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Friday, October 4, 2013 at 9:27 am

UMMC honors employees for years of service

post by Howard B. Owens in batavia, business, UMMC

Press release:

United Memorial Medical Center honored the years of service of more than 100 employees at its annual recognition dinner on Oct. 2 at Terry Hills Restaurant in Batavia. Employees were recognized for their years of employment at five-year milestones.

Aida Nogueira and Laurentina Rosa, both Environmental Services technicians, achieved the 45-year milestone. Pamela Boshart-Lynch RN BSN, director of Education, Healthy Living and Cardiac Rehab Services was honored for 40 years of dedicated service along with Elizabeth Brian of the Emergency Department and Judy Yager, RN of the Ambulatory Surgery Unit. Celebrating 35 years were Ann Arent and Julie Kelsey from Medical Records, Mary Bibler and Marie Lawrence of the Laboratory Department, and Pamela Kader of Environmental Services.

Honored for 30 years of service included Linda Buckel RN and Nancy Johnson RN, Emergency Department; Mary Gerych RN, Intensive Care Unit; Kathleen Green RN and Lori Hebdon RN, Obstetrics; Cheryl LoVerdi, Finance manager; Ed Nogueira, Facilities Management; and Susan Reed, Radiology.

Achieving 25 years were Donna Clark, Central Supply; Alanna Dailey RN and Debra Langford, Nursery; Lori Donley, 2nd Floor Medical/Telemetry Unit; Vicki Downs and Deborah Johnson, Supply Chain Management; Donna Keough RN, Ambulatory Surgery Unit; Hope Knapp and Todd Wilkes RN, Surgery; Mary Lama RN BSN, 3rd Floor Medical/ Surgical Unit Clinical Care Coordinator; Rebecca Schrader, Intensive Care Unit; Joann Shaffer, Medical Records; Peggy Stevens, Environmental Services; Anna Sunderland, Food Services; and Donna Weibel, Risk Management.


Those celebrating 20 years of service include Bonnie Bezon RN, Nurse Manager of the Emergency Department; Sandra Boryczka, Laboratory; Chad Caccamise, Information Services; Louis Schrauger, Environmental Services; Susan Wlazlak, Human Resources; and Cindy Zarcone RN; 2nd Floor Medical/Telemetry Unit.

There were 32 employees who received recognition for five, 10 and 15 years of service. Each employee received dinner for themselves and a guest, flowers and a gift certificate. Employees with 25 years or more of service were honored individually by their manager and senior leader with a presentation highlighting their contributions.

Monday, September 30, 2013 at 1:03 pm

Free annual women's and men's health screenings at Jerome Center

post by Billie Owens in events, UMMC

United Memorial Medical Center and the Cancer Services Partnership will provide free health screenings to residents of Genesee County, between the ages of 40 and 64 with no insurance or high deductibles, from 3 to 8 p.m. on Tuesday, Oct. 22, at the Jerome Center, 16 Bank St., Batavia. Appointments are necessary for some of the screenings.

For women age 40-64, nurse midwife Cecilia Stearns, MSN, will perform women’s health screenings, including pap smears, pelvic exams and clinical breast exams. Urologist William Guthinger, MD will provide prostate screenings to men age 50-64. Additional services available at the event include mammography, blood sugar testing, total cholesterol and take home colorectal cancer screening kits.

All screenings will be provided at no charge. Funds are available for follow-up care if necessary. Please call United Memorial’s Healthy Living Department to schedule an appointment at 344-5331. Light refreshments, health information and free giveaways will also be available.

Event Date and Time

October 22, 2013 - 3:00pm - 8:00pm
Wednesday, September 11, 2013 at 9:52 pm

UMMC announces Le Roy urgent care office will reopen Monday

post by Howard B. Owens in Le Roy, UMMC

UMMC announced this evening that its urgent care facility in Le Roy will reopen at 11 a.m., Monday.

The facility closed at the beginning of June. At the time, UMMC officials said it would be closed for two weeks because of a plumbing problem.

In tonight's announcement, officials said, "The service was suspended for several weeks following the unexpected absence of two care providers, making it impossible to support both the Le Roy and Batavia sites concurrently. "

The new hours will be 11 a.m. to 6:30 p.m. on weekdays and from 9 a.m. to 4:30 p.m. on weekends.

From UMMC's statement:

United Memorial continues to be committed to providing care for the Le Roy community. Credentialing new providers with the insurance companies proved to be a lengthy process and we appreciate the patience and understanding of our loyal patients. United Memorial Medical Center has proudly provided healthcare services to the residents of Le Roy for several decades. Three years ago, the first Urgent Care Center in Genesee County was opened in Le Roy by United Memorial. Both the Urgent Care Center in Le Roy and the Urgent Care Center at 16 Bank St., Batavia, have been fully accredited by the Joint Commission.

UMMC is a defendant in a federal lawsuit filed by start-up urgent care provider, Insource, with offices in City Centre. The suit alleges that UMMC has engaged in unfair business practices to try and shut Insource out of the Genesee County market.

Previously: Insource and UMMC appear to be classic case of the disruptor vs. the disrupted

Thursday, August 1, 2013 at 3:58 pm

Insource and UMMC appear to be classic case of the disruptor vs. the disrupted

post by Howard B. Owens in batavia, business, Health Care, Insource Urgent Care, UMMC

Glossary

Disruptive Innovation: An innovation through technology or process that takes root in an underserved portion of the market to create new business opportunities.

Incumbent: The market-leading business in an industry.

Unmet Need: When a business planner identifies a hole in the marketplace, where consumers -- either consciously or unconsciously -- have a need that a new product or service can meet.

Job to be Done: Much like an unmet need, the jobs-to-be-done metaphor helps a business planner target a market segment for a new product or service. The job-to-be-done metaphor is based on the idea that customers don't really buy a product or service, they hire the product or service to help with a specific task they want to accomplish.

Clayton  Christensen: Harvard Business School professor and creator of the term "disruptive innovation." His groundbreaking works are "Innovator's Dilemma" and "Innovator's Solution." He's also written a book on innovation in health care, "The Innovator's Prescription."

From the perspective of the folks who run Insource Urgent Care in Downtown Batavia, their first-of-its-kind clinic is apparently seen as a competitive threat by the executives at United Memorial Medical Center.

A threat that must be crushed.

If their perception is correct, it highlights the fear disruptive innovators can strike in the hearts of incumbent businesses, especially if that business has enjoyed a monopoly position in the market.

Since UMMC officials are not talking about the tensions between Insource and UMMC, we only have the perspective of Insource's owners, which they're willing to discuss, and is also part of a federal anti-trust suit filed by Insource on June 25.

The suit alleges that UMMC conspired with HealthNow, the region's BlueCross BlueShield franchise, to eradicate the hosptial's pesky new competitor.

UMMC, according to the lawsuit, has even tried to muscle other health care providers in the county in an effort to deny Insource the partners it needs to deliver its services.

HealthNow is the dominant health insurance company in Western New York and UMMC has held a monopoly position for emergency and hospital care in Genesee County since the year 2000 merger of Genesee Memorial and St. Jerome's.

Melissa Marsocci, VP of operations for Insource, who is a native of Batavia and well versed in the literature of disruptive innovation, said she wasn't surprised by the response from UMMC to the arrival of her new company. She wishes it had been different, that cooperation rather than competition would have been the watchword, but that's not the case.

"Being from here and knowing the corporate culture over there, I knew we weren't going to be welcomed with open arms," Marsocci said. "Whenever I go anywhere else (to open a clinic), I don't know that, but here, we're just little bugs to them."

Insource is a company designed around innovation. It's model uses more efficient processes for delivering patient care and employs technology to reduce costs while improving quality.

Insource is also willing and able to deliver what it believes is world-class care while accepting lower profit margins per patient.

The result, according to Marsocci, is faster and easier access to top specialists and lower costs for uninsured patients.

The Lawsuit

Key points raised in Insource Development Services of Batavia, LLC. vs. HealthNow New York, Inc. and United Memorial Medical Center.
  • UMMC operates two urgent care clinics, one at St. Jerome's and one in Le Roy. The suit alleges these clinics keep irregular hours and are frequently closed.
  • Services offered by these clinics are allegedly limited and patients are frequently referred to UMMC's emergency room.
  • HealthNow allegedly entered into discussions with Insource two years ago about opening an urgent care clinic in Batavia and encouraged Insource to take on the project. When Insource and HealthNow -- which covers 50 percent of the insured in Genesee County -- were about to agree to terms for rates, the suit alleges, HealthNow broke off communications unexpectedly and without explanation.
  • The suit alleges ER care at UMMC costs at least $1,500, below the now-common high-deductable plan of $3,000, and Insource provides the same service for $150.
  • The suit alleges that HealthNow and UMMC entered into an agreement to restrict competition in Genesee County.
  • UMMC allegedly used anti-competitive practices to drive Lakeside's urgent care clinic out of Le Roy.
  • UMMC has used "agents" to contact healthcare providers in Genesee County to discourage their cooperation with Insource.
  • Insource alleges that UMMC is acting to protect its monopoly position in Genesee County.

In its lawsuit, Insource claims a typical emergency room visit to UMMC costs at least $1,500. The same service through Insource would cost $150.

"I think people deserve a choice," Marsocci said. "Isn't free enterprise what America is all about? Competition is good. It ups the quality, or should, so why not? Why should United Memorial have a monopoly?"

The typical urgent care model is kind of like a doc-in-the-box. The clinics are usually only opened in high-volume communities -- such as well-populated suburbs or densely populated urban neighborhoods. They treat minor injuries and illnesses and do very little in the way of referrals. They're not the place to go if you're seriously ill.

Insource can provide health care as basic as a physical for a high school athlete, up to arranging a consultation with a heart surgeon.

In other words, from a patient perspective, the company can do everything UMMC does, but without the overhead.

When a business planner with an eye toward disruptive innovation looks at a potential opportunity, the planner will try to identify an unmet need and a job to be done.

The unmet need in Genesee County, according to Marsocci, is the lack of top-tier specialists. It's not that they're not here, but there are fewer of them.

And, many local residents -- like it or not, it's true, notes Marsocci -- also lack faith in specialist referrals through UMMC.

This isn't a problem unique to Genesee County or UMMC. It's common in rural counties across the United States.

For the local patient who needs or wants care with a top-tier specialist, the only option until now has been to drive 30 or 40 minutes to Rochester or Buffalo.

"The care here, unfortunately, and I can say this because I've lived in Genesee County all my life, the care here has been substandard for years," Marsocci said. "I don't mean that disparagingly, but I'm saying, call a spade a spade. When I need care beyond primary care, I travel. I have been in those situations where I used a local specialist and it didn't end positively for me, and I've had those times where I was lucky. But you learn through a couple of experiences and you're not going to do it again, so I go east or west."

The job to be done, then, for Insource, is to connect patients who need specialized service with specialists without making them drive for miles and miles.

Computers, laptops, smartphones, tablets, closed-circuit cameras, LCD screens and the Internet -- all the tools of telemedicine -- means those miles, and the wasted time that goes with them, disappear.

The example Marsocci used was of a patient who came to Insource in early Jully complaining of debilitating back pain.

Initially, the concern was that he had a kidney stone, but a CT scan found a growth on his spine. A surgeon and specialist in spinal problems who will soon be one of Insources subtenants was consulted using telemedicine tools. The doctor confirmed the diagnosis and told Insource to have the patient call him on his mobile phone the next day -- July 4 -- for a follow-up consultation.

Two weeks ago, the patient had surgery to remove the growth.

"If that man had gone to any other urgent care, they would not have wanted to spend any more time on him than they had to," Marsocci said. "If they didn't have access to a CT then they knew they were wasting time on him and not getting paid. They would just want to get him out the door.  He would have to go to the emergency room then, which means he's going to spend a lot of money for something we did perfectly well here."

"It's pretty exciting to say he had surgery probably before he even would have seen the spine surgeon had he went anywhere else," Marsocci added.

All of these improvements -- better access to specialists, lower costs -- just make good business sense.

"Why can't the people in this community have the same level of care as the people in Buffalo or the people in Rochester?" Marsocci asked.

The response from local doctors to Insource, even those associated with UMMC, has been uniformly positive, Marsocci said. Insource refers patients to local doctors and to UMMC on a daily basis. The goal is to get the patient the best treatment possible, and that often means local doctors and local specialists are the best resources for local patients.

And local health care providers have found Insource a valuable resource, even referring patients to Insource, she said.

If all this makes so much sense, why aren't established urgent care companies around the nation providing the same service? Why isn't UMMC?

Mark Celmer

Yesterday, Mark Celmer, president of Insource, spoke with The Batavian's news partner, WBTA, about the lawsuit. Here's what he said.

“I do find it absolutely reprehensible that any member of Genesee County that’s insured by HealthNow can travel 40 miles to Erie County and go to any of 22 urgent care sites and be fully covered for their urgent care visit, but they cannot come to the newest one on Main Street, Batavia. I find that just absolutely reprehensible.”

“I would like HealthNow to say, ‘Genesee County residents: if you want to go to the urgent care center at the Jerome Center, if you want to go the urgent care center in Le Roy, if you want to go to the emergency room at United Memorial, or if you want to go to Insource Urgent Care Center on Main Street, Godspeed, let’s get going.’ ”

As we said, we lack UMMC's perspective on this competitive climate, but we do know about the patterns of disruptive innovation.

In any classic case of disruptor vs. the disrupted, the incumbents either under-value the disruption or feel trapped by their established business model. The incumbent sees no way to extricate itself from its present business model, no matter how threatening the disruptive innovation might be.

Newspapers, for example, have found it difficult to transition to an online news model because higher profits are found in their dead tree editions. 

While it costs less to produce digital news, the revenues are also substantially lower -- The New York Times publisher once said it was like converting print dollars into digital dimes -- and profit margins are slender to nonexistent (especially if newspapers want to maintain their current newsroom cost structure). Even as readers flee from printed newspapers, incumbent publishers are loathe to go to an online-only business model.

It's very difficult for an incumbent to give up a profitable line of business in favor of a business model that means lower revenue and less profit, especially when successful models are few and far between.

Sailing ship builders couldn't do it when the steam engines came along; Detroit couldn't do it when Japanese cars hit the market; mainframe computer makers couldn't do it when personal computers were first being sold; and, Kodak couldn't do it when digital cameras became popular (and Kodak INVENTED the digital camera).

"We're trying to make sense of where everything should be -- lowering costs, improving quality, improving satisfaction, improving access," Marsocci said. "That's where we find ourselves as disruptive innovators. Nobody in the urgent care business wants to spend the amount of time that we did putting together a formal telemedicine program or the way we do things with continuity of care, having subtenant specialists in our center.

"They want the low-hanging fruit," she added. "It can be a very lucrative business, so they want to find a place in a heavy-traffic shopping plaza and just put up a center and see how many patients they can see each day and make as much money as they possibly can. Where we're really focused on what we're preaching. Continuity of care."

NOTE: Early yesterday evening, The Batavian sent an e-mail to Colleen Flynn, spokeswoman for UMMC, and outlined the nature of the article we were writing about the lawsuit and invited UMMC to comment on the topics raised in this article. The Batavian received no response to the e-mail.

Tuesday, July 23, 2013 at 12:49 pm

UMMC begins hosting free cancer support group

post by Billie Owens in announcements, batavia, cancer support group, UMMC

Press release:

United Memorial Medical Center will host a free cancer support group on the last Thursday of each month beginning at 5 p.m. The group will meet in United Memorial’s Healthy Living Department at 211 E. Main St., Batavia.

The group will provide information and support for those who are cancer survivors or have received a cancer diagnosis. In a group setting, individuals can find a warm and caring environment to learn, laugh and heal. Members can find comfort, renewed strength, and receive hope from others who truly understand their unique story and treatment journey.

Men and women who are interested in joining the group should call Healthy Living at 344-5331 to sign up or for more information.

Tuesday, July 23, 2013 at 12:44 pm

Red Cross to conduct blood drive at UMMC -- donors urgently needed

post by Billie Owens in batavia, Red Cross, UMMC

Press release:

The American Red Cross will conduct a blood drive at United Memorial Medical Center from 9 a.m. to 2 p.m. on Monday, July 29. The mobile unit will be in front of the hospital at 127 North St., Batavia.

There is an urgent need for blood donors to offset shortages incurred in summer months and for type O negative donors. Donations in June were down by over 50,000 nationally.

All presenting donors at the blood drive on July 29th will receive a free gift card to Dunkin’ Donuts. Appointments may be made by calling (585) 344-4474. Walk-ins are welcome.

Generally to be eligible to donate, individuals must be 17 years of age or older, healthy and weigh at least 110 pounds. On the day of the donation, the American Red Cross recommends drinking an extra 16 ounce glass of water before and after the donation. They also suggest eating a healthy meal, avoiding high fat foods, before donating.

For the appointment (walk-ins are welcome) bring a driver’s license or two other forms of identification and a list of any current medications. After registration, presenting donors will have their blood pressure, temperature, pulse and hemoglobin measured. They will also be asked for a brief health history and asked about their travels to foreign countries.

The donation process itself usually lasts 8-10 minutes, but can be longer based on the donation. After donating, refreshments are provided. The entire process usually takes less than an hour to complete.

People can donate multiple times but must wait eight weeks/56 days between donations of whole blood.

Friday, June 28, 2013 at 5:39 pm

Photo: New residents join staff at UMMC

post by Howard B. Owens in batavia, business, UMMC

UMMC welcomed a group of new residents to their team today. All six are training as doctors of osteopathic medicine. They are, from left, Tobin Carson, Adia Taylor, Cedric McKinney, Imeh Sampson Jr., J. Francis Asuquo and Mithun Daniel.

Wednesday, June 12, 2013 at 12:17 pm

UMMC honored for giving newborn baby from Medina a 'Safe Haven'

post by Howard B. Owens in batavia, busienss, Safe Haven, UMMC

Staff at UMMC were honored this morning for their participation recently in the "Safe Haven" drop off of a newborn baby by a mother in distress.

Timothy Jaccard, president and director of AMT Children of Hope Foundation, and author of the 1996 law that makes Safe Haven possible, presented plaques to the hospital and to staff for UMMC's acceptance of a Safe Haven baby last month.

In late may, a mother contacted Jaccard's organization looking for an option for a baby she could no longer care for. The mother was directed to the Medina Fire Department, which accepted the baby and transported it to UMMC.

The Safe Haven law allows mothers to hand over babies to Safe Haven ambulances and hospitals without any repercussions.

Prior to the law's adoption, Jaccard said, as many as 25 babies a year in New York were being left to die in Dumpsters and along roadways. Last year, only three babies in New York died after being abandoned.

"It’s very rewarding to know that we made a difference in the community," said Maryann Cogdill, who is in charge of the maternity ward.

The baby was given a medical examination to ensure it was healthy and then placed in a foster home and it will eventually be adopted.

Photo: Mary Beth Bowen, VP of nursing, Mark Schoell, CEO of UMMC, Denise Polovick, RN, Jaccard, Cogdill and Dan Ireland, VP of clinical support services.

Friday, May 31, 2013 at 5:16 pm

UMMC urgent care in Le Roy closed for two weeks for plumbing repair

post by Howard B. Owens in business, Le Roy, UMMC

Press release:

For the next two weeks, the lower suite of the building at 8745 Lake Street Road, Le Roy, which houses United Memorial’s Urgent Care and Diagnostic Services, will be undergoing extensive and disruptive repairs to its plumbing systems. After several discussions with the building’s owner, United Memorial feels that it is in the best interest and safety of our patients to temporarily close during this period.

During this time, patients are encouraged to utilize Urgent Care and Diagnostic Lab and Imaging Services at the Jerome Center at 16 Bank St., Batavia. Staffing at the Jerome Center will be enhanced to accommodate the expected increase in patient volumes.

United Memorial’s integrated computer system will allow any patient with standing orders for diagnostic laboratory or medical imaging, usually seen in Le Roy, to be seen at the Jerome Center without having to have orders resent from physician offices.

The Jerome Center is located in the center of Downtown Batavia. From Le Roy, take Route 5 (Main Street) to Batavia. Turn right onto Bank Street. The Jerome Center will be located on the right. Hours for Urgent Care are 11 a.m. to 8:30 p.m., Monday through Friday and 9 a.m. to 8:30 p.m. on weekends. Laboratory and Medical Imaging services are available 6 a.m. to 5 p.m. Monday through Friday and 6 a.m. to noon on Saturdays.

We apologize for any inconvenience and expect to reopen the Le Roy site on Monday, June 17.

Thursday, May 30, 2013 at 12:01 pm

UMMC unveils upgraded maternity unit

post by Howard B. Owens in batavia, business, UMMC

UMMC officially opened it's new postpartum maternity unit Wednesday. The unit features 10 private patient rooms, which include sleeping accomodations for a birth partner. The project cost $2 million.

Photo and information via The Batavian's news partner, WBTA.

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