California must stop unjustified attack on certified registered nurse anesthetists

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Yeah I can't even finish reading more than 3 comments on the r/crna threads. It's like "we should be superivising anesthesiologists," "we hold ourselves to a higher standard," "our training is better." Then the next thread is like "I'm a new crna and I can't get any spinals."
 
Mike and his army of “NARs” are heavily involved in the AANA social media propaganda machine. You ever seen some of these dudes brigade the ASA Facebook posts? We all know only one group is pretending to be the other.
 
Mike M is a loser and a troll of the highest caliber. He has fully admitted on here that he didn’t have what it takes for medical school. He works at some god-forsaken rural trashpile that nobody else wants to go to. Don’t pay a bit of attention to that idiot.
 
If crnas are so concern about “access” to care for patients. Why are the against AAs?

So crnas are saying anesthesiologists are limiting competition. But crna lobbying efforts is to prevent the same competition AAs can offer.

At the end of the day. It’s about money. It’s always about money. Unfortunately patient safety is very hard to prove except under very rare circumstances. Because cases are be punted out.

That’s why bigger medical centers on paper have higher patient death rates. Because they deal with sicker patients
 
Arch Guillotti said:
Mike M is a loser and a troll of the highest caliber. He has fully admitted on here that he didn’t have what it takes for medical school. He works at some god-forsaken rural trashpile that nobody else wants to go to. Don’t pay a bit of attention to that idiot.
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Where does he work? He used to be on this page?
 
amyl said:
what’s going on in Modesto?!?! Seems like conflicting press

www.beckersasc.com

Nearly 1,000 surgeries canceled after California DOH 'misunderstood' CRNA guidance - Becker’s ASC

"Nearly 1,000 surgeries canceled after California hospital cited for immediate jeopardy by CMS due to alleged use of CRNAs, causing confusion and impacting pati
www.beckersasc.com www.beckersasc.com
Click to expand...
Translation: following the rules is too burdensome. So, we are ignoring them and lowering standards. Now, can you please stop blaming us? This is the best choice in the interest of patient care and protecting our jobs.
 
With all due respect to victims of domestic violence, this is the equivalent of the guy who's girlfriend constantly throws heavy sharp things, pulls knives and provokes fights, gets 'stopped' and the dude leaves in handcuffs...it's the way nurses roll...
 
On Reddit they always like to puff out their chest. But, any criticism, they deflate so quickly and try to hide. Once I saw a person, call them out and instead of CRNA, they typed out CRNurseA for a long post.
 

Stanislaus Surgical Hospital said Monday it will suspend operations indefinitely and lay off employees, due to a federal agency decision not to renew its provider agreement for serving Medicare and Medi-Cal patients.

The temporary closure of the 23-bed hospital at Oakdale Road and Orangeburg Avenue is effective Saturday, a spokesperson said in a statement Monday. The Centers for Medicare and Medicaid Services is terminating the provider agreement with Stanislaus Surgical effective Sept. 15 because the hospital is not in compliance with conditions of participation in the programs, a CMS legal notice said. “It is extremely unfortunate the hospital is losing its Medicare certification despite months of concerted efforts to work with the federal government,” the hospital’s statement said. The hospital’s leadership disagrees with the action and “will continue to weigh options for long-term direction, including a potential appeal,” the statement added. There was no information on how long an appeal would take. The hospital’s human resources director notified Stanislaus County officials on Monday the facility is starting to lay off 160 employees. The layoffs are anticipated before Sept. 15. The list of staff members includes registered nurses, admissions and office staff, nursing assistants, housekeepers, supervisors, physical therapy assistants, midlevel providers and imaging technicians. The letter to the county said the hospital will work with other Modesto-area healthcare providers to find new jobs for affected employees. Patients are being rescheduled for procedures or surgeries at other facilities. Last year, the Modesto hospital reportedly provided radiology services, surgeries and preventative screenings to 1,800 patients per month; between 60% and 80% of the patients were covered by Medicare or Medi-Cal. According to the CMS notice published Aug. 30, the provider agreement is being terminated because the surgical hospital is not meeting Medicare requirements under three categories: “Basis and Scope,” pharmaceutical services and infection prevention measures. The hospital won’t receive payments for serving Medicare patients on or after Sept. 15, which will make the physician-owned facility financially unstable.

FINDINGS OF HEALTH AND SAFETY PROBLEMS THAT PUT PATIENTS AT RISK The owners of Stanislaus Surgical previously announced in April the hospital was likely to close May 1 after numerous health and safety issues were documented in critical regulatory surveys. But political support from Rep. John Duarte, R-Modesto, and other Central Valley politicians resulted in deadline extensions to meet the Medicare requirements. A CMS notice in April said the Modesto hospital was not complying with nine conditions of participation in Medicare. Officials with the hospital and its parent organization, Physicians Surgery Centers, were not made available Monday to discuss the unresolved issues with CMS. The federal decision in April to remove the for-profit hospital from Medicare was based on inspections in August 2023 and February that uncovered health and safety problems that jeopardized patients. Many of the allegations detailed in reports totaling 562 pages focused on equipment sterilization, infection control processes, anesthesia services and lack of qualified staff to assist patients who suffered serious complications after surgeries. Inspections found the hospital didn’t have a “code blue” or rapid-response team for patients in medical emergencies. At the urging of Duarte and others, CMS reversed the April 11 decision and granted more time for the hospital to submit an acceptable plan for addressing the deficiencies and come into compliance. The federal agency promised an unannounced inspection before July 31 to see if the hospital was substantially complying with the requirements and had made sufficient progress. The Centers for Medicare and Medicaid Services didn’t have a comment Monday to elaborate on its decision.

THE FACILITY’S 40-YEAR HISTORY Stanislaus Surgical Hospital began in 1985 as an ambulatory surgery center founded by a private group of surgeons. The facility was licensed as an acute care hospital, without an emergency department, in early 2000. For some years, the short-stay hospital was known for letting overnight patients order chef-prepared meals from a gourmet menu. Sacramento-based Sutter Health became majority owner of the hospital in 2016. The hospital became part of Physician Surgery Centers LLC of Woodland Hills in 2022. “(Stanislaus Surgical) has provided a unique patient experience to the community for over 20 years, earning us a five-star satisfaction rating from those patients,” the hospital’s statement said Monday. “We are proud of the care we have delivered.”

Read more at: https://www.modbee.com/living/health-fitness/article292200685.html#storylink=cpy
 
Sounds like lots more problems than just rogue bad crnas. I’m interested to know the specifics of cases that went badly leading to the crna supervision requirements.
 
amyl said:
Sounds like lots more problems than just rogue bad crnas. I’m interested to know the specifics of cases that went badly leading to the crna supervision requirements.
Click to expand...

Unfortunately “physician owned” often means cheap. Whether it’s a hospital, surgicenter, or office surgery suite.
 
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