PeaceHealth EM update from Dr Glaucomflecken

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Get help with your application

Use all the free resources available to you from SDN: articles, guides, expert advising, forums discussions, and school research.

I’m quite surprised that there was only this hospital in Eugene and it was closed for whatever reason. I wonder if ohsu had anything to do with this? Lord knows every other academic system is constantly angling to expand their footprint with highly insured populations

Springfield borders Eugene. There were 3 hospitals in the area to cover a metro of 250k so hospital coverage wasn't the issue. The actual issue is peacehealth trying to limit ED exposure because its a huge loss leader (large homeless population, the ED waiting room is basically a shelter in the winter)
 
Advertisement - Members don't see this ad
Companies and hospitals always try to skirt legal matters. Pretty funny video. I chuckle when I see these types of lawsuits. I know state laws varies. Pretty crafty of Apollo md to do this. And I’m sure the hospitals executives got sucked into this matter without really knowing what Apollo md is doing. But it takes two to tangle so they are now tied to this mess.

Good for Oregon lawmakers. But in the end. Why would the current er group even want to stay?

Think about it. Husband/wife. One of them tells the other party they want to break out. Why would husband/wife want to stay in the relationship. Leave. Burn the house down. Create chaos like I’ve written. It’s a whole new generation. The locums bills will be astronomical.

It’s a different generation hospitals have to deal with now. Loyalty is out the window. ER docs are very similar to anesthesia docs in terms of mobility.
 
Springfield borders Eugene. There were 3 hospitals in the area to cover a metro of 250k so hospital coverage wasn't the issue. The actual issue is peacehealth trying to limit ED exposure because its a huge loss leader (large homeless population, the ED waiting room is basically a shelter in the winter)
Surprised the homelessness problem is that acute in Eugene...university town with 30k people or so associated with UO.

Companies and hospitals always try to skirt legal matters. Pretty funny video. I chuckle when I see these types of lawsuits. I know state laws varies. Pretty crafty of Apollo md to do this. And I’m sure the hospitals executives got sucked into this matter without really knowing what Apollo md is doing. But it takes two to tangle so they are now tied to this mess.

Good for Oregon lawmakers. But in the end. Why would the current er group even want to stay?

Think about it. Husband/wife. One of them tells the other party they want to break out. Why would husband/wife want to stay in the relationship. Leave. Burn the house down. Create chaos like I’ve written. It’s a whole new generation. The locums bills will be astronomical.

It’s a different generation hospitals have to deal with now. Loyalty is out the window. ER docs are very similar to anesthesia docs in terms of mobility.
I'll never assume that the private physician group is acting totally in good faith. This ophthalmologist simply hasn't worked with enough slimy business people running private groups. He's made them out to be a perfect victim, but that just isn't the case with physician groups.

The private group also has the option to locum at this hospital. It's doubtful a bunch of out of staters will be able to fill the gaps. Making the situation toxic for the incoming group of docs is a good way to keep the staffing down so the old docs can locum there.
 
Judge seems skeptical that a physician is actually the “owner” of the new entity and not just a lackey for the real corporate owner. The judge ain’t dumb.



“EEP says PeaceHealth’s agreement with Apollo MD violates a state law designed to prevent corporate control of medical decision-making. Apollo MD says its newly created LLC, Lane Emergency Physicians, ensures compliance with that law.

The LLC’s owner, Dr. John Chapman, also testified Wednesday. Chapman is part of the team at Riverside Medical Center in Illinois, where emergency physicians are also contracted through ApolloMD following a transition that occurred about a year before his arrival.

Chapman said he was selected by Apollo MD physicians to serve as the LLC’s owner due to his prior experience working with public health companies.

U.S. District Judge Mustafa Kasubhai asked whether Chapman plans to relocate to Oregon for the role. Chapman said he does not plan to move, adding that he believes he can balance both positions.

During testimony, Chapman said he would handle contracts, policies and staffing for the new company. Under questioning from EEP’s attorneys, he acknowledged he does not yet have documents outlining that authority, saying Apollo MD intends to finalize them after the transition.


Judge Kasubhai questioned why Chapman was not insisting on formal agreements in his role as owner, noting that the lack of documentation raises concerns about the structure of the arrangement and expressing frustration with how the evidence has developed.”

Corporate profile says he leads by example. Guess he’ll do it remotely from Illinois. Yet another corporate tool.




 
Last edited:
Surprised the homelessness problem is that acute in Eugene...university town with 30k people or so associated with UO.

Oregon is a beautiful state that unfortunately has been tarnished by decades of incompetent policy makers. You don't even have to stop in the cities to notice their homelessness problems. Take a drive south on I5 thru Portland, Salem, Eugene, Medford, etc. and you will see the camps from your car. This article pretty much sums up the attitude of politicians in the state...

 
I would think Oregon would be a very hard place to be homeless… weather wise at least. Why has such a population persisted? Is there a strong drug presence in the homeless there? I’ve never been so genuinely asking to be educated.
Homelessness is a real problem - I’ve seen lots in dallas and probably an equal number per capita in SC. The correlation with drug use seems near 100%. The correlation with undiagnosed mental illness also very high….
Does mental illness cause drug use… does drug use cause mental illness? The answer to both is probably yes. It’s a real problem and a real drain on medical resources… for all the chasing down and shooting drug boats from South America and how closed the border supposedly is now -it sure doesn’t seem to be getting any better.
 
The easiest way to just prove all this is a scam is to follow the money trail. I really don’t know why the lawyers don’t subpoena where all the money is coming from.

Slightly related like the scopes anesthesia in 2017-2018 taking over from mednax in North Carolina. It’s so obvious the hospital were really funding scopes anesthesia yet no one question where the funding came from.
 
I would think Oregon would be a very hard place to be homeless… weather wise at least. Why has such a population persisted? Is there a strong drug presence in the homeless there? I’ve never been so genuinely asking to be educated.
In cities like Portland or Eugene, winter temperatures often hover between 35°F and 45°F. While miserable and damp, this is survivable with basic gear (tarps and sleeping bags). In contrast, a night in Chicago or Minneapolis at -10°F is a death sentence without specialized shelter. Although the rain can be constant, the unsheltered population has developed a "tarp culture."
 
In cities like Portland or Eugene, winter temperatures often hover between 35°F and 45°F. While miserable and damp, this is survivable with basic gear (tarps and sleeping bags). In contrast, a night in Chicago or Minneapolis at -10°F is a death sentence without specialized shelter. Although the rain can be constant, the unsheltered population has developed a "tarp culture."

Yep PNW is much milder weather than Midwest.
 
I would think Oregon would be a very hard place to be homeless… weather wise at least. Why has such a population persisted? Is there a strong drug presence in the homeless there? I’ve never been so genuinely asking to be educated.
Homelessness is a real problem - I’ve seen lots in dallas and probably an equal number per capita in SC. The correlation with drug use seems near 100%. The correlation with undiagnosed mental illness also very high….
Does mental illness cause drug use… does drug use cause mental illness? The answer to both is probably yes. It’s a real problem and a real drain on medical resources… for all the chasing down and shooting drug boats from South America and how closed the border supposedly is now -it sure doesn’t seem to be getting any better.
They, like California, are more friendly and tolerant of homelessness. As long as they are not causing problems, the local govts leave them be (no, being an eyesore isn't a problem). There is a huge drug problem among them and this leads to some huge community problems like them digging through trash and dumping out trash cans in search of anything of value along with minor property crime. Other states may treat them as subhuman, not have mild enough weather or resources or have tasks forces that provide bus tickets to west coast states...
 
Advertisement - Members don't see this ad
These bs metrics rfp are just all made up administrative stuff.

It’s all theater to launder their decisions. I’ve been on committees where the decision had been made the day it started and the entire process was justifying the outcome, often involving referrals to preferred lawyers and consultants at great expense. Perhaps if more suits like these are filed the whole process will be revealed as a sham.
 
It’s all theater to launder their decisions. I’ve been on committees where the decision had been made the day it started and the entire process was justifying the outcome, often involving referrals to preferred lawyers and consultants at great expense. Perhaps if more suits like these are filed the whole process will be revealed as a sham.
I think admin people just like to talk to admin people.

In a way a clinical chief who does administration work and makes say 800k for a university is offering zero value. They need to split up those jobs to 400k administrators and 400k clinicians

That’s my take why the EM docs lost their contract. They were clincians first. And administrative work second. Need purely administrative staff to handle administrative paperwork. But it’s costly as we all know.
 
EEP back, Apollo out. Hopefully Apollo will stay out of the state. All states need strong laws against CPOM but that’s not considered “business friendly”. In reality these laws help protect small business (independent PP) from big business (national conglomerates) and delay private practices from getting Amazon’d.




 
Last edited:
Last edited:
CMO resigns