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LA JOLLA, Calif.— Scripps Health has an­nounced a $2 bil­lion 25-year mas­ter plan to re­build Scripps Me­mo­rial Hos­pi­tal La Jolla. Three hos­pi­tal tow­ers will re­place the ex­ist­ing hos­pi­tal, and the 43-acre cam­pus will in­clude re­search and grad­u­ate med­i­cal ed­u­ca­tion fa­cil­i­ties and out­pa­tient treat­ment and med­i­cal of­fices. Con­struc­tion on the first 383,000-square-foot tower will be­gin in June 2011, with an open­ing date of 2015. Con­struc­tion costs are es­ti­mated at $398 mil­lion for the first tower. The ex­pan­sion will meet state seis­mic-safety rules and will be fi­nanced by op­er­at­ing rev­enue, bor­row­ing and com­mu­nity sup­port. Scripps has raised $32 mil­lion to­ward a $125 mil­lion goal for the first tower. The first tower will house the Scripps Car­dio­vas­cu­lar In­sti­tute. Scripps re­cently signed a 10-year agree­ment with Kaiser Per­ma­nente to be the ex­clu­sive provider of car­diac surgery and car­di­ol­ogy for Kaiser pa­tients in San Diego County. “The med­i­cal care of the fu­ture—to be de­liv­ered here— in­cor­po­rates wire­less technology, robotic surgery, dig­i­tal mon­i­tor­ing and record­keep­ing, and high-tech op­er­at­ing rooms, in a set­ting de­signed for and around the pa­tient,” said Brent East­man, chief med­i­cal of­fi­cer and cor­po­rate se­nior vice pres­i­dent of Scripps, based in San Diego.

SAN DIEGO— Prime Health­care Ser­vices, On­tario, Calif., has acquired 121-bed Al­varado Hos­pi­tal in San Diego from a physi­cian-owned com­pany, Ply­mouth Health, Sher­man Oaks, Calif. Terms were not dis­closed in Prime’s news re­lease. Al­varado Hos­pi­tal is Prime’s 13th hos­pi­tal, all in South­ern Cal­i­for­nia. Prime will main­tain the ser­vices of the hos­pi­tal and its health plan con­tracts. In some pre­vi­ous ac­qui­si­tions, Prime has can­celed ex­ist­ing man­aged-care con­tracts, al­though it has moved away from that tac­tic more re­cently. Two physi­cian broth­ers, Pe­dram and Pe­j­man Salimpour, formed Ply­mouth in late 2006 to pur­chase the hos­pi­tal from Tenet Health­care Corp., Dal­las. Tenet had agreed to sell the hos­pi­tal as part of a set­tle­ment of fed­eral crim­i­nal charges re­lated to some of Al­varado’s physi­cian-re­lo­ca­tion agree­ments. The case was tried twice, but both tri­als ended in mis­tri­als. Tenet re­al­ized pre­tax pro­ceeds of $22.5 mil­lion on the sale, which was com­pleted in Jan­uary 2007. De­spite the clin­i­cal, op­er­a­tional and fi­nan­cial im­prove­ments at Al­varado since then, the busi­ness model of a stand-alone hos­pi­tal is not vi­able in the cur­rent health­care en­vi­ron­ment, Pe­j­man Salimpour said, ac­cord­ing to Prime’s re­lease.

LOS AN­GE­LES— The Hos­pi­tal As­so­ci­a­tion of South­ern Cal­i­for­nia is es­tab­lish­ing a pro­gram to tran­si­tion home­less pa­tients from in­pa­tient care to a re­cu­per­a­tive-care set­ting. In part­ner­ship with the Na­tional Health Foun­da­tion and West Coast Uni­ver­sity, the as­so­ci­a­tion will set up the Los An­ge­les Re­cu­per­a­tive Care Pro­gram. The res­i­den­tial pro­gram, staffed by med­i­cal and so­cial ser­vice work­ers, will be lo­cated in mid-city Los An­ge­les. In ad­di­tion to serv­ing med­i­cal needs, the pro­gram will re­fer pa­tients to hous­ing or­ga­ni­za­tions. West Coast Uni­ver­sity, a nurs­ing school, is do­nat­ing $50,000 to launch the pro­gram, which is mod­eled af­ter one in Orange County, Calif. “We are very en­thu­si­as­tic about the re­cu­per­a­tive-care pro­gram in Los An­ge­les,” said Jaime Gar­cia, re­gional vice pres­i­dent for the Hos­pi­tal As­so­ci­a­tion of South­ern Cal­i­for­nia, in a state­ment. “Too of­ten, home­less pa­tients have no al­ter­na­tive other than to re­main in an acute-care hos­pi­tal longer than is nec­es­sary,” In re­cent years, a num­ber of hos­pi­tals in the Los An­ge­les area have set­tled with the city at­tor­ney’s of­fice over dump­ing home­less pa­tients on Skid Row. In 2008, the city passed an or­di­nance mak­ing it a mis­de­meanor for health fa­cil­i­ties to trans­port pa­tients to desti­na­tions other than their res­i­dences with­out pa­tients’ writ­ten con­sent.

SACRA­MENTO, Calif.— Cal­i­for­nia fined 12 hos­pi­tals in the state for ac­tions that caused or were likely to cause se­ri­ous in­jury or death to pa­tients. This is the 12th time the Cal­i­for­nia Pub­lic Health Depart­ment has is­sued pa­tient-care penal­ties since state law gave it the author­ity to do so in 2007. Hos­pi­tals fined $25,000 each were: Cit­rus Val­ley Med­i­cal Cen­ter in Cov­ina; Han­ford (Calif.) Com­mu­nity Med­i­cal Cen­ter; Kin­dred Hos­pi­tal West­min­ster (Calif.); Pla­cen­tia (Calif.)-Linda Hos­pi­tal; and South­west Health­care Sys­tem in Mur­ri­eta. Hos­pi­tals fined $50,000 each were: Palo­mar Med­i­cal Cen­ter in Es­con­dido; Pe­taluma (Calif.) Val­ley Hos­pi­tal; Scripps Me­mo­rial Hos­pi­tal La Jolla (Calif.); and USC Uni­ver­sity Hos­pi­tal in Los An­ge­les. One hos­pi­tal—Western Med­i­cal Cen­ter in Santa Ana—was fined $75,000. Two Bay Area hos­pi­tals re­ceived two penal­ties each. Cal­i­for­nia Pa­cific Med­i­cal Cen­ter in San Fran­cisco was fined a to­tal of $125,000 for not fol­low­ing proper sur­gi­cal poli­cies in two in­stances. UCSF Med­i­cal Cen­ter, San Fran­cisco, was fined a to­tal of $50,000 for fail­ing to fol­low sur­gi­cal poli­cies and rules on med­i­ca­tion ad­min­is­tra­tion, ac­cord­ing to the state. The penalty amounts are based on the num­ber of to­tal vi­o­la­tions a fa­cil­ity has re­ceived and when the vi­o­la­tions oc­curred. In 2009, the penal­ties rose to as much as $100,000 per vi­o­la­tion.

Plans for a re­built Scripps Me­mo­rial Hos­pi­tal La Jolla in­clude three hos­pi­tal tow­ers.

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