Grady tries again with another CEO

The money vacuum that is Grady Hospital is about to have another Captain at the helm.

For her part, [Lisa] Borders said she planned to spread the message that Grady is “an incredible resource and asset,” not only for those in need of health care but as an important part of the area’s economy.

“We have an opportunity as a community to lift up this resource, polish it and relish it,” she said.

And she’ll be asking for the money to do it.

Good to see nothing is going to change.

10 comments

  1. Progressive Dem says:

    Rogue, She isn’t the CEO of the hospital. She is head of the hospital foundation, which is primarily responsible for fund raising.

    Doh!

  2. Terran1212 says:

    First of all, giving healthcare to people isn’t a “money hole.” Second of all, can’t you even read without idiotically lashing out first?

  3. StevePerkins says:

    [SARCASM]
    If there were a way for the uninsured poor and homeless to get health care, the free market would provide it. Therefore, that need is evil/socialist/irrelevant-to-me-because-it-deals-with-Negros/etc.
    [/SARCASM]

    Folks, the plain fact of the matter is that society will NOT allow hospitals to turn away ER patients for lack of insurance. Any discussion that doesn’t begin with an acceptance of that reality is an academic waste of time.

    The left-wing response to this is wanting everyone in a government managed system, whether they’re poor or not. The Christian Right response is to close hospitals in poor neighborhoods and hope the people die in transit to surrounding hospitals.

    I may surprise some folks by saying this, but I think the smartest approach would lie somewhere in the middle. Given that turning down ER patients is not a moral option, and given that ER treatment is the most expensive form there is… I’d rather help pay for a $100 checkup and $10 heart meds than help pay for a $100,000 heart attack. Given the constraints of reality here, that seems more prudent… but that’s just me.

  4. Icarus says:

    In this country, we’ve already socialized medicine if you are over 65, 18 or under, or are poor. (Though the last two are socialized in a manner that creates inefficiencies even on a government scale). Given that those in their “working years” are having to pay for not only their own health care but those in the other mentioned groups, it would seem that Steve is right, and that there would be a more cost effective approach to find a solution to our current system that is already both heavily socialized and and incredibly inefficient.

    I’ve been warning on RedState and in other places for years that if the Republicans didn’t put up a true market based solution (offering tax cuts to the 1/2 of the population that doesn’t pay income taxes hardly incentivises them to buy insurance), then in a couple of election cycles, we would take the insurance system the democrats provide us.

    Sit back and prepare to take it. We’ve earned it.

  5. Bucky Plyler says:

    Steve,

    The “Christian Right” has no association whatsoever with the closing down of Grady or any hospital in a poor neighborhood NOR do they want people to die in transit to surrounding hospitals.

    I suspect your opinion has something to do with comments made during the bail out of Grady from the last legislative session. Trust me- there’s not a crowd of the “Christain Right” running things at the capitol.

    Grady is not managed well. Would you say the same things about a rural hospital that has the same financial problems?

    Icarus is right. We are already somewhere in the middle. What is coming t0 our health care system will not be in the middle! Sometimes, going to the middle doesn’t solve the problem.

    This thread started because of Rogue’s mistake about a fund-raiser being named the new CEO @ Grady. With Grady’s managment problems, she could raise $1M a week & it wouldn’t be enough.

  6. StevePerkins says:

    Grady Memorial Hospital is located in a slum. I’ve heard figured ranging from 75% to 90% of its patients lacking health insurance. Let me say that again… the overwhelming majority of Grady’s patients CANNOT PAY, and Medicaid picks up only a small portion of the slack. Run the numbers: (100% of services going out) (10% to 25% of patients paying) = deficit.

    People talk in vague terms about “improving management”, but let’s cut the crap… what are a manager’s options given that overall situation? They can either raise prices or cut services. However, they can’t raise prices enough because insurance companies have too much bargaining power, and they can’t cut services because it’s against the law to turn an emergency patient away from the ER. Maybe Grady does have bad managers… I don’t know. But you could throw Jack Welch in there and still not be able to explain to me how he’s going to change the big picture.

    My biggest beef with Georgia politics is the level of denial, and the refusal to just have honest discussions about things. The list of examples could warrant its own front-page post a mile long, but we love to say one thing while ignoring the real elephants in the room. So how’s about right here, right now, we cut the crap and have ONE honest discussion about tackling a problem? What would be the ideal solution we would recommend if we were changing Grady’s management? Do you tell them to raise prices or to cut services? Bear in mind, the capacity to raise prices is extremely limited because insurance companies could just drop Grady from their networks. So do you tell Grady to refuse trauma patients and let them die in the street, or what? IS there a real management solution there to discuss, or is the elephant in the room simply that we wish Grady (and the class of people who use it) would disappear? It’s a complex issue, but really a simple question.

  7. Clone Of B. Plyler says:

    Steve,
    People who do understand the issues better than you & I have tried to solve the problem. Grady has exceptional trauma care , but trama care is very expensive.

    You are right that if Medicade picks up the majority of those patients-then Grady can’t profit. However, that’s the same problem that every hospital under the Hill-Burton Act has to deal with. (urban or rural) It’s not a function of race.

    However, if your ER is dealing with an overwhelming majority of drug OD’s, shootings, stabbings, etc. & most of them are Medicade – you can’t operate your hospital according to a normal hospital business model.

    It’s interesting to me that some of the hospitals nearby get some of the above patients – they just don’t want all of them. In fact, there has been discussion in the past about some of those patients being spread out to other hospitals. The estimated arrival times at different ERs aren’t that bad. However, I’m sure that most of those hospitals don’t want all of these Grady patients purely because of P&L.

    Raising prices or cutting services are not the only two options. If you manage with what you have & innovate services with other providers you can hold costs within a budget or a least a projected goal. Until now, Grady has not been forced to think like that. At times, they couldn’t even tell you what their revenue was!

    That has been one of the many problems that has been identified by those studying Grady’s problems. Obviously, instead of doing that-Grady was able to borrow more money & go further in debt. When they asked for State help – then conditions were mandated by the State.

    To make my thoughts even longer..one cannot dismiss the lifestyle choices & actions that many of these patients are making that are putting them in these situations. In turn, their choices require that police, emergency personnel, and the fine folks @ Grady have to take care of them. (My wife has worked many years in a ER, so I’m informed on this point.) There’s also personal responsibility involved.

    The Jesus I serve cares about each of these folks-race doesn’t matter. If you are making dumb decisions- there will be consequences that all the money and politics in the world will not solve.

    So, that’s my honest attempt at an honest discussion on Grady.

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