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VETERANS DIE, BUT VA HOSPITAL EXECS STILL GET
BONUSES -- The VA paid bonuses of more than
$335,000 to top North Carolina hospital
managers
during years when it received reports of poor
patient care and suspicious deaths.

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http://www.newsobserver.com/
102/story/569447.html
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Patients die, but hospital execs get bonuses
Stella M. Hopkins, Charlotte Observer
The VA paid bonuses of more than $335,000 to
top North Carolina hospital managers during years when it received
reports of poor patient care and suspicious deaths.
Executives at the Salisbury veterans hospital were awarded bonuses in
2004 and 2005, as VA officials investigated unexpected deaths. Regional
VA managers in Durham also received bonuses during that time. And
managers received bonuses as the Asheville veterans hospital struggled
with staffing shortages that investigators found caused poor care. The
Asheville nursing home unit had been ordered in 2004 to suspend
admissions after a patient died.
"It's stunning," said Sen. Patty Murray, a Washington Democrat who
serves on the Senate Committee on Veterans' Affairs. Murray told the
Observer on Monday that she will ask the VA to explain why the bonuses
were awarded.
Officials with the Department of Veterans Affairs say both hospitals
have made recommended changes and improved care.
The Observer requested bonus information for regional and Salisbury VA
hospital officials for 2000 through 2006. That April 17 request came two
days before a congressional hearing about the hospital's problems. The
hearing followed Observer stories about multiple accounts of poor care
at the Salisbury hospital, the main facility for Charlotte-area
veterans.
The hospitals in Asheville and Salisbury are among the eight overseen by
the VA regional office. The region serves veterans statewide and in
Virginia and parts of West Virginia.
VA officials acknowledged but didn't respond to questions Monday about
how bonuses are calculated, why they were paid during times the agency's
investigators found problems and who authorized payments. Private
companies often pay bonuses to attract, retain and reward key employees.
Daniel Hoffmann, the regional director, has said senior management
bonuses are based on a "three-part evaluation process." Performance
measures include quality of care.
Hoffmann received the largest bonus payments, including more than
$29,000 in 2004, the year VA officials began investigating reports of
deaths at the hospitals.
In 2005, bonuses tallied nearly $80,000. That year, VA investigators
concluded both hospitals provided poor care.
Dr. Sidney Steinberg, a surgeon, is Salisbury's chief of staff. He
joined the hospital in 2001 and has been chief of staff since 2003. He
received a $5,000 bonus in 2004, less than two weeks before leading an
executive meeting on an "unanticipated post operative death." In 2005,
Steinberg's bonus was $12,500. Last year, he didn't receive a bonus,
according to the VA, which gave no explanation.
In January, he and the associate director, James Robinson, each received
$5,000.
"We have made significant progress in the past few years" Steinberg said
in an e-mail message Monday, responding to a request for comment. "I
intend to see that progress continue."
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Larry Scott --