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Pitt locks out MDs moving to competitor

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University of Pittsburgh Medical Center
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It seems that the University of Pittsburgh Medical Center doesn't take disloyalty well. A month after a six-OB/GYN practice based at its UPMC Mercy facility it was moving to rival West Penn Hospital, UPMC locked the docs out of their hospital-owned offices. The group, Greater Pittsburgh OB/GYN Associates, had given UPMC six months' notice of its move. The decision by UPMC to lock out doctors has created a fair degree of controversy and upset many patients. The hospital, for its part, has not been willing to comment on why it acted so aggressively.

Physicians were allowed to see patients at Mercy's Women's Health Center, perform scheduled surgical procedures and remain on call, but other routine care was barred. However, during the month immediately after the lockout, patients didn't know how to contact the doctors, and under the terms of their contract with UPMC, the doctors weren't even allowed to reach out and inform the patients. And because UPMC owns the patient records, the doctors had no phone numbers or addresses with which to reach the patients. Now, the group has settled in its West Penn offices, and their new hospital has reached out to 200,000 community members to let them know where the doctors had landed.

To learn more about the dispute:
- read this Pittsburgh Post-Gazette piece

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To be fair, please see the Post-Gazette's March 26th op-ed piece which more accurately characterizes the nature of the dispute -- pay careful attention to the 3rd and 4th paragraphs.

Patient care: Doctors and hospitals should put people first
Wednesday, March 26, 2008
Pittsburgh Post-Gazette
It's not personal, it's just business. That's how some patients experienced the recent move by six physicians from UPMC Mercy to rival West Penn Hospital.

The doctors, specialists in obstetrics and gynecology who had practiced at Mercy Hospital, announced their plans to move to West Penn in January. UPMC told patients of the plans in a Jan. 22 letter. Although it did not say which doctors were leaving, it did say where they were going and that one of the group's members was staying at Mercy.

UPMC officials said they had every intention of working with the group to gradually transfer operations provided the doctors would "follow all UPMC policies and procedures regarding conduct and records management."

The fact that UPMC locked the doctors out of their former offices a month later suggests that UPMC didn't think that was happening. At the same time, UPMC sent a second letter to patients, providing them with the names of additional physicians joining the Mercy practice and a schedule of open houses where they could meet them.

More than 50 people called UPMC in response to the communications, but some patients nonetheless were caught unaware when the change happened more abruptly than expected.

This episode sounds a warning for all hospitals. Yes, the environment of today's medical systems is highly competitive. You can't turn on a radio or television set without hearing familiar music designed to lure patients to one practice or another.

But when it comes to patients, they experience care on a very personal level. You can never give them too much information or help when change is taking place. That's personal, and it's very good business.

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