Showing posts with label Barwis. Show all posts
Showing posts with label Barwis. Show all posts

April 5, 2010

Budget battle in Hartford

A few stories I didn't get a chance to link on Friday:

Hamzy blasts Democrats, Colapietro

Hospital chief defends Bristol lawmakers

Welch lays out budget ideas

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Copyright 2010. All rights reserved.
Contact Steve Collins at scollins@bristolpress.com

March 9, 2009

Bristol Hospital chief opposes new Farmington hospital

Reporter Jackie Majerus wrote this story last week:

After waiting for hours to testify against a proposal to build a state-financed facility in Farmington for the University of Connecticut and Hartford Hospital, Bristol Hospital President Kurt Barwis came out swinging.

“From Bristol’s perspective, we’re talking about $605 million, plus $13 million per year in costs that are going to be covered by the state,” said Barwis of the plan to replace John Dempsey Hospital with a 225-bed facility that would be run by Hartford Hospital.

“This is ridiculous,” said Barwis. “It’s astronomical.”

Given three minutes to make his case – and then a little extra time beyond the buzzer to finish his remarks – Barwis spoke before the state Committee on Higher Education and Employment Advancement at the Capitol on Thursday.

He aimed to show that the proposed new hospital would be poor and costly public policy, that it would hurt community hospitals like the one in Bristol and that the deal would give Hartford Hospital, UConn and its affiliates nearly half the region’s share of the market.

It’s not an easy battle for Barwis. Not only was he limited in speaking time during the hearing, but the economic study supporting the new hospital wasn’t done by an independent party, he said.

“It was compiled by a professor at UConn,” said Barwis, who said lawmakers deserve a report that couldn’t be considered biased. “They need to engage completely independent finance and economic experts to do the work.”

The impact on Bristol Hospital and other community hospitals if this plan comes to pass, said Barwis, would be “dramatic.”

If there’s a brand new hospital in a neighboring town and patients have a choice, the local hospital, without benefit of a state-sponsored expansion, could lose out, according to Barwis.

“We can’t compete with that,” he said.

Barwis told the committee that Bristol Hospital, with more than 1,700 employees, is the second largest employer in Bristol. The hospital’s economic importance to Bristol “cannot be underestimated,” Barwis said. The proposal, if adopted, would jeopardize the hospital’s stability and role in the community, he said.

Like other hospitals in the state, Barwis said, Bristol Hospital has no access to capital in this economy and depends on its investments for income.

“That’s vaporizing,” said Barwis. “We’re fragile.”

Another problem brought on by the recession, according to Barwis, is that job losses mean more uninsured patients, which means less income for the hospital.

“People are losing their jobs,” said Barwis. “There’s going to be more people on the state programs.”

Currently, the hospital provides more than $11 million in uncompensated care and charity every year, according to Barwis.

It is under these conditions that Bristol Hospital is facing what Barwis called an “incredibly competitive monopoly” if the proposed deal goes through.

Barwis said Bristol Hospital supports UConn having multiple affiliations to make the medical school stronger, but not if it means creating an unfair advantage in the medical marketplace.

The University Hospital, Barwis said, could eventually include not only Hartford Hospital, but also MidState Hospital and the Hospital of Central Connecticut. If it did, Barwis said, that combined entity would hold more than 47 percent share of the Greater Hartford market.

Having almost half the market share will give the combined hospitals a competitive edge when dealing with insurers, according to Barwis.

“They’re going to be able to negotiate a higher price for their services,” said Barwis, which he said could eventually lead to higher insurance rates.

“A little bit of competition is never bad,” said Barwis. “It keeps everybody honest.”

Barwis said that John Dempsey Hospital is likely outdated, but that other hospitals also need investment.

“Many of Connecticut’s hospitals require substantial renovations and improvements,” said Barwis, adding that there’s nothing to indicate that the massive investment proposed for a new hospital for UConn would solve its financial problems.

Barwis said he isn’t against everything that’s being proposed.

Bristol Hospital supports the health education and research collaborative, which would have medical students working and learning at hospitals in the region. The collaborative would play a vital role in the development of a statewide solution for clinical care as well as medical education and research, Barwis said, benefiting both students and hospitals.

He said Bristol Hospital is “eager to be an academic partner” of the UConn Health Care Center, and said such collaboration with community hospitals can be done without building an expensive new facility.


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Copyright 2009. All rights reserved.
Contact Steve Collins at scollins@bristolpress.com

March 19, 2008

Bristol Hospital feels shut out by UConn study

Reporter Jackie Majerus wrote a couple of stories yesterday about a potentially critical issue facing Bristol Hospital. Here they are:

HARTFORD – As the state struggles to figure out how best to address the issue of hospital collaboration in the region, Bristol Hospital President Kurt Barwis is struggling to be part of the dialog.
"We're not at that table," said Barwis.
Asked to name the regional hospitals they're working with, University of Connecticut President Mike Hogan named The Hospital of Central Connecticut in New Britain, St. Francis Hospital, Connecticut Children's Medical Center and Hartford Hospital, but not Bristol Hospital.
"We have not been a part of the conversation," said Barwis, "and we continue to be excluded. He's not including all the community hospitals. We really need to be at the table."
But Hogan, who is new to the university, said, "We're open to a discussion with everybody."
UConn's pediatrics department is partnered with the Connecticut Children's Medical Center, said Hogan, who called it a "model" of happy and successful collaboration.
Tim Furey, chairman of the board at Bristol Hospital and a board member at St. Francis Hospital in Hartford, said competition between hospitals has "stunted" the possibilities for working together to make UConn's medical school top-notch.
"There needs to be a collaborative approach to medical school success," said Furey.
Deputy House Speaker Demetrios Giannaros, a Farmington Democrat whose district includes the UConn Health Center, said the recommendation to collaborate isn't the least expensive solution, but may be the best for the state.
Focusing only on UConn could cost less, but ultimately harm the community hospitals, Giannaros said, and hurt the state because of it.
"We may have to bite the bullet," said Giannaros, and keep the hospital system "healthy overall and not just UConn."
Giannaros said hospitals in the region, especially those that are close to UConn like Bristol Hospital, should be included in the discussion of what to do next.
"I'd love to have them involved," Giannaros said about Bristol Hospital. "They're more likely to be significantly impacted."
Bristol Hospital has no medical students, said Barwis, who would clearly welcome them.
"We could add value," Barwis said, and having medical students and being actively involved would also add value to Bristol Hospital, he said.
State Rep. Tim O'Brien, a Democrat who represents New Britain and Newington, said he's still digesting the report.
"Obviously, we have to really seriously weigh the need for hospital services in the region," said O'Brien, who serves on the finance committee. "As policymakers, we need to take a good hard look at this and come up with our own solution."
But O'Brien said hospitals like the one in Bristol and the Hospital of Central Connecticut in New Britain "absolutely" deserve to be included in the discussion.
"We need to get all opinions at the table," said O'Brien. "These are big, big decisions. We need to make sure we get it right."

And here's her story about the study itself:

HARTFORD – There are enough hospital beds in the Greater Hartford region now and into the foreseeable future, according to analysts who recommended that instead of a massive expansion in Farmington, the University of Connecticut Health Center work with other hospitals in the area to care for patients and train doctors.
The Connecticut Academy of Science and Engineering on Tuesday released its findings and recommendations to state lawmakers reviewing the UConn Health Center's proposal to build a new 352-bed hospital to take the place of John Dempsey Hospital.
Instead of that project, the CASE report recommends that UConn work out a collaborative effort with other hospitals in the region.
UConn President Mike Hogan took the findings in stride, saying it "opens another door" to working in collaboration with other hospitals rather than building something that isn't needed.
"I needed a report like this," Hogan said, because it was done by "detached professional experts" with no agenda.
The findings stunned some lawmakers, including Sen. Joan Hartley, a Waterbury Democrat who said she and others had been told all along that UConn needed more beds in order to be viable.
The recommendation against enlarging the Farmington medical center requires "a major shifting of gears," said Hartley, who co-chairs the higher education and employment advancement committee.
Rep. Patricia Dillon, a New Haven Democrat who serves on the higher education committee, joked that complying with the recommendations would practically require "couples counseling."
"You've given us a heavy charge," said Dillon. "People have to be invested in this."
But the report drew high praise from Bristol Hospital President Kurt Barwis.
"The results were really good," said Barwis. "They did a great job."
Barwis and other local hospital leaders had decried the original proposal, saying a huge new hospital in Farmington could be a deathblow to community hospitals.
"It could have potentially caused all the good things we've done, the turnaround, to be derailed," said Barwis. He said the report recognizes the possible negative impact on hospitals like the one in Bristol.
"There's clearly no need for additional beds," said Barwis.
Dr. Steven Hanks, chief medical officer of The Hospital of Central Connecticut in New Britain, said the findings have created "a lot of confusion" about how regional collaborations would function.
"Working out the details is going to be very, very difficult," said Hanks.
Deputy House Speaker Demetrios Giannaros, a Farmington Democrat whose district includes the UConn Health Center, said the report indicates an "absolute need to upgrade" the health center.
"We're on the right track," Giannaros said.
But Giannaros, who serves on both the finance and higher education committees, stressed that UConn can't have a viable medical school in the coming decades "without a better facility for the doctors to practice" and without better clinical services.
The health center is outdated, Giannaros said, and too small to support itself.
"Its equipment may fall apart sooner rather than later," Giannaros said.
Hogan said UConn's medical school and dental school are at stake.
"We can't run a medical school without a state of the art medical facility, practice facility," said Hogan.
The best thing to come out of the study, said Barwis, is a new direction for the future.
Details of exactly how the collaboration can be established were deliberately not part of the report, according to Dr. Myron Genel, professor emeritus at Yale University School of Medicine, who served on the CASE report's study committee.
"We do not envision that this is going to be an easy process at all," Genel said. "The possibilities are significant for everybody involved."
Genel said UConn and the regional hospitals should work out a memorandum of understanding to get the process underway.
"Details can be worked out," said Hogan. He said the report offers "an exceptional solution for health care in the Hartford area."
Whatever happens, said Assistant Majority Whip David McCluskey, lawmakers must keep in mind that it is public money funding it. UConn will come to the state to pay for any project, he said, not to its fellow hospitals.
"At the end of the day, it's still taxpayers' money," said McCluskey, a West Hartford Democrat. He said governance over expenditures is important. "We're going to want to have a lot of influence over what decisions are made."
The entire CASE report is available online at www.ctcase.org.

Here are the links to the CASE press release, executive summary and full report:

[Press Release] [Executive Summary in PDF format] [Full Report in PDF format]


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Copyright 2008. All rights reserved.
Contact Steve Collins at scollins@bristolpress.com

September 17, 2007

Chamber holding mayoral forum on Oct. 5

MAYORAL FORUM
Mayoral candidates Art Ward and Ken Johnson will discuss their vision for Bristol's Future
FRIDAY, OCTOBER 5, 2007
8:00 BREAKFAST
Nuchie's Restaurant
164 Central Street
Forestville
Cost: $10.00
Guest Moderator - Kurt Barwis, President, Bristol Hospital
This event sponsored by The Bristol Hospital, Webster Bank, Furey, Donovan, Tracy and Daly, P.C.
Please notify the Bristol Chamber of Commerce if you would like to attend.
Fax: 584-4722, Email: info@bristol-chamber.org

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Copyright 2007. All rights reserved.
Contact Steve Collins at scollins@bristolpress.com