Elizabeth place chippenham medical center
VA and 1 other location and specializes in Family Medicine and Nurse Practitioner. Ms. Bowen is affiliated with Chippenham Medical Center. Ms. Bowen works in Richmond, VA and 1 other location and specializes in Family Medicine and Nurse Practitioner. Ms. Bowen is affiliated with Chippenham Medical. Facility Administrator jobs available in Richmond, VA on bookmakerfootball.website Elizabeth House Assisted Living Chippenham Hospital logo. 3 ELIZABETH PLACE ARMONK NY NEWS
We look forward to getting to know you and your children. Shayne began Chester Pediatrics in the summer of , and has been here ever since. He grew up in the Washington D. In , he received his medical degree from the University of Maryland in Baltimore. He then completed his pediatric residency in Richmond in He has served as the Chief of Pediatrics at Chippenham hospital, and the President and Vice President of Commonwealth Care of Virginia and the Pediatric Alliance both local independent practice associations.
He has served on the executive board of the Virginia chapter of the AAP. In his free time he enjoys computer technology, photography, and staying physically active. His wife of over 30 years and two grown daughters and their families make his life rich and enjoyable. Kevin Campbell, M. Campbell joined Chester Pediatrics in as the second pediatrician in the group. He grew up in Northern New Jersey, and after moving to Richmond for college, graduated from the University of Richmond.
He worked as an orderly at Chippenham Hospital Emergency Room for a year prior to attending medical school. He received his medical degree from the Medical College of Virginia, and completed his pediatric residency in Campbell plays the trumpet, and enjoys kayaking on the local waterways. Elizabeth McGill Cross, M. She and her husband love spending time with their four adult children and their families. Her hobbies include hiking in the mountains, exploring the Virginia countryside, volunteering in her church and cheering for the UVA basketball team!
As her children have grown up Dr. Cross has enjoyed learning to parent in every stage of their journey. She loves caring for children from newborns through college; helping families navigate the challenges of parenting, advocate for their children and promote health and wellness. Mark Polanshek, M. Polanshek joined Chester Pediatrics in He obtained a PhD in Biology and he taught college and did research for 10 years before going to medical school.
He rode around Europe on a motorcycle in He completed medical school at the Medical College of Virginia in , and finished his pediatric residency in , serving as Chief Resident.. He enjoys woodworking, home improvement, car repairs, occasional foreign travel, and time with his wife and daughter.
Kerri Steele, M. She attended Wake Forest University where she played varsity field hockey, receiving her B. She completed her pediatric residency at the Medical College of Virginia in Steele is board certified in pediatrics and a fellow of the American Academy of Pediatrics. She enjoys spending time with her family at Lake Gaston, traveling, playing golf and running. Laina Bourassa, MD Dr.
Bourassa, a native of Chesterfield County, completed her undergraduate degree at the College of William and Mary. She received her medical degree from the University of Virginia School of Medicine. She spent the last four years practicing as a pediatrician at Hanscom Air Force Base, where she was also medical director of the Child Development Center and liaison to the local school system. Bourassa is a board certified pediatrician with special interests in child development, patient education and advocacy.
From this data costs and revenues per patient day by department, staffing patterns and profit margins for all departments of the hospitals may be derived. From this data, existing competitors could learn, among other things, what salaries are paid to the administrator of each hospital and in the aggregate to the employees of each department of each hospital, thus facilitating personnel rating for departments consisting of a single individual, this would mean that the salary of that individual would be disclosed.
In addition, existing competitors could learn how Chippenham and Johnston-Willis are organized and staffed. This information could help the competitors identify areas in their own operation that could be curtailed or increased and assist them in luring patients and doctors away from Chippenham and Johnston-Willis.
Potential competitors who were considering constructing a hospital or opening a service, such as a clinical laboratory, could use the information in the cost reports to analyze the earnings potential of a particular service and thus assist them in deciding whether to compete.
If the potential competitors enter the market they may dilute Chippenham's and Johnston-Willis' share of the market by attracting away their patients and doctors. Suppliers of goods and services to the hospitals could, through information from the cost reports, improve their bargaining position to the detriment of Chippenham and Johnston-Willis.
A virtually identical stipulation has been filed by plaintiffs Humana and St. Elizabeths and the defendants. In the face of these stipulations that the release of plaintiffs' cost reports could cause harm to plaintiffs' competitive positions defendants were reduced to two arguments: 1 a disclosure of the cost report was not likely to cause harm, and 2 any harm caused would not be substantial. In the Court's view, however, the evidence adduced at trial effectively rebuts both arguments.
Plaintiffs' sole witness was Mr. John H. Tobin, Jr. Formerly, from to , Mr. Tobin served as the administrator of Johnston-Willis Hospital. His testimony was to the effect that the provider cost reports sought under the challenged HEW disclosure regulation constituted a virtual "financial blue print" of hospital operations.
Based on his past experience in the hospital field in Richmond, Mr. Tobin concluded that release of the plaintiffs' cost reports would cause substantial harm to the competitive positions of the plaintiff hospitals. This opinion was premised on several specific concerns. First, Mr. Tobin was of the view that salary information in the cost reports would lead to employee raiding by other hospitals. Second, he believed that the techniques used by the plaintiff hospitals to maximize lawful Medicare reimbursements and minimize operating costs would be reflected in the cost reports as a whole.
Third, he feared that release of the cost reports could induce new competitors to enter the hospital field in Richmond. However, Mr. Tobin's responses to questions about competition among hospitals for nurses and doctors indicated that the market for employees in the health field is highly competitive and that public availability of staffing and salary information contained in cost reports would harm the plaintiffs' negotiating position with nurses and doctors.
Additionally, Mr. Tobin was of the view that the unauthorized release of his hospital's cost reports in had enabled Touche, Ross and Co. Professor Law testified that hospitals do not "compete" with each other in the traditional economic sense. The major reason for this, she explained, was that hospitals are reimbursed by Medicare and other insurors on a cost basis. In her view, such cost-based reimbursements generated "reverse" competition among hospitals because the hospitals had no incentives to hold down costs.
Given this framework of perverse competition, it was Ms. Law's opinion that public disclosure of the hospitals' cost reports would not cause substantial harm to the hospitals' competitive positions. It was established on cross examination, however, that Ms.
Law agreed that her theory did not apply to the extent that reimbursement by insurors were based on charges rather than costs. Additionally, she indicated that approximately half of all hospital revenues nationally were from private insurance companies not including Blue Cross , many of which reimbursed on a charge basis.
Additionally, the Professor frankly stated that she had no specific familiarity with Richmond area hospitals. Gordon R. Cumming, Executive Director of the California Health Facility Commission, a fifteen member commission appointed by the Governor of that state to establish accounting and reimbursement practices, was also called by the defendants to the stand. Cumming's testimony revolved around California's hospital disclosure act, which mandates extensive public disclosure of hospital financial information more extensive, in his opinion, than the disclosure that plaintiffs seek to enjoin in the instant case.
The gist of Mr. Cumming's testimony was to the effect that despite such extensive mandatory disclosure in California, he had heard no complaints or objections by hospitals in the year and some months since the disclosure law took effect. He was of the view that they would "absolutely not" suffer substantial harm if their Medicare cost reports were released.
Cummings did acknowledge, however, that it was still too soon to tell whether the California law would prove harmful to the competitive posture of the affected hospitals. He was also of the view that if a hospital wished to persist in what he considered to be an unwise or perverse form of competition, access to the Medicare cost reports of hospitals would help that hospital to compete more effectively.
Defendants' final expert witness was Mr. Fred G. Under the certificate of need law, any hospital expansion, relocation, or major change in construction or equipment, or any new hospital facility, requires state approval. This requirement places restraints upon hospitals and prevents them from competing in the traditional economic sense, and so Mr. Overstreet was of the view that release of Medicare cost reports would be helpful to his agency for planning purposes, but would not influence the behavior of patients or doctors.
It developed on cross examination, however, that Mr. Overstreet had never held a management position at a hospital, had never prepared a hospital budget, and in fact had never seen a completed Medicare cost report. He also acknowledged that a completed cost report could help a competitor to strengthen an application for a certificate of need.
It should be pointed out that Mr. Tobin, upon being recalled to the stand as a rebuttal witness, made two significant points. First, he noted that even cost-based reimbursements under Medicare did not cover certain costs of patient care, such as television, cafeteria, and telephone services. He was of the view that these charged-based reimbursements, not Medicare, generated the hospitals' profits. Considering all of the evidence introduced, the Court concludes that release of plaintiffs' Medicare cost reports would be likely to cause substantial harm to their respective competitive positions.
The stipulations indicate that plaintiffs have been relatively successful in achieving profitable market positions. Tobin's testimony indicated the release of the plaintiffs' cost reports would jeopardize these favorable positions by decreasing management's negotiating leverage with employees, by revealing to competitors the plaintiffs' highly developed techniques for minimizing operating costs and maximizing lawful Medicare reimbursements, and by making it easier for actual or potential competitors to obtain certificates of need to construct competing hospital facilities.
Nothing in the testimony of the defendants' witnesses has refuted this conclusion of Mr. Professor Law and Mr. Cumming indeed have persuaded the Court that hospitals compete in a non-traditional manner that is often contrary to the public interest, but the Court has not been persuaded that plaintiffs would not suffer substantial harm if their Medicare cost reports were released.
Humana of Virginia, Inc.
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|Bitcoin circle pay||Tobin's testimony indicated the release of the plaintiffs' cost reports would jeopardize these favorable positions by decreasing management's here leverage with employees, by revealing to competitors the plaintiffs' highly developed techniques for minimizing operating costs and maximizing lawful Medicare reimbursements, and by making it easier for actual or potential competitors to obtain certificates of need to construct competing hospital facilities. Cumming indeed have persuaded the Court that hospitals compete in a non-traditional manner that is often contrary to the public interest, but the Court has not been persuaded that plaintiffs would not suffer substantial harm elizabeth place chippenham medical center their Medicare cost reports were released. Overstreet was of the view that release of Medicare cost reports would be helpful to his agency for planning purposes, but would not influence the behavior of patients or doctors. Our data comes directly from the Land Registry, and is updated monthly. He is always able to see me and great when I need to reschedule my appointments a hundred times. Ohio, Nov. Charles F.|
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As demand rebounded, global energy prices have swung wildly since Russia invaded Ukraine, helping fuel inflation that is squeezing economies worldwide. High inflation is a fundamental drag on Biden's approval and has dampened Democrats' chances in the midterm elections. A separate move by the U. It comes amid an energy crisis created by Russian reductions in natural gas supplies to Europe , whose leaders accuse Moscow of retaliation for their support for Ukraine and imposing of sanctions.
Tatum said the technique comes from Dr. Tatum noted they try not to give time frames as when patients can return to sports or other similar activities as the recovery is more about how the injury is healing, but it is generally between nine and 12 months. Tatum also noted this procedure is only for patients within 50 days of tearing their ACL, and it is not for patients who have chronic issues with their ACL.
Molly Tatum. They expect to hear from the state of Texas if they will be awarded a contract to offer services to Texas Medicaid customers by late or early CareSource is also part of a team offering services in Arkansas for people with developmental disabilities. Serious and sometimes fatal infections can happen in older adults and those with weakened immune systems. For college grads, 4. She graduated from Wright State University and lives in downtown Dayton, within walking distance of her favorite arts and entertainment venues.
In Black workers made 80 cents for every dollar earned by whites, down from the 92 cents on the dollar Black workers earned in , the report said. That racial wage gap exists at all education levels in Ohio. House of Representatives last year but did not win Senate approval. Hederman Jr. That leaves Ohioans more at risk of economic pain if federal efforts to tame inflation slow job growth, according to the report. Bureau of Labor Statistics. And Ohio still has fewer people employed than in , when the number of jobs in the state hit nearly 5.
As was the Reverend Rockney Carter who has been heavily involved in the protests of the closing of Good Samaritan Hospital. He noted during the press conference, held on the national Martin Luther King Jr.
We haven't gotten to be as large as we wanted to be but during those 12 years we have provided superior healthcare to the patients of West Dayton and patients from all over Dayton. That's part of our problem possibly. The legislators have also filed a joint letter asking CMS to work with MCEP administrators to find potential solutions and avoid any disruptions in patiernt care.
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