Niagara Falls Memorial Medical Center plans to close its 12-bed children's psychiatric unit, effectively ending care to more than 350 patients a year.
Niagara County health officials called the decision “shocking” Wednesday and said it places added stress on a mental health situation already strained to the limit.
But hospital officials said problems getting adequate Medicaid compensation gives them little choice.
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The children's unit falls victim to the hospital's financial losses in uncompensated care from undocumented Medicaid patients, which hospital officials have said amounted to $2.4 million last year.
“We have to do something,” Ruffolo said, “because [otherwise] it would jeopardize the whole hospital.”
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If things don't change in the way Medicaid is administered by the county, [president and CEO of Niagara Falls Memorial Medical Center Joseph A.] Ruffolo said, the adult unit is in danger, too."
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The decision to close the unit at the medical center and cut the hospital's losses follows months of unanswered pleas by hospital officials to the Niagara County manager and officials of the county Department of Social Services to remedy its slow Medicaid approval process.
Don J. King, chairman of the hospital board, said there has been no progress since a meeting two months ago with county officials. A meeting a month ago with reporters to draw attention to the matter also failed to draw action from the county.
“The number of uninsured patients has reached a crisis point. This simply cannot continue,” Ruffolo said in an earlier interview.
“We can't discharge these patients because many of them have nowhere to go,” Ruffolo said, referring to indigent and uninsured residents. “Erie County has a similar situation, but their mission is to enroll as many people in Medicaid.”
Chuck Rader, the hospital treasurer, described the skyrocketing cost of providing uncompensated care as desperate and said it is crippling the facility's overall purpose.
Gregory D. Lewis, the county manager, has defended the current procedure for processing Medicaid applications.