archive-org.com » ORG » M » MOMOBILE.ORG

Total: 314

Choose link from "Titles, links and description words view":

Or switch to "Titles and links view".
  • <Stopping the Closure of NE hospital>
    assured the community of its commitment to Northeastern Similarly after closing the maternity unit at Jeanes in 2007 TUHS assured the community it would concentrate resources on Northeastern s maternity unit Temple predicted the births these hospitals previously handled would transfer over to Temple University Hospital In fact Temple s deliveries have decreased Northeastern now says it plans to restructure but those close to the hospital fear they plan to cut operations and obstetrics The hospital claims to be losing money But TUHS as a whole continues to operate at a substantial profit Maternity services are usually cross subsidized by more profitable service And while it s true that Northeastern deals with a large volume of un and under insured patients TUHS has received substantial subsidies 120 million in the last five years above usual hospital subsidies to balance that much of it directed specifically to Northeastern These public dollars should be invested wisely to strengthen existing services and improve quality at the hospital The public doesn t know how much TUHS or Northeastern has negotiated from managed care for their reimbursements but the state pays 10 500 to cover prenatal services and delivery for each Medicaid birth How much has Northeastern negotiated from the insurers for maternity services Is it less than for our hearts or bones Why haven t they negotiated to cover their costs EIGHTEEN HUNDRED babies were born last year at Northeastern many absorbed in the wake of nearby maternity closures Where will this year s pregnant women go The community is expanding with lots of young people starting families The demand for maternity services will likely continue to increase Northeastern is a busy full service hospital with 168 beds nearly always in use 120 patients was last year s average daily census Nearby communities rely

    Original URL path: http://www.momobile.org/StoppingtheClosureofNEhospital.html (2016-05-02)
    Open archived version from archive

  • <The Cradle Will Rock>
    be that way Indeed Philadelphia was designed as an act of public health To avoid fire and epidemic disease Penn s original city provided space for generous squares and side gardens A century later a much more crowded and dirty city was thought wrongly to be the cause of a widespread epidemic yellow fever Prodded by the outspoken and willful physician Benjamin Rush the civic response was forceful A hospital was created for victims a Board of Health was formed Still yellow fever claimed nearly one tenth of the city s population The present public health crisis that threatens Northeastern isn t an epidemic The worry isn t the city s capacity to respond to disease Rather it s the opposite the prophylactic care of pregnant women and newborn babies In 2008 doctors at Northeastern delivered 1 753 babies nearly one in 10 born in Philadelphia Since 1997 12 neighborhood hospitals or maternity wards have closed leaving Northeastern as the last community hospital in Philadelphia to provide maternity care It s a disaster waiting to happen says Albert Pizzica the outspoken director of Northeastern s newborn nursery Pizzica who also runs five pediatric practices in the city is a latter day Benjamin Rush who sees a medical emergency in the abandonment of maternity care This community needs obstetrics he says explaining that when Temple closed the maternity wards at Episcopal Hospital in 2001 and Jeanes Hospital in 2007 they claimed the university s main hospital on Broad Street would absorb them It didn t those families went to Northeastern where Pizzica says births have tripled since 2003 Attempts to reach Northeastern s CEO John Buckley were deflected to a public relations specialist who had not returned a phone call by press time I m very very concerned says City Councilwoman Maria Quiñones Sánchez we re a community with only one hospital Though the hospital is located in Councilman Frank DiCicco s district many of Northeastern s patients live in Quiñones Sánchez s 7th District This is very important she says in part because her district s population is growing It s a public health question that needs to be answered by Temple says Pizzica If Northeastern closes where are deliveries going to go Who is going to take public health responsibility The answer left to a patchwork of medical centers and teaching hospitals private insurers and government programs is that maternity care doesn t rate Einstein Medical Center says it loses 2 000 per birth We re coming up short at the state level paying for the delivery of babies says Taylor Indeed reimbursements are poor compared to other specialties explains Letty Thall public policy director for the Maternity Care Coalition a group formed in the 1980s in response to Philadelphia s high infant mortality rate The Coalition runs the MOMobile service for low income women Thall says the Northeastern crisis is only part of a larger health care landscape that favors technological intervention over well care Philadelphia lacks maternal

    Original URL path: http://www.momobile.org/TheCradleWillRock.html (2016-05-02)
    Open archived version from archive

  • <Main Line health breaks from pack>
    to handle 2 300 births this year With a decrepit facility we were holding our own said Dr Nancy Roberts chairwoman of obstetrics and gynecology for Main Line Health Lankenau s revamped maternity ward can no longer be described with such words The OB unit has grown to 10 labor and delivery rooms from eight to 22 neonatal intensive care beds from 12 and to three operating rooms that are used exclusively for Caesarean sections from two The third operating room is awaiting approval from the Pennsylvania Health Department Other amenities include new family lounges and waiting areas showers in all patient rooms and flat screen televisions The cost of the 16 million project was funded from the Lankenau Foundation the hospital s charitable arm along with operating revenue and 3 9 million in donations from the Women s Board of Lankenau Hospital the community and the medical center s board members employees physicians and patients The health system also has birthing centers at its three other acute care hospitals though it has invested most heavily in Lankenau Main Line Health s investment comes as Chestnut Hill Hospital Brandywine Hospital and Lansdale Hospital closed their maternity wards within the past two months Everybody is feeling the crunch especially the patients said Gail Harrington administrative director for women and children s services at Lankenau Overall 17 hospitals have stopped delivering babies during the past 12 years most citing the financial stress caused by escalating malpractice premiums and inadequate insurance reimbursements particularly by Medicaid managed care plans The Maternity Care Coalition a patient advocacy group is fearful another Philadelphia medical center may soon join the list Last month Temple University Health System responded to rumors its Northeastern Hospital was closing by saying it had formed a task force to study options for

    Original URL path: http://www.momobile.org/MainLinehealthbreaksfrompack.html (2016-05-02)
    Open archived version from archive

  • <Help Organize to Keep Northeastern Open>
    Care Scarce Hospitals should have a Heart for Babies too Babies on Board NE Session to Explore Maternity Crisis At the Center of the Baby Crisis More Childbirth Crisis news Safe Sleep News Breastfeeding News Other News Labor Justice Radio January 06 2009 Help Organize to Keep Northeastern Open Kistine Carolan Reporter With the potential closure of Northeastern Hospital we hear from Jerry Silberman a representative of the hospital s

    Original URL path: http://www.momobile.org/HelpOrganizetoKeepNortheasternOpen.html (2016-05-02)
    Open archived version from archive

  • <No room for baby>
    Northeastern Hospital as the community has come to know it One possibility is that Temple could eliminate maternity and other services offering only an urgent care center and some outpatient facilities as it does at its Episcopal Hospital campus Other hospitals in the system include Temple University Hospital and Jeanes Hospital in Fox Chase which closed its maternal care unit in May 2007 At that time TUHS also shuttered an adult day care program at Northeastern and the school of nursing at the TUH Episcopal Campus Northeastern Hospital lost 6 6 million in fiscal year 2008 and is projected to lose more in 2009 according to TUHS spokeswoman Rebecca Harmon Such losses are not sustainable Harmon said TUHS has organized a task force composed of 12 key administrators within the health system to study its options Harmon said it was premature to talk about what those options might be Another important point is that all the recommendations put forth will take into consideration the community the medical staff and the employees Harmon said Dr Albert Pizzica director of newborn nurseries and chief of pediatrics at Northeastern hopes the task force and the health system won t abandon its mission In the past five years TUHS has received 120 million in enhanced government support state funding given specifically to aid TUHS in its role as a safety net for the city s poor and under served That support is above and beyond what most other hospitals receive More than 27 million of that funding was earmarked for Northeastern Hospital Pizzica is concerned about the resulting public health crisis for pregnant Medicaid moms if Northeastern ceases maternity services This is the last community hospital We ll deliver 1 800 this year alone There is no capacity for anyone to absorb this Where would these mothers go he asked Should Northeastern close its obstetric unit the remaining options in the city are Albert Einstein Medical Center Hahnemann University Hospital Hospital of the University of Pennsylvania Pennsylvania Hospital Temple University Hospital and Thomas Jefferson University Hospital Only three of the city hospitals are available to patients on AmeriChoice one of three Medicaid insurance programs Many Northeast Philadelphia women chose to deliver outside of the city at Holy Redeemer Abington and Lower Bucks hospitals In labor and without a car however women can find their options are severely limited In the view of Bette Begleiter deputy director of the Maternity Care Coalition an advocacy group that offers the potential for problems If you don t have a car go into labor and call 911 they ll take you to the nearest hospital They may not have any of your records and not be the hospital you ve been seen at Begleiter said It only intensifies the problem Pizzica agrees During the weekend of Dec 20 he had two mothers to be walk in eight weeks premature They never would have made it to Einstein or Temple They would have delivered on the street Pizzica said

    Original URL path: http://www.momobile.org/Noroomforbaby.html (2016-05-02)
    Open archived version from archive

  • <Vigil against closure of Northeastern Hospital>
    in Northeast NE Maternity Care Scarce Hospitals should have a Heart for Babies too Babies on Board NE Session to Explore Maternity Crisis At the Center of the Baby Crisis More Childbirth Crisis news Safe Sleep News Breastfeeding News Other News WHYY December 22 2008 Vigil Against Closure of Northeastern Hospital Tom MacDonald Reporter A vigil was held outside Philadelphia s Northeastern Hospital in an effort to keep the facility

    Original URL path: http://www.momobile.org/VigilagainstclosureofNortheasternHospital.html (2016-05-02)
    Open archived version from archive

  • <2 more area>
    Close Stacey Burling Staff Writer The delivery options for pregnant women in the region just keep shrinking Two community hospitals in the suburbs Brandywine Hospital in Coatesville and the former Central Montgomery Medical Center in Lansdale now say they are closing their maternity units bringing the number that have closed in Southeastern Pennsylvania since 1997 to 17 Chestnut Hill Hospital s unit officially closed Tuesday According to the Maternity Care Coalition that leaves 25 hospitals in Philadelphia and the four suburban Pennsylvania counties that have maternity units See list at http go philly com maternity Hospitals say that low reimbursement rates from insurance companies especially for women on Medicaid and the high cost of malpractice insurance often make running a maternity unit a money losing proposition JoAnne Fischer executive director of the Maternity Care Coalition said it could be particularly difficult to run small units The rule of thumb is if you re doing under a thousand you probably can t do a very good job Abington Memorial Hospital announced yesterday that it had completed the purchase of Central Montgomery Medical Center and renamed it Lansdale Hospital Linda Millevoi an Abington spokeswoman said the medical staff was told that its small obstetrical unit which delivers fewer than 400 babies a year will close Feb 1 Obstetricians can apply for privileges at Abington which has a much larger program that delivers 5 200 babies a year and has the capacity to care for 6 000 Millevoi said Abington said neighboring hospitals also had indicated they had room for more maternity patients Abington and Lansdale are about 12 miles apart Millevoi said In a news release an Abington official said Lansdale s program was not large enough to support services it considers vital a neonatal intensive care unit and perinatology support for

    Original URL path: http://www.momobile.org/2morearea.html (2016-05-02)
    Open archived version from archive

  • <City Eyes Closures>
    bed when they re in labor She said other hospitals near Chestnut Hill Albert Einstein Medical Center and Abington Memorial Hospital are the closest will be able to absorb the 1 000 babies a year that Chestnut Hill Hospital has been delivering I believe at this point there is still capacity but we re monitoring that very closely said Maus a Mount Airy resident who was born at Chestnut Hill Hospital In June 2007 the city helped establish a task force on obstetrical services that includes representatives from the government hospitals insurance companies and advocacy groups The group is only now beginning to collect data on hospital usage and financial problems in obstetrics It will begin gathering detailed information about deliveries from the city s maternity hospitals next week Maus said she believes the initiative has moved remarkably quickly given the complexity of the situation the hospitals are competitors after all and payment information has been secret and the workload of the doctors who run Philadelphia s obstetrical programs The sensitivities here are fairly massive she said People s bottom lines are on the line Chestnut Hill announced this week that it is closing its maternity unit saying that the relatively small size of the program could not financially support the required services It said it would lay off 70 staff members while expanding gynecological services to older women It will be the 15th hospital in the region to shutter its maternity ward since 1997 Hospitals have said that a combination of low insurance payments especially from Medicaid and high malpractice insurance expenses make obstetrics a money loser Pam Clark a member of the OB task force and vice president of health care finance and managed care for the Delaware Valley Healthcare Council said the closure trend is the big issue The concern is that this is the third hospital in three years Clark said We re on the brink of potentially being unable to manage the babies that people want to deliver in the region The task force is examining obstetrical costs and revenue malpractice expenses and capacity The costs are difficult because different hospitals measure expenses in different ways Revenue is thorny because most Medicaid patients now are covered by managed care plans that refuse to divulge what they pay providers even though they are funded by the public As a result the task force will have to look at aggregate financial data The state this year stopped subsidizing part of the malpractice expenses for obstetricians Clark said and that has increased financial pressure The state and federal government this year are giving an extra 10 million to hospitals that have a disproportionate share of poor pregnant patients Clark said Chestnut Hill did not qualify for that funding Starting next week the task force will be collecting data on where women are having babies and whether they arrive at the hospital with prenatal care records If the hospital that delivers the baby can t access a woman s

    Original URL path: http://www.momobile.org/CityEyesClosures.html (2016-05-02)
    Open archived version from archive



  •