Multiple subsequent reviews identified further serious problems at Parkland. The hospital remained under immediate jeopardy status and risked the loss of an estimated $417 million in annual Medicare and Medicaid contracts.
In September CMS tossed Parkland a lifeline. Citing the "devastating impact the termination of Parkland Hospital would have on the citizens of Dallas County and the Medicare/Medicaid patients it serves," CMS took the unusual step of entering into a systems improvement agreement with the hospital. The agreement has allowed Parkland to remain open while it attempts to correct its deficiencies.
The gap analysis is the first deliverable document required under the SIA signed in September 2011.
Under the terms of the agreement, Parkland is required to provide a:
The analysis was prepared by Alvarez & Marsal, a New York-based management consulting firm that specializes in performance improvement. A&M has a multi-million dollar contract with Parkland to guide the beleaguered hospital through the SIA process.
Tom Royer, MD, interim CEO of Parkland Health & Hospital System, told HealthLeaders Media in a telephone interview Wednesday that the gap analysis is humbling.