Saturday, July 16, 2011

The facts keep changing

As I wrote in an earlier post, almost two months after my husband was released from Parkland's burn unit, unable to sit, stand, or walk alone, and sent home for me to try and care for, I received a telephone call from the attending physician we had for the first 10 days of our stay there.  He sounded as if he was reading from a prepared script, and he hurried to get off the phone when I started to ask questions, but the meat of the conversation was that Parkland takes its patient complaints seriously.  He said he had spoken at length with John Jay Shannon that very day about my husband's case, and they had prepared something to present to the Board of Managers of Parkland to show how problems such as ours would be avoided in the future. 

When I received the call, I was so stunned to hear from him that I didn't think to ask to see the report they planned to present to the Board, so I emailed him a week or so later asking (1) if they had presented it yet, (2) could I see that report, and (3) what the Board's response was.  For a week I received no response, so I wrote him again asking the same t hings.  This is is response:

Greetings:
My understanding is that your husband’s case was to be mentioned at board meeting but not discussed in detail and not as a test case in order to make or change policy. The intent was to let board members know that this serious issue was being addressed at the appropriate levels. I think this makes sense as the real work for improvement comes at the local level with me as director of the burn unit and my team.
Having said that, I have discussed the case at all various levels including the nursing supervisors, unit managers, nurses, and residents. I think we have made every effort to close the loop so to speak.
Our efforts at improvement have been directed at improved communications. This will be primarily among the various burn team members so when individuals speak to families and patients we will all essentially speak with one voice. Rather than it appearing like we are all expressing our own independent and uncoordinated opinions.
I can assure you the burn attending is very much involved in all aspects of patient care on the burn service. As you have learned we cover the burn unit for one full month without taking days off. This is done in order to ensure continuity of care. We also see patients either in the wound care area or the patient room every day, although this may not necessarily be observed by families. While this does not ensure a formal attending-to-family discussion every day it certainly qualifies as good care and good supervision of residents. Due to the multiple responsibilities on service the burn attending must rely on residents and other team members to have some of the daily discussions with family members. Given this reality I think our efforts at better communication between team members will help to prevent some of the shortcomings you experienced.
Thanks so much for your patience,

Although I had not copied anyone on either of my emails to him, he felt the need to copy John Jay Shannon, Bradley Simmons, and Kathleen Doherty on his response.  While I obviously know Dr. Shannon, I have no idea who the others are. 

This is NOT what he told me on the phone, and it shows just little Dr. Shannon paid attention in the big meeting they called with my family and me.  Yes, better communication was brought up, but not so much their need for SPEAKING with one voice, but for LISTENING.  They nearly allowed my husband to die there because they would not listen.  They nearly allowed my husband to die there because, in the burn unit, they don't care about anything but the burns.  They nearly allowed him to die there because, when "shift change" came at the end of the month, the new attending physician NEVER saw my husband until I finally raised a big enough stink to force it.

I wish those CMS investigators would talk to me!  I also wish they could see the bill I received with all the fraudulent charges that I plan to contest.  Interesting - the original bill I received was not itemized - - it was merely a total amount.  When I called and asked for an itemized statement, they acted like I was crazy for asking for one!  Interesting.

2 comments:

  1. There is a new post on a blog that dispels the myth that Parkland is a "World Class" Burn Center. Hospitals are increasingly being required to report the results of their care, including mortality rates, and complications.

    The Parkland Burn Unit was rated as sub-par, with mortality rates higher than acceptable for the entire year. Their overall rank was 29th out of 41 burn units that exist in academic medical centers in the country. In other words, they were at the 30th percentile: 70% of trauma centers have better patient outcomes than Parkland.

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  2. You can see that actual report at http://dallashealthcare.blogspot.com/2011/07/ut-southwestern-and-parkland-hospita.html

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