Rural hospitals are in grave danger in Connecticut

Rural hospitals in Connecticut are having essential services eliminated, putting the health of Connecticut residents at risk. Recently, the labor and delivery unit at Windham Hospital closed and the same unit at Johnson Memorial Hospital was suspended, following closures of more units at Milford and New Milford hospitals. The latest victim is Sharon Hospital — the pending closure of its labor and delivery unit was announced in September 2021 by its parent, Nuvance Health.

Nuvance, created in 2019 pursuant to a merger, filed a Certificate of Need (CON) application to Connecticut’s Office of Health Strategies (OHS) for approval in which it stated that the purpose of the merger was to enhance the focus on primary care and expand local access to specialty care, with no planned reductions in healthcare services.

On April 1, 2019, OHS approved the merger in an Order directing that Nuvance maintain for five years, among other services, Sharon Hospital’s emergency room, inpatient obstetrics/gynecology and critical care unit services in order to meet the needs of the community. Nuvance’s pending closure of Sharon Hospital’s labor and delivery unit within three years is in direct violation of OHS’s 2019 Order. Nuvance is proceeding to close the unit without waiting for OHS to conclude its formal investigation into the propriety of the closure.

Nuvance’s closure of Sharon Hospital’s labor and delivery unit is based primarily on two false premises. The first is that the number of births at Sharon Hospital has steadily declined in recent years. This is false: the number of births at Sharon Hospital has increased since OHS’s 2019 Order, from 197 in 2019 to 216 in 2020 and 210 in 2021. Moreover, in a recent submission to OHS, Nuvance described an  anticipated 1.4% increase in the number of local women of child-bearing age over five years.

The second false premise is that hiring and retaining qualified medical staff at Sharon Hospital has become impossible. In fact, the community OB-GYN group recently hired a new full-time obstetrician; physician coverage is not an issue. A nursing shortage has only occurred following Nuvance’s announcement, causing most of Sharon Hospital’s full-time birthing unit nurses to leave or announce their departures. Nuvance refuses to replace full-time nurses and, instead, is employing expensive and temporary “travel nurses.”

The closure of Sharon Hospital’s labor and delivery unit will put mothers and their unborn children at unacceptable risk. Pregnant mothers will have to travel long distances to give birth and for emergency care. Given inclement weather conditions, especially during winter months, travel to distant hospitals is sometimes impractical, forcing women to give birth at home or en route to a hospital. As Connecticut Attorney General William Tong stated concerning the closures at Windham Hospital: “[A]sking these parents to travel an additional 25-45 minutes in order to undergo a major medical procedure at another hospital is not a mere inconvenience; it creates additional burden and risk for an already vulnerable mother and baby.”

The American College of Obstetrics and Gynecology conducted a complete review of Sharon Hospital’s labor and delivery unit in 2021 and determined that it was highly qualified to provide obstetric care and that everything should be done to preserve its labor and delivery unit. Sharon Hospital also has received a Five-Star rating from the Center for Medicare and Medicaid Services. However, Sharon Hospital will no longer be a full-service hospital and doctors may leave.

Nuvance is also eliminating the Intensive Care Unit (ICU) at Sharon Hospital — in the middle of a pandemic — and cutting surgical services so that emergency surgeries cannot be performed after regular business hours or during weekends, again in violation of  OHS’s 2019 Order requiring Nuvance to maintain Sharon Hospital’s ICU for five years. Nuvance’s new policy requires that ICU-level patients be transferred to other facilities for admission and has caused multiple ICU nurses to resign.

These closures will have detrimental effects on the community at large. The inability to provide healthcare services could cause residents to leave and discourage young families, the elderly, and people with health conditions from moving to the area. Recruiting new businesses to the area, or their expansion, will become difficult as firms consider quality of life, quality education and access to healthcare.

If Nuvance is permitted to use its dominance to forcibly close Sharon Hospital’s labor and delivery unit and ICU — and it should not — large swaths of Connecticut residents will be denied access to the healthcare they need and deserve.

 

David C. Singer is an attorney, arbitrator and mediator. He is also on the Board of Save Sharon Hospital, Inc., and is representing them here.

Latest News

Fresh perspectives in Norfolk Library film series

Diego Ongaro

Photo submitted

Parisian filmmaker Diego Ongaro, who has been living in Norfolk for the past 20 years, has composed a collection of films for viewing based on his unique taste.

The series, titled “Visions of Europe,” began over the winter at the Norfolk Library with a focus on under-the-radar contemporary films with unique voices, highlighting the creative richness and vitality of the European film landscape.

Keep ReadingShow less
New ground to cover and plenty of groundcover

Young native pachysandra from Lindera Nursery shows a variety of color and delicate flowers.

Dee Salomon

It is still too early to sow seeds outside, except for peas, both the edible and floral kind. I have transplanted a few shrubs and a dogwood tree that was root pruned in the fall. I have also moved a few hellebores that seeded in the near woods back into their garden beds near the house; they seem not to mind the few frosty mornings we have recently had. In years past I would have been cleaning up the plant beds but I now know better and will wait at least six weeks more. I have instead found the most perfect time-consuming activity for early spring: teasing out Vinca minor, also known as periwinkle and myrtle, from the ground in places it was never meant to be.

Planting the stuff in the first place is my biggest ever garden regret. It was recommended to me as a groundcover that would hold together a hillside, bare after a removal of invasive plants save for a dozen or so trees. And here we are, twelve years later; there is vinca everywhere. It blankets the hillside and has crept over the top into the woods. It has made its way left and right. I am convinced that vinca is the plastic of the plant world. The stuff won’t die. (The name Vinca comes from the Latin ‘vincire’ which means ‘to bind or fetter.’) Last year I pulled a bunch and left it strewn on the roof of the root cellar for 6 months and the leaves were still green.

Keep ReadingShow less
Matza Lasagne by 'The Cook and the Rabbi'

Culinary craftsmanship intersects with spiritual insights in the wonderfully collaborative book, “The Cook and the Rabbi.” On April 14 at Oblong Books in Rhinebeck (6422 Montgomery Street), the cook, Susan Simon, and the rabbi, Zoe B. Zak, will lead a conversation about food, tradition, holidays, resilience and what to cook this Passover.

Passover, marked by the traditional seder meal, holds profound significance within Jewish culture and for many carries extra meaning this year at a time of great conflict. The word seder, meaning “order” in Hebrew, unfolds in a 15-step progression intertwining prayers, blessings, stories, and songs that narrate the ancient saga of the liberation of the Israelites from slavery. It’s a narrative that has endured for over two millennia, evolving with time yet retaining its essence, a theme echoed beautifully in “The Cook and the Rabbi.”

Keep ReadingShow less
Housy baseball drops 3-2 to Northwestern

Freshman pitcher Wyatt Bayer threw three strikeouts when HVRHS played Northwestern April 9.

Riley Klein

WINSTED — A back-and-forth baseball game between Housatonic Valley Regional High School and Northwestern Regional High School ended 3-2 in favor of Northwestern on Tuesday, April 9.

The Highlanders played a disciplined defensive game and kept errors to a minimum. Wyatt Bayer pitched a strong six innings for HVRHS, but the Mountaineers fell behind late and were unable to come back in the seventh.

Keep ReadingShow less