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Breaking News . Not only did the Coffeyville Regional Medical Center and Mercy letter of intent dissolve, so, too, did Mercy Hospital. Download Free Enrique Iglesias 7 Rare here. The Mercy Health System closed its Independence hospital in October 2. Since then, several area medical entities, including CRMC, St. John Health System/Jane Phillips Medical Center, Labette Health and Wilson Medical Center have expanded their primary care clinics in Independence. Labette Health has announced plans to build a 1.
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Meanwhile, Independence city taxpayers became owners of the former Mercy Hospital facility in a deal that solidified St. John Health System’s presence in the community. That agreement evolved into a lawsuit filed by Labette Health against Kansas Department of Health and Environment for issuing a memorandum of understanding that allows Oklahoma- based St. John Health System to receive a higher rate of reimbursement from Medicaid/Medicare for radiology and imaging services in Independence — without providing emergency care services in the community. That lawsuit was rejected by a Shawnee County district court last week.
However, it was viewed widely, especially those in the legal and medical communities who kept an eye on the changing medical scene in Independence as a harbinger of things to come elsewhere in Kansas hospitals. This week, Lawrence attorney Max Kautsch prepared the following chronology of events that not only recounts the decisions that were made in the past year but also how those decisions by key stakeholders put the community in its present condition.
And, all of those decisions ultimately have influenced the timely discussions now occurring concerning the future location of the Independence City Hall. Without a doubt, what has happened in Independence in the past 1. Healthcare has changed. The community has changed. And, others across Kansas are watching Independence to see what happens next.
It should be remembered that the bulk of all discussions concerning the future use of Mercy Hospital in 2. City of Independence.
Kautsch’s recreation of events was taken from news accounts that reported on the few public announcements and public decisions regarding Independence’s changing healthcare scene. Kautsch’s initial story is fully footnoted. However, the Montgomery County Chronicle has removed those footnotes for the sake of space.
The full story will be printed in its entirety — with footnotes — at the Chronicle’s website at www. Local government officials began looking for a way to bring emergency services to town, including assisting Mercy negotiate with other healthcare providers to purchase Mercy’s assets. When those negotiations failed, Labette County Medical Center, a Kansas healthcare organization already operating a clinic in Independence, proposed expanding those services to include an emergency room. But instead of acting on that proposal or any other that would result in emergency services for Independence, local government officials abruptly changed course and said residents who need such care should go to a Bartlesville, Okla., hospital—the Jane Phillips Medical Center owned by St.
John Health System—a 4. Shortly after first stating publicly that Jane Phillips was a viable destination for emergency services, the City acquired the Mercy Hospital facilities as a result of city commission action still making news months later. Then, the City leased the facilities to St. John for use as an outpatient clinic rather than as an emergency room. The lease agreement also precluded the City from financially supporting any other healthcare provider’s attempt to bring emergency services to town as long as St. John operates there.
In spite of those obstacles, Labette Health initiated plans for an emergency room in Independence in March of 2. However, that facility will not open until the summer of 2. Until then, Independence will be without local emergency services. Meanwhile, St. John, which is part of Ascension Health, a Missouri- based corporation describing itself as the “nation’s largest nonprofit health system and the world’s largest Catholic health system,” is now a key player in the Independence health care market.
John clinic, as soon as July 1, 2. Medicare payments for imaging outpatient services at the clinic. Ordinarily, a clinic would be eligible for such increased revenues only if it were connected with a hospital with emergency services in Kansas. However, the agreement signed by KDHE will allow St.
John to gain the increased Medicare payments without incurring the expense of providing costly emergency services in the state. Labette Health has filed a lawsuit to void the agreement, arguing in part that the agreement gives St. John a competitive advantage over Kansas healthcare providers who are required by law to provide needed emergency care before they can qualify to receive increased Medicare payments for other services, but a Shawnee County district court recently rejected Labette’s position.
Even so, the developments in Independence illuminate how the availability of health care can be influenced by local politics, competition among hospitals in static or declining markets, and prospects for enhanced hospital revenues for those willing to take advantage of the highly complex state and federal laws, regulations and public policy governing health care. Mercy Hospital prepares for exit from Independence. Mercy Hospital had operated in Independence since 1. Independence. John.
However, Mercy failed to come to terms with St. John, so it began negotiations in the spring of 2. Kansas healthcare provider Coffeyville Regional Medical Center (CRMC) to acquire Mercy’s Independence assets, including the emergency room. In the summer of 2. Mercy sought the City’s assistance. Intent on retaining local emergency services, Independence city commissioners voted unanimously “to issue $3 million in bonds.
When it was announced that the hospitals could not reach an agreement, the Montgomery County Chronicle reported that “major blow was dealt to the Independence community—and to the future of medical coverage in Montgomery County.”Webb concurred, stating “it’s a very difficult situation for Independence.”Two days later, Mercy announced it would be closing its Independence inpatient treatment unit and emergency room on Oct. Citizens were “shocked” by Mercy’s closure. Though there are two other hospitals within a half- hour’s drive, Micky Webb, the city manager, said companies considering coming to Independence often asked whether there was a hospital in town, and that residents felt more secure with one within a few minutes’ reach.”Local healthcare in flux; Mercy turns to St. John and the City.
After failing to make a deal with CRMC, Mercy Hospital officials announced in early September that they would “negotiate solely with St. John Health System for an assumption of Mercy’s clinics and related services,” but not its hospital or emergency room. The proposal included a taxpayer subsidy from the City in the amount of $2,2. In response, the city commission appointed a Healthcare Committee in early October, 2. City Manager Micky Webb, city commissioner Fred Meier, city attorney Jeff Chubb, and Jim Kelly, Mercy Hospital board chairman (and state representative for the legislative district that includes Independence).
The city commission authorized the committee to negotiate only with St. John to develop a “healthcare plan proposal” that “provides the healthcare we think we need now and in the future in the City of Independence.”On Oct. Mercy closed its emergency room, the City issued a press release stating it planned to negotiate with Mercy and St. John for the continuation of some services. At the same time, St. John issued a statement on its website that “Mercy leaders have confirmed a preliminary agreement with St.
John Health System and the City of Independence to assume operation of local outpatient services.” The proposal by the City and St.