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



Look At The Town Of Signal Mountain Water Options

The town of Signal Mountain is preparing a Request for Proposal so Walden’s Ridge Utility District and Tennessee American Water can have the opportunity to bid on buying our water system. Another option would be to hire a water manager and keep the water system.  The town has approximately 3.2 million in cash and investments, paid into the system by our rate ... (click for more)

The Problem With Standing On Your Principles

All of these people who are of the "Never Trump" crowd and will vote Libertarian, or not vote at all, will be proud of standing on their principles while watching Hillary finish Obamas destruction of our country.  Bob Bogart (click for more)

Mayor Berke Pledges $6 Million For New Recreation Center At Avondale

Mayor Andy Berke announced Thursday that he plans to include $6 million in his upcoming budget for a new Recreation Center at Avondale. He said at a press conference at the current center on Dodson Avenue, "We want to make an investment in Avondale." Mayor Berke said the current center by Wilcox Boulevard was built in 1949 and last remodeled in 2002. The new center, which ... (click for more)

Developer Plans Single-Family Homes, Townhomes, Apartments, Retail On 7.5 Acres At South Broad Street

A developer is planning single-family homes, apartments, townhomes and retail on a 7.5-acre South Broad Street site. The development by South Broad LLC and DEW LLC is located within several blocks between South Broad Street, W. 26th Street, Long Street and W. 27th Street. It would include a 3-story U-shaped apartment building with ground floor retail at the north end of the ... (click for more)

Mustangs Clip Raiders, 4-3, On Chambers' Clutch RBI Hit In 10th

CLEVELAND, Tenn. – Winning two regular season games against Cleveland was no picnic for the Walker Valley Mustangs. Capturing a win-or-go-home District 5-3A tournament showdown with the Blue Raiders was even tougher to nail down for coach Joe Shamblin’s squad. Bunts by Jacob McCall and Hunter Shamblin set the stage for Jacob Chambers’ walk-off RBI single in the 10 th ... (click for more)

East Ridge And CFCA Reach New Contract

The city of East Ridge and the Chattanooga Futbol Club Academy (CFCA) have agreed to a new five-year soccer field-use agreement for five fields at Camp Jordan Park. The agreement allows CFCA to practice at Camp Jordan Park and play games there on fields 1-5. The East Ridge Futbol Club (ERFC) plays recreation soccer on fields 6-8 and often works with CFCA to use field 5 on Saturday ... (click for more)