1.      Quarterly Reporting and Disbursement Process

Disbursement (Advance Payment) by Fulton County on the 10^th day of the first month of each quarter.  Fulton County will disburse ¼ of the annual (operating) appropriation approved to GHS.

2.      Quarterly Report by Grady Hospital

Not later than 30 days after the end of the quarter, GHS will provide information regarding the residency and eligibility of patients, costs and quality (standard) of care.

3.      Reconciliation/Over-Payments and Adjustments

Fulton County will complete the reconciliation between the amount disbursed and the information received not more than 30 days after receipt of the Quarterly Report.  Any over-payments by Fulton County determined by the reconciliation will be deducted from the next quarterly payment.

Click here for more: “Fulton Quarterly Reporting and Disbursement Standard Operating Procedures”

B.  Fulton Auditor’s Report: Grady (Outpatient) 

      Dialysis Services: December 28, 2009

C.   Fulton Auditor’s Report: Grady Residency and

      Eligibility Reports with Timeline, November

      2009

Click here for the detailed report..

17- Paid treatment contract with local clinic for 3 months (Fresenius)

4- Referred to Mex-Care, Mexico; 1 deceased

3- Provider Unknown

Operating Loss (at time clinic closed): Unknown

Grady officials have stated the Dialysis Clinic showed a loss of $1.9 million for 2007 and $2 million for 2008. However, a “Deduction of Revenue” at $6 million could not be substantiated by Fulton County Auditors.

Source: "Auditor's Report: Grady Dialysis Clinic"

1-5-10: Medical Homes Focus U.S. House and Senate “Health Reform” Legislation

The development of community based health teams to support the development of medical homes is a key provision of the – Managers Amendment to “the Patient Protection and Affordable Care Act” (H.R. 3590) adopted by the U.S. Senate on December 24 as part of its “Health Reform” legislation.  Further, the House Bill (H.R. 3962) provides for the expansion and reorientation of a medical home demonstration project in Medicare and establishes a medical home pilot program to the feasibility of reimbursing for qualified patient-centered medical homes. Actions on Health Reform legislation has been scheduled for early January.

Week          Agency         Activity

 1                 Fulton           Review MOU data; select sample and  

                                          forward to GHS     

 2                  GHS             Prepares demographic forms and

                                          returns to FC 

  3                  GHS             Prepares for FC on-site tests at GHS  

  4                Fulton             Completes test work at Grady

  5                Fulton             Reviews data with Authority auditor 

                                           (CBH) lists outstanding items; Review 

                                           with GHS an CBH Prepares

                                            Final Report

Click here for more information regarding the “GHS Quarterly Audit Work Plan and Timeline”

12-17-09: Grady Dialysis Out – patient Clinic; Four (4) Former Patients Deceased

Since Grady closed the Out-patient Dialysis Clinic in October of this year, four (4) former patients of the Grady Dialysis Out-patient Clinic have died, according to a report from Advocates for Responsible Care, a local advocacy group for Grady patients.

Representatives of the Fulton/DeKalb Hospital Authority have confirmed that of 17 Fulton County residents receiving “re – location assistance” following the close of the Clinic, seven (7) patients received travel expenses to Mexico. The Authority had no information regarding the health status of any of the 17 former patients of the Grady Out-patient Dialysis Clinic including (10) patients who live within Fulton County. The County Manager (Zachary Williams) and his staff will present a full report on the Out-patient Clinic closing at the January 6, 2010 Meeting of the Board of Commissioners.

12-3-09: Closing of Grady Dialysis Clinic Update

The Board of Commissioners received the following “up-date” of information related to the closing of the Grady (Out-patient) Dialysis Clinic by Grady Corporation officials.

Click Here to review a copy of the Corporation’s Report, “Close of Dialysis Clinic”, November 17, 2009

On November 18, at the Recess Meeting of the Board of Commissioners, Pamela Stephenson, Chair of the Fulton-DeKalb Hospital Authority (Authority) indicated the Authority would provide additional information to the Board of Commissioners regarding 1) the length of time dialysis care would be provided (to the 71 Fulton County residents who are no longer served by Grady 2) a verification of the operational cost of the Clinic in FY 2008 and 3) the quality of care received by clients who had been accepted by private clinics. Commissioner Darnell also indicated a formal request for the information was submitted to the Authority on November 25. No reply had been received on December 2.