Roy Exum: Erlanger Leaders Are Sick

Saturday, January 26, 2013 - by Roy Exum
Roy Exum
Roy Exum

The Hamilton County delegation of the Tennessee Legislature has recently written two letters to the Erlanger Hospital Board of Trustees, asking the group to slow down in hiring a new chief executive, but now frantic hospital leaders are clamoring for the politicians to do the exact same thing.

The legislators are poised to introduce a bill early next week that would alter the governance structure but as word of the proposed bill became public Friday, key hospital leaders fought pseudo-symptoms ranging from hypertension to nausea.

Erlanger, which lost $10.5 million in the last fiscal year and has lost another $2.5 million at the midway point of this year, desperately needs a better business model but what the area legislators are now proposing offers scant changes and will do little more than replace the current board of trustees with a new cast of characters.

What is clear is that the area’s Level One Trauma Center and Chattanooga’s top health provider needs a 501(c)(3) corporate structure but the legislators’ pending action calls for “just another” governing board of nine people, with just seven allowed to vote, that could -- quite literally -- vote to sell the hospital and its campuses – get this -- if just four members felt that way.

Currently there are 12 trustees but after millions in losses and a myriad of other vexing problems, concern for the hospital and the thousands of patients who are treated there each year has grown to epic proportions.  The legislature, hoping to stop a politically-driven board that has proven to be inadequate, wants out of the nominations business and hopes to ask Hamilton County Mayor Jim Coppinger to pick a new nine-person team with two unable to vote.

That way the hospital would function just as it has and vocal insiders predict the consequences would be dire. Under the proposed bill, the Sunshine Law would still be in effect and there are ominous undertones that a “takeover” by the University of Tennessee, a private corporation, or another hospital could soon take place with just four votes, or a majority, needed to succeed. In short, the proposed bill is abysmal.

Seriously, the pending bill as outlined makes no sense to anyone who is familiar with the hospital and, sadly, most of the present trustees said Friday they have not spoken to, nor met with, the Hamilton County legislators. That fact leads to the presumption by some on the board, as well as other hospital leaders, that something may be “fishy” in the hurried actions by the politicians.

Why there hasn’t been a joint meeting between the legislators and the entire board is curious. Some of the hospital group already feel the delegation has been steered in a wrongful way that hardly reflects the true wishes of the trustees, the community and hospital leaders.  Ever since Board Chairman Ron Loving actively campaigned for embattled Charlesetta Woodard-Thompson to remain as CEO there has been distrust within the hospital leadership and, with change now eminent, tensions are high.

The trustees, most shocked by the legislators’ toothless bill, are poised to name a new CEO after interviewing the final three candidates, who are each well acquainted with what has happened at Erlanger in recent years. And the proposed legislation does call for the new board to rotate, the members selecting incoming candidates as individual terms expire. That’s a good move.

If, indeed, County Mayor Coppinger selects the first nine members – and who would ever want to serve on a board with the liability but not be allowed to vote? – Mayor Coppinger would be well-advised to pick some of the current board members because not only are some very solid and qualified, they already know the inner-workings of an $800 million business better than any outsider ever will.

It is clear the legislators have little knowledge of Erlanger’s problems or such a flimsy bill would have never been brought into being. The “Sunshine Law” stifles competition and the highly-successful business model that many other 501(c)(3) hospitals across the country enjoy. Then again, the puzzling lack of mid-management, the void in capital spending, the horrible out-sourcing, and the poor decision-making are almost too much for any one mortal to comprehend.

Believe this; until the legislators meet with the full board of trustees and carefully listen, any rush to push a bill through at the state level will hurt much more than it will help. As one put it so succinctly, “these (politicians) have a chance to be heroes but are becoming the villains. This opportunity isn’t going to come around again.”

So, yes, the need to move quickly is obvious but to make the wrong move – by just changing from one cast to another in the same dreadful play – is ridiculous and may the Lord help us all if our representatives in Nashville can’t recognize the urgent need for a total and complete reorganization at our region’s most important health facility.

Not only does Erlanger deserve better, the citizens of our region do too.

royexum@aol.com


ACA Is Not To Blame For Higher Teacher Healthcare Costs

It's disingenuous for Rhonda Thurman to blame the Affordable Care Act (ACA) for the increase in healthcare costs. If she checked her facts, she would find that the ACA seems to be responsible for reducing the rate at which costs are increasing. This is another example of her misinformation campaign. It is a shame that the teachers of Hamilton County, who work so hard to ... (click for more)

Great Work, City Auditor

As a voter, I was skeptical about having an independent city auditor’s office. This office was created by referendum of the voters. The public wanted third party oversight of city government, for good cause.  I will be the first to admit I was wrong.  A primary problem was the auditor being hired and fired by the mayor’s office, who could also set the auditors operating ... (click for more)

4 Killed, Another Critical After Truck Goes Off Road And Strikes Man Mowing Yard In Murray County

Four people lost their lives Thursday evening when a truck carrying four teens left the road and hit a man mowing his grass on Old CCC Camp Road in Murray County.   The truck was driven by River Sosbee, 18, and included passengers Alexis Pinson, 18, Joshua Roberts, 17 and Chelsea Hullender, 18.  Ms. Pinson survived and was airlifted by LifeForce to Erlanger Medical ... (click for more)

Shooting Of 15-Year-Old Began As Argument Between Teens

According to police, the Tuesday night shooting of a juvenile on Taylor Street started as an argument between the two young men. Terry Marshell Smith Jr., 19, was arrested the following day. Police said the former Hixson High School student shot the juvenile in the shoulder after their argument and then fled the scene.  According to police, Smith admitted to the shooting. ... (click for more)

Ex-Ooltewah All-American Jacques Smith released By Falcons

(Story will be updated) Former Ooltewah Owls All-American and Tennessee Vols defensive standout Jacques Smith has been released by the Atlanta Falcons, who are 10 cuts from reaching their 53-man roster for the 2014 season. Wide receiver Jeremy Ebert and tight end Mickey Shuler were also released. Smith, an undrafted free agent, is said to be a "viable candidate" for the ... (click for more)

Baylor Comeback Swamps Webb, 34-7

Baylor lost a fumble on the third play of the game and the visiting Webb Spartans scored five plays later, but the Red Raiders came storming back to win their second-straight game, 34-7, over the D-II, Class A two-time defending state champions. Quarterback Nick Tiano, who has already committed to Mississippi State, hurled two touchdown passes and scored a third on a sneak from ... (click for more)