The Evil Hospital Administrator

I often rip on hospital administrators for many reasons.  One, there are too many of them. Two, they think they are more important than they are.  Three, they are getting too powerful.  Want an example?  Here is one from a lawsuit in California:

The suits stems from actions taken Jan. 26, 2016, when the Tulare Regional Medical Center (TRMC) board of directors voted to terminate the hospital’s medical staff organization and effectively remove the hospital’s elected medical staff officers, install a slate of appointed officers, and approve new medical staff bylaws and rules drafted without staff input.

Except for the newly appointed officers, the rest of the staff was then terminated, stripped of their rights as active members and then granted “provisional” status as part of the new medical staff which they had not applied or consented to membership with, according to a post-trial brief filed by the TRMC Medical Staff.

The replacement bylaws also contained a provision, since amended, that physicians could achieve and maintain “active” status by proving their economic value to the hospital, according to the brief—which described that provision as “basically, an illegal kickback scheme.”

All I can say is….wow.  Physicians gave this healthcare system away and we continue to pay for it.  This power play, by the hospital administrators at Tulare, is unbelievable.  And disgusting. And evil.

We need to fight back.  All of us.

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  6 comments for “The Evil Hospital Administrator

  1. Theresa Crouch
    September 26, 2017 at 2:34 pm

    This event at Tulare is a first to my knowledge. Being a radiologist, I am familiar with termination of radiology groups en masse, which is shocking enough, but never a whole medical staff! Keep us posted. I believe that the general public would be shocked by this too, if they knew.

  2. Chris
    September 21, 2017 at 9:29 pm

    I can think of an easier fix than a lawsuit. Transfer every patient in the hospital to colleagues at other facilities, walk out and turn off your phone’s and pagers. And it all would have been in compliance with the bylaws as they would have been demonstrating their economic value to the hospital.

  3. Davis Pitt
    September 19, 2017 at 11:17 am

    Doug, Please keep us posted on this one!

  4. September 18, 2017 at 10:58 am

    Throughout history there have been rulers who dissolve assemblies and then remake them in their own image, or not at all. Sometimes it’s a sign of power being lost and then a last desperate attempt to remain viable. Charles of England pulled this before Cromwell took over.

    • Pat
      September 18, 2017 at 1:36 pm

      British Governor John Murray, earl of Dumnore, dissolved the Virginia House of Burgesses in 1774 for the same reasons.

  5. Thomas Guastavino
    September 18, 2017 at 7:16 am

    My hospital administration constantly tried to change the by-laws without staff approval. The first time they tried this and I did not like it I formally requested grandfather status. I heard that the hospital CEO through a fit when he was told by the hospital legal staff that since I made a formal request I was totally within my rights. Soon after multiple other staff physicians did the same effectively shutting down administrative attempts to unilaterally change the by-laws.
    We have more power then we realize.

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