01/02/18 Council Committees: Health, Hospitals, and Social Services


TO CALL THE MEETING OFFICIALLY TO ORDER OF THE HEALTH, HOSPITALS, AND SOCIAL SERVICES COMMITTEE. WE HAVE 1 ITEM ON THE AGENDA. WE DO HAVE A QUORUM. THE FIRST ITEM ON THE AGENDA IS RESOLUTION, 2018-1002. AND IT APPROVES A SERVICE INITIATIVE AGREEMENT BETWEEN THE METRO BOARD OF HEALTH, AND THE BEST FRIENDS ANIMAL SOCIETY. TO PROVIDE TRAINING AND CONSULTING FOR ENTERPRISE CERTIFICATION.>>SECONDED.>>IT’S BEEN MOVED AND PROPERLY SECONDED. IS THERE ANY DISCUSSION?>>SURE. TOM CAN YOU SPEAK TO EXACTLY WHAT’S INVOLVED WITH THIS ENTERPRISE? I LOOKED IT UP, AND IT DOESN’T SHOW TENNESSEE HAVING AN ACTIVE PROGRAM. HOWEVER IF YOU LOOK ELSEWHERE ON THE WEBSITE, IT SAYS THAT THEY ARE ENGAGED HERE. CAN YOU SPEAK TO THAT, AND WHAT IT SHOULD COST US.>>IT SHOULDN’T COST US FOR THE EFFORT THAT WE PUT INTO RECEIVING THE TRAINING. THE TRAINING IS PRIMARILY TO HELP YOU HAVE A MORE USEFUL VOLUNTEER PROGRAM. IT TRIES TO FIND YOU LEVERAGE, AND VOLUNTEER ACCESS, WHICH ARE VERY HELPFUL AT PLACES LIKE THE SHELTER. WHERE WOULD THE VOLUNTEERS ACTUALLY BE ENGAGED WITHIN THE SYSTEM. WOULD THEY BE GOING OUT ON A COLD NIGHT. THEY DO MOSTLY THINGS AT THE SHELTER. THEY WALK THE DOGS, FOR INSTANCE. THINGS LIKE THAT. THEY’RE NOT TRAINED TO DO ANIMAL CONTROL.>>SO THIS IS JUST WITHIN THE SHELTER, IT’S JUST –>>AND THEY CAN HELP WITH ADOPTION. IT’S JUST EXTRA HANDS FOR VERYOUNGS THINGS. BUT THEY’RE VOLUNTEERS, SO THEY’RE NOT THE [ INAUDIBLE ].>>OKAY.>>HOW AB HOW BIG IS THAT PROG.>>IT’S DESIGNED FOR NOT-FOR-PROFIT. SO THEY CAN MAXIMIZE THEIR RESOURCES. BUT THE SHELTER, OUR SHELTER PHONES WANTED TO GIVE IT A GO, THEY THOUGHT THAT THE TRAINING WOULD BE USEFUL FOR THEM. SO WE HAVE A VOLUNTEER COORDINATOR OUT THERE, AND SHE WANTED TO TAKE IT AND SEVERAL OTHERS AS WELL.>>WILL IT HELP TO EXPAND THE VOLUNTEER BASE?.>>I SURE HOPE SO. IT’S 1 OF THE THINGS THAT IT TEACHES YOU HOW TO RECRUIT.>>IT’S GOTTEN A LOT BETTER OVER THE LAST FEW YEARS. WE’VE REALLY EXPANDED IT A LOT RECENTLY ANYWAY. AND THEY SEE THE RO THE VALUE .>>IS THERE ANY MORE DISCUSSION? IF NOT. WE WILL GO AHEAD AND TAKE A VOTE. ALL THOSE IN FAVOR OF THE RECOMMENDATION. SEEING NO OPPOSING PERSON, IT IS RECOMMENDED FOR APPROVAL, AND IT IS RECOMMENDED BY — I’M DOING A COUNT.>>YOU GOT YOURSELF.>>SO IT IS RECOMMENDED TO THE TOTAL BODY FOR APPROVAL. ALSO WE DO WANT TO RECOGNIZE WE HAVE WITH US MARK OVERLOCK FROM THE HOSPITAL, HE’S FROM METRO HOSPITAL H HE AND OUR –>>ROSE, WHO HEADS UP OUR FOUNDATION, AND JANA, ROGERS, WHO HEADS UP OUR BUSINESS RELATIONSHIP.>>DO YOU HAVE THINKING NO SHARE WITH US.>>WE APPRECIATE YOU BEING HERE.>>HAPPY NEW YEAR TO YOU AS WELL. WE APPRECIATE YOU BEING HERE. DOES THE COMMITTEE HAVE ANY QUESTIONS FOR NASHVILLE GENERAL HOSPITAL?>>I HAVE BEEN HEARING THAT YOU ALL ARE LOSING SOME PHYSICIANS; IS THAT TRUE?>>WE HAVE HAD A DECLINE IN EMPLOYEES, AND THERE’S PHYSICIAN UNSETTLEMENT, THERE’S A LOT OF UNSETTLEMENT WITH THE PHYSICIANS. WE HAVE HAD SOME PHYSICIANS THAT ARE GOING TO LEAVE, NOT NECESSARILY ALL THAT’S TAKING PLACE BECAUSE OF THIS.>>THIS DOESN’T HELP?>>THIS DOESN’T HELP AT ALL. NOR DOES IT HELP WITH THE MORALE.>>AS FAR AS THE PHYSICIANS ARE CONCERNED, HOW MANY OF THE PHYSICIANS THAT ARE PART OF THE MEHARRY ARE ACTUALLY ADMITTING AT GENERAL, AND OF THOSE, HOW MANY ARE WE LOSING.>>THAT’S SOMETHING THAT WE DON’T HAVE ANY INFORMATION ON. WE DON’T KNOW WHAT MEHARRY’S PLAN IS, WE DON’T KNOW WHERE THE PHYSICIANS AND RESIDENTS ARE GOING TO GO DOWN THE ROAD, AND BE THEY DON’T KNOW. THE PHYSICIANS TONIGHT KNOW, AND THAT CAUSES A LOT OF THE OTHER PHYSICIAN UNREST. BECAUSE WE HAVE AN AGREEMENT THROUGH MEHARRY FOR THE PHYSICIANS TO BE AT NASHVILLE GENERAL, SO IS HE WE DON’T HAVE THAT INFORMATION SPECIFICALLY. NOW IT WOULD HELP IF WE COULD GROW OUR PHYSICIAN BASE, TO GET PATIENTS ADMITTED. 1 OF THE INFORMATIONS THAT WE HAVE IS TO ADMIT OUR PHYSICIAN BASE, IS NOT THERE, WE HAVE PEOPLE THAT NEED THE HELP, BUT WE DON’T HAVE THE PHYSICIANS TO GET THEM INTO THE HOSPITAL.>>AND YOU DON’T HAVE ACCESS TO THAT INFORMATION, BECAUSE MEHARRY WOULD HAVE TO RELEASE TO YOU, I JUST WANTED THAT TO BE CLEAR FOR THE VIEWING AUDIENCE, IT WASN’T NEGLIGENCE ON YOUR PART, YOU DON’T HAVE CONTROL OF THAT DATA?>>AND NEITHERS TO METRO.>>CORRECT.>>HOW MUCH IS THIS NETWORK WITH DOCTORS HAVE BEEN AFFECTED THROUGH THE MERGER SYSTEM THAT HAS HAPPENED IN THE PAST AND NOW IT’S STILL OPERATING? COULD YOU JUST GIVE ME A LITTLE BIT OF BASE ON THAT, ARE WE STILL WORKING ON THE ORIGINAL MERGER NETWORK AGREEMENT THAT WAS DONE YEARS AGO TO CURRENT DAY?>>IT DEPENDS ON SPECIALTY. YES, A LOT OF THE — OBVIOUSLY BACK AROUND WHEN THE MERGER HAPPENED BACK IN THE 90S, WE HAD A PSA, WITH ME HAIR YOU. WE HAVE A MAJORITY OF OUR /TKO*RS DO COME FROM THE SERVICES AGREEMENT.>>CONTRACTDOC DOC DOCTORS. THE SERVICES THAT MEHARRY CAN’T PROVIDE OR HAS PROVIDED IN THE PAST, WE HAVE DIRECTLY THROUGH VANDERBILT. WE HAVE 3 OR 4 THAT COME FROM MEHARRY AND COME BACK TO US. SO YES, THE OLD MODEL IS STILL LOOSELY IN PLACE, IT HAS ALL BEEN PATCHWORKED TOGETHER TO TAKE THE POPULATION THAT WE HAVE, BUT YES, IT IS STILL LOOSELY IN PLACE.>>TO YOUR OPINION IS THAT SOMETHING THAT NEEDS TO BE LOOKED AT CURRENT DAY?>>IT WOULD HELP TO HAVE MORE CONTROL OF OVER CLINICS BASED UPON RELATIONSHIP BETWEEN ME MARY AND NASHVILLE GENERAL. I THINK IT WOULD BE HELPFUL TO HAVE MORE SAY SO ON HOW THE CLINICS ARE RUN, AND MORE CONTROL OVER THE PHYSICIANS AND HOW THEY’RE PAID AND COMPENSATED; YES, I DO. JUST A STATEMENT TO US. I THINK THAT THE YESTERDAY AGREEMENT THAT HAPPENED YEARS AGO, IS SOMETHING THAT WE NEED TO REALLY REALLY LOOK AT. BECAUSE WE’RE WORKING ON A YESTERDAY TIME FRAME, OR A YESTERDAY SITUATION, AND TODAY IS A WHOLE NEW NASHVILLE, A WHOLE NEW SYSTEM, AND IF IT’S CURRENTLY WORKING ON THE WAY THAT IT RAN 20 YEARS AGO, IT IS NOT GOING TO MEET THE NEEDS OF THE PEOPLE THAT ARE IN OUR COMMUNITY. SO I THINK THAT’S SOMETHING THAT WE REALLY REALLY NEED TO LOOK AT.>>WE BELIEVE IT WAS 26 YEARS AGO, THAT THE MERGER HAPPENED.>>YEAH.>>AND THERE HAS BEEN A LACK OF FUNDING FOR THE HOSPITAL FOR THE LAST 26 YEARS SINCE THAT HAPPENED, AND THE BUILDING NEEDED REPAIRS BACK THEN. AND THERE’S BEEN A LOT OF FUNDING AND RENT THAT’S BEEN PAID OUT TO OUR PARTNERS WHO WE SHARE LAND WITH. AND NOT NECESSARILY ALL OF THE EQUIPMENT, OR THE PHYSICIANS OR CLINIC HOURS ARE ALWAYS BEING ADDRESSED TO THE STANDARD THAT WE WOULD LAKE FOR THEM TO BE DOCTORS YOU JUST HIT IT RIGHT ON. FOR THE FACILITY, THE PARKING GARAGE, THAT’S THERE, AND WE PAID $45,000 A MONTH FOR PARKING AND WE ONLY HAVE SELECT PARKING THERE. $45,000 A MONTH, WHO BUILT THAT GARAGE, WHERE DID THAT MONEY COME FROM? IT CAME FROM METRO, RIGHT HERE, AND WE’RE PAYING OUT TO A THIRD SOURCE $45,000 A MONTH OUT OF THE 35 MILLION THAT WE’RE GIVING TO THE HOSPITAL FOR OPERATING AT THE HOSPITAL, AND WE HAVE A LOT OF OTHER THINGS THAT ARE OUT THERE JUST LIKE THAT. I KNOW THAT THERE’S SOME OTHER FUNDS THAT HAVE BEEN DELIVERED THROUGH THE STATE OF TENNESSEE. THE STATE OF TENNESSEE, AND IT 9HAS GONE TO MEHARRY FOR THE PAYMENT, AND WE ARE SUPPOSED TO RECEIVE A PORTION OF THAT AS WELL. BUT TO THIS DAY, WE HAVE NOT RECEIVED ANY DOLLARS OF THAT. SO MEHARRY ASKING FOR A CERTAIN AMOUNT OF MONEY, WE NEED TO LOOK REALLY REALLY HARD AT THE MERGER SYSTEM, GET ALL OF THAT CORRECTED SO THAT WE CAN BE ON A FOOTING TO WHERE WE’RE ALL SUCCESSFUL DOCTORS TO PIGGY BACK ON WHAT YOU’RE SAYING, HE THE WAY THAT IT’S STRUCTURED RIGHT NOW. WE HAVE NO LEVERAGE ON BEHALF OF MEHARRY TO GET ANYTHING DONE. IF IT DOESN’T GET DONE, IT’S JUST ON OUR SHOULDERS TO EITHER FIND A WAY TO FIX, WORK AROUND IT, OR JUST LIVE WITH IT.>>AND IF I’M READING- [ INAUDIBLE ] SOMETHING BREAKS DOWN, I PICKED UP THE PHONE AND CALL YOU GUYS; IS THAT RIGHT, AND SAY HEY HEY CAN YOU FIX IT, GET IT TON, THIS IS NOT MY HOUSE, BUT WE’RE RENTING IT. WE’RE RENTING THE HOSPITAL, RIGHT?>>WE JUST HAD A TRIPLE A NET LEASE.>>WE DO MAINTENANCE, AND YOU WILL OF THAT STUFF. WHAT I’M PUSHING OUT, THAT’S STILL OUT OF THE $35 MILLION THAT WE’RE PUSHING OUT THERE. SO THAT’S A WHOLE ANOTHER SHORTFALL THAT WE DON’T DISCUSS HERE THAT WE NEED TO MAKE SURE THAT WE LOOK AT. ALL RIGHT.>>SO IF THERE IS NOT ANY MORE DISCUSSION BEFORE THIS COMMITTEE, WE’D LIKE TO THANK YOU FOR COMING OUT. METRO GENERAL, WE ALWAYS LIKE TO THANK MR. SHARP FROM THE HEALTH DEPARTMENT, AND ALL OF OUR COMMITTEE MEMBERS ARE PRESENT. SO WE APPRECIATE THAT AS WELL. SO THANK YOU, WE’RE ABLE TO HAVE HAVE A WORE UP, AND THIS

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