| dbussone |
09-28-2015 08:58 PM |
Moffet Center no longer affiliated with The Villages Hospital
Quote:
Originally Posted by downeaster
(Post 1121270)
Yes vette, it sure would be interesting to know why. However it is unlikely we ever will. Actually I had a feeling things were not going well. They had all that super publicity for a while then all of a sudden the marquee went dark only to be lit up again with the partnership with USF then it went dark again only to be lit up with The Villages Health and it has stayed bright on that subject ever since.
Curiouser and curiouser, cried Alice.
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I have no idea of the rental terms or contractual obligations among the parties involved. But I have had experience in similar relationships in other states. To me the handwriting was on the wall when the vaunted relationship with USF deteriorated and the USF specialist physicians left. We do not have a closed medical system here in TV (and I am not suggesting we need one). That is, the existing physician community had established relationships prior to USF arriving. I surmise those existing relationships were not altered significantly in USF's favor. USF's expectations - financially and patient volumes - were therefore unlikely met as well.
Back to Moffitt. Moffitt is on the campus of USF. Moffitt is largely staffed with physicians who are on the USF faculty, and therefore somewhat answerable to USF as well as the Moffitt organization. The Moffitt experience in TV was likely the same as the specialty docs from USF.
I have tried to simplify a very complex set of relationships, very complex. From negotiating with a few very well known cancer centers, I know their expectations can be very unrealistic. They typically wish to receive several million $ a year (read franchise fee here), as well as paid faculty physician salaries, etc. In addition, they typically want the equipment and space provided at no or low cost, and they want to program the space and equipment to their specs (normally a good idea since they are the end user; however, you can imagine how things go when the end user doesn't have to pay for their wants.)
I will again oversimplify these relationships by noting that many academic medical faculty organizations see hospitals as prospective sources of funds they wish to get their hands on. That is my tainted view. Hospitals, especially, are living in a brave new world where crossing the line with a physician or group can land the hospital in deep trouble. Everything must be handled in an arms length manner at fair market value. In my experience the faculty physician/academic organizational view of fair market value cannot be substantiated by a third party expert.
There are other factors that influence these relationships as well but I am trying to keep this at an understandable level. Bottom line - I doubt that Moffitt made a decision to leave based on some thing either the developer or hospital has done. Their decision, IMO, was made based on their own expectations (in a variety of areas) that simply were not met.
The Orlando Regional System had, until recently, an affiliation with M.D. Anderson. It ended recently as well, after several years of what seemed to be a good match. You have probably seen television commercials that note UF has filled the vacuum left by M.D. Anderson. I know that ORMC has had some financial issues and decided they need to examine their financial contractual relationships across the board.
I hope this might help in your understanding of how some things work in healthcare. |
