Atlantic Health System

Part
01
of five
Part
01

New Jersey Healthcare System

The healthcare landscape in New Jersey is facing rising health care costs at a rate that is outpacing the rest of the nation. In addition, a growing elderly population is going to create demand for more nursing homes and home care and other geriatric specialists. The state is also feeling the effects of the opioid epidemic that is straining the system. One trend in the healthcare system is addressing healthcare costs for employees, and some health systems have joined together to form the Healthcare 'Transformation Consortium to provide better insurance for their employees and cut costs. Other trends address the quickly rising inpatient and additional expenses, consolidating to increase access to other service areas and protect smaller hospitals from failure, and expansion to adopt a capitated system that treats the entire patient, including services for mental health and addiction issues.

GENERAL

  • New Jersey employs one healthcare worker per every 20 residents. However, there are disparities where the Bergen and Camden counties have a disproportionately high number of workers in contrast to the Hudson and Gloucester counties, which have fewer workers and depend on surrounding areas for service.
  • The state has a growing elderly population that is creating an increased demand for healthcare services, particularly nursing and residential care. Nursing and residential care facilities are found throughout the state, even in rural areas, and clusters are located near populous centers and along the coast due to the larger portion of older people. This trend should result in substantial increases in the need for workers in gerontology, physical therapy, and residential and home care.
  • Between 2004 and 2017, the number of urgent care facilities almost doubled and the number of workers nearly tripled. These urgent care facilities alleviate the stress on hospital emergency rooms.
  • Taxpayers will spend $3.4 billion to cover the 800,000 New Jersey public workers.
  • Hospitals have been merging for the past decade due to the Affordable Care Act's emphasis on curbing long hospital stays.

INCREASING HEALTHCARE COSTS

  • Inpatient care costs have increased by 40% over four years, and spending on inpatient care continues to rise. The use, price, and overall spending on medical services increased by 18% between 2012 and 2016, compared to the 15% national average. In 2016, New Jersey had the fifth-highest per-person spending, which was about $6,200 per patient. The cost of inpatient care rose 19% even though there was a 19% decrease in hospital use.
  • An executive from the New Jersey Hospital Association states that the national trend in treating patients in less intensive, outpatient settings is leading to the price increases as those patients that require inpatient care have more complex needs that cost more. The healthcare community is working to drive the transition to outpatient care.
  • Of in-patient services, newborn care increased the most at 50%, and the causes are not known.
  • Several of the New Jersey Health Systems have formed the Healthcare 'Transformation Consortium to try to address the issues with costs and deliver a "better insurance product" to their 75,000 employees. The insurance Consortium includes "Atlantic Health System, CentraState Healthcare System, Holy Name Medical Center, Hunterdon Healthcare, St. Joseph's Health and St. Peter's Healthcare System".
  • The Consortium provides a solution to lower costs as the "economies of scale will yield indirect savings" and uses a common third-party administrator to handle the administration of their self-insured plans. This action is likely to be a future trend to address the rising costs and providing health insurance to employees. The companies learned from groups like the Catalyst for Payment Reform and Health Transformation Alliance and decided to consolidate their resources to lead change and hope that others will follow suit.

HEALTHCARE CONSOLIDATION

  • Hospital systems have been consolidating across the state at a fast pace. In 2017, an estimated 80% of the hospitals were part of a multi-hospital system due primarily to a need to prepare to face deep funding cuts. Mergers also help hospitals avoid duplication and gives them greater access to capital and resources they need to modernize or other service lines to serve the community.
  • Hospitals are also consolidating with other types of healthcare providers such as nursing homes and home health agencies for more integrated care, which is better for the patient and reduces costs in the long-run and will impact the rate of readmissions as patients can seek alternative care. The growing older population will likely drive this trend in the future.
  • Lourdes Medical Center and Virtua Willingboro Hospital have been renamed Virtua Willingboro Hospital and Virtua Our Lady of Lourdes Hospital, respectively, after being acquired by Virtua. The acquisition brings together Lourdes' geriatric and heart care expertise with Virtua's obstetrics expertise and has 280 locations and more than 13,000 employees.

CAPITATED SYSTEM TO CARE FOR THE WHOLE PATIENT

  • The 10th Annual New Jersey Healthcare Market Review (NJHMR) conference featured a keynote address by Barry H. Ostrowsky, President and CEO of RWJBarnabas Health. In his speech, he claims the future of healthcare is going to center on a capitated healthcare system that takes a holistic view and enlists social services to treat the whole patient.
  • RWJBarnabas Health was the first to undertake a capitated system in New Jersey as they transitioned from being a healthcare company to a health company. Given the focus on this topic at a top conference for medical providers and its endorsement by Brach Eichler's Healthcare Law Practice, a trusted go-to counselor in the healthcare space, this system may be an upcoming trend for the state.
  • Hackensack Meridian Health, New Jersey's largest integrated health system, merged with Carrier Clinic, the state's leading mental health provider, to bolster their mental health and addiction care services to address growing emergency department visits for mental health and addiction issues. The merger will open new addiction treatment centers, offer urgent care centers with behavioral health services on site, and coordinate physical and behavioral health.
  • Mergers between hospitals and behavioral health providers are likely to be an upcoming trend due to the almost $2 billion in hospital costs used for opioid overdose care. Also, these mergers will address health reforms such as value-based care that treat the whole patient, not just physical health.
  • RWJBarnabas Health and Trinitas Regional Medical Center are in talks for a possible merger. In 2016, RWJBarnabas completed a much larger merger with Robert Wood Johnson University Health and Barnabas Health and is now a $5.4 billion nonprofit network. It created the most comprehensive health system in the state.
  • Meridian Health and Hackensack University Health Network merged and also partnered with other companies to add health care services such as "home health care, fitness and wellness, rehabilitation centers and urgent care" centers outside of the hospitals. They state that the healthcare system has been too disjointed, and it is time to integrate care. While they generate $1.5 billion from hospital annual revenue, their non-hospital businesses generate $600 million in revenue, demonstrating the need for capitated care that treats the whole patient.

Part
02
of five
Part
02

Morristown Medical Center Reputation

From a public perception, Morristown Medical Center is extremely well-regarded, having won numerous awards and recognition. However, employee and patient reviews on the hospital are mixed, with some rating the hospital very highly, while others rate it very low.

OVERVIEW

  • Established in 1982, Morristown Medical Center is "a nationally-recognized leader in cardiology, orthopedics, nursing, critical care and geriatrics".
  • The hospital has been "designated a Level I Regional Trauma Center by the American College of Surgeons and a Level II by the State of NJ".
  • Morristown Medical Center is part of the Atlantic Health System, and is located in Morristown, New Jersey.

EMPLOYEE REVIEWS

GLASSDOOR
  • Morristown Medical Center has received 324 employee reviews on Glassdoor, and has an overall rating of 3.6 out of 5 stars on the platform.
  • A fully 66 percent of employee reviewers indicated that they would recommend the hospital to a friend as a potential employer.
  • The hospital's employee benefits package is identified as a "pro" by nearly 60 reviewers, while 12 reviews express displeasure with upper management.
  • One recent five-star review from a registered nurse at the hospital indicates that "Good environment, clean hospital, highly ranked" are among the "pros" of working there, while the "cons" include that it's "very busy".
  • Other recent reviewers described the hospital as a "great place" with excellent support system. However, others indicated that the hospital is "starting to cut corners and perks for employees".
INDEED
  • Morristown Medical Center has received 134 employee reviews on Indeed, where they have an overall rating of 4.2 out of 5 stars.
  • Reviewers have rated the hospital 3.8 stars for "work life balance," four stars for "pay and benefits", 3.9 stars for "job security and advancement", 3.5 stars for "management", and 3.9 stars for "culture".
  • Most recent reviews have been positive, rating the hospital between four and five stars and calling it a "great place to work".
  • However, one review from August 2019 gave the employer a two-star rating and wrote that "I rather yall start in a different department..but never evs...the pay for what we do is below ...u have to work doubles just to see a decent check. if u a single parent this job is not for u".
OTHER
  • The entirety of the Atlantic Health System, including Morristown Medical Center, was named by Fortune as one of their 100 Best Companies to Work For in 2019.

PATIENT AND PUBLIC PERCEPTION

FACEBOOK
  • Morristown Medical Center has received an overall rating of 3.7 out of 5 stars on Facebook, based on reviews from 739 people, including patients, family members, and friends.
  • A further 1,192 people have "recommended" the hospital.
  • Some recent reviews indicate that the hospital has "very nice staff", is "spotless", and that the doctors are "fantastic".
  • However, the ER has been described as "horrible and abusive", while other reviewers have indicated that "a once-great hospital has been ruined by Atlantic Health Care".
YELP
  • Morristown Medical Center received an overall rating of only 2.5 out of 5 stars on Yelp, based on 116 patient reviews.
  • The majority of the negative reviews found on Yelp focus on ER wait times and delayed care; however, the website further indicates that the average wait time is only 13 minutes.
GOOGLE REVIEWS
  • Morristown Medical Center has received an overall rating of 3.5 out of 5 stars on Google Reviews, based on 337 ratings.
  • Despite this relatively high rating however, the most recent review received by the hospital calls it the "worst hospital ever", saying that "the wait for any exam is ridiculous! Everyone is taking their sweet time to help you with anything".
  • Another frustrated reviewer wrote that "if you have an elderly parent make sure you are there with them. My father wasn’t bathed or had teeth brushed till I asked. Social workers for discharge awful. One hand does not know what the other hand is doing. Unfortunately his doctors are here," giving the hospital a two-star rating.
  • However, other recent reviewers have given the hospital four- and five-star ratings, calling it a "very good hospital" with "excellent facilities", and writing that "the nurses are great here as well as the Dr's. Had to take a trip to the ER a couple months back and was very impressed with how they handled everything".
AWARDS AND RECOGNITION
  • Morristown Medical Center has been recognized by Healthgrades as one of "America's 50 Best Hospitals" for four years in a row.
  • Newsweek has recognized Morristown Medical Center as one of the "world's best hospitals", ranking it number one in New Jersey, and 28th in the United States.
  • In 2019, Becker's Hospital Review listed Morristown Medical Center as one of "100 Great Hospitals in America".
  • The hospital has received a safety grade of "A" from Leapfrog eight years in a row.
  • In 2019, the Centers for Medicare and Medicaid Services awarded Morristown Medical Center with a five-star rating.
  • The hospital "is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services".
  • Morristown Medical Center was awarded as the "employer of the year" by TransOptions.

PRESS SCAN

  • While Morristown Medical Center appears repeatedly in recent news articles, the majority of references are either to purchases or expansions made by the hospital, or references to recent car crashes and other accidents where the patients were sent to the hospital.
  • No negative press about the hospital could be found, despite an extensive search of news, press releases, and specific news sites for the past 12 months.
Part
03
of five
Part
03

Goryeb Children's Hospital Reputation

Overall, Goryeb Children's Hospital has an extremely positive reputation both from patients and employees, owing not only to services provided, but also to the numerous awards and recognition the hospital has received, both on its own and as part of the Atlantic Health System.

OVERVIEW

  • As part of Morristown Medical Center and Morristown Memorial Hospital, Goryeb Children's Hospital "has earned recognition from New Jersey and the national Children’s Hospital Association".
  • The hospital is considered New Jersey's "leading specialized pediatric hospital and number one in the state for the treatment of pediatric cancer", and employs more than 250 community pediatricians in addition to over 100 board-certified pediatric specialists.
  • The hospital is located in Madison Avenue in Morristown, New Jersey.

EMPLOYEE REVIEWS

GLASSDOOR
  • Goryeb Children's Hospital has an overall rating of 3.9 stars on Glassdoor, based on employee ratings, with 81 percent of employees indicating that they would recommend the hospital to a friend as a potential employer.
  • One of the most recent employee reviews, published on August 9, 2019, is from a former dietary employee who indicated that the company's outlook is neutral but that they would recommend the hospital to a friend as a potential employer. He or she described the hospital's pros as being "great department communication, friendly reliable and helpful staff, great growing and learning experience", while saying that cons included "strict work schedule- little to no flexibility for work/life balance even if [part-time] employee".
  • Another recent reviewer who worked at the hospital as a nursing assistant indicated that they felt the employer had a "negative outlook" because "some staff acted entitled and stuck up at times".
  • A registered nurse who reviewed the employer in 2018 indicated that the hospital has a "positive outlook", writing that the pros included "Great coworkers. Lots of opportunity for growth. Supportive management".
  • Please note that Goryeb Children's Hospital is part of Morristown Memorial Hospital and, as a result, the Glassdoor reviews are filed under the latter location.
INDEED
  • Employee reviews on Indeed give the hospital a rating of five out of five stars for work-life balance, and 4.5 stars for job security and advancement. Overall, employees give the hospital a rating of 4.7 out of 5 stars.
  • One recent review from a certified medical assistant says that "I love working here! A lot of opportunities for [growth] if you work hard. Had the opportunity to go to school after work. Closed on weekends which helps with life/work balance".
OTHER
  • The entirety of the Atlantic Health System, including Goryeb Children's Hospital, was recently named one of "Modern Healthcare's Best Places to Work in Healthcare".

PATIENT AND PUBLIC PERCEPTION

FACEBOOK
  • Goryeb Children's Hospital has a rating of 4.7 out of 5 stars on Facebook, based on ratings from over 200 people.
  • Hundreds of comments have been written on the hospital's Facebook page, and the hospital itself has been recommended by over 1,000 people on Facebook.
  • One recent reviewer wrote that "the staff is AMAZING! They showed love, compassion and appreciation towards their fellow staff. Bitter Sweet experience! THANKS".
  • Other reviewers wrote that the hospital has "awesome staff" and have described the hospital and its staff as "fantastic", "amazing", and "wonderful".
YELP
  • On Yelp, the hospital has an overall rating of 4.5 out of 5 stars.
  • One recent reviewer from April 18, 2019 wrote that they "had a great experience in the emergency department with my daughter. The staff could not have been nicer. We were not an urgent case but got in and out relatively promptly".
GOOGLE REVIEWS
  • On Google Reviews, the hospital has a rating of 3.7 out of 5 stars.
  • While the majority of the written reviews are positive, describing the hospital and its staff as "amazing" and "wonderful", one recent reviewer wrote that the hospital has "the worst and most [unorganized] customer service I've had to deal with", while another wrote "I don't know why I bothered to give this place a try again".
AWARDS AND RECOGNITION
  • Goryeb Children's Hospital has received the Gold-Level Beacon Award for Excellence from the American Association of Critical Care Nurses.
  • The hospital has been recognized by the state of New Jersey and by the national Children's Hospital Association as a state-designated children's hospital.
  • The entirety of Atlantic Health System, including Goryeb Children's Hospital, was recognized recently by the "Commerce and Industry Association of New Jersey (CIANJ) and its flagship publication, COMMERCE Magazine, for the welcoming culture and innovative, data-driven approach to care found at each of its hundreds of sites of care".
PRESS SCAN
  • While a press scan brought up thousands of articles, none were written specifically about Goryeb Children's Hospital, instead referencing it only as an arm of Atlantic Health System.
  • That said, all recent news which could be found was positive in nature, describing awards or recognition bestowed upon Atlantic Health System and describing Goryeb Children's Hospital as an "award-winning" hospital.
Part
04
of five
Part
04

Atlantic Health System Press Scan - 1

As requested, rows 2 through 21 of the attached spreadsheet have been completed with links to and details of the 20 most recently published articles either directly about or explicitly referencing Atlantic Health System.

  • The majority of these articles were presented in a neutral tone, as is typical of news articles and reporting. However, the articles published by Beckers Hospital Review were largely positive in tone.
  • Relatively few of the articles quoted anyone, and nobody was quoted more than once across the articles cited. Among those individuals quoted were Dr. Tom Thomas, Robert Kipperman, Russ Bailey, Amy Perry, and Charles Farber, among others.
  • Many of the articles focused on new innovations or testing methods, newly opened healthcare locations, and "top" or "best" lists from Beckers Hospital Review.

RESEARCH STRATEGY

All of the articles presented here have been pulled from the provided Northern Light source. Specifically, we have limited the results to only those with "Atlantic Health System" somewhere on the page and which have been published in the past 12 months. We further organized the results by date, to ensure that those articles included are in fact the most recent.

Those articles which were press releases either directly from or reprinted from Atlantic Health System, and articles which did not explicitly reference Atlantic Health System have been excluded from our findings. For those articles blocked behind a paywall, we have included as much information as is available.
Part
05
of five
Part
05

Atlantic Health System Press Scan - 2

As requested, we have provided additional articles about Atlantic Health System in the attached spreadsheet, beginning in row 22. In total, we were only able to provide nine additional articles, for a total of 29 on the attached spreadsheet.

Articles' tone and quotes

  • The majority of these articles were presented in a neutral tone, as is typical of news articles and reporting. However, the articles published by Beckers Hospital Review were largely positive in tone.
  • Relatively few of the articles quoted anyone. The only individual quoted more than once was Amy Perry, Senior Vice President, who was quoted twice throughout the 29 articles identified.
  • Many of the articles focused on new innovations or testing methods, clinical trials taking place at Atlantic Health System hospitals, newly opened healthcare locations, and "top" or "best" lists from Beckers Hospital Review.

RESEARCH STRATEGY

All of the articles presented here have been pulled from the provided Northern Light source. Specifically, we have limited the results to only those with "Atlantic Health System" somewhere on the page and which have been published in the past 12 months. We further organized the results by date, to ensure that those articles included are in fact the most recent.

Those articles which were press releases either directly from or reprinted from Atlantic Health System, and articles which did not explicitly reference Atlantic Health System have been excluded from our findings. For those articles blocked behind a paywall, we have included as much information as is available.

Following these procedures, we were only able to identify three additional articles from the past 12 months. As a result, we expanded our search to the previous 24 months in order to complete the attached spreadsheet. However, even with this expansion, we were still only able to provide six additional articles, for a total of nine in this report, and 29 in total.
Sources
Sources

From Part 04