Harsh Hospital Words

Rosalind Helderman

The stage is set for a real showdown on the Prince George's hospital next week.

Calvin Brown, the chairman of the hospital system's board of directors sent a tough letter to County Executive Jack B. Johnson (D) late today. In it, he proposed a counteroffer to Johnson's demand that four members of the board of Dimensions Healthcare System, the nonprofit company that runs the system, resign before Johnson releases any money to the troubled system. The board rejected that demand earlier this week.

Brown proposed instead expanding the board's membership from 11 to 15 members. Kirk Blackman, the current chairman of the Dimensions Finance Committee, would take one of the new slots. The other three would be filled through the same nomination process the board has been using to fill its public seats. The proposal mirrors one the board made in a letter in 2003. County officials were so enthusiastic about that idea that they never formally responded.

But Brown's letter did not stop there. He went on to outline the exact legal reasons why board members believe they are no longer bound by a February agreement to change up their boards' membership in exchange for county funds.

What's more, for the first time, Brown formally alleges Johnson is simply trying to take over the hospital system in an attempt to push it into bankruptcy. "The county has made no secret of its desire to see Dimensions go into bankruptcy and, if the county obtained control of the board, no doubt such action would follow shortly," he wrote.

Finally, Brown has an ultimatum of his own: He wants a written guarantee that the county will pay to keep the hospital open through June 2008--which he says will cost $33 million in all--and he wants it by the time the board meets next on Tuesday. Without it, he writes "the board will consider taking legal action to enforce the promsies made by the county, as well as any other options availalbe to it, including closure."

Johnson spokesman James Keary responded: "The leter was received. The County Executive has not reviewed it yet. It is a rather a lengthy letter. but no where can I find why they haven't yet done what they said they would do in February, and that is reconstitute the board and submit a plan to cut costs."

Keary said Brown's counter offer "just rehashes something they proposed three years ago that was soundly rejected" but he said it would be reviewed.

By Rosalind Helderman |  June 29, 2007; 4:29 PM ET  | Category:  Rosalind Helderman
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Where is the O'Malley version of his very own Whitewater scandal in Queen Anne's County and why is the WaPo conveniently white-washing the story?

Phyllis, do you ever get tired of making excuses for those hacks at the WaPo?

Posted by: BG from PG | June 29, 2007 8:49 PM

The solution lies in coming to grips with the true history of Dimensions and agreeing that the era that sustained its grip on the County is gone. At least, we can now discuss how to move a vital community asset forward to support the County's enviable and impressive growth. A functional health services system is crucial to building the County we all desire. The community must rise to this challenge. The apparent impasse presents the opportinity the larger community never had to take ownership. The Johnson admnistration and the Council have torn the protective membrane that covered Dimensions' arrogance and non-management in the past.

The Post must raise the questions: Where is the community in all of these? Nobody even brings up the need to involve the community at large in determing what to do with this core community asset that is held hostage by Dimensions. The history of Dimension and the hand-shake arrangement with previous powers in the county are the main drag. Now at least we know that the County owns the asset, and that Dimensions has failed to manage the asset all these years. It is time for the larger Prince George's community to start talking about community hospitals and the health care/services asset of the future, which must be anchored in the unique entities that are represented in the Dimension's portfolio. Again, where is the Chamber of Commerce, where is the Medical Society, where is the faith community, what is the posture of the other hospitals and health establishments, where are the physicians in the community, what of the higher institutions,and the developers? The hospitals and services won't close. However, moving forward nessitates opening up the debate and addressing the health services the County needs to support its growth, and the mix of facilities to see same through. It's high time the community is empowered to address its health care needs, and therein lies the solution to the Dimensions quagmire.

Posted by: AnthonyI | June 30, 2007 2:15 AM

Could WaPo please post Calvin Brown's letter to JJ? It's hard to comment intelligently on something you've not seen.

Posted by: Count Bobulescu | June 30, 2007 2:27 AM

I have practiced in Laurel since 1978. I have been a part of the Laurel medical community since the Laurel Regional Hospital opened. I have served as vice president of the Medical staff, president of the Laurel Medical Society and on the local Hospital board for 5 years. My office is next to the hospital.
It is with great sadness that I watch the outrageeous actions of all parties to this
situation fail to recognize the purpose of their mandate to support the institutions that provide the conerstone of community health care.
When the County set up a quasi-private nonprofit managment entity, they hired a professional medical management company, HCA, to run the system. They knew how to run hospitals and they did a fine job. The problem was that the politicians continued to use the system for their political ends. Under the direction of Mr. Winfield Kelly,a former PG County Chief executive, Dimensions replaced HCA as the direct hands-on managers of the System. In 30 years nothing has changed.
The entire process has to be changed. It is time for the Governor to implement his proposal, unilaterally if necessary to return professional oversight and management to this essential community and regional asset.

Posted by: Robert Viener, M.D. | June 30, 2007 8:55 AM

It's time for the P.G. Hospital system to insure that users of its services pay their fair share of the costs.

Posted by: Robin Ficker of Robin Realty | June 30, 2007 9:56 AM

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Posted by: Bill | June 30, 2007 2:54 PM

The real question the Washington Post needs to ask is "What will Jack Johnson and the County Council do if they have control of the board and the system."
More than likely they will declare backruptcy which permits the county to take back over the Full Assets. After that some have speculated, based on past practice, that they would sell off the Bowie and Laurel sites to real estate developers. The property is worth more than the Healthcare System. The PG site is also prime real estate. The County Executive and County Council have never really come up with a plan of their own to provide comprehensive healthcare to the residents of the county.

Unfortunately, the media is focused on the politics and not what would happen if the County takes Dimensions Healthcare System over.

Posted by: landgrab | July 2, 2007 9:56 AM

The real problem lies with people using the hospital as their private physician, especially the Emergency Room. Coming in for minor aches and pains, access to pain medication that is then sold on the street. They need to put a stop to this kind of abuse. The answer is to screen patients, if it is determined that they do not have a "medical emergency" they are sent back to the registars window to produce insurance or make a payment of some sort, say $150.00. If they do have a "medical emergency" then they are seen regardless of the ability to pay. That is the law. Way to many people are abusing the "free" system. The key is to have a good triage system.

Posted by: Danny | July 6, 2007 2:01 AM

Dr. Viener, thank you for your insider view. That's the first time I've heard an opinion from anyone inside the system.

The council has posted the January 2007 letter to Dimensions on the PGC website. http://www.goprincegeorgescounty.com/Government/LegislativeBranch/pdf/Hospital_Funding_Request_2007.pdf

Here's a quote from the Dimensions spokesperson:

"Hermon [county spokesperson] said the council passed a law dictating that the board would not receive any funding if it did not reconstitute the board. However Dimensions Spokeswoman Suzanne Almalel said that law would only hold true if the board had asked the council for the money. We did not ask for the money," said Almalel. She said both Exum and Hermon offered the money to the board with no strings attached." - http://www.thesentinel.com/289236711988081.php

Huh?? We didn't ask for the money so we don't have to honor our agreement. What kind of response is that. I think that says a lot about Dimensions.

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