As Gov. Gina Raimondo's "Reinvent Medicaid" task force rockets toward the finish line, having recently spelled out more details about how the group recommends finding nearly $90 million dollars in savings from the program, they bring with them plenty of vocal feedback from health care stakeholders around the state. One hospital system, Care New England, has been a more dominant voice at the table, with the group's leader, Dennis Keefe, co-chairing the task force. The voice of the state's largest hospital system, Lifespan, has been less audible.
Second-year resident Dr. Mark Salmon at the bedside of patient Melissa Smith (played by actress Melissa Bowler). In this simulation, Melissa Smith is dying from advanced ovarian cancer. Smith's mother Terry (played by Terry Rochon, RN) looks to Dr. Salmon for reassurance.
Talking about dying is difficult for most people, including doctors. But can they learn a better way to help patients nearing the end of their lives? Can health care systems learn to respect those wishes? Here’s one experiment to find out.
Dr. Kate Lally gathers a group of second year residents outside a patient’s room at Kent Hospital in Warwick. Lally explains the patient they’re about to examine is 34-year-old Melissa Smith. She has advanced ovarian cancer. Until now, she’s been in hospice care at home, keeping comfortable.
A labor dispute at Women and Infants Hospital in Providence has erupted over the layoff of 16 staff members. The layoffs, and the dispute, turn on the definition of a single word: deliveries.
Members of the Service Employees International Union local 1199 are picketing outside Women and Infants over the hospital’s decision to cut several cleaning, lab, and clinical staff. Union spokesman Patrick Quinn says his members dispute the hospital’s claim that the number of deliveries – and therefore the need for as many staff – has dropped below 8500 over the past year.