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Re: “Arkansas trauma system takes a hit

In the business world (ie non-government, non-tax-payer-funded entities), fee-for-services payments and contracts do not require the service provider to show how the service company spent the monies. The service provider shows proof that the services were performed (ie 100 attendees of a training program), but not an itemized list of how much was spent on catering, room rental, distributed materials, technology used in training, etc. If the client company feels the service provider is charging too high a fee for the services rendered, the client negotiates a lower price when the contract is up for renewal. If the client decides the terms aren't agreeable anymore, the client can not prematurely cancel the contract nor refuse to pay for rendered services. The client must have proof that services were not provided or contract terms not met; otherwise, the client must pay a penalty for early contract cancellation. (So must public university athletic departments when cancelling a coach's contract, but that is a different topic.)

As a non-medical, private-sector, tax-paying citizen, I have the following questions for ADH:

1) If ATERF has provided services according the contract - with excellent, third-party quantifiable results - why is the State allowed to cancel a contract before the contract end date with no financial penalty?

2) Why is the State allowed to refuse to pay for said services without penalty, leaving ATERF with a huge debt of bills related to said services provided in good faith that the State would pay after the classes were taught?

3) If the State does not approve of the use of monies, of location of meetings, of specific doctors hired as instructors, etc., then why doesn't the State negotiate a lower rate of fees-for-services when the contract is renewed? ATERF would then be responsible for continuing to provide the same level services with a reduced budget (ie. pay instructors less, rent cheaper training facilities, provide no catering, etc.).

4) If none of the above business contract rules apply to government enterprises, why did the State cancel the contract without a concrete plan in place for replacing educational services? Are the lives saved by these training programs not worth it?

5) Speaking of being dissatisfied with means of services rendered - How do citizens hold these government decision makers accountable for making Arkansas once again the only state in the Union without a trained & functioning trauma system? Is the Governor's Trauma Advisory Council an elected office? Is the Trauma Section of ADH an elected office?

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Posted by CabotMama on 08/25/2016 at 12:23 PM

 

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