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End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

Hospitals

Friday, August 10, 2012

Lawmakers Send Bill on Hospital Executive Contracts to Gov. Brown

Lawmakers have approved a bill (AB 2115) that would require a written employment agreement when a local health care district employs or contracts with a hospital administrator or CEO, the AP/Sacramento Bee reports (AP/Sacramento Bee, 8/9).

On Thursday, the Senate voted 36-0 to approve the measure, by Assembly member Luis Alejo (D-Watsonville) (Monterey County Herald, 8/9). The Assembly also unanimously voted to approve the legislation (California Healthline, 7/26).

The bill now goes to Gov. Jerry Brown (D) for consideration (Monterey County Herald, 8/9).

Impetus for Bill

The legislation was developed following a state audit of Salinas Valley Memorial Healthcare System, a public hospital in Monterey County. The audit found that Sam Downing, a former CEO of Salinas Valley, had worked without a written contract for 26 years.

Alejo's office said that Downing -- who retired in 2011 -- received more than $4.9 million in supplemental pension and severance benefits.

Downing received most of the money before he retired. In 2010, Downing announced that the hospital's staff would be reduced by 5% to 6% while he was receiving the expanded compensation (California Healthline, 7/26).



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