With the departure of another high-level executive from Louisiana State
University’s hospital and medical division, that indicates the necessary change
in culture is occurring to improve system performance and to have it operate
more efficiently.
While the old hands being replaced, first
Fred Cerise by the Board of Supervisors and then
with his replacement Frank Opelka informing Cerise’s immediate subordinate Roxanne
Townsend that he was replacing her choices to head up some system hospitals
triggering her resignation, unfortunately experience goes with them that might
be useful as the system begins its long-overdue transformation from
state-supported provider to quasi-public status and hopefully beyond. Former
Gov. Kathleen Blanco
indicated as such when she opined about Cerise’s departure that “I think they made a
terrible mistake firing Fred Cerise, a man with so much integrity and so much
knowledge on how to serve people”
No doubt – if you are invested in a government-run health care model
for the indigent, as was Blanco and her allies and former appointees Cerise and
Townsend. But that is a deviant model among the states, with no other state sharing
the charity model foisted upon the state over 75 years ago, and for good reason,
as it has produced
low outcomes at high cost. And for that same reason it’s not the model that
the Gov. Bobby
Jindal Administration wishes to follow.