And every one that heareth these sayings of mine, and doeth them not, shall be likened unto a foolish man, which built his house upon the sand:
— Matthew 7:26
Here’s something that close observers won’t find surprising at all: fresh signs of trouble in Vermont’s mental health care system. In my next post: staffing shortages and other troubles in the system’s crown jewel, the Vermont Psychiatric Care Hospital. This time: Again with the Brattleboro Retreat.
The Vermont attorney general’s office is conducting a criminal investigation into the Brattleboro Retreat following a whistleblower’s complaints about alleged Medicaid fraud at the private psychiatric hospital, The Associated Press has learned.
Ruh-roh. The AP’s Dave Gram quotes AG Bill Sorrell as characterizing the probe as “not narrow in scope,” and that it goes beyond the whistleblower’s complaint into other areas.
As for that complaint:
[Former Retreat staffer Thomas] Joseph alleged a yearslong pattern of instances in which, if overcharges showed up in patient accounts, Retreat staff would not make refunds but instead would change the account to reflect a balance of zero.
If the accusations are true, the Retreat would be in deep shit with Medicaid, which (according to Gram) supplies the Retreat with roughly one-fourth of its total funding.
Yeah, that’s not an enemy you want to make.
Very interesting article by VTDigger’s Morgan True, which will get buried under today’s good news about Vermont Health Connect. The story details a plan to build a 16-bed secure inpatient facility for the severely mentally ill.
This specific plan comes from Northeast Kingdom Human Services, which proposes the hospital as part of a multipurpose “social service campus” in the distant hamlet of Bloomfield, pop. 262. How distant? It’s more than an hour northeast of Saint Johnsbury.
That seems like a bad idea for a number of reasons. It’s awfully far away from any sizeable hospital; proximity to a full-scale medical center is considered prudent for a secure inpatient facility. It’s a hell of a drive for the vast majority of those wanting to visit a patient. And there’s the problem of attracting qualified staff to such a remote locale.
This may be nothing more than a fever dream by NKHS; the state is nosing around for a new facility but has made no commitments to the Kingdom. But it does point out something I hadn’t realized: the administration is again looking to expand the system because it is still overstressed.
It’s almost a year since the new hospital in Berlin opened its doors, and there are still severely mentally ill patients waiting in emergency rooms for days at a time because there aren’t enough secure beds. And the state faces a looming, if somewhat unofficial, deadline to close a “temporary” seven-bed facility in Middlesex by 2018. Continue reading