starkman detroit beaumont

The metric that matters most is quality of patient care. We are incredibly excited about the impact the BHSH Beaumont Health Nurse Scholar program will have in health care and for our communities.. Studies out of Israel suggest that Pfizers vaccine protection begins waning after six months, but the FDA said that U.S. data is inconclusive. Fox and Geary have referred to the Spectrum transaction as a merger and a partnership. Fox has disclosed that he will depart once the deal is completed, and Id be surprised if Grant and Jordan plan to stick around. A responsible attorney general would have removed Fox, board chair Julie Fream, and the other Beaumont directors who stood idly by a long time ago. Fox said Beaumont plans to ask for military assistance to support its other facilities. Fox owns homes in Atlanta and North Carolina, Wilsons primary home is in Grand Rapids, Jordan, Beaumonts chief counsel, commutes from Atlanta, as does Susan Grant, the companys chief nursing officer. Merging with Beaumont would more than double Spectrums size in some areas. 'The Week That Was:' Will Kristina Karamo Seriously Damage Michigan's Republican Party? The joint release promotes the benefits of Priority Health, Spectrums insurance plan. However, Beaumont Royal Oak is one of the busiest surgical centers in the country. I only see the potential for massive financial loss., Freed warns Spectrums directors: When you sign the documents that will permanently change this region, your signature will forever hold you accountable for the repercussions.. Indiana University Health has 16 hospitals and 36,000 employees. Starkman: America's Mistakenly Entitled Restaurant Workers February 08, 2023, 12:24 PM - Starkman Approved 'The Week That Was:' Why Police Have Groups Like the 'Scorpion Unit' February 03,. Allowing them to continue profiting from their mismanagement would undermine Spectrum managements credibility from the get-go. To support Deadline Detroit's independent journalism, please sign up for a $3a month membership or a one-time donation. Soon after, Fox announced the Advocate Aurora deal. The Chief People Officer position is listed as open, indicating that Ries isnt getting the top HR job at BHSH. Disparities in healthcare are typically blamed on racism of U.S. doctors and other health professionals. September 15, 2020, 9:36 PM . Based on Foxs history, its quite possible it will be terms that most benefit him. She bolted last month. According to one source, Beaumont at least until recently had more than 3,000 job openings. Beaumont is offering all its nurses systemwide an additional $45 to $50 an hour bonus to work beyond their assigned shifts, an additional $15 an hour for techs. Beaumont Troy, the only hospital in the companys network with a 5-star ranking for safety from the Centers of Medicare and Medicaid, doesnt have the management strife of Royal Oak. In a September letter to Michigan Attorney General Dana Nessel warning about Beaumonts implosion, Shaevsky spoke of the need for independent directors to bring some stability to the organization.. Eric Starkman of Los Angeles is a former Detroit News business reporter who blogs at Starkman Approved. Beaumont was once mostly staffed by highly skilled veterans, among the best in healthcare. It marks the passing of a once great hospital system, and the creation of a giant Michigan hospital network Spectrums former CFO Michael Freed has warned could result in a , Spectrum Moves Forward with Beaumont Takeover, Beaumont Expects Imminent FTC Approval For Spectrum Takeover Of Its Faltering Hospital System, Good News From Beaumont Hospital Network To Spend 'Significant Dollars' to Expand Private Room Capacity, Beaumont Foxs Thanks to Hospital Docs: Let Them Eat A Cookie., Beaumont Faces Threat of Nurse Anesthetists Strike Over Declining Patient Safety Standards, Bad News for Beaumont -- CEO John Fox Sticking Around Longer Than Expected, CEO John Foxs Michigan Legacy? Under Susicks leadership, Beaumont Royal Oak precipitously declined, and internally she was viewed as a Fox sycophant. Corewell Health has appointed Dr. Daniel Carey as the new president for its Beaumont Hospital campus in Royal Oak. Share. At Beaumont's Royal Oak, Troy, and Grosse Pointe hospitals an elite team of more than 70 anesthesiologists trained and experienced with intubation performed all the procedures. Many executives ask me privately, How many Black people do I have to have?. A credible and competent board would have fired Fox, Wilson, and chief medical officer David Wood Jr. after internal surveys last year revealed the majority of Beaumont doctors and nurses had no confidence in them. The American Hospital Association (AHA), the trade group focused on promoting the financial interests of nonprofit hospitals and their managements, is a major lobbying force in Washington. That wasnt entirely true. Beaumont spokesman Mark Geary ignored a request for comment, which he typically does. Whats becoming increasingly obvious is how Freese Decker, like John Fox, is prone to making public statements that have no basis in fact. They are looking at diversity as a numbers game. Beaumont Health was significantly impacted by these financial and workforce headwinds that were particularly strong in Southeast Michigan (in the second quarter). Eric Starkman of Los Angeles is a former Detroit News business reporter who blogs at Starkman Approved. When Fox arrived, Beaumont Royal Oak was among the best regional hospitals in the country; today it can best be described as a giant but mediocre community hospital. to Michigan Tweet. By Eric Starkman Beaumont Health CEO John Fox has no shame. The writer, a Los Angeles freelancer, is a former Detroit News business reporter who . 'The Week That Was:' Will Kristina Karamo Seriously Damage Michigan's Republican Party? To the distaste of the pediatric heads colleagues, Susick walked him out of the hospital in front of his staff. Starkman: Electric Vehicles and the Exploitation of Michigan Taxpayers. Spectrums previous head of diversity was Ovell Barbee, an African American, who Spectrum proudly announced last April was named one of the leading diversity executives in the country. 'The Week That Was:' Will Kristina Karamo Seriously Damage Michigan's Republican Party? Beaumont employees and vendors are encouraged to reach out, with confidentiality assured. In its announcement to employees, Beaumont said the merged company will maintain dual headquarters in Southfield and Grand Rapids, an economically inefficient move if true but it likely isnt. Instead, thanks to aggressive cost cutting and other misguided decisions by Fox and COO Carolyn Wilson, Beaumont imploded. Starkman: Beaumont's FU to Metro Detroit and its Covid-19 Workers Tweet. Financially, the pandemic was very good to Beaumont, as the hospital system pocketed an additional $1 billion for its $2.5 billion reserve kitty while furloughing and terminating hundreds of employees. In addition to lacking a CFO and chief compliance officer, Beaumont has yet to find a replacement for its chief marketing officer, who left last September. Reach Eric Starkman at: eric@starkmanapproved.com. Speaking of Oakland University, when Fox announced his ill-fated attempt to merge Beaumont into Chicago-based Advocate Aurora, one of the few benefits he touted was that Advocate Aurora had agreed to move Oakland Universitys William Beaumont School of Medicine to Beaumonts Royal Oak campus. Henry Ford Hospital announced this week that it was closing 120 inpatient beds systemwide due to staffing shortages. A hospital CEO committed to the best interests of their organization and the communities it services would typically demand a premium of one times the annual revenue, meaning Spectrum should pay nearly $5 billion to take over Beaumont. He's even willing to. Despite the pandemic, which has forced Spectrum to call for military assistance to support its flagship hospital, CEO Tina Freese Decker recently disclosed that shes been focused on integrating Spectrum and Beaumont, creating Michigans biggest hospital system as well as the biggest employer. Beaumont employees and vendors are encouraged to reach out, with confidentiality assured. Spectrums management is rightfully proud of the people who they are ultimately accountable to because directors bios and photos are featured on the companys website. Freed doesnt disclose his hunch about Beaumonts financials, which received less oversight than he possibly knows. Beaumont employees and vendors are encouraged to reach out, with confidentiality assured. A source told me that Barbee was highly regarded among Spectrums Black employees but was frustrated by his inability to achieve meaningful change. Freese Decker should be fired. Copyrightdocument.write(new Date().getFullYear());Deadline Detroit, Inc. - All Rights Reserved. The once proud and respected hospital system merged with two lesser ones in 2015, paving the way for Fox, who was determined to sell Beaumont from the moment he arrived. Gretchen Whitmer has paid lip service that shes committed to so-called healthcare equity, meaning that Blacks receive access to the same quality of care as whites. The merger rationale was that hospitals benefitted from getting bigger and achieving economies of scale. The only remaining senior management executives are Grant, the chief nursing officer, and Jane Jordan, the chief lawyer, who like Grant and CEO Fox, has her primary home in Atlanta. Spectrum is a competently run company on an upward trajectory, while Beaumont is a very damaged goods operation. Eight will come from Spectrum, including Freese. Even if the executive couldnt restore Beaumont to its former glory, he or she could at least have minimized the damage and fetched a higher price for the hospital network than whatever Fox has negotiated. Under their oversight, Beaumont suffered a precipitous decline in reputation and quality of care. Fox didnt disclose how much Beaumont will spend to fund its real estate expansion. Most of Foxs senior management team has departed, and hes expected to leave once the takeover is completed and he receives the millions of dollars likely owed to him under his golden parachute agreement. As best I can tell, Freese Decker is genuinely committed to forging relationships with the communities Spectrum serves, unlike Fox and his managers, many of whom dont even live in the Detroit area. The terms of the deal were so obscenely favorable to Advocate Aurora that Rep. Andy Levin, whose district includes Beaumont Royal Oak, announced he would oppose the deal. The Detroit Free Press quotedSpectrum's Freese Decker as saying, Today is a historic day. Its one of the rare instances where shes made a statement of undeniable truth. Newsweek Ranks 3 Beaumont Hospitals Among Best in U.S. One Down, Three to Go. Beaumont employees and vendors are encouraged to reach out, with confidentiality assured. Spectrums takeover of Beaumont was a deal that should never have been allowed. How Absurd. That resulted in Beaumont staff nurses working alongside nurses getting paid considerably more money doing the same job, prompting more staff nurses to leave. Spectrum also is comfortable issuing misleading or deceptive statements, so culturally Beaumont is possibly a great fit. Spectrum CEO Tina Freese Decker obviously believes the Beaumont merger is already a done deal. The FTC is headed by Lina Khan, a Democrat appointed by Biden and sworn in last June 15 to a three-year term. Beaumont derailed the effort after spending nearly $2 million on union busters, furthering ill will among its nurses. Reach Eric Starkman at: eric@starkmanapproved.com. Beaumont institutionally has a very tenuous relationship with truth. Starkman: Electric Vehicles and the Exploitation of Michigan Taxpayers. I dont know how we could handle a catastrophe, said a source at Royal Oaks ER. The quality of care has declined to such a degree that insiders readily admit they wouldnt entrust their families care to the hospital. Spectrumissued a statement to MiBizabout the disastrous financials reminiscent of the spin Fox served up during his seven-year tenure. In his video, Fox was wearing a pinstripe suit jacket, not his trademark blue blazer. Copyrightdocument.write(new Date().getFullYear());Deadline Detroit, Inc. - All Rights Reserved, Tina Freese Decker, Spectrum president and CEO, a month membership or a one-time donation, Beaumont CEO John Foxs Final FU to Detroit: Merger with Spectrum Health, Beaumont Health Chair John Lewis -- Champion of CEO John Fox -- Stepping Down in June, Beaumont Manager Moved to Sabotage Anesthetists Concerns About Critical Drug Pump Shortage, Beaumonts John Fox Set to Unload Historic Bloomfield Hills Estate, Beaumont Nurse Anesthetists at Royal Oak, Troy and Grosse Pointe Vote Overwhelmingly to Unionize, Beaumont Forces Suspension of Leader of Nurse Anesthetist Union Drive, Andy Levin Goes After Amazon's Union Busting in Alabama, but Silent About Beaumont. Tina Freese Decker, president and CEO of Spectrum, is chair of the Michigan Health & Hospital Association. It seems unlikely that Beaumont would embark on a major expansion without the input and signoff of Spectrum, which is awaiting regulatory approval to take over the faltering Southfield-based hospital system. Spectrums four-person communications team also ignored a request for comment. Beaumont Beaumont employees and vendors are encouraged to reach out, with confidentiality assured. So What? BHSH is what Spectrum calls its combined Beaumont and Spectrum operations. A lifelong Michigander with an impressive background, Barbee resigned in October to join Indiana University Health as head of HR. The scuttlebutt around town is that Beaumont directors believe that a merger is the only way to get rid of Fox. Beaumont reported operating revenues of $4.6 billion in 2020 and is only an eight-hospital system. Disgruntled Staff. Another open position is the Chief Inclusion, Equity, Diversity and Social Impact Officer.. Hospital prices in southeastern Michigan are among the lowest in the country, so one would have to be incredibly nave to believe Spectrums claim that its takeover will lead to more affordable care. Starkman: Electric Vehicles and the Exploitation of Michigan Taxpayers. Six months into Freese Deckers acquisition of Beaumont Health from former controversial CEO John Fox, metro Detroits biggest hospital system is suffering from a pandemic of red ink. Spectrums financial statements indicate that cash and investments from the acquisition was $3.2 billion. Spectrum was projecting a loss of $57.1 million, which also is an eye-opening surprise. Freese Decker held various strategic and operational roles before being named to the top job in 2018. After she announced the deal, former Spectrum CFO Michael Freed publicly alerted Spectrum's then board the deal could result in a massive financial loss.. I can suspect what the problem is but, without transparency, I cant know.. Beaumont CFO John Kerndl Resigns, Beaumont Nurse Anesthetists Union Drive Could Save Imploding Hospital from Further Demise, Layoffs. Beaumont is awaiting approval to be rescued by Spectrum Health in Grand Rapids. Ive been looking for the past week and have not located them. The Beaumont Health System, comprised of Royal Oak, Troy, and Grosse Pointe hospitals, was far superior and the expectation was that the merger would elevate the quality of staff and patient care at the Oakwood and Botsford hospitals. Consultants are part of the . By that measure Fox, Wilson, and Wood have poor performance scorecards. There are some serious issues with NorthStar Anesthesia, the Texas-based outsourcing company that Wilson bet the farm on and losing badly so far. Beaumonts orthopedic surgeons, ranked among the best in the country, are doing their lucrative joint replacement surgeries at area ambulatory centers. Business Starkman: Bloodbath at Beaumont - COO Carolyn Wilson and Top Doctor Ousted; Chief Quality Officer Resigns Tweet Share July 22, 2021, 12:45 PM This columnist, a Los Angeles freelancer,. Typically, when deals of these sorts are announced, the CEO of the acquired company pays lip service to being committed to ensuring a smooth transition and promises to stick around and lend their full support. Although we are facing these current financial headwinds, we are confident we will continue to deliver effectively and successfully on our mission in the communities we serve in Michigan.. Pamela Ries, senior vice president and head of HR at Spectrum, is listed as chief integration officer. Thats right, CFO Matthew Cox referred to Beaumont as an acquisition, not a merger as Freese Decker and Fox led the media to believe. Have you tried to find Beaumont Healths financial statements? Freed asks. Its totally bizarre.. By Eric Starkman. In quickly reviewing Spectrums website and news releases, I can't find evidence that Freese Decker has expressed the belief that Spectrum needed to achieve considerable size to survive and remain competitive. Its a no-brainer to understand why Fox desperately needs to pull off the Spectrum merger. The writer, a Los Angeles freelancer, is a former Detroit News business reporter who blogs atStarkman Approved. When you sign the documents that will permanently change this region, your signature will forever hold you accountable for the repercussions, Freed said in a letterhe posted on LinkedIn. He previously concluded a deal with Akron-based Summa Health but backed out despite already having received regulatory approval. Michigan Gov. When the Advocate Aurora deal was announced, Beaumont had a $2.5 billion cash reserve, so Advocate Aurora was essentially committing $1 billion, while retaining $1.5 billion. Beaumonts board failed in their duties overseeing the hospital system they were responsible for protecting. Eric Starkman of Los Angeles is a former Detroit News business reporter who blogs at Starkman Approved.. By Eric Starkman. The writer, a Los Angeles freelancer and formerDetroit News business reporter, blogs atStarkman Approved. Beaumont Dearborn also is receiving military assistance to help the hospital manage its Covid patient load. In April 2020, at the height of Michigan's pandemic, Metro Detroit's biggest hospital system called Beaumont Health without explanation closed its facility designated to treat Covid patients . Theres no prestige working at Beaumont anymore. Though a far cry from what Beaumont Health was before CEO John Fox and COO Carolyn Wilson arrived, Spectrum is a quality healthcare company overseen by a responsible board comprised of directors who are pillars of western Michigans business communities. Grand Rapids business community is small and tight knit, and Spectrum is a major employer in western Michigan. Despite these challenges, our team members continued to provide nationally recognized health care and we were able to make new investments in the market and bring on new talent, Spectrum said. Support our reporting and commentary by becoming a Deadline Detroit member for as little as $3 per month. Nessel also has made that claim. Not a situation one would expect given that Freese Decker said her biggest priority was building a health system that celebrates and reinforces diversity and inclusion.. Meet Michael Freed, decidedly among the bravest persons in . To support Deadline Detroit's independent. Studies show that when hospitals combine, healthcare prices increase while patient quality declines. The situation has become so acute that an ICU patient was recently treated in Troys ER. The resignations were due to working conditions and management dissatisfaction, not Covid. It comes as no surprise that Spectrums takeover received the green light. Spectrums board strikes me as pretty buttoned up, so they might not yet appreciate the extent of how damaged Beaumont really is. Thats how Beaumont ended up in the sorry state that it did. Yet neither Whitmer or Nessel demanded any diversity or health equity commitments from Spectrum as a condition of its takeover. Southeastern Michigan residents shouldnt look to Rep. Andy Levin to save the day. Its almost a mantra among Beaumont Royal Oak nurses that Henry Ford treats their nurses like royalty. Beaumont has had a contentious relationship with its Royal Oak nurses for years, prompting them to try to organize a union two years ago. The FTC has a backlog of merger applications, and it could take months before it decides on the Spectrum/Beaumont deal. Carey has spent more than 20 years as a . Eric Starkman of Los Angeles is a former Detroit News business reporter who blogs at Starkman Approved. It is said that you can judge a person by the company they keep. John Fox, the Atlanta carpetbagger who washed up on the shores of southeastern Michigan seven years ago to bolster Beaumont Healths profits and gussy up Metro Detroits biggest hospital network so that he could sell it, appears hes pulled off what he set out to do. Ohios AG has won a series, Today is indeed a historic day. Beaumont is a crippled hospital network on management life support. According to a source, some travel nurses are being paid lucrative wages to work only three or four shifts a week. Beaumont nurses and nurse anesthetists quit in droves, joining staffing agencies that paid them more money and ensured them better working conditions. So What? A merger of Spectrum and Beaumont must be approved by Michigan Attorney General Dana Nessel, who has shown no interest in championing healthcare issues and can be counted on to rubber stamp the deal. Freed was CFO of Grand Rapids-based Spectrum Health for nearly 19 years, and later headed the hospital companys lucrative Priority Health insurance arm for six years. That could further worsen Beaumonts nursing shortage. Freese Deckers bio said her biggest priority is building a health system that celebrates and reinforces diversity and inclusion for employees, patients, families, and members. Yet the entire BHSH senior management team as best I can tell is as lily white as a loaf of Wonder bread. Beaumonts flagship Royal Oak hospital only garnered a four-star rating and its other hospitals earned two-and three-star ratings. Gretchen Whitmer were silent. Wright Lassiter III, president and CEO of Henry Ford Health System, is chair of the AHA. Travel nurses are also required to oversee only four patients at a time and are exempted from having to transport patients to other areas of the hospital. BHSHs management team is comprised entirely of Spectrum executives, except Beaumont Royal Oak president Nancy Susick, who has been named interim president of what is being called BHSH Beaumont Health. Beaumont has signed a letter of intent to merge with Spectrum Health, a Grand Rapids-based hospital network focused on Western Michigan, the company announced internally Wednesday. By Eric Starkman John Fox, the Atlanta carpetbagger who washed up on the shores of southeastern Michigan seven years ago to bolster Beaumont Health's profits and gussy up Metro Detroit's. Susick fired Royal Oaks highly regarded and very much beloved head of pediatrics after he protested budget cuts that he argued would harm patient care. Many organizations are not interested in real change, Chris Metzler, the former associate dean for human resources and diversity studies at Georgetown University, told NBC News. Spectrumreportedthat Beaumonts operations already have racked up nearly $100 million in losses. Employees blame them both for Beaumonts implosion. My sense about Spectrum is that if doctors had serious patient safety concerns and felt the need to circumvent management to get them addressed, the hospital companys board would take the matter quite seriously. Starkman: Beaumont's Woes Prove CEO Tina Freese Decker Unfit to Run Michigan's Biggest Hospital System Tweet Share August 19, 2022, 3:14 PM The writer, a Los Angeles freelancer and former. Spectrum, with $6.9 billion in revenues, operates 14 hospitals in the western side of the stateand has 30,000 employees. Though Spectrum Health is a respectable hospital network run by a management and board deeply committed to the Grand Rapids area, the evidence is overwhelming that southeastern Michigan residents wont ultimately benefit from the deal. Copyrightdocument.write(new Date().getFullYear());Deadline Detroit, Inc. - All Rights Reserved, Michael Freed doesn't "see any value in this merger. Bloomberg on Wednesday posted an editorial warning about the growing merger trend among hospitals, noting that it leads to higher insurance prices. Lewis previously served on the board of one of Beaumonts predecessor companies and likely didnt want to continue after Beaumont completed its merger. Board chair Fream, who holds a Harvard MBA, told The Detroit News that Beaumont's board used an "independent consultant" to determine Fox's compensation. Share. The nurse anesthetists at Beaumont Royal Oak, Troy and Grosse Pointe hospitals, who are critical to keeping their facilities' lucrative surgery businesses humming, are mad as hell and aren't going to take it anymore. Reach Eric Starkman at: eric@starkmanapproved.com. Spectrum reported that Beaumont's operations already have racked up nearly $100 million in losses. Spectrum has also been embroiled in controversy that made national news. Destroying Beaumont and Spectrum Health, Covid Not Responsible for ER Debacles at Beaumont RO and Troy, Sh** Show at Beaumont Endoscopy Suite in Chaos Amid Nursing Shortage, C-Section Horror at Beaumont Lawsuit Claims Surgeon Left Sponge in Patients Abdomen, Former Spectrum CFO Trashes Beaumont Merger and Warns of 'Massive Financial Loss', Beaumont's Merger Partner Reveals its Disingenuous, Deceptive, Disrespectful Nature, Spectrum Healths Black Employees Explore Class Action Lawsuit Alleging Systemic Racism, Beware! Private rooms are increasingly critical during the pandemic because shared rooms significantly increase the number of medical staff and guests entering, thereby increasing the risk to both patients. The rankings are based on data compiled before Beaumont Royal Oak outsourced its anesthesia services, a controversial move linked to the death of a patient undergoing a routine colonoscopy and another patient landing in the ICU because of a pain medication overdose. Yet the, Nessels do nothing stance on healthcare matters is in sharp contrast to her Massachusetts counterpart Maura Healey, who has moved to block the expansion of Massachusetts General Brigham on the grounds it will lead to, Former California Attorney General Xavier Becerra won a $575 million landmark settlement against Sutter Health for using the market dominance it obtained through a series of mergers to illegally drive-up prices. In his video, Fox disclosed that none of the monies for the planned expansion are being diverted from funds to deal with Beaumonts chronic staff shortages that have forced the closing of wards because there isnt sufficient medical staff to cover them. A Zoom video conference call that was leaked this week among physicians and the marketing director of a North Carolina hospital involved a discussion on how to manipulate Covid patient stats to make them more scary to the public. Henry Ford also said the unvaccinated were exacerbating its staff shortages. Yet the Leapfrog safety rating of Henry Fords flagship hospital in Detroit is a C, while its ambulatory center in more affluent West Bloomfield enjoys an A. HFH chief Lassiter is Black, and almost half of the flagship hospitals staff is nonwhite. Meet Michael Freed, decidedly among the bravest persons in Michigan and one who acts on his conscience when it comes to protecting the health care of his hometown Grand Rapids community. Fox has a change of control clause in his contract, meaning he will likely receive a lucrative exit package. This columnist, a Los Angeles freelancer, is a former Detroit News business reporter who blogs at Starkman Approved.. By Eric Starkman. This columnist, a Los Angeles freelancer, is a former Detroit News business reporter who blogs at Starkman Approved. Spectrum no doubt knew that Fox was desperate to unload Beaumont, so Freese Decker had him by the cajones. Spectrum was targeting a $156 million operating profit. By Eric Starkman During the Covid pandemic, a hospital's safety practices are more. Former California Attorney General Xavier Becerra won a $575 million landmark settlement against Sutter Health for using the market dominance it obtained through a series of mergers to illegally drive-up prices. It marks the passing of a once great hospital system, and the creation of a giant Michigan hospital network Spectrums former CFO Michael Freed has warned could result in a massive financial loss.. The courage it took for Freed to write and post a letter questioning the judgment of Spectrums board and reminding them of their fiduciary responsibilities cannot be emphasized enough. Even Beaumont employees suffering from myopia can read this writing . Beaumont Royal Oak is a Level I regional hospital, which according to the American Trauma Society means it is required to have 24/7 staffing available to provide total care for every aspect of injury from prevention through rehabilitation. 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