Medicare pulling funding from Martin Luther King Jr./Drew Medical Center

  1. fallout at martin luther king jr./drew medical center in california is keenly felt
    the impending loss of federal funds at california's martin luther king jr./drew medical center reverberated across the region, as the los angeles county board of supervisors met in an emergency closed session to discuss the public hospital's fate.
    los angeles times, sep 26, 2006

    the u.s. centers for medicare and medicaid services notified king/drew and county officials late friday that the hospital did not pass an unannounced "make-or-break" inspection conducted this summer, failing to meet minimum standards in nine of 23 areas. as a result, it will lose $200 million a year in federal funding, nearly half of its budget
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  3. by   peds4now
    I feel for the community and the significance of the hospital for them, but maybe it's better to have no place at all than such a low-quality place?
  4. by   pickledpepperRN
    Daniel Freeman is nearby too. They are closing their ER.

    I agree that a hospital that cannot pass the minimum standards should not be allowed a license.
    But it is not just the significance. There are three major freeways and a high population density.
    The area needs more hospitals not less.
  5. by   banditrn
    It would be interesting to know what the deficiencies were. Did they have anything to do with direct patient care?

    Having seen both the hospital and a LTCF go thru 'inspections', I sometimes wonder at the validity of some of the inspectors.

    At the LTCF, they will cite them if all bathroom shelves aren't marked, for example, but seem to pay no attention to staffing. And when it comes time for inspection, administration pulls in everyone!! Seems kind of dishonest to me.
  6. by   pickledpepperRN
    Medication errors going unnoticed for days after which patients died, glucometers with visible dried blood, and nurses forced to float without competency.

    Previous threads:
    https://allnurses.com/forums/f100/ki...ies-55963.html

    https://allnurses.com/forums/f100/la...ays-58803.html

    https://allnurses.com/forums/f195/an...ath-90861.html

    https://allnurses.com/forums/f100/tw...ail-42731.html

    https://allnurses.com/forums/f86/nur...nts-49763.html

    https://allnurses.com/forums/f86/nur...s-49763-3.html

    https://allnurses.com/forums/f195/ki...ion-93389.html

    Aug. 22, 2003: The Times reports that two women connected to cardiac monitors died after their deteriorating vital signs went undetected.


    December 2003: The Los Angeles County health department closes the cardiac monitoring ward after a third patient dies under questionable circumstances. The Camden Group consulting firm is hired to help fix nursing problems. The county ultimately spends nearly $1 million for its services.

    January 2004: The U.S. Centers for Medicare and Medicaid Services determines that King/Drew is out of compliance with minimum requirements for receiving federal funding. Government inspectors identify five patients — including those on monitors — who died at King/Drew after what were determined to have been grave errors by staff members.

    September 2004: The county Board of Supervisors enters into an agreement with the Medicare agency to hire a new consulting firm to take over operations at the hospital. In November, Navigant Consulting takes over, and the county ultimately pays the firm more than $17 million for 18 months of work.

    July 2005: The Times reports on a seriously ill patient who died after nurses failed to respond "for an extended period" to audio alarms signaling his distress — the seventh death in two years in which staffers virtually ignored vital-sign monitors.

    http://www.latimes.com/news/local/la...nes-california
  7. by   Kashia
    From a nurse in California....
    This situation is another form of racism in our society. Hospitals in the "hood" are always going to be expected to do more with less and especially the nurses of these hospitals! I guarantee a hospital in Beverly Hills would not be ( necessarly) going through these pains. I am a white woman and nurse that has taken to speaking openly about overt racism in our society...please do not underplay the issue because it is the primary causative factor. "Ain't nothing changed"....since early on. The hideousness of racism has just taken on different manifestations to fit todays world.
    I am deeply saddened over this because the real victims are the patients, not the nurses and not the hospital...it is the people that suffer. And in this world today black people have to more with less and it is a sad sad shame. We are all one mankind.
    Thank you for reading and if you are really interested in this aspect which is very much a part of what happened at MLK hospital, start reading and listening to black people themselves...not some white persons spin on how it is to be black in todays world. One of the best reads is African holistic Health
    by Llaila O. Afrika. This will open eyes that are ready to open.
    Amen-Ra, In health, Kashia
  8. by   banditrn
    When I worked ICU, I remember coming in one nite and hearing how a patient had disconnected himself from everything, including the monitor, dressed and left while his nurse was down to lunch. She came back to find her patient GONE.

    The unit secretary/monitor tech. hadn't even paid any attention to it, and had been flitting around the unit.

    No one seemed as bugged about it as I was - I just can't imagine why, with a whole unit of staff - no one bothered to check to see WHY his alarms were going off?!!
  9. by   emsrn1970
    How in the world is this racism??????? The problem with the hospital is because it is a county run facility. This won't happen in Beverly Hills because they are for profit and wouldn't tolerate the shoddy and substandard care!!!!!!!!!!!!!





    Quote from Kashia
    From a nurse in California....
    This situation is another form of racism in our society. Hospitals in the "hood" are always going to be expected to do more with less and especially the nurses of these hospitals! I guarantee a hospital in Beverly Hills would not be ( necessarly) going through these pains. I am a white woman and nurse that has taken to speaking openly about overt racism in our society...please do not underplay the issue because it is the primary causative factor. "Ain't nothing changed"....since early on. The hideousness of racism has just taken on different manifestations to fit todays world.
    I am deeply saddened over this because the real victims are the patients, not the nurses and not the hospital...it is the people that suffer. And in this world today black people have to more with less and it is a sad sad shame. We are all one mankind.
    Thank you for reading and if you are really interested in this aspect which is very much a part of what happened at MLK hospital, start reading and listening to black people themselves...not some white persons spin on how it is to be black in todays world. One of the best reads is African holistic Health
    by Llaila O. Afrika. This will open eyes that are ready to open.
    Amen-Ra, In health, Kashia
  10. by   pickledpepperRN
    There must have been curruption.
    The other Los Angeles County facilities passed.
    I have worked registry in this city off and on since 1972.
    MLK was once a fine hospital.
    A few years ago I was working in critical care units. I went to the six bed CCU one night. The care was excellent.
    The next night they sent me to "telemetry". nineteen patients on monitors, some with drips and on vents. It was to be me in charge with an LVN!
    This was just before the ratios so there would have been just the two of us, no clerk, no monitor tech!
    I called the nursing office before report stating I could not accept the assignment. I was sent to CCU and a CCU RN was floated. I reported this to the DHS because those were ICU patients.

    Certainly many other nurses won't risk their license like that. Why would the Board of Supervisors spend million$ on consultants rather than ensure the staffing, infection control, competency, and other repeated violations were done.
    I can't prove it but believe someone got rich.
    Still I also believe many lives have been saved, even recently.

    Daniel Freeman was a truly excellent hospital before Tenet Corporation took it over.
  11. by   igorota
    This is too saddening...why cant they just do whatever needs to be corrected and move on...am sure its much cheaper than building a new a new hospital or private hospital closing their ERs due to influx/saturation...paramedics will be running around looking for an open
    ER..maybe in all the way to Beverly Hills...
  12. by   igorota
    This is too saddening...why cant they just do whatever needs to be corrected and move on...am sure its much cheaper than building a new a new hospital .... private hospital closing their ERs due to influx/saturation...paramedics will be running around looking for an open
    ER..maybe in all the way to Beverly Hills...
  13. by   woody436
    How does crappy care translate to racism? Doesn't "cost" much to look at respond to a darn monitor alarm if someone is already working so don't tell me it's a "work more with less" thing"...just pure laziness.

    I know a travel nurse that was out there for a bit. She went to King/Drew for ONE day and high-tailed out of there because of the poor care given by the majority of the staff. She risked breaking her contract with the travel agency just to protect herself from being caught up in that nightmare.

    I feel bad that the residents of the area can't expect to receive better care. It's a shame and a sad commentary on society that those folks have been let down.
  14. by   pickledpepperRN
    Quote from woody436
    How does crappy care translate to racism? Doesn't "cost" much to look at respond to a darn monitor alarm if someone is already working so don't tell me it's a "work more with less" thing"...just pure laziness.

    I know a travel nurse that was out there for a bit. She went to King/Drew for ONE day and high-tailed out of there because of the poor care given by the majority of the staff. She risked breaking her contract with the travel agency just to protect herself from being caught up in that nightmare.

    I feel bad that the residents of the area can't expect to receive better care. It's a shame and a sad commentary on society that those folks have been let down.
    This was East of the Mississippi but a nurse explains how such a thing could happen

    The second nurse explained how it can happen - http://www.youtube.com/watch?v=rFe9RqZ4vIc&NR

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