Shame on the Bay Clinic!

[Lee M-S]

Hawaii already requires some of the provisions of Obamacare, so is exempt from fed regulations on those parts.

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Originally posted by msrocket

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Originally posted by Seeb

Hawaii is exempt from Obamacare
Or most of the provisions
Nebraska too I think?

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Why is Hawaii exempt from Obamacare?

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[Midnight Rambler]

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Originally posted by dwedeking

I'd like to see a link for where Hawaii is exempt. The only thing I can find with my google-fu is where Hawaii is exempt from those areas where the state law is "stronger". There is a lot more to this 2,000 page document past "your boss has to pay for your insurance".

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Yes, but the bulk of the volume is about regulating insurance companies, such as how they are required to accept individuals who don't have insurance through their employer, subsidies for people to buy insurance, and changes to Medicare and Medicaid. One of the provisions is that any company with over 50 employees provide health insurance, and Hawaii has had an employer mandate for a long time (1950's maybe?). I believe Hawaii's law is stronger on that.

[Rene Siracusa]

The problem articulated here regarding the Bay Clinic board's abusive behavior toward their physicians and staff has been ongoing for years. Any employee, seeing board-generated policy problems that impact how care is administered is given the boot - or the board makes continuing to work there so untenable that staff have to make the tough decision to leave. I believe that thus far this year the Bay Clinic has lost 6 or 7 physicians, and many of their staff have submitted applications elsewhere and will leave as soon as they can.

This pattern destroys any possibility of a long-term physician/patient relationship. Every time a patient returns, there is a new provider.

So I don't think that writing the board a letter will change their minds. These people micro-manage where even managing is outside their levels of competence. Maybe you will get more traction if you address the letters to the State DOH or even the USDOH and insurers. They need to be audited, and not just a fiscal audit but a full programmatic audit that will see if the grant money is going where it is supposed to go. That should be a request included in any such letters. Unleash Marion Higa!

Has anyone here experienced the nonsense they impose on their patients about 'opening the calendar for the next month'?

When I had had enough of their lack of aloha, I marched in and demanded my file - I seceded in protest. One less patient whose insurance money they will get.

[Rob Tucker]

Voting with your feet can be very effective.

[dakine]

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Originally posted by Rene Siracusa

The problem articulated here regarding the Bay Clinic board's abusive behavior toward their physicians and staff has been ongoing for years. Any employee, seeing board-generated policy problems that impact how care is administered is given the boot - or the board makes continuing to work there so untenable that staff have to make the tough decision to leave. I believe that thus far this year the Bay Clinic has lost 6 or 7 physicians...

So I don't think that writing the board a letter will change their minds. These people micro-manage where even managing is outside their levels of competence. Maybe you will get more traction if you address the letters to the State DOH or even the USDOH and insurers. They need to be audited, and not just a fiscal audit but a full programmatic audit that will see if the grant money is going where it is supposed to go. That should be a request included in any such letters. Unleash Marion Higa!...

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Rene is right! Complaining to the board of directors would be a waste of breath. THEY ARE THE PROBLEM!

I don't know all the details (though please write me with any you do know) but I am researching them, and who exactly would be the right person, or organization, to present them to. This has to be stopped. There is one article from the trib regarding a nursing director at:

http://hawaiitribune-herald.com/sections...linic.html

and one involving another at:

http://hawaiitribune-herald.com/sections...ation.html

And I personally witnessed yet another firing of the last therapist, who was fired on the spot, given only hours to clean out her office, and had to enlist her patients who were scheduled to see her during that time to help her vacate the premises. All without cause. And, most likely because she was too intelligent, saw through their BS, and was in no way the kind of person to just shut up and let the BS continue.

These firings and forced quittings are shameful, and hurt the doctors as well as the patients, both in terms of quality of medical care, and financially, and must be understood by those that are in a position of power to do something about it.

I am coming to believe that in order for a complaint of this nature to have any teeth it must be directed to both the source of funding, the federal organization that sponsors the doctors, and as Rene has suggested our state's DOH and Auditor. I will be continuing my research and welcome any input as I do so. I will post here how and where I decide to express my concerns, and am considering just how to go about creating a petition to back it up.

[lquade]

this has gone on for years and years, through many boards and ceo's. the now defunct big island journal did a entire edition devoted to this a few years ago, all the docs who were fired. this is one of the reasons you have the wonderful health center in pahoa.(not bay clinic's, but dan's) several of those people were also fired. firings are always done in a way to cause the most stress and humiliation. the person fired is walked off the premises like a thief in the nite. as far as i know, no one has been successful in a lawsuit or even to get unemployment. i followed my personal physician when it was his turn and he learned to not even try to get patients records. they wont even tell their patients where the docs went if they stay on island. same in the dental clinic and we know first hand how they play their game. i did write a letter to the state and whenever i see in the paper a grant being awarded i write the grantor, but of course that is after the fact. tax payer money, no continuity of care, patients treated like a cattle call in the waiting room... etc. etc. etc.

[Kapohocat]

Yes, Rene, my husband has experienced the "call when we open up the calendar for next month" in the past. This month when he say doc, they needed to see him in 14 days and he got the appt on the spot.

We were sad to see Dr Peggy go. She said she was leaving to be nearer her family (and the undercurrent was she was sick of the politics).

12 years of dealing with Bay Clinic with hubby, and now we are just waiting for spot to open up with another doc in Hilo......

I go to Urgent Care if I need a doc immediately - in and out in under 45 mins with pretty good care but do get the "you really need a primary care doc" speech ... but heck once every three yrs or so that I see them... I am ok with Urgent care.

I had numerous long conversations with the CEo and med directors and it is the same thing except for Paul Strauss (he really tried to make things better). But now he left and went to HMSA office on Oahu and is working on insurance side.

My hubby has been through 7 docs in 12 years. Even when i had really good insurance no one was taking new patients.