Saturday, March 12, 2011

RICHARDSON REMOVED FROM LEADERSHIP OF DAYTON VA

New VA hospital director an award-winning administrator

By Tom Beyerlein
, Staff Writer
Updated 11:00 PM Friday, March 11, 2011
DAYTON — Department of Veterans Affairs officials on Friday said they coaxed an award-winning hospital administer out of retirement to help the Dayton VA Medical Center recover from the scandal surrounding a dentist’s unsanitary practices that may have led to hepatitis infections of nine dental clinic patients.

William Montague, who headed six VA hospitals including the Louis Stokes VA Medical Center in Cleveland, becomes the Dayton VA’s acting director Monday, replacing Director Guy Richardson, who was reassigned to a job at regional headquarters in Cincinnati.

“As most of you know, these major issues (facing the VA) have involved questions about our hospital dental care and the infection control practices of a provider,” VA regional Director Jack Hetrick said in a Friday message to the Dayton staff. He said “we are well on the way to fully addressing this matter.”
He continued, “While Mr. Montague is here, Mr. Richardson will be detailed to the (Veterans Integrated Services Network) to assist with VISN-wide initiatives.”

VA spokesman Todd Sledge said he had no information as to whether Richardson could return to the Dayton VA post. Richardson could not be reached for comment. Sledge said “there’s no overarching reason to believe” that Richardson isn’t capable of running a hospital. In fact, he said, “Mr. Richardson’s record stands for his great performance in Dayton.

Richardson’s salary grew 12 percent between fiscal 2008 and 2010 to $167,328, according to the Buckeye Institute for Public Policy Solutions. He also received an $11,874 bonus last fiscal year.
The Dayton VA has been beset with controversy and tragedy during Richardson’s tenure. National surveys in recent years found the Dayton hospital ranked low in patient and employee satisfaction among VA hospitals. Last April, Iraq War veteran Jesse Huff, clad in full combat attire, shot himself to death on the VA steps after being treated there hours earlier.

U.S. Rep. Steve Austria said he “expressed disappointment” with the Dayton VA’s leadership in a meeting Wednesday with VA Secretary Eric Shinseki. “I am confident that the action Secretary Shineski has taken is the right step forward to help prevent incidents like this from occurring in the future.”
“By reorganizing the Dayton VA, we’re one step closer to the superior care that Ohio’s veterans deserve,” said U.S. Sen. Sherrod Brown, who, along with U.S. Sen. Rob Portman and U.S. Reps. Mike Turner and Austria, pushed Shineski for better oversight of the local hospital.

The dental clinic was temporarily closed last summer amid revelations that dentist Dwight M. Pemberton failed to change latex gloves and sterilize instruments properly between 1992 and June 2010. Subsequent health screenings turned up the nine suspected hepatitis infections.
An Oct. 4 investigative report shows Pemberton’s co-workers alerted VA officials about his unsafe practices for several years, but supervisors allowed him to continue treating patients. Pemberton, who has declined to comment, got a raise last year. He retired in February.

The VA announced that Montague agreed to come out of retirement for the Dayton job. Montague was federal employee of the year in 2000 and won two presidential meritorious rank awards. Under his direction, the Stokes hospital increased the number of veterans it treated by 225 percent, the VA said.

http://www.daytondailynews.com/news/dayton-news/new-va-hospital-director-an-award-winning-administrator-1105069.html

Wednesday, March 9, 2011

CONGRESSMAN MIKE TURNER--TO DAYTON DAILY NEWS TODAY!

Turner requests top-level visit to VA dental clinic

Staff Report
Updated 1:17 PM Wednesday, March 9, 2011
DAYTON — U.S. Rep. Mike Turner, R-Centerville, issued a letter Wednesday reiterating his office’s invitation for Veterans Affairs Secretary Eric Shinseki to visit the Dayton VA Medical Center.
The invitation comes in the wake of news that nine patients seen at the medical center’s dental clinic may have contracted hepatitis B or hepatitis C from a dentist who did not follow basic infection control practices. The dentist, Dwight M. Pemberton, 81, of Centerville, performed invasive dental procedures on patients, but failed to change latex gloves and sterilize dental instruments properly between patients, according to VA investigation documents.
“Visiting the Dayton VA Medical Center Dental Clinic will go a long way to reassure the community that the VA is committed to providing the highest quality of care and will do everything within its power to resolve this issue,” Turner wrote in the March 9 letter. “Delivering this message in person will help restore the community’s faith in the VA health system and its leadership.”
Turner’s letter also indicated his office’s requests — both for a release of reports on the VA’s investigation, and for a series of regional and national-level investigations to protect against events like those in the Dayton VA dental clinic — had so far gone unanswered.

http://www.daytondailynews.com/news/dayton-news/turner-requests-top-level-visit-to-va-dental-clinic-1102340.html

I just realized that I failed to notify Congressman Turner's office back in November 2010 concerning this when I notified other authorities. It is not right, neither is it fair to hold him accountable for information that I failed to forward to his office. I have personally apologized to this Member of Congress, today. Perfection is not my strong suit and it's showing again.

Tuesday, March 8, 2011

March 8, 2011

http://www.daytondailynews.com/news/dayton-news/despite-probe-va-chief-received-bonuses--1101030.html

Despite probe, VA chief received bonuses

The local VA dental clinic has been under investigation since
last summer.

By Ben Sutherly, Staff Writer
11:05 PM Monday, March 7, 2011
Dayton VA Medical Center Director Guy Richardson received an $11,874 bonus last year even though the center’s dental clinic came under investigation for allowing unsafe sanitary practices by one dentist over 18 years.

Richardson received the bonus even though the dental clinic was closed for several weeks last summer, and the VA determined it needed to offer free screenings to 535 patients who had received invasive dental procedures from Dwight M. Pemberton. The Centerville resident failed to change latex gloves and sterilize dental instruments properly between patients between 1992 and July 2010, according to VA officials.

Nine dental clinic patients so far have tested positive in preliminary screenings for hepatitis B and hepatitis C.

Last Wednesday, during a federal budget hearing, U.S. Sen. Patty Murray, D-Washington, questioned the $11,874 bonus that Richardson received at the end of federal fiscal 2010, as well as the $64,403 in bonuses he had received since 2006, given the problems at the Dayton VA.

“I can’t justify the performance of what happened at Dayton,” VA Secretary Eric Shinseki told Murray. “I think there is a failure in leadership, and therefore I’m not going to try to describe why a bonus was sensible. ... This went on for an extended period of time when it wasn’t brought to the attention of leadership, and I again fault that to a failure in leadership.”

Last week, Richardson said, “I’m charged as the leader of the facility to make sure we provide high quality, safe veteran care. I will continue to be committed to achieving that mission as long as I’m in this position.”

“I am not sure whether or not Guy Richardson will survive” as director, U.S. Rep. Mike Turner said Monday.

March 8, 2011

http://www.daytondailynews.com/news/dayton-news/va-case-irks-turner-legislators-request-independent-study-1100860.html

VA case irks Turner;
 legislators request 
independent study

By Ben Sutherly, Staff Writer
Updated 12:50 AM Tuesday, March 8, 2011
DAYTON — U.S. Rep. Mike Turner, R-Centerville, at a press conference Monday “reiterated his outrage” over infection control lapses that may have led to nine patients potentially contracting hepatitis B and hepatitis C at the Dayton VA Medical Center’s dental clinic.

Turner demanded VA officials respond by Friday to his Feb. 16 request for investigative documents pertaining to the problems.

A VA official couldn’t say Monday how long the VA legally has to respond to the records request.
The problems at the dental clinic prompted its temporary shutdown from Aug. 19 to Sept. 10.
VA officials first went public about infection control lapses at the dental clinic Nov. 17, about four months after at least one employee raised concerns in July.

Turner on Monday criticized VA officials for taking so long to go public about the investigation.
Turner and U.S. Senators Sherrod Brown and Rob Portman want officials with the Greater Dayton Area Hospital Association to independently review the VA investigation and suggest ways to improve medical care at the clinic.

Dayton VA Medical Center Director Guy Richardson told GDAHA officials the VA would cooperate with the independent review and associated recommendations, said Mary Boosalis, chair of GDAHA’s board of trustees.

The VA initiated administrative action steps against three VA employees, but the dentist in question, Dwight M. Pemberton, 81, retired Feb. 11 and therefore is no longer facing discipline. Discipline of the remaining two employees is pending.

When asked Monday if Richardson should keep his job, Turner said, “I am not sure whether or not Guy Richardson will survive” as director.

Bill Schoenhard, deputy undersecretary for Health for Operations and Management, said in a statement Monday that the VA is committed to keeping the process transparent.

“Let there be no doubt that we share the concerns of Ohio’s members of Congress and others regarding the importance of the safety of our nation’s veterans,” Schoenhard said.
“That is why Dayton VAMC has notified patients, out of an abundance of caution and concern for the trust veterans place in the health care they earned,” he said.

Sunday, March 6, 2011

“A FAILURE OF LEADERSHIP”---Secretary Shinseki

“A FAILURE OF LEADERSHIP” That’s how Secretary Shinseki described Guy Richardson’s leadership of the Dayton Veterans Medical Center. Don’t take my word for it: Click on this link from the Senate Veterans Affairs Committee March 3rd hearings, go to the 89th minute and see and hear for yourself!

http://veterans.senate.gov/hearings.cfm?action=release.display&release_id=5ee43015-815c-4f30-a682-7fa0115ebb63

Thursday, March 3, 2011

DAYTON DAILY NEWS ARTICLE

I have been writing for years that the executives at the Dayton VA think the American people fund this Center with their tax dollars just for them to split amongst themselves. Each and every time a Veteran asks for additional services the most common answer given is “It’s not in the budget”. Yet, these people lavish extra thousands of dollars on each other as if the budget has no bottom. Well, I guess not…At least not for them.


http://www.daytondailynews.com/blogs/content/shared-gen/blogs/dayton/opinion/entries/2011/03/03/editorial_when_will_dayton_va.html?cxtype=feedbothttp

http://www.daytondailynews.com/news/dayton-news/va-dentist-who-put-patients-health-at-risk-got-raise-in-10-1096772.html

Wednesday, March 2, 2011

MORE FROM DAYTON DAILY NEWS

http://www.daytondailynews.com/news/dayton-news/nine-dayton-va-dental-patients-test-positive-for-hepatitis-1094957.html

Nine Dayton VA dental patients test positive for hepatitis

By Ben Sutherly, Staff Writer
Updated 12:10 AM Wednesday, March 2, 2011
DAYTON — At least nine patients who received dental care at the Dayton VA Medical Center have tested positive in preliminary tests for Hepatitis B and Hepatitis C, VA officials said Tuesday.
Since Feb. 8 the Dayton VA has contacted 527 of 535 veterans seen by a dentist who failed to change latex gloves and sterilize dental instruments properly between patients. Of 375 patients tested so far, there have been seven Hepatitis C cases, two Hepatitis B cases and no cases of HIV, Director Guy Richardson said.
None of the patients had been previously diagnosed, and further testing will be needed to confirm those infections, said Dr. Andrea Buck, the VA’s national director of medicine. Epidemiological testing will be used to determine if any confirmed cases resulted from exposure at the Dayton VA dental clinic, but Buck said, “We may never know the answer to that question.”
None of the nine preliminary positives have been confirmed, a process that takes a week or so, said Dr. Andrea Buck, the VA’s national director of medicine. Epidemiological testing will be used to determine if any confirmed cases resulted from exposure at the Dayton VA dental clinic, but Buck admitted, “We may never know the answer to that question.” Those tests will take months, she added.
Administrative actions were initiated against three employees, including the dentist, Dwight M. Pemberton, who may have infected patients from 1992 to July 2010. But Pemberton, 81, retired Feb. 11. As a result, he no longer faces administrative action, Richardson said. “I’m not aware of any legal requirement preventing someone from retiring” during an active investigation, he said.
U.S. Rep. Mike Turner, R-Centerville, called news of possible infections “outrageous” in a statement. “I intend to continue to follow this process as it unfolds and have taken steps to meet with (VA) Secretary (Eric) Shinseki on this matter. Our veterans deserve better, and I will demand that the Secretary see that through.”
Richardson on Tuesday apologized to veterans.
Richardson said the VA will respond aggressively in providing free screenings as well as care to those who may have been exposed to blood-borne pathogens while receiving care from a VA dentist between 1992 and July 2010.
Asked what responsibility he bears for the lack of oversight of the dental clinic, Richardson said, “I’m charged as the leader of the facility to make sure we provide high quality, safe veteran care. ... I will continue to be committed to achieving that mission as long as I’m in this position.”
Sen. Sherrod Brown, D-Ohio, earlier this month stopped short of calling for Richardson to step down, saying he first wanted to know the full extent of what happened. More details are expected to be disclosed in a yet-to-be-released VA Office of Inspector General report.
“When something this serious happens, people who are responsible have to be held responsible,” Brown said. “It’s the responsibility of the dentist, but it’s the responsibility of the system that this happened.”
Buck said the Dayton VA’s response has shown leadership: “What we have seen in this response is a commitment to transparency.”
The VA is taking steps nationwide to ensure problems in Dayton aren’t repeated elsewhere, Buck said. For example, one of the VA’s own inspection controls — Systemwide Ongoing Assessment and Review Strategy — added a dental component.

Buck noted the Ohio State Dental Board declined Pemberton’s request to have his license retired. Such a step is typically not taken by the dental board unless an active investigation of that dentist is under way.
Dayton VA’s testing of veterans is estimated to cost $18,000 to $25,000.