tag:blogger.com,1999:blog-32053362.post1097046618022365635..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: UTSW-Parkland cage matchPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-32053362.post-7261266664708184342014-09-04T09:34:35.161-04:002014-09-04T09:34:35.161-04:00Dear Anon,
I have rejected your comment because o...Dear Anon,<br /><br />I have rejected your comment because of its personal attacks.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-60451796848285529902013-03-14T21:22:09.485-04:002013-03-14T21:22:09.485-04:00I trained at Baylor College of Medicine in Houston...I trained at Baylor College of Medicine in Houston. My lab was a floor above Dr. DeBakey's O.R. As Chief Resident at The Methodist, I got to follow him and others of his ilk like a puppy dog. I recently attended a meeting held by the new Baylor CEO and was told, in passing, that the Methodist Hospital had dissolved its association with BCM. The Crown Jewels of medical care are falling out of the Academic Crown at an alarming rate. Where they will land, and what will become of them is a big Unknown, to me at least.Peternoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-74670064599859030282013-02-18T18:51:34.634-05:002013-02-18T18:51:34.634-05:00Thanks for helping advance the discussion, Paul. Y...<br />Thanks for helping advance the discussion, Paul. Your first commentator should know that Parkland does fare worst than other Texas hospitals when patient safety indicators are applied.<br /><br />See the below link. An excerpt: <br /><br />"Parkland Memorial Hospital, now under U.S. government monitoring because of systemic failures in patient care, has for years been one of the state’s worst-performing hospitals on a broad federal measure of patient safety, a Dallas Morning News analysis shows.<br />Several other Dallas-area hospitals also ranked among the 10 worst large hospitals in Texas, including UT Southwestern University Hospital-St. Paul, which shares physicians with Parkland. Others were John Peter Smith Hospital in Fort Worth, Methodist Charlton Medical Center in southwest Dallas and Baylor Medical Center-Garland.<br />Only 10 of the 27 large hospitals in Dallas, Collin, Denton and Tarrant counties ranked above average on the patient safety measure, which was designed to track problems such as surgical accidents and hospital-acquired infections. And only one — Texas Health Harris Methodist Southwest Fort Worth — scored among the state’s 10 best large general hospitals, those with 200 beds or more. Dallas County’s top performer was Texas Health Presbyterian Hospital Dallas.''<br /><br />http://www.dallasnews.com/investigations/patient-safety/headlines/20111015-parkland-in-dallas-has-been-among-texas-worst-hospitals-for-patient-safety-for-years-analysis-shows.ece<br /><br />I'm happy to provide Anonymous more info at mmoffeit@dallasnews.com<br /><br />Miles<br /><br /><br />Miles Moffeithttp://watchdogblog.dallasnews.com/noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-83577955892208617222013-02-18T06:32:26.249-05:002013-02-18T06:32:26.249-05:00If you go to USTW's website, Parkland is not e...If you go to USTW's website, Parkland is not even listed as one of their affiliated hospitals. Perhaps that portrays the attitude best.<br /><br />nonlocalAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-60328522442164780962013-02-18T06:13:44.078-05:002013-02-18T06:13:44.078-05:00I've described the Harvard Medical School arra...I've described the Harvard Medical School arrangement here: http://runningahospital.blogspot.com/2007/01/harvard-medical-system.html.<br /><br />It is very different in that HMS has no clinical authority at all in its affiliated hospitals. While attending physicians in the hospitals are members of the HMS faculty, their supervision and activities on clinical matters are solely the purview of the hospitals in which they work.<br /><br />The Harvard hospitals are not formal safety net facilities, but all of them take care of a large number of indigent patients.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-26642927217986690952013-02-17T23:07:40.742-05:002013-02-17T23:07:40.742-05:00I don't know what the structural arrangement b...I don't know what the structural arrangement between the medical school and its (apparently more than one) hospitals are, but I wonder if Parkland is the less-favored safety net hospital for the med school, among others in more affluent circumstances. This is not an unusual arrangement unfortunately, and provides cheap but uninterested physician labor to cover the hospital, poorly it seems. I think you have hit upon a situation that hampers patient care in many cities.<br />I would be interested in a comparison of the cited situation with the Harvard medical school hospitals, for instance. How is the governance better there, to avoid such disparities?<br /><br />nonlocal MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-22350095492240678332013-02-17T18:42:55.146-05:002013-02-17T18:42:55.146-05:00Not to defend this, but separation is pretty much ...Not to defend this, but separation is pretty much required by law. The CPM doctrine is alive and well in Texas, and Parkland's physician staff woes are not so bad compared to others, just more public because the Dallas Morning News has focused in on them so hardAnonymousnoreply@blogger.com