Page 14 - SFHN Feb 2021
P. 14

Physician Advocacy                                           Meaningful Support for Hospitals


                        Kicks into High Gear                                                    and Health Care Staff
                                                                                    Should Include Liability Protection
           The season is upon us! And I don’t mean the NHL or
         the looming return of Spring Training. It’s legislative
         season as the Miami-Dade County Legislative                                Our frontline care-                         from the national stockpile.
         Delegation returns to Tallahassee and the Dade                           givers – nurses, physi-                         Amid these many and
         County Medical Association (DCMA) prepares for one                       cians, emergency room                         rapid changes, however,
         of the most important legislative sessions in recent                     staff, and many others -                      there is one constant: hospi-
         memory. The return of the Florida Legislature is com-                    who have bravely given                        tals’ commitment to deliver-
         ing at an opportune time as our state continues the                      so much to provide care                       ing the best patient care pos-
         largest mass vaccination initiative in its history and                   throughout the pandemic                       sible to save lives.
         continues to address the fallout from the pandemic.                      need our gratitude and                          It has become clichéd to
         The return to Tallahassee will provide additional                        support, not lawsuits and                     talk about hospitals being on
         opportunities for our locally-elected officials to shape                 depositions.                                  the frontlines and their
         our recovery and coordinate the pandemic response.   BY FRASER COBBE       Today, as we hopefully                      health care staff as heroes.
         These unprecedented challenges demand a renewed                          begin to emerge from the                      But, it is essential that we not
         focus on collaboration and unwavering leadership.                        darkest days of the pan-  BY MARY MAYHEW      lose sight of the leadership
           Members of the DCMA Board of Directors recently had the opportunity to meet   demic, hospitals and                   hospitals and their teams
         with Lt. Governor Jeannette Nuñez to discuss COVID-19 vaccination distribution   their staff need meaning-             have demonstrated through-
         in Miami-Dade County. Our organization remains committed to making sure that   ful recognition of their essential leader-  out this pandemic. Hospitals have been
         non-hospital-affiliated community physicians have a targeted process to secure the   ship role in pandemic response. Key to   the vanguard of novel, sometimes exper-
         vaccine given the critical importance of community-based care as we try to reduce   that recognition is protection from law-  imental, treatments for a new highly
         virus exposure and decrease the strain on hospital capacity and resources.    suits that seek to take advantage of the   infectious disease with a multitude of
           In what has become an annual tradition, the Miami-Dade County Legislative   ever-changing nature of the crisis.     short- and long-term symptoms and lin-
         Delegation and the DCMA held a pre-session meeting to discuss health care issues   While it feels at times as if the pan-  gering side effects that manifest differ-
         important to our community. The elevated focus on health care issues was evident   demic has been with us forever, it was   ently in different people. They reconfig-
         by the tremendous turnout of legislators that participated in this year’s event. We   just under 11 months ago that the first   ured physical spaces and realigned
         would like to thank all 14 Legislators and the three additional legislative staff   coronavirus case was diagnosed in   staffing roles and responsibilities to meet
         members who were able to join us. The virtual discussion focused on a series of   Florida. Since then, new information and   the unprecedented demand for care.
         timely health care issues including the ongoing impact of COVID-19 and vaccina-  understanding have emerged almost on a   They took on new roles to help their
         tion distribution, telehealth services, health insurance prior authorization reform,   weekly basis as everyone – from clini-  post-acute and long-term care colleagues
         prescription drug coverage, and liability relief for physicians battling COVID-19.   cians to scientists   –  learn more about   care for their vulnerable residents. And,
         Each legislator in attendance was able to share their health care initiatives for the   the virus. For example, the list of symp-  they offered advice based on lessons
         coming session.                                                          toms to identify potential COVID-19   learned to private businesses and public
           Based on the feedback we received, the event was the best in years and sets the   cases has changed significantly since   governments on safe re-opening strate-
         table for a successful and policy-focused debate in Tallahassee.         March. Testing initially was not readily   gies.
                                                                                  available; PPE and supplies were      This leadership, resourcefulness, and
                         Fraser Cobbe, Executive Director, Dade County Medical Association,    extremely limited; and for the first sever-  initiative should be applauded.
                                            can be reached at fcobbe@miamimed.com.   al months, lab results took considerable   Unfortunately, there are some who
                                                                                  time to turn around.                would exploit the crisis and subject hos-
                                                                                    Clinical and operational guidance also   pitals and their staff to unwarranted liti-
                                                                                  evolved throughout the pandemic.    gation. In the upcoming legislative ses-
                                                                                  Federal agencies’ expectations and direc-  sion, Florida’s hospitals will be asking for
                                                                                  tives changed repeatedly and were   lawmakers’ help and support by enacting
                                                                                  updated quickly to support the latest   COVID-19-related liability protections
                                                                                  understanding of the virus – how it is   to guard against unfounded lawsuits that
                                                                                  transmitted, its symptomology, its long-  seek to take advantage of the ever-chang-
                                                                                  term effects, and how to combat it.    ing situation.
                                                                                    For hospitals and their health care   When the chapter is closed on the
                                                                                  staff, that learning and adaptation have   COVID-19 pandemic of 2020-21, we will
                                                                                  taken place in real time with real patients   have the advantage of hindsight to
                                                                                  under very real constraints and challeng-  inform future pandemic responses.
                                                                                  ing circumstances. Policies, procedures,   Litigation is the wrong path forward to
                                                                                  and practices have had to change quickly   that insight and will only drain precious
                                                                                  in response to new guidance. An April   resources and limit hospitals’ ability to
                                                                                  2020 report from the Office of the   care for their patients and communities.
                                                                                  Inspector  General  at   the  U.S.  Florida’s hospitals and their employees
                                                                                  Department of Health and Human      have given so much to their communi-
                                                                                  Services noted hospitals’ concerns both   ties over the last year. We should express
                                                                                  with staying current with Centers for   our appreciation and support by protect-
                                                                                  Disease Control and Prevention guid-  ing them from unfounded and protracted
                                                                                  ance and with conflicting guidance from   legal challenges.
                                                                                  different government and medical
                                                                                  authorities, including criteria for testing,   Mary Mayhew is President and CEO of
                                                                                  determining which elective procedures        the Florida Hospital Association.
                                                                                  to delay, use of PPE, and getting supplies


























         14                        February 2021                                                          southfloridahospitalnews.com                                                                       South Florida Hospital News
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