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Parkland Dismissals Linked to Patient Safety, Accountability

Joe Cantlupe and Margaret Dick Tocknell, March 15, 2012

"We turned over a lot of positions in the psychiatric and emergency departments where this all started a year and a half ago that had to do with consistency of performance and had to do with management and oversight and so forth," he said.

Royer said the moves have been made as the safety-net system works toward compliance for an estimated $417 million in annual Medicare and Medicaid contracts. CMS ordered a review in July 2011 of the entire hospital facility after identifying dozens of deficiencies deemed so serious as to create an immediate and serious threat to patient health and safety.

In September, Parkland and the Dallas office of the Centers for Medicare & Medicaid Services signed a systems improvement agreement, which requires Parkland to be compliant with all CMS rules and regulations by April 2013.

The hospital system hired Alvarez & Marsal Healthcare Industry Group to guide it through the SIA process. A 300-page gap analysis report prepared by A&M detailed ongoing deficiencies, including systemic issues in the role and organization structure of nursing and nursing practices. Royer has said that about 75% of Parkland's problems involve inconsistent nursing practices across the system.

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4 comments on "Parkland Dismissals Linked to Patient Safety, Accountability"


Employee (5/30/2013 at 5:44 PM)
This is the absolute worst place to work. The other posts are spot on. CMS should shut it down.

A concerned doctor (3/19/2012 at 1:23 PM)
This is the first time that the staffs at Parkland and UT Southwestern have had to be accountable for their actions. Now, their incompetent staffs are whining that they have too many responsibilities to account for. That only tells you two things: 1. Parkland's staff never took responsibility for their actions before, and 2. now they are being held responsible for their actions, Parkland is too big, too impersonal, too dysfunctional, and is way too overcrowded to see the number of patients they are seeing. The answer for the feds, their safety monitors, the Parkland Board of Managers, and the Dallas County Commissioners is to break-up Parkland, close down non-compliant units (such as their Emergency Room, Surgery, Labor and Delivery, Psychiatric, and Orthopedics units), down-grade their horrible Level-1 Trauma unit, Burn unit and Emergency Rooms, and down-size their overall number of inpatient beds. The next steps after that are: 1. stop the $1.3 billion replacement hospital construction to make Parkland bigger, which is distracting from Parkland's only important business of becoming a safe and compliant hospital, 2. build more, smaller, responsive county community hospitals to meet the demands for Dallas' public health care needs, and 3. stop whining and take responsibility for your actions. I can't emphasize enough what a big embarrassment and black eye Parkland is to the entire health care profession. They are basically eroding the trust and confidence of the public in all health care professionals by their unprofessional conduct, and no health care professional should tolerate their shenanigans at this point. UT Southwestern should follow Parkland's lead and start firing their faculty members and administrators who have contributed to this mess. This kind of unprofessionalism by two institutions should not be tolerated by anyone within the profession and should be swiftly dealt with.

RN BSN (3/16/2012 at 10:37 AM)
I've been a dedicated nurse at the hospital for 5+ years. We have been given so many more responsibilities and accountabilities but have recieved no additional support. A number of my colleagues feel that everyday at work is a possible jeopardy to our licenses. There is so much to do/monitor for our patients in so little time, that it's just a matter of time before another mistake occurs. Every single employee on my unit has been preparing for their next job.