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Parkland to farm out oversight of troubled psych operations; reflects a significant shift while under the gun of regulators

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Early this afternoon, Parkland Memorial Hospital officials announced that they will place their troubled psychiatric services under the management of privately owned Green Oaks Hospital in Dallas.

News of the $1.1 million annual deal, posted on the hospital’s web site, is the culmination of confidential talks since November between the two parties. It marks a potentially significant shift for Parkland amid ongoing warnings from federal safety monitors that it needs to find a solution to persistent threats to psych patients.

The media statement said Parkland’s board of managers approved the deal — with member Dr. Winfred Parnell abstaining — during a Wednesday night meeting. Prior to the meeting, the hospital didn’t follow its usual practice of posting an advance meeting agenda and information packet on its website alerting the public.

Green Oaks, owned by Nashville, Tenn.-based HCA, provides a range of mental-health care from inpatient to ER services at its site near the Medical City Dallas Hospital campus. It also runs outpatient clinics or other facilities in Dallas, McKinney, Plano and Irving.

At Parkland, Green Oaks will provide an administrative director, nursing director, performance improvement director and a community liaison for psychiatric services, the statement said. Joe Householder, a spokesman for Parkland, told me that the deal “in no way alters the relationship/contract with” UT Southwestern Medical Center. UTSW, Parkland’s academic affiliate, is paid to supply faculty physicians to provide clinical care.

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