Showing posts with label "Mary Lou Makepeace". Show all posts
Showing posts with label "Mary Lou Makepeace". Show all posts

Wednesday, January 13, 2016

MEMORIAL HOSPITAL WEEK: Makepeace & Memorial

Artemis Woman, Mary Lou Makepeace,
when she was still a married heterosexual.
9/24/11

As the Bible states...there is nothing new under the sun.  

Indeed, history repeats itself, only the names and faces have changed.

Here's a back in the day example of a Memorial Hospital task force's recommendations, and the weight they carried with the very person who formed the task force:  Mary Lou Makepeace...then-mayor, now director of the Gay and Lesbian Fund, as well as the Gill Foundation Head Honcho.


Also on council at the time was Richard Skorman.

Makepeace, as you'll recall, was also at the helm when the Egyptian temple of worship at America the Beautiful Park was conceived (another project opposed by Councilman Eastburn)...but I'll have to save that story for later.

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Springs advised to keep Memorial
by Pam Zubeck

The decade-old question about whether to sell city-owned Memorial Hospital - the hottest issue in the 1999 mayoral race - has been settled ... for now.

An eight-member commission appointed by Mayor Mary Lou Makepeace has recommended keeping Memorial - the most profitable hospital in the state in recent years.

The hospital's board of trustees and the Colorado Springs City Council now are expected to sign off on the recommendation, which will formalize a new working agreement.

"It certainly lays it to rest as a current question," said board Chairman Harlan Loomas.

The commission's recommendation, Makepeace said, means Memorial is not for sale "for this council, for this board and for this administration."

For 10 years, Springs leaders have debated whether to sell Memorial, which the city bought in 1943 for $76,500 and now is valued at as much as $500 million.

The debate heated up in spring 1999 when car dealer Will Perkins - running for mayor against Makepeace - advocated selling the 467-bed hospital to finance a $600 million backlog in civic improvement projects rather than raising taxes.

Makepeace said Thursday her commission decided to stick with city ownership, because "it's better for the citizens of Colorado Springs" because of $16.5 million in indigent care the hospital provided last year alone.

The commission, however, left unresolved the question of its previous mandate: Treat everyone, regardless of ability to pay, without a taxpayer subsidy.

So Makepeace has asked the hospital board to propose alternatives within the next three months.

Makepeace isn't suggesting Memorial close its doors to the poor. Rather, she wants the hospital to find ways to divert indigent patients with low-level medical needs to other care outlets, like Community Health Centers.

Memorial's emergency room - where care is the most expensive to deliver - is inundated and getting more crowded every year.

It saw 89,600 patients last year. In January, 287 patients were treated per day, a 24.5 percent increase over a year ago. Yet, only one-fifth are cases involving bona fide life-threatening problems, Loomas said.

Makepeace doesn't want Memorial to find itself in the same predicament as University Hospital in Denver, which recently said it could no longer afford to treat all indigent patients. Rising health costs and dwindling government payments have forced University Hospital to give priority to the sickest patients.

Makepeace worries the Springs may become a magnet for poor residents statewide who may come here simply because of Memorial's "all-comers" policy.

"I don't think we should be providing all this non-emergency care in the emergency room," Makepeace said.

"It forces us to look at what our other approaches are," she added. "These are the kinds of things that, if you don't examine them, will overwhelm you."

Memorial has been the focus of heated community debate in recent years for several reasons.

Conflict developed between the council and hospital board as Memorial's profits grew - peaking at $27.3 million in 1997 - and its cash reserve reached $100 million.

Some council members called for using the hospital's reserves for other city needs or requiring a payment in lieu of taxes.

Also, the council and board were at odds over management issues, such as an employee bonus plan that saw former Executive Director Robert Peters receive nearly $50,000 in bonus pay one year.

Also, residents were angered by Memorial's desire to expand into the historic Boulder Park neighborhood.

If you go

RATIFICATION

The Colorado Springs City Council and the Memorial Hospital Board of Trustees must both ratify the new ownership and operation agreement.

When: 7:15 a.m. today at conference rooms A & B, lower level, Memorial Hospital, 1400 E. Boulder St.

COLORADO SPRINGS CITY COUNCIL INFORMAL MEETING
When: 1 p.m. Monday at Council Chambers, 30 W. Nevada Ave.

Key points in a pact between the city and the hospital
  • Key points in a pact between the Colorado Springs City Council and the Memorial Hospital Board of Trustees:
  • City retains ownership, ensuring local residents' needs are met.
  • Council appoints board members who have specific expertise, such as financial and health-care knowledge.
  • Council provides oversight through board reports and joint meetings.
  • Memorial makes financial payments to the city only after specific financial goals are met to ensure the hospital retains its financial strength, including its ability to sell bonds for expansion projects.
  • Memorial's financial adviser warned cash diversions "would likely prevent a future credit rating upgrade," important because ratings determine interest rates.
  • The council has agreed to use the money for "health outreach programs," not roads and bridges.
  • The agreement doesn't affect a previous agreement for Memorial to give the city $400,000 annually to fund mental health services, youth programs and the like. This is the third year for the donation.
  • Formation of a nonprofit foundation to solicit donations for Memorial and other community health care needs.



Copyright 2001



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Memorial formalizes city pact/ Hospital agrees with most of deal

by Bill Radford

Memorial Hospital's Board of Trustees acted Friday to formalize a new working agreement with the Colorado Springs City Council by approving a memo of understanding between the two entities.

The agreement, which must also be approved by the council, incorporates the recommendations of an eight-member ownership and governance committee appointed by Mayor Mary Lou Makepeace.

Chief among those recommendations is that the city maintain ownership of the hospital. "Local ownership and control remain a benefit to the community," the memorandum concludes. Springs leaders have debated for years whether to sell Memorial, which is valued at as much as $500 million.

Other key points of the agreement, which defines the hospital's responsibilities to City Council and the community, include criteria for the council's appointment of new board members and creation of a philanthropic foundation.

"I think it is a terrific accomplishment," said Harlan Loomas, chairman of the hospital board and co-chair of the ownership and governance committee. "I don't see how we could have gotten a better result than this."

Only one provision, concerning the hospital's obligation for a financial return to the city, stirred debate. That return can be accomplished in various ways, including the providing of indigent care. The council also could direct Memorial to set aside funds that would go to the city for health-related programs if specific financial goals are met. The memorandum states that the hospital needs all existing reserves.

"It's a very, very tough test to meet before any money comes out of the hospital," said City Councilman Lionel Rivera, attending his last meeting as a member of the hospital board.

He and others, though, expressed concern about a provision in the agreement calling on the council to review the hospital's progress from time to time to determine if funds should be set aside. They questioned what would constitute "sufficient progress" and worried that the provision undercut the linking of payments and financial standards.

While approving the agreement, the board suggested changes in wording, tying the possible payments to significant financial progress on the part of the hospital and making it clearer that any money would go to health-related needs.

The City Council is expected to consider the agreement at its informal meeting Monday.

Copyright 2001

MEMORIAL HOSPITAL WEEK: WWTD?

9/17/11

long ago and far away,
i was there, and still remember
it seems like only yesterday
with time as history's teacher
at least once every single day
i think of him and wonder

what would ted do?

Panel will see

by Amy Fletcher  

Whether Colorado Springs should continue to own Memorial Hospital and how the hospital should be governed will be the focus of a work group appointed by Mayor Mary Lou Makepeace and hospital board chairman Harlan Loomas.

The plan, announced Tuesday at a joint meeting between the hospital board and City Council, may eventually offer a definitive answer to an ongoing political dilemma: What role should the city play regarding one of its largest hospitals? City ownership of Memorial - debated on and off for years - resurfaced as an issue in mayoral elections earlier this year.

Deciding who governs and runs the hospital is "part of keeping the hospital in a position where it can provide services without tapping into the general funds of the city," Makepeace said Tuesday.
Memorial made $19 million last year and expects to turn an $11 million profit this year.

The City Council and hospital board are making long-term strategic plans in the face of a changing industry. Experts expect hospitals nationwide to face future fiscal challenges as payments from the federal government decline and managed-care health insurance plans become more popular.

"You generally want issues that are long-term and more complex to be made close to, but outside, the political system," said consultant Michael Annison, who is helping the hospital develop its strategic plan. The public sector tends to use "piecemeal approaches" said Annison, president of The Westrend Group in Denver.

Hospital Executive Director Bob Peters said shedding city ownership would allow Memorial to "conduct some affairs in privacy and in a responsible manner."

But Councilman Ted Eastburn said Memorial's continued profitability while other hospitals around the country are losing millions is a testament to how well the system is working.
"I would have to see completely new, and at this point unimaginable data, to convince me to support transfer of ownership," he said.
Annison said the community's desire to retain local control of the facility makes any sale to a for-profit entity, as proposed during the election, less desirable. Other possibilities for making the hospital more autonomous include creating a nonprofit organization or a hospital authority that could collect taxes.

Councilman and hospital board member Lionel Rivera said he would support City Council serving as the hospital's board of directors as it does for Colorado Springs Utilities. In that role, the council sets utilities rates, approves budgets and makes other major decisions on the direction of Springs Utilities.

Councilwoman Joanne Colt said reducing the city's oversight of the hospital might be appropriate.

"There may be some conflicting goals, and we need to examine it," she said.

Councilman Richard Skorman agreed: "The hospital should be independent enough not to be subjected to political whims that affect its financial viability."

The work group appointed by Makepeace and Loomas will be expected to report back to the hospital board and City Council by March 1.

- Amy Fletcher may be reached at 636-0190 or amyf@gazette.com.
Edited by David Fondler.
Headline by Barry Noreen

Hospital Issues:  Developing a long-term strategic plan for Memorial Hospital, which is owned by the city.  Memorial's profits this year are expected to drop to $11 million from $19 million last year.

Alternatives:  Changes to the ownership structure of the hospital.

What's Next:  Mayor Mary Lou Makepeace and hospital board chairman Harlan Loomis to develop a long-term Memorial strategic plan.  Working group to report back to the hospital board and City Council by March 1.

-The Gazette

Timeline

Memorial Hospital is clearly one of the city's largest assets. Yet ongoing city ownership - and the possible sale of the hospital has been an issue from outside and within City Hall.

June, 1999: Pennsylvania-based Universal Health Services offers to purchase the hospital for $225 million. The conversations have been brief: No thanks, the council says. "What a laugh. What a joke," Councilman Lionel Rivera said. "I don't think the hospital is for sale," Rivera said.

Spring, 1999: Mayoral candidate Will Perkins makes the sale of certain city assets, including the hospital, a campaign issue. "We need to remember what the main function of city government is: public safety and infrastructure," Perkins said.

October, 1998: Council members Dawson Hubert and Bill Guman propose two ballot measures. The first would ask voters in April whether the city should sell the hospital. The second would determine whether to replace the 15-member hospital board of trustees with the City Council. At the same time, Mayor Mary Lou Makepeace planned to appoint a nine-member Blue Ribbon Commission to look into ongoing city hospital ownership.

December, 1997: City Councilman Lionel Rivera proposed that the profitable hospital to make a $30 million endowment to establish a foundation that would issue grants to human-services agencies that focus on health, the elderly and youth.

April, 1996: Memorial Hospital trustees reject an offer for either a joint venture or acquisition by Louisville, Ky.-based Columbia/HCA Healthcare Corp., the nation's largest hospital chain. Memorial's trustees rejected all alternatives, saying none would expand the hospital's services or improve patient care.

January, 1993: The council rejects a request by Councilman David White, who wanted a question on the municipal ballot that would have asked city voters whether they wanted to sell Memorial. The city has operated the hospital since the 1940s. White argued that the city should concentrate on basic services such as police and fire protection - and leave health care to the private sector.

- Gazette archives