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  Testimony provided by: Jeanine Hickey RN
Massachusetts Nurses Association
Joint Committee on Healthcare Oversight Hearing on Hospital Closings - 2/5/02

Representative Stanley, Senator Moore and the honorable members of the Joint Committee on Healthcare, my name is Jeanine Hickey and I have been a Registered Nurse and a member of the Massachusetts Nurses Association for 24 years. I want to thank you for the opportunity to come before you today to talk about hospital closings and the effect on healthcare in the Commonwealth.

Last year as the city of Haverhill was looking to close the Hale Hospital my colleagues and I came before you to ask for your help in saving our hospital. Like Whidden and now Waltham the closure of our community hospitals would have devastating effects on access to healthcare for the citizens of these communities. As you are aware the issues surrounding the sale of Hale Hospital were challenging and complex and it took over seven months for the negotiations with a successor owner to be completed. Ultimately the hospital was sold on August 31,2001.

The transition did not go as smoothly as Whidden. First there was no recognition of the professional nurses union the Massachusetts Nurses Association; second, nurses were made to reapply for their own positions; third, there was no contract to preserve salaries and benefits; and fourth, there was a unilateral change in wage and benefits packages and no provision for continuity on retirement issues. These conditions resulted in the loss of approximately 100 registered nurses (both regular and per diem staff) at the time of the transition. Because of the lack of nurses the hospital was unable to admit to its full bed capacity. I will tell you now that the loss of those nurses also resulted in the loss of literally hundreds of years of nursing experience and at a time when we face a serious nursing shortage the chances of recruiting that caliber of Registered Nurse again is very doubtful.

The new hospital has had some success in recruiting nurses but we remain at less than full staff and therefore unable to be at full capacity for admissions. This has caused an overflow of patients to go to area hospitals causing significant backup in emergency rooms and bed availability. The waits in hospital emergency rooms have increased and patients have had to spend long hours waiting for admission. Emergency room diversions in the northeast remain high.

The Registered Nurses have remained committed to delivering the highest quality healthcare and upholding our professional nursing standards at the new hospital. The new employer recently recognized the Massachusetts Nurses Association but did not maintain the prior nurses contract and we are now in negotiations to try and stabilize the working conditions to avoid further loss of qualified registered nurses and hopefully continue to attract new nurses.
We have offered the experiences of the Whidden and the Hale to guide your deliberations in developing a statewide policy that would ensure that patients continue to receive quality patient care and access to services when there is a hospital closure, whether real or threatened and upon sale or transfer of a facility to a new entity.

I thank you again for the opportunity to testify before your committee and make myself available to you if you should require further information on this subject.
 
         
 

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