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How Corporate Health Care Leaders Maintain Their Impunity: The Case of Purdue Pharma's Funding of the Washington Legal Foundation to Attempt to Weaken the Responsible Corporate Officer Doctrine

The ongoing epidemic of narcotic (opioid) abuse, and the resulting rise in the deaths due to overdoses, has focused attention on pharmaceutical companies' aggressive promotion of these drugs which minimized their substantial risk. A recent article in the Intercept showed how the leadership of one such company tried to insulate itself from responsibility for such actions even while such promotions were continuing. Background: Impunity of Top Leaders of Big Health Care Organizations For years, we have railed against the impunity of top leaders of health care organizations.  We have noted that despite numerous legal settlements made by health care organizations of alllegations like fraud , bribery , and kickbacks , almost never do top leaders who presided over these actions face any negative consequences.  Lack of deterrence caused by such impunity appears to be a major cause of  the epidemic of continuing unethical behavior, crime and corruption on the part of large health car
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Heath IT Mismanagement: MD Anderson to cut about 1,000 jobs due to "financial downfall officials largely attributed to its EPIC EHR implementation project"

At numerous posts on this blog I link to stories of health IT expense putting hospital financial stability at risk, e.g.:

"What is more important in healthcare, computers, or nurses and other human beings? Southcoast Health cutting dozens of jobs on heels of expensive IT upgrade" at http://hcrenewal.blogspot.com/2016/04/what-is-more-important-in-healthcare.html

"Lahey Health: hospital jobs lost, but computer vendors prosper" at http://hcrenewal.blogspot.com/2015/05/lahey-health-hospital-jobs-lost-but.html,

"Monetary losses and layoffs from EHR expenses and EHR mismanagement" (http://hcrenewal.blogspot.com/2013/06/monetary-losses-and-layoffs-from-ehr.html),

"Financial woes at Maine Medical Center: Reading this blog might have saved them millions of dollars, and prevented massive 'cost saving initiatives'" (http://hcrenewal.blogspot.com/2013/05/financial-woes-at-maine-medical-center.html),

and "In Fixing Those 9,553 EHR "Issues", Southern Arizona’s Largest Health Network is $28.5 Million In The Red" (http://hcrenewal.blogspot.com/2014/06/in-fixing-those-9553-ehr-issues.html)

Here's another recent example:

MD Anderson to cut about 1,000 jobs 
Becker's Hospital Review 
Ayla Ellison
Jan. 5, 2017
http://www.beckershospitalreview.com/hospital-management-administration/md-anderson-to-cut-1-000-jobs.html

The University of Texas MD Anderson Cancer Center in Houston plans to eliminate about 1,000 jobs, or 5 percent of its 20,000-person workforce, as it tries to improve its financial health.

At a press conference Thursday, MD Anderson officials said between 800 and 900 workers will be laid off, and an additional 100 to 200 jobs will be cut through retirement and attrition, according to the Houston Business Journal. The job cuts will not affect any physicians.

"We primarily focused on those areas where we could make staff reductions, re-engineer administrative support, and not impact quality of patient care," officials said at the press conference, according to the report.

The job cuts are expected to save MD Anderson about $120 million a year.

MD Anderson is scaling back its workforce after it reported a combined $102 million operating loss in September and October and a $9 million operating loss in November. At the press conference Thursday, MD Anderson CFO Dan Fontaine said the organization likely does not have a positive operating margin for December, according to the report.

MD Anderson's financial troubles began in early 2016 when it rolled out a new Epic EHR system. The organization recorded a 76.9 percent drop in adjusted income for the 10 months that ended June 30, 2016, a downfall officials largely attributed to its EHR implementation project.

It appears MD Anderson failed to estimate health IT costs and impacts properly, and/or failed to write safeguards for seller-caused cost overruns into its contracts. 

That is known as "mismanagement" by definition.  

It's not as if information important to such planning was unavailable.  In fact some of it is free at this very blog, e.g., the 30 or so posts under the query link http://hcrenewal.blogspot.com/search/label/EPIC.

Despite its sagging financials, MD Anderson officials said Thursday the organization's long-term financial health remains strong.

"We are innovating to develop novel care delivery models, adopting enabling technologies and diversifying revenue streams," said MD Anderson in an emailed statement. "MD Anderson will be here for patients and their families today, tomorrow and long into the future."


Not if those efforts are mismanaged as badly as this one.

Finally, perhaps the cost of commercial EHR software needs to be critically investigated. 

That it could put an organization of the stature of an MD Anderson in jeopardy seems to me to be a red flag, mismanagement or not.

-- SS

Note:  I have not posted in awhile due to being occupied with EHR forensic and evidentiary issues.  
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