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riada
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Orange Memorial Hospital
« on: Nov 5th, 2008, 8:20pm »
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Sad It was like finding a needle in the haystack, but here is some info on Orange Memorial Hospital in Orange NJ(in case anyone is interested...) *SORRY ABOUT THE LENGTH OF THE ARTICLE*
The closing of the 290-bed Hospital Center at Orange (HCO) in January 2004 is not unlike the fate of many "safety net" hospitals in urban centers throughout the country. And when these facilities close, it's not just the poor who rely on them who suffer. So do the physicians who serve the community.  
 The Hospital Center at Orange (also known as Orange Memorial Hospital) opened its doors in 1873. It was held in great esteem by the community. In fact, notes internist Alapatt F. Thomas of Irvington, "people in the area couldn't accept the idea that the hospital was going to close. I remember one of the last patients I sent to Orange Memorial—an accountant. He was having an MI, and that's where he wanted to go."  
That was slightly risky at the time, acknowledges Thomas. Toward the end, he and other physicians were less willing to admit patients to HCO, "because they weren't going to get the care they needed." Doctors, nurses, and other support staff were switching to other hospitals as they saw the end approaching. The aging hospital also needed urgent repairs and a complete renovation. In 2002, the state health department had briefly shut down the OR suite, citing poor plant maintenance, infection control, and sanitation, "particularly of instruments."  
But the hospital's last chief of staff, FP Yash Khanna, says that Cathedral did control HCO. A spokesperson for the NJ Department of Health and Senior Services agrees. Some physicians in the community think Cathedral, which also bought and then closed nearby Montclair Community Hospital in 1999, may have planned HCO's closing in advance to benefit its other hospitals.  
"Cathedral takes these places, extracts the valuable services, and then closes them down to eliminate competition," says FP Edwin Lee McCampbell of East Orange. "We had a really good orthopedics department at Orange Memorial, and that was moved lock, stock, and barrel to St. Michael's Medical Center [another Cathedral hospital]." (Cathedral denies that it happened this way.)  
 
Federal and state cutbacks doom HCO Cathedral's Terence French denies that the healthcare system planned to shut down HCO; what doomed the plan, he says, were cutbacks in federal and state aid.  
 
The first blow came in June 2003, when CMS cut "outlier" payments to hospitals with unusually long lengths of stay. As a result, HCO received $14 million less from Medicare in 2003 than it had the year before. Then the state of New Jersey began cutting its reimbursement for charity care. The state paid the hospital only $475,000 for indigent care in 2003, leaving about $3 million worth of services unfunded. The $17 million in federal and state cuts amounted to about 25 percent of HCO's annual operating budget.  
 
There were large and vociferous community protests against the closing of HCO, and a group of about 45 doctors looked into taking over the facility. They planned to achieve $19 million in savings by reducing patient length of stay, corporate overhead, and staffing. But the hospital still would have lost $12.6 million over three years, and Cathedral didn't want to cover those losses.  
 
In January 2004, HCO closed down everything but its emergency department, laying off 800 people. But the state hadn't yet given its permission for the closure, so it fined HCO for jumping the gun. Under a consent order entered April 8, 2004, HCO agreed to put up $1 million for the operation of a temporary primary care clinic on the grounds of St. Mary's Life Center, a nursing home (and former hospital) that is across the street from HCO. It promised to keep its ED open for a few months until that clinic was operational and to contribute $500,000 toward the building of a permanent community clinic in Orange.  
 
 
 
 
 
 
 
 
Moves to mend the safety net When the New Jersey Department of Health and Senior Services permitted the Hospital Center at Orange to close, it extracted a promise that HCO would set aside $500,000 to finance a new community clinic. Using this startup fund, the Newark Community Health Centers (NCHC), which operates four federally qualified clinics, plans to open a primary care facility in Orange this summer.  
 
However, it won't be easy, explains Alvaro Simmons, acting head of NCHC. The seed money from HCO isn't enough to cover building renovations, equipment, and staff salaries. So Simmons is scrambling to get more funding from the state and from private philanthropies.  
 
Although the new clinic will take Medicaid and Medicare, Simmons doesn't believe it will cut into the business of area doctors. "Most patients who can afford to go to those doctors will continue to go to them."  
 
Meanwhile, a much more ambitious project is rising from the ashes of HCO. Anesthesiologist Ramesh Sawhney, who was among the HCO physicians who proposed taking over the hospital, has partnered with a New Jersey real estate developer to build a 60,000-square-foot medical-surgical center in Orange. Sawhney claims the support of more than 50 doctors from all over the region; some of them, he says, will invest in the facility. And the state's Economic Development Authority (EDA) has guaranteed a 2.2 percent, $12 million loan.  
 
Sawhney's center, which will house primary care doctors as well as medical specialists and surgeons, has become an attractive business proposition because of a new state law. Under the statute, the EDA will make low-interest loans available to primary care physicians who open or renovate offices in "health enterprise zones" in underserved communities. The physicians will also be allowed to take state tax deductions equal to their net receipts from providing services to Medicaid recipients, and may also be exempt from local real estate taxes.  
 
Sawhney and his partner have also wrangled a state waiver to provide a 10 percent bump in Medicaid fees. So physicians who practice in the facility will be decently compensated (with the tax deduction included). If they invest in the property, they'll also receive part of the facility fees. And they'll be able to provide outpatient services to many Medicare patients who used to go to HCO.  
 
 
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Re: Orange Memorial Hospital
« Reply #1 on: Nov 5th, 2008, 8:37pm »
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If this is the place I'm thinking of, then it would be cool to check out. Not too sure on the surrounding though.  
 
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Re: Orange Memorial Hospital
« Reply #2 on: Nov 5th, 2008, 9:16pm »
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Yep, its a bad neighborhood...hard to believe that  I was born there(back in the STONE age LOL! Grin) .+R
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Re: Orange Memorial Hospital
« Reply #3 on: Nov 5th, 2008, 10:44pm »
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Is that the place by the old Pabst site then I know exactly what you mean..
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Re: Orange Memorial Hospital
« Reply #4 on: Nov 6th, 2008, 12:12am »
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...Its on Essex Street in Orange... .+R
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Re: Orange Memorial Hospital
« Reply #5 on: Nov 6th, 2008, 2:04am »
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My mom used to work there. The buildings are still intact. But I do not recommend checking it out- cops are all over that area because its a crap hole.
 
What hospital are you talking about Drummer? I used to live in Irvington and I don't recall any hospital by the old Pabst site at all.
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Re: Orange Memorial Hospital
« Reply #6 on: Nov 6th, 2008, 11:06am »
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my bad dude I was thinking of South Orange Ave, but speaking of old hospital's anyone hear anything about the old Isolation Hospital?....
 
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Re: Orange Memorial Hospital
« Reply #7 on: Nov 6th, 2008, 8:27pm »
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on Nov 6th, 2008, 11:06am, Drummer wrote:
my bad dude I was thinking of South Orange Ave ...

 
I figured that, but even so- what hospital is on South Orange Ave? I don't remember anything close to it. Of course I could be wrong..
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