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IFILL: Now we turn to our weeklong series on how New Orleans is faring after Katrina 10 years later.
The floodwaters that rose after the storm trapped hundreds of patients in the city’s hospitals. More than 140 of
them died in a slow-motion evacuation that took days. Things went from bad to worse when officials declared the much-loved
state-run Charity Hospital unfit to reopen.
A major new hospital was dedicated in New Orleans today, a crucial part of a reimagined health care system. But worries
remain that some will still be left behind.
Special correspondent Jackie Judd has our report.
JACKIE JUDD: Hurricane Katrina and all that the winds, the rain, the flooding destroyed or disabled allowed for a
reimagining of what a modern health care system in New Orleans would look like. This is the centerpiece of that reimaging.
NARRATOR: University Medical Center New Orleans is a place to heal, teach and discover for generations
to come. UNC New Orleans, the future of health care is here.
JACKIE JUDD: University Medical Center was a decade in the making, at a cost exceeding $1 billion, most
of that from the federal government. The doors recently opened to a high-tech trauma center, expensive artwork and what’s
promised to be hurricane-proof windows and internal systems. Some early reviews are in.
GLYNN JAMES, New Orleans: Much, much better place, inside, clean.
MAN: It’s what New Orleans needs. They need a good hospital here. Charity was a good hospital now.
Back in the day, when I was growing up, it was a good hospital, but this is way better.
DR. PETER DEBLIEUX, University Medical Center New Orleans: It’s actually built out for redundancy for one patient
in case something…
JACKIE JUDD: In case of a storm?
DR. PETER DEBLIEUX: In case of a storm, if you will.
JACKIE JUDD: Dr. Peter Deblieux, who worked at Charity Hospital, then in makeshift tents, a converted
department store and finally the interim hospital, is proud of what the city has built. This hospital’s aim, he says,
is twofold, serve the poor, as Charity did, and those who pay full freight.
DR. PETER DEBLIEUX: The vision of this hospital is not to be solely an indigent care or solely a safety
net hospital. That’s a vital portion of what we do, but sustainability of this hospital will be directly linked in our
ability to attract all payers. What’s new and what is exciting is building destination services, so services that allow
us to compete with a Houston or a Birmingham to keep regional patients here at home.
JACKIE JUDD: From the windows of the new hospital, what came before is in clear sight. Charity Hospital
holds a storied place in the city’s history, because it’s where generations of residents came for care regardless
of their ability to pay, and, for many, the measure of success at the new hospital is whether that tradition will continue.
SILVINA HENRY, New Orleans: And we took that together long before the order changed.
JACKIE JUDD: This was in Charity?
SILVINA HENRY: This was in Charity, yes.
JACKIE JUDD: Silvina Henry worked there as a nurse’s assistant and healed there as a patient.
SILVINA HENRY: Every time I pass there, I look at Charity, because it’s the only thing — and
people in New Orleans know it’s about Charity.
JACKIE JUDD: The new hospital is run by a nonprofit private company, adding to concerns that Charity’s
mission to serve the public no matter the cost will be lost.
University is required to have at least 20 percent of the uninsured in its patient mix, considerably less than what Charity
saw. But officials promise to give care to those who need it.
Community activist Jacques Morial organized a lawsuit to get Charity back up and running.
JACQUES MORIAL, Community Activist: Working poor people trusted Charity to take good care of them. And reassembling
all of that intellectual capital, that understanding of patients, with teamwork and the know-how, is not like assembling LEGOs.
It takes lots of time, lots of work and lots of money.
JACKIE JUDD: Dr. Deblieux, who once argued for the old hospital to reopen, now says that the quality of
care at Charity has been romanticized and that concerns about the new hospital are unfounded.
If you are so convinced of the success of this model, why did you fight hard to try to keep Charity open?
DR. PETER DEBLIEUX: So, what I tried hard to do was to keep open a facility that would meet on the safety
care needs of our population. And I would continue that fight today if we walked away from that mission. We’re not.
That’s as strong as it’s ever been.
JACKIE JUDD: The other half of the reimagining is an extensive network of community health centers. The clinics dot
poor and working neighborhoods throughout the city and provide primary care.
Dr. Karen DeSalvo worked at a pop-up clinic here near the French Quarter. Later, as the city’s health commissioner,
she drove the effort to build permanent clinics where people live.
DR. KAREN DESALVO, Former New Orleans Health Commissioner: Because the health care infrastructure went
down, it caused many of us to literally stand on the street and look and say, we can do better, we can come up off our knees
and build a system that’s going to meet the needs of this community.
Looking at the evidence and listening to people that what they wanted was the front-line access to preventive care, primary
care in neighborhoods.
JACKIE JUDD: Charity’s emergency room had been a principal source of primary care, but habits and
services are slowly changing.
Silvina Henry’s primary care doctor, Keith Winfrey, is the chief medical officer at a clinic in New Orleans East,
a community of African-American and Vietnamese residents.
DR. KEITH WINFREY, Chief Medical Officer, New Orleans East Community Health Center: Prior to Katrina, it was more
the traditional physician-patient interaction and the population wasn’t different. But it was more the physician-patient
interaction. Since Katrina, there has been a total transformation in primary care, where it’s more of a team-based model
of primary care, the patient-centered medical home.
JACKIE JUDD: Henry, whose home on the banks of Lake Pontchartrain was badly damaged by Katrina, fled the city. She
was cut off from her doctors, her medication, her medical records, charting chronic ailments, including high blood pressure
and diabetes. She later returned to an entirely different experience, including electronic medical records that will survive
SILVINA HENRY: Every time I go, they get on the computer, and they can tell me everything that is going
on. And when I go to see the doctor in the room, the doctor has a record that they can open, paper record that they can tell
me what is going on.
MAN: Now, it’s my understanding that you have been sent to see me by your primary care doctor.
JACKIE JUDD: Mental health services are woven into the clinic services, and throughout the city, mobile
vans offer on-the-spot support, but it is widely acknowledged here that far more is needed.
The police department’s Cecile Tebo has long worked with the mentally ill who have had run-ins with the law. She
is incensed that the new hospital currently has just about a third of the psychiatric beds that Charity once held.
CECILE TEBO, New Orleans Police Department: We’re standing in front of Orleans Parish Prison. This
is our largest mental health hospital in our community, which is so sad, because this is not where treatment is going to happen.
JACKIE JUDD: The great uncertainty in sustaining the new hospital and the clinics is money. Governor Bobby
Jindal didn’t expand Medicaid under the Affordable Care Act, and so many uninsured patients still need free care. As
part of the law, the federal government is reducing the dollars it sends states for that care.
CECILE TEBO: I think we still mostly have questions in the area of how we’re going to finance this
system long-term that is going to be affordable for everyone.
JACQUES MORIAL: I think it’s going to take a lot of vigilance, a lot of advocacy and a lot of demand
for accountability for all of this to work.
SILVINA HENRY: And she can get my medicines for me.
JACKIE JUDD: Still, for people like Silvina Henry, the progress here is real. A far more robust health care system
is in place to care for people than the very fragile system that Katrina washed away.
For the PBS NewsHour, this is Jackie Judd in New Orleans.
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reimagined New Orleans hospital meet the needs of its most vulnerable? appeared first on PBS