Olympic Medical Center to change Emergency Department firm

Decision creates wave of objections

UPDATE: The Olympic Medical Center board of commissioners will conduct a special meeting to consider an agreement with Sound Physicians at 2:30 p.m. today (Friday).

The notice was sent out at 2:30 p.m. Thursday. The agreement is the only item on the agenda.

The meeting is virtual only, via Web-Ex.

Log on to www.olympicmedical.org/virtual-board-meeting for the Web-ex meeting information.

PORT ANGELES — Sudden changes in Olympic Medical Center’s Emergency Department have doctors, nurses and other staff in an uproar.

ADVERTISEMENT
0 seconds of 0 secondsVolume 0%
Press shift question mark to access a list of keyboard shortcuts
00:00
00:00
00:00
 

OMC announced June 9 that it would not renew its contract with Peninsula Emergency Services, Inc. (PESI) of Port Angeles, which it had used for 20 years to provide emergency department physicians. PESI’s contract expires June 30, and OMC said in a press release that it had selected Sound Physicians of Tacoma to be its new emergency physician group partner, effective July 1.

“Health care has changed, OMC has changed and our patients need us to move our emergency department in a different direction,” Darryl Wolfe, CEO of OMC, said in the press release.

“We believe that Sound Physicians’ extensive experience working with other hospital systems will offer valuable insights and processes, and they will work collaboratively with our emergency department, hospital staff and administration to foster positive change.”

Commission meeting

At an OMC commission meeting Wednesday night, a board member told about 30 people — medical providers and members of the community — who objected to the decision that the contract had not been signed yet.

Apart from its regular nursing staff and tech support, OMC contracts with a third-party company to staff its emergency doctors.

Comment was requested from Sound Physicians and from PESI without a response from either on Thursday.

Doctors at OMC who work for PESI have been asked to apply to work for Sound Physicians.

“Due to OMC’s decision to change from PESI to Sound Physicians, the majority of the current Emergency Medicine Providers, including physicians and mid-levels, will no longer be working at OMC,” according to an unsigned letter that said it was from OMC emergency department nurses.

“This means that up to 18 new providers will need to be on-boarded, credentialed, and trained in OMC’s rural-specific hospital processes in just three short weeks. On July 1st there may be no currently working Emergency Medical Providers to guide these new individuals through hospital-specific processes. This alone does not bode well for patient safety and outcomes,” reads the letter.

According to a statement issued late Thursday afternoon by Wolfe, pending litigation against a PESI doctor is the leading cause for the change.

“An Emergency Services provider, employed by PESI, is the subject of three criminal investigations,” he said in the emailed statement.

“These allegations, which began to surface in April, are in regard to this provider’s alleged actions while on a shift in the Emergency Department at Olympic Medical Center,” he continued.

“We cannot discuss the criminal cases in detail as they are open and active cases. However, these criminal investigations are what initially prompted the regulatory visits to OMC. There was sufficient concern resulting from the regulatory agency investigations, that a change in medical group leadership needed to be made imminently,” Wolfe said.

Wolfe said OMC leadership’s decision to separate from PESI was difficult but that “we want to do what’s the best for our patients, and right now that’s partnering with Sound Physicians as our emergency department group.

“The concerns about PESI are about the administrative and operational management of the group. In the meantime, we are putting a plan in place to eliminate any potential gaps in emergency department services at Olympic Medical Center,” he added.

Dr. Frank Rosenbloom, a hospitalist at OMC, told commissioners Wednesday night that he had worked for Sound Physicians and described the company as malignant and as the worst decision OMC could make for its ED.

Sound Physicians has an F rating — one out of five stars — from the Better Business Bureau, which has not accredited the business.

“On February 16, 2021, BBB recognized a pattern of complaints from consumers regarding billing, collections, and customer service issues,” according to a statement from the BBB on its website.

”Consumers allege that the business is sending unpaid balances to collections without prior notification to consumers, as billing statements are not received. Consumers further allege that charges being sent to collections are for services not provided, balances that were not billed to insurance companies, and for balances that were previously paid. Consumers allege that the business does not answer multiple phone call attempts and/or voicemails, resulting in consumers being unable to inquire about charges being sent to collections incorrectly,” the statement continues.

“On February 17, 2021, BBB notified the company of the complaint pattern. To date, the company has not responded to BBB’s request to address the pattern,” reads the statement.

Steven Higgs, a former ER nurse for OMC, urged an independent investigation into the decision.

“These Sound Physicians doctors that they think they will get in 15 days, they have no relationship to this community at all,” he said. “This is going to be dangerous.

“There should be an investigation into how they came to this conclusion, all while expecting to hire the same doctors… it seems to me the board doesn’t even understand what’s happening,” Higgs said.

Higgs also accused the board of condemning other ED doctors for the alleged actions of another.

“How is it you’re going to ‘hang’ these doctors for the alleged indiscretions of one? I mean, he deserves his time in court. If he’s done the things that have been said, he needs to ‘hang,’ not everyone else,” Higgs said.

Former OMC CEO Eric Lewis, who now is the chief financial officer at the Washington State Hospital Association, and Wendy Sisk, CEO of Peninsula Behavioral Health, both sent letters of support for the OMC commission’s decision.

Lewis said he did not know any of the details of the current situation with PESI, but described Sound Physicians as an “excellent organization.”

“PESI has some excellent providers and they have done a good job for OMC, but they are not a functioning group,” Lewis said.

“OMC must do all their billing and collection work. A change to a functioning large group with a human resources department (recruitment and performance evaluations), legal department, clinical protocols, safety/quality department, and a billing department does need to happen.”

Sisk said that she had encountered challenges “in terms of the equitable care of those who have complex behavioral needs.

“Admittedly, I have had positive experiences with the current physicians’ group, but I could provide examples throughout my two decades of our consumers being stigmatized and their needs often dismissed.

“I look forward to a shift in ED culture to a more quality focused and metrics driven emphasis,” she said. “Thank you for pursuing services that will hopefully improve the overall quality of care for all of our community members.”

________

Reporter Ken Park can be reached at kpark@peninsuladailynews.com.

More in News

From left to right, Northwest School of Wooden Boatbuilding students Krystol Pasecznyk and Scott McNair sand a Prothero Sloop with Sean Koomen, the school’s boat building program director. Koomen said the sanding would take one person a few days. He said the plan is to have 12 people sand it together, which will take a few hours. (Elijah Sussman/Peninsula Daily News)
Wooden boatbuilding school building ‘Twin Boats’

Students using traditional and cold-moulding construction techniques

Prevailing wage by trade across multiple counties in Washington state.
Prevailing wages are driving up housing

Administrative burden may decrease competition

North Olympic Library System
Rendering of the new Sequim Library, which is currently under construction.
Library system board recognizes top donors

Naming opportunities still available

Port of Port Angeles approves roof rehab projects

McKinley Paper Company moves out of Marine Drive warehouse

Drug takeback day set across Peninsula on Saturday

Law enforcement agencies across the North Olympic Peninsula are poised to take… Continue reading

Public meeting set to meet administrator candidates

Jefferson County will host a public meeting at 5… Continue reading

Interfund loan to pay for Port Townsend meter replacement

City will repay over four years; work likely this winter

Artists to create murals for festival

Five pieces of art to be commissioned for downtown Port Angeles

Clallam assessor’s office to extend reduced hours

The Clallam County assessor’s office is continuing its reduction… Continue reading

Girders to be placed Thursday night

Contractor crews will place four 100-foot bridge girders over a… Continue reading

Cameras to check recycling contents in new program

Olympic Disposal will deploy a system of computerized cameras to… Continue reading

Port Angeles Fire Department responds to a residential structure fire on West 8th Street in Port Angeles. (Jay Cline)
Police: Woman arrested in arson investigation

Niece of displaced family allegedly said house was ‘possessed’

You're browsing in private mode.
Please sign in or subscribe to continue reading articles in this mode.

Peninsula Daily News relies on subscription revenue to provide local content for our readers.

Subscribe

Already a subscriber? Please sign in