Osawatomie

Andy Marso / Heartland Health Monitor

The director of one of the state’s largest community mental health centers says the head of the agency that oversees the behavioral health system appears to be making an effort to repair damaged relations with providers.

But he says Kansas Department for Aging and Disability Services Secretary Tim Keck has his work cut out for him.

Andy Marso / Heartland Health Monitor

Experts from a variety of fields gathered Wednesday at the Kansas Statehouse for a mental health symposium spurred by an Emporia hospital’s struggle last year to find a psychiatric care bed for a suicidal patient.

House Speaker Pro Tem Peggy Mast, a Republican from Emporia, said she was inspired to convene the symposium after hearing from officials at Newman Regional Health.

That hospital nearly lost federal certification after a botched transfer of a patient who was having chest pains and thoughts of suicide.   

Heartland Health Monitor file photo

Gov. Sam Brownback intends to take the “interim” off Tim Keck’s title.

Keck has served as interim secretary of the Kansas Department for Aging and Disability Services since January. He previously had worked as deputy chief counsel for the Kansas Department of Health and Environment.

Courtesy Kansas Department for Aging and Disability Services

Editor’s note: Heartland Health Monitor partner KHI News Service conducted a months-long investigation into what led federal officials to deem Osawatomie State Hospital as a facility too dangerous for Medicare patients and whether officials can rebuild the hospital for a successful future. This is the fifth and final story of the series.

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Years of problems at Osawatomie State Hospital reached a crisis point in the fall of 2015, when the sexual assault of a hospital employee by a patient triggered two failed inspections and the loss of federal funding.

Kansas had relied more on OSH after it reduced the number of state hospital beds in the 1990s. The idea was to put more money into community mental health services, but that hadn’t happened since the early 2000s — and those services actually lost money during the Great Recession. 

A top Kansas official said he hesitates to propose renovating all of Osawatomie State Hospital until he knows federal inspectors will give the state a “fair shake.”

Federal officials cut Medicare payments to OSH in December after inspectors found safety issues, including patients assaulting one another and the sexual assault of an employee. Losing the payments has cost the state about $1 million per month.

Heartland Health Monitor

Administrators at Osawatomie State Hospital worked to maintain a delicate balance in 2011 as they struggled to cope with rising demand for care and funding that hadn’t kept up.

OSH superintendents had credited the facility’s experienced workforce for pulling it through lean times before, but that key source of stability soon would be diminished.

Editor’s note: Heartland Health Monitor partner KHI News Service conducted a months-long investigation into what led federal officials to deem Osawatomie State Hospital a facility too dangerous for Medicare patients and whether officials can rebuild the hospital for a successful future. This is the second story in a series.

Kansas State Historical Society

Editor’s note: Heartland Health Monitor partner KHI News Service conducted dozens of interviews to chart how Osawatomie State Hospital went from a respected facility to one that federal officials deemed too unsafe for Medicare patients and how the hospital could rebuild for the future. This is the first story in a series resulting from that investigation.

The final federal inspections of Osawatomie State Hospital in 2015 painted a picture of a place where both employees and patients were in danger and low staffing levels compromised care.

Megan Hart / Heartland Health Monitor

While the Kansas Legislature’s final budget bill did increase spending on mental health hospitals by $17 million, more than two-thirds of that funding will be used to maintain the status quo.

That’s because $11.7 million — or 69 percent of the $17 million in extra funds the Legislature appropriated early Monday in Senate Bill 249  — will be used to replace federal funding the state hospitals lost or pay contract facilities to assist when Osawatomie State Hospital is at capacity.

Susie Fagan / Heartland Health Monitor

Legislative budget negotiators have agreed to insert a provision in the state budget preventing Gov. Sam Brownback’s administration from consolidating Medicaid support services for Kansans with various disabilities.

The Medicaid waiver integration plan has been a point of contention between the administration and a legislative subcommittee appointed to study the issue. The subcommittee issued a report recommending the integration be delayed a year to Jan. 1, 2018, and requesting more details on the plan.

File photo / Heartland Health Monitor

Federal officials have reversed position on a long-standing ban on paying for some inpatient psychiatric care, giving a possible boost to Kansas crisis centers.

The Centers for Medicare and Medicaid Services released a proposed rule Monday that will place new requirements on managed care organizations administering Medicaid, such as the three insurance companies that operate KanCare, the state’s privatized $3 billion program.

Andy Marso / Heartland Health Monitor

Two employees of Larned State Hospital made rare public comments Monday about difficult working conditions at the mental health facility.

Kyle Nuckolls and Lynette Lewis described for a legislative committee the toll that mandatory overtime and limited time between shifts is taking on workers at the short-staffed facility and their families.

“I’ve never seen it this bad,” said Lewis, a pharmacy technician who has worked at Larned for 18 years.

Kansas Department for Aging and Disability Services

A health care consultant who lists experience with hospital turnarounds will take over the top job at Larned State Hospital for the next six months.

Tim Keck, interim secretary of the Kansas Department for Aging and Disability Services, announced Wednesday that he had appointed Chris Mattingly to serve as interim superintendent.

Tom Kinlen, who had been Larned’s superintendent since 2012, resigned in March, and Bill Rein, who is KDADS commissioner of behavioral health services, served in an interim capacity until Mattingly was appointed this week.

File photo

The Kansas Department for Aging and Disability Services has raised starting pay for registered nurses at Osawatomie State Hospital to attract more full-time employees.

The department announced Monday that the starting wage for registered nurses at Osawatomie would rise from $25.05 per hour to $28.44 per hour, which is a nearly 14 percent increase. The increase will affect registered nurses earning the starting wage but not those farther up the pay scale, KDADS spokeswoman Angela de Rocha said.

Joseph Scozzari / Wikimedia--CC

Federal officials may halt Medicare funding to an Emporia hospital because a mental health patient was discharged too soon — an incident that hospital officials say resulted in part from a lack of mental health beds in Kansas.

The Centers for Medicare and Medicaid Services conducted a follow-up visit March 10 at Newman Regional Health to determine if it had corrected the lapse in procedure that led to a patient being improperly discharged in September. CMS has not made results of the follow-up visit public.

Andy Marso / Heartland Health Monitor

State officials said bills requiring legislative consent before the state could privatize Osawatomie State Hospital would take away one option to address long-standing staffing problems.

Tim Keck, interim secretary of the Kansas Department for Aging and Disability Services, told members of the House Health and Human Services committee on Monday that the department is working on a request for proposals related to public-private partnerships for the hospital. He said he expects both nonprofit and for-profit health care companies may apply.

File photo

The Kansas House and Senate both passed budgets this week that shift money from several sources to shore up an underwater state general fund.

But even in lean budget times, the lawmakers found a few million dollars in the general fund to provide additional money for the state’s two hospitals that serve Kansans with mental illness.

Amy Campbell, a spokeswoman for the Kansas Mental Health Coalition, said that’s just one indication of the amount of attention legislators are now devoting to the struggling facilities in Osawatomie and Larned.

Tammy Worth / Heartland Health Monitor

The first time Rebecca Schunck tried to commit suicide she was 25. She called the police following a fight with her father, threatening to kill him and then herself.

Over the next decade, she says she tried to end her life more times than she can count – possibly 75 to 100 attempts. Her preferred modus operandi was medication overdose, but she also tried drowning, hanging herself and injecting air into her veins. During her final attempt in 2011, she got into her car with the windows up and turned the engine on. A concerned friend called the police, and officers arrived at Schunck’s house just a couple of minutes before she would have likely died.

Dan Margolies / Heartland Health Monitor

Steve Feinstein was superintendent of Osawatomie State Hospital from 1994 to 1998. He has a Ph.D. in psychology and got involved in mental health issues when he was hired to run a state mental hospital in eastern Oregon. Although he’s retired now, the Louisburg, Kansas, resident continues to pay close attention to what’s going on at Osawatomie, one of two state-run hospitals for the severely mentally ill. In a recent interview, he spoke to us about the Kansas hospital’s slew of recent troubles.

Andy Marso / Heartland Health Monitor

The state will try to get Osawatomie State Hospital back into Medicare’s good graces within the next six months, officials told a joint legislative committee Thursday.

Tim Keck, interim secretary of the Kansas Department for Aging and Disability Services, said the department will pursue recertification for Osawatomie, ending several weeks of speculation.

The Centers for Medicare and Medicaid Services announced in December that it would halt Medicare payments to Osawatomie due to security issues that had come to light after the reported rape of an employee by a patient.

Matt Hodapp / KCUR

The Kansas legislative session is already underway in Topeka. On this week's Statehouse Blend, we discuss the most important issues for the 2016 legislature, and speculate on the outcomes. We're talking KDOT, elections, and the budget.

Guests:

Matt Hodapp / KCUR

The Kansas legislative session is already underway in Topeka. On this week's Statehouse Blend, we discuss the most important issues for the 2016 legislature, and speculate on the outcomes. We're talking KDOT, elections, and the budget.

Guests:

Susie Fagan / Heartland Health Monitor

People in a mental health crisis who are a danger to themselves or others sometimes have to wait days for a bed to open at Osawatomie State Hospital, prompting at least one Kansas hospital to increase staffing and security in its emergency department.

File photo

Some mental health advocates in Kansas see a silver lining in Osawatomie State Hospital losing its Medicare payments: a chance to redesign a system they say was already strained and underfunded.

The Centers for Medicare and Medicaid Services announced in December it would decertify Osawatomie, meaning the hospital no longer will receive about $1 million in monthly payments from Medicare to care for patients with severe mental illnesses. Federal surveyors pointed to what they called widespread security problems.

Jim McLean / Heartland Health Monitor

State officials have not decided whether to seek federal recertification of the Osawatomie State Hospital for Kansans with mental illness.

The Centers for Medicare and Medicaid Services decertified the hospital earlier this month because of the state’s failure to address security and safety issues cited by federal inspectors, who concluded the sexual assault of a hospital worker by a patient in October was due in part to lax security.

Decertification is expected to cost the hospital approximately $1 million a month in Medicare reimbursements and other federal payments.

Heartland Health Montior file photo

Editor’s note: This is one in a series of articles previewing health-related issues that the Kansas Legislature will face in its upcoming 2016 session.

Kansas mental health advocates will enter the 2016 session at a critical juncture, 25 years into the state’s effort to move away from institutionalization to community-based care.

File photo

The reported rape of an employee at Osawatomie State Hospital in October exposed security concerns that federal officials cited when they decided last week to stop sending Medicare payments to the facility after Monday.

Osawatomie had submitted a correction plan for the security issues to the Centers for Medicare and Medicaid Services, but federal inspectors who visited the hospital Dec. 15 and Friday to follow up decided to proceed with cutting payments, said Angela de Rocha, a spokeswoman for the Kansas Department for Aging and Disability Services.

Dave Ranney / Heartland Health Monitor

Several advocates for people with mental illness on Wednesday panned a proposal that would allow treatment facilities to hold people in crisis situations for up to 72 hours as involuntary patients.

“This is a deprivation of liberty,” Mike Burgess, a spokesperson with the Disability Rights Center of Kansas, said during a meeting of the Kansas Mental Health Coalition.

It would be better, he said, to expand access to voluntary treatment.

Dave Ranney / Heartland Health Monitor

An informal coalition of Kansas mental health advocates is close to proposing legislation that could prevent hundreds of people with serious mental illnesses from ending up in jails, emergency rooms or a state-run hospital.

“This has the potential to be one of those win-win-win situations that, frankly, in my 38-year career I can honestly say doesn’t come along very often,” said Bill Rein, commissioner of behavioral health services at the Kansas Department for Aging and Disability Services.

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