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	<title>Comments on: Visalia Medical Clinic, Adventist Health partner to expand options for patients</title>
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	<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/</link>
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		<title>By: Manny Vizcarra Jr</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-130430</link>
		<dc:creator>Manny Vizcarra Jr</dc:creator>
		<pubDate>Fri, 02 Jun 2023 01:14:54 +0000</pubDate>
		<guid isPermaLink="false">https://www.ourvalleyvoice.com/?p=43990#comment-130430</guid>
		<description>Doesn’t matter much they will not accept a Medicare Advantage insurance</description>
		<content:encoded><![CDATA[<p>Doesn’t matter much they will not accept a Medicare Advantage insurance</p>
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		<title>By: Jason</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129656</link>
		<dc:creator>Jason</dc:creator>
		<pubDate>Mon, 08 May 2023 14:38:56 +0000</pubDate>
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		<description>Susan, please show me the minutes you read <img src="https://s.w.org/images/core/emoji/17.0.2/72x72/1f602.png" alt="😂" class="wp-smiley" style="height: 1em; max-height: 1em;" /><img src="https://s.w.org/images/core/emoji/17.0.2/72x72/1f602.png" alt="😂" class="wp-smiley" style="height: 1em; max-height: 1em;" /><img src="https://s.w.org/images/core/emoji/17.0.2/72x72/1f602.png" alt="😂" class="wp-smiley" style="height: 1em; max-height: 1em;" /> they are not matching any retirement contubutions, god lord <img src="https://s.w.org/images/core/emoji/17.0.2/72x72/1f926-1f3ff-200d-2642-fe0f.png" alt="🤦🏿‍♂️" class="wp-smiley" style="height: 1em; max-height: 1em;" /></description>
		<content:encoded><![CDATA[<p>Susan, please show me the minutes you read 😂😂😂 they are not matching any retirement contubutions, god lord 🤦🏿‍♂️</p>
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		<title>By: Meredith G</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129651</link>
		<dc:creator>Meredith G</dc:creator>
		<pubDate>Mon, 08 May 2023 07:44:12 +0000</pubDate>
		<guid isPermaLink="false">https://www.ourvalleyvoice.com/?p=43990#comment-129651</guid>
		<description>In reply to &lt;a href=&quot;https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129645&quot;&gt;Timmy T&lt;/a&gt;.

Honest question: Do you really think anyone would fill the vacuum if Kaweah Delta closed it&#039;s doors and Adventist decided to exit its lease in Tulare?

What &quot;market&quot; entity would without a heavy incentive, take on a payer mix weighted heavily towards Medi-Cal &#038; buildings that have the Sword of Damocles hanging over them due to seismic requirements?

Remember, the only ones that put up any sort of fight in Tulare were Adventist and Community...... at least they were the only ones to send people to a Tulare Regional board meeting.

If those two events were to take place, the majority of Tulare County would be left flooding Sierra View or headed to Fresno, Hanford, or Bakersfield.

What healthcare entities would &quot;always&quot; rush to the rescue with those circumstances?</description>
		<content:encoded><![CDATA[<p>In reply to <a href="https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129645">Timmy T</a>.</p>
<p>Honest question: Do you really think anyone would fill the vacuum if Kaweah Delta closed it&#8217;s doors and Adventist decided to exit its lease in Tulare?</p>
<p>What &#8220;market&#8221; entity would without a heavy incentive, take on a payer mix weighted heavily towards Medi-Cal &amp; buildings that have the Sword of Damocles hanging over them due to seismic requirements?</p>
<p>Remember, the only ones that put up any sort of fight in Tulare were Adventist and Community&#8230;&#8230; at least they were the only ones to send people to a Tulare Regional board meeting.</p>
<p>If those two events were to take place, the majority of Tulare County would be left flooding Sierra View or headed to Fresno, Hanford, or Bakersfield.</p>
<p>What healthcare entities would &#8220;always&#8221; rush to the rescue with those circumstances?</p>
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		<title>By: Susan O.</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129650</link>
		<dc:creator>Susan O.</dc:creator>
		<pubDate>Mon, 08 May 2023 04:09:47 +0000</pubDate>
		<guid isPermaLink="false">https://www.ourvalleyvoice.com/?p=43990#comment-129650</guid>
		<description>I guess the lesson here Jason, and Timmy T, is you both need to not only include all the facts in your comments but also remember what you&#039;ve said.  Just read articles that are being published and again, don&#039;t be selective in what you chose to use to push your message.  $40M in Cares Act Cash &quot;where&#039;d it go?&quot;  Since the start of COVID the District has lost over $140M.  So that $40 probably went toward covering that loss....  Unfortunately the &quot;gross incompetence&quot; could not cover a $140M loss with just $40M, I&#039;m sure you could have done better.  Jason I also took your advice and read the board minutes.  You&#039;re right, cuts to pay were made this year.  However not what you tried to suggest.  Budget maintains the health system’s current 5,100 positions, includes full annual pay raises, and maintains all current employment benefits and 401(k) plan matching funds. Also have frozen the health insurance premium rates paid by employees so that they will not pay more for insurance than they did last year, despite inflation and increasing costs to Kaweah.  The only cuts were made to the director and executive level.  Which, they can afford to defer compensation.  However there is nothing, at least that I could find, that says anything about cut in pay to nursing staff.  Yet you continue to push that narrative. Even after telling you of those I know who actually work there, you choose to ignore that and act as if you know more.  The banter has been interesting.  But when you choose to continue to have an unproductive dialog, the ability for change and reason is squashed.  Best of luck!  I&#039;m sure you&#039;ll have a critical and degrading response.</description>
		<content:encoded><![CDATA[<p>I guess the lesson here Jason, and Timmy T, is you both need to not only include all the facts in your comments but also remember what you&#8217;ve said.  Just read articles that are being published and again, don&#8217;t be selective in what you chose to use to push your message.  $40M in Cares Act Cash &#8220;where&#8217;d it go?&#8221;  Since the start of COVID the District has lost over $140M.  So that $40 probably went toward covering that loss&#8230;.  Unfortunately the &#8220;gross incompetence&#8221; could not cover a $140M loss with just $40M, I&#8217;m sure you could have done better.  Jason I also took your advice and read the board minutes.  You&#8217;re right, cuts to pay were made this year.  However not what you tried to suggest.  Budget maintains the health system’s current 5,100 positions, includes full annual pay raises, and maintains all current employment benefits and 401(k) plan matching funds. Also have frozen the health insurance premium rates paid by employees so that they will not pay more for insurance than they did last year, despite inflation and increasing costs to Kaweah.  The only cuts were made to the director and executive level.  Which, they can afford to defer compensation.  However there is nothing, at least that I could find, that says anything about cut in pay to nursing staff.  Yet you continue to push that narrative. Even after telling you of those I know who actually work there, you choose to ignore that and act as if you know more.  The banter has been interesting.  But when you choose to continue to have an unproductive dialog, the ability for change and reason is squashed.  Best of luck!  I&#8217;m sure you&#8217;ll have a critical and degrading response.</p>
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		<title>By: Timmy T</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129645</link>
		<dc:creator>Timmy T</dc:creator>
		<pubDate>Sun, 07 May 2023 21:06:49 +0000</pubDate>
		<guid isPermaLink="false">https://www.ourvalleyvoice.com/?p=43990#comment-129645</guid>
		<description>&quot;Healthgrades&quot; is a business.  Pay to play.  No one else pays so they dont get rated.  Its a scam but it sounds good to the easily scammed citizens of the district. 

The CEO has made an art form of blaming nurses and medi-cal for all his woes.   Didnt they get $40 M$ in Cares Act cash? Where&#039;d it go ?  Gross incompetence. 

Kaweah and Adventist and their ilk are businesses like any other.  &#039;cept they can hold their beggars cup out and make easy money.   Ask yourself, what would be missed if Kaweah hospital, or Tulare, or any of these small town hospitals went away.  It would not be a fiasco.  The market always fills the void.  Always.</description>
		<content:encoded><![CDATA[<p>&#8220;Healthgrades&#8221; is a business.  Pay to play.  No one else pays so they dont get rated.  Its a scam but it sounds good to the easily scammed citizens of the district. </p>
<p>The CEO has made an art form of blaming nurses and medi-cal for all his woes.   Didnt they get $40 M$ in Cares Act cash? Where&#8217;d it go ?  Gross incompetence. </p>
<p>Kaweah and Adventist and their ilk are businesses like any other.  &#8216;cept they can hold their beggars cup out and make easy money.   Ask yourself, what would be missed if Kaweah hospital, or Tulare, or any of these small town hospitals went away.  It would not be a fiasco.  The market always fills the void.  Always.</p>
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		<title>By: Timmy T</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129644</link>
		<dc:creator>Timmy T</dc:creator>
		<pubDate>Sun, 07 May 2023 21:06:23 +0000</pubDate>
		<guid isPermaLink="false">https://www.ourvalleyvoice.com/?p=43990#comment-129644</guid>
		<description>Jason will be happy to hear Kaweah will get $50 million from the great thinkers in Sac.  Maybe dont have to pay back says the CEO.   

At least they can restore bonuses to the C suites and then some.  Whew. I was worried about that. 

Those top notch execs do ok.  Even the Head Nurse gets $400k.  All public record.

The CEO says they made a $1M profit this past qtr.  Is this a not for profit ?  So why the big cry over how they are going broke ?

Jason is correct.  Its horrendous management.  1M $ for &#039;rebranding&quot;.  Millions lost on the VMC debacle.  Horrid record of deaths with covid patients in the ICU - maybe the worst in the state.</description>
		<content:encoded><![CDATA[<p>Jason will be happy to hear Kaweah will get $50 million from the great thinkers in Sac.  Maybe dont have to pay back says the CEO.   </p>
<p>At least they can restore bonuses to the C suites and then some.  Whew. I was worried about that. </p>
<p>Those top notch execs do ok.  Even the Head Nurse gets $400k.  All public record.</p>
<p>The CEO says they made a $1M profit this past qtr.  Is this a not for profit ?  So why the big cry over how they are going broke ?</p>
<p>Jason is correct.  Its horrendous management.  1M $ for &#8216;rebranding&#8221;.  Millions lost on the VMC debacle.  Horrid record of deaths with covid patients in the ICU &#8211; maybe the worst in the state.</p>
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		<title>By: Jason</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129593</link>
		<dc:creator>Jason</dc:creator>
		<pubDate>Fri, 05 May 2023 23:33:47 +0000</pubDate>
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		<description>Well that&#039;s interesting if you review their board meetings and see how all of the staff got a 20% and no contribution to their retirements in addition to the layoffs you would understand it a bit more,  also when staff are getting cuts and over worked you see no problem with hiring a 6 figure executive? Rather interesting! You should try speaking with some of the staff there <img src="https://s.w.org/images/core/emoji/17.0.2/72x72/1f609.png" alt="😉" class="wp-smiley" style="height: 1em; max-height: 1em;" /> I have, also the nursing shortage is year long result of hospital under cutting and over staffing nurses. Plesse do literature review and articles on how this situation falls strictly on poor choices made by leadership. But then again I don&#039;t know who you are or what you do but I&#039;m sure you&#039;ll have some out landish reason without a solid understanding of how and why they contributed to this shortage.</description>
		<content:encoded><![CDATA[<p>Well that&#8217;s interesting if you review their board meetings and see how all of the staff got a 20% and no contribution to their retirements in addition to the layoffs you would understand it a bit more,  also when staff are getting cuts and over worked you see no problem with hiring a 6 figure executive? Rather interesting! You should try speaking with some of the staff there 😉 I have, also the nursing shortage is year long result of hospital under cutting and over staffing nurses. Plesse do literature review and articles on how this situation falls strictly on poor choices made by leadership. But then again I don&#8217;t know who you are or what you do but I&#8217;m sure you&#8217;ll have some out landish reason without a solid understanding of how and why they contributed to this shortage.</p>
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		<title>By: Susan O.</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129587</link>
		<dc:creator>Susan O.</dc:creator>
		<pubDate>Fri, 05 May 2023 16:35:36 +0000</pubDate>
		<guid isPermaLink="false">https://www.ourvalleyvoice.com/?p=43990#comment-129587</guid>
		<description>I guess I can only speak for the few nurses I know there but their pay has not been cut. But I don’t know if that’s the case for all. They are not contract nurses though and from what I understand the contract nurses are definitely making less than they were a year ago.  Sounds like staffing is definitely an issue, but not as a result of letting go of good, capable bedside nurses.  More as a result of a nation wide shortage that COVID made worse, and understandably.  My sister in law quit shortly after the pandemic started.  She was close to retiring anyway, but COVID just made things unbearable. I read an article published yesterday speaking to the amount of money Hospitals like Kaweah lose with the high MediCal population they serve, I had no idea.  But also I don’t see how one six figure executive would make or break things.  The salary doesn’t even equate to a fraction of the overall shortage of nurses needed.  You’re also assuming it was a choice of one over the other.  Sorry for being hung up on it but I still question the seemingly present distain you have for the current leadership.  It doesn’t sound like you’ve ever worked there, attended any board meetings, or even really know who these people are.  Why are you so confident they are so incompetent?</description>
		<content:encoded><![CDATA[<p>I guess I can only speak for the few nurses I know there but their pay has not been cut. But I don’t know if that’s the case for all. They are not contract nurses though and from what I understand the contract nurses are definitely making less than they were a year ago.  Sounds like staffing is definitely an issue, but not as a result of letting go of good, capable bedside nurses.  More as a result of a nation wide shortage that COVID made worse, and understandably.  My sister in law quit shortly after the pandemic started.  She was close to retiring anyway, but COVID just made things unbearable. I read an article published yesterday speaking to the amount of money Hospitals like Kaweah lose with the high MediCal population they serve, I had no idea.  But also I don’t see how one six figure executive would make or break things.  The salary doesn’t even equate to a fraction of the overall shortage of nurses needed.  You’re also assuming it was a choice of one over the other.  Sorry for being hung up on it but I still question the seemingly present distain you have for the current leadership.  It doesn’t sound like you’ve ever worked there, attended any board meetings, or even really know who these people are.  Why are you so confident they are so incompetent?</p>
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		<title>By: Jason</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129581</link>
		<dc:creator>Jason</dc:creator>
		<pubDate>Fri, 05 May 2023 13:40:41 +0000</pubDate>
		<guid isPermaLink="false">https://www.ourvalleyvoice.com/?p=43990#comment-129581</guid>
		<description>In reply to &lt;a href=&quot;https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129565&quot;&gt;Barbara&lt;/a&gt;.

I work for a hospital, currently transitioning to leadership.</description>
		<content:encoded><![CDATA[<p>In reply to <a href="https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129565">Barbara</a>.</p>
<p>I work for a hospital, currently transitioning to leadership.</p>
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		<title>By: Jason</title>
		<link>https://www.ourvalleyvoice.com/2023/05/01/visalia-medical-clinic-adventist-health-partner-to-expand-options-for-patients/#comment-129580</link>
		<dc:creator>Jason</dc:creator>
		<pubDate>Fri, 05 May 2023 13:39:39 +0000</pubDate>
		<guid isPermaLink="false">https://www.ourvalleyvoice.com/?p=43990#comment-129580</guid>
		<description>Susan I want the C suite swept clean, New fresh leadership. Now one from the outside could believe that institutions like Stanford and USC only team up based on quality but this simply isn&#039;t true. They look for areas that have need and ways to divert a patient population that does not serve their bottom line to hospitals such as Kaweah in this case. The CMO maybe well qualified and he himself is not being attacked, the problem for me is with the fact that bedside staff took and are taking a pay cut, no contributions to their retirement accounts and are over worked and understaff. Now I ask you where is your concern and advocacy for them? They do not get all their breaks, they get mistreated and are overworked, their take home pay slashed by 20% and you hear the same of leadership. They make well over 300K and you think that a 20% pay cut for executives is the same compared to bedside staff? and they somehow have money to add another six figure executives? Where are the priorities for safety, quality and community</description>
		<content:encoded><![CDATA[<p>Susan I want the C suite swept clean, New fresh leadership. Now one from the outside could believe that institutions like Stanford and USC only team up based on quality but this simply isn&#8217;t true. They look for areas that have need and ways to divert a patient population that does not serve their bottom line to hospitals such as Kaweah in this case. The CMO maybe well qualified and he himself is not being attacked, the problem for me is with the fact that bedside staff took and are taking a pay cut, no contributions to their retirement accounts and are over worked and understaff. Now I ask you where is your concern and advocacy for them? They do not get all their breaks, they get mistreated and are overworked, their take home pay slashed by 20% and you hear the same of leadership. They make well over 300K and you think that a 20% pay cut for executives is the same compared to bedside staff? and they somehow have money to add another six figure executives? Where are the priorities for safety, quality and community</p>
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