Fletcher Allen receives high marks in MVP reportMVP Healthcare has recently released the results of a healthcare quality report that has shown that Fletcher Allen Health Care equals or surpasses, in most categories, other academic medical centers in MVP’s region. MVP is an HMO that covers upstate New York and parts of New England. It covers 60,000 Vermonters.The report shows that Fletcher Allen met high standards for nursing, surgery, physician staffing and communication with doctors outside the hospital. But the Burlington hospital finished below a some hospitals, including Albany Medical Center and Dartmough-Hitchcock Medical Center in Lebanon, NH, in overall patient satisfaction, which was attributed to some extent to the inconveniences caused by the construction.AHC and DHMC also received generally high marks in the report.MVP Health Care members can now see how other MVP members have rated themajor hospitals in the health insurer’s network as part ofhospital-specific MVP Hospital Quality Profiles available through the MVPWeb site (www.mvphealthcare.com(link is external)). MVP has produced profiles for the 24hospitals in its 100-hospital network that treat the majority of itsmembers.MVP asked members to rate their experience with these hospitals on overallsatisfaction with the quality care they received, their satisfaction withthe nursing care they received and if they received any services in errorduring their hospital stays.The Hospital Quality Profiles were prepared in cooperation with thehospitals and also include information about whether or not the hospitalshave in place, or are planning to begin, programs designed to improve thequality of patient care such as computer physician order entry, and havingphysicians certified in critical care medicine on staff as specialists.The profiles also include information about how well the hospitalscommunicate back to members’ Primary Care Physicians following inpatienthospital stays and emergency room visits.By viewing the reports, members can also determine the number ofprocedures the hospitals performed in three areas: heart bypass surgery,abdominal aneurysm repair and heart balloon angioplasty.MVP began profiling the hospitals two years ago as part of its effort toimprove the quality of hospital care its members receive.”We profiled hospitals on member satisfaction and on indicators that havebeen identified as critical to high-quality hospital care by nationalexperts including the Leap Frog Group,” said Jerry Salkowe, M.D., MVP’svice president for clinical quality improvement. “Our goal is to improvethe quality of hospital care our members receive and highlight the effortsthat hospitals in our network are making to improve quality and enhancepatient safety,” he said.The Leap Frog Group is a national coalition comprised of employers andhealth care organizations whose goal is to improve the quality of hospitalcare.”We based our profiles on the Leap Frog initiatives including suchmeasures as computer physician order entry which reduces the likelihood ofhospital prescription errors by eliminating the use of paperprescriptions, because measures such as these have been proven to improvepatient safety and reduce medical errors in hospitals,” Salkowe said.The Vermont and New Hampshire hospitals MVP produced quality profiles for are:VERMONT–BenningtonSouthwestern Vermont Medical Center–BurlingtonFletcher Allen Health Care–RutlandRutland Regional Medical CenterNEW HAMPSHIRE–LebanonDartmouth Hitchock Medical Center
On Super Bowl Sunday, I held a party at my house. Of the attendees, roughly 90 percent were rooting for the Rams. As the game went on, this contingency grew quiet. By the fourth quarter, most had left the party altogether, leaving behind a small number of vocal Patriots supporters. The Rams reached a Super Bowl in just their third season since relocating from St. Louis, but it’s clear that their strength as a team is still a work in progress. McVay needs to improve his in-game adjustments, Goff needs to grow more comfortable under pressure and Gurley needs to be given the ball more, especially in creative ways (the Rams never threw a screen to Gurley on Sunday, despite the Patriots’ near-constant penetration). Looming cap restraints mean these improvements will need to happen sooner rather than later. Unlike the Patriots, who build through the draft and regularly cut veterans when they get too expensive, the Rams took a shortcut to reach the Super Bowl. They added a bevy of high-profile free agents in the off-season, giving the franchise short-term success but long-term instability. In order for Los Angeles to become consistent winners, the team will need to take a page out of the Patriots’ playbook and combine stars with late-round diamonds in the rough. It’s unlikely the Rams will be capable of fielding as many former first-round picks and Pro-Bowlers as it did this season. If the Rams do regress from this season — which is not only possible but likely — it’s fair to wonder how their fans will respond. USC’s attendance at football games dropped drastically in 2018 during its first losing season in nearly 20 years, and the Trojans didn’t pack up and leave for a generation, like the Rams infamously did. How would Rams fans respond to a four- or five-win drop-off from last season? Trevor Denton is a junior writing about sports. His column, “T-Time,” runs every other Wednesday. So, where do the Rams go from here? Luckily, the team shouldn’t expect a drastic drop-off in 2019. The Rams will likely lose some starters, such as defensive lineman Ndamukong Suh, safety Lamarcus Joyner and tackle Andrew Whitworth due to cap restrictions, age or both. But the team’s true selling point — the exciting young core of Goff, Gurley, Donald and receiver Brandin Cooks — is likely to remain intact. The team’s biggest salary cap challenge will come when Goff is due for a contract extension in 2020, which could blow the Rams’ cap flexibility to shreds, resulting in less available room for stars. Afterward, head coach Sean McVay rightfully admitted he was out-coached by living legend Bill Belichick. All season, McVay has been the face of a new generation of offensive innovation. Yet, by confusing Goff and successfully neutralizing one-man wrecking crew Aaron Donald on Sunday, it was Belichick who remained one step ahead of the young whipper-snapper. This example may or may not be indicative of the Rams’ fanbase as a whole, but the Patriots’ striking home-field advantage in Atlanta paints a similar picture (media outlets reported an 80-to-20 ratio of Patriots fans to Rams fans in Mercedes-Benz Stadium). Despite the Rams’ dream Super Bowl run and breakneck style of play, the team has yet to win over its city in a meaningful way. Unfortunately for the franchise, a dull, listless performance at the sport’s grandest stage is unlikely to inspire the loyalty it desperately needs — especially with a new stadium set to open in Inglewood in 2020. The coming weeks, months and years will test whether McVay’s Rams will become a long-term contender or a flash in the pan. But more so than that, time will test Angelenos’ patience for a team still in its infancy in the city. Once the Rams’ chances looked dim, their “fans” — at least those in my household — bailed on them and didn’t turn back. In the weeks leading up to the game, I heard several L.A. natives hyping themselves up for a possible parade from Downtown to the Los Angeles Memorial Coliseum. However, they weren’t prepared for how they would handle a potential loss, let alone a loss in which the Rams showed less fight than a high sloth. And so, they left. McVay, Goff and the fan base will either grow together or grow apart. Winning will be the main decider. In many ways, the team’s unseasoned play in Super Bowl LIII reflected its underdeveloped fanbase. At 24 years old, quarterback Jared Goff looked downright befuddled by the Patriots’ creative pressures and disguised coverages. He was slow to make reads and quick to panic when plays fell apart. It didn’t help that the Patriots shut down the Rams’ league-leading rushing attack, taking away play action passes — Goff’s greatest strength by a mile. Running back Todd Gurley’s versatile skill-set was barely utilized. When he did manage to get his hands on the ball, however, he struggled to find open turf and averaged 3.5 yards per touch.