Erlanger Needs Study - And Response

Tuesday, April 2, 2013

Why is Erlanger so different from other safety net hospitals in Tennessee?  

Today, the Tennessean reports that the Metro Nashville Hospital Authority, which operates Nashville General Hospital, has presented Davidson County with it's annual request for $32.7 million for hospital operations. The Regional Medical Center in Memphis (the Med) normally receives $50 million annually from Shelby County, $2 million from the city of Memphis, and $5 million from Arkansas and Mississippi.  

Over a year ago, the Chattanooga-Hamilton County Medical Society along with the Erlanger Medical staff asked for a commission to be formed to study the Hospital Authority Act, compare Erlanger to similar institutions, and make recommendations for any changes. It has been difficult to watch the Hamilton County Commission and the Legislative delegation struggle to come to an agreement on legislation that reduces the Erlanger supplement from $1.5 million to $1 million, while Hamilton County receives $5 million a year in free care for its inmates. 

The new Erlanger CEO looks to be very capable, but without reasonable support, his opportunities for improvements at Erlanger will be limited. A study group of stakeholders, along with state and local leaders, and Mr. Speigel should be able to produce a consensus plan that would form the basis for new legislation to get Erlanger back on a sustainable track. Uncertainty over Medicaid expansion and the full rollout of the Affordable Care Act in 2014 makes quick action on this proposal a priority.

Working together, we can make this happen. Let's get busy. 

Chris Young, MD 

* * * 

I was at Erlanger in 1975 as a student and went on to graduate and work there until 1988. The day I walked onto the campus they were doing demolition on one of the old nursing dorms.  Not long after that they closed Wiehl street in front of the hospital.  The construction and renovations
never stopped. Never. Our department had two major renovations while I worked there. 

Erlanger has always wanted to be the county hospital, the best teaching hospital, and the 
best private hospital in a huge regional area, as well as the regional children's hospital, etc., etc.
Ambition and growth is not a bad idea, in fact it is required in order to attract physicians and patients which equals revenue, but how can all of that be financed and maintained indefinitely? 

Back in the day, Dalton Roberts hammered the board and the activities of the hospital. The news
was always filled with his challenges for the hospital to be more frugal and budget conscious.  I guess the question is this: How long can a hospital truly be all things to all people, never stop  huge construction projects, and maintain viability in the tightening health care crisis? 

One thing that I never really understood back then was that so many indigent patients came from a large region beyond Hamilton county.I saw service patients from Atlanta, Alabama, Georgia, as  well as many other counties in Tennessee. So how is that influx financed? Erlanger constantly complained [and still does] about not enough funds to support all their indigent patients. No, there are not enough dollars to pay for all of that coverage. Did the surrounding regions contribute to the costs?  Did the government [state or federal or both] contribute to support these patients? I could never get an answer from anyone on the subject. 

A close relative of mine worked in the clinics for a long time. They were puzzled by the addresses of many of the clinic  patients also, but no explanations were ever given.  

The only black ink I  vividly remember was when the hospital brought in a CEO that fired 14 or so vice presidents and then moved on to another healthcare facility. The hospital had a $16 [?] million surplus the next budget year. 

I hope that the new CEO can help Erlanger find solutions to the problems. Erlanger is a great hospital and I fear what would happen to our community and region without it. 

Ted Ladd
East Ridge



The President Isn't In Charge Of America's Future

Protesters -  Donald is not, and Hillary would not have been, in charge of America's future.  Why worry when the God of the universe is in control.   We Americans need to read and heed 2 Chronicles 7:14.  I'll be first in line.  Judy Morgan Tyner/East Brainerd (click for more)

Roy Exum: Jumoke’s Thuggery Ends

Jumoke Johnson, the most notorious criminal in Chattanooga’s recent history, was killed by a rain of bullets in the 2100 block of East 12 th Street at little after 8 o’clock Friday night and for the many of us who have kept up with the 23-year-old, you wonder how he ever lasted this long. He was aptly proclaimed as the “most dangerous man” to ever have been sentenced in Chattanooga’s ... (click for more)

Chattanooga Police To Add 14 Officers After Violent Weekend; New System To Allow Local Testing Of Shell Casings

In the wake of a weekend in which five people were shot with two dying, the Chattanooga Police Department is adding 14 more officers, Mayor Andy Berke and Chief Fred Fletcher said Monday. The department is also utilizing a new system that will allow local testing of shell casings and avoid a long wait time after sending them off to Nashville. Chief Fletcher also said there ... (click for more)

Cleveland Mother And Father Indicted After 2-Month Old Tests Positive For Meth; Has Multiple Injuries

The father and mother of a two-month-old in Cleveland have been indicted for child abuse after the baby tested positive for meth and had multiple injuries. Cleveland Police said on Jan. 4 the Department of Children Services and the Cleveland Police Department’s Special Investigations Unit began a joint investigation on an aggravated child neglect/abuse case.  DCS and ... (click for more)

Tullahoma Nips East Hamilton For Central Mat Title

The annual Central Invitational wrestling tournament was cancelled two weeks ago by the threat of inclement weather, but they were able to get it in on Saturday and it was a battle to the wire for the team championship. Luke Champion was the individual winner at 285 pounds and it was his victory that lifted the Tullahoma Wildcats to the team title as they finished the day-long ... (click for more)

Father Ryan Rallies To Beat Soddy Daisy

The Soddy Daisy Trojans may have been embarrassed over a lopsided whipping they took at the hands of the Bradley Bears Thursday night in Cleveland, but they came out with fire in their eyes Friday night in a dual meet with Father Ryan. The host Trojans had a seemingly-comfortable 32-22 lead with three matches remaining, but the Purple Irish won all three -- including two with ... (click for more)