Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Save to My Library
Look up keyword
Like this
4Activity
0 of .
Results for:
No results containing your search query
P. 1
CL Brumback Primary Care Clinics :: Consumer Complaints :: #FQHC

CL Brumback Primary Care Clinics :: Consumer Complaints :: #FQHC

Ratings: (0)|Views: 2,008|Likes:
Published by Mike Trout
I believe in the FQHC (Federally Qualified Health Center) model, and that is why I jumped at the opportunity to serve on the Board of Directors of the CL Brumback Primary Care Clinics in Palm Beach County, FL. Fortunately, or unfortunately, depending on your perspective, I found significant problems that are probably not unique to CL Brumback. It's the job and the responsibility of Board members to look for problems, and find solutions in the organizations they serve, and I think I served well in that capacity from May until September, when I was removed. The circumstances around my dismissal from the board are another subject for some other conversation. In this set of formal complaints to staff and the current BOD, I try to describe the problems I see in the organization, suggest some solutions, and mostly to shine a clear light on just what those problems are, in order to challenge the Staff and Board to address them in a cohesive manner. #FQHC

http://www.scribd.com/doc/174740598/CL-Brumback-Primary-Care-Clinics-Consumer-Complaints

Friend or Follow Me @ http://fb.com/wmichaeltrout and http://twitter.com/wmichaeltrout to keep the conversation going.

Find the FQHCs (Federally Qualified Health Centers) that serve your Communities at http://findahealthcenter.hrsa.gov
I believe in the FQHC (Federally Qualified Health Center) model, and that is why I jumped at the opportunity to serve on the Board of Directors of the CL Brumback Primary Care Clinics in Palm Beach County, FL. Fortunately, or unfortunately, depending on your perspective, I found significant problems that are probably not unique to CL Brumback. It's the job and the responsibility of Board members to look for problems, and find solutions in the organizations they serve, and I think I served well in that capacity from May until September, when I was removed. The circumstances around my dismissal from the board are another subject for some other conversation. In this set of formal complaints to staff and the current BOD, I try to describe the problems I see in the organization, suggest some solutions, and mostly to shine a clear light on just what those problems are, in order to challenge the Staff and Board to address them in a cohesive manner. #FQHC

http://www.scribd.com/doc/174740598/CL-Brumback-Primary-Care-Clinics-Consumer-Complaints

Friend or Follow Me @ http://fb.com/wmichaeltrout and http://twitter.com/wmichaeltrout to keep the conversation going.

Find the FQHCs (Federally Qualified Health Centers) that serve your Communities at http://findahealthcenter.hrsa.gov

More info:

Published by: Mike Trout on Oct 09, 2013
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

01/09/2014

pdf

text

original

 
W Michael Trout9453 Burlington PlaceBoca Raton, FL 33434October 7, 203Mr !hri" #ri$arr%, &'ecuti(e )irector!L Bru*bac+ Pri*ar% !are !linic"20 0th -(enue .orthPal* /ring", FL!on"u*er !o*laint"1 There i" no inor*ation o"te in the !linic" to eucate client" about the nature o an F6! Feerall% ualiie 6ealth !enter8, an it" uni:ue *i""ion to ro(ie P-T#&.T )R#;&. care2 There i" no inor*ation o"te to noti% con"u*er" about the F6! Boar o )irector" *oel, o <hich 5= M>/T con"i"t o clinic >/&R/, an <hen an <here ublic *eeting" occur3 There i" no inor*ation o"te in the !linic" about the co"t o "er(ice", nor i" there co*rehen"i(e inor*ation re"ente about all inancial con"u*er otion" a(ailable on the 6!) <ebage regaring the !linic" The !linic" o not at thi" ti*e *aintain an ineenent eicate <eb"ite a *atter o "earate concern8 #t i" critical that the Bru*bac+ BO) ta+e ull control o it" ublic relation" an *e""aging unction", <hich are a*ong +e% authoritie" o the Boar4 The actual *enu o co"t o "er(ice" i" un?tran"arent, conu"ing, an e'ce""i(e or lo<er inco*e con"u*er", an i" not *ae clear to atient" rior to i"en"ation o care "o that atient" o .OT enter encounter <ith ull% inor*e con"ent regaring inancial re"on"ibilitie"8 The !linic" recentl% relea"e a three?tiere ee "cheule li"ting charge" at or abo(e ee" charge in the general *ar+et area in the ri(ate *ar+et The highe"t ee, @30 i" e:ual to ee" charge to "ee a h%"ician at *an% urgent care clinic", %et <hile "er(ice" at the !linic" are a(ailable to an%one, the !linic" *i""ion i" to articularl% "er(e *eicall% uner"er(e lo< inco*e8 oulation" Patient" can re"ent at Walgreen" or !;/ clinic" an con"ult <ith an R. ro(ier or about @0 -t the "a*e ti*e, the !linic" ha(e recentl% aro(e a caitate agree*ent <ith the 6ealth !are )i"trict o Pal* Beach !ount% to ro(ie unli*ite ri*ar% care "er(ice"Aencounter" to atient" enrolle through the 6!) or @40 er *onth or an ini(iual Thi" "i*liie an aorable ee "cheule "houl be a(ailable to all !linic con"u*er", along <ith the aroriate i"count" eter*ine in the "liing ee "cale "cheule # u"t got *% ir"t "tate*ent ro* the !linic" that "a%" # o<e @75 .othing i" ite*i$e, u"t "a%" # o<e @75 .othing to "a% i thi" i" a !linic charge*a"ter ee, <ith or <ithout "liing "cale ee i"count" alie - P6C/#!#-. that <e a% @0,000 er %ear co"t" an a(erage aro'i*atel% @D0 er hour, not incluing ancillar% co"t" )eening on the a(erage atient loa, i the h%"ician i" "eeing 4 atient" an hour, there i" a ba"e co"t o @20 er aoint*ent # the h%"ician i" "eeing  atient" in an hour, the co"t reuce" to @333, an D atient" er hour to @0 -n -R.P co*en"ate at @5,000 er %ear co"t" an a(erage aro'i*atel% @3250 er hour, not incluing ancillar% co"t" # the -R.P i" attening 4 atient" er hour, there i" an aro'i*ate ba"e co"t o @D2 er aoint*ent # <e increa"e the atient loa to  er hour, the relati(e co"t er aoint*ent reuce" to @54, an i <e increa"e the atient loa to D er hour, the co"t reuce" to @40 er atient 5 /er(ice -rea E Brochure" ubli"he b% the !linic" *ight be *i"con"true b% reaer" to iner that "er(ice" are li*ite to re"ient" o Pal* Beach !ount%, <hen in act, a" Feerall% ualiie 6ealth !enter", "er(ice" are a(ailable to an% atient <ho re"ent" at a Bru*bac+ !linic, <ithout reuice There are no /er(ice -rea i"clai*er" o"te in the clinic" !on"u*er" at the !linic" "hare a large <aiting roo* <ith atient" o the )eart*ent o 6ealth The )O6 ro(ie" a *ea"ure o ri(ac% b% calling atient" b% a nu*ber "%"te* !linic atient" na*e" are announce loul% in the roo*, oering no ele*ent o ri(ac%7 )uring the atient encounter, but re(iou" to the i""uance o an% re"crition", the atient i" a"+e to na*e a reerre har*ac% There i" no i"cu""ion o i"count har*aceutical" "ub"ii$e b% the eeral go(ern*ent or "o*e atient" #n the ca"e that re"crition" are i""ue, there i" no ti*e allotte or the atient to "ho har*acie" or the articular rug" that *a% be neee #n the ca"e o t<o or *ore re"crition", a con"u*er "houl be able to loo+ or the *o"t aorable otion or each *eication #n *% e'erience, the har*ac% that recei(e *% re"crition" ha a co"t ull% ouble the a*ount o a co*eting har*ac%, but # <a"nt able to a"certain thi" inor*ation until # ha co*lete *% encounter, an earte
 
the !linic There i" no rinte re"crition or atient" to carr% out, a" re"crition" are or<are electronicall% to a har*ac% -" a or*er *e*ber o the boar o irector" o the clinic", # "eciicall% brought the *atter o thi" con"u*er ile**a to the attention o clinic "ta, an <a" a""ure that it <oul be loo+e into The roble* er"i"t", an i" relecti(e o a i"regar to !linic atient"Acon"u*er" The "i*le"t "olution, i", o cour"e, to ro(ie atient" <ith a (ali carr%?out traitional rinte re"crition, that atient" can re"ent to the har*acie" o their con"u*er8 choiceD >on co*letion o the atient encounter, atient" are reerre to a <ino< in the large <aiting area to recei(e re"crition e"crition" an o"e orer", an reerral" # the er"on <ho occuie" that "tation i" not "o*eone <ith a nee to +no< ri(ate atient inor*ation, there "houl be an alternati(e "%"te*, o""ibl% <hereb% the ro(ier" ha(e an area or their o<n rinter, an a *eical technician rint" an eli(er" tho"e to the atient, an an"<er" an% la"t :ue"tion" the atient ha" in a ri(ate area a<a% ro* the ro'i*it% o other atient" in the <aiting roo*9 Recentl%, the !linic" boar <a" re"ente <ith a "et o uate out"ie ro(ier reerral8 contract" or (ariou" ro(ier" throughout the count%, incluing "e(eral ho"ital", b% the "ta o the 6ealth !are )i"trict The !linic" Boar o )irector" <a" not con"ulte rior to the e(elo*ent o the uate" to the"e contract" #n the interi* o the ti*e <hen original contract" <ere negotiate, there ha(e been i*ortant e(ent" in the national health care arena For one, the Oba*a a*ini"tration ha" begun relea"ing "o calle charge*a"terG ee" charge or the *o"t co**on roceure" at ho"ital" aroun the nation -nal%"i" o the ata "ho<" that *uch o the ti*e, ho"ital" charge the unin"ure an *eicall% uner"er(e at rate" *uch higher than their "tanar rei*bur"e*ent rate", ba"e on their charge*a"ter" - charge*a"ter i" "i*ilar to a *anuacturer" li"t rice, but a" it turn" out, not the cu"to*ar% charge" that are -!T>-LLC P-#) to ho"ital" b% in"urance an ro(ier grou", incluing ri(ate in"urer" an al"o MeicareAMeicai rei*bur"e*ent rate" -" !linic con"u*er" rel% on the !linic" to a(ocate or the*, it "ee*" "o*e thought "houl ha(e been gi(en b% the !linic Boar o )irector" to en"ure that in the ca"e o Bru*bac+ reerral" to the"e ro(ier", atient" "houl be ri(ilege to the *o"t a(orable ee "cheule" reo*inant in the inu"tr% 6o<e(er, there i" no language in the"e contract" to a""ure an% "uch air treat*ent o Bru*bac+ reerral" For a little bac+"tor% on the e(elo*ent" in ho"ital ricing tran"arenc%, lea"e reer to an inor*ati(e article b% Laura Hreen, o the Pal* Beach Po"t" Wa"hington Bureau that can be "een at1 htt1AA<<<*%al*beacho"tco*Ane<"Ane<"AlocalAat? ho"ital"?ull?rice? or?unin"ureAnCMFPA an another inor*ati(e iece ro* Bloo*berg healine >nin"ure -*erican" Het 6it With Bigge"t 6o"ital Bill"G at1 htt1AA<<<bloo*bergco*Ane<"A203?03?Aunin"ure?a*erican"?get?hit?<ith?bigge"t?ho"ital?bill"ht*l0 -" a or*er *e*ber o the boar o irector" o the !linic", # gaine an in"ight into the general culture o the organi$ation #t i" *% ob"er(ation that there i" a %"unctional relation"hi bet<een !L Bru*bac+ Pri*ar% !are !linic" an it" co?alicant, the 6ealth !are )i"trict o Pal* Beach !ount%, "o *uch "o, that the ri*ar% *i""ion o the Bru*bac+ F6! to be an #.)&P&.)&.T, P-T#&.T )R#;&. ORH-.#I-T#O. i" threatene 6!) "ta are <or+ing iligentl% to "%"te*aticall% u"ur all +e% o<er" an authoritie" o the !linic" BO), lea(ing the BO) to be e""entiall% a rubber "ta* co**ittee "er(ing at the lea"ure o 6!) While the &'ecuti(e )irector i" "uo"e to "er(e at the lea"ure o the !L Bru*bac+ BO), it i" clear that 6!) e'ecuti(e "ta act inaroriatel% a" the )irector" "uer(i"or, interering <ith the )irector" iuciar% ut% to "er(e at the lea"ure o the !L Bru*bac+ BO) One nee" onl% to "tu% the ialogue" in the ublic recor *inute" o ublic *eeting"8 to (eri% thi" ob"er(ation With the aition o "e(eral ne< Boar *e*ber" that are u"er", # hoe to "ee the Boar e(elo into a trul% ineenent agenc% that guar" an rotect" it" *i""ion, an i" a bonaie a(ocate or the atient" an con"u*er" that utili$e it" "er(ice" >nortunatel%, "o*e o the long"taning *e*ber" o that Boar, holo(er" ro* a re(iou" a(i"or% boar to the count%" )eart*ent o 6ealth, o not "ee* <illing to ut the ti*e an eort in to uner"taning their *i""ion Mr )a(i Jenle re:uentl% "tate" that he i" re""e or ti*e, an <oul li+e to get ho*e M" /hirle% Barne" White, currentl% acting chair ater re"iing o(er the unu"t re*o(al o the or*er chair, i" al"o re:uentl% hear to "a% that "he ha" other re""ing obligation" The"e are harl% the rall% "logan" or eicate *e*ber" o thi" i*ortant boar Thi" agenc% cannot continue to reten to be an F6!, u"t to collect *one% ro* 6R/- The "ituation, a" it "tan", i" nothing le"" than a corrution o the ortion" o Patient Protection an -orable !are -ct that go(ern the F6! rogra* *oel -ccoring to M" -rlene Wal+er -<al+erKhr"ago( 404524508 Proect Oicer <ith 6R/- or the !L Bru*bac+ !linic", onl% about 2= o F6!" in the .-T#O. are co?alicant arrange*ent" "uch a" the one bet<een Bru*bac+ an 6!), an it i" not a *oel that the% lan to i*le*ent <iel% #n *% oinion, her inerence <a" that the co?alicant8 arrange*ent ha" been roble*atic The *oel "ee*" e"tine or ailure" a""ociate <ith the co*eting intere"t" o t<o or *ore *a"ter" # a* beginning a "tu% o the

Activity (4)

You've already reviewed this. Edit your review.
1 thousand reads
Mike Trout liked this
1 hundred reads
Mike Trout liked this

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->