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Tri-City to partner with UC San Diego Health in delivering world-class medical care

After open public discussion and a unanimous board vote, Tri-City Healthcare District (“Tri-City” or “District”) announced yesterday that UC San…

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After open public discussion and a unanimous board vote, Tri-City Healthcare District (“Tri-City” or “District”) announced yesterday that UC San Diego Health has been selected as the District’s future health care partner. A Joint Powers Agreement will now be co-developed that allows UC San Diego Health to provide administrative, clinical and operational management for all health care services with direct input and guidance from a diverse community board. Under the future agreement, UC San Diego Health will partner with Tri-City’s Board, medical staff, employees and the community to offer the region affordable, accessible and high-quality health care services across the full range of specialties. 

Credit: Tri-City Healthcare District

After open public discussion and a unanimous board vote, Tri-City Healthcare District (“Tri-City” or “District”) announced yesterday that UC San Diego Health has been selected as the District’s future health care partner. A Joint Powers Agreement will now be co-developed that allows UC San Diego Health to provide administrative, clinical and operational management for all health care services with direct input and guidance from a diverse community board. Under the future agreement, UC San Diego Health will partner with Tri-City’s Board, medical staff, employees and the community to offer the region affordable, accessible and high-quality health care services across the full range of specialties. 

“We are delighted that Tri-City has chosen UC San Diego Health as its strategic and operational partner in its efforts to revitalize its 60-plus year legacy as an award-winning community hospital,” said Patty Maysent, CEO of UC San Diego Health. “We recognize that the Board and Tri-City’s team of physicians, nurses and staff care deeply about delivering care close to home — and UC San Diego Health shares this vision. We look forward to collaborating with the Tri-City team to stabilize, expand and transform access to the hospitals’ services and facilities so that all patients throughout North County can continue to access high-quality care, locally.”

“Yesterday, the Board executed a vision to better the lives of North County residents, creating a monumental shift in the way health care will be delivered for generations to come. In choosing UC San Diego Health, Tri-City Medical Center augments its renowned stroke, heart attack, orthopedic, spine and robotic care with world-class specialty care,” said Gene Ma, CEO, Tri-City Medical Center. “UC San Diego Health’s national recognition for quality outcomes and innovation in information technology, along with its status as the region’s only academic medical center, were key drivers of the decision. Ultimately, patients will benefit from access to a leading-edge health care destination.”

“I want to express our profound appreciation for the unwavering dedication of our board members and the invaluable input from our community throughout this pivotal decision-making process,” said Tracy Younger, chairperson, Tri-City Healthcare District Board of Directors. “The active participation of our community members has been instrumental in shaping our choice, ensuring that high-quality health care services in North County remain accessible.”

Once a final agreement is in place, UC San Diego Health expects to support and strengthen Tri-City’s full-service community hospital vision and ongoing stewardship of community health care needs through investment in the medical campus, clinical programs and provider network. UC San Diego Health will collaborate with Tri-City’s existing staff and regional providers to develop and supplement specialty programs and broaden primary and specialty care networks. 

“This partnership with Tri-City represents a unique and compelling opportunity for two public organizations to come together with the common goal of expanding and deepening the network of care in North County,” said UC San Diego Chancellor Pradeep K. Khosla. “We look forward to working with the talented team at Tri-City to reliably increase North County residents’ access to nationally-recognized care and develop new access points in the communities where patients live and work.” 

“We are proud to join forces with Tri-City, an organization that shares UC San Diego Health’s longstanding mission to ensure comprehensive, equitable care for all members of the communities we serve. This partnership builds off our recent acquisition of Alvarado Hospital Medical Center, a community hospital serving eastern San Diego, and will enable UC San Diego Health to continue to grow its health care network throughout the county and provide more San Diegans with access to affordable, world-class medical care, right where they live,” said John Carethers, MD, vice chancellor of Health Sciences, UC San Diego. 

Expanding Specialty Programs at UC San Diego Health – Tri-City

In collaboration with Tri-City’s medical staff and regional providers, UC San Diego Health plans to expand new and existing specialty programs at Tri-City, including services for pregnancy and gynecology, cancer, cardiovascular, neurosurgical, behavioral health and other needs. 

“Through investments intended to modernize facilities and technologies designed around the future of care delivery, UC San Diego Health expects to partner with Tri-City to enhance its clinical quality and patient experience as well as its cyber security infrastructure. This will be achieved, in part, by restarting or introducing critical medical and surgical services while simultaneously upgrading and protecting its technology infrastructure and information systems,” said Christopher Longhurst, MD, chief medical officer and chief digital officer at UC San Diego Health. “As a pediatrician living in North County, I am absolutely thrilled to be part of the journey forward with the Tri-City team.”

Labor and Delivery will be an immediate focal point of the future agreement, with the goal of re-establishing the service, enhancing the capabilities of the hospital and ultimately positioning the campus as a destination center for pregnancy care in North County. Leveraging the capabilities of UC San Diego Health’s obstetrics and gynecology program, which is ranked No. 15 nationally, UC San Diego Health will immediately begin the planning process to establish a wide array of programs and services at Tri-City, including eventually reopening the Labor and Delivery service.

“With close to 5,000 deliveries a year and a top-20 ranking program nationally, we are very proud of the obstetrics and gynecology care services we provide at UC San Diego Health. As a North County resident myself, I am incredibly excited to partner with the Women’s Health Services team at Tri-City to plan to resume labor and delivery services and expand the infrastructure serving mothers and newborns in North County,” said Cynthia Gyamfi-Bannerman, MD, chair of the Department of Obstetrics, Gynecology, and Reproductive Sciences at UC San Diego School of Medicine.

As the only NCI-Designated Comprehensive Cancer Center in San Diego, UC San Diego Health also hopes to extend its capabilities to Tri-City to provide patients with access to the latest advancements in cancer care. The redevelopment plans for Tri-City could include services including infusion center, radiation oncology, cancer clinics, clinical trials, genetic counseling and testing, and patient counseling and therapy.

Partnership Model

Under the Joint Powers Agreement, UC San Diego Health has proposed to assume rights and title to District-owned assets as well as day-to-day operational responsibility for the operation of health care services for the District. The intention is to create a nine-member Community Board, which will be comprised of two appointees from the District Board, two members from the Tri-City medical staff and five members appointed by the UC San Diego Health Executive Governing Board. The Community Board would provide advice and recommendations to UC San Diego Health on strategic, operational and financial decisions relevant to its growth strategies in the District’s communities. Providers would participate in an open medical staff. 

About UC San Diego Health

UC San Diego Health is one of five academic medical centers within the University of California. It is a 799-bed academic health system with primary, same-day and specialty care clinics throughout the region.

As part of its 10-year vision, UC San Diego Health is taking a systematic approach to improving timely access to its services and care. Already underway, UC San Diego Health is revitalizing its medical center campus in Hillcrest, where a new outpatient surgical center is scheduled to open in 2025. Planning for a new replacement hospital is occurring now. Simultaneously, new clinics are opening throughout the region. 

UC San Diego Health is comprised of UC San Diego Medical Center in Hillcrest and Jacobs Medical Center, Sulpizio Cardiovascular Center, Moores Cancer Center, Shiley Eye Institute, Koman Family Outpatient Pavilion and Altman Clinical and Translational Research Institute, all in La Jolla. UC San Diego Health has an existing presence in North County with an office in Vista that focuses on express care, lab services, cancer services, infusion therapy and internal medicine.

UC San Diego Health is the No. 1 ranked hospital in San Diego by U.S. News & World Report and recently achieved the prestigious national honor roll status. It was recognized as a top performer in the 2023 Bernard A. Birnbaum, MD, Quality Leadership Ranking by Vizient, Inc.

UC San Diego Health is also recognized as having the highest level of safety from The Leapfrog Group, with “A” grades. Further, the Centers for Medicare & Medicaid Services recognized UC San Diego Health as a five-star institution for the quality of our care. More information will be shared on health.ucsd.edu. 

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February Employment Situation

By Paul Gomme and Peter Rupert The establishment data from the BLS showed a 275,000 increase in payroll employment for February, outpacing the 230,000…

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March 9, 2024

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By Paul Gomme and Peter Rupert

The establishment data from the BLS showed a 275,000 increase in payroll employment for February, outpacing the 230,000 average over the previous 12 months. The payroll data for January and December were revised down by a total of 167,000. The private sector added 223,000 new jobs, the largest gain since May of last year.

Temporary help services employment continues a steep decline after a sharp post-pandemic rise.

Average hours of work increased from 34.2 to 34.3. The increase, along with the 223,000 private employment increase led to a hefty increase in total hours of 5.6% at an annualized rate, also the largest increase since May of last year.

The establishment report, once again, beat “expectations;” the WSJ survey of economists was 198,000. Other than the downward revisions, mentioned above, another bit of negative news was a smallish increase in wage growth, from $34.52 to $34.57.

The household survey shows that the labor force increased 150,000, a drop in employment of 184,000 and an increase in the number of unemployed persons of 334,000. The labor force participation rate held steady at 62.5, the employment to population ratio decreased from 60.2 to 60.1 and the unemployment rate increased from 3.66 to 3.86. Remember that the unemployment rate is the number of unemployed relative to the labor force (the number employed plus the number unemployed). Consequently, the unemployment rate can go up if the number of unemployed rises holding fixed the labor force, or if the labor force shrinks holding the number unemployed unchanged. An increase in the unemployment rate is not necessarily a bad thing: it may reflect a strong labor market drawing “marginally attached” individuals from outside the labor force. Indeed, there was a 96,000 decline in those workers.

Earlier in the week, the BLS announced JOLTS (Job Openings and Labor Turnover Survey) data for January. There isn’t much to report here as the job openings changed little at 8.9 million, the number of hires and total separations were little changed at 5.7 million and 5.3 million, respectively.

As has been the case for the last couple of years, the number of job openings remains higher than the number of unemployed persons.

Also earlier in the week the BLS announced that productivity increased 3.2% in the 4th quarter with output rising 3.5% and hours of work rising 0.3%.

The bottom line is that the labor market continues its surprisingly (to some) strong performance, once again proving stronger than many had expected. This strength makes it difficult to justify any interest rate cuts soon, particularly given the recent inflation spike.

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Mortgage rates fall as labor market normalizes

Jobless claims show an expanding economy. We will only be in a recession once jobless claims exceed 323,000 on a four-week moving average.

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March 8, 2024

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Everyone was waiting to see if this week’s jobs report would send mortgage rates higher, which is what happened last month. Instead, the 10-year yield had a muted response after the headline number beat estimates, but we have negative job revisions from previous months. The Federal Reserve’s fear of wage growth spiraling out of control hasn’t materialized for over two years now and the unemployment rate ticked up to 3.9%. For now, we can say the labor market isn’t tight anymore, but it’s also not breaking.

The key labor data line in this expansion is the weekly jobless claims report. Jobless claims show an expanding economy that has not lost jobs yet. We will only be in a recession once jobless claims exceed 323,000 on a four-week moving average.

From the Fed: In the week ended March 2, initial claims for unemployment insurance benefits were flat, at 217,000. The four-week moving average declined slightly by 750, to 212,250


Below is an explanation of how we got here with the labor market, which all started during COVID-19.

1. I wrote the COVID-19 recovery model on April 7, 2020, and retired it on Dec. 9, 2020. By that time, the upfront recovery phase was done, and I needed to model out when we would get the jobs lost back.

2. Early in the labor market recovery, when we saw weaker job reports, I doubled and tripled down on my assertion that job openings would get to 10 million in this recovery. Job openings rose as high as to 12 million and are currently over 9 million. Even with the massive miss on a job report in May 2021, I didn’t waver.

Currently, the jobs openings, quit percentage and hires data are below pre-COVID-19 levels, which means the labor market isn’t as tight as it once was, and this is why the employment cost index has been slowing data to move along the quits percentage.  

2-US_Job_Quits_Rate-1-2

3. I wrote that we should get back all the jobs lost to COVID-19 by September of 2022. At the time this would be a speedy labor market recovery, and it happened on schedule, too

Total employment data

4. This is the key one for right now: If COVID-19 hadn’t happened, we would have between 157 million and 159 million jobs today, which would have been in line with the job growth rate in February 2020. Today, we are at 157,808,000. This is important because job growth should be cooling down now. We are more in line with where the labor market should be when averaging 140K-165K monthly. So for now, the fact that we aren’t trending between 140K-165K means we still have a bit more recovery kick left before we get down to those levels. 




From BLS: Total nonfarm payroll employment rose by 275,000 in February, and the unemployment rate increased to 3.9 percent, the U.S. Bureau of Labor Statistics reported today. Job gains occurred in health care, in government, in food services and drinking places, in social assistance, and in transportation and warehousing.

Here are the jobs that were created and lost in the previous month:

IMG_5092

In this jobs report, the unemployment rate for education levels looks like this:

  • Less than a high school diploma: 6.1%
  • High school graduate and no college: 4.2%
  • Some college or associate degree: 3.1%
  • Bachelor’s degree or higher: 2.2%
IMG_5093_320f22

Today’s report has continued the trend of the labor data beating my expectations, only because I am looking for the jobs data to slow down to a level of 140K-165K, which hasn’t happened yet. I wouldn’t categorize the labor market as being tight anymore because of the quits ratio and the hires data in the job openings report. This also shows itself in the employment cost index as well. These are key data lines for the Fed and the reason we are going to see three rate cuts this year.

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Inside The Most Ridiculous Jobs Report In History: Record 1.2 Million Immigrant Jobs Added In One Month

Inside The Most Ridiculous Jobs Report In History: Record 1.2 Million Immigrant Jobs Added In One Month

Last month we though that the January…

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March 8, 2024

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Inside The Most Ridiculous Jobs Report In History: Record 1.2 Million Immigrant Jobs Added In One Month

Last month we though that the January jobs report was the "most ridiculous in recent history" but, boy, were we wrong because this morning the Biden department of goalseeked propaganda (aka BLS) published the February jobs report, and holy crap was that something else. Even Goebbels would blush. 

What happened? Let's take a closer look.

On the surface, it was (almost) another blockbuster jobs report, certainly one which nobody expected, or rather just one bank out of 76 expected. Starting at the top, the BLS reported that in February the US unexpectedly added 275K jobs, with just one research analyst (from Dai-Ichi Research) expecting a higher number.

Some context: after last month's record 4-sigma beat, today's print was "only" 3 sigma higher than estimates. Needless to say, two multiple sigma beats in a row used to only happen in the USSR... and now in the US, apparently.

Before we go any further, a quick note on what last month we said was "the most ridiculous jobs report in recent history": it appears the BLS read our comments and decided to stop beclowing itself. It did that by slashing last month's ridiculous print by over a third, and revising what was originally reported as a massive 353K beat to just 229K,  a 124K revision, which was the biggest one-month negative revision in two years!

Of course, that does not mean that this month's jobs print won't be revised lower: it will be, and not just that month but every other month until the November election because that's the only tool left in the Biden admin's box: pretend the economic and jobs are strong, then revise them sharply lower the next month, something we pointed out first last summer and which has not failed to disappoint once.

To be fair, not every aspect of the jobs report was stellar (after all, the BLS had to give it some vague credibility). Take the unemployment rate, after flatlining between 3.4% and 3.8% for two years - and thus denying expectations from Sahm's Rule that a recession may have already started - in February the unemployment rate unexpectedly jumped to 3.9%, the highest since February 2022 (with Black unemployment spiking by 0.3% to 5.6%, an indicator which the Biden admin will quickly slam as widespread economic racism or something).

And then there were average hourly earnings, which after surging 0.6% MoM in January (since revised to 0.5%) and spooking markets that wage growth is so hot, the Fed will have no choice but to delay cuts, in February the number tumbled to just 0.1%, the lowest in two years...

... for one simple reason: last month's average wage surge had nothing to do with actual wages, and everything to do with the BLS estimate of hours worked (which is the denominator in the average wage calculation) which last month tumbled to just 34.1 (we were led to believe) the lowest since the covid pandemic...

... but has since been revised higher while the February print rose even more, to 34.3, hence why the latest average wage data was once again a product not of wages going up, but of how long Americans worked in any weekly period, in this case higher from 34.1 to 34.3, an increase which has a major impact on the average calculation.

While the above data points were examples of some latent weakness in the latest report, perhaps meant to give it a sheen of veracity, it was everything else in the report that was a problem starting with the BLS's latest choice of seasonal adjustments (after last month's wholesale revision), which have gone from merely laughable to full clownshow, as the following comparison between the monthly change in BLS and ADP payrolls shows. The trend is clear: the Biden admin numbers are now clearly rising even as the impartial ADP (which directly logs employment numbers at the company level and is far more accurate), shows an accelerating slowdown.

But it's more than just the Biden admin hanging its "success" on seasonal adjustments: when one digs deeper inside the jobs report, all sorts of ugly things emerge... such as the growing unprecedented divergence between the Establishment (payrolls) survey and much more accurate Household (actual employment) survey. To wit, while in January the BLS claims 275K payrolls were added, the Household survey found that the number of actually employed workers dropped for the third straight month (and 4 in the past 5), this time by 184K (from 161.152K to 160.968K).

This means that while the Payrolls series hits new all time highs every month since December 2020 (when according to the BLS the US had its last month of payrolls losses), the level of Employment has not budged in the past year. Worse, as shown in the chart below, such a gaping divergence has opened between the two series in the past 4 years, that the number of Employed workers would need to soar by 9 million (!) to catch up to what Payrolls claims is the employment situation.

There's more: shifting from a quantitative to a qualitative assessment, reveals just how ugly the composition of "new jobs" has been. Consider this: the BLS reports that in February 2024, the US had 132.9 million full-time jobs and 27.9 million part-time jobs. Well, that's great... until you look back one year and find that in February 2023 the US had 133.2 million full-time jobs, or more than it does one year later! And yes, all the job growth since then has been in part-time jobs, which have increased by 921K since February 2023 (from 27.020 million to 27.941 million).

Here is a summary of the labor composition in the past year: all the new jobs have been part-time jobs!

But wait there's even more, because now that the primary season is over and we enter the heart of election season and political talking points will be thrown around left and right, especially in the context of the immigration crisis created intentionally by the Biden administration which is hoping to import millions of new Democratic voters (maybe the US can hold the presidential election in Honduras or Guatemala, after all it is their citizens that will be illegally casting the key votes in November), what we find is that in February, the number of native-born workers tumbled again, sliding by a massive 560K to just 129.807 million. Add to this the December data, and we get a near-record 2.4 million plunge in native-born workers in just the past 3 months (only the covid crash was worse)!

The offset? A record 1.2 million foreign-born (read immigrants, both legal and illegal but mostly illegal) workers added in February!

Said otherwise, not only has all job creation in the past 6 years has been exclusively for foreign-born workers...

Source: St Louis Fed FRED Native Born and Foreign Born

... but there has been zero job-creation for native born workers since June 2018!

This is a huge issue - especially at a time of an illegal alien flood at the southwest border...

... and is about to become a huge political scandal, because once the inevitable recession finally hits, there will be millions of furious unemployed Americans demanding a more accurate explanation for what happened - i.e., the illegal immigration floodgates that were opened by the Biden admin.

Which is also why Biden's handlers will do everything in their power to insure there is no official recession before November... and why after the election is over, all economic hell will finally break loose. Until then, however, expect the jobs numbers to get even more ridiculous.

Tyler Durden Fri, 03/08/2024 - 13:30

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