What happened in Charlotte?

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I came here looking for the straight dope after word of this broke on Sermo today. I've been out of the loop.

I feel terrible for the anesthesiologists who will be losing their jobs, and for their patients and coworkers who will have to deal with all the upheaval. Part of me wants it to be terrible, however, to serve as a cautionary tale for any other scheming CEO who thinks he can replace an entire anesthesia department at will.
 
anbuitachi said:
positions filled?
Click to expand...

Who knows. My guess is that like the Michigan CRNA group, it'll be a mix of locums plus MDs that are able to negotiate out of their non-competes.

One of my colleagues is joining the new group, and I'm not sure he even knows how this will play out. One minute he's saying they don't think they'll have any issues with staffing, and the next he's saying the hospital and surgeons will be cool with things slowing down for awhile while they build up to speed.

I can see the hospital being OK with a temporary financial hit if they think the numbers will work out in the long run, but I find it hard to believe that the surgeons would be OK with that.

Curious to see how it plays out, though you can bet even if there are issues, the hospital's going to try to keep things hush-hush and spin the crap out of any news that gets out.
 
" Woods says Atrium has hired enough new doctors to do all procedures and replace the anesthesiologists who are leaving. "
 
From another article:

“Mednax has used that information to mislead Atrium staff and the public into thinking Atrium will be slashing anesthesiologist staffing at hospitals, Atrium's suit says, adding that such claims are a lie.”

So are they planning to go past 4:1 or not? Someone is lying.
 
Maybe a deal was made? At least for some of the sub specialists and a few MVPs to get out of the noncompete. As far as exceeding the 1:4...Get contract...provide reasonable service...let **** blow over...revisit in one year. Pure speculation on my part. What I would look into If I wanted the deal to get done and provide service July 1.
 
Last edited by a moderator:
If I were doing hearts in the new group I would have it written in my contract what the supervision ratios would be. No negotiation and written in a legally binding document. At least 6 months notice for cancellation of employment.
In case any of you reading this are considering the job for peds or adult hearts.....
The new group leader has made enough comments about his thoughts on supervision ratios that I wouldn’t trust it any other way. Patient safety doesn’t seem to be the number 1 priority based on the proposals he wrote during the “consulting” phase. Sure, he has walked back those recommendations but this is a high risk job in my opinion.
Write your employment contract accordingly.
 
Disclaimer: I am speculating here

I would think that the CEO,CFO and CMO are on their way out after the dust settles. Two lawsuits in a couple weeks. Both referring to pt care. Not good.

Mednax refused to change the current model. Does this mean the administration was pushing to go to a QZ model with greater than 4:1 supervision?

I assume that Mednax didn’t want to do this because they would lose money but I don’t know. I believe that they probably are billing Out-of-network (OON) and the pts and surgeons are pissed. But if they billed QZ OON do they actually lose money? Or did the docs actually have some say in all of this and refuse to go hirer than 4:1?

And since this new group that the CEO brought in wanted to increase the supervision ratio until it had to recant ther statement, I am assuming that the CEO is driving all of this.
 
Mednax has been SUPER smart about this - getting way out ahead of Atrium’s PR machine much to their favor, making it look like they are looking to reduce physician presence blah blah blah...

Atrium’s point of out of network billing (a Mednax and AMC classic) is a good one. I’d be pissed if I had an appendectomy and my anesthesiology bill was 10x+ the rest, and so would the surgeons - If I was having elective surgery, I’d just go elsewhere. Unfortunately they hired this guy Wheery who’s is sketch as F and has documented feelings on ratios and “supervision.”

Who to believe? It’s hard to say, the truth is probably somewhere in the middle. I’d be really, really wary about moving to such a volatile area right now. A couple orthos I went to school with turned down jobs there a few months ago due to the volatility. Atrium is clearly losing the PR battle and has other big issues with a large group of doctors splitting off this summer.

I am sure hospitals all around are watching this real closely, as they should. Mednax is largely a dumpster fire, though, overall.
 
Out of network billing can be a major issue to many patients. But I suspect it’s very minor problem in the overall scheme of things. Just sounds good on paper bad for profit mednax doing out of network billing.

The real issue is Crnas are still employed by the hospital? Correct. That was how the original southeast group and than mednax still let the hospital employe the Crnas.

So is scope AMC employing Crna or still
Hospital? The hospital has got to be involved with scope in terms of side/shell company.
 
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