re: Local hospitals It's similar here for the patients. We maintain good access and extended hours and have a waiting list of patients who want to flee the local hospital clinics. On the other hand, as a group practice we also compete with the local hospital for physicians and that's been frustrating. Newly graduated physicians here are afraid of private practice and look to the big hospital groups for jobs. These run their inefficient primary care clinics in the red as a loss leader. Our local hospital haven't pushed the docs yet to reduce the losses so they are currently happy with their heavily subsidized, salaried jobs. That is about to change as the new CEO has recently set aggressive productivity goal and we expect they'll have a lot of physician turnover in the next year. PierceRockport, Maine Here is the latest on the 2 local hospitals and their employed MD's in Puget Sound Washington. Multicare has bought a local hospital out, and has just opened a new ER here with hospital to come. Drastically need to expand their doctors. But have just had 6 of the last 8 quit, after less than a year, due to horrendous demands. They expect every clinic doc to see 35-40 patients a day in clinic, 5 min each, one complaint only. This is all from the scheduler who has to schedule it, and is caught in the middle between the complaining and leaving doctors, and the admin who just want more more more. Meanwhile Valley Medical, the community hospital, has joined with the UW, just and in a contest to get another ER up next door to Multicare out here. They just implemented the third EMR in 5 yr, (yes, my taxpayer dollars), Epic, and told all employees for the months of July and August, NO VACATION, as they have to get this EMR up and going. Apparently this has gone over like a led ballon, and sick leave is rampant. As a patient there, from call to get PE to the appt, it was a huge time sink. Every appt for next 2 months scheduled for 30 min, or more, and I left with more paper than ever. Hand outs about my plan, I wasn't asked, just got, Hand out about how to access my info on line, copies of my lab orders, EKG's, etc, Geez, this is electronic? And when I called to get the appt it took 15 min to input all my demographics over, as " the new system doesn't cross over any data " . I was asked by birth date 3x in 5 minutes. With competition like this, who needs to advertise? Seems to me people will be fleeing these systems if they can. Other thoughts from your locales? CCote

[Guest guest]

maybe we need to visit the residency progrmas and talk about the IMP movement.

If you do not know or ignore a different way then you folow the trend when you graduate.

adolfo

To: Sent: Tuesday, July 31, 2012 1:06 PMSubject: Re: Local hospitals

It's similar here for the patients. We maintain good access and extended hours and have a waiting list of patients who want to flee the local hospital clinics.

On the other hand, as a group practice we also compete with the local hospital for physicians and that's been frustrating. Newly graduated physicians here are afraid of private practice and look to the big hospital groups for jobs. These run their inefficient primary care clinics in the red as a loss leader. Our local hospital haven't pushed the docs yet to reduce the losses so they are currently happy with their heavily subsidized, salaried jobs. That is about to change as the new CEO has recently set aggressive productivity goal and we expect they'll have a lot of physician turnover in the next year.

Pierce

Rockport, Maine

Here is the latest on the 2 local hospitals and their employed MD's in Puget Sound Washington. Multicare has bought a local hospital out, and has just opened a new ER here with hospital to come. Drastically need to expand their doctors. But have just had 6 of the last 8 quit, after less than a year, due to horrendous demands. They expect every clinic doc to see 35-40 patients a day in clinic, 5 min each, one complaint only. This is all from the scheduler who has to schedule it, and is caught in the middle between the complaining and leaving doctors, and the admin who just want more more more.

Meanwhile Valley Medical, the community hospital, has joined with the UW, just and in a contest to get another ER up next door to Multicare out here. They just implemented the third EMR in 5 yr, (yes, my taxpayer dollars), Epic, and told all employees for the months of July and August, NO VACATION, as they have to get this EMR up and going. Apparently this has gone over like a led ballon, and sick leave is rampant. As a patient there, from call to get PE to the appt, it was a huge time sink. Every appt for next 2 months scheduled for 30 min, or more, and I left with more paper than ever. Hand outs about my plan, I wasn't asked, just got, Hand out about how to access my info on line, copies of my lab orders, EKG's, etc, Geez, this is electronic? And when I called to get the appt it took 15 min to input all my demographics over, as "the new system doesn't cross over any data". I was asked by birth date 3x in 5

minutes.

With competition like this, who needs to advertise? Seems to me people will be fleeing these systems if they can. Other thoughts from your locales?

CCote

[Guest guest]

Dear Cote, sadly the more toxic is the primary care maybe the more chance an imp would succeed.

adolfo

To: Sent: Tuesday, July 31, 2012 1:06 PMSubject: Re: Local hospitals

It's similar here for the patients. We maintain good access and extended hours and have a waiting list of patients who want to flee the local hospital clinics.

On the other hand, as a group practice we also compete with the local hospital for physicians and that's been frustrating. Newly graduated physicians here are afraid of private practice and look to the big hospital groups for jobs. These run their inefficient primary care clinics in the red as a loss leader. Our local hospital haven't pushed the docs yet to reduce the losses so they are currently happy with their heavily subsidized, salaried jobs. That is about to change as the new CEO has recently set aggressive productivity goal and we expect they'll have a lot of physician turnover in the next year.

Pierce

Rockport, Maine

Here is the latest on the 2 local hospitals and their employed MD's in Puget Sound Washington. Multicare has bought a local hospital out, and has just opened a new ER here with hospital to come. Drastically need to expand their doctors. But have just had 6 of the last 8 quit, after less than a year, due to horrendous demands. They expect every clinic doc to see 35-40 patients a day in clinic, 5 min each, one complaint only. This is all from the scheduler who has to schedule it, and is caught in the middle between the complaining and leaving doctors, and the admin who just want more more more.

Meanwhile Valley Medical, the community hospital, has joined with the UW, just and in a contest to get another ER up next door to Multicare out here. They just implemented the third EMR in 5 yr, (yes, my taxpayer dollars), Epic, and told all employees for the months of July and August, NO VACATION, as they have to get this EMR up and going. Apparently this has gone over like a led ballon, and sick leave is rampant. As a patient there, from call to get PE to the appt, it was a huge time sink. Every appt for next 2 months scheduled for 30 min, or more, and I left with more paper than ever. Hand outs about my plan, I wasn't asked, just got, Hand out about how

to access my info on line, copies of my lab orders, EKG's, etc, Geez, this is electronic? And when I called to get the appt it took 15 min to input all my demographics over, as "the new system doesn't cross over any data". I was asked by birth date 3x in 5 minutes.

With competition like this, who needs to advertise? Seems to me people will be fleeing these systems if they can. Other thoughts from your locales?

CCote

[Guest guest]

the other people to talk to would be the reporters...i thought it was striking that the recent NYtimes article on physician shortage only interviewed administrators...who they mentioned are packing physician schedules tighter. Strange that they didn't quote any actual primary care provider on the front line.

-- Kernisan, MD MPHGeriatrics

maybe we need to visit the residency progrmas and talk about the IMP movement.

If you do not know or ignore a different way then you folow the trend when you graduate.

adolfo

To:

Sent: Tuesday, July 31, 2012 1:06 PMSubject: Re: Local hospitals

 

It's similar here for the patients.  We maintain good access and extended hours and have a waiting list of patients who want to flee the local hospital clinics.

On the other hand, as a group practice we also compete with the local hospital for physicians and that's been frustrating.  Newly graduated physicians here are afraid of private practice and look to the big hospital groups for jobs.  These run their inefficient primary care clinics in the red as a loss leader.  Our local hospital haven't pushed the docs yet to reduce the losses so they are currently happy with their heavily subsidized, salaried jobs.   That is about to change as the new CEO has recently set aggressive productivity goal and we expect they'll have a lot of physician turnover in the next year.

Pierce

Rockport, Maine

 

Here is the latest on the 2 local hospitals and their employed MD's in Puget Sound Washington.  Multicare has bought a local hospital out, and has just opened a new ER here with hospital to come.  Drastically need to expand their doctors.  But have just had 6 of the last 8 quit, after less than a year, due to horrendous demands.  They expect every clinic doc to see 35-40 patients a day in clinic, 5 min each, one complaint only.  This is all from the scheduler who has to schedule it, and is caught in the middle between the complaining and leaving doctors, and the admin who just want more more more. 

Meanwhile Valley Medical, the community hospital, has joined with the UW, just and in a contest to get another ER up next door to Multicare out here.  They just implemented the third EMR in 5 yr, (yes, my taxpayer dollars), Epic, and told all employees for the months of July and August, NO VACATION, as they have to get this EMR up and going.  Apparently this has gone over like a led ballon, and sick leave is rampant.  As a patient there, from call to get PE to the appt, it was a huge time sink.  Every appt for next 2 months scheduled for 30 min, or more, and I left with more paper than ever.  Hand outs about my plan, I wasn't asked, just got, Hand out about how to access my info on line, copies of my lab orders, EKG's, etc, Geez, this is electronic?  And when I called to get the appt it took 15 min to input all my demographics over, as " the new system doesn't cross over any data " .  I was asked by birth date 3x in 5

minutes. 

With competition like this, who needs to advertise?  Seems to me people will be fleeing these systems if they can.  Other thoughts from your locales?

CCote

[Guest guest]

This has been the case here too. A friend of mine with a partner who retired gave up after a year of trying to recruit an FP to join them, couldn't compete with the benefits, and salary, but I suspect that will change now.

To: Sent: Tuesday, July 31, 2012 12:06:21 PMSubject: Re: Local hospitals

It's similar here for the patients. We maintain good access and extended hours and have a waiting list of patients who want to flee the local hospital clinics.

On the other hand, as a group practice we also compete with the local hospital for physicians and that's been frustrating. Newly graduated physicians here are afraid of private practice and look to the big hospital groups for jobs. These run their inefficient primary care clinics in the red as a loss leader. Our local hospital haven't pushed the docs yet to reduce the losses so they are currently happy with their heavily subsidized, salaried jobs. That is about to change as the new CEO has recently set aggressive productivity goal and we expect they'll have a lot of physician turnover in the next year.

Pierce

Rockport, Maine

Here is the latest on the 2 local hospitals and their employed MD's in Puget Sound Washington. Multicare has bought a local hospital out, and has just opened a new ER here with hospital to come. Drastically need to expand their doctors. But have just had 6 of the last 8 quit, after less than a year, due to horrendous demands. They expect every clinic doc to see 35-40 patients a day in clinic, 5 min each, one complaint only. This is all from the scheduler who has to schedule it, and is caught in the middle between the complaining and leaving doctors, and the admin who just want more more more.

Meanwhile Valley Medical, the community hospital, has joined with the UW, just and in a contest to get another ER up next door to Multicare out here. They just implemented the third EMR in 5 yr, (yes, my taxpayer dollars), Epic, and told all employees for the months of July and August, NO VACATION, as they have to get this EMR up and going. Apparently this has gone over like a led ballon, and sick leave is rampant. As a patient there, from call to get PE to the appt, it was a huge time sink. Every appt for next 2 months scheduled for 30 min, or more, and I left with more paper than ever. Hand outs about my plan, I wasn't asked, just got, Hand out about how to access my info on line, copies of my lab orders, EKG's, etc, Geez, this is electronic? And when I called to get the appt it took 15 min to input all my demographics over, as "the new system doesn't cross over any data". I was asked by birth date 3x in 5 minutes.

With competition like this, who needs to advertise? Seems to me people will be fleeing these systems if they can. Other thoughts from your locales?

CCote