Wednesday, November 14, 2012

Public and Catholic hospitals combine after all in Kentucky

Posted By on Wed, Nov 14, 2012 at 1:34 PM

Interesting development in Kentucky, where state official opposition had stood in the way of a merger of a public and a Catholic-operated hospital because of barriers seen in having publicly financed health services controlled by Catholic doctrine, particularly in the area of reproductive medicine.

They've worked out a deal in Kentucky.

This is of interest in Arkansas, where UAMS and St. Vincent Health are talking about a combination of clinical operations. From Insider Louisville on a deal affecting the University of Louisville:

U of L officials announced they’ve chose KentuckyOne which incorporates Denver-based Catholic Health Initative’s Kentucky operations and the former Jewish Hospital & St. Mary’s HealthCare system for a joint operating agreement over Naples, Fla.-based Health Management Services. CHI and HMS were the two systems that replied to a U of L request for proposal last March.

So the CHI merger is not only back, it’s done, though apparently minus U of L having to abide by the Religious and Ethical Directives of the Roman Catholic Church.

... They apparently gave up demands that Roman Catholic bishops have the final say in treatment restrictions and prohibitions while still agreeing to inject huge amounts of money into the 330-bed University Hospital, as well as into university research and physician training programs.

Dr. David Dunn got credit for seeing to fruition nine months of negotiations. Sources Insider Louisville interviewed this morning believe CHI’s need for a guaranteed pipeline of graduating U of L doctors to its rural hospitals part of the JOA trumped its desire to control U of L’s policy on reproductive procedures.

Moreover, officials conceded that the nitty-gritty details of the deal and how they’ll affect the relationship between the religious hospital system and the publicly-funded safety net hospital are far from resolved.

In Arkansas, UAMS officials have said any resulting deal with St. Vincent would place no limits on its reproductive services. St. Vincent has refused to talk much to the press. But many specific questions remain unanswered and not just about abortion, tubal ligations, vasectomies, emergency room rape treatment and birth control. There are also questions about birth control coverage for shared employees and UA policy that protects its employees from discrimination on ground of sexual orientation, a protection the Catholic institution doesn't provide. Some critics question the infusion of public money into a church-controlled institution that itself would be free independently to impose religious restrictions on its services. Read here about the death of a woman who needed an abortion to avoid complications of a miscarriage but didn't get it because of a Catholic directive.

Kentucky may - may - have worked those issues out. Arkansas is just embarking on the study process. The Catholic church is not known for ceding control on issues of principle so it will be interesting to see if, for example, it stands by while Louisville employees receive coverage for birth control pills. Another difference in circumstances would seem to exist with Arkansas. St. Vincent has not been seen here as a source of new money for UAMS. The institutions mostly seem to believe combining some individual departments can be more efficient (i.e., more profitable) than running competing departments.

Tags: , , , , ,

Favorite

Speaking of...

Comments (2)

Showing 1-2 of 2

Add a comment

 
Subscribe to this thread:
Showing 1-2 of 2

Add a comment

More by Max Brantley

Readers also liked…

Most Shared

  • World leaders set to meet in Little Rock on resource access and sustainable development

    Next week a series of meetings on the use of technology to tackle global problems will be held in Little Rock by Club de Madrid — a coalition of more than 100 former democratic former presidents and prime ministers from around the world — and the P80 Group, a coalition of large public pension and sovereign wealth funds founded by Prince Charles to combat climate change. The conference will discuss deploying existing technologies to increase access to food, water, energy, clean environment, and medical care.
  • Tomb to table: a Christmas feast offered by the residents of Mount Holly and other folk

    Plus, recipes from the Times staff.
  • Rapert compares Bill Clinton to Orval Faubus

    Sen. Jason Rapert (R-Conway)  was on "Capitol View" on KARK, Channel 4, this morning, and among other things that will likely inspire you to yell at your computer screen, he said he expects someone in the legislature to file a bill to do ... something about changing the name of the Bill and Hillary Clinton National Airport.
  • Fake news

    So fed up was young Edgar Welch of Salisbury, N.C., that Hillary Clinton was getting away with running a child-sex ring that he grabbed a couple of guns last Sunday, drove 360 miles to the Comet Ping Pong pizzeria in Washington, D.C., where Clinton was supposed to be holding the kids as sex slaves, and fired his AR-15 into the floor to clear the joint of pizza cravers and conduct his own investigation of the pedophilia syndicate of the former first lady, U.S. senator and secretary of state.
  • Reality TV prez

    There is almost nothing real about "reality TV." All but the dullest viewers understand that the dramatic twists and turns on shows like "The Bachelor" or "Celebrity Apprentice" are scripted in advance. More or less like professional wrestling, Donald Trump's previous claim to fame.

Visit Arkansas

View Trumpeter Swans in Heber Springs

View Trumpeter Swans in Heber Springs

Magness Lake, in Heber Springs, is a magnet for swans

Most Viewed

Most Recent Comments

Blogroll

 

© 2016 Arkansas Times | 201 East Markham, Suite 200, Little Rock, AR 72201
Powered by Foundation