Congress demands answers on health care fraud following Texas hospital chain scandal

A panel has set a March 12 deadline for federal health officials to report steps they are taking to prevent fraud after a Texas hospital chain allegedly fleeced an economic stimulus program for $18 million.

Texas hospitals chief faces fraud charges over use of stimulus grants

The charges follow a report by The Dallas Morning News exposing potential mismanagement of stimulus funds by the hospitals and the federal agency that awards them.

Federal grand jury indicts another officer of troubled Texas hospital chain on fraud charges

Joe White of Cameron, Texas, rose from maintenance man to manager of facilities for Dr. Tariq Mahmood's now-collapsed Texas hospital chain.

Lawsuit: Baylor failed to stop surgeon accused of alcohol, cocaine abuse from harming patients

The suit accuses Baylor Regional Medical Center at Plano of failing to properly monitor or investigate Dr. Christopher Duntsch.

State health enforcers hit Dallas-area hospitals with most - and biggest - fines in 2013

Dallas area hospitals drew the most fines from Texas state health enforcers last year. The most frequent bullseye: Parkland Memorial Hospital.

Report card: Texas bombs national health care test for emergency services

Texas is again sinking to the bottom of the barrel on a national health care measure.

Doctor behind troubled hospitals faces additional charges

Authorities say he directed staff at his Central Texas Hospital in Cameron to change diagnostic codes on billing claims from other facilities.

Medical board revokes license of Plano neurosurgeon labeled 'continuing threat'

The Texas Medical Board found that Christopher Daniel Duntsch violated care standards in the treatment of six patients, including two who died.

Dewhurst may order study of hospital woes, but East Texans' dilemma remains

A government shutdown of sorts persists in East Texas.

Shutdown scuttles hospital, nursing home safety inspection

Texas' monthly appropriation of nearly $1 million to pay for such reviews - the second largest in the country next to California's - remains frozen until Congress passes a new funding bill.

Sex abuse allegations vs. doctor began at Parkland — and kept going

The hospital says it should have removed him from duty even though its police found no criminal wrongdoing. (Day 2 of the series, "Chronic Condition.")

Dallas County plans to sell $42 million in government bonds to help pay for new hospital

Commissioner John Wiley Price said he was concerned that the general obligation bonds would be repaid by taxpayers.

Parkland responds to care questions

A government report details sanitation problems in the kitchen and delays in radiology tests; the hospital has vowed to improve.

Dallas County commissioners endorse expanding Parkland Memorial Hospital’s board of directors

The proposed change was one of several recommended in a report on improving the way the county facility does business.

Parkland not slowing down changes after passing safety test, chairwoman says

As a first step, the staff is undergoing mandatory training under the hospital’s new code of conduct and ethics.

Parkland hospital passes key government survey, keeps funding

The decision rescinds a funding-termination order pending against the Dallas County facility since Aug. 9, 2011.

Remedying quality-of-care problems could cost Dallas' Parkland hospital $9 million

The Dallas County hospital has begun training more than 9,000 employees under a new code of conduct and ethics.

State Sen. Jane Nelson introduces legislation to bolster the oversight of hospital regulators

Measures would boost the frequency of inspections and allow the state to suspend operations of a problem hospital without a hearing.

Florida firm buys troubled Lake Whitney hospital as state investigations continue

The hospital was part of a small chain operated by Dr. Tariq Mahmood, who has been accused of billing fraud.

Surveyors return to see if Parkland Memorial Hospital has fixed its patient-safety problems

The team consists of two inspectors instead of the 17 who showed up at the Dallas County facility unannounced last month.

Judge clears way for suit against Parkland over psych patient death

Also, the government inspection of the county hospital focuses on safety problems found last week.

Federal regulators reviewing preliminary findings of Dallas’ Parkland Memorial Hospital survey

Inspectors will determine whether changes will allow the Dallas County public facility to retain government funding.

Texas Medical Board suspends license of former Parkland physician

The board’s order tracks and expands upon an investigation by The Dallas Morning News of Dr. Alireza Atef-Zafarmand.

Dallas-area doctor's license suspended over sex abuse reports

State authorities have suspended the medical license of a Dallas-area doctor who they say sexually attacked or otherwise mistreated at least 10 women.

‘24/7’ survey of Dallas’ Parkland hospital will see if patient safety issues resolved

More than $400 million in annual government funding is at stake for the county’s public hospital.

Perry signs patient safety measure following care breakdowns at Parkland

Sen. Jane Nelson's bill requires resident doctors and other trainees to wear ID badges clearly displaying their names and experience levels.

Parkland Memorial Hospital’s $1.4 million settlement of whistleblower lawsuit is final

The hospital will pay the U.S. Justice Department after allegations of false billings and unnecessary treatments.

Parkland Hospital paying $1.4 million to settle another government fraud investigation

A whistle-blowing doctor had said that for years, the hospital submitted Medicare and Medicaid billings for rehab consultations that patients’ primary care physicians never ordered.

Dallas County’s Parkland hospital turns attention to worker morale

Officials expressed gratitude for the workload employees shouldered as the hospital tries to restore its credibility.

Parkland Memorial Hospital close to meeting all mandated improvements

The latest report says the changes range from better hand-washing practices to shorter waits for patient care.

Parkland Memorial Hospital says it’ll be ready for feds’ surprise inspection

As of late February, the county facility had satisfied all but 24 of the 499 mandated safety reforms.

Feds warn Parkland to build stronger quality controls into UTSW contract

The Dallas County public hospital relies heavily on the medical school's doctors, and breakdowns under that relationship have factored in Parkland's safety crisis.

Texas Senate panel approves bill requiring badges to ID resident doctors, student nurses

The Legislature is a step closer to adding some basic protections for patients at hospitals that operate training programs and psychiatric facilities.

Federal regulators extend timeline for Parkland’s do-or-die inspection

Officials of the Dallas public hospital call the move “appropriate”; they stand to lose more than $400 million in U.S. funding if it doesn’t pass the test.

New bill would require badges showing names, titles, experience for doctors at Texas teaching hospitals

Sen. Jane Nelson, R-Flower Mound, is proposing a law that aims to clear up a common source of confusion for patients at Texas teaching hospitals such as Parkland Memorial Hospital.

Parkland still facing cleanliness and staffing problems as federal deadline looms

A government regulator says the hospital is not ready for an inspection, but “no one’s saying they can’t do this.”

Parkland among wealthiest public hospitals in U.S.

Compared with its Texas peers, Parkland’s total net assets ranked it first in the state. (From day 5 of the series, "Chronic Condition.")

Parkland hospital built wealth as patient care conditions worsened

Cash reserves of more than $1 billion were built up, in part, by skimping on staff and building upkeep. (Day 5 of the series, "Chronic Condition.")

Terrell’s only hospital is shut down amid care, funding and tax problems

Renaissance Hospital Terrell faces the loss of its state license, has lost its federal funding, and owes thousands in back taxes.

In regulatory void, hospitals and medical schools fight for control

In dealing with medical schools, hospitals have sought more control over patient care; experts say transparency is vital to avoid problems. (From day 4 of the series, "Chronic Condition.")

Parkland-UT Southwestern divide threatens patient care

A major factor behind Parkland Memorial’s patient care crisis is the hidden power struggle between the hospital and its medical school partner, UT Southwestern Medical Center. (Day 4 of the series, "Chronic Condition.")

Green Oaks to run Parkland’s psychiatric operations

Seeking to comply with federal regulations, Parkland enters a $1.1 million deal with the privately owned Dallas hospital.

Ex-Parkland aide says bathroom abuse covered up

The public hospital denied any attempt to “suppress or overlook” sexual misconduct against patients.

Key players

Parkland staff involved in psych ER case

Caregivers at Parkland hospital accused of sexually abusing patients

The public hospital’s police force has made no arrests in 25 cases, even when the suspects were fired. (Day 1 of the series, "Chronic Condition.")

Parkland hires powerhouse lobbying firm as federal regulators scrutinize Dallas public hospital

Over the next 12 weeks, Parkland must prove to the U.S. Centers for Medicare & Medicaid Services that it’s a danger-free hospital as part of a rare safety oversight agreement or face the loss of about $400 million in funding.

Parkland Memorial Hospital in Dallas hires D.C. lobbying firm in $480,000 deal

The hospital won’t say if Holland & Knight will play a role in its efforts to comply with a federal oversight program.

Health care breakdowns remain unresolved at Parkland

The hospital says it has implemented nearly all required improvements as an April deadline approaches.

Dallas’ Parkland hospital misses deadline for paying $750,000 fine

The hospital may face additional state penalties for a lapse that occurred, records show, after a key employee quit.

Federal safety report shows patient backlog still plaguing Parkland hospital rehab unit

The department also has been the focus of a U.S. Justice Department investigation into allegations of billing fraud

Texas again fines Parkland Memorial Hospital for patient-safety breakdowns

The action involves the deaths of two patients at the Dallas County hospital this summer.

Parkland makes progress on safety, but big challenges lie ahead

Ninety-one percent of measures are complete, and the rest are on track to be finished in the next two months.

5 Dallas-area hospitals receive low safety ratings in national survey

The Leapfrog Group gave 4 facilities a D and one an F. An official at UT Southwestern Medical Center disputed the findings.

Doctor in whistleblower lawsuit is stepping down from UT Southwestern supervisory post

A UT Southwestern doctor plans to leave a chairmanship at the same time settlement discussions intensify in a fraud case.

Parkland hospital approves $20 million contract for doctors, other staffing

The county hospital has relied almost exclusively on physicians from UT Southwestern Medical Center for nearly 70 years.

Texas high court hears arguments in Dallas’ Parkland whistle-blower case

A surgeon says UT Southwestern demoted him for reporting to his boss that resident doctors weren’t properly supervised.

Parkland hit with largest fine in Texas history for patient safety violations

The settlement agreement reveals “egregious deficiencies,” including a sexual abuse allegation against a nurse.

Despite court setback, UT Southwestern whistle-blower sees successes

Dr. Larry Gentilello, who sued over his demotion after reporting inadequate faculty supervision of UT Southwestern residents at Parkland Memorial Hosiptal, says bringing the problems to light was worthwhile even if his suits to recoup back pay from the school don't succeed.

UT Southwestern whistle-blower’s federal lawsuit dismissed

The medical school has “sovereign immunity” from the surgeon’s retaliation claims.

Parkland staffing shortage includes dozens of doctor positions in busy childbirth unit

Parkland typically delivers over 30 babies a day — and recently handled twice that number in a 24-hour stretch.

Parkland staffing reaches ‘crisis mode’ — over 1,300 unfilled positions

Vacancies have forced staff members to work extra hours, causing some employees to quit, especially nurses.

Parkland hospital board ratifies new interim CEO

Former Tenet Healthcare executive Robert L. "Bob" Smith is replacing Dr. Thomas Royer, who wasn’t present for Smith’s introduction and later declined to comment.

Parkland ousts interim CEO, hires for-profit hospital exec

The hospital’s governing board is expected to name former Tenet executive Bob Smith to the post at a meeting today.

Parkland launches recruitment campaign, calls special board meeting

The Dallas County hospital's patient-safety crisis and massive staff turnover are fueling an intense new hiring push.

Leadership failures tied to new cases of patient harm at Dallas' Parkland hospital

Hospital officials omitted details in a recent summary; federal monitors say more management changes “may be necessary.”

Parkland Memorial Hospital to temporarily close psych ER

The hospital is remodeling the existing psych ER, the scene of numerous cases of abuse and neglect during recent years, beginning Thursday to boost capacity and improve care, an internal newsletter said.

Monitors continue to find serious problems at Parkland Hospital

Federal regulators want to see a significant improvement by September and a “sense of urgency” in remedying threats to patient safety.

Power failure sends regulators to Doctors Hospital in East Dallas

Patients and caregivers were in the dark for nearly two hours on July 15 after a storm knocked out power and an emergency generator failed.

Parkland shuffles executive team as medical director announces exit

Dr. John Jay Shannon’s departure caps a complete turnover of the top executive team at the county’s public hospital.

Drug injections may have contributed to Parkland psych patient’s death

A revised medical examiner’s report says injections of antipsychotic drugs cannot be ruled out as a factor.

Parkland board hires search firm to find Dallas County hospital’s next CEO

Korn/Ferry International, which won the one-year contract over 10 other firms, will likely be paid about $300,000 for the search.

Parkland’s chief financial officer latest to leave Dallas County hospital

John Dragovits to become president and chief operating officer of a health care information technology company.

Parkland behind schedule on implementing key patient-safety measures

Federal monitors warn of ongoing problems in patient screening and resident supervision.

Five major Dallas hospitals get a grade of C in study by national group

A dozen other hospitals in the D-FW area rated a C after an analysis by the Leapfrog Group.

Parkland Memorial Hospital extends contract of interim chief

The hospital’s governing board agreed Thursday to keep Dr. Thomas Royer after a lobbying campaign by Dallas powerbrokers.

Parkland behind schedule on two critical patient safety requirements

The hospital has made progress on most federal mandates, its CEO says, and will hire temporary doctors to plug gaps.

Construction on Parkland’s new emergency room put on hold while officials consider redesign

Officials point to inadequate screening of patients, who were being sent to other areas of the hospital for treatment.

New report sees signs of progress at Parkland hospital

Weak internal controls show why patient-safety hazards have been pervasive, monitors also find.

Medicare fraud lawsuit targets Parkland hospital, UT Southwestern doctors

The suit alleges, among other things, that "hundreds of thousands" of claims were falsely submitted for rehabilitation consultations "that were not reimbursable because they were never requested by the patients' primary care physician."

Texas regulators launch new investigation of Parkland Memorial Hospital

A social worker says she resisted orders to break safety rules and was fired for it.

Dallas federal judge keeping records under wraps in fired Parkland manager's lawsuit against hospital

U.S. District Judge Ed Kinkeade has sealed at least six records related to Kim Akinwande's suit since the case was filed in March.

Regulators order ‘thousands of steps’ for huge overhaul at Parkland

To keep federal funding, the hospital must implement big changes. A county official says, “People are working like hell.”

Parkland patient tells Dallas County officials hospital left medical tube in arm

James Dunn said he kept the device in his arm for days after his discharge from the hospital to show it to Dallas County commissioners.

Rating agency lowers outlook on Parkland debt to ‘negative’

Standard & Poor’s says Parkland retains its AAA rating, but that could change if patient safety problems force a cut in Medicare or Medicaid payments.

Parkland hospital officials worry the public facility in Dallas may lose money this year

They blame declining patient revenue and the growing cost of making government-ordered improvements.

Parkland Memorial Hospital struggles with low morale, employee exodus

More than 400 workers left the hospital between November and mid-March, about 30 percent more than expected.

Methodist System doctor resigns training post after medical board action

Dr. Manuel Rivera-Alsina, who was disciplined over a baby’s death, will continue to practice at the hospital.

New headache for Parkland: Fired exec's suit claims racism, names many names

Kimala "Kim" Akinwande, a black woman who was director of medical staff services, says she was fired in January because two members of her department allegedly felt she was "threatening and disrespectful."

Home health agencies targeted in Dallas-area Medicare probe also had safety problems

Several agencies are facing state sanctions over treatment failures or have closed, while federal authorities have linked them to a massive Medicare fraud scheme.

Parkland hospital board to pick new chairperson tomorrow

The Dallas County public hospital's board of managers has scheduled a special, 15-minute meeting to elect a replacement for Dr. Lauren McDonald, who stepped down two weeks ago.

State’s chief health official monitoring Parkland’s patient safety efforts

Dr. David Lakey, Texas’ health commissioner, said it’s a rare step for him to become involved with an individual hospital, but Parkland’s serious situation merits his close attention.

Parkland’s troubles pose test for Dallas hospital’s inexperienced board

The job has become much more demanding over the past year after the Dallas County public hospital failed a series of government inspections.

Leaders discussing backup plans if Parkland is forced to close or cut back

County and hospital officials say any shutdown is unlikely, but they have discussed contingency plans should the hospital lose its federal funding.

Conflicting position delays Dallas doctor's appointment to departed chairwoman's seat on Parkland board

Dr. Winfred Parnell must give up his board of trustees seat at Medical City Dallas before he can join Parkland's seven-member governing board.

Life-threatening problems persist at Parkland Memorial Hospital and are more widespread than previously known, enabled by a “business as usual” culture that has kept it from fixing serious breakdowns, according to a report obtained by The Dallas Morning News.

Parkland again hires official to steer hospital into patient-safety compliance

Parkland’s board and monitors endorsed Ronald Laxton, who starts as chief implementation officer Wednesday and will report directly to them.

Parkland, two state agencies condemn nurse’s handling of shackled patient

Of all the sex-abuse suspects whose names Parkland Memorial Hospital has disclosed, only one is known to have lost his caregiver’s license because of the allegations. And he got it back after two months. (From day 2 of the series, "Chronic Condition.")