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CT hospital made management change after 'near misses' in emergency department, records show

The Johnson Memorial Hospital emergency department in June 2007.
Tia Ann Chapman
/
The Hartford Courant
The 92-bed Johnson Memorial Hospital has struggled in recent years with staffing shortages, and underwent management changes in 2023 after it was cited for a deficiency related to executive leadership.

William Meier, a selectman from Somers, says that Johnson Memorial Hospital has been a pillar of the community from the time he was growing up.

The 92-bed hospital, located in nearby Stafford, has been operating for more than a century in north central 海角换妻. Its services include a medical-surgical unit, ICU, emergency department and wound center, along with cardiac rehabilitation and physical therapy.

鈥淛ohnson Memorial is one of our largest employers, for the community, for the region,鈥 Meier said. 鈥淵ou know, the hospital is one that many of our residents rely on because there's not a lot of other hospitals close by.鈥

William Meier
Ashad Hajela
/
海角换妻
Somers selectman William Meier says, 鈥淚 hope the hospital remains vibrant, continues to strengthen, and that they will give some more attention, particularly from senior leadership, to Johnson Memorial, and the important role it plays in our community.鈥

But like other rural hospitals, Johnson Memorial has struggled in recent years with staffing. The facility previously asked the state of 海角换妻 for permission to stop providing labor and delivery services, . The state denied the request earlier this year, though a final decision is still pending.

Records reviewed by 海角换妻 show the hospital has also gone through some management changes. Health officials cited Johnson Memorial last year after learning its chief administrative officer was only present at the facility one day a week. Records show the chief nursing officer and some department directors were only there 40% of the time.

They worked other days at separate hospitals run by Trinity Health of New England, which operates Johnson Memorial and four other facilities in Hartford, Waterbury and Springfield, Massachusetts.

Peter Butler, a health care leadership expert, who worked as a health care executive for more than 35 years, said it鈥檚 important to have a manager present at the hospital who can oversee operations and respond to emergencies.

鈥淭hey need to have somebody there who is responsible for taking quick action, particularly when it relates to patient safety issues," Butler said.

Records show concerns were raised about hospital management last year after two patients tried to harm themselves in the emergency department. Both had been identified as experiencing suicidal ideation, according to a survey report from last year. The behavioral health unit in the department was closed at the time because of staffing issues, the report states.

State health officials working on behalf of the federal Centers for Medicare & Medicaid Services determined the hospital didn鈥檛 have a policy at that time on how to manage patients with behavioral health needs in the main emergency department.

Dr. Robert Roose, president of Johnson Memorial, said the hospital immediately addressed the deficiencies that surfaced last year. It took measures including reopening the behavioral health unit in the emergency department, and hiring a new executive director responsible for day-to-day management.

Roose said the hire was important 鈥渢o not only announce to the community that we are here and open and safe, and are ready to take care of all their needs, but to be present and visible in a different way.鈥

Dr. Robert Roose, president of Johnson Memorial Hospital.
Ryan Caron King
/
海角换妻
Dr. Robert Roose, president of Johnson Memorial Hospital, says progress has been made in hiring more staff, and that nurse turnover has reduced by 50% in the past year.

鈥淎 year and a half ago, there were opportunities because of near misses that we have looked at now to change how we do things going forward,鈥 he said.

John Brady is the vice president of AFT 海角换妻, a union representing hospital workers in 海角换妻, including some at Johnson Memorial. He said the deficiency report speaks to the ongoing challenge of maintaining adequate staffing in 海角换妻 hospitals.

"The reason there is a shortage of bedside nurses and other health care professionals is because the working conditions are so poor," he said. "You have people working, and trying to do a good job, something they've dedicated themselves to, and going home every day, and I mean, literally crying in the car, because they feel like they haven't done a good job."

Roose said the hospital has made progress on hiring more staff, and is consistently recruiting for positions ranging from primary care providers to direct care nurses. Nurse turnover has reduced by 50% in the past year, he said.

鈥淭hat's a story that says Johnson is here to stay," Roose said. "We are open and providing great care, and staff want to work here.鈥

Meier, the selectman from Somers, said he hopes the hospital continues to be a vital asset for the region.

鈥淚 hope the hospital remains vibrant, continues to strengthen, and that they will give some more attention, particularly from senior leadership, to Johnson Memorial, and the important role it plays in our community,鈥 he said.

Correction: This article previously contained an incorrect title for John Brady. He is vice president of AFT 海角换妻.

Ashad Hajela is CT Public's Tow Fellow for Race, Youth and Justice with 海角换妻's Accountability Project. He can be reached at ahajela@ctpublic.org.

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SOMOS CONNECTICUT is an initiative from 海角换妻, the state鈥檚 local NPR and PBS station, to elevate Latino stories and expand programming that uplifts and informs our Latino communities. Visit CTPublic.org/latino for more stories and resources. For updates, sign up for the SOMOS CONNECTICUT newsletter at ctpublic.org/newsletters.

SOMOS CONNECTICUT es una iniciativa de 海角换妻, la emisora local de NPR y PBS del estado, que busca elevar nuestras historias latinas y expandir programaci贸n que alza y informa nuestras comunidades latinas locales. Visita CTPublic.org/latino para m谩s reportajes y recursos. Para noticias, suscr铆base a nuestro bolet铆n informativo en ctpublic.org/newsletters.

Fund the Facts

You just read trusted, local journalism that鈥檚 free for everyone, thanks to donors like you.

If that matters to you, now is the time to give. Join the 50,000+ members powering honest reporting and a more connected 鈥 and civil! 鈥 海角换妻.