Hospitals Spend Small Fractions of Revenue on Charity Care

“Despite a congressman’s recent assurance that many hospitals “do the work for free,” Oklahoma’s hospitals spend less than 3 percent of their net patient revenues on charity care on average, records show.”

Some nurses continue to steal narcotics or practice while impaired under state monitoring that’s supposed to stop them.

“Reynolds is now suing Sabit for wrongful death. One of his biggest questions centers on the screws and rods used to fuse the spine, which came from a company called Apex Medical Technologies LLC. Apex had no public phone number, website, or listing of its owners. "CBS This Morning" has learned one of its owners was Sabit himself, with a 20 percent stake. From May of 2010 to August of 2012, his share of the profit was about $330,000.”

“Hospitals are confronting declining revenues and continuing investment demands from their patients and the government. These twin pressures are bringing into focus the advantages that large hospital operators hold over smaller independent ones, and why the latter might want to align with the former.”

“Records examined by the Star Tribune of more than 1,000 disciplinary actions by the Minnesota Board of Nursing over the past four years show that it tolerates or forgives misconduct that would end nursing careers in other states. The board actively licenses more than 260 nurses since 2010 who have records of unsafe practice, including botched care that led to patient harm or even death. Eighty-eight nurses are allowed to practice despite having been charged or convicted of crimes such as physical or sexual assault and drug thefts — some against their own patients. The board gives nurses who admit misconduct second, third and sometimes more chances to keep practicing. Getting fired for incompetence, even multiple times, rarely means Minnesota nurses lose their licenses.”

Since the 9/11 terrorist attacks, the agency charged with helping veterans recover from war instead masks their pain with potent drugs, feeding addictions and contributing to a fatal overdose rate among VA patients that is nearly double the national average.

Use only as directed | ProPublica and This American Life
“About 150 Americans a year die by accidentally taking too much acetaminophen, the active ingredient in Tylenol. The toll does not have to be so high.” Read the stories from ProPublica.

Company Behind Snowden Vetting Did Check on D.C. Shooter | Bloomberg
“The U.S. government contractor that vetted Edward Snowden, who leaked information about national surveillance programs, said it also performed a background check on the Washington Navy Yard shooter.”

Archdiocese knew of priest's sexual misbehavior, yet kept him in ministry | Minnesota Public Radio
“A memo written in 2011 obtained by MPR News from police shows the former vicar general – the top deputy of the archdiocese – did not want parish employees to know about Wehmeyer's past. ‘At every step of the way, this could have been prevented,’ Haselberger said. ‘This is just failure after failure after failure after failure.’”

Insiders Allege Fraudulent Accounting at SamTrans | NBC Bay Area
“Insiders say they were asked to make changes to the San Mateo County Transit District’s financial records that they believe were illegal; they say SamTrans made up expenses to create the appearance it needed more taxpayer money.”

D.C. Fire Stations Near Navy Yard Understaffed in Shooting | NBC Washington
“News4 I-Team has learned some D.C. firehouses were understaffed during Monday morning's shooting at the Navy Yard. Twelve people were killed and eight others injured when 34-year-old Aaron Alexis opened fire inside Building 197 in Southeast D.C. around 8:30 a.m. Alexis was later shot and killed by police.”

Legal problems sent midwife to Utah, where another baby died | Salt Lake Tribune
“This is not the first time El Halta has been accused of straying beyond her expertise. It is not her first encounter with the law, nor her first delivery that ended with a death. But for decades she has remained committed to natural childbirth, and some clients say she has helped countless women avoid complicated surgeries and provided choice in births where hospitals may offer few options. ‘They’ll have to cut off my hands to stop me,’ he once told a Michigan newspaper.”

Metro Phoenix housing market’s turnaround creates new issues | Arizona Republic
Now, buyers and renters live in those places — in properties re-floored, repainted and relandscaped. The number of empty houses in the Phoenix area today stands at about 10,000, according to an Arizona Republic analysis of housing data.

Scoring errors jeopardize tests: Poor oversight raises risk | Atlanta Journal-Constitution
“It can mean the difference between college and a factory job; between scraping by and a chance for more. The former principal is still haunted by the few times he told parents their children wouldn’t receive a high school diploma because they had failed the exams.”

Carolinas HealthCare’s planes used for business, personal trips | Charlotte Observer
A Charlotte Observer story published Sunday revealed that the CEO of one of the nation's largest nonprofit hospital systems enjoys a rare perk: the freedom to fly hospital planes for both business and pleasure. Flight logs provided by Carolinas HealthCare System show that chief executive Michael Tarwater took at least 29 personal flights on the system’s planes from 2008 through 2012. Tarwater, an accomplished pilot, often flew hospital planes on business trips as well. Some experts believe the practice is rare – and questionable. “It seems inappropriate for them to use (planes) for personal purposes, given that they are being supported via tax exemption,” said Gerard Anderson, director of the Johns Hopkins Center for Hospital Finance and Management. “So we are all paying for the vacation the CEO is taking.”

Lee Zurik Investigation: Hingle to jail, taxpayers pay him $400k | WVUE New Orleans
“Former Plaquemines Parish Sheriff Jiff Hingle surrendered himself Monday, reporting to a federal prison in South Carolina where he'll serve most of his nearly four-year sentence. And even while he's behind bars, the public will still be paying Hingle.”

UCI doctors downplayed risks of surgical robot | Orange County Register
“Two top UC Irvine surgeons have spent a decade working with a California company to promote a $2 million surgical robot despite a lack of reliable scientific evidence showing that it is safe or gives patients better results.”

Justice Dept. watchdog never probed judges' NSA concerns | USA Today
“In response to a FOIA request from USA TODAY, the Justice Department said its ethics office never looked into complaints from two federal judges that they had been misled about NSA surveillance.”

DeVry Lures Medical School Rejects as Taxpayers Fund Debt | Bloomberg Markets Magazine
“DeVry, which has two for-profit medical schools in the Caribbean, is accepting hundreds of students who were rejected by U.S. medical colleges. These students amass more debt than their U.S. counterparts -- a median of $253,072 in June 2012 at AUC versus $170,000 for 2012 graduates of U.S. medical schools.”

DWP says it can't track millions in ratepayer money | Los Angeles Times
“DWP ratepayer funds flow to two groups run by agency managers and union leaders, with little accountability.”

Ryan Gabrielson of The Center for Investigative Reporting reports that "California regulators routinely have conducted cursory and indifferent investigations into suspected violence and misconduct committed by hundreds of nursing assistants and in-home health aides – putting the elderly, sick and disabled at risk over the past decade."

In two stories published yesterday, Gabrielson's examines how and why these cases are dismissed and details the case of an edlerly woman whose suspicious death was largely ignored by state regulators.

KUOW in Seattle reports that about 30 times per year, a sponge or surgical instrument is left inside a patient at a hospital in Washington state. Foreign ojects left behind are among the state's most common medical mistakes. Medical experts told KUOW such an event should never happen, at that the system in place to check for sponges and other equipment left behind is not straightforward. New technology exists to ensure such equipment is not left behind, but it is not widely used.

The Dallas Morning News investigation shows how Dr. Tariq Mahmood operated a chain of dangerous small-town Texas hospitals for more than four years until regulators finally started to crack down. Before they acted, repeated warnings about grave risks to patients and potential fraud reached multiple agencies. At least four patients died. 

The project details how federal and state regulators don't track problem hospital operators or hold them accountable. Nor do they look for patterns of care breakdowns inside hospital chains. Top regulators didn't know Dr. Mahmood owned multiple hospitals until The News began asking questions about them earlier this year.