Logosm.gif (1927 bytes)
navlinks.gif (4688 bytes)
Hruler04.gif (5511 bytes)

Back to Public Benefit Corporation main page

Ana Raley, Chief Executive Officer, Greater Southeast Community Hospital
Testimony to the Committee on Health and Human Services
June 22, 2001




Dorothy Brizill
Bonnie Cain
Jim Dougherty
Gary Imhoff
Phil Mendelson
Mark David Richards
Sandra Seegars


DCWatch Archives
Council Period 12
Council Period 13
Council Period 14

Election 1998
Election 2000
Election 2002

Election 2004
Election 2006

Government and People
Anacostia Waterfront Corporation
Boards and Com
Campaign Finance
Chief Financial Officer
Chief Management Officer
City Council
Control Board
Corporation Counsel
DC Agenda
Elections and Ethics
Fire Department
FOI Officers
Inspector General
Housing and Community Dev.
Human Services
Mayor's Office
Mental Health
Motor Vehicles
Neighborhood Action
National Capital Revitalization Corp.
Planning and Econ. Dev.
Planning, Office of
Police Department
Property Management
Public Advocate
Public Libraries
Public Schools
Public Service Commission
Public Works
Regional Mobility Panel
Sports and Entertainment Com.
Taxi Commission
Telephone Directory
University of DC
Water and Sewer Administration
Youth Rehabilitation Services
Zoning Commission

Issues in DC Politics

Budget issues
DC Flag
DC General, PBC
Gun issues
Health issues
Housing initiatives
Mayor’s mansion
Public Benefit Corporation
Regional Mobility
Reservation 13
Tax Rev Comm
Term limits repeal
Voting rights, statehood
Williams’s Fundraising Scandals


Appleseed Center
Cardozo Shaw Neigh.Assoc.
Committee of 100
Fed of Citizens Assocs
League of Women Voters
Parents United
Shaw Coalition



What Is DCWatch?

themail archives

1310 Southern Avenue, S.E., Washington, D.C. 20032 (202) 574-6000

Testimony of Greater Southeast Community Hospital
Before the Committee on Human Services
Presented by
Ana Raley
Chief Executive Officer
June 22, 2001


Good morning, Chairman Allen and members of the Committee. I am Ana Raley, chief executive officer of Greater Southeast Community Hospital. Seated next to me is K. Singh Taneja, chief operating officer at Greater Southeast. I appreciate this opportunity to report on the transition to an integrated healthcare delivery system for uninsured District residents. Greater Southeast and our partners in the DC Healthcare Alliance are honored to play a major role in expanding access to quality healthcare.

My testimony will update the Committee on the Alliance's progress, complete with details regarding the timeline, human resources, operations, enrollment and services.

Before I get started, I would like to acknowledge our Alliance partners. Greater Southeast has the pleasure of working with an extraordinary team of providers that are committed to the delivery of quality healthcare. They are Chartered Health Plan, Unity Health Care, Children's National Medical Center, and The George Washington University Hospital.

Chartered Health Plan, the largest Medicaid managed care organization in the city, will perform administrative services, including membership enrollment, care coordination and utilization management. Unity Health Care, a federally qualified primary care provider with sites in all eight wards of the District, will manage the District's six community health centers.

Children's National Medical Center, a world-renowned hospital for children, will provide pediatric inpatient and ambulatory services as well as manage the existing school health program that serves a majority of the District's public schools.

The George Washington University Hospital, a highly acclaimed medical center, will provide trauma services and tertiary care in conjunction with Greater Southeast Community Hospital.

Greater Southeast, a 388-bed community hospital located east of the Anacostia River, will manage the day-to-day operations of the Alliance and provide inpatient, specialty and correctional care.

The Alliance is working in collaboration with and under the direction of the DC Department of Health. This public-private partnership is united in its mission to expand access to quality healthcare for the District's most vulnerable residents.

Eligible Population

The District has between 65,000 and 80,000 uninsured residents, according to the . Department of Health. Under the Alliance, District residents who are uninsured and meet certain income criteria are eligible to receive benefits. For the first time, uninsured District residents who are at or below 200 percent of the federal poverty level will have a healthcare system that promotes wellness, prevents disease and provides a continuum of care in an integrated environment.


I would like to now discuss the transition timeline. Originally, the Alliance proposed to carry out the transition in 120 days, beginning April 30. However, the District directed us to accelerate the transition period significantly due to the status of DC General's medical residency program. DoH indicated that DC General's residency program was scheduled to end in June. Historically, DC General relied on residents to serve as staff physicians. Without residents, the hospital could no longer provide inpatient services.

Therefore, the Alliance adjusted its transition plans to ensure the availability of inpatient services prior to the residents leaving. As you can well imagine, compressing the timeline by more than 50 percent has been an enormous challenge, worthy of the best possible team effort. The Alliance is working around the clock to accomplish in 56 days what we proposed to accomplish in 120 days. Setting up and running a new healthcare delivery system of this magnitude requires planning, human resources and time to manage complex and numerous logistics.

But having said that, let me also state that another key transition element is wherewithal. While the transition lacks a generous timeline, it has abundant expertise. From the Department of Health, to other District agencies, to community representatives, to the Alliance partners, a diverse and capable team of stakeholders is working nonstop to build a new and improved system that meets the healthcare needs of the District's uninsured population.


On July 1, Greater Southeast will begin to manage the new system. In preparation for that start date, the Alliance has set in motion key functions and has laid the groundwork for others. Last Friday, Chartered began to enroll eligible consumers and notify previous PBC patients about the Alliance.

June 15 also marked two concurrent events-the end of inpatient admissions at DC General and the transfer of inpatient services primarily to Greater Southeast. Since last Friday, Greater Southeast has had 17 direct admissions from the emergency department at DC General, 3 of whom were corrections inmates. Two corrections inmates are still inpatients. In addition, we've had 5 inpatient transfers from DC General. Three more transfers are expected today. George Washington has had 6 direct admissions from DC General's emergency department since last Friday. I am pleased to report that all admissions and transfers have gone smoothly and have resulted in good outcomes.

Today, inpatient services will end at DC General. As of 8:00 a.m. this morning, the census was 7. Greater Southeast, Children's and GW have already begun 'to provide inpatient care and stand ready to manage new admissions.

In preparation for the transfer of inpatient services, Greater Southeast is increasing its bed capacity. We are reopening and renovating medical-surgical units and constructing a secured unit for correctional inpatients. By the end of June, the build-out will be completed, resulting in 80 additional med-sung beds. In addition, we have expanded our monitored beds to include: 20 intensive care beds; 20 monitored, intermediate medical care beds; and 40 telemetry beds.

Also, Greater Southeast has started to reorganize its emergency department to accommodate an increased patient volume. And we are aiming to open our trauma center by October 1.

Regarding outpatient services, we conducted a needs assessment of the community health centers and the ambulatory care center at DC General to determine operational and physical plant needs. Based on our findings, plans are underway to make capital I improvements and to centralize all DC General-based clinics in the ambulatory care center. The consolidation and capital improvements should be completed by the end of the summer.

In addition, the Williams administration is implementing the Mayor's pledge to build a new Anacostia health center.

Human Resources

One of the major areas in the transition is human resources. Dr. Walks has spoken about the District's efforts to provide transition options to employees of the former PBC. In keeping with the city's mandate and our own commitment, the Alliance is aggressively recruiting personnel from DC General and the community health centers to fully develop the Alliance workforce. Greater Southeast, Chartered, Unity and Children's are accepting applications, interviewing candidates, extending offers and hiring for a wide range of positions, including administrative, clinical and support functions.

Following is a current summary of Greater Southeast's recruitment efforts among DC General personnel, not including physicians. To date, we have received between 325 to 350 applications; have conducted between 250 to 275 interviews; and have extended 162 offers. Thirty-eight (38) applicants have accepted positions.

We have recruited for positions in patient care, radiology, radiation oncology, respiratory therapy, social work, finance, materials management, food services, environmental services, and other areas.

Currently, we are in negotiations with DC General physicians and dentists. I am optimistic that the negotiations will have favorable results. I would be happy to provide the Committee with a medical staff report upon the completion of negotiations.


Another important component of the transition is enrollment. Chartered Health Plan is responsible for providing administrative services, including enrollment, care coordination and utilization management. Karen Dale, Chartered's chief operating officer, will cover enrollment in her testimony. In the interest of time, I would like to point out the emphasis that Chartered is placing on customer relations and service. Treating members with dignity, providing them with accurate and timely information, and delivering quality, accessible care are the core values of the Alliance. Guided by those values, Chartered has developed a customer-friendly enrollment process. First, anyone who signs up for the Alliance is presumed eligible for 30 days. During that 30-day period, Chartered either will verify eligibility or link the applicant to alternative resources if he or she is not eligible for the Alliance. To further facilitate enrollment, Chartered has placed outreach workers in all 8 enrollment sites; has established a members services helpline; and has mailed enrollment packets to 43,568 safety net consumers who utilized DC General and/or the community health centers in the past two years.

Services As you know, the Alliance will provide services across the continuum of healthcare. The health benefits package provides access to a full-complement of primary care, specialty care, acute care and ancillary care services. There is neither a co-payment nor premium required. At no charge, Alliance members can receive prevention care, health education, dental care, vision care, hospitalization, and a host of specialty services that promote wellness, prevent disease and address some of the most critical health issues confronting District residents.


That completes my testimony. I welcome the opportunity to address questions from the Committee. I also appreciate this opportunity to update not only the Committee but also the general public. The Alliance is committed to keeping District residents informed about this new integrated healthcare delivery system. In fact, copies of my testimony will be available on Greater Southeast's web site. The address is www.greater-southeast.com.

Finally, I would like to thank the audience seated here in the chamber as well the viewing audience for their vigilance and advocacy. As a result of public will, government action and private sector involvement, the District is forging a healthcare renaissance that will mean improved healthcare access and health outcomes for uninsured residents.

Thank you, Chairman Allen and the Committee.

Back to top of page

Send mail with questions or comments to webmaster@dcwatch.com
Web site copyright ©DCWatch (ISSN 1546-4296)