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Ibarra\u003c/a> and \u003ca href=\"https://calmatters.org/author/nicole-foy/\">Nicole Foy\u003c/a>","isLoading":false},"byline_news_11679167":{"type":"authors","id":"byline_news_11679167","meta":{"override":true},"slug":"byline_news_11679167","name":"\u003ca href=\"https://www.bokovitz.com/\" rel=\"noopener\" target=\"_blank\">Bo Kovitz\u003c/a> and \u003ca href=\"https://journalism.berkeley.edu/person/hao_guo/\" rel=\"noopener\" target=\"_blank\">Hao Guo\u003c/a>","isLoading":false},"byline_news_11623564":{"type":"authors","id":"byline_news_11623564","meta":{"override":true},"slug":"byline_news_11623564","name":"\u003cstrong>Jason McDowell\u003c/strong>","isLoading":false},"ohubertallen":{"type":"authors","id":"102","meta":{"index":"authors_1591205172","id":"102","found":true},"name":"Olivia Allen-Price","firstName":"Olivia","lastName":"Allen-Price","slug":"ohubertallen","email":"oallenprice@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"Senior Editor","bio":"Olivia Allen-Price is senior editor and host of the award-winning Bay Curious podcast. Prior to joining KQED in 2013, Olivia worked at The Baltimore Sun and The Virginian-Pilot in Norfolk, Va. She holds degrees in journalism and political science from Elon University. Her work has earned awards from the Society of Professional Journalists, the Hearst Foundation and Hearken. She loves to talk about running and curly hair.\r\n\r\nFollow: \u003ca href=\"https://twitter.com/oallenprice\">@oallenprice\u003c/a>\r\nEmail: \u003ca href=\"mailto:oallenprice@kqed.org\">oallenprice@kqed.org\u003c/a>","avatar":"https://secure.gravatar.com/avatar/fdd38db811fcf449bd7d7db84a39eea1?s=600&d=blank&r=g","twitter":"oallenprice","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"","roles":["editor"]},{"site":"arts","roles":["subscriber"]},{"site":"styleguide","roles":["administrator"]},{"site":"news","roles":["administrator"]},{"site":"pop","roles":["administrator"]},{"site":"bayareabites","roles":["contributor"]},{"site":"stateofhealth","roles":["administrator"]},{"site":"science","roles":["editor"]},{"site":"breakingnews","roles":["administrator"]}],"headData":{"title":"Olivia Allen-Price | KQED","description":"Senior Editor","ogImgSrc":"https://secure.gravatar.com/avatar/fdd38db811fcf449bd7d7db84a39eea1?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/fdd38db811fcf449bd7d7db84a39eea1?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/ohubertallen"},"adembosky":{"type":"authors","id":"3205","meta":{"index":"authors_1591205172","id":"3205","found":true},"name":"April Dembosky","firstName":"April","lastName":"Dembosky","slug":"adembosky","email":"adembosky@kqed.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Health Correspondent","bio":"April Dembosky is the health correspondent for KQED News and a regular contributor to NPR. She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"},"lesleymcclurg":{"type":"authors","id":"11229","meta":{"index":"authors_1591205172","id":"11229","found":true},"name":"Lesley McClurg","firstName":"Lesley","lastName":"McClurg","slug":"lesleymcclurg","email":"lmcclurg@KQED.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Health Correspondent","bio":"\u003cspan style=\"font-weight: 400;\">Lesley McClurg is a health correspondent and fill-in host. \u003c/span>\u003cspan style=\"font-weight: 400;\">Her work is regularly rebroadcast on numerous NPR and PBS shows. She has won several regional Emmy awards, a regional and a national Edward R. Murrow award. The Association for Health Journalists awarded Lesley best beat coverage. The Society of Professional Journalists has recognized her reporting several times. The Society of Environmental Journalists spotlighted her ongoing coverage of California's historic drought. \u003c/span>\u003cspan style=\"font-weight: 400;\">Before joining KQED in 2016, she covered food and sustainability for Capital Public Radio, the environment for Colorado Public Radio, and reported for both KUOW and KCTS9 in Seattle. \u003c/span>\u003cspan style=\"font-weight: 400;\">When not hunched over her laptop Lesley enjoys skiing with her toddler, surfing with her husband or scheming their next globetrotting adventure. Before motherhood she relished dancing tango till sunrise. When on deadline she fuels herself almost exclusively on chocolate chips.\u003c/span>\r\n\r\n\u003cspan style=\"font-weight: 400;\"> \u003c/span>","avatar":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twitter":"lesleywmcclurg","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Lesley McClurg | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lesleymcclurg"},"lsarah":{"type":"authors","id":"11626","meta":{"index":"authors_1591205172","id":"11626","found":true},"name":"Lakshmi Sarah","firstName":"Lakshmi","lastName":"Sarah","slug":"lsarah","email":"lsarah@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"Digital Producer","bio":"Lakshmi Sarah is an educator, author and journalist with a focus on innovative storytelling. She has worked with newspapers, radio and magazines from Ahmedabad, India to Los Angeles, California. She has written and produced for Die Zeit, Global Voices, AJ+, KQED, Fusion Media Group and the New York Times.","avatar":"https://secure.gravatar.com/avatar/652dcaecd8b28826fc17a8b2d6bb4e93?s=600&d=blank&r=g","twitter":"lakitalki","facebook":null,"instagram":"https://www.instagram.com/laki.talki/","linkedin":"https://www.linkedin.com/in/lakisarah/","sites":[{"site":"arts","roles":["editor"]},{"site":"news","roles":["editor"]},{"site":"bayareabites","roles":["editor"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Lakshmi Sarah | KQED","description":"Digital Producer","ogImgSrc":"https://secure.gravatar.com/avatar/652dcaecd8b28826fc17a8b2d6bb4e93?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/652dcaecd8b28826fc17a8b2d6bb4e93?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lsarah"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"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"},"news_11938681":{"type":"posts","id":"news_11938681","meta":{"index":"posts_1591205157","site":"news","id":"11938681","score":null,"sort":[1674250776000]},"guestAuthors":[],"slug":"a-central-valley-community-lost-its-only-hospital-more-statewide-closures-may-follow","title":"A Central Valley Community Lost Its Only Hospital. More Statewide Closures May Follow","publishDate":1674250776,"format":"standard","headTitle":"CALmatters | KQED News","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>In Madera County, one-fifth of residents live in poverty and many don’t have health insurance.\u003c/p>\n\u003cp>The last thing this largely rural, Latino-majority part of the San Joaquin Valley needed was for its only general hospital to close its doors.\u003c/p>\n\u003cp>But years of financial struggles forced the 106-bed Madera Community Hospital and its three clinics to shut down completely in early January. The \u003ca href=\"https://www.maderahospital.org/documents/Press-Release.jpg\">COVID-19 pandemic pushed the 51-year-old hospital over the brink\u003c/a>, hospital leaders said.[pullquote align=\"right\" size=\"medium\" citation=\"State Sen. Anna Caballero (D-Merced)\"]'It's a disaster. This is a facility that people depend on. This is a loss of services that is going to be really felt in many of our small communities.'[/pullquote]\u003c/p>\n\u003cp>Now the hospital’s board and local officials are scrambling for solutions, including searching for a new potential buyer. And Madera Community is just one example of California hospitals in financial distress. State lawmakers and industry leaders caution that other nonprofit hospitals are in a dire fiscal situation and, without assistance, could potentially close.\u003c/p>\n\u003cp>“It’s a disaster. This is a facility that people depend on,” said Democratic \u003ca href=\"https://calmatters.org/legislator-tracker/anna-caballero-1955/\">state Sen. Anna Caballero\u003c/a>, who represents the Madera area. “This is a loss of services that is going to be really felt in many of our small communities.”\u003c/p>\n\u003cp>Esther Vargas, 73, knows it. She said it was common for residents in her small community of La Vina to rely on physicians associated with Madera Community Hospital for a variety of health issues that many believe are linked to their area’s exposure to frequent fumigation and crop burning.\u003c/p>\n\u003cp>On particularly bad air days, she said, she can barely go outside without her throat closing up. Now, if she has an asthma attack, she’ll likely have to travel 20 miles farther to an emergency room in Fresno. “I’m going to miss having the hospital,” Vargas said in Spanish.\u003c/p>\n\u003cp>Madera Community, an independent nonprofit private hospital, was the only place adults could go for emergency services within the county. (Madera is also home to Valley Children’s, a pediatric hospital.) And until late December, the hospital was scheduled to be sold to Trinity Health, a nonprofit Catholic health care system that owns Saint Agnes Medical Center in Fresno. The state attorney general’s office, which regulates health care mergers that involve a nonprofit, said Trinity Health pulled out of negotiations after refusing to meet important conditions, which included price caps, as well as maintaining language services, charity programs and privileges for existing staff.\u003c/p>\n\u003cp>“These minimal conditions were necessary because without them, the communities could not be assured of even basic essential services,” the attorney general’s office said in a statement.\u003c/p>\n\u003cp>The California Hospital Association has pushed back on \u003ca href=\"https://oag.ca.gov/system/files/media/madera-community-hospital-decision-12152022.pdf\">the attorney general’s conditions (PDF)\u003c/a>, arguing that some of the requirements were too strict in a situation where the goal was to save a hospital from financial collapse. These conditions are supposed to protect consumers, but in this case, the industry association argues, they did the opposite, forcing the hospital to close and leaving Madera patients with less access to care.\u003c/p>\n\u003cfigure id=\"attachment_11938687\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11938687\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-800x533.jpg\" alt='An electronic road sign that reads \"ER and Hospital Closed\" with trees and a big puddle in the backrgound' width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A road sign announcing the closure of the emergency room and all of Madera Community Hospital outside the main entrance on Jan. 2, 2023. \u003ccite>(Larry Valenzuela/CalMatters-CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>'At a tipping point'\u003c/h2>\n\u003cp>Madera Community Hospital’s \u003ca href=\"https://sieraarchiveexternal-oshpd-web-prd.azurewebsites.net/\">financial records\u003c/a>, as kept by the state, show the hospital had been unstable even years prior to the pandemic. The \u003ca href=\"https://www.maderahospital.org/documents/madera-initial-rpt-11032022-redacted.pdf\">hospital’s recent losses were tied to increases in day-to-day costs\u003c/a>, which are difficult to cover for long periods, especially for hospitals with limited reserves, according to one analysis prepared by health economists for the attorney general.\u003c/p>\n\u003cp>Caballero said Madera’s hospital officials first approached her last July in search of help. The state promised the hospital $5 million to keep services running while it finalized its negotiations with Trinity Health. That money was supposed to go to Madera Community Hospital early this year, but that aid is no longer available now that the hospital is closed, Caballero said.\u003c/p>\n\u003cp>The hospital now would likely need a lot more than $5 million to reopen its doors.\u003c/p>\n\u003cp>“They’re not the only hospital. There are other hospitals in very similar situations,” Caballero said. “So my guess is that whatever solution we come up with for Madera has to be able to work for other hospitals as well.”\u003c/p>\n\u003cp>Madera Community, like other hospitals that serve largely lower-income patients, for years had been underfunded, said Carmela Coyle, president of the California Hospital Association.\u003c/p>\n\u003cp>Those hospitals depend largely on government-funded programs, such as Medi-Cal, the state’s health insurance program for lower-income residents, and Medicare, the insurance program for those 65 and older and those with disabilities. Those programs tend to pay providers \u003ca href=\"https://www.aha.org/fact-sheets/2020-01-07-fact-sheet-underpayment-medicare-and-medicaid\">below the cost of care\u003c/a> and \u003ca href=\"https://www.kff.org/medicare/issue-brief/how-much-more-than-medicare-do-private-insurers-pay-a-review-of-the-literature/\">less than what private insurance pays\u003c/a>. In addition, the significant expenses of responding to the COVID-19 pandemic, including paying for expensive travel nurses who came from out of state or other parts of California, overwhelmed the hospital, Coyle said.[pullquote align=\"right\" size=\"medium\" citation=\"Gary Herbst, CEO, Kaweah Health Medical Center\"]'I'm very frustrated with our state. The governor and the Legislature were celebrating their record $100 billion budget surplus last fiscal year, while hospitals have been pleading with the state for help.'[/pullquote]Trinity Health officials did not answer questions about what specifically in the attorney general’s conditions prompted it to pull out of the deal with Madera Community Hospital, but in a statement from Saint Agnes Medical Center, officials simply said they could not move forward given the “complex circumstances and the additional conditions imposed by the AG.”\u003c/p>\n\u003cp>Coyle said the conditions that set price caps on contract rates and services for a period of five years were likely a major concern. If a buyer is limited in how it can renegotiate contracts with insurance companies because of price caps, then it would be difficult for Trinity Health to pull Madera Community Hospital out of financial trouble, she said.\u003c/p>\n\u003cp>Mirroring a national trend, half of California’s \u003ca href=\"https://www.chcf.org/publication/2022-edition-california-hospitals/\">337 hospitals\u003c/a> are \u003ca href=\"https://www.kaufmanhall.com/sites/default/files/2022-11/KH-NHFR_2022-11.pdf\">operating in the red (PDF)\u003c/a>, Coyle said. And at least a handful of them could soon be in a situation like Madera’s or, at the least, be forced to make significant cuts, she said.\u003c/p>\n\u003cp>“We are at a tipping point. Madera is just the first one,” she said.\u003c/p>\n\u003cp>Late last year, 25-bed Hazel Hawkins Memorial Hospital in Hollister declared a financial emergency and announced it was running out of money. It implemented hiring freezes and wage reductions. The hospital recently received a $3 million loan from the \u003ca href=\"https://www.treasurer.ca.gov/chffa/\">California Health Facilities Financing Authority\u003c/a>, allowing it to keep operating for at least a couple of months.\u003c/p>\n\u003cp>“With this loan and other operational savings endeavors, we have extended the date the District will run out of cash to mid-March,” Mary Casillas, interim CEO of Hazel Hawkins, said in a statement. Casillas said the hospital’s plan is to search for other funding opportunities and partnerships that could help it extend this date.\u003c/p>\n\u003cp>Gary Herbst, CEO of Kaweah Health Medical Center in Visalia — \u003ca href=\"https://www.kaweahhealth.org/about-us/\">a 613-bed hospital\u003c/a> that is Tulare County’s largest — is another hospital official \u003ca href=\"https://www.visaliatimesdelta.com/story/opinion/2022/11/10/kaweah-health-ceo-gary-k-herbst-california-governor-gavin-newsom/10662524002/\">sounding the alarm\u003c/a>.\u003c/p>\n\u003cp>In just the first half of the fiscal year that ends in June, Kaweah has lost about $37 million. If that trend continues, Herbst said, he expects his hospital will see a record loss of about $75 million for fiscal year 2023. For comparison, in fiscal year 2019, prior to the pandemic, the hospital reported a net income of about $28 million, according to internal financial summaries shared with CalMatters.[aside label=\"Related Stories\" postID=\"news_11938546,news_11937928,news_11921717\"]Herbst noted that in the first years of the pandemic, some of the hospital’s losses were offset by federal COVID relief dollars, but that aid is now largely gone. Yet some of his largest expenses, including contracted labor, are ongoing. “Two months ago I had 240 bedside [registered nurses] that were traveling, and I’m paying $200 or more an hour for them,” Herbst said. “We’ve never been that high in contract labor.”\u003c/p>\n\u003cp>Looking to save money, his hospital laid off 130 employees last year, largely administrative staff, Herbst said. Also, top officials have taken pay cuts, the hospital has frozen 401(k) contributions, and now it’s looking to limit the number of elective surgeries it performs on Medi-Cal patients, Herbst said.\u003c/p>\n\u003cp>“I’m very frustrated with our state,” Herbst said. “The governor and the Legislature were celebrating their record $100 billion budget surplus last fiscal year, while hospitals have been pleading with the state for help.”\u003c/p>\n\u003cp>But the \u003ca href=\"https://calmatters.org/california-budget/2023/01/california-budget-newsom-deficit/\">state’s financial outlook\u003c/a> has changed dramatically, with the state now facing a deficit estimated at $22.5 billion. Still, the need is so great, Coyle said, that the hospital association is asking the state for $1.5 billion in one-time immediate financial relief.\u003c/p>\n\u003cp>While that money was not included in Gov. Gavin Newsom’s recent budget proposal, hospitals will lobby so that it is prioritized in the May budget revision, Coyle said. For a longer-term solution, hospital officials want the Legislature to improve Medi-Cal reimbursement rates.\u003c/p>\n\u003ch2>A community in need\u003c/h2>\n\u003cp>Madera County is largely rural, stretching from thousands of acres of almond orchards on the San Joaquin Valley floor to the Sierra Nevada and Yosemite National Park in the east. Many residents in the majority-Latino county work in agriculture, and the presence of thousands of Indigenous Oaxacans helped elect the \u003ca href=\"https://www.fresnobee.com/vida-en-el-valle/noticias/california-es/fresno/article256301187.html\">first person of Mixteca descent\u003c/a> to the Madera City Council in 2021. Census data shows that about 22% of county residents live in poverty and 60% of the 23,783 emergency room visits that Madera Community Hospital recorded from January to September last year involved Medi-Cal patients.\u003c/p>\n\u003cp>Research has shown the negative effects of hospital closures in rural communities, both on residents’ health and the local economy, as hospitals also tend to be large employers. One 2019 study showed that hospital closures in rural areas \u003ca href=\"https://www.nber.org/system/files/working_papers/w26182/w26182.pdf\">increased mortality rates (PDF)\u003c/a> for medical emergencies, such as strokes and sepsis, by nearly 9%.\u003c/p>\n\u003cp>“I think it’s going to lead to more death and more advanced disease that we will see in both the short term and the long term,” said Susana Ramirez, public health communication professor at UC Merced.\u003c/p>\n\u003cp>“We have all of these social, structural and environmental factors that contribute to bad health in this community and we have less infrastructure to help us get healthy,” Ramirez said.\u003c/p>\n\u003cp>Pedro Dominguez, 80, struggled to hold back tears during a recent interview with CalMatters in the Madera offices of the \u003ca href=\"https://www.centrobinacional.org/\">Binational Center for the Development of Oaxacan Indigenous Communities\u003c/a> as he described the situation facing the community. He wasn’t worried for himself, he said, but for his wife, who has severe asthma and other health issues. While they could find new doctors or drive to emergency care in Fresno or Clovis, he also worries about people who don't have transportation or the money to do the same.\u003c/p>\n\u003cp>“Many people don’t know who to turn to,” Dominguez said in Spanish.\u003c/p>\n\u003cfigure id=\"attachment_11938685\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11938685\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-800x533.jpg\" alt=\"An older Latino man with a blue shirt and a blue cap looks at the camera with arms crossed, looking worried, houses blurred out in the background.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Madera resident 80-year-old Pedro Dominguez standing near a busy street in town on Jan. 12, 2023. Dominguez said the recent closure of the hospital has him concerned for his wife, Elpidia Sanchez de Jesús, who suffers from asthma. \u003ccite>(Larry Valenzuela/CalMatters-CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For primary care, some are turning to \u003ca href=\"https://www.kvpr.org/local-news/2023-01-13/questions-still-left-as-madera-county-loses-hospital-three-clinics-in-one-month\">other local clinic systems\u003c/a> like Camarena Health, another nonprofit that operates 18 health centers in the county. But those clinics can only absorb so many new patients.\u003c/p>\n\u003cp>Both Madera and Fresno counties have declared emergencies due to the strain on local hospitals and emergency services. Robert Poythress, a Madera County supervisor and secretary of the hospital's board of trustees, said the “domino effect” ranges from law enforcement increasingly leaving the county to take incarcerated people to Fresno hospitals, to Madera residents no longer being able to walk to the hospital for familiar medical assistance.\u003c/p>\n\u003cp>“There’s certain people that, other than the ER, aren’t going to miss Madera Community because they never used Madera Community,” Poythress said, explaining that some residents who can afford private insurance already prefer to see doctors in Fresno. “It’s the people who are the most disadvantaged, those are the people who are getting hurt the most.”\u003c/p>\n\u003cp>The closure of Madera’s only general hospital leaves the county’s public health department without a primary tool. Most of the county’s public health programs were in some way linked to the hospital, said Sara Bosse, public health director for Madera County.\u003c/p>\n\u003cp>“It impacts how referrals come to our programs,” Bosse said. “Many families were identified through labor and delivery, for example, as needing WIC (Women, Infants and Children) services or home visitation services. We were able to connect with people who were in critical moments of life and health.”\u003c/p>\n\u003cp>The department is now having to make those connections with hospitals outside its county, primarily in Fresno and Merced.\u003c/p>\n\u003cp>There is also the issue of transportation, which was already a chief concern. Now it’s going to be exacerbated as people will have to travel at least 30 minutes to the next closest hospital. People who relied on the hospital’s clinics will also need to find other primary care providers, which could delay care.\u003c/p>\n\u003cp>Elsa Mejia, the Madera mayor pro tem, said she’s been fielding questions from constituents, including many who are Indigenous Oaxacans like herself and her family, who are shocked by the closure and looking for assistance. She said officials working to reopen the hospital need to remember how urgently an “already disadvantaged community” like Madera needs a hospital.\u003c/p>\n\u003cp>“We already have issues here like poverty, access and language barriers,” Mejia said. “It was already very difficult for us and now it’s just gone, we’re stripped of it. It just makes everything a lot worse.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Under post-pandemic financial strain, the lone community hospital in the Central Valley county of Madera closed its doors this month. Legislators and industry officials say other hospitals across the state may suffer the same fate, with half of California's 337 hospitals estimated to be in the red.","status":"publish","parent":0,"modified":1674251733,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":44,"wordCount":2460},"headData":{"title":"A Central Valley Community Lost Its Only Hospital. More Statewide Closures May Follow | KQED","description":"Under post-pandemic financial strain, the lone community hospital in the Central Valley county of Madera closed its doors this month. Legislators and industry officials say other hospitals across the state may suffer the same fate, with half of California's 337 hospitals estimated to be in the red.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"A Central Valley Community Lost Its Only Hospital. More Statewide Closures May Follow","datePublished":"2023-01-20T21:39:36.000Z","dateModified":"2023-01-20T21:55:33.000Z","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"}}},"nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a> and \u003ca href=\"https://calmatters.org/author/nicole-foy/\">Nicole Foy\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11938681/a-central-valley-community-lost-its-only-hospital-more-statewide-closures-may-follow","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In Madera County, one-fifth of residents live in poverty and many don’t have health insurance.\u003c/p>\n\u003cp>The last thing this largely rural, Latino-majority part of the San Joaquin Valley needed was for its only general hospital to close its doors.\u003c/p>\n\u003cp>But years of financial struggles forced the 106-bed Madera Community Hospital and its three clinics to shut down completely in early January. The \u003ca href=\"https://www.maderahospital.org/documents/Press-Release.jpg\">COVID-19 pandemic pushed the 51-year-old hospital over the brink\u003c/a>, hospital leaders said.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'It's a disaster. This is a facility that people depend on. This is a loss of services that is going to be really felt in many of our small communities.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"State Sen. Anna Caballero (D-Merced)","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Now the hospital’s board and local officials are scrambling for solutions, including searching for a new potential buyer. And Madera Community is just one example of California hospitals in financial distress. State lawmakers and industry leaders caution that other nonprofit hospitals are in a dire fiscal situation and, without assistance, could potentially close.\u003c/p>\n\u003cp>“It’s a disaster. This is a facility that people depend on,” said Democratic \u003ca href=\"https://calmatters.org/legislator-tracker/anna-caballero-1955/\">state Sen. Anna Caballero\u003c/a>, who represents the Madera area. “This is a loss of services that is going to be really felt in many of our small communities.”\u003c/p>\n\u003cp>Esther Vargas, 73, knows it. She said it was common for residents in her small community of La Vina to rely on physicians associated with Madera Community Hospital for a variety of health issues that many believe are linked to their area’s exposure to frequent fumigation and crop burning.\u003c/p>\n\u003cp>On particularly bad air days, she said, she can barely go outside without her throat closing up. Now, if she has an asthma attack, she’ll likely have to travel 20 miles farther to an emergency room in Fresno. “I’m going to miss having the hospital,” Vargas said in Spanish.\u003c/p>\n\u003cp>Madera Community, an independent nonprofit private hospital, was the only place adults could go for emergency services within the county. (Madera is also home to Valley Children’s, a pediatric hospital.) And until late December, the hospital was scheduled to be sold to Trinity Health, a nonprofit Catholic health care system that owns Saint Agnes Medical Center in Fresno. The state attorney general’s office, which regulates health care mergers that involve a nonprofit, said Trinity Health pulled out of negotiations after refusing to meet important conditions, which included price caps, as well as maintaining language services, charity programs and privileges for existing staff.\u003c/p>\n\u003cp>“These minimal conditions were necessary because without them, the communities could not be assured of even basic essential services,” the attorney general’s office said in a statement.\u003c/p>\n\u003cp>The California Hospital Association has pushed back on \u003ca href=\"https://oag.ca.gov/system/files/media/madera-community-hospital-decision-12152022.pdf\">the attorney general’s conditions (PDF)\u003c/a>, arguing that some of the requirements were too strict in a situation where the goal was to save a hospital from financial collapse. These conditions are supposed to protect consumers, but in this case, the industry association argues, they did the opposite, forcing the hospital to close and leaving Madera patients with less access to care.\u003c/p>\n\u003cfigure id=\"attachment_11938687\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11938687\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-800x533.jpg\" alt='An electronic road sign that reads \"ER and Hospital Closed\" with trees and a big puddle in the backrgound' width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/010423-MaderCommnityHospital-LV_12-CM-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A road sign announcing the closure of the emergency room and all of Madera Community Hospital outside the main entrance on Jan. 2, 2023. \u003ccite>(Larry Valenzuela/CalMatters-CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>'At a tipping point'\u003c/h2>\n\u003cp>Madera Community Hospital’s \u003ca href=\"https://sieraarchiveexternal-oshpd-web-prd.azurewebsites.net/\">financial records\u003c/a>, as kept by the state, show the hospital had been unstable even years prior to the pandemic. The \u003ca href=\"https://www.maderahospital.org/documents/madera-initial-rpt-11032022-redacted.pdf\">hospital’s recent losses were tied to increases in day-to-day costs\u003c/a>, which are difficult to cover for long periods, especially for hospitals with limited reserves, according to one analysis prepared by health economists for the attorney general.\u003c/p>\n\u003cp>Caballero said Madera’s hospital officials first approached her last July in search of help. The state promised the hospital $5 million to keep services running while it finalized its negotiations with Trinity Health. That money was supposed to go to Madera Community Hospital early this year, but that aid is no longer available now that the hospital is closed, Caballero said.\u003c/p>\n\u003cp>The hospital now would likely need a lot more than $5 million to reopen its doors.\u003c/p>\n\u003cp>“They’re not the only hospital. There are other hospitals in very similar situations,” Caballero said. “So my guess is that whatever solution we come up with for Madera has to be able to work for other hospitals as well.”\u003c/p>\n\u003cp>Madera Community, like other hospitals that serve largely lower-income patients, for years had been underfunded, said Carmela Coyle, president of the California Hospital Association.\u003c/p>\n\u003cp>Those hospitals depend largely on government-funded programs, such as Medi-Cal, the state’s health insurance program for lower-income residents, and Medicare, the insurance program for those 65 and older and those with disabilities. Those programs tend to pay providers \u003ca href=\"https://www.aha.org/fact-sheets/2020-01-07-fact-sheet-underpayment-medicare-and-medicaid\">below the cost of care\u003c/a> and \u003ca href=\"https://www.kff.org/medicare/issue-brief/how-much-more-than-medicare-do-private-insurers-pay-a-review-of-the-literature/\">less than what private insurance pays\u003c/a>. In addition, the significant expenses of responding to the COVID-19 pandemic, including paying for expensive travel nurses who came from out of state or other parts of California, overwhelmed the hospital, Coyle said.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I'm very frustrated with our state. The governor and the Legislature were celebrating their record $100 billion budget surplus last fiscal year, while hospitals have been pleading with the state for help.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Gary Herbst, CEO, Kaweah Health Medical Center","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Trinity Health officials did not answer questions about what specifically in the attorney general’s conditions prompted it to pull out of the deal with Madera Community Hospital, but in a statement from Saint Agnes Medical Center, officials simply said they could not move forward given the “complex circumstances and the additional conditions imposed by the AG.”\u003c/p>\n\u003cp>Coyle said the conditions that set price caps on contract rates and services for a period of five years were likely a major concern. If a buyer is limited in how it can renegotiate contracts with insurance companies because of price caps, then it would be difficult for Trinity Health to pull Madera Community Hospital out of financial trouble, she said.\u003c/p>\n\u003cp>Mirroring a national trend, half of California’s \u003ca href=\"https://www.chcf.org/publication/2022-edition-california-hospitals/\">337 hospitals\u003c/a> are \u003ca href=\"https://www.kaufmanhall.com/sites/default/files/2022-11/KH-NHFR_2022-11.pdf\">operating in the red (PDF)\u003c/a>, Coyle said. And at least a handful of them could soon be in a situation like Madera’s or, at the least, be forced to make significant cuts, she said.\u003c/p>\n\u003cp>“We are at a tipping point. Madera is just the first one,” she said.\u003c/p>\n\u003cp>Late last year, 25-bed Hazel Hawkins Memorial Hospital in Hollister declared a financial emergency and announced it was running out of money. It implemented hiring freezes and wage reductions. The hospital recently received a $3 million loan from the \u003ca href=\"https://www.treasurer.ca.gov/chffa/\">California Health Facilities Financing Authority\u003c/a>, allowing it to keep operating for at least a couple of months.\u003c/p>\n\u003cp>“With this loan and other operational savings endeavors, we have extended the date the District will run out of cash to mid-March,” Mary Casillas, interim CEO of Hazel Hawkins, said in a statement. Casillas said the hospital’s plan is to search for other funding opportunities and partnerships that could help it extend this date.\u003c/p>\n\u003cp>Gary Herbst, CEO of Kaweah Health Medical Center in Visalia — \u003ca href=\"https://www.kaweahhealth.org/about-us/\">a 613-bed hospital\u003c/a> that is Tulare County’s largest — is another hospital official \u003ca href=\"https://www.visaliatimesdelta.com/story/opinion/2022/11/10/kaweah-health-ceo-gary-k-herbst-california-governor-gavin-newsom/10662524002/\">sounding the alarm\u003c/a>.\u003c/p>\n\u003cp>In just the first half of the fiscal year that ends in June, Kaweah has lost about $37 million. If that trend continues, Herbst said, he expects his hospital will see a record loss of about $75 million for fiscal year 2023. For comparison, in fiscal year 2019, prior to the pandemic, the hospital reported a net income of about $28 million, according to internal financial summaries shared with CalMatters.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11938546,news_11937928,news_11921717"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Herbst noted that in the first years of the pandemic, some of the hospital’s losses were offset by federal COVID relief dollars, but that aid is now largely gone. Yet some of his largest expenses, including contracted labor, are ongoing. “Two months ago I had 240 bedside [registered nurses] that were traveling, and I’m paying $200 or more an hour for them,” Herbst said. “We’ve never been that high in contract labor.”\u003c/p>\n\u003cp>Looking to save money, his hospital laid off 130 employees last year, largely administrative staff, Herbst said. Also, top officials have taken pay cuts, the hospital has frozen 401(k) contributions, and now it’s looking to limit the number of elective surgeries it performs on Medi-Cal patients, Herbst said.\u003c/p>\n\u003cp>“I’m very frustrated with our state,” Herbst said. “The governor and the Legislature were celebrating their record $100 billion budget surplus last fiscal year, while hospitals have been pleading with the state for help.”\u003c/p>\n\u003cp>But the \u003ca href=\"https://calmatters.org/california-budget/2023/01/california-budget-newsom-deficit/\">state’s financial outlook\u003c/a> has changed dramatically, with the state now facing a deficit estimated at $22.5 billion. Still, the need is so great, Coyle said, that the hospital association is asking the state for $1.5 billion in one-time immediate financial relief.\u003c/p>\n\u003cp>While that money was not included in Gov. Gavin Newsom’s recent budget proposal, hospitals will lobby so that it is prioritized in the May budget revision, Coyle said. For a longer-term solution, hospital officials want the Legislature to improve Medi-Cal reimbursement rates.\u003c/p>\n\u003ch2>A community in need\u003c/h2>\n\u003cp>Madera County is largely rural, stretching from thousands of acres of almond orchards on the San Joaquin Valley floor to the Sierra Nevada and Yosemite National Park in the east. Many residents in the majority-Latino county work in agriculture, and the presence of thousands of Indigenous Oaxacans helped elect the \u003ca href=\"https://www.fresnobee.com/vida-en-el-valle/noticias/california-es/fresno/article256301187.html\">first person of Mixteca descent\u003c/a> to the Madera City Council in 2021. Census data shows that about 22% of county residents live in poverty and 60% of the 23,783 emergency room visits that Madera Community Hospital recorded from January to September last year involved Medi-Cal patients.\u003c/p>\n\u003cp>Research has shown the negative effects of hospital closures in rural communities, both on residents’ health and the local economy, as hospitals also tend to be large employers. One 2019 study showed that hospital closures in rural areas \u003ca href=\"https://www.nber.org/system/files/working_papers/w26182/w26182.pdf\">increased mortality rates (PDF)\u003c/a> for medical emergencies, such as strokes and sepsis, by nearly 9%.\u003c/p>\n\u003cp>“I think it’s going to lead to more death and more advanced disease that we will see in both the short term and the long term,” said Susana Ramirez, public health communication professor at UC Merced.\u003c/p>\n\u003cp>“We have all of these social, structural and environmental factors that contribute to bad health in this community and we have less infrastructure to help us get healthy,” Ramirez said.\u003c/p>\n\u003cp>Pedro Dominguez, 80, struggled to hold back tears during a recent interview with CalMatters in the Madera offices of the \u003ca href=\"https://www.centrobinacional.org/\">Binational Center for the Development of Oaxacan Indigenous Communities\u003c/a> as he described the situation facing the community. He wasn’t worried for himself, he said, but for his wife, who has severe asthma and other health issues. While they could find new doctors or drive to emergency care in Fresno or Clovis, he also worries about people who don't have transportation or the money to do the same.\u003c/p>\n\u003cp>“Many people don’t know who to turn to,” Dominguez said in Spanish.\u003c/p>\n\u003cfigure id=\"attachment_11938685\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11938685\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-800x533.jpg\" alt=\"An older Latino man with a blue shirt and a blue cap looks at the camera with arms crossed, looking worried, houses blurred out in the background.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/01/011223-Madera-Hospital-portrait-LV_04-CM-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Madera resident 80-year-old Pedro Dominguez standing near a busy street in town on Jan. 12, 2023. Dominguez said the recent closure of the hospital has him concerned for his wife, Elpidia Sanchez de Jesús, who suffers from asthma. \u003ccite>(Larry Valenzuela/CalMatters-CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For primary care, some are turning to \u003ca href=\"https://www.kvpr.org/local-news/2023-01-13/questions-still-left-as-madera-county-loses-hospital-three-clinics-in-one-month\">other local clinic systems\u003c/a> like Camarena Health, another nonprofit that operates 18 health centers in the county. But those clinics can only absorb so many new patients.\u003c/p>\n\u003cp>Both Madera and Fresno counties have declared emergencies due to the strain on local hospitals and emergency services. Robert Poythress, a Madera County supervisor and secretary of the hospital's board of trustees, said the “domino effect” ranges from law enforcement increasingly leaving the county to take incarcerated people to Fresno hospitals, to Madera residents no longer being able to walk to the hospital for familiar medical assistance.\u003c/p>\n\u003cp>“There’s certain people that, other than the ER, aren’t going to miss Madera Community because they never used Madera Community,” Poythress said, explaining that some residents who can afford private insurance already prefer to see doctors in Fresno. “It’s the people who are the most disadvantaged, those are the people who are getting hurt the most.”\u003c/p>\n\u003cp>The closure of Madera’s only general hospital leaves the county’s public health department without a primary tool. Most of the county’s public health programs were in some way linked to the hospital, said Sara Bosse, public health director for Madera County.\u003c/p>\n\u003cp>“It impacts how referrals come to our programs,” Bosse said. “Many families were identified through labor and delivery, for example, as needing WIC (Women, Infants and Children) services or home visitation services. We were able to connect with people who were in critical moments of life and health.”\u003c/p>\n\u003cp>The department is now having to make those connections with hospitals outside its county, primarily in Fresno and Merced.\u003c/p>\n\u003cp>There is also the issue of transportation, which was already a chief concern. Now it’s going to be exacerbated as people will have to travel at least 30 minutes to the next closest hospital. People who relied on the hospital’s clinics will also need to find other primary care providers, which could delay care.\u003c/p>\n\u003cp>Elsa Mejia, the Madera mayor pro tem, said she’s been fielding questions from constituents, including many who are Indigenous Oaxacans like herself and her family, who are shocked by the closure and looking for assistance. She said officials working to reopen the hospital need to remember how urgently an “already disadvantaged community” like Madera needs a hospital.\u003c/p>\n\u003cp>“We already have issues here like poverty, access and language barriers,” Mejia said. “It was already very difficult for us and now it’s just gone, we’re stripped of it. It just makes everything a lot worse.”\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":"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/11938681/a-central-valley-community-lost-its-only-hospital-more-statewide-closures-may-follow","authors":["byline_news_11938681"],"categories":["news_457","news_8"],"tags":["news_311","news_21770","news_28324","news_32316"],"affiliates":["news_18481"],"featImg":"news_11938686","label":"news_18481"},"news_11872278":{"type":"posts","id":"news_11872278","meta":{"index":"posts_1591205157","site":"news","id":"11872278","score":null,"sort":[1620264038000]},"guestAuthors":[],"slug":"another-cost-of-the-pandemic-dying-alone","title":"Another Cost of the Pandemic: Dying Alone","publishDate":1620264038,"format":"audio","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>For more than a year during the pandemic, families could not sit by the bedside of a sick loved one during their final days.\u003c/p>\n\u003cp>Only through a phone call from a doctor or nurse did sons, daughters, husbands and wives find out a family member had died.\u003c/p>\n\u003cp>Because coronavirus protocols prevented hospital and nursing home patients from receiving visitors, even if they didn't have COVID, Kenneth Newton never got to say goodbye to his 92-year-old mother.\u003c/p>\n\u003cp>Newton, from Petaluma, had never imagined his mom would die basically alone. Last winter she developed a tumor while living in a Tennessee nursing home, and she quickly declined. Newton longed to visit, but it was against the rules.\u003c/p>\n\u003cp>His mom saw people who delivered food and gave her medicine, and Newton and his four siblings called regularly. But otherwise, she was on her own, entirely without family by her side. Last January, he finally received the dreaded call.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"My mom didn't die of COVID, but COVID did not make my mom's last year good,\" Newton said. \"She was by herself. And I don't think this is how it's supposed to be.\"\u003c/p>\n\u003cp>The family didn't plan a memorial because they didn't feel safe traveling. So instead of grieving in person with his brothers, sisters, aunts and uncles, Newton has talked to them over the phone, mostly discussing his mom's estate — the last thing he wants to be doing.\u003c/p>\n\u003cp>\"I'm dealing with the mechanics and logistics,” Newton said. “The things that kind of make you feel worse in some ways. The things that you feel guilty about.\"\u003c/p>\n\u003cp>What he really wants is closure.\u003c/p>\n\u003cp>\"I didn't get to say goodbye.\"\u003c/p>\n\u003cp>He chokes back tears.\u003c/p>\n\u003cp>\"We're supposed to cry with everyone around us.\"\u003c/p>\n\u003cp>\u003cb>Rules Too Strict?\u003c/b>\u003c/p>\n\u003cp>During the pandemic, most hospitals, nursing homes and assisted living facilities have been following visitor \u003ca href=\"https://www.cahf.org/Resources/Coronavirus\" target=\"_blank\" rel=\"noopener noreferrer\">guidelines\u003c/a> issued by the California Department of Public Health. Protocols vary depending on the transmission rates in each county. As coronavirus transmission wanes, restrictions are beginning to lift.\u003c/p>\n\u003cfigure id=\"attachment_11872354\" class=\"wp-caption alignright\" style=\"max-width: 2560px\">\u003cimg class=\"wp-image-11872354 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-1920x1440.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">An isolated patient in the COVID ICU at Mercy Hospital of Folsom, near Sacramento. \u003ccite>(Lesley McClurg/ KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Mercy Hospital of Folsom is now starting to allow visitors. But for about eight months, with visitors strictly forbidden, patients had to receive devastating diagnoses alone in hospital rooms, and families were forced to make harrowing decisions, like whether to send someone to hospice, over the phone.\u003c/p>\n\u003cp>Erin Wemmer, a palliative care coordinator at the hospital, now wonders if the rules keeping families apart were too strict.\u003c/p>\n\u003cp>\"(D)id we do the right thing? I know we had the best intentions in mind, but I think it's created a lot of secondary problems,\" she said.\u003c/p>\n\u003cp>The loosening of policies around visitors is much welcome. \"Thank god it's not what it was,\" she said. \"But it's still horrible.\"\u003c/p>\n\u003cp>\u003cb>Potential Trauma\u003c/b>\u003c/p>\n\u003cp>Palliative care is designed to help families let go when the time comes. But that's challenging to do virtually. Most of the families Wemmer has worked with during the pandemic begged doctors to keep patients alive at all costs.\u003c/p>\n\u003cp>\"I am sure we are going to be dealing with a lot of PTSD on so many different levels between our staff, the patients who do survive, and then the families,\" she said. \"How traumatic it can be for them to have that loved one in the hospital and the ups and downs of that, whether they survive or they don't survive.\"\u003c/p>\n\u003cp>She's especially concerned about the patients who spent weeks and months alone. They may never heal from the emotional trauma of so much isolation during a vulnerable time.\u003c/p>\n\u003cp>\"We have now this extra layer of separation, we're all wearing scrubs,\" said Dr. Ana Leech, director of the palliative support team at Memorial Hermann/Texas Medical Center, speaking on an American Medical Association \u003ca href=\"https://www.ama-assn.org/delivering-care/public-health/experts-discuss-how-pandemic-has-changed-palliative-care\">panel\u003c/a> in January. \"We are all wearing masks. So being able to have that empathy and communication with people has just been really challenging. We can't touch them, we can't hug them. We can't even have a smile or anything with the family.\"\u003c/p>\n\u003cp>\u003cb>The Toll on Clinicians\u003c/b>\u003c/p>\n\u003cp>High rates of depression and suicide in the medical profession have long been a \u003ca href=\"https://www.npr.org/sections/health-shots/2018/07/31/634217947/to-prevent-doctor-suicides-medical-industry-rethinks-how-doctors-work\">problem\u003c/a>, which the pandemic has only exacerbated. Numerous \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/?term=health+care+covid+mental+health\">studies\u003c/a> from around the world show clinicians are now suffering from increased PTSD, depression, anxiety and insomnia.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.medscape.com/slideshow/2020-physician-covid-experience-6013151?faf=1#1\">survey\u003c/a> released last fall by the website Medscape, nearly two-thirds of U.S. doctors said they battled intense burnout during the pandemic. A quarter of respondents said they were considering retiring earlier than previously planned, and another quarter had considered leaving patient care or medicine altogether.\u003c/p>\n\u003cp>The emotional toll has been very heavy, Wemmer says.\u003c/p>\n\u003cp>\"I tell my husband I have nothing left,\" she said.\u003c/p>\n\u003cp>COVID cases have just started picking up again at her hospital. This time patients are younger, including people under 30 who are connected to a ventilator.\u003c/p>\n\u003cp>Even though visitor restrictions have relaxed, families are still not allowed to visit loved ones with COVID, even if they're vaccinated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Meaning those patients who die still mostly do it alone.\u003c/p>\n\n","blocks":[],"excerpt":"During the pandemic, families could not visit loved ones in hospitals and nursing homes, forcing people to receive devastating diagnoses alone, families to make harrowing medical decisions over the phone, and patients to die alone.","status":"publish","parent":0,"modified":1620334336,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":872},"headData":{"title":"Another Cost of the Pandemic: Dying Alone | KQED","description":"During the pandemic, families could not visit loved ones in hospitals and nursing homes, forcing people to receive devastating diagnoses alone, families to make harrowing medical decisions over the phone, and patients to die alone.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Another Cost of the Pandemic: Dying Alone","datePublished":"2021-05-06T01:20:38.000Z","dateModified":"2021-05-06T20:52:16.000Z","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"}}},"disqusIdentifier":"11872278 https://ww2.kqed.org/news/?p=11872278","disqusUrl":"https://ww2.kqed.org/news/2021/05/05/another-cost-of-the-pandemic-dying-alone/","disqusTitle":"Another Cost of the Pandemic: Dying Alone","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2021/05/McClurgCOVIDVisitorPolicy.mp3","path":"/news/11872278/another-cost-of-the-pandemic-dying-alone","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>For more than a year during the pandemic, families could not sit by the bedside of a sick loved one during their final days.\u003c/p>\n\u003cp>Only through a phone call from a doctor or nurse did sons, daughters, husbands and wives find out a family member had died.\u003c/p>\n\u003cp>Because coronavirus protocols prevented hospital and nursing home patients from receiving visitors, even if they didn't have COVID, Kenneth Newton never got to say goodbye to his 92-year-old mother.\u003c/p>\n\u003cp>Newton, from Petaluma, had never imagined his mom would die basically alone. Last winter she developed a tumor while living in a Tennessee nursing home, and she quickly declined. Newton longed to visit, but it was against the rules.\u003c/p>\n\u003cp>His mom saw people who delivered food and gave her medicine, and Newton and his four siblings called regularly. But otherwise, she was on her own, entirely without family by her side. Last January, he finally received the dreaded call.\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>\"My mom didn't die of COVID, but COVID did not make my mom's last year good,\" Newton said. \"She was by herself. And I don't think this is how it's supposed to be.\"\u003c/p>\n\u003cp>The family didn't plan a memorial because they didn't feel safe traveling. So instead of grieving in person with his brothers, sisters, aunts and uncles, Newton has talked to them over the phone, mostly discussing his mom's estate — the last thing he wants to be doing.\u003c/p>\n\u003cp>\"I'm dealing with the mechanics and logistics,” Newton said. “The things that kind of make you feel worse in some ways. The things that you feel guilty about.\"\u003c/p>\n\u003cp>What he really wants is closure.\u003c/p>\n\u003cp>\"I didn't get to say goodbye.\"\u003c/p>\n\u003cp>He chokes back tears.\u003c/p>\n\u003cp>\"We're supposed to cry with everyone around us.\"\u003c/p>\n\u003cp>\u003cb>Rules Too Strict?\u003c/b>\u003c/p>\n\u003cp>During the pandemic, most hospitals, nursing homes and assisted living facilities have been following visitor \u003ca href=\"https://www.cahf.org/Resources/Coronavirus\" target=\"_blank\" rel=\"noopener noreferrer\">guidelines\u003c/a> issued by the California Department of Public Health. Protocols vary depending on the transmission rates in each county. As coronavirus transmission wanes, restrictions are beginning to lift.\u003c/p>\n\u003cfigure id=\"attachment_11872354\" class=\"wp-caption alignright\" style=\"max-width: 2560px\">\u003cimg class=\"wp-image-11872354 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2029/05/IMG_7412-1920x1440.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">An isolated patient in the COVID ICU at Mercy Hospital of Folsom, near Sacramento. \u003ccite>(Lesley McClurg/ KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Mercy Hospital of Folsom is now starting to allow visitors. But for about eight months, with visitors strictly forbidden, patients had to receive devastating diagnoses alone in hospital rooms, and families were forced to make harrowing decisions, like whether to send someone to hospice, over the phone.\u003c/p>\n\u003cp>Erin Wemmer, a palliative care coordinator at the hospital, now wonders if the rules keeping families apart were too strict.\u003c/p>\n\u003cp>\"(D)id we do the right thing? I know we had the best intentions in mind, but I think it's created a lot of secondary problems,\" she said.\u003c/p>\n\u003cp>The loosening of policies around visitors is much welcome. \"Thank god it's not what it was,\" she said. \"But it's still horrible.\"\u003c/p>\n\u003cp>\u003cb>Potential Trauma\u003c/b>\u003c/p>\n\u003cp>Palliative care is designed to help families let go when the time comes. But that's challenging to do virtually. Most of the families Wemmer has worked with during the pandemic begged doctors to keep patients alive at all costs.\u003c/p>\n\u003cp>\"I am sure we are going to be dealing with a lot of PTSD on so many different levels between our staff, the patients who do survive, and then the families,\" she said. \"How traumatic it can be for them to have that loved one in the hospital and the ups and downs of that, whether they survive or they don't survive.\"\u003c/p>\n\u003cp>She's especially concerned about the patients who spent weeks and months alone. They may never heal from the emotional trauma of so much isolation during a vulnerable time.\u003c/p>\n\u003cp>\"We have now this extra layer of separation, we're all wearing scrubs,\" said Dr. Ana Leech, director of the palliative support team at Memorial Hermann/Texas Medical Center, speaking on an American Medical Association \u003ca href=\"https://www.ama-assn.org/delivering-care/public-health/experts-discuss-how-pandemic-has-changed-palliative-care\">panel\u003c/a> in January. \"We are all wearing masks. So being able to have that empathy and communication with people has just been really challenging. We can't touch them, we can't hug them. We can't even have a smile or anything with the family.\"\u003c/p>\n\u003cp>\u003cb>The Toll on Clinicians\u003c/b>\u003c/p>\n\u003cp>High rates of depression and suicide in the medical profession have long been a \u003ca href=\"https://www.npr.org/sections/health-shots/2018/07/31/634217947/to-prevent-doctor-suicides-medical-industry-rethinks-how-doctors-work\">problem\u003c/a>, which the pandemic has only exacerbated. Numerous \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/?term=health+care+covid+mental+health\">studies\u003c/a> from around the world show clinicians are now suffering from increased PTSD, depression, anxiety and insomnia.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.medscape.com/slideshow/2020-physician-covid-experience-6013151?faf=1#1\">survey\u003c/a> released last fall by the website Medscape, nearly two-thirds of U.S. doctors said they battled intense burnout during the pandemic. A quarter of respondents said they were considering retiring earlier than previously planned, and another quarter had considered leaving patient care or medicine altogether.\u003c/p>\n\u003cp>The emotional toll has been very heavy, Wemmer says.\u003c/p>\n\u003cp>\"I tell my husband I have nothing left,\" she said.\u003c/p>\n\u003cp>COVID cases have just started picking up again at her hospital. This time patients are younger, including people under 30 who are connected to a ventilator.\u003c/p>\n\u003cp>Even though visitor restrictions have relaxed, families are still not allowed to visit loved ones with COVID, even if they're vaccinated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Meaning those patients who die still mostly do it alone.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11872278/another-cost-of-the-pandemic-dying-alone","authors":["11229"],"categories":["news_457","news_8","news_356"],"tags":["news_29216","news_27504","news_21770","news_29321"],"featImg":"news_11872279","label":"news"},"news_11817046":{"type":"posts","id":"news_11817046","meta":{"index":"posts_1591205157","site":"news","id":"11817046","score":null,"sort":[1588953646000]},"guestAuthors":[],"slug":"from-ebola-to-coronavirus-a-simple-practice-of-sticker-photo-portraits-for-doctors","title":"From Ebola to Coronavirus — A Simple Practice of Sticker-Photo Portraits for Health Care Workers","publishDate":1588953646,"format":"audio","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>The scene has become a familiar one at COVID-19 testing centers: health care workers clad in head-to-toe personal protective equipment with eyes peeking out behind an N95 mask and goggles. Expressions and smiles are hidden behind a protective layer.\u003c/p>\n\u003cp>The image becomes even more stark when thinking of those alone, in isolation. “The stories of people dying alone with no one in their room except an occasional masked health care worker struck the psyche of the country,” said L.A.-based artist Mary Beth Heffernan. “That has been the turning point in the U.S. for realizing that there's a need to make a human connection.” [pullquote size=\"small\" align=\"right\" citation=\"Mary Beth Heffernan, artist\"]\"The stories of people dying alone with no one in their room except an occasional masked health care worker struck the psyche of the country\"[/pullquote]\u003c/p>\n\u003cp>Heffernan is trying to create that human connection by printing photographs of health care workers faces on stickers. They are placed on the chest of their protective suit so patients can see what they look like. She teamed up with Stanford research scientist Cati Brown-Johnson in April to pilot the program at a Stanford drive-through coronavirus test site.\u003c/p>\n\u003cfigure id=\"attachment_11817050\" class=\"wp-caption alignnone\" style=\"max-width: 737px\">\u003cimg class=\"size-full wp-image-11817050\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/01_MBH-and-Zoe-Dewalt-RN2.jpg\" alt=\"\" width=\"737\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/01_MBH-and-Zoe-Dewalt-RN2.jpg 737w, https://ww2.kqed.org/app/uploads/sites/10/2020/05/01_MBH-and-Zoe-Dewalt-RN2-160x130.jpg 160w\" sizes=\"(max-width: 737px) 100vw, 737px\">\u003cfigcaption class=\"wp-caption-text\">Mary Beth Heffernan applies a PPE portrait to the apron of Zoe Dewalt, a nurse at an Ebola treatment unit in Paynesville, Liberia, in 2015. \u003ccite>(Courtesy of Marc Campos, Occidental College)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s a simple way to personalize the experience, but one that works. Heffernan knows because she piloted the concept in Liberia in 2015 during the Ebola crisis.\u003c/p>\n\u003ch3>Lessons From Liberia\u003c/h3>\n\u003cp>In 2014, while on sabbatical from teaching at Occidental College in L.A., Heffernan saw a powerful image — three health care workers in head-to-toe protective gear looking like some kind of “evil platypus.” As she recalls, “there was something both futuristic and primitive about the get up, as if it were a kind of low rent costume from a Star Wars movie — I just found it incredibly disturbing and frightening to think about what it would be like to be a patient.”\u003c/p>\n\u003cp>Her gut reaction was to create an imagined picture of the health care worker on the outside of the protective suit.\u003c/p>\n\u003cp>She began reading detailed accounts about Ebola, and specifically, accounts of patients and doctors. Reading accounts of those who survived, and had gone through isolation, “they felt completely dehumanized,” she said.\u003c/p>\n\u003cp>She set aside her other projects and plunged in to explore options for rural Liberia, “how to take portraits of health care workers and print them out on adhesive labels without electricity?”\u003c/p>\n\u003cp>After extensive research, she emailed \u003ca href=\"https://www.ted.com/speakers/soka_moses\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. J. Soka Moses\u003c/a> in Liberia. He responded enthusiastically, and a month later Dr. Moses Massaquoi — then chair of Ebola Case Management for Liberia — issued her an invitation to Liberia (\u003ca href=\"https://www.npr.org/sections/goatsandsoda/2015/04/09/397853271/an-artists-brainstorm-put-photos-on-those-faceless-ebola-suits\" target=\"_blank\" rel=\"noopener noreferrer\">NPR\u003c/a> featured the original project in 2015).\u003c/p>\n\u003cp>In February 2015, she was on a plane to Liberia partnering directly with the government, “not a white woman-sort-of-freelancer-do-gooder, but invited by case management of Liberia,” she said. As she unloaded her six large boxes of printers, vinyl labels and water-resistant ink and supplies, a fellow passenger asked if she was moving to Liberia. She stayed for three weeks, left her supplies and returned to the U.S.\u003c/p>\n\u003cp>According to Jennifer Giovanni, head of infection control at a treatment center in a rural part of Liberia, the project did start working. Giovanni said the photos have made a huge difference — not only for the patients.\u003c/p>\n\u003ch3>The Portrait Project Pilots at Stanford\u003c/h3>\n\u003cp>Fast forward to today and Heffernan is now partnered with Stanford to bring the PPE portrait project to life again in an effort to share how much warmth a simple photo sticker can bring.\u003c/p>\n\u003cp>As the novel coronavirus escalated, Stanford research scientist Cati Brown-Johnson remembered seeing Heffernan’s prior work and thought, “This needs to be happening right this second.”\u003c/p>\n\u003cp>“It's very simple, very straightforward,” Brown-Johnson said.\u003c/p>\n\u003cp>The pilot project has since expanded to provide portrait stickers for Stanford Hospital’s health care workers in primary and palliative care and at least 10 other U.S. locations, including \u003ca href=\"http://www.ppeportrait.org/\" target=\"_blank\" rel=\"noopener noreferrer\">UMass and USC-Keck\u003c/a>, are in various stages of implementation. Heffernan also said people in Italy and Canada have contacted her to find out how they might do something similar.\u003c/p>\n\u003cfigure id=\"attachment_11817053\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11817053\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-800x1043.jpg\" alt=\"\" width=\"800\" height=\"1043\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-800x1043.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-160x209.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-1020x1330.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-1920x2503.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Winnie Teuteberg, at Stanford, works in the field of hospice and palliative medicine. \u003ccite>(Winnie Teuteberg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Brown-Johnson’s research is in humanism and the connection between doctor and patient. “I get really interested in things that help patients heal themselves,” she said.\u003c/p>\n\u003cp>Brown-Johnson said a patient's mindset can become more positive when a provider is warm and competent. \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6619399/\" target=\"_blank\" rel=\"noopener noreferrer\">Research\u003c/a> is beginning to \u003ca href=\"https://profiles.stanford.edu/catibrownjohnson?tab=publications\" target=\"_blank\" rel=\"noopener noreferrer\">reflect this\u003c/a>.\u003c/p>\n\u003cp>Although protective equipment signals competence, she said, there's also \"zero warmth in PPE.\"\u003c/p>\n\u003cp>Heffernan’s portraits remind patients of a provider's humanity. In addition, Brown-Johnson said health care providers told her they felt more comfortable approaching cars when they had a portrait on.\u003c/p>\n\u003cp>“That helps them feel more comfortable,” Brown-Johnson said.\u003c/p>\n\u003cp>Brown-Johnson admits that more broadly, the portraits are an extra task that needs to be done for a health care system that is already strapped. But she’s willing to get past that.\u003c/p>\n\u003cp>“I think it's really important to have a champion on site, somebody that's really excited about this, that can kind of stay on top of it — that can continue printing and printing stickers,” she said. [pullquote size=\"small\" align=\"right\" citation=\"Cati Brown-Johnson, Stanford research scientist\"]\"I really want to see this used as widely as possible and where it's not possible for some reason, I really want to encourage providers to look for ways to connect with their patients.\"[/pullquote]\u003c/p>\n\u003cp>From a scientific standpoint, Brown-Johnson said it’s also a great example of multiple simultaneous discovery. Folks at other hospitals were posting laminated portraits as part of the “\u003ca href=\"https://www.huffpost.com/entry/medical-workers-pics-smiling-covid-19-patients_l_5e8f725bc5b6b371812da523?\" target=\"_blank\" rel=\"noopener noreferrer\">share your smile movement,\u003c/a>” encouraging health professionals to wear a laminated portrait. The original concept Heffernan developed is a sticker, in part, so it can be easily thrown out with the used suit. The laminated portraits need to be disinfected each time — yet they only need to be printed once.\u003c/p>\n\u003ch3>Future Implementation\u003c/h3>\n\u003cp>Heffernan and Brown-Johnson want to share \u003ca href=\"https://med.stanford.edu/pcph/research/ppe-project.html\" target=\"_blank\" rel=\"noopener noreferrer\">how simple it is to do\u003c/a>.\u003c/p>\n\u003cp>“I really want to see this used as widely as possible and where it's not possible for some reason, I really want to encourage providers to look for ways to connect with their patients,” Brown-Johnson said. \u003cspan style=\"font-weight: 400\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003cp>In the future, Heffernan would like to see PPE portraits in all health care situations where providers are masked — such as when doctors are interacting with immunocompromised patients or pediatric oncology, where PPE is often necessary to interact with patients.[aside tag=\"coronavirus\" label=\"More Coronavirus Coverage\"]\u003c/p>\n\u003cp>For Heffernan, the portrait project stems from her artistic work, which is largely influenced by feminist art and the use of objects to change relationships.\u003c/p>\n\u003cp>But Heffernan is less concerned with terminology and more concerned with the idea that “the art is not the portrait itself, but is what it acts as a catalyst for, which is a change in relations between the health care worker and the patient. So for me, the patient and the health care worker — in a sense, are creating the art.”\u003c/p>\n\u003cp>\u003cem>For Bay Area photographers interested in signing up to take pictures, please \u003ca href=\"https://docs.google.com/forms/d/175Z5ItKbUwsG-XO6NRPZWvpufOc_SHLFeN6J1WyFF_U/viewform?edit_requested=true#responses\" target=\"_blank\" rel=\"noopener noreferrer\">fill out this form\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A project that began during the Ebola crisis, is finding renewed meaning at Stanford and hospitals across the country. ","status":"publish","parent":0,"modified":1589480470,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":1298},"headData":{"title":"From Ebola to Coronavirus — A Simple Practice of Sticker-Photo Portraits for Health Care Workers | KQED","description":"A project that began during the Ebola crisis, is finding renewed meaning at Stanford and hospitals across the country. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"From Ebola to Coronavirus — A Simple Practice of Sticker-Photo Portraits for Health Care Workers","datePublished":"2020-05-08T16:00:46.000Z","dateModified":"2020-05-14T18:21:10.000Z","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"}}},"disqusIdentifier":"11817046 https://ww2.kqed.org/news/?p=11817046","disqusUrl":"https://ww2.kqed.org/news/2020/05/08/from-ebola-to-coronavirus-a-simple-practice-of-sticker-photo-portraits-for-doctors/","disqusTitle":"From Ebola to Coronavirus — A Simple Practice of Sticker-Photo Portraits for Health Care Workers","source":"Coronavirus","sourceUrl":"https://www.kqed.org/coronavirus","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2020/05/SarahWolffeStandfordEbola2Way.mp3","path":"/news/11817046/from-ebola-to-coronavirus-a-simple-practice-of-sticker-photo-portraits-for-doctors","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The scene has become a familiar one at COVID-19 testing centers: health care workers clad in head-to-toe personal protective equipment with eyes peeking out behind an N95 mask and goggles. Expressions and smiles are hidden behind a protective layer.\u003c/p>\n\u003cp>The image becomes even more stark when thinking of those alone, in isolation. “The stories of people dying alone with no one in their room except an occasional masked health care worker struck the psyche of the country,” said L.A.-based artist Mary Beth Heffernan. “That has been the turning point in the U.S. for realizing that there's a need to make a human connection.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"\"The stories of people dying alone with no one in their room except an occasional masked health care worker struck the psyche of the country\"","name":"pullquote","attributes":{"named":{"size":"small","align":"right","citation":"Mary Beth Heffernan, artist","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Heffernan is trying to create that human connection by printing photographs of health care workers faces on stickers. They are placed on the chest of their protective suit so patients can see what they look like. She teamed up with Stanford research scientist Cati Brown-Johnson in April to pilot the program at a Stanford drive-through coronavirus test site.\u003c/p>\n\u003cfigure id=\"attachment_11817050\" class=\"wp-caption alignnone\" style=\"max-width: 737px\">\u003cimg class=\"size-full wp-image-11817050\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/01_MBH-and-Zoe-Dewalt-RN2.jpg\" alt=\"\" width=\"737\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/01_MBH-and-Zoe-Dewalt-RN2.jpg 737w, https://ww2.kqed.org/app/uploads/sites/10/2020/05/01_MBH-and-Zoe-Dewalt-RN2-160x130.jpg 160w\" sizes=\"(max-width: 737px) 100vw, 737px\">\u003cfigcaption class=\"wp-caption-text\">Mary Beth Heffernan applies a PPE portrait to the apron of Zoe Dewalt, a nurse at an Ebola treatment unit in Paynesville, Liberia, in 2015. \u003ccite>(Courtesy of Marc Campos, Occidental College)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s a simple way to personalize the experience, but one that works. Heffernan knows because she piloted the concept in Liberia in 2015 during the Ebola crisis.\u003c/p>\n\u003ch3>Lessons From Liberia\u003c/h3>\n\u003cp>In 2014, while on sabbatical from teaching at Occidental College in L.A., Heffernan saw a powerful image — three health care workers in head-to-toe protective gear looking like some kind of “evil platypus.” As she recalls, “there was something both futuristic and primitive about the get up, as if it were a kind of low rent costume from a Star Wars movie — I just found it incredibly disturbing and frightening to think about what it would be like to be a patient.”\u003c/p>\n\u003cp>Her gut reaction was to create an imagined picture of the health care worker on the outside of the protective suit.\u003c/p>\n\u003cp>She began reading detailed accounts about Ebola, and specifically, accounts of patients and doctors. Reading accounts of those who survived, and had gone through isolation, “they felt completely dehumanized,” she said.\u003c/p>\n\u003cp>She set aside her other projects and plunged in to explore options for rural Liberia, “how to take portraits of health care workers and print them out on adhesive labels without electricity?”\u003c/p>\n\u003cp>After extensive research, she emailed \u003ca href=\"https://www.ted.com/speakers/soka_moses\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. J. Soka Moses\u003c/a> in Liberia. He responded enthusiastically, and a month later Dr. Moses Massaquoi — then chair of Ebola Case Management for Liberia — issued her an invitation to Liberia (\u003ca href=\"https://www.npr.org/sections/goatsandsoda/2015/04/09/397853271/an-artists-brainstorm-put-photos-on-those-faceless-ebola-suits\" target=\"_blank\" rel=\"noopener noreferrer\">NPR\u003c/a> featured the original project in 2015).\u003c/p>\n\u003cp>In February 2015, she was on a plane to Liberia partnering directly with the government, “not a white woman-sort-of-freelancer-do-gooder, but invited by case management of Liberia,” she said. As she unloaded her six large boxes of printers, vinyl labels and water-resistant ink and supplies, a fellow passenger asked if she was moving to Liberia. She stayed for three weeks, left her supplies and returned to the U.S.\u003c/p>\n\u003cp>According to Jennifer Giovanni, head of infection control at a treatment center in a rural part of Liberia, the project did start working. Giovanni said the photos have made a huge difference — not only for the patients.\u003c/p>\n\u003ch3>The Portrait Project Pilots at Stanford\u003c/h3>\n\u003cp>Fast forward to today and Heffernan is now partnered with Stanford to bring the PPE portrait project to life again in an effort to share how much warmth a simple photo sticker can bring.\u003c/p>\n\u003cp>As the novel coronavirus escalated, Stanford research scientist Cati Brown-Johnson remembered seeing Heffernan’s prior work and thought, “This needs to be happening right this second.”\u003c/p>\n\u003cp>“It's very simple, very straightforward,” Brown-Johnson said.\u003c/p>\n\u003cp>The pilot project has since expanded to provide portrait stickers for Stanford Hospital’s health care workers in primary and palliative care and at least 10 other U.S. locations, including \u003ca href=\"http://www.ppeportrait.org/\" target=\"_blank\" rel=\"noopener noreferrer\">UMass and USC-Keck\u003c/a>, are in various stages of implementation. Heffernan also said people in Italy and Canada have contacted her to find out how they might do something similar.\u003c/p>\n\u003cfigure id=\"attachment_11817053\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11817053\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-800x1043.jpg\" alt=\"\" width=\"800\" height=\"1043\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-800x1043.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-160x209.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-1020x1330.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/05/small_05_Dr.-Winnie-Teuteberg_cred_Winnie-1920x2503.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Winnie Teuteberg, at Stanford, works in the field of hospice and palliative medicine. \u003ccite>(Winnie Teuteberg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Brown-Johnson’s research is in humanism and the connection between doctor and patient. “I get really interested in things that help patients heal themselves,” she said.\u003c/p>\n\u003cp>Brown-Johnson said a patient's mindset can become more positive when a provider is warm and competent. \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6619399/\" target=\"_blank\" rel=\"noopener noreferrer\">Research\u003c/a> is beginning to \u003ca href=\"https://profiles.stanford.edu/catibrownjohnson?tab=publications\" target=\"_blank\" rel=\"noopener noreferrer\">reflect this\u003c/a>.\u003c/p>\n\u003cp>Although protective equipment signals competence, she said, there's also \"zero warmth in PPE.\"\u003c/p>\n\u003cp>Heffernan’s portraits remind patients of a provider's humanity. In addition, Brown-Johnson said health care providers told her they felt more comfortable approaching cars when they had a portrait on.\u003c/p>\n\u003cp>“That helps them feel more comfortable,” Brown-Johnson said.\u003c/p>\n\u003cp>Brown-Johnson admits that more broadly, the portraits are an extra task that needs to be done for a health care system that is already strapped. But she’s willing to get past that.\u003c/p>\n\u003cp>“I think it's really important to have a champion on site, somebody that's really excited about this, that can kind of stay on top of it — that can continue printing and printing stickers,” she said. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"\"I really want to see this used as widely as possible and where it's not possible for some reason, I really want to encourage providers to look for ways to connect with their patients.\"","name":"pullquote","attributes":{"named":{"size":"small","align":"right","citation":"Cati Brown-Johnson, Stanford research scientist","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>From a scientific standpoint, Brown-Johnson said it’s also a great example of multiple simultaneous discovery. Folks at other hospitals were posting laminated portraits as part of the “\u003ca href=\"https://www.huffpost.com/entry/medical-workers-pics-smiling-covid-19-patients_l_5e8f725bc5b6b371812da523?\" target=\"_blank\" rel=\"noopener noreferrer\">share your smile movement,\u003c/a>” encouraging health professionals to wear a laminated portrait. The original concept Heffernan developed is a sticker, in part, so it can be easily thrown out with the used suit. The laminated portraits need to be disinfected each time — yet they only need to be printed once.\u003c/p>\n\u003ch3>Future Implementation\u003c/h3>\n\u003cp>Heffernan and Brown-Johnson want to share \u003ca href=\"https://med.stanford.edu/pcph/research/ppe-project.html\" target=\"_blank\" rel=\"noopener noreferrer\">how simple it is to do\u003c/a>.\u003c/p>\n\u003cp>“I really want to see this used as widely as possible and where it's not possible for some reason, I really want to encourage providers to look for ways to connect with their patients,” Brown-Johnson said. \u003cspan style=\"font-weight: 400\">\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/span>\u003c/p>\n\u003cp>In the future, Heffernan would like to see PPE portraits in all health care situations where providers are masked — such as when doctors are interacting with immunocompromised patients or pediatric oncology, where PPE is often necessary to interact with patients.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"coronavirus","label":"More Coronavirus Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For Heffernan, the portrait project stems from her artistic work, which is largely influenced by feminist art and the use of objects to change relationships.\u003c/p>\n\u003cp>But Heffernan is less concerned with terminology and more concerned with the idea that “the art is not the portrait itself, but is what it acts as a catalyst for, which is a change in relations between the health care worker and the patient. So for me, the patient and the health care worker — in a sense, are creating the art.”\u003c/p>\n\u003cp>\u003cem>For Bay Area photographers interested in signing up to take pictures, please \u003ca href=\"https://docs.google.com/forms/d/175Z5ItKbUwsG-XO6NRPZWvpufOc_SHLFeN6J1WyFF_U/viewform?edit_requested=true#responses\" target=\"_blank\" rel=\"noopener noreferrer\">fill out this form\u003c/a>.\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/11817046/from-ebola-to-coronavirus-a-simple-practice-of-sticker-photo-portraits-for-doctors","authors":["11626"],"categories":["news_223","news_457","news_8"],"tags":["news_20257","news_27350","news_27504","news_6822","news_27626","news_21770","news_27684"],"featImg":"news_11817047","label":"source_news_11817046"},"news_11809384":{"type":"posts","id":"news_11809384","meta":{"index":"posts_1591205157","site":"news","id":"11809384","score":null,"sort":[1585407613000]},"guestAuthors":[],"slug":"bay-area-hospitals-shift-workforce-to-free-doctors-for-coronavirus-duty","title":"Bay Area Hospitals Shift Workforce to Free Doctors for Coronavirus Duty","publishDate":1585407613,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>At the same time hospitals in California are racing to secure more beds, ventilators and masks to care for a surge of coronavirus patients, they are also scrambling to prepare — and preserve — their workforce so they don’t run out of doctors, nurses and respiratory therapists, too.\u003c/p>\n\u003cp>With health care workers among those most likely to become sick and need weeks off from work to recover or be quarantined, hospital and government officials are calling older doctors out of retirement, asking part-time staff to go full time and moving surgeons and anesthesiologists out of the operating room and into the intensive care unit and the emergency room.\u003c/p>\n\u003cp>“Anesthesiology in a lot of other countries is called anesthesia and intensive care medicine,” says Dr. Jeffrey Swisher, an anesthesiologist who specializes in liver transplants at California Pacific Medical Center in San Francisco. “Every anesthesia machine in an operating room is a ventilator as well.”\u003c/p>\n\u003cp>Instead of intubating patients for surgery, he and his machine will be repurposed for coronavirus duty in the ICU. It’s similar with other departments, now that all elective surgeries have been canceled.\u003c/p>\n\u003cp>“Orthopedic surgeons who would normally be doing hip replacements or knee replacements will be asked to come in and serve as emergency room doctors, taking care of the usual emergency room business,” Swisher says.\u003c/p>\n\u003cp>So while the regular ER doctors are taking care of COVID-19 patients, the orthopedists can tend to the folks coming in for car accidents, heart attacks and drug overdoses.\u003c/p>\n\u003cp>[aside label='Coronavirus Coverage' tag='coronavirus']\u003c/p>\n\u003cp>“Because remember, we all did internships,” Swisher says. “We all did our rotations in medical school and you don’t forget this stuff, it’s like riding a bike in a lot of ways. We might be a little rusty at it.”\u003c/p>\n\u003cp>Instead of surgery, these doctors are spending their days in training sessions.\u003c/p>\n\u003cp>But these measures still may not be enough. Researchers believe prolonged exposure to the virus itself puts doctors at higher risk of becoming seriously ill, and hospitals need to plan more time off for front-line health care workers, says Dr. Ashish Jha, professor of global health at the Harvard T.H. Chan School of Public Health.\u003c/p>\n\u003cp>“Our best understanding of the high rates of infection is really because of a combination of inadequate PPE,” he says, referring to personal protective equipment like masks, gowns and gloves, “and fatigue and just long, long work hours. People start getting tired and they just end up being a little bit less vigilant and can make mistakes.”\u003c/p>\n\u003cp>This is especially worrying, he says, “because it creates a cascade where once health care workers start getting sick, everybody else has to work more hours, which increases their risk.”\u003c/p>\n\u003cp>Preventing this vicious cycle is going to be difficult. At San Francisco General Hospital, doctors who have a health condition that puts them at risk of becoming particularly ill from COVID-19 are encouraged to stay home. Current contingency plans for filling the gaps as others become ill generally involve other physicians working more hours.\u003c/p>\n\u003cp>“People are volunteering their extra time to be part of the backup system, should residents get sick,” says Grace Taylor, a third-year resident doctor in the ER.\u003c/p>\n\u003cp>“We're talking about changing the length of people's shifts,” she adds, to allow residents to work longer than the current 80 hours per week limit.\u003c/p>\n\u003cp>Administrators say they are trying to be mindful of overtime for shift workers like doctors and nurses. “We do everything we can not to mandate overtime,” says Susan Ehrlich, CEO of SFGH. “We only do it in the most extreme of circumstances.”\u003c/p>\n\u003cp>At Sutter hospitals, Dr. Swisher says they are actively thinking about how to reduce contact with COVID-19 patients.\u003c/p>\n\u003cp>“Clearly limiting exposure is important,” he says. “We try to do that by limiting peoples’ actual presence and rotating people out and make sure they can rest.”\u003c/p>\n\u003cp>But, he adds, they haven’t figured out exactly how to do that yet.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"With health care workers among those most likely to become sick and need time off to recover or be quarantined, hospital and government officials are working to shift schedules in an effort to prepare.","status":"publish","parent":0,"modified":1585773640,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":704},"headData":{"title":"Bay Area Hospitals Shift Workforce to Free Doctors for Coronavirus Duty | KQED","description":"With health care workers among those most likely to become sick and need time off to recover or be quarantined, hospital and government officials are working to shift schedules in an effort to prepare.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Bay Area Hospitals Shift Workforce to Free Doctors for Coronavirus Duty","datePublished":"2020-03-28T15:00:13.000Z","dateModified":"2020-04-01T20:40:40.000Z","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"}}},"disqusIdentifier":"11809384 https://ww2.kqed.org/news/?p=11809384","disqusUrl":"https://ww2.kqed.org/news/2020/03/28/bay-area-hospitals-shift-workforce-to-free-doctors-for-coronavirus-duty/","disqusTitle":"Bay Area Hospitals Shift Workforce to Free Doctors for Coronavirus Duty","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/2cd2b0f4-f82c-4334-8966-ab8a012adf70/audio.mp3","path":"/news/11809384/bay-area-hospitals-shift-workforce-to-free-doctors-for-coronavirus-duty","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>At the same time hospitals in California are racing to secure more beds, ventilators and masks to care for a surge of coronavirus patients, they are also scrambling to prepare — and preserve — their workforce so they don’t run out of doctors, nurses and respiratory therapists, too.\u003c/p>\n\u003cp>With health care workers among those most likely to become sick and need weeks off from work to recover or be quarantined, hospital and government officials are calling older doctors out of retirement, asking part-time staff to go full time and moving surgeons and anesthesiologists out of the operating room and into the intensive care unit and the emergency room.\u003c/p>\n\u003cp>“Anesthesiology in a lot of other countries is called anesthesia and intensive care medicine,” says Dr. Jeffrey Swisher, an anesthesiologist who specializes in liver transplants at California Pacific Medical Center in San Francisco. “Every anesthesia machine in an operating room is a ventilator as well.”\u003c/p>\n\u003cp>Instead of intubating patients for surgery, he and his machine will be repurposed for coronavirus duty in the ICU. It’s similar with other departments, now that all elective surgeries have been canceled.\u003c/p>\n\u003cp>“Orthopedic surgeons who would normally be doing hip replacements or knee replacements will be asked to come in and serve as emergency room doctors, taking care of the usual emergency room business,” Swisher says.\u003c/p>\n\u003cp>So while the regular ER doctors are taking care of COVID-19 patients, the orthopedists can tend to the folks coming in for car accidents, heart attacks and drug overdoses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Coronavirus Coverage ","tag":"coronavirus"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Because remember, we all did internships,” Swisher says. “We all did our rotations in medical school and you don’t forget this stuff, it’s like riding a bike in a lot of ways. We might be a little rusty at it.”\u003c/p>\n\u003cp>Instead of surgery, these doctors are spending their days in training sessions.\u003c/p>\n\u003cp>But these measures still may not be enough. Researchers believe prolonged exposure to the virus itself puts doctors at higher risk of becoming seriously ill, and hospitals need to plan more time off for front-line health care workers, says Dr. Ashish Jha, professor of global health at the Harvard T.H. Chan School of Public Health.\u003c/p>\n\u003cp>“Our best understanding of the high rates of infection is really because of a combination of inadequate PPE,” he says, referring to personal protective equipment like masks, gowns and gloves, “and fatigue and just long, long work hours. People start getting tired and they just end up being a little bit less vigilant and can make mistakes.”\u003c/p>\n\u003cp>This is especially worrying, he says, “because it creates a cascade where once health care workers start getting sick, everybody else has to work more hours, which increases their risk.”\u003c/p>\n\u003cp>Preventing this vicious cycle is going to be difficult. At San Francisco General Hospital, doctors who have a health condition that puts them at risk of becoming particularly ill from COVID-19 are encouraged to stay home. Current contingency plans for filling the gaps as others become ill generally involve other physicians working more hours.\u003c/p>\n\u003cp>“People are volunteering their extra time to be part of the backup system, should residents get sick,” says Grace Taylor, a third-year resident doctor in the ER.\u003c/p>\n\u003cp>“We're talking about changing the length of people's shifts,” she adds, to allow residents to work longer than the current 80 hours per week limit.\u003c/p>\n\u003cp>Administrators say they are trying to be mindful of overtime for shift workers like doctors and nurses. “We do everything we can not to mandate overtime,” says Susan Ehrlich, CEO of SFGH. “We only do it in the most extreme of circumstances.”\u003c/p>\n\u003cp>At Sutter hospitals, Dr. Swisher says they are actively thinking about how to reduce contact with COVID-19 patients.\u003c/p>\n\u003cp>“Clearly limiting exposure is important,” he says. “We try to do that by limiting peoples’ actual presence and rotating people out and make sure they can rest.”\u003c/p>\n\u003cp>But, he adds, they haven’t figured out exactly how to do that yet.\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/11809384/bay-area-hospitals-shift-workforce-to-free-doctors-for-coronavirus-duty","authors":["3205"],"categories":["news_457","news_8"],"tags":["news_1386","news_27350","news_27504","news_27626","news_21770","news_38"],"featImg":"news_11809409","label":"news"},"news_11807823":{"type":"posts","id":"news_11807823","meta":{"index":"posts_1591205157","site":"news","id":"11807823","score":null,"sort":[1584810394000]},"guestAuthors":[],"slug":"where-to-donate-n95-masks-and-other-medical-supplies-in-the-bay-area","title":"Where to Donate N95 Masks and Other Medical Supplies in the Bay Area","publishDate":1584810394,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>\u003cem>Updated Friday, April 17, 4 p.m. to update contact information\u003c/em>\u003c/p>\n\u003cp>A shortage of medical supplies is leaving Bay Area hospitals scrambling as they contend with increasing numbers of COVID-19 patients.[aside tag=\"coronavirus\" label=\"More Related Stories\"] Doctors and nurses are reporting surgical masks and other personal protective equipment are running low at some facilities, and they are being asked to reuse supplies that are normally discarded after one use.\u003c/p>\n\u003cp>Dr. Alison Cooke, assistant chief of hospital medicine for Kaiser Permanente-San Francisco, warned recently that her institution had less than a week’s supply of medical masks for doctors and nurses. “If you have any masks or safety goggles at home, please consider giving them to your nurse and doctor neighbors,” she wrote on the neighborhood social networking site Nextdoor.\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/PHEgov/status/1240764017330790400\" target=\"_blank\" rel=\"noopener noreferrer\">Officials are releasing\u003c/a> personal protective equipment — or PPE — from the Strategic National Stockpile, and manufacturers like Honeywell and 3M have boosted production of critical medical supplies.\u003c/p>\n\u003cp>But for now, that’s not enough. So charities, corporations and ordinary Americans are stepping up, donating everything from N95 masks to hospital gowns, disinfectant wipes and hand sanitizer. Californians may be especially well-stocked at home because of dealing with wildfire smoke in recent years, and some items are common in earthquake kits.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://getusppe.org/\" target=\"_blank\" rel=\"noopener noreferrer\">GetUsPPE.org\u003c/a>\u003c/strong> is connecting PPE donors with facilities and groups in need nationwide.\u003c/p>\n\u003ch3>\u003cstrong>Donation Opportunities KQED Has Confirmed:\u003c/strong>\u003c/h3>\n\u003cp>\u003ca href=\"https://scoutexplore.com/t/P7tYEpY96IPhIXT8VDxb/public\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Map view\u003c/em>\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Alameda Health System\u003c/strong> - Seeking PPE supplies. Drop off at Fairmont Campus, Central Supply Service, 15400 Foothill Blvd., San Leandro, CA 94578. Monday to Friday, 8 a.m. – 4 p.m. Central Supply Service is located between Building E and the cafeteria. For additional details or to make a monetary donation please email \u003ca href=\"mailto:AHSF.admin@alamedahealthsystem.org\">AHSF.admin@alamedahealthsystem.org\u003c/a> or call 510-271-2500.\u003c/li>\n\u003cli>\u003cstrong>Alto Pharmacy\u003c/strong> - (\u003ca href=\"https://alto.com/blog/post/help-bay-area-healthcare-workers-fight-covid-19\">Donation website\u003c/a>) Seeking masks (N95, surgical), disposable gloves, hand sanitizer, disinfectants, disinfectant wipes, goggles. \u003ca href=\"https://alto.com/blog/post/help-bay-area-healthcare-workers-fight-covid-19\">Request a donation pickup\u003c/a> and someone will be in touch.\u003c/li>\n\u003cli>\u003cstrong>Asian Health Services\u003c/strong> — Seeking non-sterile gloves, goggles, face shields (3/4 length or full length), hand sanitizer, surgical masks, wipes and gowns. Donations may be mailed to Asian Health Services, 101 8th St., Suite 100, Oakland, CA 94607 Attn: Vicky Mak or drop off between Monday to Friday 8 a.m. to 4 p.m. If you are dropping off items, please contact Vicky Mak at 510-735-3145, and the staff will come out to get the donations.\u003c/li>\n\u003cli>\u003cstrong>City of Berkeley\u003c/strong> — Seeking N95 (expired accepted), masks, gowns, gloves, hand sanitizer, disinfectant wipes and sprays, face shields, shoe covers, goggles/eye protection, Tyvek coveralls, touchless tympanic thermometers, new digital ear thermometer probe covers, new homemade cloth face masks. Fill out Berkeley's \u003ca href=\"https://www.surveymonkey.com/r/H5625ZC\" target=\"_blank\" rel=\"noopener noreferrer\">supplies donation form\u003c/a> and they will follow up with next steps.\u003c/li>\n\u003cli>\u003cstrong>Contra Costa County\u003c/strong> — Seeking eye protection, antibacterial wipes (no baby wipes), unopened boxes of N95 and surgical masks, medical gowns. Donation centers will be open Monday - Friday, 10 a.m. - 2 p.m. Questions? Call 844-729-8410.\n\u003cul>\n\u003cli>West Contra Costa County: 151 Linus Pauling Dr., Hercules\u003c/li>\n\u003cli>Central Contra Costa County: 1750 Oak Park Blvd., Pleasant Hill\u003c/li>\n\u003cli>East Contra Costa County: 4545 Delta Fair Blvd., Antioch\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003cli>\u003cstrong>Disability Justice Culture Club\u003c/strong> — Seeking masks for distribution to disabled, unhoused, poor and other highly vulnerable people. Hand-sewn masks accepted. Drop-off location is near 87th and Bancroft avenues in Oakland. Please call in advance to arrange drop-off day/time and get the address: 301-741-6186.\u003c/li>\n\u003cli>\u003cstrong>El Camino Health\u003c/strong> — Seeking new, unopened gloves, isolation gowns, hard goggles, eye shields, shoe covers, nurse caps, germicidal disinfecting surface wipes, Clorox disinfecting wipes, masks. Please call the foundation at 650-940-7154 or email \u003ca href=\"mailto:foundation@elcaminohealth.org\">foundation@elcaminohealth.org\u003c/a> to make a donation.\u003c/li>\n\u003cli>\u003cstrong>Good Samaritan Hospital\u003c/strong> — Seeking masks (N95, surgical), disposable gloves, goggles, eye shields, industrial soap, antibacterial/disinfectant wipes. If you or your organization would like to make a donation, contact Susan Lauer, \u003ca href=\"mailto:susan.lauer@hcahealthcare.com\">susan.lauer@hcahealthcare.com\u003c/a>, 408-559-2344.\u003c/li>\n\u003cli>\u003cstrong>Hospice by the Bay\u003c/strong> — (\u003ca href=\"https://hospicebythebay.org/donors/donate-now/medical-supplies/\" target=\"_blank\" rel=\"noopener noreferrer\">Donation website\u003c/a>) Seeking non-vented googles, face shields, hand sanitizer, masks (N95, surgical, isolation), gowns. Donations can be mailed or dropped off Monday – Friday, 8:30 a.m. to 5 p.m.\n\u003cul>\n\u003cli>Larkspur: Hospice by the Bay, 17 E. Sir Francis Drake Blvd., Larkspur, CA 94939, Attention: PPE Donation\u003c/li>\n\u003cli>Sonoma: Hospice by the Bay, 355 West Napa St., Suite B, Sonoma, CA 95476, Attention: PPE Donation\u003c/li>\n\u003cli>San Francisco: Hospice by the Bay, 180 Redwood St., Suite 350, San Francisco, CA 94102, Attention: PPE Donation\u003c/li>\n\u003c/ul>\n\u003cp>If you are dropping off donations, please knock or use the intercom. A staff member will come out to accept your donation. If you have an unusually large donation please call 415-927-2273.\u003c/p>\u003c/li>\n\u003cli>\u003cstrong>John Muir Health\u003c/strong> — Seeking goggles (non-vented), face shields, hand sanitizer, masks (N95, surgical and isolation), isolation or surgical gowns, disinfecting wipes, eye shields, CAPR/PAPR machines and disposables. Drop off available at John Muir Health, Walnut Creek Medical Center, 175 La Casa Via, Walnut Creek, CA 94598, 8 a.m.- 6 p.m. daily. Questions or large donations? \u003ca href=\"mailto:JMHdonations@johnmuirhealth.com\">JMHdonations@johnmuirhealth.com\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Kaiser Permanente Oakland\u003c/strong> — Seeking goggles (non-vented), face shields, hand sanitizer, masks (N95, surgical and isolation), Isolation or surgical gowns, Clorox or Sani-cloth wipes. Donations can be mailed to Kaiser Permanente, 275 West MacArthur Blvd., Oakland, CA 94611, Attention: Hospital Command Center. Drop off available at the Oakland Medical Center, 275 West MacArthur Blvd., Oakland, Monday - Friday: 8 a.m. - 5 p.m. It is a curb-side drop off along side the Oakland Hospital between Howe Street and Piedmont Avenue. A staff member will be present to accept your donation. If you have a large amount of goods to donate or need to make arrangements after hours call 510-545-3446.\u003c/li>\n\u003cli>\u003cstrong>Kaiser Permanente Richmond\u003c/strong> — Seeking goggles (non-vented), face shields, hand sanitizer, masks (N95, surgical and isolation), Isolation or surgical gowns, Clorox or Sani-cloth wipes. Drop off available at the Richmond Medical Center, 325 Harbour Way, Parking Lot, Richmond, Monday - Friday: 9 a.m. - 3 p.m. (Across from the Medical Center @ 901 Nevin Ave.) If you have a large amount of goods to donate or need to make arrangements after hours call 510-307-3094.\u003c/li>\n\u003cli>\u003cstrong>Kaiser Permanente San Francisco \u003c/strong> — Seeking goggles, face shields, hand sanitizer, masks (N95, surgical, and isolation masks), isolation or surgical gowns and wipes. Donations may be mailed to Kaiser Permanente, 2130 O'Farrell St., San Francisco, CA 94115 Attn: Hospital Command Center, or dropped off at the loading dock Monday to Friday 6 a.m. to 2:30 p.m at the address above. If you are dropping off donations, please call 415-833-2593 and a staff member will come to accept the donation. If you need to make arrangements after the loading dock closes at 2:30 p.m., contact the hospital operator at 415-833-2000 and you will be contacted within 24 hours to schedule a delivery.\u003c/li>\n\u003cli>\u003cstrong>Kaiser Permanente Santa Clara \u003c/strong> — Seeking unopened packages of goggles, face shields, hand sanitizer, masks (N95, surgical, and isolation masks), isolation or surgical gowns, swabs, disinfectants and wipes. Donations may be dropped off to the greeter table at the Homestead Hospital Entrance near ASU and Valet, 700 Lawrence Expy, Santa Clara, CA 95051, Monday – Friday, 8:00 a.m. – 4:30 p.m. Call 408-851-0660 and a staff member will come out to accept your donation. Print and fill out \u003ca href=\"https://protect-us.mimecast.com/s/58_6CpYzGlizjgxRsPC9qR?domain=dms.kp.org\" target=\"_blank\" rel=\"noopener noreferrer\">this form\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Mills-Peninsula Medical Center\u003c/strong> — Seeking N95 masks, surgical masks, face shields, goggles, gowns, and nitrile gloves. Please bring them to the hospital front entrance between 9 a.m. - 5 p.m. on weekdays and 9 a.m. - noon on weekends. 1501 Trousdale Dr., Burlingame, CA 94010\u003c/li>\n\u003cli>\u003cstrong>Mission Neighborhood Health Center\u003c/strong> — Seeking masks (surgical, procedural, or N-95 masks for both adults and children), face shields, goggles, gowns, hand sanitizer, and wipes. Donations can be mailed to Mission Neighborhood Health Center, 240 Shotwell Street, San Francisco, CA 94110, Attn: Stephanie Furtado. Donations can be dropped off Monday through Friday from 8 a.m. to 5 p.m. To coordinate dropping off items, or if you have any questions, please send an email to \u003ca href=\"mailto:donations@mnhc.org\">donations@mnhc.org\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>North East Medical Services (NEMS) — \u003c/strong>Seeking gloves, goggles, face shields, hand sanitizer, surgical masks, N95 masks, wipes and gowns. Donations may be mailed to NEMS, 2171 Junipero Serra Blvd. Suite 310, Daly City, CA 94014 Attn: Andrey Chow. Questions? 415-352-5004 or info@nems.org. If you would like to drop off items at one of their clinics, please contact Andrey Chow to arrange for drop off during the week.\u003c/li>\n\u003cli>\u003cstrong>City of Oakland\u003c/strong> — Seeking new masks in sealed packages. Drop in a book drop at Oakland Public Library's Main Branch at 125 14th St., Oakland.\u003c/li>\n\u003cli>\u003cstrong>Palo Alto Medical Foundation\u003c/strong> — Seeking N95 masks, surgical masks, goggles, face shields, gloves and other supplies. Drop off donations Monday - Friday from 9 a.m. to 5 p.m. at the following locations.\n\u003cul>\n\u003cli>San Carlos: Palo Alto Medical Foundation, 301 Industrial Road\u003c/li>\n\u003cli>Palo Alto: Palo Alto Medical Foundation, 795 El Camino Real\u003c/li>\n\u003c/ul>\n\u003cp>For larger donations please drop off at: Palo Alto Medical Foundation Warehouse, 3544 Bassett St. in Santa Clara. Donations can be made between 7 a.m. and 4 p.m. Monday to Friday. Questions? Email Luis Alvarez at \u003ca href=\"mailto:alvarel3@sutterhealth.org\">alvarel3@sutterhealth.org\u003c/a> or call 844-987-6099.\u003c/p>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Center for Jewish Living\u003c/strong> — Seeking unopened and unused masks, gloves, protective goggles, gowns, swabs and viral transport. Accepting donations at 302 Silver Ave. 24 hours a day, 7 days a week. Questions? Email \u003ca href=\"mailto:PPE@sfcjl.org\">PPE@sfcjl.org\u003c/a> or call 415-469-2130.\u003c/li>\n\u003cli>\u003cstrong>San Mateo County\u003c/strong> — Seeking nitrile gloves, surgical masks, N95 masks, surgical gowns, fluid resistant gowns and other PPE. Donations can be dropped off at Maple Street Correctional Center, 1300 Maple St., Redwood City. Look for the “Donations” signs in the front parking lot where there will be staffers available to collect your donation from 9 a.m. to 5 p.m.\u003c/li>\n\u003cli>\u003cstrong>Santa Clara Valley Medical Foundation\u003c/strong> — (\u003ca href=\"http://vmcfoundation.org/covid19/\" target=\"_blank\" rel=\"noopener noreferrer\">Donation website\u003c/a>) Seeking N95 masks, hand sanitizer, gloves, goggles and more. \u003ca href=\"https://vmcfoundation.org/covid19list/\" target=\"_blank\" rel=\"noopener noreferrer\">Full list here\u003c/a>. Donations can be delivered between the hours of 8 a.m. to 5 p.m. at 2400 Clove Dr., San Jose (on the campus of Santa Clara Valley Medical Center). Please call 408-885-5299 before delivery. Questions? Call 408-885-5299 or email \u003ca href=\"mailto:vmcfoundation@hhs.sccgov.org\" target=\"_blank\" rel=\"noopener noreferrer\">vmcfoundation@hhs.sccgov.org\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Stanford Health Care in Redwood City and Livermore — \u003c/strong> (\u003ca href=\"https://stanfordhealthcare.org/stanford-health-care-now/2020/novel-coronavirus/covid-19-supply-donation-guidelines.html\" target=\"_blank\" rel=\"noopener noreferrer\">Donation website\u003c/a>) Seeking masks, wipes, gowns, hand sanitizer and more. Donations may be dropped off in person or mailed.\n\u003cul>\n\u003cli>Redwood City: 550 Broadway St., 7 days a week, 8 a.m. to 10 a.m. and 3 p.m. to 5 p.m.\u003c/li>\n\u003cli>Livermore: 1119 E Stanley Blvd., Monday - Friday, 8 a.m. to 5 p.m.\u003c/li>\n\u003cli>Mail: Stanford Health Care, Attention: Supply Donations Center, 820 Quarry Rd. Extension, Palo Alto, CA 94304.\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003cli>\u003cstrong>Sutter Health — \u003c/strong>Seeking N95 masks, powered air-purifying respirator (PAPR) hoods, surgical and procedural masks, isolation gowns, paper masks, paper protective gowns, protective glasses/goggles, face shields, painters smocks (impermeable). Looking for new items in original packaging. Contact local Sutter affiliates or call 1-844-987-6099.\u003c/li>\n\u003cli>\u003cstrong>University of California, San Francisco (UCSF)\u003c/strong> - (\u003ca href=\"https://coronavirus.ucsf.edu/help?fbclid=IwAR2_ClG4Iw3hxc-eTN8ET-I0Dsi5tqrzduAN2mdyw4aJfKaXNpKgfTEqRGc\" target=\"_blank\" rel=\"noopener noreferrer\">Donation website\u003c/a>) Seeking N95 masks, gloves, goggles, face shields and other supplies. UCSF accepting donations at the following locations from 8 a.m. - 5 p.m. beginning on March 23:\n\u003cul>\n\u003cli>UCSF Mount Zion Medical Center: 1600 Divisadero St., San Francisco, Semicircle driveway\u003c/li>\n\u003cli>UCSF Mission Center Building: 1855 Folsom St., San Francisco, Entrance in the parking lot on Harrison at 15th Street\u003c/li>\n\u003cli>UCSF Benioff Children’s Hospital Oakland: 747 52nd St., Oakland, Ambassador Desk\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003cli>\u003cstrong>#GetMePPE Bay Area\u003c/strong> — Seeking N95 masks, gloves, eye protection. This volunteer group is donating to several Bay Area health care facilities, including Highland Hospital, Kaiser and UCSF. Volunteers are available for pick up and drop off. \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSeuvr5kbLRhG3c3Ht9fY-3ZrvMCJjyqqBeWUuulOGv6bu4lRw/viewform?fbclid=IwAR35bzlMHsAfS69jkygzebg60oRE3FWYbhdne3MIaVIK72G0-Dx6jgpX1ZM\" target=\"_blank\" rel=\"noopener noreferrer\">Fill out this form\u003c/a> and they'll be in touch.\u003c/li>\n\u003c/ul>\n\u003ch3>Other resources:\u003c/h3>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://getusppe.org/\" target=\"_blank\" rel=\"noopener noreferrer\">GetUsPPE.org\u003c/a>\u003c/strong> - Website connecting those in need of PPE with donors nationwide. Includes many Bay Area options.\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.mask-match.com/\">Mask-Match.com\u003c/a>\u003c/strong> — helping match front-line health care workers with free N95 masks that people have in their homes.\u003c/li>\n\u003cli>\u003ca href=\"https://www.donateppe.org/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>DonatePPE.org\u003c/strong>\u003c/a> — a repository of Bay Area hospitals and their protocol for accepting donations.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Have something to add to the list? Let us know \u003ca href=\"mailto:mwiley@kqed.org\" target=\"_blank\" rel=\"noopener noreferrer\">mwiley@kqed.org\u003c/a>.\u003c/em>\u003c/p>\n\u003ch3>Why is there such a shortage of face masks and other protective gear?\u003c/h3>\n\u003cp>Fear of COVID-19 is generating demand that far outstrips supply. Because no one has immunity to the novel coronavirus, doctors and nurses are exercising caution by wearing protective gear when they see almost any patient with respiratory symptoms or a fever ― most of whom don’t have COVID-19.\u003c/p>\n\u003cp>At the same time, panic-buying of N95 face masks and other gear has reduced available supplies. Some people have even stolen surgical masks and hand sanitizer from clinics.\u003c/p>\n\u003cp>The supply chain for medical equipment \u003ca href=\"https://www.nytimes.com/2020/02/06/business/coronavirus-face-masks.html\" target=\"_blank\" rel=\"noopener noreferrer\">relies heavily on factories\u003c/a> overseas — mostly in China and Taiwan ― increasingly commandeered by governments for domestic use. And shortages of the fabric and other raw materials used to make masks are beginning to be a problem. The U.S. Centers for Disease Control and Prevention issued bleak \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html\" target=\"_blank\" rel=\"noopener noreferrer\">guidance\u003c/a> for hospitals facing shortages, including using homemade masks. The Deaconess Health System in Indiana \u003ca href=\"https://www.courierpress.com/story/news/2020/03/18/coronavirus-deaconess-ask-public-provide-medical-face-masks/2865273001/\" target=\"_blank\" rel=\"noopener noreferrer\">recently asked\u003c/a> the public to sew and donate masks that meet CDC protocols, as did \u003ca href=\"https://www.providence.org/lp/100m-masks\" target=\"_blank\" rel=\"noopener noreferrer\">Providence hospitals\u003c/a> in Washington state.\u003c/p>\n\u003cp>\u003cem>California Healthline contributed to this report. Read their full story: \u003ca href=\"https://californiahealthline.org/news/coronavirus-ppe-mask-shortage-donation-guide/\" target=\"_blank\" rel=\"noopener noreferrer\">With Medical Safety Gear Scarce, People Are Stepping Up. Here’s Help On Ways To Help.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A shortage of medical supplies is leaving Bay Area hospitals scrambling to secure additional supplies. Leftover N95 masks from fire season can be donated at several locations.","status":"publish","parent":0,"modified":1587494935,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":2290},"headData":{"title":"Where to Donate N95 Masks and Other Medical Supplies in the Bay Area | KQED","description":"A shortage of medical supplies is leaving Bay Area hospitals scrambling to secure additional supplies. Leftover N95 masks from fire season can be donated at several locations.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Where to Donate N95 Masks and Other Medical Supplies in the Bay Area","datePublished":"2020-03-21T17:06:34.000Z","dateModified":"2020-04-21T18:48:55.000Z","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"}}},"disqusIdentifier":"11807823 https://ww2.kqed.org/news/?p=11807823","disqusUrl":"https://ww2.kqed.org/news/2020/03/21/where-to-donate-n95-masks-and-other-medical-supplies-in-the-bay-area/","disqusTitle":"Where to Donate N95 Masks and Other Medical Supplies in the Bay Area","source":"Coronavirus","sourceUrl":"https://www.kqed.org/coronavirus","path":"/news/11807823/where-to-donate-n95-masks-and-other-medical-supplies-in-the-bay-area","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated Friday, April 17, 4 p.m. to update contact information\u003c/em>\u003c/p>\n\u003cp>A shortage of medical supplies is leaving Bay Area hospitals scrambling as they contend with increasing numbers of COVID-19 patients.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"coronavirus","label":"More Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp> Doctors and nurses are reporting surgical masks and other personal protective equipment are running low at some facilities, and they are being asked to reuse supplies that are normally discarded after one use.\u003c/p>\n\u003cp>Dr. Alison Cooke, assistant chief of hospital medicine for Kaiser Permanente-San Francisco, warned recently that her institution had less than a week’s supply of medical masks for doctors and nurses. “If you have any masks or safety goggles at home, please consider giving them to your nurse and doctor neighbors,” she wrote on the neighborhood social networking site Nextdoor.\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/PHEgov/status/1240764017330790400\" target=\"_blank\" rel=\"noopener noreferrer\">Officials are releasing\u003c/a> personal protective equipment — or PPE — from the Strategic National Stockpile, and manufacturers like Honeywell and 3M have boosted production of critical medical supplies.\u003c/p>\n\u003cp>But for now, that’s not enough. So charities, corporations and ordinary Americans are stepping up, donating everything from N95 masks to hospital gowns, disinfectant wipes and hand sanitizer. Californians may be especially well-stocked at home because of dealing with wildfire smoke in recent years, and some items are common in earthquake kits.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"https://getusppe.org/\" target=\"_blank\" rel=\"noopener noreferrer\">GetUsPPE.org\u003c/a>\u003c/strong> is connecting PPE donors with facilities and groups in need nationwide.\u003c/p>\n\u003ch3>\u003cstrong>Donation Opportunities KQED Has Confirmed:\u003c/strong>\u003c/h3>\n\u003cp>\u003ca href=\"https://scoutexplore.com/t/P7tYEpY96IPhIXT8VDxb/public\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Map view\u003c/em>\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Alameda Health System\u003c/strong> - Seeking PPE supplies. Drop off at Fairmont Campus, Central Supply Service, 15400 Foothill Blvd., San Leandro, CA 94578. Monday to Friday, 8 a.m. – 4 p.m. Central Supply Service is located between Building E and the cafeteria. For additional details or to make a monetary donation please email \u003ca href=\"mailto:AHSF.admin@alamedahealthsystem.org\">AHSF.admin@alamedahealthsystem.org\u003c/a> or call 510-271-2500.\u003c/li>\n\u003cli>\u003cstrong>Alto Pharmacy\u003c/strong> - (\u003ca href=\"https://alto.com/blog/post/help-bay-area-healthcare-workers-fight-covid-19\">Donation website\u003c/a>) Seeking masks (N95, surgical), disposable gloves, hand sanitizer, disinfectants, disinfectant wipes, goggles. \u003ca href=\"https://alto.com/blog/post/help-bay-area-healthcare-workers-fight-covid-19\">Request a donation pickup\u003c/a> and someone will be in touch.\u003c/li>\n\u003cli>\u003cstrong>Asian Health Services\u003c/strong> — Seeking non-sterile gloves, goggles, face shields (3/4 length or full length), hand sanitizer, surgical masks, wipes and gowns. Donations may be mailed to Asian Health Services, 101 8th St., Suite 100, Oakland, CA 94607 Attn: Vicky Mak or drop off between Monday to Friday 8 a.m. to 4 p.m. If you are dropping off items, please contact Vicky Mak at 510-735-3145, and the staff will come out to get the donations.\u003c/li>\n\u003cli>\u003cstrong>City of Berkeley\u003c/strong> — Seeking N95 (expired accepted), masks, gowns, gloves, hand sanitizer, disinfectant wipes and sprays, face shields, shoe covers, goggles/eye protection, Tyvek coveralls, touchless tympanic thermometers, new digital ear thermometer probe covers, new homemade cloth face masks. Fill out Berkeley's \u003ca href=\"https://www.surveymonkey.com/r/H5625ZC\" target=\"_blank\" rel=\"noopener noreferrer\">supplies donation form\u003c/a> and they will follow up with next steps.\u003c/li>\n\u003cli>\u003cstrong>Contra Costa County\u003c/strong> — Seeking eye protection, antibacterial wipes (no baby wipes), unopened boxes of N95 and surgical masks, medical gowns. Donation centers will be open Monday - Friday, 10 a.m. - 2 p.m. Questions? Call 844-729-8410.\n\u003cul>\n\u003cli>West Contra Costa County: 151 Linus Pauling Dr., Hercules\u003c/li>\n\u003cli>Central Contra Costa County: 1750 Oak Park Blvd., Pleasant Hill\u003c/li>\n\u003cli>East Contra Costa County: 4545 Delta Fair Blvd., Antioch\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003cli>\u003cstrong>Disability Justice Culture Club\u003c/strong> — Seeking masks for distribution to disabled, unhoused, poor and other highly vulnerable people. Hand-sewn masks accepted. Drop-off location is near 87th and Bancroft avenues in Oakland. Please call in advance to arrange drop-off day/time and get the address: 301-741-6186.\u003c/li>\n\u003cli>\u003cstrong>El Camino Health\u003c/strong> — Seeking new, unopened gloves, isolation gowns, hard goggles, eye shields, shoe covers, nurse caps, germicidal disinfecting surface wipes, Clorox disinfecting wipes, masks. Please call the foundation at 650-940-7154 or email \u003ca href=\"mailto:foundation@elcaminohealth.org\">foundation@elcaminohealth.org\u003c/a> to make a donation.\u003c/li>\n\u003cli>\u003cstrong>Good Samaritan Hospital\u003c/strong> — Seeking masks (N95, surgical), disposable gloves, goggles, eye shields, industrial soap, antibacterial/disinfectant wipes. If you or your organization would like to make a donation, contact Susan Lauer, \u003ca href=\"mailto:susan.lauer@hcahealthcare.com\">susan.lauer@hcahealthcare.com\u003c/a>, 408-559-2344.\u003c/li>\n\u003cli>\u003cstrong>Hospice by the Bay\u003c/strong> — (\u003ca href=\"https://hospicebythebay.org/donors/donate-now/medical-supplies/\" target=\"_blank\" rel=\"noopener noreferrer\">Donation website\u003c/a>) Seeking non-vented googles, face shields, hand sanitizer, masks (N95, surgical, isolation), gowns. Donations can be mailed or dropped off Monday – Friday, 8:30 a.m. to 5 p.m.\n\u003cul>\n\u003cli>Larkspur: Hospice by the Bay, 17 E. Sir Francis Drake Blvd., Larkspur, CA 94939, Attention: PPE Donation\u003c/li>\n\u003cli>Sonoma: Hospice by the Bay, 355 West Napa St., Suite B, Sonoma, CA 95476, Attention: PPE Donation\u003c/li>\n\u003cli>San Francisco: Hospice by the Bay, 180 Redwood St., Suite 350, San Francisco, CA 94102, Attention: PPE Donation\u003c/li>\n\u003c/ul>\n\u003cp>If you are dropping off donations, please knock or use the intercom. A staff member will come out to accept your donation. If you have an unusually large donation please call 415-927-2273.\u003c/p>\u003c/li>\n\u003cli>\u003cstrong>John Muir Health\u003c/strong> — Seeking goggles (non-vented), face shields, hand sanitizer, masks (N95, surgical and isolation), isolation or surgical gowns, disinfecting wipes, eye shields, CAPR/PAPR machines and disposables. Drop off available at John Muir Health, Walnut Creek Medical Center, 175 La Casa Via, Walnut Creek, CA 94598, 8 a.m.- 6 p.m. daily. Questions or large donations? \u003ca href=\"mailto:JMHdonations@johnmuirhealth.com\">JMHdonations@johnmuirhealth.com\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Kaiser Permanente Oakland\u003c/strong> — Seeking goggles (non-vented), face shields, hand sanitizer, masks (N95, surgical and isolation), Isolation or surgical gowns, Clorox or Sani-cloth wipes. Donations can be mailed to Kaiser Permanente, 275 West MacArthur Blvd., Oakland, CA 94611, Attention: Hospital Command Center. Drop off available at the Oakland Medical Center, 275 West MacArthur Blvd., Oakland, Monday - Friday: 8 a.m. - 5 p.m. It is a curb-side drop off along side the Oakland Hospital between Howe Street and Piedmont Avenue. A staff member will be present to accept your donation. If you have a large amount of goods to donate or need to make arrangements after hours call 510-545-3446.\u003c/li>\n\u003cli>\u003cstrong>Kaiser Permanente Richmond\u003c/strong> — Seeking goggles (non-vented), face shields, hand sanitizer, masks (N95, surgical and isolation), Isolation or surgical gowns, Clorox or Sani-cloth wipes. Drop off available at the Richmond Medical Center, 325 Harbour Way, Parking Lot, Richmond, Monday - Friday: 9 a.m. - 3 p.m. (Across from the Medical Center @ 901 Nevin Ave.) If you have a large amount of goods to donate or need to make arrangements after hours call 510-307-3094.\u003c/li>\n\u003cli>\u003cstrong>Kaiser Permanente San Francisco \u003c/strong> — Seeking goggles, face shields, hand sanitizer, masks (N95, surgical, and isolation masks), isolation or surgical gowns and wipes. Donations may be mailed to Kaiser Permanente, 2130 O'Farrell St., San Francisco, CA 94115 Attn: Hospital Command Center, or dropped off at the loading dock Monday to Friday 6 a.m. to 2:30 p.m at the address above. If you are dropping off donations, please call 415-833-2593 and a staff member will come to accept the donation. If you need to make arrangements after the loading dock closes at 2:30 p.m., contact the hospital operator at 415-833-2000 and you will be contacted within 24 hours to schedule a delivery.\u003c/li>\n\u003cli>\u003cstrong>Kaiser Permanente Santa Clara \u003c/strong> — Seeking unopened packages of goggles, face shields, hand sanitizer, masks (N95, surgical, and isolation masks), isolation or surgical gowns, swabs, disinfectants and wipes. Donations may be dropped off to the greeter table at the Homestead Hospital Entrance near ASU and Valet, 700 Lawrence Expy, Santa Clara, CA 95051, Monday – Friday, 8:00 a.m. – 4:30 p.m. Call 408-851-0660 and a staff member will come out to accept your donation. Print and fill out \u003ca href=\"https://protect-us.mimecast.com/s/58_6CpYzGlizjgxRsPC9qR?domain=dms.kp.org\" target=\"_blank\" rel=\"noopener noreferrer\">this form\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Mills-Peninsula Medical Center\u003c/strong> — Seeking N95 masks, surgical masks, face shields, goggles, gowns, and nitrile gloves. Please bring them to the hospital front entrance between 9 a.m. - 5 p.m. on weekdays and 9 a.m. - noon on weekends. 1501 Trousdale Dr., Burlingame, CA 94010\u003c/li>\n\u003cli>\u003cstrong>Mission Neighborhood Health Center\u003c/strong> — Seeking masks (surgical, procedural, or N-95 masks for both adults and children), face shields, goggles, gowns, hand sanitizer, and wipes. Donations can be mailed to Mission Neighborhood Health Center, 240 Shotwell Street, San Francisco, CA 94110, Attn: Stephanie Furtado. Donations can be dropped off Monday through Friday from 8 a.m. to 5 p.m. To coordinate dropping off items, or if you have any questions, please send an email to \u003ca href=\"mailto:donations@mnhc.org\">donations@mnhc.org\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>North East Medical Services (NEMS) — \u003c/strong>Seeking gloves, goggles, face shields, hand sanitizer, surgical masks, N95 masks, wipes and gowns. Donations may be mailed to NEMS, 2171 Junipero Serra Blvd. Suite 310, Daly City, CA 94014 Attn: Andrey Chow. Questions? 415-352-5004 or info@nems.org. If you would like to drop off items at one of their clinics, please contact Andrey Chow to arrange for drop off during the week.\u003c/li>\n\u003cli>\u003cstrong>City of Oakland\u003c/strong> — Seeking new masks in sealed packages. Drop in a book drop at Oakland Public Library's Main Branch at 125 14th St., Oakland.\u003c/li>\n\u003cli>\u003cstrong>Palo Alto Medical Foundation\u003c/strong> — Seeking N95 masks, surgical masks, goggles, face shields, gloves and other supplies. Drop off donations Monday - Friday from 9 a.m. to 5 p.m. at the following locations.\n\u003cul>\n\u003cli>San Carlos: Palo Alto Medical Foundation, 301 Industrial Road\u003c/li>\n\u003cli>Palo Alto: Palo Alto Medical Foundation, 795 El Camino Real\u003c/li>\n\u003c/ul>\n\u003cp>For larger donations please drop off at: Palo Alto Medical Foundation Warehouse, 3544 Bassett St. in Santa Clara. Donations can be made between 7 a.m. and 4 p.m. Monday to Friday. Questions? Email Luis Alvarez at \u003ca href=\"mailto:alvarel3@sutterhealth.org\">alvarel3@sutterhealth.org\u003c/a> or call 844-987-6099.\u003c/p>\u003c/li>\n\u003cli>\u003cstrong>San Francisco Center for Jewish Living\u003c/strong> — Seeking unopened and unused masks, gloves, protective goggles, gowns, swabs and viral transport. Accepting donations at 302 Silver Ave. 24 hours a day, 7 days a week. Questions? Email \u003ca href=\"mailto:PPE@sfcjl.org\">PPE@sfcjl.org\u003c/a> or call 415-469-2130.\u003c/li>\n\u003cli>\u003cstrong>San Mateo County\u003c/strong> — Seeking nitrile gloves, surgical masks, N95 masks, surgical gowns, fluid resistant gowns and other PPE. Donations can be dropped off at Maple Street Correctional Center, 1300 Maple St., Redwood City. Look for the “Donations” signs in the front parking lot where there will be staffers available to collect your donation from 9 a.m. to 5 p.m.\u003c/li>\n\u003cli>\u003cstrong>Santa Clara Valley Medical Foundation\u003c/strong> — (\u003ca href=\"http://vmcfoundation.org/covid19/\" target=\"_blank\" rel=\"noopener noreferrer\">Donation website\u003c/a>) Seeking N95 masks, hand sanitizer, gloves, goggles and more. \u003ca href=\"https://vmcfoundation.org/covid19list/\" target=\"_blank\" rel=\"noopener noreferrer\">Full list here\u003c/a>. Donations can be delivered between the hours of 8 a.m. to 5 p.m. at 2400 Clove Dr., San Jose (on the campus of Santa Clara Valley Medical Center). Please call 408-885-5299 before delivery. Questions? Call 408-885-5299 or email \u003ca href=\"mailto:vmcfoundation@hhs.sccgov.org\" target=\"_blank\" rel=\"noopener noreferrer\">vmcfoundation@hhs.sccgov.org\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Stanford Health Care in Redwood City and Livermore — \u003c/strong> (\u003ca href=\"https://stanfordhealthcare.org/stanford-health-care-now/2020/novel-coronavirus/covid-19-supply-donation-guidelines.html\" target=\"_blank\" rel=\"noopener noreferrer\">Donation website\u003c/a>) Seeking masks, wipes, gowns, hand sanitizer and more. Donations may be dropped off in person or mailed.\n\u003cul>\n\u003cli>Redwood City: 550 Broadway St., 7 days a week, 8 a.m. to 10 a.m. and 3 p.m. to 5 p.m.\u003c/li>\n\u003cli>Livermore: 1119 E Stanley Blvd., Monday - Friday, 8 a.m. to 5 p.m.\u003c/li>\n\u003cli>Mail: Stanford Health Care, Attention: Supply Donations Center, 820 Quarry Rd. Extension, Palo Alto, CA 94304.\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003cli>\u003cstrong>Sutter Health — \u003c/strong>Seeking N95 masks, powered air-purifying respirator (PAPR) hoods, surgical and procedural masks, isolation gowns, paper masks, paper protective gowns, protective glasses/goggles, face shields, painters smocks (impermeable). Looking for new items in original packaging. Contact local Sutter affiliates or call 1-844-987-6099.\u003c/li>\n\u003cli>\u003cstrong>University of California, San Francisco (UCSF)\u003c/strong> - (\u003ca href=\"https://coronavirus.ucsf.edu/help?fbclid=IwAR2_ClG4Iw3hxc-eTN8ET-I0Dsi5tqrzduAN2mdyw4aJfKaXNpKgfTEqRGc\" target=\"_blank\" rel=\"noopener noreferrer\">Donation website\u003c/a>) Seeking N95 masks, gloves, goggles, face shields and other supplies. UCSF accepting donations at the following locations from 8 a.m. - 5 p.m. beginning on March 23:\n\u003cul>\n\u003cli>UCSF Mount Zion Medical Center: 1600 Divisadero St., San Francisco, Semicircle driveway\u003c/li>\n\u003cli>UCSF Mission Center Building: 1855 Folsom St., San Francisco, Entrance in the parking lot on Harrison at 15th Street\u003c/li>\n\u003cli>UCSF Benioff Children’s Hospital Oakland: 747 52nd St., Oakland, Ambassador Desk\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003cli>\u003cstrong>#GetMePPE Bay Area\u003c/strong> — Seeking N95 masks, gloves, eye protection. This volunteer group is donating to several Bay Area health care facilities, including Highland Hospital, Kaiser and UCSF. Volunteers are available for pick up and drop off. \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSeuvr5kbLRhG3c3Ht9fY-3ZrvMCJjyqqBeWUuulOGv6bu4lRw/viewform?fbclid=IwAR35bzlMHsAfS69jkygzebg60oRE3FWYbhdne3MIaVIK72G0-Dx6jgpX1ZM\" target=\"_blank\" rel=\"noopener noreferrer\">Fill out this form\u003c/a> and they'll be in touch.\u003c/li>\n\u003c/ul>\n\u003ch3>Other resources:\u003c/h3>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://getusppe.org/\" target=\"_blank\" rel=\"noopener noreferrer\">GetUsPPE.org\u003c/a>\u003c/strong> - Website connecting those in need of PPE with donors nationwide. Includes many Bay Area options.\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.mask-match.com/\">Mask-Match.com\u003c/a>\u003c/strong> — helping match front-line health care workers with free N95 masks that people have in their homes.\u003c/li>\n\u003cli>\u003ca href=\"https://www.donateppe.org/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>DonatePPE.org\u003c/strong>\u003c/a> — a repository of Bay Area hospitals and their protocol for accepting donations.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Have something to add to the list? Let us know \u003ca href=\"mailto:mwiley@kqed.org\" target=\"_blank\" rel=\"noopener noreferrer\">mwiley@kqed.org\u003c/a>.\u003c/em>\u003c/p>\n\u003ch3>Why is there such a shortage of face masks and other protective gear?\u003c/h3>\n\u003cp>Fear of COVID-19 is generating demand that far outstrips supply. Because no one has immunity to the novel coronavirus, doctors and nurses are exercising caution by wearing protective gear when they see almost any patient with respiratory symptoms or a fever ― most of whom don’t have COVID-19.\u003c/p>\n\u003cp>At the same time, panic-buying of N95 face masks and other gear has reduced available supplies. Some people have even stolen surgical masks and hand sanitizer from clinics.\u003c/p>\n\u003cp>The supply chain for medical equipment \u003ca href=\"https://www.nytimes.com/2020/02/06/business/coronavirus-face-masks.html\" target=\"_blank\" rel=\"noopener noreferrer\">relies heavily on factories\u003c/a> overseas — mostly in China and Taiwan ― increasingly commandeered by governments for domestic use. And shortages of the fabric and other raw materials used to make masks are beginning to be a problem. The U.S. Centers for Disease Control and Prevention issued bleak \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html\" target=\"_blank\" rel=\"noopener noreferrer\">guidance\u003c/a> for hospitals facing shortages, including using homemade masks. The Deaconess Health System in Indiana \u003ca href=\"https://www.courierpress.com/story/news/2020/03/18/coronavirus-deaconess-ask-public-provide-medical-face-masks/2865273001/\" target=\"_blank\" rel=\"noopener noreferrer\">recently asked\u003c/a> the public to sew and donate masks that meet CDC protocols, as did \u003ca href=\"https://www.providence.org/lp/100m-masks\" target=\"_blank\" rel=\"noopener noreferrer\">Providence hospitals\u003c/a> in Washington state.\u003c/p>\n\u003cp>\u003cem>California Healthline contributed to this report. Read their full story: \u003ca href=\"https://californiahealthline.org/news/coronavirus-ppe-mask-shortage-donation-guide/\" target=\"_blank\" rel=\"noopener noreferrer\">With Medical Safety Gear Scarce, People Are Stepping Up. Here’s Help On Ways To Help.\u003c/a>\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>\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/11807823/where-to-donate-n95-masks-and-other-medical-supplies-in-the-bay-area","authors":["102"],"categories":["news_457","news_8"],"tags":["news_1386","news_27350","news_27504","news_21770","news_27651","news_24507","news_27808"],"featImg":"news_11807856","label":"source_news_11807823"},"news_11679167":{"type":"posts","id":"news_11679167","meta":{"index":"posts_1591205157","site":"news","id":"11679167","score":null,"sort":[1531494037000]},"guestAuthors":[],"slug":"video-emergency-care-options-dwindle-in-the-east-bay","title":"Video: Emergency Care Options Dwindle in the East Bay","publishDate":1531494037,"format":"video","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>In a cramped office in San Pablo, a group of health care providers work as fast as they can to treat a growing line of people seeking treatment. Already, at the break of dawn on this April morning, the line is spilling down the hall and out the front door.\u003c/p>\n\u003cp>Since LifeLong Medical Care opened in April 2015, the staff has grown used to long lines. The facility opened the same week that neighboring Doctors Medical Center (DMC), one of West Contra Costa County’s most relied-upon hospitals, closed its doors after years of financial strife.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If there's a Nordstrom, there'll be health care. Health care follows the dollar, simple as that.'\u003cbr>\n\u003ccite>Dr. Desmond Carson, LifeLong Medical Care\u003c/cite>\u003c/aside>\n\u003cp>Located directly across the street from the now-shuttered DMC, LifeLong is one of the few urgent care facilities left to serve more than 400,000 residents in Richmond and surrounding cities.\u003c/p>\n\u003cp>Unlike DMC, LifeLong provides only urgent care, is not a full-service hospital and does not have an emergency department. When patients come in with life-threatening emergencies, LifeLong’s staff does their best to connect them to services elsewhere. But there aren’t many options nearby.\u003c/p>\n\u003cp>Alta Bates in Berkeley is 11 miles south and the Contra Costa Regional Medical Center in Martinez is 16 miles to the east. The only other high-volume emergency option is John Muir Medical Center in Walnut Creek, more than 20 miles away. Add in rush-hour traffic, and travel times from West Contra Costa County increase dramatically.\u003c/p>\n\u003cfigure id=\"attachment_11679813\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-11679813 size-large\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/2_map-of-ERs-1020x574.jpg\" alt=\"\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-1200x675.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-520x293.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">(Graphic by Hao Guo)\u003c/figcaption>\u003c/figure>\n\u003cp>Now that DMC is closed, the only emergency room left in the Richmond/San Pablo area is Kaiser’s Richmond Medical Center, a 50-bed hospital. In a statement, Kaiser reported a 50 percent increase in ER visits since DMC closed in 2015.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Time is muscle,” said Dr. Desmond Carson, an urgent care physician at LifeLong. The farther that residents have to travel, Carson said, the worse their chances are of surviving.\u003c/p>\n\u003cp>For East Bay residents, access to emergency care might soon be getting even harder to come by. In 2016, Sutter Health, which owns Alta Bates Medical Center in Berkeley, announced it will close the emergency room and consolidate those services into its Oakland location at an unspecified time in the future. The Oakland facility is located 2.6 miles south of the Berkeley facility.\u003c/p>\n\u003cp>In a statement, Sutter Health explained that California’s seismic regulations require the Alta Bates campus to cease operating as a hospital by 2030. Aware of the community’s concerns, Sutter also assured that this transition won’t be abrupt either.\u003c/p>\n\u003cfigure id=\"attachment_11679810\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-11679810\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/3_DMC-closed2-1020x574.jpg\" alt=\"\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-1200x675.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-520x293.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Doctors Medical Center in San Pablo closed in 2015. (Bo Kovitz)\u003c/figcaption>\u003c/figure>\n\u003cp>According to Dr. Brian Potts, who runs the emergency department at Alta Bates, a planned transition that could take as long as 10 years will allow enough time to build the infrastructure necessary for what he projects to be the biggest emergency room in the East Bay.\u003c/p>\n\u003cp>And the transition will be worth it, said Potts, explaining that consolidating services under one roof, rather than having two separate emergency rooms miles apart, will improve quality of care.\u003c/p>\n\u003cp>Many in the community fear the closure of Alta Bates’ emergency department is part of a similar story: hospital leaders more concerned with cost efficiency than providing care, no matter the cost. As a result, East Bay residents are facing life in a hospital desert. Gunshot wounds, delivering babies and heart attacks could become even more life-threatening when the move does happen.\u003c/p>\n\u003cp>“The harder you make it to get to that care, the more difficult it's going to be and the more of a need it's going to be,” said Marty Lynch, LifeLong’s CEO. “There's no question that folks in Richmond and folks in San Pablo need a good system of emergency care.”\u003c/p>\n\u003cfigure id=\"attachment_11679816\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-11679816 size-large\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/5_Lifelong-1020x574.jpg\" alt=\"\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-1200x675.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-520x293.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">LifeLong Medical Care in San Pablo is one of the few urgent care facilities remaining in West Contra Costa County. (Bo Kovitz)\u003c/figcaption>\u003c/figure>\n\u003cp>Kathleen Sullivan, a community leader in Richmond who fought to keep DMC open, found herself rushing her husband to the emergency room when he was shot in the streets last year. Doctors at Kaiser’s Richmond facility, she said, couldn’t operate on him and spent about 30 minutes determining which hospital to send him to. They finally came to the decision to send him to John Muir Medical Center, over 20 miles away in Walnut Creek.\u003c/p>\n\u003cp>By that time, it was 5 p.m. It was bumper-to-bumper traffic, all the way there.\u003c/p>\n\u003cp>But Sullivan’s husband was lucky. If the bullet had pierced just a quarter of an inch in either direction, it would have hit a major artery, and he would have died long before they left town. Sullivan calls it a death sentence to be shot or hurt in Richmond. She said residents often don’t even bother to call the ambulance. “What’s the point?”\u003c/p>\n\u003cp>“Look at other cities that have a hospital that’s sitting in their town. They’ve found the resources to go in and renovate the hospital and keep it there,” said Sullivan. “Hospitals lose the incentive to work through alternatives because it’s not financially lucrative to try to meet halfway for communities who are primarily Medi-Cal.”\u003c/p>\n\u003cp>DMC, whose medical base was about 80 percent Medi-Cal recipients, closed after years of financial crisis brought on, in part, by this reimbursement model.\u003c/p>\n\u003cfigure id=\"attachment_11679809\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11679809 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/1_Dr.-Carson4-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-1200x675.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Desmond Carson is a physician at LifeLong Medical Care in San Pablo. (Bo Kovitz) \u003ccite>(Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Desmond Carson, who worked at DMC for 15 years, said the hospital closed for a reason.\u003c/p>\n\u003cp>\"If there's a Nordstrom, there'll be health care. Health care follows the dollar, simple as that,\" he said. It’s not profitable, he added, to serve struggling black and brown communities.\u003c/p>\n\u003cp>Mariana Moore, a director at the nonprofit Richmond Community Foundation, agreed.\u003c/p>\n\u003cp>\"If you look at the reimbursement model from the federal level down to local hospitals that serve primarily Medi-Cal patients, it’s not a sustainable financial model,\" said Moore. \"These closures happen in communities that are people of color, that are low income, that have less political power, and it’s just the story of our country, as well as the story [Contra Costa County] in this time.\"\u003c/p>\n\u003cp>To LifeLong CEO Lynch and his staff, the memory of the DMC closure lingers every day at the urgent care.\u003c/p>\n\u003cp>“There's a long history of feeling that the community did not necessarily get served as it needed to be served,” Lynch said. “There’s a long history of feeling like, ‘Well, why was the county medical center built in Martinez (in 1998), far away from West Contra Costa.’ The community felt that was both a mistake and a conscious disregard for the needs of poor communities.’”\u003c/p>\n\u003cp>Lynch remembers what DMC meant to this high-need community. Every day, he sees reminders of what the community lost: not just in the number of people crowded into his waiting room, but in the feeling that the community is not being heard.\u003c/p>\n\u003cp>\u003cem>Additional reporting by Nuria Marquez Martinez.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was updated to include the distance between the Alta Bates Berkeley facility and the Oakland facility. \u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Doctors Medical Center closed in 2015 and Alta Bates is closing its Berkeley ER. For East Bay residents, access to emergency care might soon be getting even harder to come by.","status":"publish","parent":0,"modified":1531523264,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":1257},"headData":{"title":"Video: Emergency Care Options Dwindle in the East Bay | KQED","description":"Doctors Medical Center closed in 2015 and Alta Bates is closing its Berkeley ER. For East Bay residents, access to emergency care might soon be getting even harder to come by.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Video: Emergency Care Options Dwindle in the East Bay","datePublished":"2018-07-13T15:00:37.000Z","dateModified":"2018-07-13T23:07:44.000Z","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"}}},"disqusIdentifier":"11679167 https://ww2.kqed.org/news/?p=11679167","disqusUrl":"https://ww2.kqed.org/news/2018/07/13/video-emergency-care-options-dwindle-in-the-east-bay/","disqusTitle":"Video: Emergency Care Options Dwindle in the East Bay","videoEmbed":"https://youtu.be/yo-KnQPahas","nprByline":"\u003ca href=\"https://www.bokovitz.com/\" rel=\"noopener\" target=\"_blank\">Bo Kovitz\u003c/a> and \u003ca href=\"https://journalism.berkeley.edu/person/hao_guo/\" rel=\"noopener\" target=\"_blank\">Hao Guo\u003c/a>","path":"/news/11679167/video-emergency-care-options-dwindle-in-the-east-bay","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In a cramped office in San Pablo, a group of health care providers work as fast as they can to treat a growing line of people seeking treatment. Already, at the break of dawn on this April morning, the line is spilling down the hall and out the front door.\u003c/p>\n\u003cp>Since LifeLong Medical Care opened in April 2015, the staff has grown used to long lines. The facility opened the same week that neighboring Doctors Medical Center (DMC), one of West Contra Costa County’s most relied-upon hospitals, closed its doors after years of financial strife.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If there's a Nordstrom, there'll be health care. Health care follows the dollar, simple as that.'\u003cbr>\n\u003ccite>Dr. Desmond Carson, LifeLong Medical Care\u003c/cite>\u003c/aside>\n\u003cp>Located directly across the street from the now-shuttered DMC, LifeLong is one of the few urgent care facilities left to serve more than 400,000 residents in Richmond and surrounding cities.\u003c/p>\n\u003cp>Unlike DMC, LifeLong provides only urgent care, is not a full-service hospital and does not have an emergency department. When patients come in with life-threatening emergencies, LifeLong’s staff does their best to connect them to services elsewhere. But there aren’t many options nearby.\u003c/p>\n\u003cp>Alta Bates in Berkeley is 11 miles south and the Contra Costa Regional Medical Center in Martinez is 16 miles to the east. The only other high-volume emergency option is John Muir Medical Center in Walnut Creek, more than 20 miles away. Add in rush-hour traffic, and travel times from West Contra Costa County increase dramatically.\u003c/p>\n\u003cfigure id=\"attachment_11679813\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-11679813 size-large\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/2_map-of-ERs-1020x574.jpg\" alt=\"\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-1200x675.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/2_map-of-ERs-520x293.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">(Graphic by Hao Guo)\u003c/figcaption>\u003c/figure>\n\u003cp>Now that DMC is closed, the only emergency room left in the Richmond/San Pablo area is Kaiser’s Richmond Medical Center, a 50-bed hospital. In a statement, Kaiser reported a 50 percent increase in ER visits since DMC closed in 2015.\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>“Time is muscle,” said Dr. Desmond Carson, an urgent care physician at LifeLong. The farther that residents have to travel, Carson said, the worse their chances are of surviving.\u003c/p>\n\u003cp>For East Bay residents, access to emergency care might soon be getting even harder to come by. In 2016, Sutter Health, which owns Alta Bates Medical Center in Berkeley, announced it will close the emergency room and consolidate those services into its Oakland location at an unspecified time in the future. The Oakland facility is located 2.6 miles south of the Berkeley facility.\u003c/p>\n\u003cp>In a statement, Sutter Health explained that California’s seismic regulations require the Alta Bates campus to cease operating as a hospital by 2030. Aware of the community’s concerns, Sutter also assured that this transition won’t be abrupt either.\u003c/p>\n\u003cfigure id=\"attachment_11679810\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-11679810\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/3_DMC-closed2-1020x574.jpg\" alt=\"\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-1200x675.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/3_DMC-closed2-520x293.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Doctors Medical Center in San Pablo closed in 2015. (Bo Kovitz)\u003c/figcaption>\u003c/figure>\n\u003cp>According to Dr. Brian Potts, who runs the emergency department at Alta Bates, a planned transition that could take as long as 10 years will allow enough time to build the infrastructure necessary for what he projects to be the biggest emergency room in the East Bay.\u003c/p>\n\u003cp>And the transition will be worth it, said Potts, explaining that consolidating services under one roof, rather than having two separate emergency rooms miles apart, will improve quality of care.\u003c/p>\n\u003cp>Many in the community fear the closure of Alta Bates’ emergency department is part of a similar story: hospital leaders more concerned with cost efficiency than providing care, no matter the cost. As a result, East Bay residents are facing life in a hospital desert. Gunshot wounds, delivering babies and heart attacks could become even more life-threatening when the move does happen.\u003c/p>\n\u003cp>“The harder you make it to get to that care, the more difficult it's going to be and the more of a need it's going to be,” said Marty Lynch, LifeLong’s CEO. “There's no question that folks in Richmond and folks in San Pablo need a good system of emergency care.”\u003c/p>\n\u003cfigure id=\"attachment_11679816\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-11679816 size-large\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/5_Lifelong-1020x574.jpg\" alt=\"\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-1200x675.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/5_Lifelong-520x293.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">LifeLong Medical Care in San Pablo is one of the few urgent care facilities remaining in West Contra Costa County. (Bo Kovitz)\u003c/figcaption>\u003c/figure>\n\u003cp>Kathleen Sullivan, a community leader in Richmond who fought to keep DMC open, found herself rushing her husband to the emergency room when he was shot in the streets last year. Doctors at Kaiser’s Richmond facility, she said, couldn’t operate on him and spent about 30 minutes determining which hospital to send him to. They finally came to the decision to send him to John Muir Medical Center, over 20 miles away in Walnut Creek.\u003c/p>\n\u003cp>By that time, it was 5 p.m. It was bumper-to-bumper traffic, all the way there.\u003c/p>\n\u003cp>But Sullivan’s husband was lucky. If the bullet had pierced just a quarter of an inch in either direction, it would have hit a major artery, and he would have died long before they left town. Sullivan calls it a death sentence to be shot or hurt in Richmond. She said residents often don’t even bother to call the ambulance. “What’s the point?”\u003c/p>\n\u003cp>“Look at other cities that have a hospital that’s sitting in their town. They’ve found the resources to go in and renovate the hospital and keep it there,” said Sullivan. “Hospitals lose the incentive to work through alternatives because it’s not financially lucrative to try to meet halfway for communities who are primarily Medi-Cal.”\u003c/p>\n\u003cp>DMC, whose medical base was about 80 percent Medi-Cal recipients, closed after years of financial crisis brought on, in part, by this reimbursement model.\u003c/p>\n\u003cfigure id=\"attachment_11679809\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11679809 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/1_Dr.-Carson4-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-1200x675.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/1_Dr.-Carson4-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Desmond Carson is a physician at LifeLong Medical Care in San Pablo. (Bo Kovitz) \u003ccite>(Bo Kovitz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Desmond Carson, who worked at DMC for 15 years, said the hospital closed for a reason.\u003c/p>\n\u003cp>\"If there's a Nordstrom, there'll be health care. Health care follows the dollar, simple as that,\" he said. It’s not profitable, he added, to serve struggling black and brown communities.\u003c/p>\n\u003cp>Mariana Moore, a director at the nonprofit Richmond Community Foundation, agreed.\u003c/p>\n\u003cp>\"If you look at the reimbursement model from the federal level down to local hospitals that serve primarily Medi-Cal patients, it’s not a sustainable financial model,\" said Moore. \"These closures happen in communities that are people of color, that are low income, that have less political power, and it’s just the story of our country, as well as the story [Contra Costa County] in this time.\"\u003c/p>\n\u003cp>To LifeLong CEO Lynch and his staff, the memory of the DMC closure lingers every day at the urgent care.\u003c/p>\n\u003cp>“There's a long history of feeling that the community did not necessarily get served as it needed to be served,” Lynch said. “There’s a long history of feeling like, ‘Well, why was the county medical center built in Martinez (in 1998), far away from West Contra Costa.’ The community felt that was both a mistake and a conscious disregard for the needs of poor communities.’”\u003c/p>\n\u003cp>Lynch remembers what DMC meant to this high-need community. Every day, he sees reminders of what the community lost: not just in the number of people crowded into his waiting room, but in the feeling that the community is not being heard.\u003c/p>\n\u003cp>\u003cem>Additional reporting by Nuria Marquez Martinez.\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\u003cp>\u003cem>This story was updated to include the distance between the Alta Bates Berkeley facility and the Oakland facility. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11679167/video-emergency-care-options-dwindle-in-the-east-bay","authors":["byline_news_11679167"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_19542","news_683","news_21770","news_17041","news_150"],"featImg":"news_11679809","label":"news_72"},"news_11623564":{"type":"posts","id":"news_11623564","meta":{"index":"posts_1591205157","site":"news","id":"11623564","score":null,"sort":[1508029558000]},"guestAuthors":[],"slug":"my-wildfire-story-induced-labor-and-evacuation","title":"My Wildfire Story: Induced Labor and Evacuation","publishDate":1508029558,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>\u003cem>We asked readers for their wildfire stories. If you were impacted by the fires, or know someone who was, \u003ca href=\"https://ww2.kqed.org/news/2017/10/10/share-your-california-wildfire-story/\">we'd like to hear your story\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Here is one of the responses. It has been edited for length and clarity.\u003c/p>\n\u003cp>My partner, Heather Leiker, and I had a 7:30 p.m. appointment on Oct. 8 in the labor and delivery unit at Kaiser Permanente Santa Rosa to do a non-stress test on her 40-week pregnancy. Due to circumstances, the doctor determined that it was best to induce labor. She received her first dose at 11 p.m. and was due for the second at 3 a.m. During the wait, we were brought to a delivery room and my mother brought her mother and our 3-year-old, Arthur, to visit. When my mother found out that the process could take up to three days, and it was already so late, she decided to take Arthur home. Shortly thereafter is when we found out that the pleasant campfire smell we had been enjoying was actually a wildfire.\u003c/p>\n\u003cp>At 2:45 a.m. the delivery team came into our room and told us that if we were mobile enough, then we should evacuate. The fire was coming our way, and the Hilton (hotel) was already on fire. If Heather started to feel like she was going into labor, then we were to head south to the nearest Kaiser with labor and delivery. As we exited the hospital, we were hearing a constant cacophony of explosions from the north. Boom. Boom. Boom. Almost one per second. Heather's car is in the shop, so we were stuck using my compact truck. The three of us piled into my little truck and headed west to our place past Fulton.\u003c/p>\n\u003cp>The 5-mile journey took us two hours. At the corner of Range and Piner, we saw a truck on fire and a tree across the street in flames. As we went down Piner, we could see the bright glow against the smoky ceiling getting closer to our traffic pile up. Once we got past the railroad tracks, we turned down Bay Village Circle -- my partner's navigation skills still up to par. As we went down past the Marlow Apartments, the police came roaring up to the complex to start the mandatory evacuation. Surprisingly, we also saw a garbageman doing his rounds at the shopping center, seemingly unconcerned and just doing his duty. Once on Marlow, we headed south and managed to sweep into Crosspoint and connect to Guerneville. Finally, with some space to move, we headed home.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Once at home, we prepped for evacuation, loading my truck, consoling our son, and taking turns lying down next to him for short rests. We searched for the nearest Kaiser with a labor and delivery and discovered that we'd need to go to San Francisco. My mother would stay with Arthur and flit back and forth between her place (just outside the evacuation area), our place (2 miles from the evacuation area) and a friend's place in Sebastopol. Once again, the three of us piled into my little truck and this time headed down to San Francisco. The 60-mile trip took just as much time as the previous 5-mile one.\u003c/p>\n\u003cp>I finally fell unconscious for about four hours lying next to my partner sometime in the evening of Oct. 9, having been awake since 7 a.m. the morning before.\u003c/p>\n\u003cp>The morning of Oct. 10 brought our little boy into the world. Amazingly, the easiest part of the whole ordeal was the actual delivery. At 10:02 a.m. we joked with the doctor that we figured he was waiting for 10:10 on 10/10. She took that as a challenge, and Heather started pushing. Four sets of three pushes showed the top of his head. We had time so Heather relaxed, but our newest addition didn't. He finished the job himself, head and hand first as if he were swimming out. Heather said she could feel his feet pushing against her. Killian Crevan McDowell is a very healthy little boy.\u003c/p>\n\u003cp>Of course, then comes what to do now. We really couldn't take him home with how bad the air quality is in Santa Rosa. The staff at Kaiser came up with a plan. We stayed the mandatory 24 hours, and they worked wonders. The staff actually found a hotel for us to stay at and paid for a three-day stay, so that Killian's first few days wouldn't be spent breathing smoke. Ruth is a miracle worker and we couldn't be more appreciative. All of the staff at both Kaisers were amazing, and we thank them all for what they have done for us and our little boy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://docs.google.com/forms/d/e/1FAIpQLSeKnC7qUgcKqyil-URTM0SFisi1a4_ZXOiJbM_VWFkgRhOC2A/viewform\u003c/p>\n\n","blocks":[],"excerpt":"At 11 p.m., they induced labor. At 2:45 a.m., they were told they had to evacuate. ","status":"publish","parent":0,"modified":1508194182,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":true,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":11,"wordCount":819},"headData":{"title":"My Wildfire Story: Induced Labor and Evacuation | KQED","description":"At 11 p.m., they induced labor. At 2:45 a.m., they were told they had to evacuate. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"My Wildfire Story: Induced Labor and Evacuation","datePublished":"2017-10-15T01:05:58.000Z","dateModified":"2017-10-16T22:49:42.000Z","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"}}},"disqusIdentifier":"11623564 https://ww2.kqed.org/news/?p=11623564","disqusUrl":"https://ww2.kqed.org/news/2017/10/14/my-wildfire-story-induced-labor-and-evacuation/","disqusTitle":"My Wildfire Story: Induced Labor and Evacuation","nprByline":"\u003cstrong>Jason McDowell\u003c/strong>","path":"/news/11623564/my-wildfire-story-induced-labor-and-evacuation","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>We asked readers for their wildfire stories. If you were impacted by the fires, or know someone who was, \u003ca href=\"https://ww2.kqed.org/news/2017/10/10/share-your-california-wildfire-story/\">we'd like to hear your story\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Here is one of the responses. It has been edited for length and clarity.\u003c/p>\n\u003cp>My partner, Heather Leiker, and I had a 7:30 p.m. appointment on Oct. 8 in the labor and delivery unit at Kaiser Permanente Santa Rosa to do a non-stress test on her 40-week pregnancy. Due to circumstances, the doctor determined that it was best to induce labor. She received her first dose at 11 p.m. and was due for the second at 3 a.m. During the wait, we were brought to a delivery room and my mother brought her mother and our 3-year-old, Arthur, to visit. When my mother found out that the process could take up to three days, and it was already so late, she decided to take Arthur home. Shortly thereafter is when we found out that the pleasant campfire smell we had been enjoying was actually a wildfire.\u003c/p>\n\u003cp>At 2:45 a.m. the delivery team came into our room and told us that if we were mobile enough, then we should evacuate. The fire was coming our way, and the Hilton (hotel) was already on fire. If Heather started to feel like she was going into labor, then we were to head south to the nearest Kaiser with labor and delivery. As we exited the hospital, we were hearing a constant cacophony of explosions from the north. Boom. Boom. Boom. Almost one per second. Heather's car is in the shop, so we were stuck using my compact truck. The three of us piled into my little truck and headed west to our place past Fulton.\u003c/p>\n\u003cp>The 5-mile journey took us two hours. At the corner of Range and Piner, we saw a truck on fire and a tree across the street in flames. As we went down Piner, we could see the bright glow against the smoky ceiling getting closer to our traffic pile up. Once we got past the railroad tracks, we turned down Bay Village Circle -- my partner's navigation skills still up to par. As we went down past the Marlow Apartments, the police came roaring up to the complex to start the mandatory evacuation. Surprisingly, we also saw a garbageman doing his rounds at the shopping center, seemingly unconcerned and just doing his duty. Once on Marlow, we headed south and managed to sweep into Crosspoint and connect to Guerneville. Finally, with some space to move, we headed home.\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>Once at home, we prepped for evacuation, loading my truck, consoling our son, and taking turns lying down next to him for short rests. We searched for the nearest Kaiser with a labor and delivery and discovered that we'd need to go to San Francisco. My mother would stay with Arthur and flit back and forth between her place (just outside the evacuation area), our place (2 miles from the evacuation area) and a friend's place in Sebastopol. Once again, the three of us piled into my little truck and this time headed down to San Francisco. The 60-mile trip took just as much time as the previous 5-mile one.\u003c/p>\n\u003cp>I finally fell unconscious for about four hours lying next to my partner sometime in the evening of Oct. 9, having been awake since 7 a.m. the morning before.\u003c/p>\n\u003cp>The morning of Oct. 10 brought our little boy into the world. Amazingly, the easiest part of the whole ordeal was the actual delivery. At 10:02 a.m. we joked with the doctor that we figured he was waiting for 10:10 on 10/10. She took that as a challenge, and Heather started pushing. Four sets of three pushes showed the top of his head. We had time so Heather relaxed, but our newest addition didn't. He finished the job himself, head and hand first as if he were swimming out. Heather said she could feel his feet pushing against her. Killian Crevan McDowell is a very healthy little boy.\u003c/p>\n\u003cp>Of course, then comes what to do now. We really couldn't take him home with how bad the air quality is in Santa Rosa. The staff at Kaiser came up with a plan. We stayed the mandatory 24 hours, and they worked wonders. The staff actually found a hotel for us to stay at and paid for a three-day stay, so that Killian's first few days wouldn't be spent breathing smoke. Ruth is a miracle worker and we couldn't be more appreciative. All of the staff at both Kaisers were amazing, and we thank them all for what they have done for us and our little boy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://docs.google.com/forms/d/e/1FAIpQLSeKnC7qUgcKqyil-URTM0SFisi1a4_ZXOiJbM_VWFkgRhOC2A/viewform\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11623564/my-wildfire-story-induced-labor-and-evacuation","authors":["byline_news_11623564"],"programs":["news_6944","news_72"],"categories":["news_457","news_8"],"tags":["news_20534","news_21770","news_421","news_19904","news_21798","news_21773","news_4337","news_4463"],"featImg":"news_11623594","label":"news_72"},"news_11623237":{"type":"posts","id":"news_11623237","meta":{"index":"posts_1591205157","site":"news","id":"11623237","score":null,"sort":[1507923972000]},"guestAuthors":[],"slug":"as-she-evacuated-patients-from-the-hospital-her-home-burned","title":"As She Evacuated Patients From the Hospital, Her Home Burned","publishDate":1507923972,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>[dropcap]J[/dropcap]ulayne Smithson was working an overnight shift in the Intensive Care Unit at the Kaiser Permanente hospital in Santa Rosa when massive wildfires started racing through the city. Smithson had no idea how close they were. She was too busy taking care of her patient.\u003c/p>\n\u003cp>“One of the nurses came up to me and she said, ‘Julayne, I’m sorry, but your house is not going to make it,’” she said.\u003c/p>\n\u003cp>Smithson, 55, recently moved from Indiana and had just bought a new home a few weeks ago. From the hospital window, she could see the flames moving through her neighborhood.\u003c/p>\n\u003cp>“I was so busy working the last couple of weeks that I didn't get my insurance, which I never do. I never ever, ever go uninsured,” she said. “I kept saying, ‘Tomorrow, I'm going to do that. Tomorrow, I'm going to do that.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"G9hfFQdPhqcscgWQ02zuOf5wTZ9VBia6\"]\u003c/p>\n\u003cp>Smithson asked a colleague to watch her patient and raced home to try to save a few things. The fire was a block away.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I knew I didn’t have much time,” she said. “So I ran inside and I thought, 'I have to get my nursing documents, because if I’m going to lose everything I own, I have to be able to work, to care for patients.'”\u003c/p>\n\u003cp>She grabbed the papers, a pair of scrubs and a nightgown, and raced back to the ICU. Over the next two hours, smoke filled the hospital.\u003c/p>\n\u003cp>“All of a sudden the police busted in the door and they said, 'everybody out,” she said. “'Grab what you can carry, get your patients, and go now.'”\u003c/p>\n\u003cp>One of Kaiser’s emergency room doctors took charge as the fire approached, setting up a disaster command center, and making the call to evacuate the hospital’s 130 patients.\u003c/p>\n\u003cp>“It’s a really challenging decision to make, one you don’t make lightly,” said Joshua Weil, Kaiser’s ER doctor in charge that night. “You have to weigh the potential risk of moving hospitalized patients and patients from the emergency department, versus the risk of keeping them where they are.”\u003c/p>\n\u003cp>He decided to evacuate when the fire moved suddenly toward the hospital. Firefighters told him the blaze was 100 to 200 yards from the property, posing an imminent threat to the hospital structure.\u003c/p>\n\u003cp>“They literally used the words, ‘we’re making the last stand,’” Weil said.\u003c/p>\n\u003cp>Staff immediately started assessing and triaging patients. \u003c/p>\n\u003cp>Patients who could walk, got on a bus provided by the city. Patients who couldn’t walk, like Smithson’s patient, had to wait.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\nA lot of nurses and staff were putting patients in their cars and driving them to the hospital.\u003cbr>\n\u003ccite>Julayne Smithson, Nurse at the ICY at the Kaiser Permanente Santa Rosa\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Sutter Santa Rosa Regional Hospital was also evacuating, and they had close to 80 patients, so ambulances were in high demand.\u003c/p>\n\u003cp>“A lot of nurses and staff were putting patients in their cars and driving them to the hospital,” she said. “And then other people were carrying people on blankets, people who couldn’t walk, and putting them in cars.”\u003c/p>\n\u003cp>In the end, Smithson said they waited about 15 minutes for an ambulance, but it was a stressful 15 minutes. Her team was manually pumping air into her patient’s mouth with an air bag. A team of five had to push him, in his bed with all the monitors, through the parking lot several times to get away from fast-moving smoke and flames. His medication was running low and he was getting agitated.\u003c/p>\n\u003cp>“The pharmacy pre-mixes those medicines for us, but we didn’t have time to prepare extra medication for a trip like that because it just came up so fast,” she said.\u003c/p>\n\u003cp>Three hours passed from the moment the evacuation was called, to the moment the last patient was out of the hospital, Weil said.\u003c/p>\n\u003cp>Smithson’s patient, and several other critical patients, made it safely to Santa Rosa Memorial Hospital, about four miles away. About a hundred less critical patients were transferred to Kaiser’s hospital in San Rafael, about 40 miles away.\u003c/p>\n\u003cp>Beatrice Immoos was one of the nurses there getting prepped to receive the influx.\u003c/p>\n\u003cp>“We were essentially told that we were in a disaster situation and all ratios were out the window,” she said, meaning nurses would be assigned more patients than usually allowed under California law. “They were going to start triaging people through the ER.”\u003c/p>\n\u003caside class=\"pullquote alignright\">\nEvery day, nurses are always working with the common goal of taking care of our patients, and in a disaster, it’s just even more hands on deck working to get them the best treatment.\u003cbr>\n\u003ccite>Beatrice Immoos, Nurse at Kaiser San Rafael \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>She remembers patients arriving wearing colored armbands, indicating the severity of their health status. These were likely assigned by paramedics during transport, Weil said.\u003c/p>\n\u003cp>“This level of disaster is a new one for us,” said Immoos. “It was very emotional, but there was a lot of resolve. Every day, nurses are always working with the common goal of taking care of our patients, and in a disaster, it’s just even more hands on deck working to get them the best treatment.”\u003c/p>\n\u003cp>The hospital put out calls for volunteer nurses to come help in San Rafael. Many responded, including Julayne Smithson. Her husband was supposed to fly in from Indiana in two days, but with their new home gone, she told him to wait.\u003c/p>\n\u003cp>“I said, ‘Well, I don’t have anywhere to go right now. And we don’t know what’s going on,’” she said. “So I said ‘I’ll go to San Rafael and help there.’”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Another nurse offered Smithson a pullout couch in a spare room. She’s been sleeping there during the day, and working 7 p.m. to 7 a.m. every night since the fire. She says all she wants to do right now is help patients, so she doesn’t have to think about what she’s lost.\u003c/p>\n\n","blocks":[],"excerpt":"Nurse helped 130 hospital patients out safely, while massive wildfires burned through Santa Rosa.","status":"publish","parent":0,"modified":1507945151,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":1084},"headData":{"title":"As She Evacuated Patients From the Hospital, Her Home Burned | KQED","description":"Nurse helped 130 hospital patients out safely, while massive wildfires burned through Santa Rosa.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"As She Evacuated Patients From the Hospital, Her Home Burned","datePublished":"2017-10-13T19:46:12.000Z","dateModified":"2017-10-14T01:39:11.000Z","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"}}},"disqusIdentifier":"11623237 https://ww2.kqed.org/news/?p=11623237","disqusUrl":"https://ww2.kqed.org/news/2017/10/13/as-she-evacuated-patients-from-the-hospital-her-home-burned/","disqusTitle":"As She Evacuated Patients From the Hospital, Her Home Burned","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2017/10/KaiserNurseEvac.mp3","path":"/news/11623237/as-she-evacuated-patients-from-the-hospital-her-home-burned","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">J\u003c/span>\u003c/p>\u003cp>ulayne Smithson was working an overnight shift in the Intensive Care Unit at the Kaiser Permanente hospital in Santa Rosa when massive wildfires started racing through the city. Smithson had no idea how close they were. She was too busy taking care of her patient.\u003c/p>\n\u003cp>“One of the nurses came up to me and she said, ‘Julayne, I’m sorry, but your house is not going to make it,’” she said.\u003c/p>\n\u003cp>Smithson, 55, recently moved from Indiana and had just bought a new home a few weeks ago. From the hospital window, she could see the flames moving through her neighborhood.\u003c/p>\n\u003cp>“I was so busy working the last couple of weeks that I didn't get my insurance, which I never do. I never ever, ever go uninsured,” she said. “I kept saying, ‘Tomorrow, I'm going to do that. Tomorrow, I'm going to do that.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Smithson asked a colleague to watch her patient and raced home to try to save a few things. The fire was a block away.\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>“I knew I didn’t have much time,” she said. “So I ran inside and I thought, 'I have to get my nursing documents, because if I’m going to lose everything I own, I have to be able to work, to care for patients.'”\u003c/p>\n\u003cp>She grabbed the papers, a pair of scrubs and a nightgown, and raced back to the ICU. Over the next two hours, smoke filled the hospital.\u003c/p>\n\u003cp>“All of a sudden the police busted in the door and they said, 'everybody out,” she said. “'Grab what you can carry, get your patients, and go now.'”\u003c/p>\n\u003cp>One of Kaiser’s emergency room doctors took charge as the fire approached, setting up a disaster command center, and making the call to evacuate the hospital’s 130 patients.\u003c/p>\n\u003cp>“It’s a really challenging decision to make, one you don’t make lightly,” said Joshua Weil, Kaiser’s ER doctor in charge that night. “You have to weigh the potential risk of moving hospitalized patients and patients from the emergency department, versus the risk of keeping them where they are.”\u003c/p>\n\u003cp>He decided to evacuate when the fire moved suddenly toward the hospital. Firefighters told him the blaze was 100 to 200 yards from the property, posing an imminent threat to the hospital structure.\u003c/p>\n\u003cp>“They literally used the words, ‘we’re making the last stand,’” Weil said.\u003c/p>\n\u003cp>Staff immediately started assessing and triaging patients. \u003c/p>\n\u003cp>Patients who could walk, got on a bus provided by the city. Patients who couldn’t walk, like Smithson’s patient, had to wait.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\nA lot of nurses and staff were putting patients in their cars and driving them to the hospital.\u003cbr>\n\u003ccite>Julayne Smithson, Nurse at the ICY at the Kaiser Permanente Santa Rosa\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Sutter Santa Rosa Regional Hospital was also evacuating, and they had close to 80 patients, so ambulances were in high demand.\u003c/p>\n\u003cp>“A lot of nurses and staff were putting patients in their cars and driving them to the hospital,” she said. “And then other people were carrying people on blankets, people who couldn’t walk, and putting them in cars.”\u003c/p>\n\u003cp>In the end, Smithson said they waited about 15 minutes for an ambulance, but it was a stressful 15 minutes. Her team was manually pumping air into her patient’s mouth with an air bag. A team of five had to push him, in his bed with all the monitors, through the parking lot several times to get away from fast-moving smoke and flames. His medication was running low and he was getting agitated.\u003c/p>\n\u003cp>“The pharmacy pre-mixes those medicines for us, but we didn’t have time to prepare extra medication for a trip like that because it just came up so fast,” she said.\u003c/p>\n\u003cp>Three hours passed from the moment the evacuation was called, to the moment the last patient was out of the hospital, Weil said.\u003c/p>\n\u003cp>Smithson’s patient, and several other critical patients, made it safely to Santa Rosa Memorial Hospital, about four miles away. About a hundred less critical patients were transferred to Kaiser’s hospital in San Rafael, about 40 miles away.\u003c/p>\n\u003cp>Beatrice Immoos was one of the nurses there getting prepped to receive the influx.\u003c/p>\n\u003cp>“We were essentially told that we were in a disaster situation and all ratios were out the window,” she said, meaning nurses would be assigned more patients than usually allowed under California law. “They were going to start triaging people through the ER.”\u003c/p>\n\u003caside class=\"pullquote alignright\">\nEvery day, nurses are always working with the common goal of taking care of our patients, and in a disaster, it’s just even more hands on deck working to get them the best treatment.\u003cbr>\n\u003ccite>Beatrice Immoos, Nurse at Kaiser San Rafael \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>She remembers patients arriving wearing colored armbands, indicating the severity of their health status. These were likely assigned by paramedics during transport, Weil said.\u003c/p>\n\u003cp>“This level of disaster is a new one for us,” said Immoos. “It was very emotional, but there was a lot of resolve. Every day, nurses are always working with the common goal of taking care of our patients, and in a disaster, it’s just even more hands on deck working to get them the best treatment.”\u003c/p>\n\u003cp>The hospital put out calls for volunteer nurses to come help in San Rafael. Many responded, including Julayne Smithson. Her husband was supposed to fly in from Indiana in two days, but with their new home gone, she told him to wait.\u003c/p>\n\u003cp>“I said, ‘Well, I don’t have anywhere to go right now. And we don’t know what’s going on,’” she said. “So I said ‘I’ll go to San Rafael and help there.’”\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>Another nurse offered Smithson a pullout couch in a spare room. She’s been sleeping there during the day, and working 7 p.m. to 7 a.m. every night since the fire. She says all she wants to do right now is help patients, so she doesn’t have to think about what she’s lost.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11623237/as-she-evacuated-patients-from-the-hospital-her-home-burned","authors":["3205"],"programs":["news_6944","news_72"],"categories":["news_457","news_8"],"tags":["news_21788","news_212","news_21770","news_21790","news_21773","news_21789","news_474","news_4403","news_4337","news_4463"],"featImg":"news_11623517","label":"news_72"}},"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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Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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