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Her work has won awards from the Society of Professional Journalists (Northern California), as well as a national and regional Edward M. Murrow Award for the collaborative reporting projects “Dangerous Air” and “Graying California.” \u003c/span>\u003cspan style=\"font-weight: 400;\">Before joining KQED, Farida worked as a producer at Radio Bilingüe, a national public radio network. Farida earned her master’s degree in journalism from Stanford University.\u003c/span>","avatar":"https://secure.gravatar.com/avatar/c3ab27c5554b67b478f80971e515aa02?s=600&d=blank&r=g","twitter":"FaridaJhabvala","facebook":null,"instagram":null,"linkedin":"https://www.linkedin.com/in/faridajhabvala/","sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["author"]}],"headData":{"title":"Farida Jhabvala Romero | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/c3ab27c5554b67b478f80971e515aa02?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/c3ab27c5554b67b478f80971e515aa02?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/fjhabvala"},"naltenberg":{"type":"authors","id":"11896","meta":{"index":"authors_1591205172","id":"11896","found":true},"name":"Nik Altenberg","firstName":"Nik","lastName":"Altenberg","slug":"naltenberg","email":"naltenberg@kqed.org","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":"Nik Altenberg is a newscast intern for KQED and a copy editor and fact checker for Santa Cruz Local. Nik’s reporting interests include policing, public health, environment, immigration, housing and the points where these issues intersect.","avatar":"https://secure.gravatar.com/avatar/e391b3a18ce4a53a7ca3f3065c74418b?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":"https://www.instagram.com/nikaltenberg/","linkedin":null,"sites":[{"site":"news","roles":["author"]}],"headData":{"title":"Nik Altenberg | KQED","description":"KQED 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FM","link":"/"}},"news_11983752":{"type":"posts","id":"news_11983752","meta":{"index":"posts_1591205157","site":"news","id":"11983752","score":null,"sort":[1713832725000]},"guestAuthors":[],"slug":"nurses-warn-patient-safety-at-risk-as-ai-use-spreads-in-health-care","title":"Nurses Warn Patient Safety at Risk as AI Use Spreads in Health Care","publishDate":1713832725,"format":"standard","headTitle":"Nurses Warn Patient Safety at Risk as AI Use Spreads in Health Care | KQED","labelTerm":{"site":"news"},"content":"\u003cp>As the use of artificial intelligence proliferates in the health care industry, Bay Area unionized nurses call for greater transparency and say in how the technologies are deployed to minimize risks to patients.\u003c/p>\n\u003cp>At a protest on Monday outside of Kaiser Permanente’s San Francisco Medical Center, many in the estimated crowd of about 200 members of the California Nurses Association held red signs that read “Patients are not algorithms” and “Trust nurses, not AI.”\u003c/p>\n\u003cp>“All health care corporations need to make sure that the technology is tested, it’s valid, and it’s not harmful to patients,” said Michelle Gutierrez Vo, a president at CNA, representing 24,000 nurses at Kaiser Permanente. “And before they deploy it, they need to sit down with nurses so that the nurses can review and make sure it’s congruent with patient safety.”\u003c/p>\n\u003cfigure id=\"attachment_11983730\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983730\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt holds a microphone in front of people while she stands behind a podium with a red sign in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Michelle Gutierrez Vo, a registered nurse at Kaiser Permanente Medical Center in Fremont and a California Nurses Association president, speaks during a rally alongside fellow nurses from across California at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gutierrez Vo and other nurses worry that without proper oversight and accountability, health care employers will use AI to replace nurses and other medical professionals for profit, to the detriment of patient care. The nurses are calling for health care organizations to hit pause on the rollout of new AI technologies.\u003c/p>\n\u003cp>This comes as state and federal regulators race to catch up with the explosive growth of generative AI tools, which experts say also have great potential to improve health care delivery.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[aside postID=\"news_11976097,news_11980719,news_11982218\" label=\"Related Stories\"]Kaiser Permanente, one of the largest employers in San Francisco, Alameda and other Bay Area counties, has been an early adopter of AI. Company officials \u003ca href=\"https://about.kaiserpermanente.org/news/fostering-responsible-ai-in-health-care\">have said\u003c/a> they rigorously test the tools they use for safety, accuracy and equity.\u003c/p>\n\u003cp>“Our physicians and care teams are always at the center of decision-making with our patients,” a Kaiser Permanente statement said in response to a KQED request for comment. “We believe that AI may be able to help our physicians and employees and enhance our members’ experience. As an organization dedicated to inclusiveness and health equity, we ensure the results from AI tools are correct and unbiased; AI does not replace human assessment.”\u003c/p>\n\u003cp>One program in use at 21 Kaiser hospitals in Northern California is the Advance Alert Monitor, which analyzes electronic health data to notify a nursing team when a patient’s health is at risk of serious decline. The program saves about 500 lives per year, according to the company.\u003c/p>\n\u003cfigure id=\"attachment_11983733\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983733\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\" alt='Many people dressed in scrubs hold red signs that say \"Trust Nurses Not AI\" in the street.' width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses from across California rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Gutierrez Vo said nurses have flagged problems with the tool, such as producing inaccurate alarms or failing to detect all patients whose health is quickly deteriorating.\u003c/p>\n\u003cp>“There’s just so much buzz right now that this is the future of health care. These health care corporations are using this as a shortcut, as a way to handle patient load. And we’re saying ‘No. You cannot do that without making sure these systems are safe,’” said Gutierrez Vo, a nurse with 25 years of experience at the company’s Fremont Adult Family Medicine clinic. “Our patients are not lab rats.”\u003c/p>\n\u003cp>The U.S. Food and Drug Administration has authorized some AI-generated services before they go to market, but mostly \u003ca href=\"https://www.politico.com/news/2023/10/28/ai-doctors-healthcare-regulation-00124051\">without the comprehensive data\u003c/a> required for new medicines. Last fall, President Joe Biden issued an \u003ca class=\"c-link\" href=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" data-sk=\"tooltip_parent\">executive order\u003c/a> on the safe use of AI, which includes a directive to develop policies for AI-enabled technologies in health services that promote “the welfare of patients and workers.”\u003c/p>\n\u003cp>“It’s very good to have open discussions because the technology is moving at such a fast pace, and everyone is at a different level of understanding of what it can do and [what] it is,” said Dr. Ashish Atreja, Chief Information and Digital Health Officer at UC Davis Health. “Many health systems and organizations do have guardrails in place, but perhaps they haven’t been shared that widely. That’s why there’s a knowledge gap.”\u003c/p>\n\u003cfigure id=\"attachment_11983727\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983727\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt stands in a crowd with red signs in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sandra Larkin listens to speakers alongside fellow nurses from across California during a rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Davis Health is part of a \u003ca href=\"https://health.ucdavis.edu/news/headlines/uc-davis-health-and-leading-health-systems-launch-valid-ai/2023/10\">collaboration\u003c/a> with other health systems to implement generative and other types of AI with what Atreja referred to as “intentionality” to support their workforce and improve patient care.\u003c/p>\n\u003cp>“We have this mission that no patient, no clinician, no researcher, no employee gets left behind in getting advantage from the latest technologies,” Atreja said.\u003c/p>\n\u003cp>Dr. Robert Pearl, a lecturer at the Stanford Graduate Business School and a former CEO of The Permanente Medical Group (Kaiser Permanente), told KQED he agreed with the nurses’ concerns about the use of AI at their workplace.\u003c/p>\n\u003cp>“Generative AI is a threatening technology but also a positive one. What is the best for the patient? That has to be the number one concern,” said Pearl, author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine,” which he said he co-wrote with the AI system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I’m optimistic about what it can do for patients,” he said. “I often tell people that generative AI is like the iPhone. It’s not going away.”\u003c/p>\n\n","blocks":[],"excerpt":"At a protest in San Francisco, nurses say health care employers must ensure the artificial intelligence tools they use do not harm patients.","status":"publish","parent":0,"modified":1713834971,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":1003},"headData":{"title":"Nurses Warn Patient Safety at Risk as AI Use Spreads in Health Care | KQED","description":"At a protest in San Francisco, nurses say health care employers must ensure the artificial intelligence tools they use do not harm patients.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Nurses Warn Patient Safety at Risk as AI Use Spreads in Health Care","datePublished":"2024-04-23T00:38:45.000Z","dateModified":"2024-04-23T01:16:11.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11983752/nurses-warn-patient-safety-at-risk-as-ai-use-spreads-in-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the use of artificial intelligence proliferates in the health care industry, Bay Area unionized nurses call for greater transparency and say in how the technologies are deployed to minimize risks to patients.\u003c/p>\n\u003cp>At a protest on Monday outside of Kaiser Permanente’s San Francisco Medical Center, many in the estimated crowd of about 200 members of the California Nurses Association held red signs that read “Patients are not algorithms” and “Trust nurses, not AI.”\u003c/p>\n\u003cp>“All health care corporations need to make sure that the technology is tested, it’s valid, and it’s not harmful to patients,” said Michelle Gutierrez Vo, a president at CNA, representing 24,000 nurses at Kaiser Permanente. “And before they deploy it, they need to sit down with nurses so that the nurses can review and make sure it’s congruent with patient safety.”\u003c/p>\n\u003cfigure id=\"attachment_11983730\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983730\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt holds a microphone in front of people while she stands behind a podium with a red sign in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Michelle Gutierrez Vo, a registered nurse at Kaiser Permanente Medical Center in Fremont and a California Nurses Association president, speaks during a rally alongside fellow nurses from across California at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gutierrez Vo and other nurses worry that without proper oversight and accountability, health care employers will use AI to replace nurses and other medical professionals for profit, to the detriment of patient care. The nurses are calling for health care organizations to hit pause on the rollout of new AI technologies.\u003c/p>\n\u003cp>This comes as state and federal regulators race to catch up with the explosive growth of generative AI tools, which experts say also have great potential to improve health care delivery.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11976097,news_11980719,news_11982218","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Kaiser Permanente, one of the largest employers in San Francisco, Alameda and other Bay Area counties, has been an early adopter of AI. Company officials \u003ca href=\"https://about.kaiserpermanente.org/news/fostering-responsible-ai-in-health-care\">have said\u003c/a> they rigorously test the tools they use for safety, accuracy and equity.\u003c/p>\n\u003cp>“Our physicians and care teams are always at the center of decision-making with our patients,” a Kaiser Permanente statement said in response to a KQED request for comment. “We believe that AI may be able to help our physicians and employees and enhance our members’ experience. As an organization dedicated to inclusiveness and health equity, we ensure the results from AI tools are correct and unbiased; AI does not replace human assessment.”\u003c/p>\n\u003cp>One program in use at 21 Kaiser hospitals in Northern California is the Advance Alert Monitor, which analyzes electronic health data to notify a nursing team when a patient’s health is at risk of serious decline. The program saves about 500 lives per year, according to the company.\u003c/p>\n\u003cfigure id=\"attachment_11983733\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983733\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\" alt='Many people dressed in scrubs hold red signs that say \"Trust Nurses Not AI\" in the street.' width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses from across California rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Gutierrez Vo said nurses have flagged problems with the tool, such as producing inaccurate alarms or failing to detect all patients whose health is quickly deteriorating.\u003c/p>\n\u003cp>“There’s just so much buzz right now that this is the future of health care. These health care corporations are using this as a shortcut, as a way to handle patient load. And we’re saying ‘No. You cannot do that without making sure these systems are safe,’” said Gutierrez Vo, a nurse with 25 years of experience at the company’s Fremont Adult Family Medicine clinic. “Our patients are not lab rats.”\u003c/p>\n\u003cp>The U.S. Food and Drug Administration has authorized some AI-generated services before they go to market, but mostly \u003ca href=\"https://www.politico.com/news/2023/10/28/ai-doctors-healthcare-regulation-00124051\">without the comprehensive data\u003c/a> required for new medicines. Last fall, President Joe Biden issued an \u003ca class=\"c-link\" href=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" data-sk=\"tooltip_parent\">executive order\u003c/a> on the safe use of AI, which includes a directive to develop policies for AI-enabled technologies in health services that promote “the welfare of patients and workers.”\u003c/p>\n\u003cp>“It’s very good to have open discussions because the technology is moving at such a fast pace, and everyone is at a different level of understanding of what it can do and [what] it is,” said Dr. Ashish Atreja, Chief Information and Digital Health Officer at UC Davis Health. “Many health systems and organizations do have guardrails in place, but perhaps they haven’t been shared that widely. That’s why there’s a knowledge gap.”\u003c/p>\n\u003cfigure id=\"attachment_11983727\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983727\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt stands in a crowd with red signs in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sandra Larkin listens to speakers alongside fellow nurses from across California during a rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Davis Health is part of a \u003ca href=\"https://health.ucdavis.edu/news/headlines/uc-davis-health-and-leading-health-systems-launch-valid-ai/2023/10\">collaboration\u003c/a> with other health systems to implement generative and other types of AI with what Atreja referred to as “intentionality” to support their workforce and improve patient care.\u003c/p>\n\u003cp>“We have this mission that no patient, no clinician, no researcher, no employee gets left behind in getting advantage from the latest technologies,” Atreja said.\u003c/p>\n\u003cp>Dr. Robert Pearl, a lecturer at the Stanford Graduate Business School and a former CEO of The Permanente Medical Group (Kaiser Permanente), told KQED he agreed with the nurses’ concerns about the use of AI at their workplace.\u003c/p>\n\u003cp>“Generative AI is a threatening technology but also a positive one. What is the best for the patient? That has to be the number one concern,” said Pearl, author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine,” which he said he co-wrote with the AI system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I’m optimistic about what it can do for patients,” he said. “I often tell people that generative AI is like the iPhone. It’s not going away.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11983752/nurses-warn-patient-safety-at-risk-as-ai-use-spreads-in-health-care","authors":["8659"],"categories":["news_457","news_8","news_248"],"tags":["news_2114","news_28642","news_27626","news_18659","news_421","news_28963","news_30933"],"featImg":"news_11983729","label":"news"},"news_11983217":{"type":"posts","id":"news_11983217","meta":{"index":"posts_1591205157","site":"news","id":"11983217","score":null,"sort":[1713380414000]},"guestAuthors":[],"slug":"why-nearly-50-california-hospitals-were-forced-to-end-maternity-ward-services","title":"Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services","publishDate":1713380414,"format":"standard","headTitle":"Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>In just the first few months of 2024, four California hospitals have closed or announced plans to close their maternity wards.\u003c/p>\n\u003cp>The closures are part of an accelerating trend unfolding across the state, creating maternity care deserts and decreasing access to prenatal care. In the past three years, 29 hospitals stopped delivering babies, according to a \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">CalMatters investigation on maternity ward closures\u003c/a>. Nearly 50 obstetrics departments have closed over the past decade.\u003c/p>\n\u003cp>Now, California lawmakers are trying to slow the trend.\u003c/p>\n\u003cp>Assemblymember \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/akilah-weber-165432\">Akilah Weber\u003c/a> and Sen. \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/dave-cortese-164699\">Dave Cortese\u003c/a> are pursuing legislation to increase transparency around planned maternity ward closures, potentially giving counties and the state time to intervene.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Weber, a Democrat from La Mesa, wants hospitals to notify the state a year in advance if labor and delivery services are at risk of ending. The measure would also require the state to conduct a community impact report when a hospital indicates that it may lose maternity care.\u003c/p>\n\u003cp>Cortese, a Democrat from Campbell, wants to increase the public notification requirement of an impending closure from 90 days to 120 days and require the hospital to analyze how a closure could increase costs for the county health system, where the next-closest maternity wards are located and who is most likely to be affected.\u003c/p>\n\u003cp>Cortese’s bill would also require increased notification for planned closures of inpatient psychiatric services.\u003c/p>\n\u003cp>“We cannot continue to just discuss these issues and not implement policies to prevent or mitigate the harms and the continued disparities,” Weber said during an Assembly Health Committee hearing on Tuesday.\u003c/p>\n\u003cp>Groups representing doctors and reproductive health advocates support the measure. Nurses and consumer health advocates support Cortese’s bill.\u003c/p>\n\u003ch2>Why are California maternity wards closing?\u003c/h2>\n\u003cp>Ryan Spencer, a lobbyist for the regional chapter of the American College of Obstetricians and Gynecologists who testified in support of Weber’s measure, said there are often situations during birth where “every minute can be the difference between life and death.”\u003c/p>\n\u003cp>“What if you are a patient like this and literally had nowhere to go, who had to drive hours upon hours to get care? We have to find a way to end this crisis,” Spencer said during his testimony.[aside postID=news_11968835 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-021-JY-qut-1020x680.jpg']Maternity wards are closing for several reasons, according to hospital administrators. They cite labor shortages, increasing costs, low reimbursements and declining birth rates.\u003c/p>\n\u003cp>The California Hospital Association opposes Cortese’s bill and has registered “concerns” about Weber’s. The group argues that neither bill will address the underlying reasons for maternity ward closures and may cause hospitals to terminate services sooner as employees leave and patients look elsewhere for care, said Kirsten Barlow, vice president of policy with the hospital association, during a Senate hearing earlier this month.\u003c/p>\n\u003cp>Current law requires hospitals to notify the public 90 days before a proposed service cut but doesn’t require the state to receive additional notification. Weber said that 90 days is “clearly not sufficient for the state to be able to intervene.”\u003c/p>\n\u003ch2>Maternity care deserts emerge\u003c/h2>\n\u003cp>CalMatters found that 12 counties have no hospital delivering babies, including Madera County, where the sudden closure of the county’s only hospital in 2022 spurred a flurry of emergency legislation supporting \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2024/02/madera-hospital-reopen/\">Madera Community Hospital\u003c/a> is now on track to reopen but without a maternity ward. The company reopening the hospital, American Advanced Management, has indicated that low insurance reimbursement rates factored into its decision to open without labor and delivery.[aside postID=news_11976372 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/010423-MaderaCommunityHospital-LV_CM_07-copy-1020x680.jpg']“Reopening maternity would be like reopening two hospitals at the same time,” Matthew Beehler, chief strategy officer at American Advanced Management, previously told CalMatters.\u003c/p>\n\u003cp>Still, the bill authors and advocates are adamant that access to maternity care is a necessity. National studies indicate that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885848/\">rates of preterm birth increase,\u003c/a> and \u003ca href=\"https://corey-white.com/assets/docs/frw_reduced_form_manuscript_AEJ_R1.pdf\">women receive less prenatal care\u003c/a> when labor and delivery units shut down, particularly in rural areas. CalMatters found that maternity closures in California disproportionately impact low-income and Latino communities.\u003c/p>\n\u003cp>“This is really a very simple bill. It doesn’t do much. It creates a public hearing opportunity at the local level to deal with issues that are …absolutely vital to the survival of our constituents,” Cortese said during a Senate Health Committee hearing on his measure.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Two California lawmakers introduced bills intended to slow maternity ward closures after an investigation found nearly 50 hospitals had ended labor and delivery services between 2012 and 2023.","status":"publish","parent":0,"modified":1713380834,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":778},"headData":{"title":"Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services | KQED","description":"Two California lawmakers introduced bills intended to slow maternity ward closures after an investigation found nearly 50 hospitals had ended labor and delivery services between 2012 and 2023.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services","datePublished":"2024-04-17T19:00:14.000Z","dateModified":"2024-04-17T19:07:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Kristen Hwang, CalMatters","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11983217/why-nearly-50-california-hospitals-were-forced-to-end-maternity-ward-services","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In just the first few months of 2024, four California hospitals have closed or announced plans to close their maternity wards.\u003c/p>\n\u003cp>The closures are part of an accelerating trend unfolding across the state, creating maternity care deserts and decreasing access to prenatal care. In the past three years, 29 hospitals stopped delivering babies, according to a \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">CalMatters investigation on maternity ward closures\u003c/a>. Nearly 50 obstetrics departments have closed over the past decade.\u003c/p>\n\u003cp>Now, California lawmakers are trying to slow the trend.\u003c/p>\n\u003cp>Assemblymember \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/akilah-weber-165432\">Akilah Weber\u003c/a> and Sen. \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/dave-cortese-164699\">Dave Cortese\u003c/a> are pursuing legislation to increase transparency around planned maternity ward closures, potentially giving counties and the state time to intervene.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Weber, a Democrat from La Mesa, wants hospitals to notify the state a year in advance if labor and delivery services are at risk of ending. The measure would also require the state to conduct a community impact report when a hospital indicates that it may lose maternity care.\u003c/p>\n\u003cp>Cortese, a Democrat from Campbell, wants to increase the public notification requirement of an impending closure from 90 days to 120 days and require the hospital to analyze how a closure could increase costs for the county health system, where the next-closest maternity wards are located and who is most likely to be affected.\u003c/p>\n\u003cp>Cortese’s bill would also require increased notification for planned closures of inpatient psychiatric services.\u003c/p>\n\u003cp>“We cannot continue to just discuss these issues and not implement policies to prevent or mitigate the harms and the continued disparities,” Weber said during an Assembly Health Committee hearing on Tuesday.\u003c/p>\n\u003cp>Groups representing doctors and reproductive health advocates support the measure. Nurses and consumer health advocates support Cortese’s bill.\u003c/p>\n\u003ch2>Why are California maternity wards closing?\u003c/h2>\n\u003cp>Ryan Spencer, a lobbyist for the regional chapter of the American College of Obstetricians and Gynecologists who testified in support of Weber’s measure, said there are often situations during birth where “every minute can be the difference between life and death.”\u003c/p>\n\u003cp>“What if you are a patient like this and literally had nowhere to go, who had to drive hours upon hours to get care? We have to find a way to end this crisis,” Spencer said during his testimony.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11968835","hero":"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-021-JY-qut-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Maternity wards are closing for several reasons, according to hospital administrators. They cite labor shortages, increasing costs, low reimbursements and declining birth rates.\u003c/p>\n\u003cp>The California Hospital Association opposes Cortese’s bill and has registered “concerns” about Weber’s. The group argues that neither bill will address the underlying reasons for maternity ward closures and may cause hospitals to terminate services sooner as employees leave and patients look elsewhere for care, said Kirsten Barlow, vice president of policy with the hospital association, during a Senate hearing earlier this month.\u003c/p>\n\u003cp>Current law requires hospitals to notify the public 90 days before a proposed service cut but doesn’t require the state to receive additional notification. Weber said that 90 days is “clearly not sufficient for the state to be able to intervene.”\u003c/p>\n\u003ch2>Maternity care deserts emerge\u003c/h2>\n\u003cp>CalMatters found that 12 counties have no hospital delivering babies, including Madera County, where the sudden closure of the county’s only hospital in 2022 spurred a flurry of emergency legislation supporting \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2024/02/madera-hospital-reopen/\">Madera Community Hospital\u003c/a> is now on track to reopen but without a maternity ward. The company reopening the hospital, American Advanced Management, has indicated that low insurance reimbursement rates factored into its decision to open without labor and delivery.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11976372","hero":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/010423-MaderaCommunityHospital-LV_CM_07-copy-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“Reopening maternity would be like reopening two hospitals at the same time,” Matthew Beehler, chief strategy officer at American Advanced Management, previously told CalMatters.\u003c/p>\n\u003cp>Still, the bill authors and advocates are adamant that access to maternity care is a necessity. National studies indicate that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885848/\">rates of preterm birth increase,\u003c/a> and \u003ca href=\"https://corey-white.com/assets/docs/frw_reduced_form_manuscript_AEJ_R1.pdf\">women receive less prenatal care\u003c/a> when labor and delivery units shut down, particularly in rural areas. CalMatters found that maternity closures in California disproportionately impact low-income and Latino communities.\u003c/p>\n\u003cp>“This is really a very simple bill. It doesn’t do much. It creates a public hearing opportunity at the local level to deal with issues that are …absolutely vital to the survival of our constituents,” Cortese said during a Senate Health Committee hearing on his measure.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11983217/why-nearly-50-california-hospitals-were-forced-to-end-maternity-ward-services","authors":["byline_news_11983217"],"categories":["news_457","news_8"],"tags":["news_18538","news_18543","news_18659","news_33578","news_21771","news_33583"],"affiliates":["news_18481"],"featImg":"news_11983218","label":"news_18481"},"news_11976372":{"type":"posts","id":"news_11976372","meta":{"index":"posts_1591205157","site":"news","id":"11976372","score":null,"sort":[1708466415000]},"guestAuthors":[],"slug":"57-million-in-california-aid-helps-reopen-shuttered-madera-county-hospital","title":"$57 Million in California Aid Helps Reopen Shuttered Madera County Hospital","publishDate":1708466415,"format":"standard","headTitle":"$57 Million in California Aid Helps Reopen Shuttered Madera County Hospital | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>A California hospital that left a county of 160,000 people without \u003ca href=\"https://calmatters.org/category/health/\">critical emergency care\u003c/a> when it shut down 13 months ago took a significant step toward reopening last week, and it could begin accepting patients as early as this summer.\u003c/p>\n\u003cp>That’s good news for the residents of Madera County, but the court-approved deal to revive the hospital elicited mixed reactions among some San Joaquin Valley leaders who wanted a different option.\u003c/p>\n\u003cp>A bankruptcy court last week approved a bid from a Modesto-based hospital management company, \u003ca href=\"https://americanam.org/\">American Advanced Management, Inc\u003c/a>., to take over and reopen Madera Community Hospital.\u003c/p>\n\u003cp>That decision effectively shot down a last-minute proposal from industry powerhouses \u003ca href=\"https://calmatters.org/health/2024/02/madera-community-hospital-ucsf/\">UCSF Health and Adventist Health\u003c/a>. Several lawmakers from the region had endorsed the UCSF-Adventist plan and said in written statements after the bankruptcy hearing that they were still pulling for that proposal.\u003c/p>\n\u003cp>The hospital’s reopening is close but not quite a done deal. Madera County and other parties have another week to appeal the decision. The California Department of Public Health also must approve the hospital’s change-of-management application.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Matthew Beehler, chief strategy officer, American Advanced Management\"]‘Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members.’[/pullquote]The Madera hospital’s closure alarmed the Legislature last year, leading it to create a $300 million bailout fund for \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">financially distressed hospitals\u003c/a>. The Madera hospital is eligible for $57 million from that fund.\u003c/p>\n\u003cp>American Advanced Management has submitted its management plan to the California Department of Health Care Access and Information to unlock that money. The department said it is still reviewing the application.\u003c/p>\n\u003cp>Matthew Beehler, chief strategy officer at American Advanced Management, said that pending these approvals, the hospital will be on track to reopen within 4 to 6 months. The company has committed $30 million on top of what the state will chip in to reopen the hospital.\u003c/p>\n\u003cp>“Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members,” he said in a written statement after the bankruptcy hearing.\u003c/p>\n\u003ch2>11th-hour bid for Madera hospital\u003c/h2>\n\u003cp>After months of scrambling to find suitors, \u003ca href=\"https://www.fresnobee.com/news/local/article283253198.html\">Madera Community Hospital entered negotiations\u003c/a> with the American Advanced Management last fall. Then, earlier this month, UCSF Health and Adventist Health announced that they, too, were interested in taking over the hospital and that they’d team up to enter a bid.\u003c/p>\n\u003cp>For months, lawmakers representing the Madera area \u003ca href=\"https://calmatters.org/health/2023/04/hospital-closures-california/\">pushed for the UC Health system\u003c/a> to take over the hospital with the idea that it could bring much-needed resources to the valley. In a press conference earlier this month, they called the proposed UCSF and Adventist partnership “a dream come true.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the UCSF and Adventist bid came too late. Judge René Lastreto of the U.S. Bankruptcy Court for the Eastern District of California said during last week’s hearing that it didn’t “behoove the creditors or the estate to continue to delay this any further” by entertaining the new proposal.\u003c/p>\n\u003cp>Democratic lawmakers Sen. Anna Caballero, Assemblymember Esmeralda Soria and Assemblymember Joaquin Arambula said they were disappointed the court didn’t give UCSF and Adventist more of a hearing.\u003c/p>\n\u003cp>“We hoped that the court would have granted UCSF, Adventist Health, and Madera County the opportunity to move forward and provide a full presentation of their joint venture to purchase and reopen Madera Community Hospital — to show what it could mean immediately for the residents and the long-term viability of this hospital for the region,” they said in a written statement.\u003c/p>\n\u003ch2>Reopening in sight, but no maternity ward\u003c/h2>\n\u003cp>American Advanced Management plans to reopen the hospital with an emergency room, an intensive care unit, medical imaging and a laboratory, but it will not immediately reopen labor and delivery, \u003ca href=\"https://fresnoland.org/2024/02/12/madera-hospital-reopening-plan-2/\">Fresnoland first reported\u003c/a>.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11959175,news_11958245,news_11968579\"]That means pregnant patients will continue to travel to Fresno or Merced counties to give birth. \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">Maternity wards in California are closing\u003c/a> at an accelerated pace. Last year, in addition to Madera Community’s total closure, 11 other hospitals terminated their maternity services.\u003c/p>\n\u003cp>Beehler at American Advanced Management said the company decided not to reinstate a maternity ward because obstetrics is a resource-intensive department that is poorly reimbursed. Other hospitals have released similar statements when announcing the elimination of labor and delivery.\u003c/p>\n\u003cp>“Reopening maternity would be like reopening two hospitals at the same time,” Beehler said.\u003c/p>\n\u003cp>Madera Community Hospital delivered 735 babies in 2022 and another 720 in 2021. The county has a slightly higher birth rate than the state’s \u003ca>at 57.9 births per 1,000 women\u003c/a>.\u003c/p>\n\u003cp>Beehler said the company plans to provide prenatal services through the hospital’s clinics.\u003c/p>\n\u003ch2>Quick hiring key to reopening\u003c/h2>\n\u003cp>Sara Bosse, Madera County’s public health director, told the court last week that a critical element to the hospital’s reopening is how soon a new operator will be able to hire the necessary staff. She said that UCSF and Adventist could more easily attract providers to work in Madera.\u003c/p>\n\u003cp>“A physician that is looking for a position and is actively being recruited they probably would consider a position with UCSF before they would look at a position with an entity they may have not heard of before,” Bosse later told CalMatters.\u003c/p>\n\u003cp>Lawyers for American Advanced Management argued there was no evidence that the smaller hospital operator would have any trouble hiring staff. American Advanced Management is known for buying and managing distressed facilities in largely rural parts of the state. It operates hospitals in Colusa, Glenn and Coalinga.\u003c/p>\n\u003cp>Securing a strong workforce is critical, especially in an area that has long struggled with a shortage of\u003ca href=\"https://chhs.fresnostate.edu/ccphc/documents/SJVPHC%20RHEA%20Report%20Final%203.22.2022%20.pdf\"> primary care providers and specialists (PDF)\u003c/a> compared to wealthier parts of California.\u003c/p>\n\u003cp>“All of those things have to happen pretty quickly in order for any organization to open up a hospital and get it to a place that’s solvent,” Bosse said. “Both bringing on workforce and attracting patients.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A community of 160,000 without critical emergency care for 13 months will have a hospital again, but not everyone’s happy with the deal and challenges remain.","status":"publish","parent":0,"modified":1708464587,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":1109},"headData":{"title":"$57 Million in California Aid Helps Reopen Shuttered Madera County Hospital | KQED","description":"A community of 160,000 without critical emergency care for 13 months will have a hospital again, but not everyone’s happy with the deal and challenges remain.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"$57 Million in California Aid Helps Reopen Shuttered Madera County Hospital","datePublished":"2024-02-20T22:00:15.000Z","dateModified":"2024-02-20T21:29:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11976372/57-million-in-california-aid-helps-reopen-shuttered-madera-county-hospital","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A California hospital that left a county of 160,000 people without \u003ca href=\"https://calmatters.org/category/health/\">critical emergency care\u003c/a> when it shut down 13 months ago took a significant step toward reopening last week, and it could begin accepting patients as early as this summer.\u003c/p>\n\u003cp>That’s good news for the residents of Madera County, but the court-approved deal to revive the hospital elicited mixed reactions among some San Joaquin Valley leaders who wanted a different option.\u003c/p>\n\u003cp>A bankruptcy court last week approved a bid from a Modesto-based hospital management company, \u003ca href=\"https://americanam.org/\">American Advanced Management, Inc\u003c/a>., to take over and reopen Madera Community Hospital.\u003c/p>\n\u003cp>That decision effectively shot down a last-minute proposal from industry powerhouses \u003ca href=\"https://calmatters.org/health/2024/02/madera-community-hospital-ucsf/\">UCSF Health and Adventist Health\u003c/a>. Several lawmakers from the region had endorsed the UCSF-Adventist plan and said in written statements after the bankruptcy hearing that they were still pulling for that proposal.\u003c/p>\n\u003cp>The hospital’s reopening is close but not quite a done deal. Madera County and other parties have another week to appeal the decision. The California Department of Public Health also must approve the hospital’s change-of-management application.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Matthew Beehler, chief strategy officer, American Advanced Management","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The Madera hospital’s closure alarmed the Legislature last year, leading it to create a $300 million bailout fund for \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">financially distressed hospitals\u003c/a>. The Madera hospital is eligible for $57 million from that fund.\u003c/p>\n\u003cp>American Advanced Management has submitted its management plan to the California Department of Health Care Access and Information to unlock that money. The department said it is still reviewing the application.\u003c/p>\n\u003cp>Matthew Beehler, chief strategy officer at American Advanced Management, said that pending these approvals, the hospital will be on track to reopen within 4 to 6 months. The company has committed $30 million on top of what the state will chip in to reopen the hospital.\u003c/p>\n\u003cp>“Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members,” he said in a written statement after the bankruptcy hearing.\u003c/p>\n\u003ch2>11th-hour bid for Madera hospital\u003c/h2>\n\u003cp>After months of scrambling to find suitors, \u003ca href=\"https://www.fresnobee.com/news/local/article283253198.html\">Madera Community Hospital entered negotiations\u003c/a> with the American Advanced Management last fall. Then, earlier this month, UCSF Health and Adventist Health announced that they, too, were interested in taking over the hospital and that they’d team up to enter a bid.\u003c/p>\n\u003cp>For months, lawmakers representing the Madera area \u003ca href=\"https://calmatters.org/health/2023/04/hospital-closures-california/\">pushed for the UC Health system\u003c/a> to take over the hospital with the idea that it could bring much-needed resources to the valley. In a press conference earlier this month, they called the proposed UCSF and Adventist partnership “a dream come true.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the UCSF and Adventist bid came too late. Judge René Lastreto of the U.S. Bankruptcy Court for the Eastern District of California said during last week’s hearing that it didn’t “behoove the creditors or the estate to continue to delay this any further” by entertaining the new proposal.\u003c/p>\n\u003cp>Democratic lawmakers Sen. Anna Caballero, Assemblymember Esmeralda Soria and Assemblymember Joaquin Arambula said they were disappointed the court didn’t give UCSF and Adventist more of a hearing.\u003c/p>\n\u003cp>“We hoped that the court would have granted UCSF, Adventist Health, and Madera County the opportunity to move forward and provide a full presentation of their joint venture to purchase and reopen Madera Community Hospital — to show what it could mean immediately for the residents and the long-term viability of this hospital for the region,” they said in a written statement.\u003c/p>\n\u003ch2>Reopening in sight, but no maternity ward\u003c/h2>\n\u003cp>American Advanced Management plans to reopen the hospital with an emergency room, an intensive care unit, medical imaging and a laboratory, but it will not immediately reopen labor and delivery, \u003ca href=\"https://fresnoland.org/2024/02/12/madera-hospital-reopening-plan-2/\">Fresnoland first reported\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11959175,news_11958245,news_11968579"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>That means pregnant patients will continue to travel to Fresno or Merced counties to give birth. \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">Maternity wards in California are closing\u003c/a> at an accelerated pace. Last year, in addition to Madera Community’s total closure, 11 other hospitals terminated their maternity services.\u003c/p>\n\u003cp>Beehler at American Advanced Management said the company decided not to reinstate a maternity ward because obstetrics is a resource-intensive department that is poorly reimbursed. Other hospitals have released similar statements when announcing the elimination of labor and delivery.\u003c/p>\n\u003cp>“Reopening maternity would be like reopening two hospitals at the same time,” Beehler said.\u003c/p>\n\u003cp>Madera Community Hospital delivered 735 babies in 2022 and another 720 in 2021. The county has a slightly higher birth rate than the state’s \u003ca>at 57.9 births per 1,000 women\u003c/a>.\u003c/p>\n\u003cp>Beehler said the company plans to provide prenatal services through the hospital’s clinics.\u003c/p>\n\u003ch2>Quick hiring key to reopening\u003c/h2>\n\u003cp>Sara Bosse, Madera County’s public health director, told the court last week that a critical element to the hospital’s reopening is how soon a new operator will be able to hire the necessary staff. She said that UCSF and Adventist could more easily attract providers to work in Madera.\u003c/p>\n\u003cp>“A physician that is looking for a position and is actively being recruited they probably would consider a position with UCSF before they would look at a position with an entity they may have not heard of before,” Bosse later told CalMatters.\u003c/p>\n\u003cp>Lawyers for American Advanced Management argued there was no evidence that the smaller hospital operator would have any trouble hiring staff. American Advanced Management is known for buying and managing distressed facilities in largely rural parts of the state. It operates hospitals in Colusa, Glenn and Coalinga.\u003c/p>\n\u003cp>Securing a strong workforce is critical, especially in an area that has long struggled with a shortage of\u003ca href=\"https://chhs.fresnostate.edu/ccphc/documents/SJVPHC%20RHEA%20Report%20Final%203.22.2022%20.pdf\"> primary care providers and specialists (PDF)\u003c/a> compared to wealthier parts of California.\u003c/p>\n\u003cp>“All of those things have to happen pretty quickly in order for any organization to open up a hospital and get it to a place that’s solvent,” Bosse said. “Both bringing on workforce and attracting patients.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11976372/57-million-in-california-aid-helps-reopen-shuttered-madera-county-hospital","authors":["byline_news_11976372"],"categories":["news_457","news_8"],"tags":["news_27626","news_18543","news_683","news_18659"],"affiliates":["news_18481"],"featImg":"news_11976374","label":"news_18481"},"news_11973562":{"type":"posts","id":"news_11973562","meta":{"index":"posts_1591205157","site":"news","id":"11973562","score":null,"sort":[1706144405000]},"guestAuthors":[],"slug":"bay-area-health-care-workers-protest-arms-sales-to-israel","title":"Bay Area Health Care Workers Protest Arms Sales to Israel","publishDate":1706144405,"format":"standard","headTitle":"Bay Area Health Care Workers Protest Arms Sales to Israel | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Bay Area health care workers rallied outside the San Leandro facility of military contractor L3Harris on Wednesday. About 200 nurses, pediatricians, psychiatrists and other doctors and activists gathered to protest what they call “war profiteering” by the company, which has provided surveillance technologies to Israel for years and whose components are used in missiles, warplanes and tanks.\u003c/p>\n\u003cp>“We are here today in front of L3Harris because we know with certainty that they are complicit in mass civilian casualties,” said Dr. Nida Bajwa, a family medicine doctor at San Francisco General Hospital.\u003c/p>\n\u003cp>Protesters pointed to “joint direct attack munitions,” or JDAMs, which Boeing manufactures with components from L3Harris. In a \u003ca href=\"https://www.amnesty.org/en/latest/news/2023/12/israel-opt-us-made-munitions-killed-43-civilians-in-two-documented-israeli-air-strikes-in-gaza-new-investigation/\">December report from Amnesty International\u003c/a>, these weapons were linked to “two deadly, unlawful air strikes on homes full of civilians” in Gaza on Oct. 10 and Oct. 22 that killed 43 people, including 19 children.\u003c/p>\n\u003cfigure id=\"attachment_11973553\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973553\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED.jpg\" alt=\"Healthcare workers rally in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Health care workers rally in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joint direct attack munitions are essentially an upgrade that converts unguided “dumb” bombs into precision-guided “smart” bombs. Protesters said this technology is being used to target hospitals and other vital civilian infrastructure in the Gaza Strip.\u003c/p>\n\u003cp>L3Harris did not respond to requests for comment.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jess Ghannam, clinical professor of psychiatry, UCSF\"]‘We stand against the destruction of any health care facility, any hospital, the killing of any doctor, any nurse. For me, it’s personal because my colleagues, my friends, my peers have been killed in Gaza.’[/pullquote]“We stand against the destruction of any health care facility, any hospital, the killing of any doctor, any nurse,” said Jess Ghannam, a Palestinian American clinical professor of psychiatry at UCSF who has worked in Gaza for decades. “For me, it’s personal because my colleagues, my friends, my peers have been killed in Gaza.”\u003c/p>\n\u003cp>Since Oct. 7, at least 300 health care workers have died as a result of Israeli strikes in Gaza, \u003ca href=\"https://www.ochaopt.org/content/hostilities-gaza-strip-and-israel-reported-impact-day-68\">according to the United Nations\u003c/a>. A shortage of medical supplies has left doctors to perform surgeries and amputations without anesthesia or adequate sanitation.\u003c/p>\n\u003cp>“Mothers in Gaza are being forced to choose between risking their lives going to an already overwhelmed health care system or giving birth in the streets amidst rubble,” said Dr. Saba Ali, a pediatrician at UCSF. “In hospitals, mothers are undergoing cesarean sections without anesthesia, and at times without electricity. Some are being \u003ca href=\"https://news.un.org/en/story/2024/01/1145677\">discharged as early as three hours after giving birth\u003c/a> because health care facilities don’t have enough beds.”\u003c/p>\n\u003cfigure id=\"attachment_11973554\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973554\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED.jpg\" alt=\"Jess Ghannam speaks at a rally of healthcare workers in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Jess Ghannam speaks at a rally of health care workers in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In northern Gaza, seven out of 24 hospitals remain partially functional, and in southern Gaza, seven of 12 hospitals are partially functional, according to the World Health Organization.\u003c/p>\n\u003cp>Outside L3Harris, protesters painted the sidewalk with the words “war profiteer.” A \u003ca href=\"https://www.l3harris.com/sites/default/files/2023-12/LHX_InvestorDay_ExecutivePresentations_Final.pdf\">Dec. 12 report\u003c/a> for L3Harris investors stated that there was “increased demand for missiles driven by Ukraine (and) Israel.”\u003c/p>\n\u003cp>“A 2,000-pound bomb, somehow smart, dropped in the most densely populated area on the planet,” Ghannam said. “L3Harris has blood on its hands, it’s complicit, it’s culpable.”\u003c/p>\n\u003cfigure id=\"attachment_11973555\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973555\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED.jpg\" alt=\"Rally-goers raise their fists in support of Gaza in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Rallygoers raise their fists in support of Gaza in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the entrance to the facility, protesters hung banners that read “Stop Bombing Hospitals” and “Genocide Manufactured Here.” On a clothesline hung light blue scrubs, each printed with the name of a health care worker who died in Gaza. Between protesters speaking, they played audio clips of doctors in Gaza that described hospital walls shaking from nearby bombardment, airstrikes on hospitals killing patients and doctors and an operating room ceiling collapsing after an explosion.\u003c/p>\n\u003cp>Protest organizers said 200 employees left the facility by early afternoon, and operations were halted for the day.\u003c/p>\n\u003cfigure id=\"attachment_11973556\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973556\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED.jpg\" alt=\"The names of healthcare workers killed in Gaza are printed on scrubs hung in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The names of health care workers killed in Gaza are printed on scrubs hung in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In another protest on Wednesday, nearly 50 students rallied at a meeting of UC regents at the UCSF Mission Bay Campus in San Francisco, calling on the university system to divest from companies they say are profiting from the war in Gaza.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11972100,news_11971593,forum_2010101904469\"]Yara Kaadan, political director for Students for Justice in Palestine at UC Davis, said her campus has financial contracts with RTX (formerly Raytheon Technologies), which manufactures and sells weapons and military technology.\u003c/p>\n\u003cp>“We want this academic institution to invest its money in the community and education, not through war or the occupation of anybody in the Global South or the Middle East,” Kaadan said.\u003c/p>\n\u003cp>Kaadan also said the coalition was protesting \u003ca href=\"https://regents.universityofcalifornia.edu/regmeet/jan24/jointacadaudit.pdf\">item J3 on the UC Board of Regents’ agenda\u003c/a>, which she said, “seeks to ban any department or organization under UC jurisdiction from releasing any political statements that quote-unquote, go against UC values.”\u003c/p>\n\u003cp>“I think this is a huge violation of the First Amendment,” Kaadan said. “\u003cb>\u003c/b>People should be allowed to have political discourse within the system and have political agreements that don’t always align with the people who are in charge.”\u003c/p>\n\u003cp>The UC regents did not immediately respond to a request for comment.\u003c/p>\n\u003cp>\u003cem>KQED’s Madi Bolaños contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Hundreds of health care workers chanted 'stop bombing hospitals' at the protest in San Leandro outside L3Harris, a defense manufacturer that builds components for precision weapons sold to Israel. ","status":"publish","parent":0,"modified":1706904667,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":964},"headData":{"title":"Bay Area Health Care Workers Protest Arms Sales to Israel | KQED","description":"Hundreds of health care workers chanted 'stop bombing hospitals' at the protest in San Leandro outside L3Harris, a defense manufacturer that builds components for precision weapons sold to Israel. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Bay Area Health Care Workers Protest Arms Sales to Israel","datePublished":"2024-01-25T01:00:05.000Z","dateModified":"2024-02-02T20:11:07.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11973562/bay-area-health-care-workers-protest-arms-sales-to-israel","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Bay Area health care workers rallied outside the San Leandro facility of military contractor L3Harris on Wednesday. About 200 nurses, pediatricians, psychiatrists and other doctors and activists gathered to protest what they call “war profiteering” by the company, which has provided surveillance technologies to Israel for years and whose components are used in missiles, warplanes and tanks.\u003c/p>\n\u003cp>“We are here today in front of L3Harris because we know with certainty that they are complicit in mass civilian casualties,” said Dr. Nida Bajwa, a family medicine doctor at San Francisco General Hospital.\u003c/p>\n\u003cp>Protesters pointed to “joint direct attack munitions,” or JDAMs, which Boeing manufactures with components from L3Harris. In a \u003ca href=\"https://www.amnesty.org/en/latest/news/2023/12/israel-opt-us-made-munitions-killed-43-civilians-in-two-documented-israeli-air-strikes-in-gaza-new-investigation/\">December report from Amnesty International\u003c/a>, these weapons were linked to “two deadly, unlawful air strikes on homes full of civilians” in Gaza on Oct. 10 and Oct. 22 that killed 43 people, including 19 children.\u003c/p>\n\u003cfigure id=\"attachment_11973553\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973553\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED.jpg\" alt=\"Healthcare workers rally in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Health care workers rally in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joint direct attack munitions are essentially an upgrade that converts unguided “dumb” bombs into precision-guided “smart” bombs. Protesters said this technology is being used to target hospitals and other vital civilian infrastructure in the Gaza Strip.\u003c/p>\n\u003cp>L3Harris did not respond to requests for comment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We stand against the destruction of any health care facility, any hospital, the killing of any doctor, any nurse. For me, it’s personal because my colleagues, my friends, my peers have been killed in Gaza.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Jess Ghannam, clinical professor of psychiatry, UCSF","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We stand against the destruction of any health care facility, any hospital, the killing of any doctor, any nurse,” said Jess Ghannam, a Palestinian American clinical professor of psychiatry at UCSF who has worked in Gaza for decades. “For me, it’s personal because my colleagues, my friends, my peers have been killed in Gaza.”\u003c/p>\n\u003cp>Since Oct. 7, at least 300 health care workers have died as a result of Israeli strikes in Gaza, \u003ca href=\"https://www.ochaopt.org/content/hostilities-gaza-strip-and-israel-reported-impact-day-68\">according to the United Nations\u003c/a>. A shortage of medical supplies has left doctors to perform surgeries and amputations without anesthesia or adequate sanitation.\u003c/p>\n\u003cp>“Mothers in Gaza are being forced to choose between risking their lives going to an already overwhelmed health care system or giving birth in the streets amidst rubble,” said Dr. Saba Ali, a pediatrician at UCSF. “In hospitals, mothers are undergoing cesarean sections without anesthesia, and at times without electricity. Some are being \u003ca href=\"https://news.un.org/en/story/2024/01/1145677\">discharged as early as three hours after giving birth\u003c/a> because health care facilities don’t have enough beds.”\u003c/p>\n\u003cfigure id=\"attachment_11973554\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973554\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED.jpg\" alt=\"Jess Ghannam speaks at a rally of healthcare workers in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Jess Ghannam speaks at a rally of health care workers in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In northern Gaza, seven out of 24 hospitals remain partially functional, and in southern Gaza, seven of 12 hospitals are partially functional, according to the World Health Organization.\u003c/p>\n\u003cp>Outside L3Harris, protesters painted the sidewalk with the words “war profiteer.” A \u003ca href=\"https://www.l3harris.com/sites/default/files/2023-12/LHX_InvestorDay_ExecutivePresentations_Final.pdf\">Dec. 12 report\u003c/a> for L3Harris investors stated that there was “increased demand for missiles driven by Ukraine (and) Israel.”\u003c/p>\n\u003cp>“A 2,000-pound bomb, somehow smart, dropped in the most densely populated area on the planet,” Ghannam said. “L3Harris has blood on its hands, it’s complicit, it’s culpable.”\u003c/p>\n\u003cfigure id=\"attachment_11973555\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973555\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED.jpg\" alt=\"Rally-goers raise their fists in support of Gaza in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Rallygoers raise their fists in support of Gaza in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the entrance to the facility, protesters hung banners that read “Stop Bombing Hospitals” and “Genocide Manufactured Here.” On a clothesline hung light blue scrubs, each printed with the name of a health care worker who died in Gaza. Between protesters speaking, they played audio clips of doctors in Gaza that described hospital walls shaking from nearby bombardment, airstrikes on hospitals killing patients and doctors and an operating room ceiling collapsing after an explosion.\u003c/p>\n\u003cp>Protest organizers said 200 employees left the facility by early afternoon, and operations were halted for the day.\u003c/p>\n\u003cfigure id=\"attachment_11973556\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973556\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED.jpg\" alt=\"The names of healthcare workers killed in Gaza are printed on scrubs hung in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The names of health care workers killed in Gaza are printed on scrubs hung in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In another protest on Wednesday, nearly 50 students rallied at a meeting of UC regents at the UCSF Mission Bay Campus in San Francisco, calling on the university system to divest from companies they say are profiting from the war in Gaza.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11972100,news_11971593,forum_2010101904469"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Yara Kaadan, political director for Students for Justice in Palestine at UC Davis, said her campus has financial contracts with RTX (formerly Raytheon Technologies), which manufactures and sells weapons and military technology.\u003c/p>\n\u003cp>“We want this academic institution to invest its money in the community and education, not through war or the occupation of anybody in the Global South or the Middle East,” Kaadan said.\u003c/p>\n\u003cp>Kaadan also said the coalition was protesting \u003ca href=\"https://regents.universityofcalifornia.edu/regmeet/jan24/jointacadaudit.pdf\">item J3 on the UC Board of Regents’ agenda\u003c/a>, which she said, “seeks to ban any department or organization under UC jurisdiction from releasing any political statements that quote-unquote, go against UC values.”\u003c/p>\n\u003cp>“I think this is a huge violation of the First Amendment,” Kaadan said. “\u003cb>\u003c/b>People should be allowed to have political discourse within the system and have political agreements that don’t always align with the people who are in charge.”\u003c/p>\n\u003cp>The UC regents did not immediately respond to a request for comment.\u003c/p>\n\u003cp>\u003cem>KQED’s Madi Bolaños contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11973562/bay-area-health-care-workers-protest-arms-sales-to-israel","authors":["11896"],"categories":["news_8"],"tags":["news_27626","news_6631","news_683","news_18659","news_745"],"featImg":"news_11973559","label":"news"},"news_11971653":{"type":"posts","id":"news_11971653","meta":{"index":"posts_1591205157","site":"news","id":"11971653","score":null,"sort":[1704484807000]},"guestAuthors":[],"slug":"why-many-insured-californians-avoid-hospitals-in-this-county-its-just-too-much","title":"'It's Just Too Much': Why Many Insured Californians Avoid Hospitals in This County","publishDate":1704484807,"format":"standard","headTitle":"‘It’s Just Too Much’: Why Many Insured Californians Avoid Hospitals in This County | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>Every three months, Bernie Medina takes a day off of work and drives an hour from Salinas to San José to see her oncologist. She was diagnosed with uterine cancer two years ago and needs regular checkups. Medina lives in Monterey County, but her health insurance forbids her from using any local hospital.\u003c/p>\n\u003cp>Medina and her wife Jeannie are both Salinas Union High School District teachers. They’re enrolled in a local government employee health insurance plan created a decade ago to save employees and employers money. To do that, it excludes all Monterey County hospitals and their affiliates. As the hospitals have gobbled up local doctors’ offices and urgent care centers, seeing specialists like Medina’s oncologist and getting emergency care have become more difficult.\u003c/p>\n\u003cp>“I think that the community would probably be shocked if they knew that the teachers, the people in our school districts, were not able to access our hospitals,” Jeannie Medina said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>They live in one of California’s most expensive health care markets, where experts said geographic isolation and lack of market competition combine to drive up prices at especially steep rates. Three hospitals in Monterey County — Community Hospital of the Monterey Peninsula, Natividad Medical Center and Mee Memorial Healthcare System — are in the top 10% of highest-priced hospitals in California, according to \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1144-1.html\">data collected by the research think tank RAND\u003c/a>.\u003c/p>\n\u003cp>A fourth hospital, Salinas Valley Health, is in the top 15% of highest-priced hospitals. The RAND data is compiled through voluntary disclosures from employers and includes price information for about 90% of California’s hospitals.\u003c/p>\n\u003cp>“Monterey is the definition of a market failure,” said Ivana Krajcinovic, an economist and vice president for a union health plan that supports hotel workers in the county.\u003c/p>\n\u003cfigure id=\"attachment_11971663\" class=\"wp-caption alignright\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971663\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy.jpg\" alt=\"A medical center building seen from the street.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">The emergency entrance of Salinas Valley Health in Salinas on Dec. 15, 2023. \u003ccite>(Manuel Orbegozo for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Though Monterey elicits images of pristine coastline, swanky restaurants and golf resorts for tourists, it is squarely a blue-collar county. The average annual salary is less than $58,000, and \u003ca href=\"https://www.montereycountywdb.org/wp-content/uploads/2023/02/Economic-Overview-Monterey-County-California.pdf\">fishing and agriculture comprise the county’s largest industry\u003c/a>.\u003c/p>\n\u003cp>Residents and labor advocates said the hospitals are so expensive they’re causing an access and “affordability crisis” on the Central Coast. They said the prices saddle thousands of people with medical debt and compel others to travel hours to give birth or have surgeries.\u003c/p>\n\u003cp>They’ve \u003ca href=\"https://laborcenter.berkeley.edu/why-are-health-care-prices-so-high-for-workers-in-monterey-county/\">taken their complaints to the state’s new Office of Health Care Affordability\u003c/a>, a department created by a \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">2022 law that’s intended to curb extreme price increases\u003c/a>. But the deal lawmakers struck with the industry to get the bill through the Legislature limits the office to looking only at future price increases, leaving Monterey County residents with little recourse for the existing medical costs there.\u003c/p>\n\u003cp>Hospital executives blame insurers for Monterey County’s affordability woes and argue that the rates hospitals charge are the only way to stay in business at a time when \u003ca href=\"https://calhospital.org/new-report-shows-patients-served-by-one-in-five-california-hospitals-are-at-risk-of-losing-their-hospital-due-to-closure/\">one in five California hospitals is at risk of closure\u003c/a>, according to a report commissioned by the California Hospital Association. Essential services would be cut, and jobs would be lost if prices were lowered, executives at two hospitals told CalMatters.\u003c/p>\n\u003cp>But, independent economists said Monterey hospitals have healthy profit margins and charge patients more than four times the amount needed to break even, based on a comparison with Medicare billing rates.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jeannie Medina\"]‘I think that the community would probably be shocked if they knew that the teachers, the people in our school districts, were not able to access our hospitals.’[/pullquote]The cost of living in Monterey is high but “not as expensive as San Francisco or Los Angeles, and you see higher prices in Monterey,” said Christopher Whaley, a health economist and lead author of a RAND hospital price transparency study.\u003c/p>\n\u003cp>Even nationally, Monterey is an outlier, Krajcinovic said. Krajcinovic runs UNITE HERE HEALTH, a national insurance plan for the UNITE HERE hospitality workers union. The health plan pays the medical bills of more than 200,000 members across the country, and Monterey is far and away the most expensive place in the network, Krajcinovic said.\u003c/p>\n\u003cp>For comparison, the average price for one night in the hospital in Monterey was $12,300 in 2022, the health plan’s hospital payment data shows. In New York City, it was less than $7,000, and in Chicago, it was $3,500. The price reflects just the cost of the hospital room and does not include the cost of treatment, Krajcinovic said.\u003c/p>\n\u003cp>“We’d be better off putting people up at the Pebble Beach Lodge,” Krajcinovic said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/16151834/embed?auto=1\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>Tough choices for Salinas families\u003c/h2>\n\u003cp>Things would be a lot easier for the Medina family if Bernie could use the hospital and treatment center just a couple of miles from where the family lives in Salinas, Jeannie Medina said.\u003c/p>\n\u003cp>On New Year’s Eve 2021, the Medinas drove more than 60 miles north to San José for Bernie’s cancer operation. For the next six weeks, as Bernie lost her hair and strength, Jeannie shuttled her to chemotherapy appointments about 20 miles from their home. The chemotherapy center was located in Monterey County, but it was difficult to find one that wasn’t owned by one of the four hospitals, they said.\u003c/p>\n\u003cp>In one instance, early in Bernie’s treatment, she was incorrectly told by the treatment center that a procedure to place a chemotherapy port would be covered by insurance at the Community Hospital of the Monterey Peninsula. She walked away from the procedure with a $25,000 bill, Jeannie Medina said.\u003c/p>\n\u003cfigure id=\"attachment_11971662\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971662\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy.jpg\" alt=\"A family smile at the camera, two adults and two children.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Bernie and Jeannie Medina are teachers in Salinas, where they live with their sons, Mark and Michael. When Bernie Medina was diagnosed with cancer, she was forbidden from using any of the local hospitals by her insurance plan. \u003ccite>(Courtesy of Jeannie Medina)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Both of the Medinas said they wish they could use the local hospitals and be supported by loved ones and people they know.\u003c/p>\n\u003cp>“We can’t use the hospitals that some of our spouses work at, that our children and our aunts and our uncles work at,” Jeannie Medina said.\u003c/p>\n\u003cp>If the Medinas opted for an insurance plan that includes the local hospitals, they would pay an extra $3,000 per month in premiums, about $30,000 annually.\u003c/p>\n\u003cp>“It’s just too much,” Jeannie Medina said.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jeannie Medina\"]‘We can’t use the hospitals that some of our spouses work at, that our children and our aunts and our uncles work at … It’s just too much.’[/pullquote]They get insurance through a local plan called the Municipalities, Colleges, Schools Insurance Group, which serves government employees. It has about 10,500 members, 40% of whom are enrolled in the \u003ca href=\"https://www.mcsig.com/current-plans/\">plan that excludes the local hospitals\u003c/a>, group Executive Director Neddie Sarmiento said. That’s about 4,500 people, most of whom are teachers. The number grows every year, Sarmiento said.\u003c/p>\n\u003cp>Uninsured patients using the hospitals in emergencies are often on the hook for the full cost of medical care.\u003c/p>\n\u003cp>Farmworkers Araceli Ruiz and her husband do everything they can to avoid going to the hospital. They already have medical debt, and they can’t afford more.\u003c/p>\n\u003cp>In 2018, a kitchen accident left Ruiz badly burned and sent her to Natividad Medical Center, where treatment cost $5,000. In 2020, wracked by debilitating stomach pain, Ruiz went to Salinas Valley Health for an emergency gallbladder surgery. She was terrified of dying alone in a hospital overcrowded by COVID-19 patients, she said but believed she would die at home without medical care.\u003c/p>\n\u003cp>She said she now owes the hospitals $17,000. Faced with the choice between paying medical bills or paying rent and buying groceries, Ruiz and her husband can only cover their basic needs, she said.\u003c/p>\n\u003cp>“It is very, very difficult,” Ruiz said in Spanish. “All of this should be more accessible.”\u003c/p>\n\u003ch2>Monterey hospitals defend costs\u003c/h2>\n\u003cp>Local hospital executives fired back at critics of their prices, saying charging less would erode their financial stability and jeopardize health care delivery in the region.\u003c/p>\n\u003cp>“Discounting our rates to a level that does not sustain the long-term viability of our local hospital would be irresponsible. Buckling to rates that could result in large-scale layoffs or cutting vital services would be management malpractice,” said Matt Morgan, vice president and chief financial officer for Montage Health, the parent company of Community Hospital of the Monterey Peninsula, in a statement.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11969051,news_11959175,news_11970414\"]Morgan pointed to two financially distressed hospitals in neighboring counties as examples of cheaper hospitals that could not remain viable. Hazel Hawkins Memorial Hospital in San Benito County declared bankruptcy in May, and \u003ca href=\"https://lookout.co/watsonville-community-hospital-survived-bankruptcy-will-it-survive-next-few-years/\">Watsonville Community Hospital\u003c/a> in Santa Cruz County which emerged from bankruptcy in 2022 after years of financial trouble.\u003c/p>\n\u003cp>Today, more than half of the state’s hospitals are \u003ca href=\"https://www.kaufmanhall.com/sites/default/files/2023-04/CHA-Financial-Impact-Report.pdf\">operating in the red\u003c/a>, according to a report from the California Hospital Association, the industry lobby. Fears of hospital closures became a reality when \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Madera Community Hospital in the San Joaquin Valley\u003c/a> shuttered one year ago, prompting lawmakers to create a $300 million \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">bailout loan fund for distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>In an unsigned statement to CalMatters, Natividad Medical Center, the Salinas hospital managed by Monterey County, also said it would be “irresponsible for the hospital to operate at a loss.” Reducing commercial prices would result in “significant annual deficits” and jeopardize services, the statement said.\u003c/p>\n\u003cp>“For Natividad’s essential services to continue, we need adequate reimbursement,” the statement said. “Our community needs us to remain viable, accessible and fully operational.”\u003c/p>\n\u003cp>Salinas Valley Health, a publicly-run district hospital, did not respond to multiple requests for comment. County officials also declined to speak on the record.\u003c/p>\n\u003cp>Mee Memorial Healthcare System, a private hospital on the southern edge of the county, did not respond to requests for comment by the deadline. Mee Memorial has \u003ca href=\"https://www.montereycountyweekly.com/news/local_news/from-struggling-to-flourishing-mee-memorial-hospital-is-a-pandemic-success-story/article_4a32e2a6-8c6f-11ed-9991-f3e77610eef3.html\">faced immense financial difficulties in recent years\u003c/a> but posted significant profits in 2022.\u003c/p>\n\u003cp>Krajcinovic, with UNITE HERE HEALTH, said it’s shocking that the county’s taxpayer-supported hospitals, Natividad Medical Center and Salinas Valley Health, charge the same prices as the private hospitals.\u003c/p>\n\u003cp>“Frankly, how is a county hospital doing this?” she said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/16324007/embed?auto=1\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>Morgan with Community Hospital of the Monterey Peninsula also blamed insurers for passing high premiums onto consumers. The hospital has kept price increases below 5% annually for the past five years, he said in his statement.\u003c/p>\n\u003cp>But according to the California Association of Health Plans, the industry lobby representing insurers, premium increases are directly tied to hospital prices. Hospital spending accounts for 37% of health care cost, the single largest share, spokesperson Mary Ellen Grant said.\u003c/p>\n\u003cp>“The best two examples of ever-increasing costs are prescription drugs and hospital costs,” Grant said.\u003c/p>\n\u003cp>Sarmiento, with the local government and school insurance group, said Monterey County hospital prices are the primary driver for premium increases for its plans. For example, the plan that excludes the local hospitals saw a 2.8% premium increase for 2024. In contrast, the plan with the next highest enrollment that allows members to use the hospitals had a 13.3% premium increase.\u003c/p>\n\u003ch2>Rates four times greater than Medicare\u003c/h2>\n\u003cp>Hospitals, including those in Monterey County, often argue that public insurance programs like Medicare don’t pay enough to make ends meet. When a hospital serves lots of patients with public insurance like Medicare or Medi-Cal, the state’s insurance program for Californians with very low income, they say they have to \u003ca href=\"https://www.aha.org/fact-sheets/2023-03-24-setting-record-straight-correcting-6-misleading-conclusions-medpacs-2023-report-hospital-payment\">charge commercial insurers more to make up the difference\u003c/a>.\u003c/p>\n\u003cp>According to state data, the county-run Natividad serves the \u003ca href=\"https://data.chhs.ca.gov/dataset/fourth-quarter-summary-hospital-utilization-discharges-by-payer-source\">highest proportion of Medi-Cal patients\u003c/a> at 63%. Community Hospital of the Monterey Peninsula serves the fewest at 18%, but it serves the highest proportion of Medicare patients at 46%.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Glenn Melnick, health economics expert and professor, USC Sol Price School of Public Policy\"]‘We don’t have enough competition to make competition work. Prices rise to the environment they’re in. If I’m one of these … hospitals, why would I give you a discount?’[/pullquote]RAND economist Whaley said research proves the hospital argument to be only partially true: \u003ca href=\"https://www.kff.org/medicare/issue-brief/how-much-more-than-medicare-do-private-insurers-pay-a-review-of-the-literature/\">Relatively efficient hospitals operate near Medicare rates\u003c/a>. It isn’t quite enough to pay all the bills, but reimbursement isn’t so inadequate that \u003ca href=\"https://jamanetwork.com/channels/health-forum/fullarticle/2760166\">private insurance\u003c/a> needs to make up five times the difference. Medicare rates are also calculated regionally to account for local cost of living and labor expenses.\u003c/p>\n\u003cp>The RAND data shows Monterey hospitals routinely charge more than four to five times the Medicare rate.\u003c/p>\n\u003cp>“The general consensus is (Medicare) is probably paying 80 to 85% of their costs,” said Patrick Pine, an administrator for an insurance plan that supports farmworkers in California. “How does a hospital justify charging three, four, five, six times or more Medicare?”\u003c/p>\n\u003cp>So, what is happening in Monterey County? Simply put, there’s not enough competition, said Glenn Melnick, an expert in health economics and professor at USC’s Sol Price School of Public Policy.\u003c/p>\n\u003cp>“We don’t have enough competition to make competition work,” Melnick said. “Prices rise to the environment they’re in. If I’m one of these … hospitals, why would I give you a discount?”\u003c/p>\n\u003ch2>Health plans save money with travel\u003c/h2>\n\u003cp>Local labor advocates said they’ve dealt with high hospital prices for decades and now want answers from the state.\u003c/p>\n\u003cp>For months, Office of Health Care Affordability board meetings in Sacramento have been filled with anecdotes during public comment of working-class residents in Monterey hit with exorbitant hospital bills, hounded by collections officers, and filing for bankruptcy.\u003c/p>\n\u003cp>Kati Bassler, president of the Salinas Valley Federation of Teachers, travels monthly to the meetings to share stories of her union members’ struggles to afford health care. More than 70% of the teachers in her union are enrolled in the health plan that excludes Monterey County hospitals, she said.\u003c/p>\n\u003cp>“Their practices are predatory,” she said. “They’ve been developing a monopoly-like practice… They’re unchecked.”\u003c/p>\n\u003cp>Pine, chief administrative officer of the Robert F. Kennedy Farm Workers Medical Plan, which insures about 7,000 United Farm Workers union members, has also started sharing data and stories with the state board.\u003c/p>\n\u003cp>Like the UNITE HERE HEALTH fund, the Robert F. Kennedy Farm Workers Medical Plan pays the medical bills directly for its members and can see the prices hospitals charge — a level of transparency that is unusual for most employer-sponsored health coverage, which typically uses health insurance companies to broker deals. The prices negotiated between hospitals and health insurers are usually a closely guarded industry secret.\u003c/p>\n\u003cfigure id=\"attachment_11971660\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971660\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Farmworkers harvest strawberries in Salinas on Aug. 9, 2023. \u003ccite>(Semantha Norris/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A United Farm Workers analysis of billing codes showed Salinas Valley Health charged more than $420,000 to treat a farmworker’s parasitic infection while Watsonville Community Hospital, 25 miles to the north in Santa Cruz County, charged around $126,000 for the same treatment over the same number of days, Pine said. That’s more than three times as expensive, and it’s not unusual, Pine said.\u003c/p>\n\u003cp>The plan has saved money by paying for the transportation and lodging of Monterey County members who have procedures done in other counties.\u003c/p>\n\u003cp>“The California coast from Santa Barbara to about Marin County is the most expensive health care market in the state,” Pine said. “Monterey is an anomaly even among the most expensive.”\u003c/p>\n\u003cp>There may be little the new state agency can do. Officials can conduct a market analysis, but the law that created the Office of Health Care Affordability \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">limited its power to control future price increases\u003c/a>.\u003c/p>\n\u003cp>Elizabeth Landsberg, director of the state department of Health Care Access and Information, where the office is seated, declined to comment.\u003c/p>\n\u003cp>Advocates said they hope shining a light on the issue during board meetings will force hospitals to lower prices. The week before Christmas, Montage Health, which operates the Community Hospital of the Monterey Peninsula, \u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\">forgave $40 million of \u003c/a>\u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\" target=\"_blank\" rel=\"noreferrer noopener\">medical\u003c/a>\u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\"> debt\u003c/a> for 29,000 patients who utilized the hospital between 2020 and 2022.\u003c/p>\n\u003cp>“We’re hoping with bringing this to light, the hospitals will take a second look and say 200% of Medicare is enough. Let’s take double what it actually costs to run a hospital,” Krajcinovic said. “500% is highway robbery.”\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Nicole Foy contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"High prices at hospitals in Monterey County are 'an anomaly even among the most expensive' communities in California. One insurance plan there saves money by paying for members' travel to other counties for procedures.","status":"publish","parent":0,"modified":1704482321,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://flo.uri.sh/visualisation/16151834/embed","https://flo.uri.sh/visualisation/16324007/embed"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":68,"wordCount":2915},"headData":{"title":"'It's Just Too Much': Why Many Insured Californians Avoid Hospitals in This County | KQED","description":"High prices at hospitals in Monterey County are 'an anomaly even among the most expensive' communities in California. One insurance plan there saves money by paying for members' travel to other counties for procedures.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'It's Just Too Much': Why Many Insured Californians Avoid Hospitals in This County","datePublished":"2024-01-05T20:00:07.000Z","dateModified":"2024-01-05T19:18:41.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"\u003ca href=\"https://calmatters.org/author/kristen-hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11971653/why-many-insured-californians-avoid-hospitals-in-this-county-its-just-too-much","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Every three months, Bernie Medina takes a day off of work and drives an hour from Salinas to San José to see her oncologist. She was diagnosed with uterine cancer two years ago and needs regular checkups. Medina lives in Monterey County, but her health insurance forbids her from using any local hospital.\u003c/p>\n\u003cp>Medina and her wife Jeannie are both Salinas Union High School District teachers. They’re enrolled in a local government employee health insurance plan created a decade ago to save employees and employers money. To do that, it excludes all Monterey County hospitals and their affiliates. As the hospitals have gobbled up local doctors’ offices and urgent care centers, seeing specialists like Medina’s oncologist and getting emergency care have become more difficult.\u003c/p>\n\u003cp>“I think that the community would probably be shocked if they knew that the teachers, the people in our school districts, were not able to access our hospitals,” Jeannie Medina said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>They live in one of California’s most expensive health care markets, where experts said geographic isolation and lack of market competition combine to drive up prices at especially steep rates. Three hospitals in Monterey County — Community Hospital of the Monterey Peninsula, Natividad Medical Center and Mee Memorial Healthcare System — are in the top 10% of highest-priced hospitals in California, according to \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1144-1.html\">data collected by the research think tank RAND\u003c/a>.\u003c/p>\n\u003cp>A fourth hospital, Salinas Valley Health, is in the top 15% of highest-priced hospitals. The RAND data is compiled through voluntary disclosures from employers and includes price information for about 90% of California’s hospitals.\u003c/p>\n\u003cp>“Monterey is the definition of a market failure,” said Ivana Krajcinovic, an economist and vice president for a union health plan that supports hotel workers in the county.\u003c/p>\n\u003cfigure id=\"attachment_11971663\" class=\"wp-caption alignright\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971663\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy.jpg\" alt=\"A medical center building seen from the street.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">The emergency entrance of Salinas Valley Health in Salinas on Dec. 15, 2023. \u003ccite>(Manuel Orbegozo for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Though Monterey elicits images of pristine coastline, swanky restaurants and golf resorts for tourists, it is squarely a blue-collar county. The average annual salary is less than $58,000, and \u003ca href=\"https://www.montereycountywdb.org/wp-content/uploads/2023/02/Economic-Overview-Monterey-County-California.pdf\">fishing and agriculture comprise the county’s largest industry\u003c/a>.\u003c/p>\n\u003cp>Residents and labor advocates said the hospitals are so expensive they’re causing an access and “affordability crisis” on the Central Coast. They said the prices saddle thousands of people with medical debt and compel others to travel hours to give birth or have surgeries.\u003c/p>\n\u003cp>They’ve \u003ca href=\"https://laborcenter.berkeley.edu/why-are-health-care-prices-so-high-for-workers-in-monterey-county/\">taken their complaints to the state’s new Office of Health Care Affordability\u003c/a>, a department created by a \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">2022 law that’s intended to curb extreme price increases\u003c/a>. But the deal lawmakers struck with the industry to get the bill through the Legislature limits the office to looking only at future price increases, leaving Monterey County residents with little recourse for the existing medical costs there.\u003c/p>\n\u003cp>Hospital executives blame insurers for Monterey County’s affordability woes and argue that the rates hospitals charge are the only way to stay in business at a time when \u003ca href=\"https://calhospital.org/new-report-shows-patients-served-by-one-in-five-california-hospitals-are-at-risk-of-losing-their-hospital-due-to-closure/\">one in five California hospitals is at risk of closure\u003c/a>, according to a report commissioned by the California Hospital Association. Essential services would be cut, and jobs would be lost if prices were lowered, executives at two hospitals told CalMatters.\u003c/p>\n\u003cp>But, independent economists said Monterey hospitals have healthy profit margins and charge patients more than four times the amount needed to break even, based on a comparison with Medicare billing rates.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘I think that the community would probably be shocked if they knew that the teachers, the people in our school districts, were not able to access our hospitals.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Jeannie Medina","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The cost of living in Monterey is high but “not as expensive as San Francisco or Los Angeles, and you see higher prices in Monterey,” said Christopher Whaley, a health economist and lead author of a RAND hospital price transparency study.\u003c/p>\n\u003cp>Even nationally, Monterey is an outlier, Krajcinovic said. Krajcinovic runs UNITE HERE HEALTH, a national insurance plan for the UNITE HERE hospitality workers union. The health plan pays the medical bills of more than 200,000 members across the country, and Monterey is far and away the most expensive place in the network, Krajcinovic said.\u003c/p>\n\u003cp>For comparison, the average price for one night in the hospital in Monterey was $12,300 in 2022, the health plan’s hospital payment data shows. In New York City, it was less than $7,000, and in Chicago, it was $3,500. The price reflects just the cost of the hospital room and does not include the cost of treatment, Krajcinovic said.\u003c/p>\n\u003cp>“We’d be better off putting people up at the Pebble Beach Lodge,” Krajcinovic said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/16151834/embed?auto=1\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>Tough choices for Salinas families\u003c/h2>\n\u003cp>Things would be a lot easier for the Medina family if Bernie could use the hospital and treatment center just a couple of miles from where the family lives in Salinas, Jeannie Medina said.\u003c/p>\n\u003cp>On New Year’s Eve 2021, the Medinas drove more than 60 miles north to San José for Bernie’s cancer operation. For the next six weeks, as Bernie lost her hair and strength, Jeannie shuttled her to chemotherapy appointments about 20 miles from their home. The chemotherapy center was located in Monterey County, but it was difficult to find one that wasn’t owned by one of the four hospitals, they said.\u003c/p>\n\u003cp>In one instance, early in Bernie’s treatment, she was incorrectly told by the treatment center that a procedure to place a chemotherapy port would be covered by insurance at the Community Hospital of the Monterey Peninsula. She walked away from the procedure with a $25,000 bill, Jeannie Medina said.\u003c/p>\n\u003cfigure id=\"attachment_11971662\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971662\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy.jpg\" alt=\"A family smile at the camera, two adults and two children.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Bernie and Jeannie Medina are teachers in Salinas, where they live with their sons, Mark and Michael. When Bernie Medina was diagnosed with cancer, she was forbidden from using any of the local hospitals by her insurance plan. \u003ccite>(Courtesy of Jeannie Medina)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Both of the Medinas said they wish they could use the local hospitals and be supported by loved ones and people they know.\u003c/p>\n\u003cp>“We can’t use the hospitals that some of our spouses work at, that our children and our aunts and our uncles work at,” Jeannie Medina said.\u003c/p>\n\u003cp>If the Medinas opted for an insurance plan that includes the local hospitals, they would pay an extra $3,000 per month in premiums, about $30,000 annually.\u003c/p>\n\u003cp>“It’s just too much,” Jeannie Medina said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We can’t use the hospitals that some of our spouses work at, that our children and our aunts and our uncles work at … It’s just too much.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Jeannie Medina","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>They get insurance through a local plan called the Municipalities, Colleges, Schools Insurance Group, which serves government employees. It has about 10,500 members, 40% of whom are enrolled in the \u003ca href=\"https://www.mcsig.com/current-plans/\">plan that excludes the local hospitals\u003c/a>, group Executive Director Neddie Sarmiento said. That’s about 4,500 people, most of whom are teachers. The number grows every year, Sarmiento said.\u003c/p>\n\u003cp>Uninsured patients using the hospitals in emergencies are often on the hook for the full cost of medical care.\u003c/p>\n\u003cp>Farmworkers Araceli Ruiz and her husband do everything they can to avoid going to the hospital. They already have medical debt, and they can’t afford more.\u003c/p>\n\u003cp>In 2018, a kitchen accident left Ruiz badly burned and sent her to Natividad Medical Center, where treatment cost $5,000. In 2020, wracked by debilitating stomach pain, Ruiz went to Salinas Valley Health for an emergency gallbladder surgery. She was terrified of dying alone in a hospital overcrowded by COVID-19 patients, she said but believed she would die at home without medical care.\u003c/p>\n\u003cp>She said she now owes the hospitals $17,000. Faced with the choice between paying medical bills or paying rent and buying groceries, Ruiz and her husband can only cover their basic needs, she said.\u003c/p>\n\u003cp>“It is very, very difficult,” Ruiz said in Spanish. “All of this should be more accessible.”\u003c/p>\n\u003ch2>Monterey hospitals defend costs\u003c/h2>\n\u003cp>Local hospital executives fired back at critics of their prices, saying charging less would erode their financial stability and jeopardize health care delivery in the region.\u003c/p>\n\u003cp>“Discounting our rates to a level that does not sustain the long-term viability of our local hospital would be irresponsible. Buckling to rates that could result in large-scale layoffs or cutting vital services would be management malpractice,” said Matt Morgan, vice president and chief financial officer for Montage Health, the parent company of Community Hospital of the Monterey Peninsula, in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11969051,news_11959175,news_11970414"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Morgan pointed to two financially distressed hospitals in neighboring counties as examples of cheaper hospitals that could not remain viable. Hazel Hawkins Memorial Hospital in San Benito County declared bankruptcy in May, and \u003ca href=\"https://lookout.co/watsonville-community-hospital-survived-bankruptcy-will-it-survive-next-few-years/\">Watsonville Community Hospital\u003c/a> in Santa Cruz County which emerged from bankruptcy in 2022 after years of financial trouble.\u003c/p>\n\u003cp>Today, more than half of the state’s hospitals are \u003ca href=\"https://www.kaufmanhall.com/sites/default/files/2023-04/CHA-Financial-Impact-Report.pdf\">operating in the red\u003c/a>, according to a report from the California Hospital Association, the industry lobby. Fears of hospital closures became a reality when \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Madera Community Hospital in the San Joaquin Valley\u003c/a> shuttered one year ago, prompting lawmakers to create a $300 million \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">bailout loan fund for distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>In an unsigned statement to CalMatters, Natividad Medical Center, the Salinas hospital managed by Monterey County, also said it would be “irresponsible for the hospital to operate at a loss.” Reducing commercial prices would result in “significant annual deficits” and jeopardize services, the statement said.\u003c/p>\n\u003cp>“For Natividad’s essential services to continue, we need adequate reimbursement,” the statement said. “Our community needs us to remain viable, accessible and fully operational.”\u003c/p>\n\u003cp>Salinas Valley Health, a publicly-run district hospital, did not respond to multiple requests for comment. County officials also declined to speak on the record.\u003c/p>\n\u003cp>Mee Memorial Healthcare System, a private hospital on the southern edge of the county, did not respond to requests for comment by the deadline. Mee Memorial has \u003ca href=\"https://www.montereycountyweekly.com/news/local_news/from-struggling-to-flourishing-mee-memorial-hospital-is-a-pandemic-success-story/article_4a32e2a6-8c6f-11ed-9991-f3e77610eef3.html\">faced immense financial difficulties in recent years\u003c/a> but posted significant profits in 2022.\u003c/p>\n\u003cp>Krajcinovic, with UNITE HERE HEALTH, said it’s shocking that the county’s taxpayer-supported hospitals, Natividad Medical Center and Salinas Valley Health, charge the same prices as the private hospitals.\u003c/p>\n\u003cp>“Frankly, how is a county hospital doing this?” she said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/16324007/embed?auto=1\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>Morgan with Community Hospital of the Monterey Peninsula also blamed insurers for passing high premiums onto consumers. The hospital has kept price increases below 5% annually for the past five years, he said in his statement.\u003c/p>\n\u003cp>But according to the California Association of Health Plans, the industry lobby representing insurers, premium increases are directly tied to hospital prices. Hospital spending accounts for 37% of health care cost, the single largest share, spokesperson Mary Ellen Grant said.\u003c/p>\n\u003cp>“The best two examples of ever-increasing costs are prescription drugs and hospital costs,” Grant said.\u003c/p>\n\u003cp>Sarmiento, with the local government and school insurance group, said Monterey County hospital prices are the primary driver for premium increases for its plans. For example, the plan that excludes the local hospitals saw a 2.8% premium increase for 2024. In contrast, the plan with the next highest enrollment that allows members to use the hospitals had a 13.3% premium increase.\u003c/p>\n\u003ch2>Rates four times greater than Medicare\u003c/h2>\n\u003cp>Hospitals, including those in Monterey County, often argue that public insurance programs like Medicare don’t pay enough to make ends meet. When a hospital serves lots of patients with public insurance like Medicare or Medi-Cal, the state’s insurance program for Californians with very low income, they say they have to \u003ca href=\"https://www.aha.org/fact-sheets/2023-03-24-setting-record-straight-correcting-6-misleading-conclusions-medpacs-2023-report-hospital-payment\">charge commercial insurers more to make up the difference\u003c/a>.\u003c/p>\n\u003cp>According to state data, the county-run Natividad serves the \u003ca href=\"https://data.chhs.ca.gov/dataset/fourth-quarter-summary-hospital-utilization-discharges-by-payer-source\">highest proportion of Medi-Cal patients\u003c/a> at 63%. Community Hospital of the Monterey Peninsula serves the fewest at 18%, but it serves the highest proportion of Medicare patients at 46%.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We don’t have enough competition to make competition work. Prices rise to the environment they’re in. If I’m one of these … hospitals, why would I give you a discount?’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Glenn Melnick, health economics expert and professor, USC Sol Price School of Public Policy","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>RAND economist Whaley said research proves the hospital argument to be only partially true: \u003ca href=\"https://www.kff.org/medicare/issue-brief/how-much-more-than-medicare-do-private-insurers-pay-a-review-of-the-literature/\">Relatively efficient hospitals operate near Medicare rates\u003c/a>. It isn’t quite enough to pay all the bills, but reimbursement isn’t so inadequate that \u003ca href=\"https://jamanetwork.com/channels/health-forum/fullarticle/2760166\">private insurance\u003c/a> needs to make up five times the difference. Medicare rates are also calculated regionally to account for local cost of living and labor expenses.\u003c/p>\n\u003cp>The RAND data shows Monterey hospitals routinely charge more than four to five times the Medicare rate.\u003c/p>\n\u003cp>“The general consensus is (Medicare) is probably paying 80 to 85% of their costs,” said Patrick Pine, an administrator for an insurance plan that supports farmworkers in California. “How does a hospital justify charging three, four, five, six times or more Medicare?”\u003c/p>\n\u003cp>So, what is happening in Monterey County? Simply put, there’s not enough competition, said Glenn Melnick, an expert in health economics and professor at USC’s Sol Price School of Public Policy.\u003c/p>\n\u003cp>“We don’t have enough competition to make competition work,” Melnick said. “Prices rise to the environment they’re in. If I’m one of these … hospitals, why would I give you a discount?”\u003c/p>\n\u003ch2>Health plans save money with travel\u003c/h2>\n\u003cp>Local labor advocates said they’ve dealt with high hospital prices for decades and now want answers from the state.\u003c/p>\n\u003cp>For months, Office of Health Care Affordability board meetings in Sacramento have been filled with anecdotes during public comment of working-class residents in Monterey hit with exorbitant hospital bills, hounded by collections officers, and filing for bankruptcy.\u003c/p>\n\u003cp>Kati Bassler, president of the Salinas Valley Federation of Teachers, travels monthly to the meetings to share stories of her union members’ struggles to afford health care. More than 70% of the teachers in her union are enrolled in the health plan that excludes Monterey County hospitals, she said.\u003c/p>\n\u003cp>“Their practices are predatory,” she said. “They’ve been developing a monopoly-like practice… They’re unchecked.”\u003c/p>\n\u003cp>Pine, chief administrative officer of the Robert F. Kennedy Farm Workers Medical Plan, which insures about 7,000 United Farm Workers union members, has also started sharing data and stories with the state board.\u003c/p>\n\u003cp>Like the UNITE HERE HEALTH fund, the Robert F. Kennedy Farm Workers Medical Plan pays the medical bills directly for its members and can see the prices hospitals charge — a level of transparency that is unusual for most employer-sponsored health coverage, which typically uses health insurance companies to broker deals. The prices negotiated between hospitals and health insurers are usually a closely guarded industry secret.\u003c/p>\n\u003cfigure id=\"attachment_11971660\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971660\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Farmworkers harvest strawberries in Salinas on Aug. 9, 2023. \u003ccite>(Semantha Norris/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A United Farm Workers analysis of billing codes showed Salinas Valley Health charged more than $420,000 to treat a farmworker’s parasitic infection while Watsonville Community Hospital, 25 miles to the north in Santa Cruz County, charged around $126,000 for the same treatment over the same number of days, Pine said. That’s more than three times as expensive, and it’s not unusual, Pine said.\u003c/p>\n\u003cp>The plan has saved money by paying for the transportation and lodging of Monterey County members who have procedures done in other counties.\u003c/p>\n\u003cp>“The California coast from Santa Barbara to about Marin County is the most expensive health care market in the state,” Pine said. “Monterey is an anomaly even among the most expensive.”\u003c/p>\n\u003cp>There may be little the new state agency can do. Officials can conduct a market analysis, but the law that created the Office of Health Care Affordability \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">limited its power to control future price increases\u003c/a>.\u003c/p>\n\u003cp>Elizabeth Landsberg, director of the state department of Health Care Access and Information, where the office is seated, declined to comment.\u003c/p>\n\u003cp>Advocates said they hope shining a light on the issue during board meetings will force hospitals to lower prices. The week before Christmas, Montage Health, which operates the Community Hospital of the Monterey Peninsula, \u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\">forgave $40 million of \u003c/a>\u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\" target=\"_blank\" rel=\"noreferrer noopener\">medical\u003c/a>\u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\"> debt\u003c/a> for 29,000 patients who utilized the hospital between 2020 and 2022.\u003c/p>\n\u003cp>“We’re hoping with bringing this to light, the hospitals will take a second look and say 200% of Medicare is enough. Let’s take double what it actually costs to run a hospital,” Krajcinovic said. “500% is highway robbery.”\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Nicole Foy contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11971653/why-many-insured-californians-avoid-hospitals-in-this-county-its-just-too-much","authors":["byline_news_11971653"],"categories":["news_457","news_8"],"tags":["news_27626","news_18543","news_18659","news_18159"],"affiliates":["news_18481"],"featImg":"news_11971654","label":"news_18481"},"news_11969051":{"type":"posts","id":"news_11969051","meta":{"index":"posts_1591205157","site":"news","id":"11969051","score":null,"sort":[1701806433000]},"guestAuthors":[],"slug":"california-threw-a-50-million-lifeline-to-a-bankrupt-hospital-its-scrambling-to-reopen","title":"California’s $50 Million Lifeline Saves Bankrupt Hospital from Closure","publishDate":1701806433,"format":"standard","headTitle":"California’s $50 Million Lifeline Saves Bankrupt Hospital from Closure | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>California’s special emergency fund for financially distressed hospitals probably would not have passed the Legislature this year had it not been for the failure of a rural hospital off Highway 99 in the San Joaquin Valley.\u003c/p>\n\u003cp>The bankruptcy and closure of Madera Community Hospital spurred lawmakers to \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">allocate $300 million in loans for it\u003c/a> and other troubled medical facilities. The state began doling out the money this fall, earmarking up to $57 million for Madera alone.\u003c/p>\n\u003cp>But Madera’s share of the money is on hold and in question because the hospital has not yet found a buyer or partner to reopen it almost a year after its closure. Madera Community’s state loan is contingent on securing a purchase or partnership deal.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Steve Stark, CEO, Orchard Hospital\"]‘When we submitted our application, we were down to less than three days of cash on hand.’[/pullquote]And, while some hospitals have started getting their checks, others that applied for money and did not qualify for it are raising questions about the process. They’re calling for more transparency with respect to how the state selects hospitals for funding.\u003c/p>\n\u003cp>The Madera hospital seemed to get a lifeline from \u003ca href=\"https://www.fresnobee.com/news/local/article281957443.html\">Adventist Health\u003c/a>, a West Coast system that had been in talks to take over the defunct hospital. Adventist backed out earlier this month, dealing a setback to Madera County’s hopes of reviving the facility.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It marked the second failed effort to find a buyer for the hospital. Trinity Health pulled out of a deal to purchase the struggling hospital in December 2022.\u003c/p>\n\u003cp>“Unfortunately, Adventist Health was unable to find a fiscally viable solution for the costly process of reopening and operating a closed facility,” Adventist Health officials said in an emailed statement.\u003c/p>\n\u003cp>[aside postID=\"news_11959175,news_11958245\" label=\"Related Stories\"]Adventist Health had estimated that restarting services at Madera Community would cost at least \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">$85 million during the first two years\u003c/a> of reopening.\u003c/p>\n\u003cp>Following Madera’s closure in January, a number of community hospitals claimed that they, too, were in financial trouble. Two filed for bankruptcy and several cut service lines, \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">including labor and delivery\u003c/a> units. The state responded by \u003ca href=\"https://hcai.ca.gov/california-announces-300-million-in-financial-support-for-community-hospitals-across-the-state/\">creating the Distressed Hospital Loan program\u003c/a>; 30 hospitals applied and 17 were selected to receive loans.\u003c/p>\n\u003cp>Four hospitals have received their checks, with the rest expected to go out in the upcoming weeks. Madera stands to receive the largest loan. The state recently increased the amount the hospital could qualify for by $5 million, bringing the total to $57 million.\u003c/p>\n\u003ch2>Potential deals for Madera hospital\u003c/h2>\n\u003cp>Madera Community Hospital could still reopen and receive its loan if another buyer or partner comes through.\u003c/p>\n\u003cp>Two other suitors, American Advanced Management, Inc. and Praise Healthcare, LLC, have expressed interest in taking over. For now, \u003ca href=\"https://www.kvpr.org/local-news/2023-11-28/after-two-failed-deals-two-new-companies-look-to-run-bankrupt-madera-community-hospital\">Madera’s hospital still has dibs on the $52 million\u003c/a>.\u003c/p>\n\u003cp>“The funding is currently reserved for Madera Community Hospital,” said Andrew DiLuccia, a spokesperson for the Department of Health Care Access and Information, which selected which hospitals would get loans.\u003c/p>\n\u003cp>Riley Walter, an attorney representing Madera Community Hospital in bankruptcy court, said the hospital’s board is awaiting paperwork from both suitors before it can move forward. He said he expects that to happen sometime this month.\u003c/p>\n\u003cp>If no suitors follow through on a deal and Madera Community loses out on its loan, the state loans could be returned to the emergency fund for other hospitals to use, said Joe DeAnda, a spokesperson for the State Treasurer’s Office.\u003c/p>\n\u003ch2>Hospitals want more transparency\u003c/h2>\n\u003cp>To qualify for loans, hospitals had to show both financial need and a path to viability. Hospitals with low levels of cash on hand had priority, according to the Department of Health Care Access and Information. Eligible facilities had to be public, community hospitals and not owned by large health systems.\u003c/p>\n\u003cp>Some hospitals that did not receive loans said they wanted to see more transparency from the state’s program. At least one hospital administrator said he was unsatisfied with the response he received in the rejection email.\u003c/p>\n\u003cp>Steve Stark, CEO of Orchard Hospital in Butte County, said his hospital’s situation is similar to that of some of the hospitals that were granted loans.\u003c/p>\n\u003cp>“When we submitted our application, we were down to less than three days of cash on hand,” Stark said. “We had received an audit letter from our auditors in our last fiscal year that indicated that we wouldn’t be around in 12 months. And so by all measures that we could accumulate, we felt like we were distressed, we still are.”\u003c/p>\n\u003cp>Stark said one of the disqualifiers mentioned by the state was that his hospital is under a management agreement in which the Modesto-based company \u003ca href=\"https://americanam.org/\">American Advanced Management\u003c/a> oversees the hospital’s operations. (This is the same company that has expressed interest in taking over Madera Community Hospital.)\u003c/p>\n\u003cp>Other hospitals that were granted loans are also under management agreements, such as Dameron Hospital in Stockton, which has a partnership with Adventist Health.\u003c/p>\n\u003cp>In an emailed response, DiLuccia from the state health care information department said, “provisions within the management agreement made a difference in applicant’s eligibility.”\u003c/p>\n\u003ch2>California sends checks\u003c/h2>\n\u003cp>Chinese Hospital in San Francisco is one of the first four hospitals to receive its loan — close to $10.4 million. The 88-bed hospital has reported a net loss every single year since 2016, according to its financial records.\u003c/p>\n\u003cp>Michael Chung, the hospital’s president, said the hospital’s main challenge as a safety net provider is low reimbursements from Medi-Cal and Medicare that haven’t kept up with the growing cost of care. The hospital leans heavily on state and federal grants, as well as funds from private foundations.\u003c/p>\n\u003cp>“That has worked for 100-plus years, but it’s not able to sustain the hospital any longer,” Chung said.\u003c/p>\n\u003cp>As part of its turnaround plan, Chinese Hospital is seeking to renegotiate reimbursement rates with both private and public insurers, Chung said. Those negotiations can be a hit or miss, he said.\u003c/p>\n\u003cp>Low reimbursement was also a key challenge noted by Watsonville Community Hospital in Santa Cruz County, which qualified for a state loan of $8.3 million. The hospital emerged from bankruptcy only last year and operates under a nonprofit health care district.\u003c/p>\n\u003cp>Nancy Gere, spokesperson for Watsonville Community, said the hospital is renegotiating contracts with health insurance plans, which hadn’t been done in more than 10 years. The hospital is also considering the possibility of a general obligation bond to upgrade the facility and improve the hospital’s financial standing.\u003c/p>\n\u003cp>“Despite all these efforts, our expenses currently still exceed revenues, so the $8.3 million loan from the state of California is incredibly helpful,” Gere said. “The loan funds are being used to help stabilize our operations.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Earlier this year, the state created a loan program meant to help struggling hospitals stay afloat and to help reopen Madera County’s only hospital. Almost a year after its closure, Madera continues its search for a buyer or partner.","status":"publish","parent":0,"modified":1701806949,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1221},"headData":{"title":"California’s $50 Million Lifeline Saves Bankrupt Hospital from Closure | KQED","description":"Earlier this year, the state created a loan program meant to help struggling hospitals stay afloat and to help reopen Madera County’s only hospital. Almost a year after its closure, Madera continues its search for a buyer or partner.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California’s $50 Million Lifeline Saves Bankrupt Hospital from Closure","datePublished":"2023-12-05T20:00:33.000Z","dateModified":"2023-12-05T20:09:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11969051/california-threw-a-50-million-lifeline-to-a-bankrupt-hospital-its-scrambling-to-reopen","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s special emergency fund for financially distressed hospitals probably would not have passed the Legislature this year had it not been for the failure of a rural hospital off Highway 99 in the San Joaquin Valley.\u003c/p>\n\u003cp>The bankruptcy and closure of Madera Community Hospital spurred lawmakers to \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">allocate $300 million in loans for it\u003c/a> and other troubled medical facilities. The state began doling out the money this fall, earmarking up to $57 million for Madera alone.\u003c/p>\n\u003cp>But Madera’s share of the money is on hold and in question because the hospital has not yet found a buyer or partner to reopen it almost a year after its closure. Madera Community’s state loan is contingent on securing a purchase or partnership deal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘When we submitted our application, we were down to less than three days of cash on hand.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Steve Stark, CEO, Orchard Hospital","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>And, while some hospitals have started getting their checks, others that applied for money and did not qualify for it are raising questions about the process. They’re calling for more transparency with respect to how the state selects hospitals for funding.\u003c/p>\n\u003cp>The Madera hospital seemed to get a lifeline from \u003ca href=\"https://www.fresnobee.com/news/local/article281957443.html\">Adventist Health\u003c/a>, a West Coast system that had been in talks to take over the defunct hospital. Adventist backed out earlier this month, dealing a setback to Madera County’s hopes of reviving the facility.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It marked the second failed effort to find a buyer for the hospital. Trinity Health pulled out of a deal to purchase the struggling hospital in December 2022.\u003c/p>\n\u003cp>“Unfortunately, Adventist Health was unable to find a fiscally viable solution for the costly process of reopening and operating a closed facility,” Adventist Health officials said in an emailed statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11959175,news_11958245","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Adventist Health had estimated that restarting services at Madera Community would cost at least \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">$85 million during the first two years\u003c/a> of reopening.\u003c/p>\n\u003cp>Following Madera’s closure in January, a number of community hospitals claimed that they, too, were in financial trouble. Two filed for bankruptcy and several cut service lines, \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">including labor and delivery\u003c/a> units. The state responded by \u003ca href=\"https://hcai.ca.gov/california-announces-300-million-in-financial-support-for-community-hospitals-across-the-state/\">creating the Distressed Hospital Loan program\u003c/a>; 30 hospitals applied and 17 were selected to receive loans.\u003c/p>\n\u003cp>Four hospitals have received their checks, with the rest expected to go out in the upcoming weeks. Madera stands to receive the largest loan. The state recently increased the amount the hospital could qualify for by $5 million, bringing the total to $57 million.\u003c/p>\n\u003ch2>Potential deals for Madera hospital\u003c/h2>\n\u003cp>Madera Community Hospital could still reopen and receive its loan if another buyer or partner comes through.\u003c/p>\n\u003cp>Two other suitors, American Advanced Management, Inc. and Praise Healthcare, LLC, have expressed interest in taking over. For now, \u003ca href=\"https://www.kvpr.org/local-news/2023-11-28/after-two-failed-deals-two-new-companies-look-to-run-bankrupt-madera-community-hospital\">Madera’s hospital still has dibs on the $52 million\u003c/a>.\u003c/p>\n\u003cp>“The funding is currently reserved for Madera Community Hospital,” said Andrew DiLuccia, a spokesperson for the Department of Health Care Access and Information, which selected which hospitals would get loans.\u003c/p>\n\u003cp>Riley Walter, an attorney representing Madera Community Hospital in bankruptcy court, said the hospital’s board is awaiting paperwork from both suitors before it can move forward. He said he expects that to happen sometime this month.\u003c/p>\n\u003cp>If no suitors follow through on a deal and Madera Community loses out on its loan, the state loans could be returned to the emergency fund for other hospitals to use, said Joe DeAnda, a spokesperson for the State Treasurer’s Office.\u003c/p>\n\u003ch2>Hospitals want more transparency\u003c/h2>\n\u003cp>To qualify for loans, hospitals had to show both financial need and a path to viability. Hospitals with low levels of cash on hand had priority, according to the Department of Health Care Access and Information. Eligible facilities had to be public, community hospitals and not owned by large health systems.\u003c/p>\n\u003cp>Some hospitals that did not receive loans said they wanted to see more transparency from the state’s program. At least one hospital administrator said he was unsatisfied with the response he received in the rejection email.\u003c/p>\n\u003cp>Steve Stark, CEO of Orchard Hospital in Butte County, said his hospital’s situation is similar to that of some of the hospitals that were granted loans.\u003c/p>\n\u003cp>“When we submitted our application, we were down to less than three days of cash on hand,” Stark said. “We had received an audit letter from our auditors in our last fiscal year that indicated that we wouldn’t be around in 12 months. And so by all measures that we could accumulate, we felt like we were distressed, we still are.”\u003c/p>\n\u003cp>Stark said one of the disqualifiers mentioned by the state was that his hospital is under a management agreement in which the Modesto-based company \u003ca href=\"https://americanam.org/\">American Advanced Management\u003c/a> oversees the hospital’s operations. (This is the same company that has expressed interest in taking over Madera Community Hospital.)\u003c/p>\n\u003cp>Other hospitals that were granted loans are also under management agreements, such as Dameron Hospital in Stockton, which has a partnership with Adventist Health.\u003c/p>\n\u003cp>In an emailed response, DiLuccia from the state health care information department said, “provisions within the management agreement made a difference in applicant’s eligibility.”\u003c/p>\n\u003ch2>California sends checks\u003c/h2>\n\u003cp>Chinese Hospital in San Francisco is one of the first four hospitals to receive its loan — close to $10.4 million. The 88-bed hospital has reported a net loss every single year since 2016, according to its financial records.\u003c/p>\n\u003cp>Michael Chung, the hospital’s president, said the hospital’s main challenge as a safety net provider is low reimbursements from Medi-Cal and Medicare that haven’t kept up with the growing cost of care. The hospital leans heavily on state and federal grants, as well as funds from private foundations.\u003c/p>\n\u003cp>“That has worked for 100-plus years, but it’s not able to sustain the hospital any longer,” Chung said.\u003c/p>\n\u003cp>As part of its turnaround plan, Chinese Hospital is seeking to renegotiate reimbursement rates with both private and public insurers, Chung said. Those negotiations can be a hit or miss, he said.\u003c/p>\n\u003cp>Low reimbursement was also a key challenge noted by Watsonville Community Hospital in Santa Cruz County, which qualified for a state loan of $8.3 million. The hospital emerged from bankruptcy only last year and operates under a nonprofit health care district.\u003c/p>\n\u003cp>Nancy Gere, spokesperson for Watsonville Community, said the hospital is renegotiating contracts with health insurance plans, which hadn’t been done in more than 10 years. The hospital is also considering the possibility of a general obligation bond to upgrade the facility and improve the hospital’s financial standing.\u003c/p>\n\u003cp>“Despite all these efforts, our expenses currently still exceed revenues, so the $8.3 million loan from the state of California is incredibly helpful,” Gere said. “The loan funds are being used to help stabilize our operations.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11969051/california-threw-a-50-million-lifeline-to-a-bankrupt-hospital-its-scrambling-to-reopen","authors":["byline_news_11969051"],"categories":["news_31795","news_457","news_8"],"tags":["news_33600","news_18659","news_33024"],"affiliates":["news_18481"],"featImg":"news_11969064","label":"news_18481"},"news_11965919":{"type":"posts","id":"news_11965919","meta":{"index":"posts_1591205157","site":"news","id":"11965919","score":null,"sort":[1698699605000]},"guestAuthors":[],"slug":"california-hospitals-ignored-bias-training-despite-high-black-maternal-death-rate","title":"California Hospitals Ignored Bias Training Despite High Black Maternal Death Rate","publishDate":1698699605,"format":"standard","headTitle":"California Hospitals Ignored Bias Training Despite High Black Maternal Death Rate | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>More than two and a half years after a law took effect requiring maternity care staff to complete racism in medicine training, only 17% of hospitals were in compliance, according to an \u003ca href=\"https://oag.ca.gov/system/files/attachments/press-docs/Report%20on%20Healthcare%20Facilities%20and%20the%20California%20Dignity%20in%20Pregnancy%20and%20Childbirth%20Act%20%282%29.pdf\">investigation published by the state Department of Justice\u003c/a> on Friday.\u003c/p>\n\u003cp>The training matters, Attorney General Rob Bonta and others said during a press conference, because of the state’s persistently high death rates among Black mothers.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Attorney General Rob Bonta\"]‘Listen to these women and make substantial transformative change before another patient is hurt or worse.’[/pullquote]Though California is often looked at as a national model for improving maternal outcomes, Black women are still far more likely than others to die during pregnancy. They account for only 5% of pregnancies in the state but make up 21% of pregnancy-related deaths, according to the California Department of Public Health.\u003c/p>\n\u003cp>The mortality rate for Black infants is also three times higher than for white infants and nearly 1.5 times higher than for Pacific Islander babies, the second highest mortality rate, state data shows.\u003c/p>\n\u003cp>Investigations into the cause of all pregnancy-related deaths by the California Department of Public Health determined that more than half are preventable.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We need to listen to this data. It’s screaming at us to do something,” Bonta said. “Listen to these women and make substantial transformative change before another patient is hurt or worse.”\u003c/p>\n\u003cp>No hospitals were in compliance when the department began its investigation in 2021, and not a single employee had completed training.\u003c/p>\n\u003cp>[aside postID=\"news_11958841,news_11943821\" label=\"Related Stories\"]Lawmakers passed the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200SB464\">California Dignity in Pregnancy and Childbirth Act\u003c/a> four years ago in an effort to reverse the vast disparities in \u003ca href=\"https://calmatters.org/health/2019/07/black-women-health-racism-maternity-care-california/\">maternal deaths among Black women\u003c/a>, who are three times more likely than any other race to die during or immediately after pregnancy. The law requires hospitals and other facilities to train perinatal care providers on unconscious bias in medicine and racial disparities in maternal deaths. It took effect in January 2020.\u003c/p>\n\u003cp>Bonta recommended lawmakers adopt additional regulations to strengthen the law, including setting clear deadlines for compliance, designating a state agency to enforce the law and introducing penalties for noncompliance.\u003c/p>\n\u003cp>Former state Sen. Holly Mitchell, the Los Angeles Democrat who authored the bill, said “clearly more must be done” to implement the policy.\u003c/p>\n\u003cp>“It is my full expectation that every hospital across L.A. County and across the state join in making sure that their staff take the training,” said Mitchell, who is now a Los Angeles County supervisor. “We are simply asking them to follow the law.”\u003c/p>\n\u003cp>According to the department’s investigation report, about 76% of more than 200 hospitals surveyed had begun training employees by August 2022 but had not completed training. Two hospitals had not fully trained any staff, and 13 did not provide the department with any information.\u003c/p>\n\u003cp>“Nearly a third of facilities to which DOJ reached out began training only after DOJ contacted them, suggesting that DOJ’s outreach caused compliance in many cases,” the report states.\u003c/p>\n\u003ch2>Black women report mistreatment at hospitals\u003c/h2>\n\u003cp>It is well-documented that \u003ca href=\"https://www.cdph.ca.gov/Programs/CFH/DMCAH/CDPH%20Document%20Library/Centering-Black-Mothers/Centering-Black-Mothers-Report-2023.pdf\">racism in health care\u003c/a> settings contributes to poor outcomes. Black women in California consistently report \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29494846/\">poor experiences with medical professionals during pregnancy\u003c/a>, including mistreatment because of their “race, age, socioeconomic class, sexuality, and assumed or actual marital status,” according to a recent research review and report by the California Department of Public Health.\u003c/p>\n\u003cp>They also struggle to convince providers that they are \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/22239747/\">in pain\u003c/a> and report mistreatment when advocating for their health during pregnancy. A national survey from 2016 revealed \u003ca href=\"https://www.pnas.org/doi/10.1073/pnas.1516047113\">half of white medical students and residents believed false and debunked myths\u003c/a> about the biological differences between white and Black patients. Those who endorsed the beliefs were more likely to dismiss patients’ pain and make inaccurate treatment decisions.\u003c/p>\n\u003cp>“What is so deeply offensive about that is it is within our power to change,” Mitchell said.\u003c/p>\n\u003cp>Implicit bias training is the “bare minimum” of what health professionals can do to improve outcomes, said Assemblymember Akilah Weber, a Democrat from La Mesa and a medical doctor.\u003c/p>\n\u003cp>Research also shows maternal and infant health disparities among Black women and babies persist regardless of patients’ education or income levels. Celebrities like \u003ca href=\"https://www.elle.com/life-love/a39586444/how-serena-williams-saved-her-own-life/\">Serena Williams\u003c/a> and Beyoncé have spoken out about their near-death experiences during childbirth.\u003c/p>\n\u003ch2>Recent maternal deaths in Los Angeles\u003c/h2>\n\u003cp>Earlier this year, the deaths of two Black women, \u003ca href=\"https://www.gofundme.com/f/tragic-untimely-death-of-a-wife-mother-of-5\">Bridgette Cromer\u003c/a> and \u003ca href=\"https://laist.com/news/health/april-valentine-childbirth-death-centinela-hospital-los-angeles-black-maternal-mortality-investigation\">April Valentine\u003c/a>, in childbirth shook Los Angeles. Valentine’s death led to \u003ca href=\"https://www.latimes.com/california/story/2023-06-15/state-investigators-found-lapses-that-could-threaten-patients-at-inglewood-hospital\">a state investigation and a $75,000 fine levied against Centinela Hospital Medical Center\u003c/a>, where her daughter was delivered via C-section. The \u003ca href=\"http://investigation%20stated%20the%20hospital%20%E2%80%9Cfailed%20to%20prevent%20the%20deficiencies%E2%80%A6that%20caused,%20or%20are%20likely%20to%20cause,%20serious%20injury%20or%20death%E2%80%9D%20to%20Valentine,\">investigation stated the hospital “failed to prevent the deficiencies…that caused, or are likely to cause, serious injury or death” to Valentine\u003c/a>, including repeated failure to take steps to prevent blood clots, a common pregnancy risk, even when Valentine complained of feeling heaviness in her leg, numbness and leg swelling.\u003c/p>\n\u003cp>The \u003ca href=\"https://me.lacounty.gov/case-detail/?caseNumber=2023-00446\">Los Angeles County Medical Examiner determined\u003c/a> she died from a blood clot that traveled from her leg into her lungs.\u003c/p>\n\u003cp>Centinela announced its intent to close the maternity ward permanently days after Valentine’s family filed a \u003ca href=\"https://www.documentcloud.org/documents/23945140-robertson-complaint-draft-1-08242023-1\">wrongful death lawsuit\u003c/a>. The maternity ward, which delivered more than 700 babies last year, closed Wednesday.\u003c/p>\n\u003cp>In a GoFundMe post, Cromer’s family said they did not have autopsy results yet but noted that she was readmitted into the operating room after birth with major bleeding before dying.\u003c/p>\n\u003cp>Gabrielle Brown, an advocate with Black Women for Wellness, said Centinela’s maternity ward closure is “a stark reminder of how healthcare disparities persist in our society.”\u003c/p>\n\u003cp>“It reminds us of the implicit biases that have subtly influenced healthcare decisions, ultimately leading to an immense reduction in the accessibility and quality of care for many members of our community,” Brown said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"http://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Black women are three times more likely than other women to die during or immediately after pregnancy. California lawmakers passed a law in 2019 requiring hospitals to train labor and delivery staff on unconscious bias in medicine.","status":"publish","parent":0,"modified":1698701013,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1051},"headData":{"title":"California Hospitals Ignored Bias Training Despite High Black Maternal Death Rate | KQED","description":"Black women are three times more likely than other women to die during or immediately after pregnancy. California lawmakers passed a law in 2019 requiring hospitals to train labor and delivery staff on unconscious bias in medicine.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Hospitals Ignored Bias Training Despite High Black Maternal Death Rate","datePublished":"2023-10-30T21:00:05.000Z","dateModified":"2023-10-30T21:23:33.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"audioUrl":"https://omny.fm/shows/kqed-segmented-audio/kqed-newscast-40c98640-dfab-44c2-86fc-614e57368b77","nprByline":"Kristen Hwang","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11965919/california-hospitals-ignored-bias-training-despite-high-black-maternal-death-rate","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>More than two and a half years after a law took effect requiring maternity care staff to complete racism in medicine training, only 17% of hospitals were in compliance, according to an \u003ca href=\"https://oag.ca.gov/system/files/attachments/press-docs/Report%20on%20Healthcare%20Facilities%20and%20the%20California%20Dignity%20in%20Pregnancy%20and%20Childbirth%20Act%20%282%29.pdf\">investigation published by the state Department of Justice\u003c/a> on Friday.\u003c/p>\n\u003cp>The training matters, Attorney General Rob Bonta and others said during a press conference, because of the state’s persistently high death rates among Black mothers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Listen to these women and make substantial transformative change before another patient is hurt or worse.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Attorney General Rob Bonta","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Though California is often looked at as a national model for improving maternal outcomes, Black women are still far more likely than others to die during pregnancy. They account for only 5% of pregnancies in the state but make up 21% of pregnancy-related deaths, according to the California Department of Public Health.\u003c/p>\n\u003cp>The mortality rate for Black infants is also three times higher than for white infants and nearly 1.5 times higher than for Pacific Islander babies, the second highest mortality rate, state data shows.\u003c/p>\n\u003cp>Investigations into the cause of all pregnancy-related deaths by the California Department of Public Health determined that more than half are preventable.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We need to listen to this data. It’s screaming at us to do something,” Bonta said. “Listen to these women and make substantial transformative change before another patient is hurt or worse.”\u003c/p>\n\u003cp>No hospitals were in compliance when the department began its investigation in 2021, and not a single employee had completed training.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11958841,news_11943821","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Lawmakers passed the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200SB464\">California Dignity in Pregnancy and Childbirth Act\u003c/a> four years ago in an effort to reverse the vast disparities in \u003ca href=\"https://calmatters.org/health/2019/07/black-women-health-racism-maternity-care-california/\">maternal deaths among Black women\u003c/a>, who are three times more likely than any other race to die during or immediately after pregnancy. The law requires hospitals and other facilities to train perinatal care providers on unconscious bias in medicine and racial disparities in maternal deaths. It took effect in January 2020.\u003c/p>\n\u003cp>Bonta recommended lawmakers adopt additional regulations to strengthen the law, including setting clear deadlines for compliance, designating a state agency to enforce the law and introducing penalties for noncompliance.\u003c/p>\n\u003cp>Former state Sen. Holly Mitchell, the Los Angeles Democrat who authored the bill, said “clearly more must be done” to implement the policy.\u003c/p>\n\u003cp>“It is my full expectation that every hospital across L.A. County and across the state join in making sure that their staff take the training,” said Mitchell, who is now a Los Angeles County supervisor. “We are simply asking them to follow the law.”\u003c/p>\n\u003cp>According to the department’s investigation report, about 76% of more than 200 hospitals surveyed had begun training employees by August 2022 but had not completed training. Two hospitals had not fully trained any staff, and 13 did not provide the department with any information.\u003c/p>\n\u003cp>“Nearly a third of facilities to which DOJ reached out began training only after DOJ contacted them, suggesting that DOJ’s outreach caused compliance in many cases,” the report states.\u003c/p>\n\u003ch2>Black women report mistreatment at hospitals\u003c/h2>\n\u003cp>It is well-documented that \u003ca href=\"https://www.cdph.ca.gov/Programs/CFH/DMCAH/CDPH%20Document%20Library/Centering-Black-Mothers/Centering-Black-Mothers-Report-2023.pdf\">racism in health care\u003c/a> settings contributes to poor outcomes. Black women in California consistently report \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29494846/\">poor experiences with medical professionals during pregnancy\u003c/a>, including mistreatment because of their “race, age, socioeconomic class, sexuality, and assumed or actual marital status,” according to a recent research review and report by the California Department of Public Health.\u003c/p>\n\u003cp>They also struggle to convince providers that they are \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/22239747/\">in pain\u003c/a> and report mistreatment when advocating for their health during pregnancy. A national survey from 2016 revealed \u003ca href=\"https://www.pnas.org/doi/10.1073/pnas.1516047113\">half of white medical students and residents believed false and debunked myths\u003c/a> about the biological differences between white and Black patients. Those who endorsed the beliefs were more likely to dismiss patients’ pain and make inaccurate treatment decisions.\u003c/p>\n\u003cp>“What is so deeply offensive about that is it is within our power to change,” Mitchell said.\u003c/p>\n\u003cp>Implicit bias training is the “bare minimum” of what health professionals can do to improve outcomes, said Assemblymember Akilah Weber, a Democrat from La Mesa and a medical doctor.\u003c/p>\n\u003cp>Research also shows maternal and infant health disparities among Black women and babies persist regardless of patients’ education or income levels. Celebrities like \u003ca href=\"https://www.elle.com/life-love/a39586444/how-serena-williams-saved-her-own-life/\">Serena Williams\u003c/a> and Beyoncé have spoken out about their near-death experiences during childbirth.\u003c/p>\n\u003ch2>Recent maternal deaths in Los Angeles\u003c/h2>\n\u003cp>Earlier this year, the deaths of two Black women, \u003ca href=\"https://www.gofundme.com/f/tragic-untimely-death-of-a-wife-mother-of-5\">Bridgette Cromer\u003c/a> and \u003ca href=\"https://laist.com/news/health/april-valentine-childbirth-death-centinela-hospital-los-angeles-black-maternal-mortality-investigation\">April Valentine\u003c/a>, in childbirth shook Los Angeles. Valentine’s death led to \u003ca href=\"https://www.latimes.com/california/story/2023-06-15/state-investigators-found-lapses-that-could-threaten-patients-at-inglewood-hospital\">a state investigation and a $75,000 fine levied against Centinela Hospital Medical Center\u003c/a>, where her daughter was delivered via C-section. The \u003ca href=\"http://investigation%20stated%20the%20hospital%20%E2%80%9Cfailed%20to%20prevent%20the%20deficiencies%E2%80%A6that%20caused,%20or%20are%20likely%20to%20cause,%20serious%20injury%20or%20death%E2%80%9D%20to%20Valentine,\">investigation stated the hospital “failed to prevent the deficiencies…that caused, or are likely to cause, serious injury or death” to Valentine\u003c/a>, including repeated failure to take steps to prevent blood clots, a common pregnancy risk, even when Valentine complained of feeling heaviness in her leg, numbness and leg swelling.\u003c/p>\n\u003cp>The \u003ca href=\"https://me.lacounty.gov/case-detail/?caseNumber=2023-00446\">Los Angeles County Medical Examiner determined\u003c/a> she died from a blood clot that traveled from her leg into her lungs.\u003c/p>\n\u003cp>Centinela announced its intent to close the maternity ward permanently days after Valentine’s family filed a \u003ca href=\"https://www.documentcloud.org/documents/23945140-robertson-complaint-draft-1-08242023-1\">wrongful death lawsuit\u003c/a>. The maternity ward, which delivered more than 700 babies last year, closed Wednesday.\u003c/p>\n\u003cp>In a GoFundMe post, Cromer’s family said they did not have autopsy results yet but noted that she was readmitted into the operating room after birth with major bleeding before dying.\u003c/p>\n\u003cp>Gabrielle Brown, an advocate with Black Women for Wellness, said Centinela’s maternity ward closure is “a stark reminder of how healthcare disparities persist in our society.”\u003c/p>\n\u003cp>“It reminds us of the implicit biases that have subtly influenced healthcare decisions, ultimately leading to an immense reduction in the accessibility and quality of care for many members of our community,” Brown said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"http://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11965919/california-hospitals-ignored-bias-training-despite-high-black-maternal-death-rate","authors":["byline_news_11965919"],"categories":["news_8"],"tags":["news_29948","news_18659","news_20109","news_33419"],"affiliates":["news_18481"],"featImg":"news_11965924","label":"news_18481"},"news_11959175":{"type":"posts","id":"news_11959175","meta":{"index":"posts_1591205157","site":"news","id":"11959175","score":null,"sort":[1692989337000]},"guestAuthors":[],"slug":"17-california-hospitals-accept-millions-interest-free-loans","title":"17 Struggling California Hospitals Accept Millions in Interest-Free Loans","publishDate":1692989337,"format":"standard","headTitle":"17 Struggling California Hospitals Accept Millions in Interest-Free Loans | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>Seventeen \u003ca href=\"https://hcai.ca.gov/california-announces-300-million-in-financial-support-for-community-hospitals-across-the-state/\">financially distressed California hospitals\u003c/a> — including three that filed for bankruptcy earlier this year — will receive close to $300 million in interest-free loans, state officials announced Thursday.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Madera Community Hospital\u003c/a>, which closed its doors in January, stands to receive the biggest chunk, $52 million. The money comes from the Distressed Hospital Loan Program, which the Legislature created to support rural and independent hospitals that faced financial challenges coming out of the COVID-19 pandemic.\u003c/p>\n\u003cp>The Madera hospital had requested $80 million, but the money it received is expected to be enough to fund a reopening for the rural hospital about 25 miles north of Fresno.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Adventist Health, which operates hospitals in four West Coast states, last month announced a proposal to take over Madera’s operations through a management agreement, contingent on it receiving the state funds. In a letter outlining its terms, Adventist \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">projected needing $55 million to reopen (PDF)\u003c/a> and another $30 million to sustain operations in the second year.[aside postID=news_11958245 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/033023_Hollister_Hospital_LV_CM_01-1020x680.jpg']Madera will initially receive $2 million to cover immediate operating costs. Officials at Adventist Health and Madera Community will have to submit a “comprehensive hospital turnaround plan” and, if approved, will then become eligible to receive the remaining $50 million.\u003c/p>\n\u003cp>“This financial assistance is an important step in the right direction to help Madera Community Hospital reopen its doors to the community. We have more work to do, but I’m proud to have led this effort,” said Assemblymember Esmeralda Soria, a Fresno Democrat whose district includes Madera and who authored legislation that led to the loan program.\u003c/p>\n\u003cp>Adventist Health in a written statement said it is working with “community partners and stakeholders in developing a thoughtful, comprehensive hospital turnaround plan.”\u003c/p>\n\u003cp>Beverly Hospital, located east of Los Angeles, will receive $5 million to cover operations while it is in bankruptcy. The hospital applied for $35 million, but it is now set to be bought by Adventist Health White Memorial. A bankruptcy judge last week approved \u003ca href=\"https://oag.ca.gov/system/files/media/bh-638.pdf\">Adventist’s $39 million purchase of Beverly (PDF)\u003c/a>.[pullquote size=\"medium\" align=\"right\" citation=\"State Treasurer Fiona Ma\"]‘The hospitals approved for this program have shown a detailed plan for financial recovery and these funds will help them keep the doors open so they can keep serving their communities.’[/pullquote]Another bankrupt hospital, Hazel Hawkins Memorial, will receive the $10 million it requested. It’s the only source of emergency care in San Benito County, a rural community east of Monterey.\u003c/p>\n\u003cp>“The hospitals approved for this program have shown a detailed plan for financial recovery and these funds will help them keep the doors open so they can keep serving their communities,” said State Treasurer Fiona Ma, whose office is helping administer the funds. Ma said her team has already begun providing instructions and assistance to the awarded hospitals.\u003c/p>\n\u003ch2>Biggest loans to distressed hospitals\u003c/h2>\n\u003cp>The Department of Health Care Access and Information reviewed applications and selected hospitals for the program. Thirty hospitals applied for loans.\u003c/p>\n\u003cp>Other hospitals that will receive significant funding include the following:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.tricitymed.org/wp-content/uploads/2023/07/agenda-packet.Special-Meeting-7.27.23.pdf\">Tri-City Medical Center (PDF)\u003c/a> in San Diego will receive $33.2 million. The hospital recently announced plans to suspend its labor and delivery services amid “financial losses.”\u003c/li>\n\u003cli>\u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Kaweah Delta Health Care District\u003c/a> in Visalia will get a $20.8 million loan. This hospital laid off 130 employees late last year.\u003c/li>\n\u003cli>\u003ca href=\"https://inewsource.org/2023/02/07/el-centro-hospital-financial-problems/\">El Centro Regional Medical Center\u003c/a> in Imperial County, which in January closed its maternity ward, will receive $28 million.\u003c/li>\n\u003cli>\u003ca href=\"https://pmhd.org/\">Pioneers Memorial Healthcare District\u003c/a>, Imperial County’s only other hospital, also is set to receive $28 million.\u003c/li>\n\u003cli>\u003ca href=\"https://www.dameronhospital.org/\">Dameron Hospital\u003c/a> in Stockton, now also being managed by Adventist Health, will be loaned $29 million.\u003c/li>\n\u003c/ul>\n\u003ch2>Vulnerable California hospitals\u003c/h2>\n\u003cp>Most California hospitals are part of large networks that can navigate turbulent financial periods. A number of community and independent hospitals have struggled for years, especially after the peak of the pandemic. Some recently reduced services or laid off staff.[aside label='More on Health Care' tag='health-care']Hospitals have pointed to a number of factors for their distressed state — increased labor costs, and inadequate reimbursement from public insurance programs, Medicare and Medi-Cal, and in \u003ca href=\"https://fresnoland.org/2023/03/01/reimbursements-rates-madera-hospital-closure/\">some cases private insurance.\u003c/a>\u003c/p>\n\u003cp>Some hospitals began to ask the state for help late last year, but the closure of Madera Community Hospital prompted more urgency from lawmakers. It shut its doors after Trinity Health, a large Catholic health system, pulled out of negotiations to purchase the hospital.\u003c/p>\n\u003cp>Madera Community Hospital in the San Joaquin Valley was the only general acute care hospital in the county of about 160,000 people. The closest emergency rooms are about \u003ca href=\"https://www.fresnobee.com/news/local/article272712840.html\">30 and 40 minutes drive away in Fresno and Merced\u003c/a>.\u003c/p>\n\u003cp>The Distressed Hospital Loan Program closes at the end of 2031. Hospitals will get an 18-month grace period and then will have to repay loans over a six-year period.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The Distressed Hospital Loan Program provides interest-free loans to struggling medical centers in an effort to combat rising costs exacerbated by the pandemic.","status":"publish","parent":0,"modified":1692989243,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":850},"headData":{"title":"17 Struggling California Hospitals Accept Millions in Interest-Free Loans | KQED","description":"The Distressed Hospital Loan Program provides interest-free loans to struggling medical centers in an effort to combat rising costs exacerbated by the pandemic.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"17 Struggling California Hospitals Accept Millions in Interest-Free Loans","datePublished":"2023-08-25T18:48:57.000Z","dateModified":"2023-08-25T18:47:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11959175/17-california-hospitals-accept-millions-interest-free-loans","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Seventeen \u003ca href=\"https://hcai.ca.gov/california-announces-300-million-in-financial-support-for-community-hospitals-across-the-state/\">financially distressed California hospitals\u003c/a> — including three that filed for bankruptcy earlier this year — will receive close to $300 million in interest-free loans, state officials announced Thursday.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Madera Community Hospital\u003c/a>, which closed its doors in January, stands to receive the biggest chunk, $52 million. The money comes from the Distressed Hospital Loan Program, which the Legislature created to support rural and independent hospitals that faced financial challenges coming out of the COVID-19 pandemic.\u003c/p>\n\u003cp>The Madera hospital had requested $80 million, but the money it received is expected to be enough to fund a reopening for the rural hospital about 25 miles north of Fresno.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Adventist Health, which operates hospitals in four West Coast states, last month announced a proposal to take over Madera’s operations through a management agreement, contingent on it receiving the state funds. In a letter outlining its terms, Adventist \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">projected needing $55 million to reopen (PDF)\u003c/a> and another $30 million to sustain operations in the second year.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11958245","hero":"https://ww2.kqed.org/app/uploads/sites/10/2023/08/033023_Hollister_Hospital_LV_CM_01-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Madera will initially receive $2 million to cover immediate operating costs. Officials at Adventist Health and Madera Community will have to submit a “comprehensive hospital turnaround plan” and, if approved, will then become eligible to receive the remaining $50 million.\u003c/p>\n\u003cp>“This financial assistance is an important step in the right direction to help Madera Community Hospital reopen its doors to the community. We have more work to do, but I’m proud to have led this effort,” said Assemblymember Esmeralda Soria, a Fresno Democrat whose district includes Madera and who authored legislation that led to the loan program.\u003c/p>\n\u003cp>Adventist Health in a written statement said it is working with “community partners and stakeholders in developing a thoughtful, comprehensive hospital turnaround plan.”\u003c/p>\n\u003cp>Beverly Hospital, located east of Los Angeles, will receive $5 million to cover operations while it is in bankruptcy. The hospital applied for $35 million, but it is now set to be bought by Adventist Health White Memorial. A bankruptcy judge last week approved \u003ca href=\"https://oag.ca.gov/system/files/media/bh-638.pdf\">Adventist’s $39 million purchase of Beverly (PDF)\u003c/a>.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘The hospitals approved for this program have shown a detailed plan for financial recovery and these funds will help them keep the doors open so they can keep serving their communities.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"State Treasurer Fiona Ma","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Another bankrupt hospital, Hazel Hawkins Memorial, will receive the $10 million it requested. It’s the only source of emergency care in San Benito County, a rural community east of Monterey.\u003c/p>\n\u003cp>“The hospitals approved for this program have shown a detailed plan for financial recovery and these funds will help them keep the doors open so they can keep serving their communities,” said State Treasurer Fiona Ma, whose office is helping administer the funds. Ma said her team has already begun providing instructions and assistance to the awarded hospitals.\u003c/p>\n\u003ch2>Biggest loans to distressed hospitals\u003c/h2>\n\u003cp>The Department of Health Care Access and Information reviewed applications and selected hospitals for the program. Thirty hospitals applied for loans.\u003c/p>\n\u003cp>Other hospitals that will receive significant funding include the following:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.tricitymed.org/wp-content/uploads/2023/07/agenda-packet.Special-Meeting-7.27.23.pdf\">Tri-City Medical Center (PDF)\u003c/a> in San Diego will receive $33.2 million. The hospital recently announced plans to suspend its labor and delivery services amid “financial losses.”\u003c/li>\n\u003cli>\u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Kaweah Delta Health Care District\u003c/a> in Visalia will get a $20.8 million loan. This hospital laid off 130 employees late last year.\u003c/li>\n\u003cli>\u003ca href=\"https://inewsource.org/2023/02/07/el-centro-hospital-financial-problems/\">El Centro Regional Medical Center\u003c/a> in Imperial County, which in January closed its maternity ward, will receive $28 million.\u003c/li>\n\u003cli>\u003ca href=\"https://pmhd.org/\">Pioneers Memorial Healthcare District\u003c/a>, Imperial County’s only other hospital, also is set to receive $28 million.\u003c/li>\n\u003cli>\u003ca href=\"https://www.dameronhospital.org/\">Dameron Hospital\u003c/a> in Stockton, now also being managed by Adventist Health, will be loaned $29 million.\u003c/li>\n\u003c/ul>\n\u003ch2>Vulnerable California hospitals\u003c/h2>\n\u003cp>Most California hospitals are part of large networks that can navigate turbulent financial periods. A number of community and independent hospitals have struggled for years, especially after the peak of the pandemic. Some recently reduced services or laid off staff.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More on Health Care ","tag":"health-care"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Hospitals have pointed to a number of factors for their distressed state — increased labor costs, and inadequate reimbursement from public insurance programs, Medicare and Medi-Cal, and in \u003ca href=\"https://fresnoland.org/2023/03/01/reimbursements-rates-madera-hospital-closure/\">some cases private insurance.\u003c/a>\u003c/p>\n\u003cp>Some hospitals began to ask the state for help late last year, but the closure of Madera Community Hospital prompted more urgency from lawmakers. It shut its doors after Trinity Health, a large Catholic health system, pulled out of negotiations to purchase the hospital.\u003c/p>\n\u003cp>Madera Community Hospital in the San Joaquin Valley was the only general acute care hospital in the county of about 160,000 people. The closest emergency rooms are about \u003ca href=\"https://www.fresnobee.com/news/local/article272712840.html\">30 and 40 minutes drive away in Fresno and Merced\u003c/a>.\u003c/p>\n\u003cp>The Distressed Hospital Loan Program closes at the end of 2031. Hospitals will get an 18-month grace period and then will have to repay loans over a six-year period.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11959175/17-california-hospitals-accept-millions-interest-free-loans","authors":["byline_news_11959175"],"categories":["news_457","news_8"],"tags":["news_29464","news_2632","news_33026","news_18538","news_29546","news_37","news_33025","news_18659","news_4032","news_33024"],"affiliates":["news_18481"],"featImg":"news_11959187","label":"news_18481"},"news_11958245":{"type":"posts","id":"news_11958245","meta":{"index":"posts_1591205157","site":"news","id":"11958245","score":null,"sort":[1692133232000]},"guestAuthors":[],"slug":"3-california-hospitals-declared-bankruptcy-this-year-health-chains-could-keep-them-alive","title":"3 California Hospitals Declared Bankruptcy This Year. Health Chains Could Keep Them Alive","publishDate":1692133232,"format":"standard","headTitle":"3 California Hospitals Declared Bankruptcy This Year. Health Chains Could Keep Them Alive | KQED","labelTerm":{},"content":"\u003cp>\u003cem>Lea esta historia en \u003ca href=\"https://calmatters.org/calmatters-en-espanol/2023/08/tres-hospitales-de-california-se-declararon-en-bancarrota-este-ano-y-las-cadenas-de-servicios-de-salud-podrian-mantenerlos-con-vida/\">español\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Three California hospitals that declared bankruptcy earlier this year are hashing out deals that could bring back or save much-needed health-care services for their communities.\u003c/p>\n\u003cp>Defunct Madera Community Hospital in the San Joaquin Valley, cash-strapped Beverly Community Hospital east of Los Angeles and Hazel Hawkins Memorial Hospital in rural San Benito County are trying to clinch lifelines in deals with health chains that have a reputation for revitalizing distressed hospitals.\u003c/p>\n\u003cp>The proposals are far from the finish line, but they present a glimpse of hope for residents who face longer journeys to emergency rooms and increased risk when local medical centers close. Two of the three — Madera Community and Hazel Hawkins — are the only hospitals in their counties.\u003c/p>\n\u003cp>“This is really great news. There will be a number of stages, and the first stage is for [partnering chains] to indicate their interest,” said state Sen. Anna Caballero, a Democrat whose district includes Madera and San Benito counties. “Now there’s a lot of work that has to happen in a very quick period of time.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Madera Community, which shut down at the start of the year, is trying to secure a management agreement with Adventist Health, \u003ca href=\"https://www.definitivehc.com/resources/healthcare-insights/top-largest-california-health-systems-number-beds#:~:text=Which%20health%20systems%20have%20the,the%20top%20of%20our%20list.\">the seventh largest health system\u003c/a> in the state. As proposed, Adventist would take over operations of \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">the closed hospital\u003c/a> and its affiliated rural clinics. If all goes according to plan, Madera Community could reopen in six-to-nine months.\u003c/p>\n\u003cp>Adventist Health is also a candidate to buy Beverly Community Hospital in the city of Montebello outside of Los Angeles. That hospital has to secure a deal ahead of a key bankruptcy court deadline this week.\u003c/p>\n\u003cp>Meanwhile, Hazel Hawkins Memorial Hospital in Hollister recently announced a proposed “lease to own” partnership with American Advanced Management, a company that operates six other California hospitals.\u003c/p>\n\u003cp>The three are among a handful of hospitals that in the past year or so publicly announced their financial troubles. The state responded this spring with a \u003ca href=\"https://calmatters.org/health/2023/05/hospital-closures-california-2/\">$300 million interest-free loan program\u003c/a> that can provide emergency funds to hospitals. The state is expected to distribute the money later this month. The three bankrupt hospitals have already asked for $125 million.\u003c/p>\n\u003ch2>Saving Madera Community Hospital\u003c/h2>\n\u003cp>The proposed partnership in Madera is largely dependent on Madera Community securing an $80 million loan from the state’s \u003ca href=\"https://hcai.ca.gov/construction-finance/distressed-hospital-loan-program/\">Distressed Hospital Loan Program\u003c/a>.\u003c/p>\n\u003cp>Karen Paolinelli, chief executive of Madera Community Hospital, told CalMatters that while she recognizes the requested amount is substantial, her hospital is the only one that is currently closed. “It is very expensive to reopen a hospital,” she said. “We don’t want to just reopen, we want to be sustainable; we don’t want to be back here in a couple of years.”[pullquote size=\"medium\" align=\"right\" citation=\"Karen Paolinelli, chief executive of Madera Community Hospital\"]‘We don’t want to just reopen, we want to be sustainable; we don’t want to be back here in a couple of years.’[/pullquote]Madera is also awaiting \u003ca href=\"https://sd14.senate.ca.gov/news/press-release/caballero-bigelow-land-budget-deal-madera-hospital-allowing-it-continue-provide\">another $5 million in state funding\u003c/a> that was granted in last year’s budget but placed on hold when the hospital closed.\u003c/p>\n\u003cp>In a \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">letter outlining its terms (PDF)\u003c/a>, Adventist Health said it will require at least $55 million to fund staffing, supplies, maintenance, training and services in the first year, and another $30 million in the second year. Madera Community Hospital would have to pay Adventist a management fee.\u003c/p>\n\u003cp>In exchange, the health system would provide its management expertise and personnel to support Madera’s reopening. According to the proposal, Adventist would have the option to purchase the hospital after three years.\u003c/p>\n\u003cfigure id=\"attachment_11958264\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11958264\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-800x533.jpeg\" alt=\"Empty building covered with a tarp.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-800x533.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1020x680.jpeg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-160x107.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1536x1024.jpeg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1920x1280.jpeg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM.jpeg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Outlines of the Madera Community Hospital sign being covered by a tarp at the Emergency Room entrance of the hospital on Jan. 2, 2023. Madera County Sheriff Tyson Pogue announced a state of emergency for the county when the hospital shut its doors due to bankruptcy. \u003ccite>(Larry Valenzuela, CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Paolinelli said a management agreement is the hospital’s best bet at reopening. It has not found a buyer for a straightforward sale. Paolinelli said she has not discussed with Adventist whether she will stay on as head of the hospital.\u003c/p>\n\u003cp>Adventist Health has experience reopening closed hospitals. For example, five years ago Adventist reopened and rebranded what was once known as \u003ca href=\"https://www.visaliatimesdelta.com/story/news/2019/04/30/tulare-regional-medical-center-no-more-adventist-makes-official/3621956002/\">Tulare Regional Medical Center\u003c/a>. That hospital is now Adventist Health Tulare.\u003c/p>\n\u003ch2>Obstacles to Beverly hospital’s sale\u003c/h2>\n\u003cp>Beverly Community, a 202-bed hospital in Montebello east of Los Angeles, filed for bankruptcy in April. It \u003ca href=\"https://beverly.org/public-notice-march-16-2023/\">suspended a number of services\u003c/a> by June, including maternity, pediatric and outpatient radiology.\u003c/p>\n\u003cp>The Attorney General’s office last month announced the conditional approval of the hospital’s sale to a Glendale-based chain called American Healthcare Systems. That proposed deal is quickly dissolving.\u003c/p>\n\u003cp>According to bankruptcy court documents, bondholders raised concerns about American Healthcare Systems’ ability to support the hospital financially. Recent filings show that Beverly Hospital is now exploring an alternative transaction with Adventist Health.\u003c/p>\n\u003cp>“Given Beverly Hospital’s critically low cash position and as of now uncertainty about state funding (from loan program), the bid from Adventist Health represents Beverly’s greatest chance of continuing to serve the community it has served for the past 75 years,” said Justin Bernbrock, a lawyer for Beverly Hospital.\u003c/p>\n\u003cp>This month will be key for the hospital. Beverly is losing about $5 million a month and projects to run out of cash by September, court documents show. The hospital applied for $35 million from the Distressed Hospital Loan Program.\u003c/p>\n\u003cp>On Thursday, the hospital is due to present a deal proposal to a bankruptcy court judge.\u003c/p>\n\u003ch2>Hazel Hawkins takes first step with potential partner\u003c/h2>\n\u003cp>The 25-bed Hazel Hawkins Memorial Hospital is San Benito County’s sole hospital. After months of looking for potential partners, management at Hazel Hawkins recently announced that it received a “letter of intent” from Modesto-based American Advanced Management.\u003c/p>\n\u003cp>The small chain is a private, for-profit company that operates six other hospitals in the state. It’s proposing to lease Hazel Hawkins \u003ca href=\"https://www.hazelhawkins.com/documents/content/8.7.23-SBHCD-Board-of-Directors-Special-Meeting.pdf\">for five-to-10 years (PDF)\u003c/a> before having the option to purchase the hospital.\u003c/p>\n\u003cp>American Advanced Management has taken over a handful of distressed or closed hospitals in rural parts of the state, \u003ca href=\"https://americanam.org/locations/\">according to its website\u003c/a>. These include Coalinga Regional Medical Center, Glenn Medical Center and Colusa Medical Center.\u003c/p>\n\u003cp>Hazel Hawkins is part of a publicly governed health care district, and the deal would need to be approved by the district’s board and by county voters.[aside tag=\"hospital\" label=\"More Related Stories\"]Hospital leaders sought a partner that, among other things, “possessed the resources to guarantee a continuum of care delivery for the future needs of our county,” Mary Casillas, interim CEO at Hazel Hawkins, said in a statement.\u003c/p>\n\u003cp>Hazel Hawkins declared a fiscal crisis late last year, and in May filed for Chapter 9 bankruptcy, but has continued to provide services. Last month, the hospital \u003ca href=\"https://www.hazelhawkins.com/documents/content/7.27.23-SBHCD-Board-of-Directors-Meeting.pdf\">applied for $10 million (PDF)\u003c/a> from the state’s Distressed Hospital Loan Program. If the hospital is approved for this loan, it would be in addition to a separate $3 million loan it received from the state in January.\u003c/p>\n\u003cp>In its May bankruptcy filings, the hospital said it expected to run out of cash in November 2024. At least one group, the California Nurses Association, has questioned whether the hospital filed for bankruptcy prematurely. The nurses union said it has asked the hospital to explain how it calculates its projections but has not received answers.\u003c/p>\n\u003cp>According to its financial statements, the hospital reported earnings of just over \u003ca href=\"https://siera.hcai.ca.gov/ProfileCharacteristics.aspx\">$2 million in calendar year 2022\u003c/a>.\u003c/p>\n\u003cp>The union represents about 120 nurses at Hazel Hawkins. Filing for bankruptcy, according to the union, has prompted nurses to leave for jobs in other hospitals, leaving staff there shorthanded.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"http://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Of the 3 troubled California hospitals, 2 are especially vital to their communities because they’re the only emergency providers in their rural counties. Health-care chains could keep them afloat.","status":"publish","parent":0,"modified":1694456270,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1385},"headData":{"title":"3 California Hospitals Declared Bankruptcy This Year. Health Chains Could Keep Them Alive | KQED","description":"Of the 3 troubled California hospitals, 2 are especially vital to their communities because they’re the only emergency providers in their rural counties. Health-care chains could keep them afloat.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"3 California Hospitals Declared Bankruptcy This Year. Health Chains Could Keep Them Alive","datePublished":"2023-08-15T21:00:32.000Z","dateModified":"2023-09-11T18:17:50.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"Calmatters","sourceUrl":"https://calmatters.org/health/2023/08/bankrupt-california-hospitals-health-chains/","nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11958245/3-california-hospitals-declared-bankruptcy-this-year-health-chains-could-keep-them-alive","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Lea esta historia en \u003ca href=\"https://calmatters.org/calmatters-en-espanol/2023/08/tres-hospitales-de-california-se-declararon-en-bancarrota-este-ano-y-las-cadenas-de-servicios-de-salud-podrian-mantenerlos-con-vida/\">español\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Three California hospitals that declared bankruptcy earlier this year are hashing out deals that could bring back or save much-needed health-care services for their communities.\u003c/p>\n\u003cp>Defunct Madera Community Hospital in the San Joaquin Valley, cash-strapped Beverly Community Hospital east of Los Angeles and Hazel Hawkins Memorial Hospital in rural San Benito County are trying to clinch lifelines in deals with health chains that have a reputation for revitalizing distressed hospitals.\u003c/p>\n\u003cp>The proposals are far from the finish line, but they present a glimpse of hope for residents who face longer journeys to emergency rooms and increased risk when local medical centers close. Two of the three — Madera Community and Hazel Hawkins — are the only hospitals in their counties.\u003c/p>\n\u003cp>“This is really great news. There will be a number of stages, and the first stage is for [partnering chains] to indicate their interest,” said state Sen. Anna Caballero, a Democrat whose district includes Madera and San Benito counties. “Now there’s a lot of work that has to happen in a very quick period of time.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Madera Community, which shut down at the start of the year, is trying to secure a management agreement with Adventist Health, \u003ca href=\"https://www.definitivehc.com/resources/healthcare-insights/top-largest-california-health-systems-number-beds#:~:text=Which%20health%20systems%20have%20the,the%20top%20of%20our%20list.\">the seventh largest health system\u003c/a> in the state. As proposed, Adventist would take over operations of \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">the closed hospital\u003c/a> and its affiliated rural clinics. If all goes according to plan, Madera Community could reopen in six-to-nine months.\u003c/p>\n\u003cp>Adventist Health is also a candidate to buy Beverly Community Hospital in the city of Montebello outside of Los Angeles. That hospital has to secure a deal ahead of a key bankruptcy court deadline this week.\u003c/p>\n\u003cp>Meanwhile, Hazel Hawkins Memorial Hospital in Hollister recently announced a proposed “lease to own” partnership with American Advanced Management, a company that operates six other California hospitals.\u003c/p>\n\u003cp>The three are among a handful of hospitals that in the past year or so publicly announced their financial troubles. The state responded this spring with a \u003ca href=\"https://calmatters.org/health/2023/05/hospital-closures-california-2/\">$300 million interest-free loan program\u003c/a> that can provide emergency funds to hospitals. The state is expected to distribute the money later this month. The three bankrupt hospitals have already asked for $125 million.\u003c/p>\n\u003ch2>Saving Madera Community Hospital\u003c/h2>\n\u003cp>The proposed partnership in Madera is largely dependent on Madera Community securing an $80 million loan from the state’s \u003ca href=\"https://hcai.ca.gov/construction-finance/distressed-hospital-loan-program/\">Distressed Hospital Loan Program\u003c/a>.\u003c/p>\n\u003cp>Karen Paolinelli, chief executive of Madera Community Hospital, told CalMatters that while she recognizes the requested amount is substantial, her hospital is the only one that is currently closed. “It is very expensive to reopen a hospital,” she said. “We don’t want to just reopen, we want to be sustainable; we don’t want to be back here in a couple of years.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We don’t want to just reopen, we want to be sustainable; we don’t want to be back here in a couple of years.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Karen Paolinelli, chief executive of Madera Community Hospital","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Madera is also awaiting \u003ca href=\"https://sd14.senate.ca.gov/news/press-release/caballero-bigelow-land-budget-deal-madera-hospital-allowing-it-continue-provide\">another $5 million in state funding\u003c/a> that was granted in last year’s budget but placed on hold when the hospital closed.\u003c/p>\n\u003cp>In a \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">letter outlining its terms (PDF)\u003c/a>, Adventist Health said it will require at least $55 million to fund staffing, supplies, maintenance, training and services in the first year, and another $30 million in the second year. Madera Community Hospital would have to pay Adventist a management fee.\u003c/p>\n\u003cp>In exchange, the health system would provide its management expertise and personnel to support Madera’s reopening. According to the proposal, Adventist would have the option to purchase the hospital after three years.\u003c/p>\n\u003cfigure id=\"attachment_11958264\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11958264\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-800x533.jpeg\" alt=\"Empty building covered with a tarp.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-800x533.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1020x680.jpeg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-160x107.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1536x1024.jpeg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1920x1280.jpeg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM.jpeg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Outlines of the Madera Community Hospital sign being covered by a tarp at the Emergency Room entrance of the hospital on Jan. 2, 2023. Madera County Sheriff Tyson Pogue announced a state of emergency for the county when the hospital shut its doors due to bankruptcy. \u003ccite>(Larry Valenzuela, CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Paolinelli said a management agreement is the hospital’s best bet at reopening. It has not found a buyer for a straightforward sale. Paolinelli said she has not discussed with Adventist whether she will stay on as head of the hospital.\u003c/p>\n\u003cp>Adventist Health has experience reopening closed hospitals. For example, five years ago Adventist reopened and rebranded what was once known as \u003ca href=\"https://www.visaliatimesdelta.com/story/news/2019/04/30/tulare-regional-medical-center-no-more-adventist-makes-official/3621956002/\">Tulare Regional Medical Center\u003c/a>. That hospital is now Adventist Health Tulare.\u003c/p>\n\u003ch2>Obstacles to Beverly hospital’s sale\u003c/h2>\n\u003cp>Beverly Community, a 202-bed hospital in Montebello east of Los Angeles, filed for bankruptcy in April. It \u003ca href=\"https://beverly.org/public-notice-march-16-2023/\">suspended a number of services\u003c/a> by June, including maternity, pediatric and outpatient radiology.\u003c/p>\n\u003cp>The Attorney General’s office last month announced the conditional approval of the hospital’s sale to a Glendale-based chain called American Healthcare Systems. That proposed deal is quickly dissolving.\u003c/p>\n\u003cp>According to bankruptcy court documents, bondholders raised concerns about American Healthcare Systems’ ability to support the hospital financially. Recent filings show that Beverly Hospital is now exploring an alternative transaction with Adventist Health.\u003c/p>\n\u003cp>“Given Beverly Hospital’s critically low cash position and as of now uncertainty about state funding (from loan program), the bid from Adventist Health represents Beverly’s greatest chance of continuing to serve the community it has served for the past 75 years,” said Justin Bernbrock, a lawyer for Beverly Hospital.\u003c/p>\n\u003cp>This month will be key for the hospital. Beverly is losing about $5 million a month and projects to run out of cash by September, court documents show. The hospital applied for $35 million from the Distressed Hospital Loan Program.\u003c/p>\n\u003cp>On Thursday, the hospital is due to present a deal proposal to a bankruptcy court judge.\u003c/p>\n\u003ch2>Hazel Hawkins takes first step with potential partner\u003c/h2>\n\u003cp>The 25-bed Hazel Hawkins Memorial Hospital is San Benito County’s sole hospital. After months of looking for potential partners, management at Hazel Hawkins recently announced that it received a “letter of intent” from Modesto-based American Advanced Management.\u003c/p>\n\u003cp>The small chain is a private, for-profit company that operates six other hospitals in the state. It’s proposing to lease Hazel Hawkins \u003ca href=\"https://www.hazelhawkins.com/documents/content/8.7.23-SBHCD-Board-of-Directors-Special-Meeting.pdf\">for five-to-10 years (PDF)\u003c/a> before having the option to purchase the hospital.\u003c/p>\n\u003cp>American Advanced Management has taken over a handful of distressed or closed hospitals in rural parts of the state, \u003ca href=\"https://americanam.org/locations/\">according to its website\u003c/a>. These include Coalinga Regional Medical Center, Glenn Medical Center and Colusa Medical Center.\u003c/p>\n\u003cp>Hazel Hawkins is part of a publicly governed health care district, and the deal would need to be approved by the district’s board and by county voters.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"hospital","label":"More Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Hospital leaders sought a partner that, among other things, “possessed the resources to guarantee a continuum of care delivery for the future needs of our county,” Mary Casillas, interim CEO at Hazel Hawkins, said in a statement.\u003c/p>\n\u003cp>Hazel Hawkins declared a fiscal crisis late last year, and in May filed for Chapter 9 bankruptcy, but has continued to provide services. Last month, the hospital \u003ca href=\"https://www.hazelhawkins.com/documents/content/7.27.23-SBHCD-Board-of-Directors-Meeting.pdf\">applied for $10 million (PDF)\u003c/a> from the state’s Distressed Hospital Loan Program. If the hospital is approved for this loan, it would be in addition to a separate $3 million loan it received from the state in January.\u003c/p>\n\u003cp>In its May bankruptcy filings, the hospital said it expected to run out of cash in November 2024. At least one group, the California Nurses Association, has questioned whether the hospital filed for bankruptcy prematurely. The nurses union said it has asked the hospital to explain how it calculates its projections but has not received answers.\u003c/p>\n\u003cp>According to its financial statements, the hospital reported earnings of just over \u003ca href=\"https://siera.hcai.ca.gov/ProfileCharacteristics.aspx\">$2 million in calendar year 2022\u003c/a>.\u003c/p>\n\u003cp>The union represents about 120 nurses at Hazel Hawkins. Filing for bankruptcy, according to the union, has prompted nurses to leave for jobs in other hospitals, leaving staff there shorthanded.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"http://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11958245/3-california-hospitals-declared-bankruptcy-this-year-health-chains-could-keep-them-alive","authors":["byline_news_11958245"],"categories":["news_31795","news_457","news_8"],"tags":["news_33026","news_22772","news_33025","news_18543","news_21770","news_18659","news_33024"],"featImg":"news_11958263","label":"source_news_11958245"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. 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