peninsula general

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DocEspana

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So apparently peninsula hospital just closed its doors. For real. Just 90 minutes ago. For those who don't know, its a pretty decently large aoa training site in queens ny.

Idk all the details, but I'm at the hospital closest to it and its a riot scene over here with patients from PG in our ER and nurses saying they're getting calls that it closed.

I'm sad for all the people who just matched there 10 days ago. I have no clue what this means for their residencies. It's all the gossip right now. I can't find any proof to the closure, but patients and nurses have the same story as to why our ER is swamped.
 
I knew there had been some issues with the hospital previously (AOA Gen surg, etc) but I didn't know it could close completely. That can't be god.

The ER at St Johns isn't that big, is it? That must be chaotic.
 
I knew there had been some issues with the hospital previously (AOA Gen surg, etc) but I didn't know it could close completely. That can't be god.

The ER at St Johns isn't that big, is it? That must be chaotic.

Stretchers in the hallways, 12 people in the waiting room. I left to get pizza. I'm not staying anywhere near that ER warzone unless I'm specifically consulted.

The ER at SJEH is not equipped to handle this.
 
It's in the news:
http://online.wsj.com/article/APac2ca20f9f804e21b74686bee05330f5.html
NYC hospital ordered to stop admitting patients
NEW YORK — New York health officials have ordered a struggling hospital in Queens to stop admitting new patients, end all surgeries and develop a plan to transfer current patients after an inspection found problems with its clinical laboratory. State Health Commissioner Nirav R. Shah issued the order after suspending Peninsula Hospital Center's laboratory permit Thursday. An inspection found "problems that failed to meet the accepted standards of care."

http://www.nbcnewyork.com/news/loca...nues-Work-on-Plan-to-Stay-Open-128215523.html
Peninsula Hospital Suspends ER Services as Workers Rally
Hospital continues work on plan of financial viability.
Embattled Peninsula Hospital in Queens will suspend all its emergency room operations beginning Wednesday as it continues to work on a plan for financial viability. The 100-year-old Far Rockaway hospital is on the verge of bankruptcy and has been negotiating with the state Health Department and potential buyers to try to keep the facility open.
 
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the report says "In a statement, the hospital said it will "expeditiously" work to fix the lab's "deficiencies."" Does the leave the door open on the hospital reopening if they shape up? I know they have had financial issues. It's a big loss for DO students in NY.
 
I don't think it is much of a loss if the hospital sucks so bad it gets essentially shut down by health officials. Sucks to be new residents that were planning on going there, sure, but would you want to train there?
 
mostly its the orthopedics. It has some other residencies that are generally considered pretty low tier, but its orthopedics residency is desired simply because it is one of two AOA residencies in the state in that field.

but it also has a deep impact on St Johns, also an AOA training hospital, about 1 mile down the road. The hospitals sort of evolved to reflect each other, and as such SJEH is not ready to take on all the ER visits a closed peninsula will shunt over. Our ER is tiny.
 
How often does something like this happen? I can't say I've ever really heard of a hospital being ordered to shut it's doors....
 
Very very rarely. But three times in the last 3 years in NYC. St. Vincent's closed its doors in 2010, and North General also closed its doors in 2010. Both were pretty prominent manhattan hospitals. St. Vicnents was amazing but broke, and North General was actually probably a terrible hospital, but it served spanish harlem which something special all by itself.
 
So apparently peninsula hospital just closed its doors. For real. Just 90 minutes ago. For those who don't know, its a pretty decently large aoa training site in queens ny.

Idk all the details, but I'm at the hospital closest to it and its a riot scene over here with patients from PG in our ER and nurses saying they're getting calls that it closed.

I'm sad for all the people who just matched there 10 days ago. I have no clue what this means for their residencies. It's all the gossip right now. I can't find any proof to the closure, but patients and nurses have the same story as to why our ER is swamped.

This is bad news, my heart goes out to the current and future residents that are there.
 
the hospital isn't closing indefinitely. from what i hear the nys department of health will be conducting another test of laboratory standards in a month or so.
 
the hospital isn't closing indefinitely. from what i hear the nys department of health will be conducting another test of laboratory standards in a month or so.

NYS has been *trying* to close it since september since they wont allow the company that purchased it to run it as a for-profit hospital, and the company has openly stated they will turn it into another nursing home if they cannot eventually get approval for their for-profit model.

There is no *proof* of this, but the assumption at SJEH (right down the road from it) is that its not re-opening for months, if ever, because the state wants it closed rather than continue to deal with the debacle of allowing that company to keep the hospital running on "bare bones life support" (attending who works at both hospitals words, not mine) while trying to win the "for-proft vs NFP" argument.
 
Apparently the lab permit was revoked because staff was handling blood without gloves and a person with two days of training was left in charge of the blood bank.

http://www.ny1.com/content/top_stor...al-staff-handled-blood-samples-without-gloves

Wow....do you guys think this kind of stuff has happened under the radar before at other hospitals and just never been caught? At least the handling stuff without gloves? Seems like no one would ever do that....but still. I bet it's not the first time. Man...sucks for the people who matched. What happens in that situation??
 
Wow....do you guys think this kind of stuff has happened under the radar before at other hospitals and just never been caught? At least the handling stuff without gloves? Seems like no one would ever do that....but still. I bet it's not the first time. Man...sucks for the people who matched. What happens in that situation??

Technically, their OPTI is supposed to take care of the current residents and place them into other programs. There is a gray zone about people who matched this year but I'm sure someone will take them.

Historically, when teaching hospitals have closed, residents (ACMGE and AOA) are placed into other programs, so hopefully this will be the case here as well. :xf:
 
both sjeh (around 270 beds) and peninsula (~170 beds) are pretty small hospitals, the rockaways are underserved as it is. its a shame to see peninsula which has been around for a while be shut down indefinitely. i suspect that an executive change might reopen its doors sometime down the round. i'm sure the residents at peninsula will be taken care of.
 
How often does something like this happen? I can't say I've ever really heard of a hospital being ordered to shut it's doors....


This is just another example of the socialist Muslim nanny state that Obama has created, with so many job-killing regulations and taxes on job creators. Why is the government involved in health care at all? The invisible hand of the free market should decide whether a dirty dysfunctional hospital should close or remain open.
 
This is just another example of the socialist Muslim nanny state that Obama has created, with so many job-killing regulations and taxes on job creators. Why is the government involved in health care at all? The invisible hand of the free market should decide whether a dirty dysfunctional hospital should close or remain open.

:laugh::laugh::laugh:

You're funny!

:troll:
 
This is just another example of the socialist Muslim nanny state that Obama has created, with so many job-killing regulations and taxes on job creators. Why is the government involved in health care at all? The invisible hand of the free market should decide whether a dirty dysfunctional hospital should close or remain open.

The free market did decide the hospital should shut down this past summer due to bankruptcy. If the hospital can't stay afloat, it should shut down. Then they were bought out by a nursing home corporation. But health dept regulations aren't due to Obama. It's the NYS health dept that issued the order. The issue isn't politics. It's about making sure people are protected at work from coming into contact with hazards, which OSHA has a big part of as well.

Does anyone else think it's a conflict of interest when a nursing home corporation owns a hospital? Gee, I wonder to which homes they will refer their rehab and long term patients. Would this violate Stark Law?
 
This is just another example of the socialist Muslim nanny state that Obama has created, with so many job-killing regulations and taxes on job creators. Why is the government involved in health care at all? The invisible hand of the free market should decide whether a dirty dysfunctional hospital should close or remain open.

fc85535_oh_he_mad.jpg
 
Peninsula did not close. They merged with Flushing Hosp and Jamaica Hosp creating a system where 2/3 hospitals are bankrupt. So NY state has to keep them alive otherwise 3 hospitals in the city would close. It is still running and med students are still rotating there. I knew people who are residents at Peninsula and they were hoping it would close, so they can easily get a better residency spot elsewhere. (when your hospital closes, you become "free agent" meaning caps dont apply to you. So when St Vincents closed, their residents went to better residency programs even though those programs were filled.)
 
Peninsula did not close.
No. It's quite closed right now. If you want to be super specific, it still has a functioning pharmacy and radiology dept, but no patients to go to them.

They merged with Flushing Hosp and Jamaica Hosp creating a system where 2/3 hospitals are bankrupt. So NY state has to keep them alive otherwise 3 hospitals in the city would close.
This is completely incorrect

It is still running and med students are still rotating there.
Just talked with a LECOM student today, confirmed that to the best of that student's knowledge there are no more LECOM students there, that they've been emergency swapped to SJEH and other NYC sites they rotate at due to the lack of any patients at peninsula. I imagine a similar situation is happening with NYCOM students.

I knew people who are residents at Peninsula and they were hoping it would close, so they can easily get a better residency spot elsewhere. (when your hospital closes, you become "free agent" meaning caps dont apply to you. So when St Vincents closed, their residents went to better residency programs even though those programs were filled.)

This is half true. But you don't become free agents. I got to witness the St. Vincent's debacle as it happened. You don't become a "free agent" and you dont necessarily go to a better program (though most programs might be an upgrade from peninsula). A better example is that you become an orphan, not a free agent. If your program is particularly enticing (like peninsula's ortho program) another ortho program attempts to absorb the residents. They still need to justify with the centers for medicare and medicaid services that the new hospital has the patient flow to justify the additional residents. I think the ortho students will eventually be fine for this reason since ortho is desired and its probably busy enough of a service at other hospitals to justify adding more residents

On the other hand, if youre any one of their other programs (regular surgery for example) this is a nightmare as not that many programs in NYC can justify taking on more surgery residents. Its a rather oversaturated field, despite the "underserved area" that most of NYC is. As St. Vincent's proved, if a new program doesnt adopt you immediately you actually have to re-enter the match. Yes. Re-enter the match. Or you can begin trying to contact hospitals and sign contracts with them to fill holes left by residents who failed out, were kicked out, gave up medicine part way through residency, or died. These spots exist, but they are very few in number and how the hell you find them is beyond me. The fact of the matter is that if you aren't an adopted program, the CMS simply looks at it as money saved and the programs funds "disappear" and are used to fund some new hospitals venture into the world of residency training, in whatever program they might desire. Being a resident, in this situation, is a nightmare.

The only silver lining is that, while i personally think the state will try to keep the place closed to stick it to Revival (the owners of the hospital), there is also plenty of reason to believe that the hospital will re-open in 1-2 months if it makes appropriate changes. It re-opens the residents are likely fine. likely. I dont know enough about the specifics of that hospital, its affiliates, or GME in specifics, to know if they could keep up appropriate training without a mother hospital for 1-2 months.
 
There has been a number of hospital closings in past years that affected MD & DO residencies.

This is an important lesson for residency applicants. Make sure you look at the financial health of the hospital (healthcare system) you are applying to.

The hospital administration doesn't care that your residency/life will be derailed once they close. Its every man/woman for themselves in this business.
 
Technically, their OPTI is supposed to take care of the current residents and place them into other programs. There is a gray zone about people who matched this year but I'm sure someone will take them.

Historically, when teaching hospitals have closed, residents (ACMGE and AOA) are placed into other programs, so hopefully this will be the case here as well. :xf:

NYCOMEC (NYCOM's OPTI) does a good job in this area. At a school meeting, the president of NYCOMEC told us that when a hospital is in trouble (that houses a residency), they make it their first priority to make room at other hospitals, just in case it does close. He said that when Peninsula was last in trouble, he had room at Flushing hospital and other hospitals for the gen/ortho surgery residents within a few days.

After that they set up a Gen Surgery residency at Flushing Hospital Med Center... and 2 orthopedic surgery residencies at Brookdale U Med Center and North Shore Plainview Hospital. It seems like these were set up to compensate for an inevitable loss of the Peninsula programs.

Here's a link to the news about the new residencies: http://iris.nyit.edu/~NYCOMEC/NYCOMEC_News.htm
 
Currently there are no inpatients in the hospital. However, the medicine and pediatrics clinics are open. The ER is on diversion and is currently functioning as an urgent care center. As of today there are still LECOM and NYCOM students in the ED and clinics.

The residents will most likely be fine if peninsula closes. The hospital went through this same process over the summer. As a result, NYCOMEC is fully prepared to move the residents if there eventually is a closure. Even if there is no closure, the AOA/NYCOMEC may find the hospital unfit for education and move the residents regardless.

If there is a closure the general surgery residents will go to Flushing Hospital (new program originally created to absorb the peninsula surgery residents). They have no upper level residnts there so the peninsula residents will just transition into their respective OGME position. I don’t know what will happen with the surgery residents that just matched to peninsula (i.e., flushing has already matched their own surgery interns for next year).

In the case of ortho, they will most likely go to the North Shore LIJ Health System DO ortho program which is a huge step up… more prestigious hospital system, world-renowned attendings, better salary, etc. The Brookdale ortho program will not be opening up, regardless of peninsula closes. Also, peninsula did not accept any ortho interns this year.

The other residents (FP) will most likely get spots in other NYCOMEC institutions.
 
Wow....do you guys think this kind of stuff has happened under the radar before at other hospitals and just never been caught? At least the handling stuff without gloves? Seems like no one would ever do that....but still. I bet it's not the first time. Man...sucks for the people who matched. What happens in that situation??

Handling samples without gloves? Always happens. The leaving a person with 2 days of training in the blood bank is what really bit them here.
 
Handling samples without gloves? Always happens.

Really? Before medical school I worked in some lab settings- and knowingly handling a sample without gloves would have been a pretty big deal. Most likely I would have been fired.
 
Really? Before medical school I worked in some lab settings- and knowingly handling a sample without gloves would have been a pretty big deal. Most likely I would have been fired.

Most of your upper management lab techies are dinosaurs. Even as early as the '80s many were smoking/eating right next to their microbiology specimens. Some can probably even tell you a funny story or two back when they use to mouth pipette urine/semen samples.

So yes it is against the rules, but every lab I've worked in it wasn't going to get you fired, maybe a slap on the wrist at worst.

Someone not wearing gloves only endangers themselves. Someone in charge of a blood bank that doesn't know wtf they are doing endangers anyone's life that receives blood or has an ABO/ABS ran.
 
I believe it would be reported as a Traditional year

Usually it's reported as Ortho but peninsula made all of the ortho acceptances sign on for the TRI and after the TRI they would take them into ortho as they did the previous year; a bit odd to do this, not sure how many other programs do it this way; the ones i've looked at sign you straight up for ortho and count the first year as the internship. After your TRI is up there is no guarantee that they would take you into ortho, unless they wrote it into the the contract (which i'm not sure they would do) - and if this is the case then why not just report them as ortho.
 
Just another reason to completely avoid AOA residencies. This is just embarrassing.
 
Just another reason to completely avoid AOA residencies. This is just embarrassing.

Well that's not fair either. 8 hospitals have closed in NYC in the past 6 years. 7 had residency programs. All but peninsula were acgme only spots.

This has nothing to do with the AOA. Cause there is simply a preponderance of closures in nyc and its blind to who is training there.
 
Well that's not fair either. 8 hospitals have closed in NYC in the past 6 years. 7 had residency programs. All but peninsula were acgme only spots.

This has nothing to do with the AOA. Cause there is simply a preponderance of closures in nyc and its blind to who is training there.

I'm gonna assume he's referring to the taking people on as TRI's and "promising them" an ortho spot the following year. And I agree it's pretty damn shady. I can only guess that they did it this way because if they took them on as ortho interns and the hospital closed, the interns would be orphans of the program. They would be at least somewhat responsible for them getting new spots. Now the TRIs are left to themselves if the hospital stays closed.

I also have little faith in AOA residencies, and personally will be going the ACGME route. :xf:
 
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