Wednesday, July 2, 2014

NEEDED A HOSPITAL TASK FORCE



Long overdue is the need for an Administration/Council sponsored Citizens’ Task Force to bring a form of definitive health care back to the city.

I realize that there is a consultant’s report due, even overdue, on the Muhlenberg campus use. The study was commissioned in October 2013 with a report anticipated in six months. It is unlikely that there will be a constructive recommendation since one of the consultants has remarked that they will be focusing on “zoning changes” which will be needed before non-medical use is approved.

Although many have voiced the need for a “medical mall” in part of the vacant hospital building it is my firm belief that the prime minimum facility this community needs is an at least 120 bed acute hospital with supportive ER and a separate walk-in-unit.

The 120 bed acute care hospital should contain small critical care and coronary care medical units along with a reasonable number of beds devoted to non-critical but acute short term disease care. Any medical case requiring super specialized care can then be transferred to a facility such as RWJ. Arrangements can be made for such cases.

There should also be a small number of beds for pediatric patients, as well as an OB unit- an urgent need.
There should also be a surgery unit with a sufficient OR complex for the more routine type surgeries; the exotic or complex cases would belong in a hospital adequately staffed.

Unfortunately in this type hospital there is no room for a psychiatric or detox units.

Of course there must be the need supportive diagnostic units as well as rehabilitation services. They can also service the Medical Mall patients.

The Medical Mall would be ancillary to the hospital, most likely staffed by physicians with hospital privileges plus external specialists.

In 2014 there is no longer a place for the non-profit hospital complex. It has proven itself to be economical inefficient. However with the implementation of ACA the loss burden of uninsured has greatly diminished. Therefore a commercial hospital operation could in my opinion make a success in operating such a facility.

That will require, not necessary in this order; the city reclaiming the property and endowments from JFK as well as a dedicated concentrated effort with complete government and political support to make this a reality.

That is why a non-political Citizens’ Task Force charged with the mission to make the above happen is essential. I could suggest that those volunteers who have been active in trying to restore Muhlenberg services be a nucleus for this force. Dottie Gutenkauf, health permitting such at the least be Honorary Chairperson; if willing the chair. Others I would strongly recommend are Nancy Piwowar, Olive Lynch, and Deborah Dowe

There are many highly competent individuals in this city who would be willing to be part of such an effort if they were assured of complete support.

If our Administration and Councilors are honestly interested in Plainfield’s wellbeing rebirth and attractiveness to the Transit Villages let them drop their petty personal politics and work for us.
 

6 comments:

  1. Hi Doc,

    Thank you for bringing attention back to this extremely important issue. The Task Force you mentioned was one of the conditions agreed to between JFK and The City when Muhlenberg’s closure was approved in 2008. The previous administration never made the effort to start the Task Force and as such, the City has suffered from poor oversight over JFK’s commitments for services in Muhlenberg’s absence.

    You make an excellent case for the medical services that are needed here n Plainfield. Hopefully, this administration will get the Task Force up and running soon with fully qualified members. You identified some very qualified and deserving members. Plainfield has very talented and qualified residents who are always willing to donate their professional expertise to help improve the City. The problem with similar citizen-involved committees and task forces in the past, such as The Citizens’ Committee Social and Economic Revitalization of Plainfield and the Council’s PMUA Task Force, is that none of the recommendations have been implemented. This lack of action on the City’s part discourages people from volunteering their time and talent for these types of endeavors because there is an overwhelming sense they are wasting their time. Hopefully this time it will be different.

    Sincerely,

    Tom Kaercher

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  2. Love that idea of a Task Force, but how about considering people from every ward to be a part of it. It also would be nice to consider other ethnic groups and not just people from one area of town.

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    1. I believe I have already addressed this issue in the "Addendum". Concerned persons form the 4th ward are equally concerned how the 2nd and 3rd ward are affected; The criteria should be Plainfield as a whole. Thus location and race and ethnicity are only excuses for those whose focus is self agendas.

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    2. For whatever reason, the first and fourth wards do not get involved. If they are named, many don't show up.

      I was at a council meeting where the request for members of the CBAC was to have representatives from all wards. Reid say that there was no one in his ward who wanted to be on the committee.

      This also came up with the PMUA committee. Reid, Greaves and Rivers gave no names until Annie filled in the void with other names, I assume from either the 2 or 3 ward. Then all of a sudden names from the 1 and 4 appeared.

      Is this assessment true? Do the people of the 1 and 4 not want to be involved, or is it that they are just not informed? If it is the latter, make sure you hold your council representative accountable.

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  3. Doc, African Americans and Latinos are always categorically left out of mayor decisions, this is just a fact, therefore race and ethnicity is not always an excuse for agendas. Everybody wants a hospital.I am merely suggesting that the Task Force should be intentional about bringing everybody to the table.

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    1. I can accept your comment about Latinos at least in the prior administration; however please explain how in an African American dominated community, Council (6:1 white), and since the 80s the Mayor's office your comment is valid.

      I hope that I have inferred that the Task Force should be composed of community universal in scope committed individuals not just names to fill a "slot".

      The task will be to get the Mayor with consultation to authorize such a Task Force and for the Council to support it. Unsaid is that the local party committee must back this effort.

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