Admin - Administrative Management and Staff

Discussions on the history, performance, responsibilities, and actions of the different administrative offices, including their staff.

Dogs and chickens abound on these premises
This is American Samoa's only full service medical facility

Advocates for Change at LBJ Tropical Medical Center

A diverse group of medical professionals and citizens with extensive experience and personal ties in American Samoa are gravely concerned about the appalling state of healthcare delivery at the LBJ Tropical Medical Center.

Within this group, dedicated to improving the delivery of healthcare services for the people of American Samoa, we will employ all necessary efforts to accomplish this end, including the use of mass media outlets in various modalities. We will also contact those entities, both local and Federal, who are responsible for funding the provision of healthcare in American Samoa.  Additionally we will not forget to include those Agencies charged with the oversight of this funding.  Finally, we will take on the role of whistleblower to bring this deplorable situation to the attention of our entire nation, as well as the outside world.

Many things can happen, even in a small community such as American Samoa, that can impact healthcare elsewhere.  One immediate example is the current lack of control of the Zika Virus, not to mention the serious challenges faced in diagnosing and treating it.  It is well known that Zika is present in American Samoa.  It is also well known that mosquitos are essentially omnipresent there, and it appears as though very little is being done to control them.

Zika is only the most current public health crisis however.  There are numerous others, such as Dengue Fever, Chikungunya and Leptospirosis.  There is also a huge burden of illness involving non-communicable diseases in the Territory, such as Diabetes and Morbid Obesity.  We will additionally be discussing these, as well as many other public health issues among these pages, since their treatment and complications normally require heavy use of the Medical Center.  Due to the fact that control and prevention of these types of public health issues generally fall under the purview of the local Department of Health (DOH), you will also find many references to the DOH throughout this website.

Congress Looking Into LBJ

Congressional panel discussion LBJ Hospital

 

Our Congresswoman Aumua Amata is taking a strong stand on matters relating to LBJ Hospital.  She wants to know why we are not spending all the money the Federal Government is making available through the Medicaid program.  She also wants Congress to evaluate feasibility of building a new facility and staffing it with true professionals.  This news report by Talanei tells the story pretty well.

You can also see more on the Congresswoman's website by clicking here.

It is time for the people to be heard and this site is a good place to speak out.  Please comment.

 

Medical supplies shortage at American Samoa hospital

This article from Radio New Zealand.  Read full story on RNZ

Nurses at American Samoa's LBJ Hospital say the hospital's shortage of medical supplies is affecting the quality of patient care, with nurses forced to use bed sheets as dressings.

Nurses say dressing supplies and other basic supplies such as gloves and gauze pads have run out, and LBJ Hospital is also reported to be out of some IV solutions.

The chair of the hospital board Leilua Mase Akapo says the hospital is in a grave financial situation because of the government's failure to transmit funds to the hospital.

Our correspondent in American Samoa, Monica Miller, says nurses who have spoken out are describing a dire situation.

"According to these nurses, they're using trash bags as underpads for the beds, to cover under the sheets. So that's a very worrying situation. I know that there's been a series of meetings between the governor and the people at the treasury. And the governor has basically told the treasurer that he should find money to pay the hospital."

Ms Miller says off island vendors are requiring the hospital to pay up front for orders before they release any supplies.

Last month the Hospital Authority Board informed the governor that LBJ's account payables had reached US$8 million, with sources at LBJ saying unpaid bills for medical supplies represents about three quarters of this.

The chairman of the hospital board told the governor that the funds the government has failed to pay to the hospital include a monthly subsidy of US$500,000 per month, a two percent wage tax and Medicare and Medicaid payments.

A report that the chairman provided for the governor, shows that the amount the ASG owes LBJ was US$5.7 million as of December 28, 2015.

Loss of Many Qualified Staff

Well, hoping to spark some conversation and at the same time get some answers posted...

As we know, in the past several years we have lost many valuable staff, some leaving by choice ( had enough, disgusted) and others via un-renewed contracts. ;The decision to not renew the contracts has been due to " high salary " and with the exception of Dr. ;Maronne, kept very low profile. I would like to know what are these high salaries?
What are the salaries of the current CMO, CMO assistant, CFO, and CEO?

If we have saved all these salaries ( no one was replaced), where is the money? We are still short on supplies, staff, space, etc etc.

How much more can we lose and still function?

The docs at  over worked, tired, and fear we may lose more if they have a place to go...

One patient report today arriving at the clinic at 8 am where she had an appointment and did not get seen until 3 pm.  Are we back full circle to poor service again all because of some administrative. _________________(fill in the blank, cannot find the words)