Modern Healthcare - - REGIONAL NEWS - — An­dis Robeznieks

MOUN­TAIN VIEW, Calif.— El Camino Hospi­tal filed a law­suit seek­ing to over­turn a voter-ap­proved mea­sure that lim­its what the pub­lic hospi­tal could pay its ex­ec­u­tives. Of­fi­cials from the two-- cam­pus Sil­i­con Val­ley hospi­tal filed a com­plaint in Santa Clara Su­pe­rior Court in San Jose. The hospi­tal and the six ex­ec­u­tives whose pay would be af­fected if the mea­sure goes into ef­fect want the court to de­clare the ini­tia­tive in­valid, and they’re seek­ing a pre­lim­i­nary in­junc­tion to block the cap pend­ing a rul­ing. Vot­ers in the El Camino Hospi­tal District ap­proved Mea­sure M in Novem­ber, with 51.9% vot­ing in fa­vor. The mea­sure lim­its hospi­tal ex­ec­u­tive pay to twice what the Cal­i­for­nia gov­er­nor earns. Gov. Jerry Brown’s salary is $165,000, mean­ing the mea­sure would cap pay at $330,000 an­nu­ally. El Camino Pres­i­dent and CEO Tomi Ryba re­ceived $695,000 in base pay last year, and the board ap­proved a per­for­mance bonus of $137,815 in Novem­ber. As de­fen­dants in the law­suit, the hospi­tal names Kary Lynch, a hospi­tal psy­chi­atric tech, and Laura Hus­ton, a cer­ti­fied nurse as­sis­tant, de­scrib­ing them as “the of­fi­cial pro­po­nents” of the mea­sure. Both are mem­bers of Ser­vice Em­ploy­ees Union In­ter­na­tional-United Health­care Work­ers West. An SEIU-UHW spokesman couldn’t im­me­di­ately be reached for com­ment. The hospi­tal ar­gues in the law­suit that the pay limit ham­pers its abil­ity to at­tract tal­ented ex­ec­u­tives, and that the mea­sure is in­valid be­cause the tax­payer-funded hospi­tal district con­trib­utes no re­sources to ex­ec­u­tive com­pen­sa­tion and has no dis­cre­tion over what ex­ec­u­tives are paid, which is de­ter­mined by the board of a legally sep­a­rate not-for-profit cor­po­ra­tion. — Ashok Selvam

EN­GLE­WOOD, Colo.— Cen­tura Health has es­tab­lished an in­te­grated net­work of 198 physi­cians in 13 Colorado com­mu­ni­ties that it said will move be­yond “tra­di­tional re­ac­tive sick care” to a con­sumer-cen­tric model that ad­vances well­ness ser­vices with a fo­cus on keep­ing peo­ple healthy. Cen­tura, a part­ner­ship be­tween Ad­ven­tist Health Sys­tem and Catholic Health Ini­tia­tives, refers to the com­mu­ni­ties in the net­work as “health neigh­bor­hoods,” built on physi­cian-led teams pro­vid­ing con­ve­nient, ev­i­dence­based care. The net­work will in­clude 32 pri­mary-care prac­tices as well as 96 pri­mary-care doc­tors and 102 spe­cialty physi­cians. Plans call for as­sign­ing “health co­or­di­na­tors” to in­di­vid­u­als to

en­sure they un­der­stand and fol­low physi­cian rec­om­men­da­tions and for mon­i­tor­ing pa­tients to de­tect and di­ag­nose con­di­tions that could be­come chronic, ac­cord­ing to a news re­lease. Physi­cians will also report qual­ity mea­sures re­lated to hy­per­ten­sion, to­bacco use and body-mass in­dex. The pro­gram calls for later ex­pand­ing those to in­clude mea­sures on di­a­betes, blood-pres­sure man­age­ment, breast­cancer screen­ing, cer­vi­cal-can­cer screen­ing and col­orec­tal screen­ing. Ac­cess to the new model is still lim­ited, but im­ple­men­ta­tion has be­gun and it’s avail­able to the 20,000 em­ploy­ees and fam­ily mem­bers cov­ered by the Cen­tura ben­e­fit plan. Else­where, a three-year na­tion­wide “med­i­cal neigh­bor­hood” demon­stra­tion project in­volv­ing 15 health­care or­ga­ni­za­tions is just get­ting rolling. A $20.8 mil­lion grant from the Cen­ter for Medi­care and Med­i­caid In­no­va­tion is fi­nanc­ing the project, which seeks $53.8 mil­lion in sav­ings by iden­ti­fy­ing pa­tients at high risk for hos­pi­tal­iza­tion and co­or­di­nat­ing their care so their con­di­tions will not re­quire ad­mis­sion.

In the law­suit, El Camino Hospi­tal is seek­ing to over­turn a voter-ap­proved mea­sure that lim­its the pay of its CEO, Tomi Ryba.

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