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Seven Allege Harassment by Yale Doctor at Clinic - New York Times PDF Print

New York Times

Seven Allege Harassment by Yale Doctor at Clinic
New York Times
A nephrology professor, Dr. Rex L. Mahnensmith, who worked at the university for over 20 years, has been accused of a pattern of sexual harassment while he was medical director of the New Haven Dialysis Clinic, where university physicians treat their ...
Ex-Professor at Yale School of Medicine Faces Accusations of Sex Harassment Chronicle of Higher Education (subscription) (blog)

all 4 news articles »

...

 
Dialysis patients frustrated with Washington Rides service - Observer-Reporter PDF Print
Published: April 12, 2015 - Updated: April 13, 2015 10:52 pm Advertisement

It’s a three-block trip – four-tenths of mile – from Washington Arbors high-rise to the Liberty Dialysis clinic in Washington.


But Debby Hanes, a passenger on Washington Rides shared-ride paratransit system, said on her way to dialysis appointments, she has sometimes found herself traveling by way of Hickory or Avella, a round trip of 23 to 31 miles, but not by choice.


She said, at other times, she’s within shouting distance of the clinic at Millcraft Center, 90 W. Chestnut St., but the vehicle won’t let her disembark for her 6:30 a.m. appointments.


“They circle the block two or three times before they will drop you off,” Hanes said, adding the paratransit vehicle will bypass the clinic to pick up a passenger at Crumrine Tower high-rise on South Franklin Street or to drop someone off for a shopping excursion at a local store, each about a block away from Liberty Dialysis.


Hanes, 53, uses a walker that folds, so she can be picked up by van or sedan, but her frustration mirrors that of another Washington Arbors resident, Lisa Foltz, who uses a manually operated wheelchair to get around. Last summer, Foltz waited three hours for a ride to the Arbors on North College Street, a three-block trip from a relative’s personal care home. When she was finally picked up, the vehicle, equipped with a wheelchair lift, was dispatched from the Mon Valley community of Donora, 28 miles away.


While Foltz’s stranding last August may have been a matter largely of inconvenience, Hanes said her difficulties with Washington Rides and First Transit are a matter of health.


“If they drop me off at 10 a.m., I only get 1 1/2 hours of treatment,” Hanes said. “I’m supposed to get four hours of treatment. On Monday, March 2, they didn’t show up at all. I called Liberty. There were no chairs available Monday afternoon, and no appointments available on Tuesday, March 3. There was no appointment until Wednesday, March 4, and believe me, I was feeling it.”


Dialysis, through a filtration machine, removes waste products from the blood of a person whose kidneys failed. As these toxins build up in her system, Hanes said they cause distress.


“You start feeling it in your rib section,” Hanes said, describing the sensation as “pressure and pain, all over sluggishness. You just feel miserable.”


Her medical insurance pays for the cost of her trips.


Since last May, when Washington Rides began coordinating trips through a new computer software program, its vehicles have been equipped with GPS tracking devices. After being contacted by a reporter, Sheila Gombita, executive director of the Washington County Transportation Authority which oversees the Washington Rides program, checked the vehicle’s whereabouts March 2, a day that included freezing rain.


Gombita called it “a bad-weather day, something we have to factor in. The vehicle in her mind may not have shown up, but the vehicle did show up.”


Hanes said she waits for a paratransit vehicle in the lobby of nine-story Washington Arbors, but after time passes, she returns to her apartment hoping a driver will exit the van and ring for her apartment so she can return to the lobby. Hanes said that was not the case March 2, and the vehicle she encountered at the Arbors was destined for Pittsburgh.


Hanes has regular appointments at Liberty Dialysis on Monday, Wednesday and Friday mornings, and she talked on her phone during a dialysis treatment, with beeping and whooshing of machines providing background noise.


On other days, Hanes said Washington Rides picks her up or drops her off late at the clinic, but a First Transit driver arrives hours early for her return trip home.


“I don’t drive,” Hanes said. “Washington Rides is the only way I have to get around.”


Although one of the causes of kidney failure is diabetes, Hanes said she is not a diabetic.


“I was diagnosed with kidney problems in 2001,” explained Hanes, who had her first dialysis treatment in July 2013. “I have hereditary hypertension. Kidney problems run in my family on my dad’s side.”


If she loses 62 pounds, she hopes to be added to a waiting list for a kidney transplant.


Even though dialysis is a life-saving procedure, Hanes said, “I usually feel real bad (afterward). You feel like you’ve been beat up. After I go home and rest a bit, around 7 in the evening I start to feel normal. You feel better the next day.”


Washington Rides encourages those who are having difficulties with paratransit service to immediately contact the agency at 724-223-8747.


“Anecdotal information is very hard for us to deal with,” said Gombita. “We need to hear about it right away. We’re not going to be perfect. It’s unfortunate, but it’s the transportation industry.


“Are there going to be late trips at times? Yes. It’s not a perfect service. It’s no different than you and I driving in our own cars.”


She also had no evidence of Hanes’ trips to the dialysis clinic by way of far-flung Washington County communities since the GPS began tracking vehicles. “There is nothing I can document,” Gombita said. “Without dates and times, there is nothing that would suggest this has been happening.”


On March 9, Hanes said her walker was left in the driveway of Washington Arbors. She blamed the driver for not placing it in the vehicle, but, after investigating the circumstances, Gombita said, “We have a conflicting report.” Hanes was able to retrieve the walker when she returned from her dialysis appointment.


Since Lisa Foltz’s near-stranding came to light, Gombita said First Transit’s on-time percentages improved greatly from August’s 80 percent record. The firm advertised for additional drivers and hired several.


By October, it was 90 percent; December and February stood at 93 percent; and February was 93 percent. Gombita, in an early April interview, said she did not yet have March figures.


The transportation authority’s other contracted transportation provider, the Mon Valley-based Tri-County Access, consistently had a better track record: August, 96 percent; October, 97 percent; December, 96 percent; January, 95 percent; and February, 96 percent.


Both First Transit and Tri-County Access have additional three-year contracts beginning May 1 through June 30, 2018.


After these gains by First Transit, Gombita said she was dismayed by the dialysis patient’s complaints. “My concern is further erosion of the service we provide. People will not want to use the service that has dramatically improved. That’s very troubling to me. It’s a service that is needed by so many different people.


“Are we going to run late? Absolutely. People want to have a direct line to where they want to go. It’s not taxi service, it’s shared-ride service. If it was on-time 100 percent of the time, the cost of the service would be so expensive that people wouldn’t be able to use it.”


Hanes is not alone her frustration with Washington Rides.


“Sometimes I do have to cut my treatments short,” said Barbara Huffman, 64, of Bellmead, another patient who needs to be at the Liberty Dialysis Clinic in Washington by 6:30 a.m. “It’s not unusual, as I say, to have to take a tour of Washington.”


Huffman said she experienced complications after a treatment and made an unexpected trip to Washington Hospital by ambulance. She was personally unable to inform Washington Rides of this development, and she was dismayed when she received a letter from the program telling her a driver made a trip to the clinic to shuttle her home, but she was a “no-show.”


The letter warned her if this failure to notify Washington Rides occurred again, she faced a 30-day suspension from using the service.


Gombita said she could not find record of the letter Huffman described, but said if someone wrongly receives a threat of a suspension, “Call and let us know. We are very forgiving on those and we look at these things. When you have a no-show, it impacts service. Still, call and we will wipe that off their record.”


Cheryl Tingley, 50, of Washington, said she has been a dialysis patient since August. The clinic was about to close for the evening after her treatment, but Tingley was still waiting for Washington Rides to pick her up to drive her home.


“One of the ladies from (the clinic) took me home,” Tingley said. “She wasn’t supposed to give me a ride, but she did.”


Hanes said she’s found herself in the same predicament as Tingley.


Jacqueline Brown, 50, of Washington, began kidney dialysis in November. “The only complaint I have is they’re late, very late for the pickup.” She also received a threat of suspension letter because of a hospitalization she said was partly because of complications related to dialysis.


“I almost died, I was so sick,” Brown said. “I thought everything was taken care of. I think it was March 4.” She said she did not contact Washington Rides because “I was so disgusted.”


Gombita said she realizes dialysis patients can have problems that those who use Washington Rides for shopping trips don’t encounter.


“It’s a challenge in servicing dialysis patients,” Gombita said. “We know the constraints they have and we understand the complications that go along with it, and the health-related issues that cause them to be taken to a hospital. We will do whatever we need to do to make sure the dialysis patients are receiving the treatment that they need.”


...

 
Washington Rides service criticized by dialysis patients - Observer-Reporter PDF Print
Published: April 12, 2015 - Updated: April 13, 2015 10:52 pm Advertisement

It’s a three-block trip – four-tenths of mile – from Washington Arbors high-rise to the Liberty Dialysis clinic in Washington.


But Debby Hanes, a passenger on Washington Rides shared-ride paratransit system, said on her way to dialysis appointments, she has sometimes found herself traveling by way of Hickory or Avella, a round trip of 23 to 31 miles, but not by choice.


She said, at other times, she’s within shouting distance of the clinic at Millcraft Center, 90 W. Chestnut St., but the vehicle won’t let her disembark for her 6:30 a.m. appointments.


“They circle the block two or three times before they will drop you off,” Hanes said, adding the paratransit vehicle will bypass the clinic to pick up a passenger at Crumrine Tower high-rise on South Franklin Street or to drop someone off for a shopping excursion at a local store, each about a block away from Liberty Dialysis.


Hanes, 53, uses a walker that folds, so she can be picked up by van or sedan, but her frustration mirrors that of another Washington Arbors resident, Lisa Foltz, who uses a manually operated wheelchair to get around. Last summer, Foltz waited three hours for a ride to the Arbors on North College Street, a three-block trip from a relative’s personal care home. When she was finally picked up, the vehicle, equipped with a wheelchair lift, was dispatched from the Mon Valley community of Donora, 28 miles away.


While Foltz’s stranding last August may have been a matter largely of inconvenience, Hanes said her difficulties with Washington Rides and First Transit are a matter of health.


“If they drop me off at 10 a.m., I only get 1 1/2 hours of treatment,” Hanes said. “I’m supposed to get four hours of treatment. On Monday, March 2, they didn’t show up at all. I called Liberty. There were no chairs available Monday afternoon, and no appointments available on Tuesday, March 3. There was no appointment until Wednesday, March 4, and believe me, I was feeling it.”


Dialysis, through a filtration machine, removes waste products from the blood of a person whose kidneys failed. As these toxins build up in her system, Hanes said they cause distress.


“You start feeling it in your rib section,” Hanes said, describing the sensation as “pressure and pain, all over sluggishness. You just feel miserable.”


Her medical insurance pays for the cost of her trips.


Since last May, when Washington Rides began coordinating trips through a new computer software program, its vehicles have been equipped with GPS tracking devices. After being contacted by a reporter, Sheila Gombita, executive director of the Washington County Transportation Authority which oversees the Washington Rides program, checked the vehicle’s whereabouts March 2, a day that included freezing rain.


Gombita called it “a bad-weather day, something we have to factor in. The vehicle in her mind may not have shown up, but the vehicle did show up.”


Hanes said she waits for a paratransit vehicle in the lobby of nine-story Washington Arbors, but after time passes, she returns to her apartment hoping a driver will exit the van and ring for her apartment so she can return to the lobby. Hanes said that was not the case March 2, and the vehicle she encountered at the Arbors was destined for Pittsburgh.


Hanes has regular appointments at Liberty Dialysis on Monday, Wednesday and Friday mornings, and she talked on her phone during a dialysis treatment, with beeping and whooshing of machines providing background noise.


On other days, Hanes said Washington Rides picks her up or drops her off late at the clinic, but a First Transit driver arrives hours early for her return trip home.


“I don’t drive,” Hanes said. “Washington Rides is the only way I have to get around.”


Although one of the causes of kidney failure is diabetes, Hanes said she is not a diabetic.


“I was diagnosed with kidney problems in 2001,” explained Hanes, who had her first dialysis treatment in July 2013. “I have hereditary hypertension. Kidney problems run in my family on my dad’s side.”


If she loses 62 pounds, she hopes to be added to a waiting list for a kidney transplant.


Even though dialysis is a life-saving procedure, Hanes said, “I usually feel real bad (afterward). You feel like you’ve been beat up. After I go home and rest a bit, around 7 in the evening I start to feel normal. You feel better the next day.”


Washington Rides encourages those who are having difficulties with paratransit service to immediately contact the agency at 724-223-8747.


“Anecdotal information is very hard for us to deal with,” said Gombita. “We need to hear about it right away. We’re not going to be perfect. It’s unfortunate, but it’s the transportation industry.


“Are there going to be late trips at times? Yes. It’s not a perfect service. It’s no different than you and I driving in our own cars.”


She also had no evidence of Hanes’ trips to the dialysis clinic by way of far-flung Washington County communities since the GPS began tracking vehicles. “There is nothing I can document,” Gombita said. “Without dates and times, there is nothing that would suggest this has been happening.”


On March 9, Hanes said her walker was left in the driveway of Washington Arbors. She blamed the driver for not placing it in the vehicle, but, after investigating the circumstances, Gombita said, “We have a conflicting report.” Hanes was able to retrieve the walker when she returned from her dialysis appointment.


Since Lisa Foltz’s near-stranding came to light, Gombita said First Transit’s on-time percentages improved greatly from August’s 80 percent record. The firm advertised for additional drivers and hired several.


By October, it was 90 percent; December and February stood at 93 percent; and February was 93 percent. Gombita, in an early April interview, said she did not yet have March figures.


The transportation authority’s other contracted transportation provider, the Mon Valley-based Tri-County Access, consistently had a better track record: August, 96 percent; October, 97 percent; December, 96 percent; January, 95 percent; and February, 96 percent.


Both First Transit and Tri-County Access have additional three-year contracts beginning May 1 through June 30, 2018.


After these gains by First Transit, Gombita said she was dismayed by the dialysis patient’s complaints. “My concern is further erosion of the service we provide. People will not want to use the service that has dramatically improved. That’s very troubling to me. It’s a service that is needed by so many different people.


“Are we going to run late? Absolutely. People want to have a direct line to where they want to go. It’s not taxi service, it’s shared-ride service. If it was on-time 100 percent of the time, the cost of the service would be so expensive that people wouldn’t be able to use it.”


Hanes is not alone her frustration with Washington Rides.


“Sometimes I do have to cut my treatments short,” said Barbara Huffman, 64, of Bellmead, another patient who needs to be at the Liberty Dialysis Clinic in Washington by 6:30 a.m. “It’s not unusual, as I say, to have to take a tour of Washington.”


Huffman said she experienced complications after a treatment and made an unexpected trip to Washington Hospital by ambulance. She was personally unable to inform Washington Rides of this development, and she was dismayed when she received a letter from the program telling her a driver made a trip to the clinic to shuttle her home, but she was a “no-show.”


The letter warned her if this failure to notify Washington Rides occurred again, she faced a 30-day suspension from using the service.


Gombita said she could not find record of the letter Huffman described, but said if someone wrongly receives a threat of a suspension, “Call and let us know. We are very forgiving on those and we look at these things. When you have a no-show, it impacts service. Still, call and we will wipe that off their record.”


Cheryl Tingley, 50, of Washington, said she has been a dialysis patient since August. The clinic was about to close for the evening after her treatment, but Tingley was still waiting for Washington Rides to pick her up to drive her home.


“One of the ladies from (the clinic) took me home,” Tingley said. “She wasn’t supposed to give me a ride, but she did.”


Hanes said she’s found herself in the same predicament as Tingley.


Jacqueline Brown, 50, of Washington, began kidney dialysis in November. “The only complaint I have is they’re late, very late for the pickup.” She also received a threat of suspension letter because of a hospitalization she said was partly because of complications related to dialysis.


“I almost died, I was so sick,” Brown said. “I thought everything was taken care of. I think it was March 4.” She said she did not contact Washington Rides because “I was so disgusted.”


Gombita said she realizes dialysis patients can have problems that those who use Washington Rides for shopping trips don’t encounter.


“It’s a challenge in servicing dialysis patients,” Gombita said. “We know the constraints they have and we understand the complications that go along with it, and the health-related issues that cause them to be taken to a hospital. We will do whatever we need to do to make sure the dialysis patients are receiving the treatment that they need.”


...

 
MPP Infusion Centers Operated by Renal Ventures Management Earn ... - Business Wire (press release) PDF Print

LAKEWOOD, Colo.--(BUSINESS WIRE)--MPP Infusion Centers operated by Renal Ventures Management, LLC (RVM) announced today that it has earned the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Gold Seal of Approval® for Ambulatory Health Care Accreditation.

The accreditation reflects MPP Infusion Centers’ commitment to providing safe, high-quality patient care, demonstrating continuous compliance with nationally recognized practice guidelines and standards. The JCAHO accreditation is system-wide and applies to all six Dallas-Fort Worth infusion centers as well as the Infusion Center of Denver.

MPP Infusion Centers provide specialty and prescription drug infusion therapy to treat chronic, complex diseases. The state-of-the-art facilities, which are focused on delivering a unique quality patient experience, include amenities such as heated chairs, Wi-Fi access and personal, high-definition televisions.

MPP Regional Director of Infusion Operations Ken Idicula said the evaluation process leading to accreditation took approximately three months to complete.

“JCAHO assessed us based on environment of care, infection control, medication management, leadership, human resources and other categories,” said Idicula. “They also have a patient ‘tracer’ process where they follow a patient from the time he or she comes through the door to when the patient leaves, noting in detail our centers’ attention to interactions along the way.”

The intensive three-day, on-site evaluation process involved infusion center staff, patients and procedures. Another aspect of the accreditation process included patient chart audits, investigation of policies and procedures, provider credentialing and other aspects of the facility affecting patient outcomes. The Joint Commission receives all gathered data and makes its final decision based on how in-line the organization is with the Joint Commission’s Standards of Care and National Patient Safety Goals.

MPP Infusion Centers are among just a handful of infusion centers worldwide that have earned the JCAHO Ambulatory Health Care Accreditation.

“The Gold Seal of Approval is a highly desired and respected accreditation,” explained Idicula. “Although infusion clinics are fairly new to the health care industry, we wanted to set the bar very high for this type of facility. We’d also like to recognize the hard work and efforts of our dedicated staff in demonstrating and achieving the highest levels of quality patient care.”

The JCAHO accreditation is effective for three years from the official award date of March 12, 2015.

Established in 1975, The Joint Commission’s Ambulatory Health Care Accreditation program encourages high quality patient care in all types of freestanding ambulatory care facilities. An estimated 2,100 organizations currently maintain Ambulatory Health Care Accreditation, awarded for a three-year period. The Joint Commission accredits and certifies more than 20,500 health care organizations and programs in the United States, including hospitals and health care organizations that provide ambulatory and office-based surgery, behavioral health, home care, laboratory, and nursing home services. An independent, not-for-profit organization, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care.

About MPP Infusion Centers

MPP Infusion Centers and the Infusion Center of Denver, LLC are the outpatient facilities managed by Multispecialty Physician Partners, LLC (MPP), a subsidiary ofRenal Ventures Management, LLC (RVM). RVM is rooted in a rich tradition of excellence where medical competence, staffing, management expertise and a commitment to premium patient care are paramount. MPP successfully blends these elements to provide a seamless infusion therapy experience for both the patient and doctor. With guidance from a management team with extensive health care experience and the combined expertise of Stuart S. Kassan, M.D., and Robert Jenkins, M.D., Ph.D., Multispecialty Physician Partners, LLC is a trusted, national partner for superior infusion therapy methodologies.

...

 
Inmate Dies for Lack of Dialysis - Courthouse News Service PDF Print

     SALT LAKE CITY (CN) - A Utah inmate died just weeks away from freedom after a dialysis technician repeatedly no-showed, the Utah Corrections Department says.
     Ramon Estrada died April 5 of an apparent heart attack related to kidney failure.
     Medical staff and outside responders were preparing to transport Estrada from Utah State Prison to University Medical Center for treatment when he died, the prisons department said.
     Prisons spokeswoman Brooke Adams said that a preliminary review showed lack of dialysis treatment could be a contributing factor in Estrada's death.
     Estrada was scheduled to receive kidney dialysis at the prison's on-site treatment center, on Friday, April 3.
     But a technician with Sandy-based South Valley Dialysis, a University of Utah medical clinic, did not show at the prison on Friday or Saturday, the prisons department says.
     Six additional inmates who required dialysis treatment but had not received it were taken to the medical center for evaluation after Estrada died.
     Two inmates were reported to be in good condition and returned to the prison. Four were admitted for treatment, and three were returned to the prison on Monday evening. One remained hospitalized for another day.
     "The delayed response in ensuring that the inmates' received needed medical care is unacceptable," Adams said.
     An internal investigation is underway and expected to be completed in two weeks, Adams said Friday.
     The prison's medical director was placed on administrative leave pending the investigation's outcome.
     "The department has taken immediate action to improve communication with and oversight of the dialysis contract provider," Adams said.
     Steps include obtaining a schedule calendar with contact telephone numbers for dialysis technicians, requiring nursing staff to make contact with and receive post-treatment reports from the on-duty technician on dialysis days, improving chart notes about inmates' status and condition, and requiring timely notification to the charge nurse when a dialysis schedule changes or technician fails to show up.
     Estrada was jailed in 2005 on a rape conviction and had a parole date of April 21.
     The Immigration and Customs Enforcement Service had a detainer for Estrada, a Mexican national.

...

 
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