Clark County commissioners ponder privatizing UMC

University Medical Center’s relentless financial drain on Clark County government has prompted county commissioners to take a closer look at whether they should privatize the public hospital.

But commissioners, while agreeing that a drastic change is needed, are shying away from the idea of selling UMC to a private entity.

Commissioners this week discussed for the first time how privatization might work for the hospital. They heard a report on how a hospital in Northern Nevada changed from public to private.

An audit presented Tuesday to the commission showed that UMC lost $83 million last fiscal year. Most commissioners bemoaned the loss but said the county has a duty to treat patients who cannot afford health insurance, a service that many private hospitals do not offer.

"We have an obligation to assist residents with medical care," Commissioner Chris Giunchigliani said. "If we had universal health care in this country, we wouldn’t be having this problem."

But Commissioner Steve Sisolak said the county-run system is failing and must be overhauled.

"The county can’t continually provide a blank check to UMC," Sisolak said.

Commissioners conducted a question-and-answer session Wednesday with the chief executive of the nonprofit Renown Regional Medical Center in Reno. The parent company, based in Reno, bought the Washoe County hospital in the mid-1980s.

County Manager Virginia Valentine later said she was encouraged that the board was discussing how to make UMC financially sound.

"We want to determine if it’s possible under the current structure or some other to make UMC a sustainable safety-net hospital and maintain some of its important and unique community services like the trauma and burn centers," Valentine wrote in an e-mail.

Sisolak suggested merging the University of Nevada School of Medicine, which is based in Reno but has operations in Las Vegas, with UMC and making them part of the state university system. That would create a research and teaching hospital in the same vein as Johns Hopkins Hospital, he said.

The School of Medicine and UMC are underachieving, he said. "Why not put them both together?"

This hospital would stand apart, as opposed to becoming private and joining a gaggle of nondescript local hospitals, Sisolak said.

The medical school could receive state funding, he said. Also, philanthropists donate money to research hospitals, whereas they will not give a cent to a county hospital because it’s already getting local tax dollars, he added.

Commissioner Lawrence Weekly said converting UMC to a teaching hospital would be a great idea if Nevadans as a whole valued education.

"I would be leery that it would not get that type of support," Weekly said.

Weekly said he opposed privatizing the hospital. He said he would prefer to make it more efficient while forming more partnerships between the hospital and other medical bodies.

Renown’s chief executive, Jim Miller, told commissioners Wednesday that Washoe County’s hospital was losing money before the nonprofit company took it over.

Officials spent three years discussing whether to switch from the county-run model, Miller said. When they decided to go through with it, the transition took nine months.

Renown gets a mixture of local, state and federal funding, including about $5 million for indigent care, Miller said. The hospital’s cash flow improved after the change, allowing it to expand patient services, he said.

But several commissioners said Clark County has more hospitals competing for patients than Washoe County does. That would make it harder for UMC to prosper if it went private, Giunchigliani said.

Renown has a much higher proportion of paying patients than UMC, which serves a large number of indigent patients and illegal immigrants, she said.

Paying patients go to the for-profit hospitals, while those who cannot or will not pay end up at UMC, Sisolak said.

Giunchigliani and Weekly suggested forming a panel of doctors, patients, insurers, public officials and hospital workers to discuss options.

She also said any discussions about changing the hospital’s ownership must involve the county employees union.

A union representative said anyone who took over the hospital would have to provide comparable pay and retirement benefits for existing workers.

"We wouldn’t come to the table unless it (pension plan) was comparable," said Mike Ward of the Service Employees International Union 1107. "We understand that whatever they want to do, it’s a long process."

County Commissioner Larry Brown agreed that any conversion would require more than "flipping a light switch and it’s private."

He said county hospitals throughout the country are financially ailing, adding that many of them have been closed or sold.

UMC’s current business model isn’t working and must be changed, but not at the expense of serving those in need, Brown said.

"The hospital must survive in order to continue that service," Brown said.

Contact reporter Scott Wyland at swyland@reviewjournal.com or 702-455-4519.

ad-high_impact_4
News
2 in custody after chase
Two people were in custody after a chase involving Nevada Highway Patrol and Nye County Sheriff"s office deputies ended in southwest Las Vegas. Las Vegas police blocked off Rainbow Boulevard north of Tropicana Avenue around 1 a.m. Wednesday. Law enforcement personnel prepared to tow a black sedan as part of their investigation. It's not certain what precipitated the chase or where and when it started. Check back for updates.
Watch Las Vegas police wild pursuit through busy Las Vegas streets
An intense chase near Downtown Las Vegas ends after gunfire is exchanged as the suspect flees on busy streets and ends up near an elementary school. (Las Vegas Metropolitan Police Department)
Man shot strolling through park
A man was hospitalized early Tuesday morning after being shot while walking in a central Las Vegas park. Las Vegas police say the man and a woman were in Molasky Park just after midnight when the man was shot. The pair ran to a nearby supermarket where a security guard called for help. The man was hospitalized and as of 3 a.m. was in stable condition. Police have yet to identify the shooter and no suspects are in custody.
Police investigating shooting at east valley apartment complex
No one was injured late Monday night after someone fired shots at a vehicle at an east valley apartment complex. Police responded just before midnight to the Hamptons Apartments, 3070 S. Nellis Blvd. Someone fired shots at a vehicle that was leaving the complex, and struck the vehicle. Another bullet struck a nearby apartment building. The shooter or shooters remain at-large.
Hundreds Attend Slides, Rides and Rock and Roll in North Las Vegas
Hundreds attended the inaugural slides, rides and rock and roll event in North Las Vegas Saturday. The event featured a car show, water slide park and live music. (Madelyn Reese/ Las Vegas Review-Journal)
It's All Rainbows At The Center's New Cafe
The Gay and Lesbian Center of Southern Nevada (The Center) introduced its new coffeeshop, Little Rainbow Cafe, in June. Rainbows are everywhere, even in the lattes and toast, and employees wear t-shirts with the quote "Be a rainbow in someone's cloud." Owner Ben Sabouri said the concept is "built around the idea of, you know, be kind and treat everybody the same." (Madelyn Reese/Las Vegas Review-Journal)
Get a Rainbow Latte at the The Center's Little Rainbow Cafe
The Center, a community center for the LGBTQ community of Southern Nevada, has a new cafe. Little Rainbow Cafe serves up a pride-inspired signature "Rainbow Latte." (Madelyn Reese/Las Vegas Review-Journal)
Pedestrian killed trying to cross Sahara
A pedestrian was killed Friday trying to cross Sahara Avenue near Maryland Parkway about 5 a.m. A sedan struck the pedestrian while the person was outside the crosswalk between Maryland Parkway and Pardee Place, according to Las Vegas police. Police also said the driver of the sedan remained at the site of the crash. The pedestrian was pronounced dead at the scene. This is the 75th fatal crash that Las Vegas police have investigated in 2018.
Man shot multiple times
Las Vegas police are investigating after a man was shot multiple times early Friday morning. The shooting was called in about 3:20 a.m. at the Harbor Island Apartments, 370 E. Harmon Ave., near Koval Lane. The man was hospitalized and is expected to survive, but police are still searching for the shooter.
Former Military Police Corps Officer Celebrates 100th Birthday
Summerlin resident Gene Stephens, who served as a military policeman in WWII and escorted then-Gen. Dwight Eisenhower and President Roosevelt during the war, turned 100 on July 13, 2018. He credits his longevity to living a normal life, exercising regularly and eating three square meals a day. (Madelyn Reese/Las Vegas Review-Journal)
Motorcyclist suffers serious injuries
A motorcycle rider was seriously injured Tuesday night after a crash on Charleston Boulevard. The crash was reported just before 10 p.m. near Durango Drive, according to Las Vegas police. The motorcyclist was hospitalized with unknown injuries but is expected to survive. Las Vegas police are investigating the cause of the accident.
CCSD Superintendent Jesus Jara Has Lunch With Students
New Clark County School District superintendent Jesus Jara continued his listening tour by having lunch with students at Red Rock Elementary School as part of the district's summer lunch program. In conjunction with the U.S. Department of Agriculture, children under the age of 18 can find a free lunch at 104 different locations across the valley through the summer months. Jara highlighted the free program and the importance of eating healthy during his visit. (Madelyn Reese/ Las Vegas Review-Journal)
Timeline Leading Up to Scott Dozier's Execution
Scott Dozier is set to be executed by lethal injection the night of July 11 at Ely State Prison. Dozier was convicted of the April 2002 killing of 22-year-old Jeremiah Miller and was given the death penalty in Oct. 2007. In 2016 Dozier asked in a letter to District Judge Jennifer Togliatti requesting that he “be put to death.” A three-drug cocktail of midazolam, a sedative; the painkiller fentanyl; and cisatracurium, a paralytic, is expected to end his life. (Madelyn Reese/Las Vegas Review-Journal)
New Program Helps Mothers Battling Addiction
Jennifer Stanert has battled drug addiction on and off for the last 21 years. It caused her to lose custody of one of her children, Alec, after she gave birth while high. A new program at Dignity Health St. Rose Dominican Hospitals aims to connect mothers like Stanert with community resources and provide case management services while still pregnant to get connected to lactation and parenting classes, group peer support and education on neonatal abstinence syndrome. (Madelyn Reese/ Las Vegas Review-Journal)
Felon caught with guns in Mandalay Bay room 3 years before Las Vegas shooting
A felon was caught with guns in a Mandalay Bay hotel room three years before the October 1st mass shooting. Six weapons were found inside Kye Aaron Dunbar’s 24th floor room in November 2014. Four were semi-automatic. One was a scoped rifle pointing toward the Strip, according to court documents. Dunbar was sentenced to 40 months in federal prison for unlawful possession. The case just came to light in a lawsuit accusing Mandalay Bay of negligence in connection with the Oct. 1st shooting.
Illegal fireworks in the Las Vegas area garner complaints
Clark County received nearly 25,000 complaints over the Independence Day holiday on a new illegal fireworks site. Reports from the site led to at least 10 illegal fireworks busts across the valley overnight. As of Thursday morning, the county is still compiling the total number of citations issued.
House fire displaces 2 people
Two people were displaced after a house fire early Thursday morning. The fire, at 963 Temple Drive in east Las Vegas, was reported just after midnight, according to a battalion chief from the Clark County Fire Department. Crews from the North Las Vegas and Las Vegas fire departments also were called in to help. The cause of the fire is still under investigation.
"Red White and Boom" July 4 Fireworks at the Stratosphere
Full video of the Fourth of July "Red White and Boom" fireworks show at the Stratosphere as seen from the 8th floor Elation Pool. (Madelyn Reese/ Las Vegas Review-Journal)
July 4th fireworks at the Eureka Casino Resort in Mesquite
July 4th fireworks at the Eureka Casino Resort in Mesquite. (7-04-18) (Bizuayehu Tesfaye/Las Vegas Review-Journal)
Las Vegas Crowds Enjoy Fireworks at the Stratosphere
Revelers enjoyed watching fireworks displays from the Stratosphere's 8th floor Elation pool on July 4. (Madelyn Reese/Las Vegas Review-Journal)
Pedestrian killed in Henderson
A pedestrian trying to cross St. Rose Parkway at Bermuda was hit by a vehicle on Tuesday night and later died. The crash was reported around 11:30 p.m. Las Vegas police responded initially, but handed over the investigation to Henderson police once it was determined the accident happened in their jurisdiction. Las Vegas police did respond to a report of a pedestrian being hit by a vehicle on the Strip. The person, who was hit by a BMW near Fashion Show mall, suffered serious but not life-threatening injuries.
USPS owes $3.5 million for using Vegas Statue of Liberty on stamp
The United States Postal Service has been ordered to pay $3.5 million to a sculptor after using the Las Vegas replica of the Statue of Liberty in a stamp. (Marcus Villagran/Las Vegas Review-Journal) @brokejournalist
What to expect at Station Casinos' Fourth of July celebration
Station Casinos' is hosting its annual 4th of July celebration with Fireworks by Grucci. Fireworks scheduled to go off on Wednesday, July 4 around 9 p.m. at Green Valley Ranch Resort, Red Rock Resort, Fiesta Rancho and Texas Station. (Marcus Villagran/Las Vegas Review-Journal) @brokejournalist
Officer Brent Horlacher shoots at Jessie Murillo
Las Vegas police video of an officer-involved shooting on June 29, 2018. Officer Brent Horlacher, 28, fired a single shot at suspect Jessie Murillo. Murillo was not injured. The radio audio is of the officer who fired the gun and the body camera video is from a different officer. Radio audio excerpts are added to the video and are not the precise times the audio was spoken.
Pawn Stars' Richard Harrison honored at memorial service
A memorial service was conducted for Richard "Old Man" Harrison at Palm Mortuary in Las Vegas on Sunday, July 1, 2018. (Marcus Villagran/Review-Journal) @brokejournalist
UNLV professor cautions dangers of distracted walking
An alarming number of adults do not cross the street safely according to a study conducted by professor Tim Bungum of the School of Community Health Sciences at the UNLV. (Marcus Villagran/Las Vegas-Review Journal) @brokejournalist
Car left in remote desert 21 years is recovered for late owner's children
Showboat casino blackjack dealer Mark Blackburn died outside of White Hills, Ariz. 21 years ago. His 1980 Datsun B310 wagon remained in the remote desert until a network of volunteers recovered the car for his children. (K.M. Cannon/Las Vegas Review-Journal)
Resort on Mount Charleston Sold for $4.8 million
North Carolina couple and hoteliers Deanna and Colin Crossman have purchased the Resort on Mount Charleston for $4.8 million. (Madelyn Reese/Las Vegas Review-Journal)
Traffic stop turns into officer-involved shooting
Las Vegas police are investigating after an officer fired a shot at a suspect fleeing a traffic stop early Friday morning. The officer tried to pull over a black Dodge Durango with license plates that belonged to a different vehicle. The driver took off northbound on Lamb Boulevard and at one point crossed into the southbound lanes. A man got out of the car and fled on foot. During the chase, the officer saw something in the man’s hand and fired a single shot, police said. The man wasn’t injured and was later taken into custody. Police could not confirm if the man had a weapon when he was arrested. This is the 9th officer involved shooting of 2018. Per police policy, the identity of the officer will be released after 48 hours. 01:05
5 Dead in Shooting at Capital Gazette Newspaper in Maryland
5 Dead in Shooting at Capital Gazette Newspaper in Maryland Five people have been killed and two have been injured in a "targeted attack" at the newspaper, which is owned by the Baltimore Sun. Anne Arundel County deputy police chief Bill Krampf said the suspected gunman entered the building with a shotgun and walked through the lower level of the building, where the newspaper is housed. According to Krampf, the suspect "possibly" had a connection to the paper through social media. The suspect was identified as Jarrod Warren Ramos. Ramos filed a defamation claim in 2012 against the paper but the case was dismissed. He is currently in custody. President Trump was briefed on the events.
TOP NEWS
News Headlines
Add Event
Home Front Page Footer Listing
Circular
You May Like

You May Like