Advocates for Responsible Care
1434 Brook Valley Lane NE Atlanta, GA 30324 404-633-5843
July 7, 2010
Via First Class Mail and Fax
Commissioner Larry Johnson
DeKalb County Board of Commissioners
Commission District 3
Manuel Maloof Center
1300 Commerce Drive, 5th Floor
Decatur, GA 30030
Dear Commissioner Johnson:
Thank you again for electing to bring together private dialysis providers in our community in an effort to allocate the responsibility of supplying hemodialysis to the 33 Grady patients end-stage-renal disease patients of ARxC. However, seeing that we, the volunteers and patients of the Advocates for Responsible Care remain in the dark as to the progress being made on this front, we feel it is appropriate that we take this opportunity to update you on our current situation.
This past week all ARxC patients received letters from Grady notifying them that their hemodialysis treatment, of which they have been receiving over the past years, most recently from Fresenius, will be cut on August 31, 2010. As you know hemodialysis is required to sustain the lives of all end-stage-renal disease patients and therefore, this threatening deadline has instilled in us severe trepidation in what the future may hold.
It is becoming a realization that the ARxC patients may be forced to seek treatment through the emergency department of hospitals in DeKalb, Fulton, Gwinnett, and neighboring counties. We fear that this method of treatment is the worst possible solution to our situation for the following reasons:
1. The patients seeking care through the emergency room will have to meet specific toxicity levels in order for doctors to admit the patients and supply them with dialysis treatment. This means if a patient’s blood level does not meet the requirement to be admitted, they will be turned away. This will result in crashes that will require the employment of advanced emergency services and in-hospital treatment.
2. The end-stage-renal disease patients will be forced to use emergency care services two or three times per week and therefore flood the emergency room, putting stress on an already over-worked emergency care department.
3. Ultimately admission through the emergency room will cost the hospital 4 to 5 times more money than if the patients were provided care via an outpatient dialysis service.
The most cost-effective way to proceed is to screen our existing patients for peritoneal dialysis, in-home dialysis treatment. We ask that you please let us know about your progress and how we may participate to find a solution before August 31, 2010 as a means to preserve their human right to life.
Thank you for your time and consideration.
Volunteers of the Advocates for Responsible Care
Director of Volunteers
Board of Directors of ARxC
Grady Advocates for Responsible Care September 5, 2009
Grady Memorial Hospital Corporation Board of Directors
A.D. "Pete" Corell, Chair
Grady Health System
Dear Mr. Corell and Grady Memorial Hospital Corporation Board of Directors:
The Grady Advocates for Responsible Care is an alliance of physicians, medical care providers, medical/ patient organizations, human rights organizations, and patient advocates that was formed out of concern for the patient’s lives at the Grady Health System. We are most alarmed by the urgent crisis at the Grady Hospital Dialysis Clinic. This clinic is scheduled to close September 20, 2009. We have received pleas from several patients that receive care at the Grady Dialysis Clinic and who have not been provided realistic resources to assure the continuity of dialysis treatment after the closing date. We understand Grady is making some provisions for some of the patients to receive dialysis treatment. However, the details of assured care for all the patients of this clinic have not been disclosed despite our many attempts to retrieve this information. We are foremost asking Grady to delay this closing until all the patients have transitional care. As advocates and medical caretakers we have a professional and ethical desire to help the patients for without our interest, they have no voice. We understand Grady’s economic constraints; however, we ask for a viable life-sustaining plan for the clinic patients. As citizens of
The closing of the Grady Dialysis Clinic puts the patients and the medical community of Grady in jeopardy unless we can assure that there will be a comprehensive and unveiled plan of continuity of care for all patients. We are in jeopardy of sustaining our mission of care if all the details of this plan are not shared with the patients and concerned volunteers of this community.
We specifically ask the Grady Administration and Board of Directors to:
The Grady Health System mission is to improve the health of the community by providing quality, comprehensive healthcare in a compassionate, culturally competent, ethical and fiscally responsible manner. Grady maintains its commitment to the underserved of
We ask that you uphold that promise by putting these patients first through sustaining their treatment and saving their lives.
The Grady Advocates for Responsible Care:
Neil Shulman, MD
Cristina Drenkard, MD, PhD
Daniel S. Blumenthal, MD, MPH
Ines Colmegna, MD
Sam Newcom, M.D.
Health Action Network
The Wisdom of Wellness Project, LLC.
Georgia Council of Nephrology Social Workers
Georgia Society of Rheumatology
S.T.A.R.S. for Patients
Hispanic Health Coalition of
Racial and Ethnic Concerns Working Group
Lupus Foundation of America, Inc., Georgia Chapter
Diabetes Foundation of
Students and Volunteers for Grady Advocates for Responsible Care
Grady Advocates for Responsible Care