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By Guy Page
Vermont’s financially-struggling hospitals need immediate help at the state, health care system, and hospital levels, a consultant told the Green Mountain Care Board today.
In particular, they would benefit from a regional network of specialized care centers, such as surgical centers. And the state needs better housing and transportation options to meet its workforce demands.
Vermont has the fastest growing cost of housing in the nation and is short 25,000 housing units. The Green Mountain Transit Authority is looking at cutting bus routes that now bring workers from the suburbs and exurbs to Burlington, where Vermont’s largest hospital is located.
Dr. Bruce Hamory and the team at Oliver Wyman Life Sciences today are presenting their final report to the Green Mountain Care Board in a public board meeting on Oliver Wyman was contracted to provide recommendations for an affordable, equitable, accessible, and sustainable healthcare system. Below is the gist of the executive summary.
At the State of Vermont government level, Vermont must:
• build workforce and create greater access to transportation and an affordable housing supply, which “are all tightly linked to hospitals through staffing, inter-facility transfers, boarders, avoidable ED visits.
• reconfigure the Agency of Human Services to better coordinate health and social service needs at the community and individual level
• streamline current administrative processes and requirements to minimize the provider burden – for example, simplify prior authorization process of treatment for insurers.
At the health care system level, Vermont needs new regional specialized centers of care (surgery, etc.) to drive hospital efficiency and shift care outside of the hospital setting. Regional centers for different specialties should be identified to support acute, complex medical / surgical needs. Also –
• Community-based care, primary care, mental health care, and housing capacity should be increased to divert care to lower cost settings.
• Healthcare workforce affected by system changes could be redistributed or retrained to perform services needed by the community.
At the hospital level, hospitals should consider reconfiguring their services based on their financial position and community population needs. Several hospitals are at risk of closing their inpatient beds and should consider repurposing their facilities and clinical staff through several options e.g., Rural Emergency Hospital, Community Ambulatory Care Center, Care at Home support program
• Regional specialized centers will need to adapt services to accommodate new patient volumes and changing population health needs.
• UVMMC needs to examine current overhead and administrative costs, especially the proportion of providers supporting non-patient care activities.
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Categories: Health Care
This reads almost identically to Ethan Allen Institute’s 2008 “Off The Rails” report. 16 years later, the same problems remain, untouched by any substantive legislative action.
https://assets.nationbuilder.com/ethanalleninstitute/legacy_url/99/OffTheRailsFINAL.pdf?1595982633
It’s no coincidence, they don’t want to change things in Vermont, they love it just the way it is.
None of these workforce goals are going to be met unless there is meaningful welfare reform, which seems unlikely.
We need to fix the problem of us being unhealthy. I bet, we could reduce our medical costs by 75% following what is in this video. If you look at any old photos, from 1970’s back, you see everybody much, much healthier. If you just stand back and look at people in any large gathering, a shopping mall, large retail store and just look. You’ll see the vast majority of us are ill and suffering health issues, you can see the bodies are dealing with massive inflammation, everywhere.
This video below gets into it.
https://www.youtube.com/watch?v=mUH4Co2wE-I
Roughly speaking, seed oils, refined foods and pesticides/herbicides are literally killing us. They don’t want us healthy, because you can’t make any money off of healthy people. We have a very “unhealthy” relationship between the makers of food products, big pharma and pesticide companies, all ruling Washington D.C and most definitely Vermont.
We can do much better in Vermont, much better.
I’ve adopted most of her recommendations, my type 2 diabetes and blood sugar “magically” got in line. 95, 105, working on getting my blood sugar even lower.
Now when you take her advice, suddenly you find seed oils are in EVERYTHING….95% of the store is no good. But with a bit of creativity, you can be totally satisfied with your food, not hungry and feeling better.
It makes sense, because it’s true.
Now the hospitals are finding housing for their patients when they leave the hospital, thanks to a two hundred thousand dollar grant from the state of Vermont. Hope this is not fake news on Tel.//// Lie.//// Vision.//// Now who owns the housing???
Vermont lawmakers, politicians, gurus, whatever we call them, don’t want physical working class people here, just internet dweebs and student’s butts in schools and colleges. They need more upper middleclass retired homeowners (such as school and other govt retirees) who buy larger properties that also accommodate visitors to Vermont, via AirBnB operators. Otherwise, these lawmakers won’t have the tax base they need to do all their nonsense that attracts only the uppities to begin with.
I repeat: Vermont does NOT want physical working class people. The well-to-do have their uni hospitals and personal doctors and all the landscapers and contractors they could possibly need. Even in Newport, they’re upgrading the local airport. That ain’t for you traveling nurses.
I know I get some of y’all AirBnB’ers pissed. But just like all the Realtors before the housing crash of the mid-00’s, I knew they were in cahoots with the appraisers, as I myself had a RE license and saw what was going on. And most sellers don’t care whom they sell their homes, if the seller is netting a big profit. That goes on unabated today, drives up prices, which in turn drives up RE taxes. The funniest part about it, and it is hilarious when the crying begins, is when the windfall moneys at Everywhere, USA is abused and wasted by the towns/cities and then they come demanding even more after a very bad housing/economic crash…
I always wanna know why the folks who allowed it to happen are the ones crying the loudest.