Stanford University Medical Center Bans Treatment of State’s Sickest Children

A recent San Francisco Chronicle investigation found that Stanford University’s John Muir Medical Center in Walnut Creek was barred from treating the most seriously ill children in California.

Regulators working with the California Department of Health Services have charged 47 violations at the center, and the pediatric intensive care unit (PICU) at the center, which is affiliated with Stanford Medicine Children’s Health, has been removed from California. Prohibited from treating patients covered by State Children’s Services (CCS). CCS is a public health program, and since 2017 he was the first to be certified for the treatment of patients associated with CCS, it has increased PICU profits.

State regulators investigated the PICU following a series of investigations into the deaths of four pediatric patients by the Chronicle, which the Chronicle claims were preventable. According to the Chronicle report, one family involved in the lawsuit against John Muir said the center took over operations on his daughter Ailee John because it “improved the hospital’s reputation, made money, and turned the medical center into a big business in the Bay.” It was to bring it into the league,” he said. A local children’s hospital. ”

John Muir’s PICU opened in 2015 in partnership with Stanford Medicine Children’s Health. According to the Chronicle, the John family lawsuit alleges that John Muir falsely claimed that his company’s pediatric program was equivalent to that of Stanford University.

According to a media statement by Ben Drew, director of public affairs at John Muir Health, “The findings of CCS are administrative updates to documents, policies and procedures, and more than a dozen of the findings have been published by us. had been resolved before the report was received.” CCS did not identify any concerns about the quality of care provided to patients. We will continue to admit and treat patients who require pediatric intensive care unit level care. ”

“We are confident that the corrective action plan submitted by May 16 will be approved and we will continue to operate the Pediatric Intensive Care Unit as a CCS-accredited program,” Drew wrote.

According to the Chronicle, regulators said John Muir’s PICU was one of only four state-approved PICUs that “never met the 350-patient threshold” and They found that the number of cases fluctuated between about 240 and 320. Its PICU has only eight beds, making it difficult to draw conclusions about the overall quality of patient care at the hospital.

Another lawsuit filed by former doctor Alicia Calamas, M.D., alleges that the hospital put profits ahead of patient safety and ignored red flags she raised about the risks of surgery. According to the Chronicle, in the lawsuit, Karamas told hospital executives that they were educating about the constipation caused by prescription painkillers after surgery and that the hospital’s procedures for providing medication were lacking, as an investigation found. He said he was treated as a troublemaker by others.

Questions were also raised about the quality of care at John Muir after a report from the federal Centers for Medicare and Medicaid Services earlier this year revealed serious problems in the PICU. The Chronicle reported that federal health regulators threatened to cut federal Medicare funding to the hospital because of “the potential for substandard care to continue undetected.”

This isn’t the first time Stanford University’s affiliated hospitals have been publicly accused of failing to prevent a pediatric patient’s death. A 2015 Vox study on how to deal with central line infections detailed the story of Nora Bostrom, whose family said medical workers at Lucille Packard Children’s Hospital could prevent Bostrom’s death. argues that it is possible.

John Muir Health is a non-profit organization that operates hospitals in both Walnut Creek and Concord. The hospital in Walnut Creek is a “community hospital.” This means that it does not have the large patient populations and extensive care capabilities of academic centers and children’s hospitals. Federal regulators also pointed out that hospital authorities have not established procedures for transferring patients needing extended care, according to the Chronicle.

Stanford Medicine Children’s Health, widely recognized as a top medical institution, has partnered with John Muir Health for more than 10 years, and John Muir hosts medical professionals and other resources. The partnership between the two facilities was recently extended through 2032 to “continue to meet the needs of East Bay patients.”

“We continue to work with the John Muir Department of Health and look forward to working with the California Department of Health Services on their findings and recommendations,” said Elizabeth Valente, media and public relations manager for Stanford University’s Department of Child Health, in a statement. There are,” he said.

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