The Joint Commission reviewed two other cases in which psychiatric patients died in 2010. The Texas Department of Health also hit Parkland with a $1 million fine in 2012 for patient safety errors and other issues that included the sexual abuse of a patient by a nurse.
In addition to the nearly 500 action items in Parkland's CAP that address CMS concerns, the hospital is attempting to drive change by tying compensation to performance. It's a practice that Parkland previous engaged in but abandoned the same year CMS began its oversight. The Dallas County Commissioners Court has final say over approving a bonus plan; the hospital's board also has not approved the measure.
Parkland officials are under tremendous pressure to regain their footing with CMS and the public. The findings from CMS are expected to be issued before the end of August.
"We did complete the action items that were within the corrective action plan," says Malaise. "Clearly the hospital is higher quality and a safer place than it was two years ago. We're hopeful that the results come back and reflect that.