The Alaska Native Medical Center’s operators have submitted a plan for fixing governance issues that landed the hospital in a tenuous situation with federal regulators, who earlier this month revoked the hospital’s “deemed status.”
The hospital remains open and operating as usual, officials said.
The Alaska Native Medical Center has until October to fix the issues or risk losing its ability to participate in Medicare — a major funding source for hospitals. The letter identified the two areas where the hospital was out of compliance as “Governing Body” and “Emergency Services.” The inspection itself will not be made publicly available until August, a spokesman for the Centers for Medicare and Medicaid Services said.
But hospital management says the issues that put the hospital out of compliance with regulators have to do with the unique joint operating management structure of the Alaska Native Medical Center. The 172-bed Alaska Native Medical Center is jointly operated by the Alaska Native Tribal Health Consortium and the Southcentral Foundation.
The hospital leaders gave the example of the emergency room, where some employees on the acute side are employees of ANTHC and others, in non-acute care, are employees of the Southcentral Foundation. The federal regulators cited rules about having a hospital chain of command that require “one leader of all medical staff and one hospital administrator who reports to hospital governance,” the ANTHC and Southcentral Foundation leaders said.
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