Showing posts with label Muhlenberg. Show all posts
Showing posts with label Muhlenberg. Show all posts

Tuesday, September 09, 2008

Muhlenberg - Courier - OpEd of Dr. Brian Fertig

Published in the Courier News, Sunday, September 7, 2008 [not on website until 9/09/2008]

Closure of Muhlenberg demonstrates deeper crisis

By Dr. BRIAN FERTIG • September 7, 2008

Health care nationwide is in a crisis of uncoiling despondency. Half of New Jersey's hospitals are financially in the red. Inadequate insurance coverage and dramatic cutbacks in state government funding, despite a rising charity-care requirement, explain the dilemma. Hospital inefficiency related to bed inoccupancy and lower quality of care with more prolonged and complicated illnesses requiring longer lengths of stay and increasing number of procedures amplifies the dilemma.

It is plausible to restrain government spending for inefficiency. However, desultory withdrawal of funding to some of the state's most efficient facilities is a senseless instigation to this health care calamity and geometrically rising costs; Muhlenberg Regional Medical Center is a paragon precedent to this point.

"We were rearranging the furniture on the slanting deck of the sinking Titanic," was quoted by the commissioner of health, who also referred to the hospital as a "sacrificial lamb."

Muhlenberg became the topic of escalating news coverage as it was being closed. It made the front page of The Washington Post on July 7. Daniel Schorr lamented the closing on National Public Radio's "All Things Considered." A heartwarming yet discriminatory documentary will undoubtedly be done on the historic nature of this institution based on its foundational stabilizing value as the city of Plainfield's largest employer and the elite ilk of standards and delivery of health care care throughout its 130 year existence.

"Done deal" from the start has never mattered; this fight needed to be fought and the story needs to be told.

A prevailing consensus of desolate presentiment daunted any effort to preserve the vitality of Muhlenberg's acute-care facility. Nevertheless, the gravamen of common sense, political correctness and reverence for the cost-efficient and highest quality of health care delivery (including the Reinholdt report) consummated a personal decision to embrace this battle. It appeared not only possible but easy to expose the sophistry for desecration to the sanctuary of health care, basic human rights and life.

Moreover, our New Jersey state elected officials, whose decision it was to withdraw state funding for hospital charity care, after all, embody a sympathetic cord for their multicultural underprivileged constituents. In fact, there were pre-emptive intentional, conspicuous measures to lead the bereaved public down a garden path of understanding and hope. Effusive emotion, sentimentality and factually incontestable well-articulated moral indignation failed to achieve any measure of moderate retrenchment by the Corzine administration. This became the defining watershed red flag for distrust.

Befitting a similitude to a hidden twist to the theme of a detective mystery, beguile and vulpine leadership became implicit, although the motives remain murky. The only explanation can be jockeying (e.g. for broader national-scale universal health care) or other even more villianous corruption.

It is a bewildering reality sometimes to have to think of our friends or elected safeguards as foes. Several tacitly credible reports have incriminated state governing officials of collusion and political blocking designed to disrupt and diffuse any focus capable of exposing an effective generator of outrage. One source points to stealthy manipulation of isolated executive individuals for the People's Organization for Progress. Another source supportive of the loyalty and virtue of the People's Organization cite threats from government officials to such individuals (who are state employees) if their level of advocacy for Muhlenberg persisted.

This may explain the fundamentally extraneous cynosure to Solaris Health Care Systems for the impending closure of Muhlenberg's acute-care operation. We need to remember that the state funding for charity care had been voluntarily taken away by the state government. Regardless of whether Solaris sees or even planned this as an opportunity to expand JFK Medical Center, it is curious that virtually no attention had been directed to the actual fundamental cause of the problem.

Framing the vital distinction of Muhlenberg's acute care provided the tangible opportunity to destabilize the accepted sophistry of the state's administration. The spurious reasoning that closing the acute care at Muhlenberg Regional Medical Center protects the financial interest of New Jersey taxpayers or ennobles fiscal responsibility is ridiculous and outrageous.

Muhlenberg has a record of scintillating efficiency and quality of care that irrefutably translated into cost savings. Repeated vacuous demonstrations directed by the People's Organization for Progress acclaimed only blank signs of "Save Muhlenberg." There had also been the conspicuous absence of worthy statewide media coverage.

It is retrospectively predictable for the state to grant the certificate of need filed by Solaris. The animus builds along with predictable prolonged legal courses of action between the sister hospitals of Solaris; this attention fulfills the function of political blocking. For Solaris to serve as a scapegoat for our state's administration, via state denial of a certificate of need, would only translate into a sooner realization that the New Jersey state government, and not Solaris, is the elemental problem to Muhlenberg's fallout. This would logically revivify the legs of Muhlenberg's supporters by directing their focus and goals.

The value of the New York Giants as a role model for champion teams must be epitomized. They have fought for Team Muhlenberg as they did for themselves. They even likened their achievement of the 2007-2008 greatest playoff and Super Bowl run in professional football history to the accomplishment that supporters of Muhlenberg pursue.

Tiki Barber, the "Mighty Mouse": He is relatively small, but found the holes that O'Hara, the front line and team created, to produce incredible statistics and outcome. The New York Giants consummated their world champion status after consecutively overcoming three redoubtable strongly favored and probably more talented opponents. Metaphorically, Muhlenberg Regional Medical Center epitomizes Mighty Mouse as a small Giant.

Built in 1877, a 400-bed hospital at its height, it has ranked No. 1 in the entire state of New Jersey (of almost 300 hospitals) and even in the top 10 percent in the country statistically for parameters of care. These include: infection rates in the intensive care unit; emergency cardiac angioplasty time; and neonatal morbidity. This efficiency of care results in decreased mechanical ventilation, transfusions, dialysis requirements, and so on, that underscore prolonged serious illness with an incommensurably high cost of delivering health care.

Champions know who they are. Fundamentals make team Muhlenberg a betting favorite. Getting knocked down can be disorienting; getting back up coupled to a cyclopean instinct of faith for the triumph of justice reorientates focus and innately the direction of the field of play. Muhlenberg's offensive game is poised for long gains, ball control and predictably a touchdown win and renaissance for the people it serves.

Both the certificate of need filed by Solaris Health Systems and the Reinhardt Report by the commissioner of health recognize and praised the outcome, quality and safety of Muhlenberg's patient care. This small community regional medical center that served the predominantly underprivileged and racial minorities of Plainfield outperformed the care of an overwhelming majority of larger medical centers in well-to-do areas.

The game plan for Muhlenberg at this point must be to illuminate Muhlenberg Regional Medical Center so brightly that it clearly exposes the sophistry of our governor's reasoning and decision-making to withdraw charity care funding to the hospital. Evidence-based medicine and statistical validation of the highly efficient delivery of care at Muhlenberg needs to be tangibly demonstrated. This can be done. Such a sophisticated analysis endeavor is the current challenge. The depth of this analysis, as already discussed with a leader in this area of econometrics, needs to be impervious to anticipated widespread scrutiny.

Dr. Brian Fertig is an endocrinologist living in Edison.

Online story here.
(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Thursday, September 04, 2008

Muhlenberg - Courier - Green airs differences with Solaris

Published in the Courier News, Thursday, September 4, 2008

Plainfield, Solaris air differences at Muhlenberg meeting

By MARK SPIVEY
STAFF WRITER


The State Department of Health and Senior Services is attempting to mediate a series of disputes between the city of Plainfield and Solaris, Muhlenberg Regional Medical Center's parent company, regarding the recent closure of the 131-year-old hospital.

Department of Health and Senior Services Commissioner Heather Howard met with Assemblyman Jerry Green, D-Union, and officials from Plainfield and Solaris in Trenton on Wednesday in a session that lasted nearly three hours — the talks revolving around disagreements regarding some of the 18 conditions outlined by Howard in a written decision released in late July approving Solaris' certificate of need to close the hospital.

"They got to discuss a variety of concerns centering around the (certificate of need)," said department spokeswoman Donna Leusner, "And she (Howard) is working with both parties to resolve the issues."

Those issues include a dispute over the adequacy of schedules for transportation to other medical facilities supplied by Solaris to city residents, plus the lack of a "watchdog" entity to ensure the conditions for closure continue to be met by the company, two topics that, according to Green, dominated the meeting. The assemblyman said he believed that without tangible amendments to the original approval of the certificate of need, the city would lean toward filing a formal appeal of Howard's decision, the deadline for which Green said is next week.

"I would say right now that I'm more inclined (to believe an appeal is pending), because there's so much mistrust there. I would say unless the commissioner makes these adjustments, there's a good opportunity that the city would appeal," Green said. "If she doesn't render a decision in a favorable way, there's going to be a problem, but I want to give her the benefit of the doubt first."

Leusner said her department was aware of the possibility for such an appeal. Yesterday's meeting was the second in three weeks to include the commissioner, Green, and Plainfield Mayor Sharon Robinson-Briggs in discussing the hospital, which city officials have said was vital to the community. Solaris has cited massive financial struggles stemming from low patient volumes, high rates of charity-care patients, and continuing state and federal reimbursement cuts for such patients as reasons for closing the hospital, the annual losses for which officials have said were approaching $20 million.

Solaris spokesman Steven Weiss characterized yesterday's meeting as being positive, expressing optimism that its eventual outcome could prove agreeable to both his company and the Plainfield community.

"The meeting itself was really a beneficial and healthy dialogue between the interested parties," Weiss said. "They're (the Department of Health) going to look at what can be done to look at some of the conditions to see if they can simplify some of them to make them more beneficial to the community."

Weiss said yesterday's meeting also touched on the hot-button issue of the possible sale of the hospital or parts of the hospital grounds. Green and others have accused Solaris of being uncooperative with prospective buyers, but Weiss said his company explained during the meeting that such transactions are complicated.

"We were clarifying the parameters that our investment bankers use for the sale," Weiss said. "There are a lot of specifics when it comes from turning a nonprofit (facility) into a for-profit."

Weiss added that Solaris remains willing to listen to any offers for parts of the 17-acre campus. Green has said he knows of no fewer than four interested parties.

"We remain open to being approached," Weiss said.

Yesterday's meeting originally set up as a showdown between Green and Solaris over the possible approval by the state of nearly $170 million in bonds for the financially distressed health-care company, funds that the assemblyman last week said he hoped to get the state to defer pending the city's grievances being addressed.

Green softened his stance slightly yesterday, saying Solaris officials spent part of the meeting emphasizing the fact that the denial of the bonds in question could spell financial disaster. The matter was originally due to come before the New Jersey Health Care Facilities Financing Authority on Aug. 28, but was postponed, although the case now appears on the authority's Web site under a list of pending business with a decision date yet to be set.

"They were pleading their case, and they made it very clear that without financing in place, all the things we're talking about, including employees, (could be in jeopardy)," Green said. "Without that revenue needed for Solaris to get in good financial shape, then it could be a crisis for them. That's why it's important it should be give-and-take on both sides — they have financial concerns, we have health concerns."

Mark Spivey can be reached at mspivey@mycentraljersey.com or 908-707-3144.

Online story here.

(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Tuesday, August 26, 2008

Muhlenberg - Courier - Green calls for freeze on Solaris bonds

Published in the Courier News, Tuesday, August 26, 2008

August 25, 2008

Assemblyman calls for freeze on funds
for Solaris upgrades at JFK Medical Center


By MARK SPIVEY
STAFF WRITER


State Assemblyman Jerry Green will ask the state Department of Health and Senior Services to put a hold on possible approval of nearly $170 million in bonds for Solaris Health System, the nonprofit parent company of the recently-closed Muhlenberg Regional Medical Center in Plainfield and JFK Medical Center in Edison.

It was first reported nearly three weeks ago that Solaris had requested a $169 million bond issue to pay for expansions and renovations at JFK and to refinance the debt of the two hospitals.

Green. D-22nd Dist., said he will ask that those funds be put in limbo until specific grievances regarding Muhlenberg's closure are directly addressed by the state.

"This is no longer people hollering that "I want to see Muhlenberg stay open,' " Green said yesterday. "Now the argument from the people in the community is...that they support the (Department of Health) Commissioner (Heather Howard) and the treasurer not moving forward with this bond issue until they get some questions answered."

State Department of Health and Senior Services spokesperson Dawn Thomas confirmed yesterday that Howard and state officials had scheduled a meeting with Green for Sept. 3 in Trenton, but would not comment on the nature of the meeting.

Solaris' bond request was originally scheduled to go before the New Jersey Health Care Facilities Financing Authority in Trenton on Thursday, Aug. 28, but company spokesman Steven Weiss said yesterday the date has been pushed back to sometime in September.

Green outlined a number of issues his task force planned to discuss with the commissioner, including a claim that state-mandated transportation service to other area hospitals offered to Plainfield residents by Solaris does not currently meet the department's standards and the fact that the company has refused to publicly release an asking price for prospective buyers of the 131-year-old hospital.

Another issue Green said he planned to discuss with state health officials is the existence of a potential buyer for Muhlenberg who has claimed massive delays in arranging a tour of the Plainfield campus. A person from within DBR Healthcare, a Philadelphia-based coalition of investors, said earlier this month that his group had been attempting to arrange an evaluation of the hospital grounds since April, but only received approval the Thursday before the hospital's closure.

Green said he is also seeking detailed documentation of Solaris' financial records, ranging from a 10-year revenue report down to a list of all the assets and property on the Plainfield campus and how much is owed on each by the company.

"The community needs to know, because over the last 130 years, the community has not only used this facility, but donated money to it," Green said. "We need to get a clear picture of exactly what Solaris paid for the property, but also what they owe on the property...they're asking the state to back these bonds, so there should be the ability for the state to ask these questions."

In response to the assemblyman's statements, Weiss claimed that Solaris' transportation services to the Plainfield community not only meet the state's requirements, but that the state has already confirmed as much.

"The Department of Health has sent people to look at our transportation to make sure we are meeting the requirements of the certificate of need (for closure)," Weiss said, "and they have been pleased with our efforts to not only comply, but exceed."

Weiss also said that Solaris is annually audited by a private firm and that the information stemming from those audits is available to the public on the company's Web site.

In response to Green's statement that the public is interested in knowing what collateral the company plans to offer in seeking approval of its loan, Weiss said that a working group will discuss the matter this week.

But Weiss said his company was not yet prepared to discuss what, if any, parts of the 17-acre Plainfield campus are currently up for sale, or to publicly issue any specific asking price.

"Solaris won't speculate on the price or the use of the campus in the future when, right now, we are putting all of our efforts into satisfying and exceeding the conditions set forth in the certificate of need (approval)," Weiss said. "The bottom line is, we're not there yet."

Solaris' original bond request called for $22.2 million in capital improvements, while the rest would go toward debt restructuring. The largest chunk of capital-improvement money was to go toward 59 additional inpatient beds at JFK, with other funds being used to expand the emergency room and renovate the cardiac catheterization lab and hyperbaric wound center.

Plainfield Mayor Sharon Robinson-Briggs, who said Muhlenberg would be a key topic of discussion for a community forum to be held at 6:30 tonight by the city at Washington Community School, said the assemblyman has the city's support regarding his planned meeting with state officials.

"I'll tell you, this is a mutual request," Robinson-Briggs said yesterday regarding Green's stance. "We also want the state to please hold back on giving this loan to Solaris."

Mark Spivey can be reached at mspivey@mycentraljersey.com or 908-707-3144
.

http://www.mycentraljersey.com/apps/pbcs.dll/article?AID=/20080825/NEWS/808250346

Online story here. Archived here.

(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Saturday, August 23, 2008

Muhlenberg - Westfield Leader - Closing hikes UC unemployment

Westfield Leader, 8/13/2008

Muhlenberg Closing Adds
To Unemployment Hike in Union County

By CHRISTINA M. HINKE
Specially Written for The Westfield Leader


AREA – As of August 6, 300 Muhlenberg Regional Medical Center employees did not have jobs. This comes at a time when Union County’s unemployment rate rose to 5.6 percent in June (latest available), 1.1 percent higher than the average rate for 2007. Comparing it to the national and state average for June, Union County has slightly more out-of-work employees.

Tom Casey, vice president of public relations for Solaris Health Systems, said to The Westfield Leader July 31, “We found positions for roughly 650 employees mainly at JFK Medical.” Some, he said, have taken jobs at Solaris’ nursing facilities and other health service centers in Middlesex County.

He said 450 employees had resigned prior to the letter Nancy Fiamingo, senior vice president and chief operating officer for Muhlenberg, submitted to workers July 29, notifying them of the date the hospital would close. Of those who resigned, some took jobs at Trinitas Hospital in Elizabeth as mental health and psychology professionals, some went on to jobs elsewhere, and some retired. John Oatis, Fanwood volunteer rescue squad president, told The Leader that most of the doctors have moved from Muhlenberg.

Last Thursday, approximately 15 patients remained at Muhlenberg, and the hospital planned to move them the following day, according to Barbara Germinder, a volunteer at the medical center. Thursday was the last day for all volunteers. She said she did not have another volunteer post lined up yet but planned to find a position after the end of the year, once the holidays pass. The hospital halls were virtually empty, no one was sitting in the waiting room on the third floor, and three nurses manned the nursing station on the third floor last Thursday afternoon.

Most employees of the Plainfield medical center come from Union, Somerset and Middlesex counties, according to Mr. Casey. He did not have information about the number of displaced employees from each town or city. Of the people unemployed due to the closing of Muhlenberg are a mix of professional staff, including secretaries, clerks, clinical staff and service workers, such as food service and housekeeping. About five employees of Muhlenberg were asked to comment, last Thursday, on their career plan once the hospital closes, but no one wished to talk to the press. Administration declined to speak to the press as well.

A severance package was offered to those who did not take a job in the Solaris health system. Mr. Casey would not disclose specific details of the package but said the severance is in correlation with their position’s rate of pay and length of service to Muhlenberg. In compliance with state law, employees and their eligible dependents are entitled to receive medical coverage through COBRA, paid by the beneficiary. Mr. Casey did not have cost information. According to the state’s Division of Pension and Benefits website, the COBRA monthly payment is the “full group rate plus a 2 percent administration fee.”

Of the 650 people who stayed with Solaris, 200 to 250 employees will be on-site at Muhlenberg’s satellite emergency department to provide services. Diagnostic imaging, lab employees, dialysis, home care and medical records are also on the premises. The school of nursing adjacent to the hospital is unchanged at 300-plus students per year, according to Mr. Casey. The students will continue to attend classroom lectures and rotate through other acute-care facilities, including JFK and Overlook hospitals.

Wednesday, August 20, 2008

Muhlenberg - Westfield Leader - Colvins' letter on finances

Westfield Leader, August 7, 2008

Letter of Revs. Jim and Sarah Colvin

Taxpayers Pay for Questionable
Hospital Closings in New Jersey

Thanks for your coverage of Muhlenberg.

The only entities who benefit from the closing of a hospital are the large corporations that close them. Gov. Jon Corzine must be pleased that his friends at the top of the economic food chain benefit so handsomely. Catholic Health East of Pa. will receive $252 million in low cost bonds issued by the state as it takes over St. Michel’s in Newark, and the issuer may well be Corzine’s alma mater, Goldman Sachs. (Goldman Sachs is listed as a possible issuer in the NJ Hospitals and Facilities Authority bulletin). For the first six years, we taxpayers will shell out $8.8 million per year, then theoretically the company will take over payments, although we remain on the hook for the duration.

Solaris Health Systems, who declared Muhlenberg Regional Medical Center insolvent and convinced Corzine and his Health Commissioner, Heather Howard, to close this essential urban hospital, will benefit greatly from the closing. At first, Solaris applied for $70 million to close Muhlenberg. Now the number has magically increased to $160 million — an astonishing figure that could be used to maintain the hospital for another ten years! We taxpayers have a right to see just what the $160 million is intended to do.

Instead, Solaris is trying to cash in at the expense of state taxpayers and at the same time selling off as much of the property as possible. (It is valued at over $90 million.) Solaris must be drooling in wait of the day when they can shut down all operations in Plainfield and cash in to support bloated executive salaries. CEO John McGee makes $652,000 on the books and who knows how much from his other business dealings partnering with local politicians.

Corzine should be held accountable for these amoral shenanigans that end up endangering people by depriving them of healthcare. Not surprisingly, most of them are located in poor urban areas with large minority populations.

We pray for the day when Corzine holds no public office and Solaris is out of the healthcare business — and for the day when healthcare is seen as a human right rather than a source of profit for the few.

Revs. James and Sarah Colvin
United Church of Christ, Plainfield

Saturday, July 12, 2008

Muhlenberg - Ledger - Full-page Jerry Green ad

The full page ad below ran in the Tuesday, July 8, 2008 Union County edition of the Star-Ledger.


Thursday, April 24, 2008

Muhlenberg - Ledger - Solaris CEO McGee addresses Council

Published in the Star-Ledger, Wednesday, April 23, 2008

Plainfield hospital may close in June

CEO tells council there were no offers to buy it

BY ALEXI FRIEDMAN
Star-Ledger Staff


Muhlenberg Regional Medical Center is technically still for sale, though realistically that opportunity has come and gone, said the CEO of Solaris Health System, which owns the 396-bed hospital in Plainfield.

John McGee's comments came during an appearance before the Plainfield City Council Monday night, when he explained the company's reasons for soliciting potential buyers back in November, then filing with the state in February to close Muhlenberg. McGee has said Solaris received no formal offers to purchase the hospital; its request for closure is still pending.

Afterward, he answered pointed questions from council members, among them:

# Why did Solaris choose to shutter Muhlenberg and not its sister hospital, JFK Medical Center in Edison? McGee's answer: Muhlenberg loses more money than JFK because it takes in more uninsured, undocumented patients and receives dwindling funds from Medicare and Medicaid.

# Why hadn't some services from JFK been transferred to Muhlenberg to make up for the losses? Answer: Patients from JFK have been hesitant to seek treatment at Muhlenberg, and many services require state approval, so simply transferring them to another hospital is impossible.

# Were uninsured patients -- who hospital officials say accounted for a substantial amount of Muhlenberg's $17 million in losses last year -- systematically moved from JFK Medical Center to Plainfield? Answer: No.

"I didn't get into this business to close hospitals," said McGee, whose council appearance drew more than 100 people to the municipal courthouse, many waving signs urging that the hospital remain open.

Several in attendance, like Cheryl Williams, had been treated at Muhlenberg. A lifelong Plainfield resident, Williams, 37, had hoped Solaris would meet "the community halfway." She left believing that the closure "was a done deal."

McGee told the council that the $2 million monthly losses Muhlenberg incurs cannot be sustained. Solaris has already paid off some of Muhlenberg's debt using money from JFK Medical Center. That hospital is barely making a profit, McGee said, avoiding a recent trend that has seen numerous community hospitals close throughout the state.

While a band of Plainfield residents has begun a grassroots effort to buy Muhlenberg with pledges of $20 a share -- organizers say more than $25,000 has been raised so far -- McGee said Solaris had to close the hospital or risk bouncing employee checks. "We can't drag it out," he said of the process to close.

Solaris would try to save jobs for 300 of Muhlenberg's 1,100 employees, McGee said, all of whom have received notices that the facility could begin to close as early as June. Though McGee would not provide a specific dollar amount, he estimated any price tag for Muhlenberg to be at least $40 million.

Plainfield, suffering its own financial troubles, cannot afford to fund the hospital, city officials said. Assemblyman Jerry Green (D-Union) has convened a health care task force to see what services at Muhlenberg can be saved.

Meanwhile, the Rev. Jim Colvin of the Plainfield United Church of Christ believes the effort to buy back the hospital isn't a pipe dream. Colvin, who attended Monday's meeting, called McGee's statement that a substantial number of patients from JFK Medical Center refuse to be treated in Plainfield patently false. McGee's admission that he sought treatment at Muhlenberg in 1990 for colon cancer, Colvin said, was an effort to curry favor with the council and audience.

Under Solaris' closure plan, Muhlenberg's acute care facility would be shuttered, though a satellite emergency room would remain open, as would the recently built nursing school, the council was told.

Answering a question from Councilman Cory Storch, McGee said Solaris has a three-year commitment to keep the emergency room open, after which it would be evaluated. The emergency unit serves about 35,000 people a year.

"So if it's getting frequent and heavy use, its future would be secure?" Storch asked. "Yes," McGee replied, "and certainly now the satellite emergency would be part of the JFK Medical Center."

Alexi Friedman may be reached at (908) 302-1505 or afriedman@starledger.com
.

Online story here. Archived here.

(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Muhlenberg - Courier - Olive Lynch program, Sports support

Published in the Courier News, Wednesday, April 23, 2008

Muhlenberg gets "Giant" support

By CLEM FIORENTINO
STAFF WRITER


PLAINFIELD — The New York Giants had a Cinderella season, winning the Super Bowl due largely to a miracle catch by David Tyree with time running out in the fourth quarter.

Can the same scenario play out for the acute-care facility at Muhlenberg Regional Medical Center in Plainfield?

A committee of dedicated and passionate individuals certainly hopes so. And, to that end, the group has convinced several of the Super Bowl champions to appear at a rally at 6:30 p.m. Tuesday on the Plainfield High School football field.

Leading the way among the players who have committed to appear is former Hillsborough High School and Rutgers University football star Shaun O'Hara, who is noted for his charitable endeavors.

Event organizers are also hoping for Tyree himself to appear with O'Hara, and there is talk that some former Giants players might appear as well.

"They aren't just football players," said Dr. Brian Fertig, an Edison-based endocrinoligist who was the driving force behind bringing the Giants to Plainfield. "They are good people. They stand for something."

Fertig, whose father Dr. Harrison Fertig founded the coronary care unit at Muhlenberg in the 1960s, says that these Giants stand for a good cause.

"They are doing it out of conviction of doing what's right for the underprivileged," Fertig says. "The underprvileged should have rightful access to health care."

Fertig says that when he started practicing medicine, doctors were generally affiliated with only one hospital. Nowadays, they are — like professional athletes — more like free agents. He feels that his colleagues have pretty much given up on Muhlenberg and that he dislikes the feeling that officials of Solaris Health System and JFK Medical Center in Edison are ignoring Muhlenberg and can't wait to shut it down.

"We can lose as individuals, but the cause can't lose," he says. "The fundamentals of this cause are impeccable."

Fertig says he was told by Jon McGee (president and CEO of Solaris Health System) that $800,000 a month would be enough to keep Muhlenberg's acute-care facility up and running until a statewide universal health-care plan could be enacted, thereby eliminating charity- care deficits (cited as the primary cause for the impending closure).

Sen. Joseph Vitale (D-Union) recently introduced a health-care plan that would phase in universal coverage over a three-year span.

That would mean upwards of $9 million per year would have to be raised to keep Muhlenberg open over that length of time.

But Solaris officials Tuesday rejected those projections.

"We lose $50,000 a day," said Solaris spokesman Steven Weiss. "You don't raise funds for operational deficiencies. Fundraising is for children and medical equipment. A month is not helpful when you have annual operating deficits eclipsing $20 million."

Meanwhile, the "Buy Muhlenberg" movement launched last week by Democratic city council candidate Olive Lynch shifted into second gear.

After announcing her intention to raise $100 million to buy the medical center from Solaris at a prayer vigil at Muhlenberg last Saturday, Lynch has now plotted a three-pronged offensive.

First, she notified the state Department of Health and Senior Services of her group's existence and asked that the state delay the granting of the petition to close Muhlenberg until there has been due diligence regarding Solaris' financial assets.

The letter also asks that representatives of "Buy Muhlenberg" be permitted to participate in the May 6 public hearing at Plainfield High School and that the state order Solaris to stop and desist from the active transfer of assets and employees from Muhlenberg to JFK (a charge Solaris officials deny).

Secondly, in a letter to the state Attorney General's office, Lynch charged that Solaris has not been transparent or forthcoming in its financial and other dealings (as mandated by their status as a nonprofit corporation).

The letter also urges the Attorney General to investigate why the "Department of Health has denied the citizens proper, fair and unbiased due process in the closing of Muhlenberg Hospital."

Lastly, she will be writing to every elected official in surrounding towns inviting them to a "brainstorming session" next week to plan a strategy for the May 6 hearing.

"The Department of Health has acted in collusion with Solaris," Lynch says. "Why have a hearing if you are going to rubber stamp them? To have a public hearing when you've already made up your mind is an insult."

Lynch, who believes that Muhlenberg has been miscast as a non-viable health-care institution and who claims to have at least two "serious investors" interested in joining her coalition, says she'll be meeting with medical personnel from Muhlenberg to talk about models that might work.

"People in the trenches have the best insight," she said.

As for the Giants, Lynch welcomes their appearance.

"We see it as two parallel tracks," she said. "The Giants' coming is in support of whatever scenario plays out. It's empowering for people to realize that they don't have to accept what they are being told. This shouldn't be a done deal, because we haven't gone through due process."

Solaris officials have been keeping a watchful eye on Lynch's efforts, which raised slightly more than $21,000 at Saturday's vigil by selling T-shirts and shares ($20 each) in "Buy Muhlenberg."

"While I applaud her passion," Weiss said, "she is starting to realize the incredible amount of the deficit."


StoryChat

So let me understand this, instead of getting down to the serious business of finding a resolution to a serious financial issue, these "leaders" think it's a good idea to turn this into even more of what I've already characterized as a circus. The Giants know something about the gridiron; they know nothing about solving a financial deficit in healthcare. Unless the Giants and their supporters can come up with $17MM per year there is nothing they have to contribute other than moral support, and that doesn't keep Muhlenberg open. Is the community thought to be so shallow that Muhlenberg's closing needs a Giants player to get it to pay attention?

I am again going to question Olive Lynch's actions. First, for whom does she speak that she can present any requests as if she--by virtue of her self-anointing--holds some special right. Second, we need to know the details of her organization, from whom she has received license for fundraising or, even more, to sell what seem to be equity shares in the "purchased" Muhlenberg. Post the documents on your website--surely there's a website although I can't find one--or provide us links to document that you are authorized to engage in the activities you're engaged in. If, in fact, she has raised $20,000 without going through the legal requirements for doing so, she has bigger concerns than Muhlenberg right now.

Finally, if Lynch has two "serious investors" there's a process in place that any investor would understand. Of course, as with any such sale, potential buyers have to be qualified. If they are--and if they are why would they be talking with Lynch?--Solaris's financial reps will welcome them with open arms. Then due diligence begins. That's always the process...excegt in LynchLand apparently.

The circus continues as Muhlenberg gets closer to closure! When Muhlenberg closes remember to thank Olive Lynch and her diversionary and juvenile actions. She's in it for a council seat NOT to present a meaningful alternative to the closing of Muhlenberg.

Posted: Wed Apr 23, 2008 8:46 am


Online story here. Archived here.

(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Muhlenberg - Courier - OpEd by Board Prez Ron West

Published in the Courier News, Sunday, April 20, 2008 (put online 4/22/2008)

OpEd
Hospitals are in danger all over state

By RONALD WEST

I am writing as both a resident of the great city of Plainfield for the past 30 years and as the chairman of the Board of Muhlenberg Regional Medical Center for the past 12 months. As a resident, I have been a patient at Muhlenberg on more than one occasion, as have my wife and two daughters.

Both of our girls were born at Muhlenberg. I am heartbroken over the thought of losing a hospital that has a 130-year history of taking care of generations of families and serving as a trusted health-care resource.

Muhlenberg has stood the test of time, providing compassionate care, with dedicated employees and innovative clinical services.

The changing health-care landscape has had a devastating effect on Muhlenberg and on every other urban hospital in the state of New Jersey. In Plainfield, with 70 percent of the patient base comprised of Medicare, Medicaid and charity care, it is nearly impossible for a hospital to survive without significant financial support from someplace else.

Over the last 10 years, 18 hospitals have closed and three closures are pending, not as a result of bad management, lack of compassion or poor outcomes. Simply stated, no hospital can continue to provide service when it is reimbursed 40 to 80 cents on every dollar for Medicare, Medicaid and charity care patients. This broken model has caused Muhlenberg to lose $50,000 a day, $1.5 million per month during 2007, and a loss of $20 million projected for 2008.

Over the last 10 years, Muhlenberg has addressed budget shortfalls with an aggressive growth strategy focused on adding clinical service lines like angioplasty, bariatric surgery, colon and rectal services, wound care, and vascular surgery. Also, Muhlenberg committed to process improvements, right-sizing the organization based on census data and many other tactics. All this to grow patient volume, streamline operations, strengthen economic viability and continue to provide the utmost in patient care.

Solaris Health System, the nonprofit parent company of Muhlenberg and JFK Medical Center, has invested $50 million in Muhlenberg over the last 10 years. While our revenue strategy of introducing new service lines was successful and our patient satisfaction scores reached the 90th percentile, revenue generated by 30 percent of the patient population has not been enough to offset the losses of the other 70 percent.

Concurrent with growth initiatives, Solaris and the Muhlenberg Board engaged our elected officials and the New Jersey Department of Health and Social Services to save this hospital. Meetings and tours were held with Assemblyman Jerry Green, Assemblywoman Linda Stender, Senator Nicholas Scutari, Assemblyman Louis Greenwald and other key legislators from both the Senate and the Assembly over the past few years to encourage additional funding for Muhlenberg. Our legislators have met with the governor and the commissioner of Health and Social Services to plead the case for Muhlenberg.

Although Muhlenberg has received more than $10 million in hospital assistance over the last five years, at an average of $2 million per year, this funding is insufficient to cover an $18 million annual shortfall. So, along with state support, the consistent Solaris investments have kept Muhlenberg open and part of our community.

Under the auspices of the Solaris Board, more than 60 nonprofit and for-profit organizations were contacted in an effort to find a buyer for Muhlenberg. To date, no organization has offered a proposal that will keep the hospital open now and in the future. So we must plan to address the health care needs of our community without Muhlenberg.

We face the closure of our beloved hospital, and while the members of our community voice their anger and frustration, as chairman, my role, along with that of the board, is to continue to serve as the community's advocate for continued access to health care. I support the collaborative efforts of the task force that has been formed to unite regional health care providers to insure the continuation of health care access for our community -- health care of the same quality and high standards you have always been provided.

Until the broken system of health care in New Jersey is fixed, more hospitals will face closure, and more communities will be faced with this critical situation.

Ronald West is chairman of the board of Muhlenberg Regional Medical Center in Plainfield
.

Online story here. Archived here.

(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Muhlenberg - Courier - Solaris CEO McGee addresses Council

Published in the Courier News, Tuesday, April 22, 2008

McGee: Hospital funds gone
Money issues shuttering Muhlenberg

By BRANDON LAUSCH
STAFF WRITER


PLAINFIELD — In a municipal courthouse packed with about 120 people devastated by the impending loss of most of their local hospital, a top official of Muhlenberg Regional Medical Center reiterated his compassion Monday night for the employees and residents affected by the planned closing.

John McGee, president and CEO of Solaris Health System, Muhlenberg's nonprofit parent company for the past decade, described a health-care system in crisis Monday as he spoke to City Council members and the assembled crowd.

Citing low reimbursement rates from the federal Medicare and Medicaid programs, staggering losses for providing state-mandated charity care to uninsured patients, and the disappearance of vital grant funding, McGee said he and other officials have little choice but to seek state assistance to close the hospital.

"I wish Solaris had the money, the funds, to get through this crisis, but it doesn't," McGee said to a crush of residents who rallied outside the courthouse in the hour leading up to the City Council meeting.

McGee's presentation also followed the recent formation of a grassroots campaign dubbed "Buy Muhlenberg!" The effort, seeking to raise $100 million to keep the hospital open, kicked off Saturday with an "Hour of Power Prayer Vigil to Save Muhlenberg."

The group — which sold $20 "shares" to community members demonstrating outside of the medical center — raised $21,890 in pledges for the nascent hospital buyback campaign, Plainfield resident and City Council candidate Olive Lynch said Sunday in an online letter to supporters.

Lynch's effort is the latest in a series of campaigns, rallies and vigils — most organized by the Plainfield branch of the People's Organization for Progress — that have prompted hundreds of concerned residents to march on the sidewalks of Plainfield and travel to the Statehouse in Trenton to protest the impending hospital closing.

Solaris in February announced its intent to close Muhlenberg by the end of the summer, citing overwhelming financial losses and an unsuccessful campaign to sell the 130-year-old medical center. Hospital officials recently submitted to the state a certificate of need for closure and notified employees that the downsizing could come anytime after June 15.

A satellite emergency room will remain at the Plainfield campus, along with its school of nursing, imaging center and other ancillary services. Solaris has committed to retaining roughly 350 of Muhlenberg's 1,100 employees both in Plainfield and other Solaris locations, including JFK Medical Center in Edison.

Still, residents have chastised hospital officials and government leaders for not doing more to save the facility and for not sending clearer warning signals to the community before news of the hospital's demise made front-page headlines.

Even though time appears to be dwindling, longtime Plainfield resident Brenda Gilbert said Monday night that she hasn't given up. Carrying a cardboard cross with "Save Muhlenberg" written on its front, Gilbert said there "ain't no hope, there's a God."

"God is our hope," she said minutes before the start of Monday's meeting. "And God can do anything but fail."

Brandon Lausch can be reached at (908) 707-3175 or blausch@c-n.com.

StoryChat

If local citizens attempt to find a solution to save the hospital thats great. If you disagree with trying to buy the hospital, what is your suggestion? To refer to someones employment status or political desires is childish. Since when did it become unpopular to get involved?

Posted: Tue Apr 22, 2008 10:36 pm

Wizard wrote..."Jr I know I come off as an azz sometimes. But you were so right about what you said about me . Its getting old....."

You're telling me! In the midst of all the stupidity being thrown about by some of these self-styled "save Muhlenberg" folks there are solid employees whose lives are being thrown into upheaval and chaos through no fault of their own. The really unfortunate thing is that the noise is all coming from people who appear completely unwilling or unable--or both--to proceed in a rational, businesslike manner. The loud mouths which have stepped into the vacuum left by an absence of really good leadership on the "save Muhlenberg" side are causing more harm than good. Can you ever have imagine that the two highest profile forces opposing the closing of Muhlenberg are an unemployed IT wannabe politician whose solution is to try and raise $100MM by selling (illegally I believe) $20 shares and a group which is notoriously radical in every respect. And even here when I have suggested that these hyper-emotional posters develop a sound counter-argument to the very compelling case presented by Solaris the only answer is more childish postings that are always completely unresponsive and off-point.

>From everything I have read, Muhlenberg needs to close. Nevertheless, it would have been nice to have seen a respectful and considered "opposition" develop to raise serious alternatives. Time's wasting and, so far, nothing!

Posted: Tue Apr 22, 2008 7:54 pm

No problem I know times are ruff for alot of people.

Posted: Tue Apr 22, 2008 7:42 pm

I couldn't agree with you more jersey. MRMC has been having financial problems for years. People certainly have made a circus out of this. Where were they a few years back when maybe something could have been done. I guess this is just the cause for the moment. Wizard, I'm just speaking out of anger. No offense intened.

Posted: Tue Apr 22, 2008 7:29 pm

Jr I know I come off as an azz sometimes. But you were so right about what you said about me Laughing . Its getting old.....

Posted: Tue Apr 22, 2008 6:46 pm


Online story here. Archived here.

(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Muhlenberg - Courier - Editorial: Supporters offer lesson in hope

Published in the Courier News, Tuesday, April 22, 2008

Editorial
Muhlenberg supporters offer lesson in hope

Community support for Muhlenberg Regional Medical Center may be -- in fact probably will be -- too little too late to keep the hospital from closing.

Still, there's something inspiring in the resiliency of advocates who, despite long odds, are refusing to accept what appears to be unavoidable, and continue to cling to the hope that something may yet save Muhlenberg.

And they're not basing their hopes entirely on wishful thinking. They're attempting to turn their desires into action. The latest gambit is a citizens' group effort to raise $100 million -- at $20 a pop -- to buy Muhlenberg. During the latest rally on behalf of the hospital Saturday in Plainfield, or ganizers were pitching $20 shares and selling T-shirts to promote the cause.

The "Buy Muhlenberg" movement may sound like the wildest of dreams. But it is, if nothing else, a sign of how much the hospital means to the community.

The announcement that Solaris Health Systems, which runs Muhlenberg, intended to close the hospital because of ongoing and escalating financial losses generated a powerful emotional reaction, seemingly equal parts dismay and anger. Much of the outrage has been directed at Solaris and its perceived unwillingness to explore avenues that might keep the hospital operating. And state health officials seem almost anxious to accept the closure plan, having already conceded that some hospital closings across the state are not only inevitable, but beneficial.

Despite the difficult realities of running a hospital in New Jersey these days, however, community activists continue to suggest that there are viable alternatives if the powers that be look hard enough, that willing buyers are out there. They specifically cite inquiries from a group that specializes in taking over distressed hospitals.

And if they can raise $100 million and Solaris won't sell? Grassroots leaders say they'll ask the state to open up their own hospital.

If Muhlenberg does close, as expected, the practical benefits of the effort to save it may be in convincing community and health officials to take extra steps to help would-be patients who must seek medical care elsewhere once the hospital shuts its doors.

But we'd also like to think advocates are providing us with a worthy lesson in perseverance. "You never stop trying," Plainfield resident Rose Marie Cathcart said during Saturday's rally. "You keep believing, and always have hope and faith that maybe something will change."
OUR POSITION:
Even if Muhlenberg Hospital closes despite a last-ditch, grass-roots effort to keep it open, community support shows health officials how much vital care is needed to fill the gap the facility leaves.

Online story here. Archived here.

(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Muhlenberg - Courier - Editorial: Plan the losses

Published in the Courier News, Monday, April 21, 2008

Editorial
If hospitals must close, plan the losses

Plainfield residents care deeply about Muhlenberg Regional Medical Center and its impending closure.

State health officials do not.

It's not that they want Muhlenberg to close, exactly. But they're OK with it. Heather Howard, commissioner of the Department of Health and Senior Services, explained recently that aid shortages and a glut of beds mean that the state's health care system could be strengthened by more closures that better maximize health resources.

Many health-care experts would challenge that analysis, among then Kenneth Bateman, president and chief executive officer of Somerset Medical Center in Somerville, and Robert Wise, president and CEO of the Hunterdon Healthcare System. The two hospital leaders met with Courier News editors last week, arguing that no hospital closure should be viewed as desirable, and that the supposed "overbedding" doesn't take into account the wide variety of health-care services provided by every hospital.

But even if we do accept Howard's assertion, the state is going about this the wrong way. Gov. Jon Corzine's budget includes significant cuts in charity-care aid, increasing pressures on hospitals already dealing with aid shortfalls and likely resulting in more closures. Howard said additional closings are virtually inevitable.

But are the "right" hospitals shutting down? The state's approach -- intentional or not -- is to cut off the aid supply and see who dies first. But unless the state can find the money to more adequately compensate charity care costs, it needs something more akin to what we see when the federal government considers closing military bases. New Jersey needs an independent commission to examine health-care delivery across the state and develop recommendations on potential hospital closures. And that commission needs the power to carry out those recommendations once there has been opportunity for rebuttal, public input and re-examination.

The independent commission already exists, and has done much of the groundwork in determining the state's health-care needs. But it's report issued earlier this year didn't name names of "non-essential" hospitals, and the group is strictly advisory.

As we've seen with Muhlenberg, the loss of a hospital is an emotional public event, and politicians from targeted communities will invariably attempt to block any closure -- as we also see in prolonged battles over military bases. The development of a statewide closure plan must be insulated from political pressures as much as possible. And in the end, the Legislature should be limited to an all-or-nothing acceptance of a plan, rather than plucking individual facilities from the list thanks to a particularly powerful legislator or two.

We're not entirely sure that some hospital closures are good for New Jersey. We do know, however, that simply waiting for a handful of facilities to close up shop after they've withered on the vine long enough isn't the way to manage the process.

Online story here. Archived here.

(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Muhlenberg - Courier - Satellite ER planned

Published in the Courier News, Monday, April 21, 2008

Muhlenberg plans satellite emergency room

By CLEM FIORENTINO
STAFF WRITER


PLAINFIELD — The impending closure of Muhlenberg Regional Medical Center's acute-care facility will affect the lives of Plainfield-area residents in many ways — economically, socially, culturally and historically.

But what will it mean on the most visceral level, when an emergency hits home and someone needs to make a life-and-death decision?

No one can predict, but those planning and implementing the transition are working hard to make sure that disasters and personal tragedies can be averted.

Under the closure plan outlined by Solaris Health System, Muhlenberg's parent company, a "satellite emergency room" will remain on the Plainfield campus.

"Not only am I going to be there, but my entire staff is going to remain there," said Dr. Ken Herman, director of emergency services at Muhlenberg. "We will be there 24 hours a day, seven days a week and there will be backup coverage during the busiest times."

If a patient must go to an acute-care facility after being stabilized at the emergency room, he or she will be transferred to an acute-care facility, Herman said. "Patients won't sense any difference from beginning to end, except for admission to an inpatient setting, at which time, we will arrange for transportation."

Learning from experience

The situation will be very similar to what happened last year at Union Hospital in Union when, one day after its closure on Sept. 30, Atlantic Health's Overlook Hospital moved in and began operating a free-standing, 15-bed "emergency services deparment" with 75 staff members.

"We've been happy with how it's gone," said Alan Lieber, chief operating officer at Overlook's Summit facility. "We offer a very high level of care to the community."

Lieber points out that, unlike the Muhlenberg situation, a completely new unit had to be established at the Union site. Overlook EMTs and nurses spent time with area rescue squads, helping them make decisions in any given circumstance.

Squads from surrounding municipalities such as Elizabeth, Cranford, Roselle Park, Kenilworth, Springfield and Union itself were educated in procedures for determining where a patient should be taken. The more serious cases (those that will likely require hospitalization) often go directly to Overlook. The less serious still go to Union.

Once a patient is stabilized at the free-standing emergency facility, transportation can be arranged. Because Overlook operates its own ambulance service (with bases in Springfield and Union), staff members there are able to route and prioritize.

Lieber said Overlook decided to open and operate the Union facility "to avoid getting overwhelmed in Summit." Also, he said, "Those physicians closest to us indicated they were coming on our staff."

Now, Overlook is, once again, preparing for a similar scenario with Muhlenberg patients and staff.

"We're very concerned about this," Lieber said. "We are about to renovate our emergency department again, with 10 more bays starting next week. We are planning to increase our capacity."

The Union site will serve somewhat as the model for Muhlenberg's facility.

"A lot of this has been preregulated by the state as to what a satellite emergency room can provide," Herman said. "We consulted with the folks at Union. They have been very accommodating."

Herman said that anyone enroute to the Muhlenberg ER will not be told to go somewhere else.

"I want to assure the community and Solaris that they won't disappointed," Herman said. "If anyone has any questions or concerns, they can call me at (908) 668-2112."

Satellite services


Satellite emergency rooms are not new. They have been around since the 1970s in areas where full-service hospitals are no longer readily accessible.

The issue in Plainfield will revolve around how well the community accepts and adapts to the downsized facility. That is one of the myriad issues being discussed by a task force convened by Assemblyman Jerry Green, D-Union, task force, in the wake of the Solaris announcement in February.

"We have to have a coordinated effort," Green said. "We have to set up networks with all other hospitals. It's important that all hospitals are buying in to what we have to do. We need to be prepared."

For example, if catastrophe strikes, "Robert Wood (with its trauma center in New Brunswick) would be at the top of the list," Green said.

Other surrounding hospitals such as Saint Peter's University Hospital in New Brunswick, Robert Wood Johnson in Rahway, Solaris' JFK Medical Center in Edison and Somerset Medical Center in Somerville will be called on for support.

Green said the task force, which includes chief operating officers from all five surrounding hospitals, will have to determine which percentage of patients goes to each facility. "We have to know what hospitals we are sending them to," Green said. "Union has given us a lot of help in terms of where they could have done better and where they have been successful."

Green added: "We need state dollars for emergency rooms and state dollars for transportation. We need to get hospitals in position to take on added responsibility."

Question of time

For one area rescue squad, however, time might be more valuable than money.

"Until it closes, nothing changes much," said Doug Krisburg, captain of the North Plainfield Volunteer Rescue Squad. "When it does close, the impact will be troublesome. If we have to go to Overlook, the travel time will be a lot greater."

To avoid being caught short-handed, Krisburg said he will establish a "scramble crew" to back up the crew on duty.

"If the primary truck is out, the scramble crew will react," Krisburg said. "We'll do what we have to do."

The volunteer crews will not have time to wait for a patient to be stabilized at a satellite facility. If a patient needs to be transferred, that duty will fall to transport companies.

"Transport companies get paid to do that," Krisburg said, who said that sometimes his crew will help out North Plainfield residents, if at all possible. "We'll do what we have to do," Krisburg said.

Also affected on the transportation front will be the American Red Cross' Tri-County Chapter, which accommodates patients who need rides to scheduled doctors' apppointments and services like dialysis and chemotherapy.

"There is going to be a greater need," said Nathan Rudy, CEO of the Red Cross chapter. "Our program is fairly unique. We don't base it on the location of the hospital. We go to Robert Wood or to Jersey City. We take them where they need to be."

The Red Cross has two vehicles and two paid drivers and "we're always looking for volunteers," Rudy said. "I expect an increase. We will have to ramp up our service."

StoryChat

It was reported by the paper that Union has their own transport company located in Union and Springfield that enables a fast response time to the facility for emergent transports to an acute care facility. This is simply not true. The company that is contracted to do these transports is owned by the same company that owns Union ER, yet the main hub is in Livingston. There is not a dedicated transport crew just for Union. The response times have been paltry at best. The same will happen at Muhlenberg, however, Solaris does not have a transport team of their own. They will have to contract an outside company, usually the lowest bidder, which most likely will not be in the geographical area due to the lack of available paid resources. The process of requesting the transport can be time consuming. Factors include calling the hospitals for bed availablity, availablity of a transport team, time of day(most beds become available after 10pm), finding a doctor to accept the patient. And guess who gets to pay for the transports? You got it.

Posted: Tue Apr 22, 2008 3:49 am

Jerseyred,

Just a short note: there are 3 other acute care facilities within a few miles of Muhlenberg. Now within a few miles?

That's all I have to say.

Have a good night!

Posted: Mon Apr 21, 2008 11:37 pm

The only "argument" the narrow band of Muhlenberg advocates have been able to concoct over the least few weeks has been that people will die in emergency situations, even thought there is no evidence of that and there are 3 other acute care facilities within a few miles of Muhlenberg. I have mentioned, in addition to other facts, that Solairs had committed to maintaining emergency services on the Muhlenberg campus. Nothing matters. There are people who demand that a hospital which is financially unsustainable in an over-served area nevertheless remain open. But there has been not a single good, rational reason offered. I strongly suspect the certificate of need to close Muhlenberg is all but a foregone conclusion. It's hard to imagine a stronger case for closure than the one Muhlenberg has been victim of.

Posted: Mon Apr 21, 2008 7:30 pm

Ive said it before ! If we dont put a stop to it, they will over run this country in 10 years !!!! Evil or Very Mad

Posted: Mon Apr 21, 2008 5:54 pm

if you are not smart enough to see what is going on....well that is 3/4's the problem. of course charity care cases are what drove the hospital under. now most illegals have jobs, but they all work under the table where no insurance is offered. now instead of being charity cases they could purchase ins. instead they go for charity care. this is happening all over california , and the south west boarder states where hospitals are closing due to illegals. why they do this are they being cheap or are they affraid of trying to purchases ins. well one or the other its both their fault if they were not illegal they would have nothing to worry about, or shame on anyone who can afford ins. and doesn't get it to save themselves some money and put the burden on the taxpayers. now if you ask any hospital staff which i am not, but i have an illness that brings me to the er and for inpatient care often and i see this first hand. the er isn't filled with americans it is filled with illegals, that is just the way it is. the same thing is going on in schools, the taxpayers have to pay for these little anchor babies to get an education, when all they do is bring down the quality of service everywhere they go and raise the taxes. that is what is going to happen to somerset medical center now. the er will now be worse then it is packed with illegals looking for healthcare. who is going to suffer? the ins. holder the taxpayer who needs prompt and good care won't get it because the hospital is cutting back to pay for all the illegal charity cases. say well their are non illegals with charity care.. well we should take care of our own citizens who are down and out with an illness or on hard times. this is a house of cards and muhlenberg is just the begining of the fallout.....

Posted: Mon Apr 21, 2008 1:50 pm


Online story here. Archived here.

(Note: Online stories may be taken down by their publisher after a period of time or made available for a fee. Links posted here is from the original online publication of this piece.)

(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. Plainfield Today, Plainfield Stuff and Clippings have no affiliation whatsoever with the originator of these articles nor are Plainfield Today, Plainfield Stuff or Clippings endorsed or sponsored by the originator.)

Muhlenberg - Courier - 'Save Muhlenberg' and 'Hour of Power'

Published in the Courier News, Monday, April 21, 2008

POWER OF PRAYER
Hundreds aim to save Muhlenberg

By JARED KALTWASSER
STAFF WRITER


PLAINFIELD — A mix of emotions — outrage, hope and fear — permeated throughout the gathering of Muhlenberg Regional Medical Center supporters Saturday afternoon, but one prevailing idea surmounted all others, the idea that in faith and solidarity there was power.

"You never stop trying," said Rose Marie Cathcart, a city resident who said she's been regularly coming to Muhlenberg for cardiac rehabilitation since a heart attack 10 years ago. "You keep believing and always have hope and faith that maybe something will change."

Cathcart was one of roughly 300 people who gathered at noon in the Muhlenberg parking lot at Randolph Road and Park Avenue for the Hour of Power Prayer Vigil. The event was organized by the People's Organization for Progress and led by at least 10 local religious leaders. Parishioners from Christian, Jewish and Muslim backgrounds were among those gathered.

The vigil was the latest in a series of demonstrations aimed at forcing Solaris Health System, Muhlenberg's parent company, to reverse it's decision to shut down most of the 130-year-old hospital's operations.

Solaris announced the plan in February, and the closure could begin as early as mid-June.

The prayer vigil began with the gathered breaking up into small groups, joining hands, and praying.

Rev. Carolyn Eklund, pastor at the city's Grace Episcopal Church, said the small group prayer was a moving experience.

"We were each praying for each of us and our needs," she said. "People I didn't even know we shared our names and prayed, the five of us."

Jane Lendach, a Dunellen resident who has worked at the hospital for the past 27 years, said the medical center is more than just her workplace, it's a family.

"It's sad. Very sad," she said. "Because the thing is, people don't want to leave. It's such a great place to work."

Lendach is a Catholic and she said she most often attends Mass at the hospital's chapel. She said an average of 100 people meet each Sunday morning.

Lendach said she'll have a job at John F. Kennedy Medical Center in Edison, another Solaris property, but she wants to stay at Muhlenberg.

Larry Hamm, chairman of the People's Organization for Progress, called Muhlenberg "one of the finest hospitals in the nation."

He chastised both Solaris and Commissioner Heather Howard of the state Department of Health and Senior Services for giving up on Muhlenberg. He cited recent comments by Howard indicating that Muhlenberg's closing would make the John F. Kennedy Medical Center stronger.

"We ask the commissioner to refrain from making any more negative statements until she has heard the voice of the people, and the voice of the people has to be heard," he said.

Local activist Carmen Salavarrieta said she was there Saturday to represent the city's large Hispanic population. She said other residents are fearful of speaking up because some blame the hospital's closing on charity care provided to uninsured and undocumented residents.

"People are afraid to come out," she said. "People don't feel like they have a voice."

Saturday was the first rally since efforts were announced to raise $100 million and buy the hospital. Volunteers carried around sign-up sheets asking people to purchase a "share" of the hospital for a $20 donation. Those who did received T-shirts bearing a new slogan, "Buy Muhlenberg."

Bishop Herbert Bright of the city's Faith Tabernacle Church and an executive with the Concerned Urban Clergy, said he felt Solaris wasn't interested in saving Muhlenberg.

"I don't really see them offering solutions to keep the hospital open," he said. "They (Solaris) have all told us reasons they should close. There's no talk about why they should stay open."

After a series of prayers and speeches by local clergy, the masses formed a line and began marching seven times around the parking lot. The action was meant to symbolize the biblical fall of Jericho, where Joshua and the Israelites marched around Jericho's walls and the walls crumbled.

Organizers of Saturday's event, though, are prepared for a more drawn-out battle. They will hold a mass organizational meeting at the DuCret School of the Arts, 1030 Central Ave., on Monday night at 6 p.m. That meeting will be followed by a candle light vigil at the municipal court, 325 Watchung Ave. at 7:30 p.m., just before the City Council meeting at 8 p.m.

But even as the fight wages on, Ella Nicholson, a former nurse at the hospital and resident of South Plainfield, said she'll stay hopeful.

"I'm very optimistic," she said. "God is in charge of things. I really feel prayer can work."


StoryChat

What about the chickens ?????????? Laughing Laughing Laughing

Posted: Sun Apr 20, 2008 10:42 pm

cdesisgn, take your meds and calm down.

What I wrote (as opposed to what you read) is that "paying" patients--i.e., those with a choice as to the acute care facility to which they'd be directed--have increasingly opted AWAY from Muhlenberg. That is a fact and one not even the most strident Muhlenberg advocate can deny.

The rest of your posts have reached new levels of inanity. I'm not pushing anyone to any other hospitals. You need to distinguish someone who acknowledges the circumstances giving rise to Muhlenberg's closure and someone who therefore is the cause of the closure. As I have said here many times, I don't care if Muhlenberg closes. In fact, that would be a wonderful outcome, AS LONG AS IT DOES NOT REQUIRE FURTHER TAX DOLLARS (which we don't have!) OR THREATEN THE CONTINUED SOLVENCY OF SOLARIS.

Now let me try and explain how I believe healthcare works, as it relates to acute care hospitals. If Muhlenberg needs to deliver care to indigents with a value of, let's say, $15MM, when Muhlenberg closes that care will divert to one or more other hospitals. However, those other hospitals will not bear the infrastructure, personnel, administrative and other indirect costs associated with that care. And, the non-indigent care will also divert to these other facilities capable of handling it--i.e., those with some excess capacity--and that will help those other facilities.

As to how I could know what Solaris has been going through over the last 10 years since it purchased Muhlenberg...your brilliant deduction is that I must be an insider. In fact, I must be Casey. As I said in your other thread, I've been posting here for years so unless I've been laying in wait just in case Muhlenberg went under, your "theory" is patently absurd. So let's apply Ochem's razor to this issue of how I know what I know, shall we. Well, let's see. What's the most reasonable way that I could know public information about Solaris and Muhlenberg? That would be by reading published reports going back at least a year on this very topic. Anyone who can read knows that Solaris made every effort to find a buyer for Muhlenberg. That's THE most logical answer to your quest for how I could possibly know what I know. Only after you exclude the likelihood (and fact!) that that's how I come to know what I know should you move to the next most logical possibility. In this case, you'd need to go down a long list of more plausible possibilities (including knowledge infused by alien abduction and that I'm the ghost of Mr. Muhlenberg) before you got to your absurd "conclusion". Brilliant, cdesign, just briliiant!

Try and get this once and for all, because you are tiring and challenge my patience with your tangential flights of fancy. New Jersey has 78 hospitals. Twenty years ago we had 112. In the last year-and-a-half, four hospitals have closed and another four (including Muhlenberg) have announced plans to shut down; five more have filed for bankruptcy. State aid is declining. Get it! There's a little bit of a problem, and anyone who reads and cares has known about it for years. But through all your posts you--and your fellow "save Muhlenberg at any cost" proponents have yet to present a single rational reason for Muhlenberg to remain open. Yes, your family goes there. Yes, your child was born there! Those are important facts to you. Now develop some arguments that would COMPEL the State to refuse a certificate of need or a buyer to jump in or Solaris to suck it up and continue to threaten its financial well-being. So far, with each post you get more irrational, shrill and silly. What you haven't done is offer one, single solid argument to defend the hospital for which you pretend to advocate.

Why don't you hunker down, do your homework, understand the issues and challenges and come back with a thoughtful commentary, one directed at a point of view on the ISSUES. I know you WANT Muhlenberg to stay opened. Now tell us why the taxpayers and healthcare users of this State should support that proposition, the way a business person like your husband would.

Posted: Sun Apr 20, 2008 8:24 pm

Jerseyred:

You wrote: And many voted against Muhlenberg; at least those not seeking "free care" and convenience. This is an insult to the upstanding citizens of surrounding areas. Not everyone is looking for free care and convience. My parents and other family members are looking for the fine care that Muhlenberg provided over the last 90 years. They paid their dues!!!!

In addition to the fact, that since you are pushing everyone to these other hospitals. Guess what-the problems are going to follow to the other hospitals. Now, guess what? Which hospital will be next to close? Then the next and the next! Ha! Ha! When all the hospitals are closed, where will everyone go? You claim its because of free care cases. That will happen at the next hospital too!

Now people, you think Jerseyred is so smart! Guess what-he may deal with statistical information but he is not telling you that another hospital will have the same fate as Muhlenberg once these free care cases are pushed to JFK or Overlook etc! In fact, I have suspiscions that Jerseyred is Mr. Casey for Solaris, who wants Muhlenberg to close so that Solaris can reap the benefits from JFK instead. That's why he comes across that he so smart. If he isn't Mr. Casey from Solaris he wouldn't know that Solaris tried hard to find a way to make Muhlenberg self-sustaining or at least close to self-sustaining...for years. Where is a glimmer of a reasonable plan--one Solaris didn't consider--to keep it open.

So people think it over and see Jerseyred for who is really is!

Posted: Sun Apr 20, 2008 7:27 pm

ICare wrote..."The hospital is only one symptom of Plainfield's problems and they are many. One is education. "

Absolutely! If Muhlenberg maintained the reputation it had years ago it would be thriving. But I suspect that, as Plainfield's decline as a city progressed over the years, Muhlenberg was painted with that same broad brush of decline. And people from surrounding environs opted for a "friendlier" facility...one in Summit or Edison or New Brunswick. When people have choices--and, in this area, we have many--they vote with their feet. And many voted against Muhlenberg; at least those not seeking "free care" and convenience. Add to that the entire issue of healthcare funding, indigent care, tort reform and unnecessary medical litigation and you have the perfect storm for closing a hospital in an otherwise well-served area.

These are complex issues which not even the experts at Solaris could solve. Now a group of Monday morning amateur quarterbacks are having rallies and seeking publicity in a cause which requires careful planning, logic and, mostly, a thorough understanding of the problems. Absent that--and I have seen none of it here or in any press reports--Muhlenberg will close! Personally, I think Muhlenberg is a long-ago lost cause. However I do think it can serve as a model for what can, and will, happen if people don't wake up to the web of healthcare crises and work to strengthen the acute care facilities which remain.

Posted: Sun Apr 20, 2008 6:33 pm

jerseyred, As I have read your words I think your background and abilities are far better than Story Chat with individuals like me. In a very few days I will be a senior senior with a future of memory loss, diapers and prayers for an eternal home. At the university, after late studies there would be a knock on the door and armed with a cool bottle, no drugs, we would sit back and discuss world shaking problems that we could not solve. I think I would like to do that again. In a nearby town a writer tried it in a library, no go. There are so many subjects to be discussed and we waste time calling others stupid. For some reason Blogs do not fill the bill. I have a few issues involving a level playing field such as utility billing and usury. In these the poor, the elderly and those trying to conserve resources are put upon. The hospital is only one symptom of Plainfield's problems and they are many. One is education.
I Care ..and will watch for your issue words in silence. Do stay up there and not to slip

Posted: Sun Apr 20, 2008 6:02 pm


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About Me

Plainfield resident since 1983. Retired as the city's Public Information Officer in 2006; prior to that Community Programs Coordinator for the Plainfield Public Library. Founding member and past president of: Faith, Bricks & Mortar; Residents Supporting Victorian Plainfield; and PCO (the outreach nonprofit of Grace Episcopal Church). Supporter of the Library, Symphony and Historic Society as well as other community groups, and active in Democratic politics.