Tag Archives: Mount Vernon Clinic

Aside

Sure I’ve Raised Money, But…

27 Monday Jul 2015

Posted by in 1, Boy @ The Window, culture, Eclectic, Mount Vernon New York, Pittsburgh, Politics, Pop Culture, University of Pittsburgh, Work, Youth

≈ Leave a comment

Tags

, , , , , , , , , , , , , , , ,


Man on a hamster wheel gif, like constantly looking for money, July 26, 2015. (http://twitter.com).

Man on a hamster wheel gif, like constantly looking for money, July 26, 2015. (http://twitter.com).

Keep in mind that these are just observations, not me axe-grinding or feeling sorry for myself. My biggest observation is that raising money for others without reaping enough benefit for myself shows that even governmental and nonprofit organizations are just as prone to capitalistic exploitation as Walmart and Apple. And that I am not immune, nor have I ever been immune, to the pride and naiveté of production and exploitation.

Many times during my years in the nonprofit world as a manager or consultant, employers have asked me about my ability to raise money. I’ve done a pretty good job of that over the years. Fifteen minutes of work as an educational “closer” at Presidential Classroom led to a $25,000 grant from State Farm’s civic engagement work (a.k.a. service-learning) in 2000. I worked on a $1 million renewal grant from Lumina Foundation for Education for the college access and success initiative for which I served as deputy director during my last four years at the Academy for Educational Development (AED). I also raised $200,000 from Lumina for data collection for the initiative in 2005.

"I come here looking for money (Got to have it)," lyrics from Pet Shop Boys "What Have I Done To Deserve This" (1988), July 27, 2015. (http://nonprofitquarterly.org/).

“I come here looking for money (Got to have it),” lyrics from Pet Shop Boys “What Have I Done To Deserve This” (1988), July 27, 2015. (http://nonprofitquarterly.org/).

I’ve indirectly raised funds from which I didn’t derive a benefit, either because the amount were too small for AED’s vast overhead and other direct costs (read as paying higher-ups salaries for the privilege of raising money on behalf of the now-defunct organization). Or because others used my curriculum vitae and my work for AED to garner grants that I never worked on. My last year at AED we turned down what would’ve been a $100,000 grant from Carnegie Corporation because it would’ve been too small, especially since we needed to collaborate with a sister organization on K-16 access and success work. We turned down potential smaller grants from other private foundations for similar reasons.

And after nine months of work off-and-on, the wife of a Pulitzer Prize winning-columnist for a Washington newspaper received a $250,000 grant from a corporate foundation in New York, based on my work. Because the AED higher-up in charge of the process worked with her as a personal favor — and didn’t put our proposal and implementation work into a contract — her socialite friend and head of a college fund organization received a grant with no strings attached, for AED or for me. I did get paid for my work, as I did it under the AED banner. But the fruits born from that work went outside the organization, to a person almost as duplicitous as the organization for which I once worked.

But in terms of fundraising, or at least, making money for an organization, absolutely nothing in my work history compares to what I did at nineteen. Yes, nineteen! The summer of ’89, I worked for Westchester County Department of Community Mental Health, out of the Mount Vernon, New York clinic, across the bridge from the Mount Vernon East Metro-North stop. After the previous long summer of unemployment followed by five days of homelessness and two more months of living on financial fumes, I was happy, really happy, to have gained steady employment all through ’89.

So happy that I didn’t notice how productive I was being in the office. I had the rather official title of Summer Intern, and had been told by the Director of Community Mental Health Programs in Bob Beane that he was “counting on me.” I came to the Mount Vernon clinic with Beane’s charge to “get their back-billing in order.” Since 1984, the clinic had regularly had its Medicaid and Medicare billing for psychiatric and psychological services rejected by the state-level health folks in Albany, mostly due to coding errors.

Graphic on DSM editions since 1952 (DSM-V is in its "beta-testing" phase), American Psychiatric Association, 2012. (http://life-surfing.com/).

Graphic on DSM editions since 1952 (DSM-V is in its “beta-testing” phase), American Psychiatric Association, 2012. (http://life-surfing.com/).

Specifically, the clinic staff were putting incorrect codes from the Diagnostic and Statistical Manual for Mental Disorders — in this case, DSM-III and DSM-III-R (with the III-R standing for version number three, revised edition) — on the state billing forms. There were other errors to be sure. Doctor’s names and patients names were often misspelled. Control numbers were incorrect. The proper signature wasn’t obtained. But well over ninety percent of the errors were DSM-III or DSM-III-R codes that staff had entered into a billing form incorrectly.

This was the summer of ’89, so the form itself was printed on a line printer, and the checking of such forms had to be done manually. It would take two or three weeks to hear from Albany about an incorrect code, a month to receive payment. After five years of coding errors, red tape, and the clinic’s administrative staff badly managed by one Valerie Johnstone, my job was to rectify as many of the old billing errors as I could before the summer came to a close.

In eight weeks’ time, despite all the other menial tasks Johnstone would sometimes have me do, as well as having to share the same billing computer with Beverly (who dealt with current billing, and was probably responsible for the majority of my back-billing work), I got through three cabinets’ worth of billing issues. I left at the end of August, I left for the friendly environs of Pittsburgh and Pitt, vaguely aware of how much money I’d made for the Mount Vernon clinic and for the county.

Screen shot of 100 East 1st Street and South 1st Avenue, where I toiled for Westchester County the summer of 1989 (and 1992), April 2012. (http://maps.google.com).

Screen shot of 100 East 1st Street and South 1st Avenue, where I toiled for Westchester County the summer of 1989 (and 1992), April 2012. (http://maps.google.com).

I found out in September that my work had made them $371,000! I was impressed, but then I quickly became depressed. My salary for Westchester County that summer was $5.90 per hour. Over eight weeks, my net income was $1,610. As an intern, I had no fringe benefits, not even a commuter allowance. In terms of ratios, for every dollar I made between June 26th and August 18th, Westchester County and the Mount Vernon clinic made $230.43!

No wonder the staff at the Mount Vernon clinic looked at me with a combination of bemusement and derision! I had shown them up, unknowingly, and allowed myself to be an exploitable resource. And though I had a guaranteed job for the next three years after that summer with Beane and Westchester County, there was no way I could ever make enough income to make up for that kind of profit-generation. So much for the idea of not-for-profit and government enterprises!

Working With Wackos, Part 2

10 Friday Aug 2012

Posted by in 1, Academia, Boy @ The Window, culture, Mount Vernon New York, Politics, Work, Youth

≈ Leave a comment

Tags

, , , , , , , , , , ,


Daniel Craig in Layer Cake (2004), October 4, 2010. (http://www.guardian.co.uk).

This is the second of my two posts about my last summer working with a group of misfits and backstabbing micro-managers at the Mount Vernon Mental Health Clinic (as part of Westchester County Department of Community Mental Health) in ’92. I left off by talking about the decision I faced when the head of the clinic, Dr. Williams, wanted me to write a report that would implicate Johnstone as both an incompetent and capricious office manager. It would’ve been a report that would’ve led to Valerie Johnstone’s firing (see my “Working With Wackos, Part 1” post from last month).

Luckily I had the weekend before my last week at the job to think it through. I approached my task the same way I approached a research project. I interviewed my co-workers — at least in a way without them knowing that I was doing a formal interview — about their problems with Johnstone and about their refusal to learn the new computers and billing system for the office. I documented various incidents that I either experienced or witnessed in which Johnstone was far from professional. I even discussed the overall office dynamics and argued that they were the reason why the clinic had fallen behind twice in the past decade on hundreds of thousands of dollars worth of Medicaid and Medicare billing to New York State.

But I did more than that. I in fact put together two versions of the report. One version was specifically for Dr. Williams, one that could justify the demotion — if not the firing — of Johnstone. The other, much fuller version was one in which I made the case that Dr. Williams and Johnstone were both culpable as they created an unprofessional and chaotic atmosphere at the clinic.

The Things We Think And Do Not Say “Memo” from Jerry Maguire (1997), August 9, 2012. (http://theuncool.com).

I made the point in the second version that it wasn’t just their violent language and their nasty public and private arguments. Nor was it just their disappearances from the office for hours at a time or showing up hours late looking hung over. Their mercurial natures and their lack of respect for the office and each other had trickled down to the office staff. So much so that some summer office worker like myself had no chance of training staff on how to use a computer or a new billing system.

On my last day at work, Friday, July 31, I handed in version one to Dr. Williams, who was giddy with delight, and gave me a hug and a handshake. I left work early that day, and immediately took the 40 bus up to White Plains, to the main Westchester County Department of Community Mental Health on Post Road. I went to Bob Beane’s office (the department’s director), and dropped off version two of my report. Beane had already left for the weekend. I sneaked in and out that day, as I had worked at this office the summer and holiday season ’90, and I didn’t want questions from my one-time co-workers about why I was there.

The following Friday morning, as I got ready to walk from 616 to the Mount Vernon clinic to pick up my final summer paycheck, the phone rang. It was Beane on the other end of the phone, asking me questions about my report. He asked me how much of what was in it was true. “All of it,” I said. “I need you to come into the office so I ask you some more questions,” Beane said in response. Since I was already about to walk out the door, I hung up and went into my warp-factor-9-walk to find out what was going on (and to get my paycheck without a lot of fuss).

Heads Will Roll sculpture, Embarcadero Center #4, San Francisco, June 25, 2010. (http://artsysf.buzznet.com).

I walked into the equivalent of an emotional tsunami. One of my former co-workers was in tears, while another looked completely stunned. Beane pulled me into Johnstone’s office, and closed the door. I explained what had been going on at the office between Dr. Williams and Johnstone over the previous eight weeks, and likely over the previous three years. Beane paused, then told me what had occurred when he read my report earlier in the week. He decided to fire Dr. Williams, while he demoted Johnstone and moved her to the Yonkers clinic. Beane was in the process of meeting with my former co-workers to verify what was in my report.

After he apprised me, Beane handed me my final paycheck. Then he said, “Thank you. What you did here was very brave and very helpful. But you know you can’t work here again.”

“I know. I knew that when I gave you my report,” I said. Thus ended my career working for Westchester County government.

Fried Green Toenails

19 Saturday Feb 2011

Posted by in 1, Boy @ The Window, culture, Eclectic, Mount Vernon High School, race, Work

≈ 1 Comment

Tags

, , , , , , , , , , , , , , , , , , , ,


My Right Big Toenail Pre-Op, February 17, 2011. Donald Earl Collins. Note the black color of and the White Cliffs of Dover effect underneath my nail. Yuck, right?

Right Big Toe Post-Op, February 19, 2011. Donald Earl Collins. It feels like it looks right now, but I hope it becomes passable in time for sandals this spring and summer.

Well, not exactly green toenails, but a toenail story that might turn your face green. It’s a story that begins on Monday, June 26, ’89, my first day working for Valerie Johnstone at the Westchester County Department of Community Mental Health’s Mount Vernon Clinic on First Avenue and First Street. My first week without my stupid ass ex-stepfather at 616, my first time feeling like my future was truly my own.

I was hired to help get the clinic’s Medicaid and Medicare re-billing in order, as they had a five-year backlog in unpaid bills for psychiatric treatment, and not enough staff to do the work. That’s what I was hired to do, at $5.90 an hour. To eventually and successfully re-bill $371,000 worth of diagnoses and treatments to New York State, all the while learning DSM-III codes (that’s the Diagnostic Statistical Manual for Psychiatric Disorders for those of you who are not psychologists or psychiatrists) and the drugs that went with them. Xanax and Thorazine were among the most commonly prescribed medications to patients. I learned, sadly, that there were a few folks I knew who were also in need of psychiatric help. It was a sobering and valuable experience.

But that’s not what the boss woman had me do on my first day. Johnstone was pissed with her boss, Bob Beane, the director of clinics for the county, who had hired me because the Mount Vernon clinic was easily the furthest behind in billing, re-billing, and in covering their expenses. And she took her pissyness out on me, as well as a man I called Mr. Charles. He was in his mid-sixties and within months of retirement, but at least looked the part of a strong ex-athlete, very stout in the chest and muscular in the arms. His son had graduated a year or two before me, a trophy-winner on the Mount Vernon High School wrestling team.

Mr. Charles should’ve been taking it easy. But not with Johnstone as his boss. She berated him, yelled at him when he made mistakes, and generally treated the man as if he was less than the dirt that needed to be scraped off the bottom of her shoe. She sent the two of us to the warehouse in Tarrytown to pick up some old furniture — for her office! They had folks who worked for the county whose job it was to move furniture, but she sent a sixty-four-year-old man with arthritis and a nineteen-year-old who weighed 175 pounds to move cabinets and heavy wooden tables around. The two Black guys in the office, of course. Mr. Charles was still angry at Johnstone, though he tried to act as if he wasn’t.

I could tell anyway, because he was moving way too fast with the furniture for slow and weak young me. He moved so fast that he yanked a piece of heavy furniture out of my hands as we were carrying it downstairs, with part of a fifty-pound table coming down on my right big toe. The impact split the nail almost completely in two.

I should’ve gone to see a doctor. No insurance, no longer a regular resident, my mother and family still on welfare, and me being nineteen, I didn’t give it a second thought. I was mostly angry at Johnstone because she was an asshole of a boss. So I worked through that summer on a sore toe. It had bothered me all that fall when I went back to Pittsburgh and Pitt as well. Finally, in the middle of a snowstorm on Friday, December 15, ’89, I felt a popping sound on the top of my toe. The cold and snow had caused my toenail to fully crack, revealing a two-layer, ingrown toenail that had developed in the six months after my run-in with a wooden table.

I removed that nail, but I’ve had problems with that right big toenail ever since. Between basketball and hundreds of pickup games, with big guys stepping all over it. Years of walking everywhere, with me tripping on it. And a year of turf toe in ’05-’06, where I constantly played on it, that toenail grew darker and darker. Finally, in ’08, after dropping another, much smaller piece of furniture on the nail, it became susceptible to fungus, and that took over the growth, color, and thickness of the nail.

After removing it myself twice, I finally went to podiatrist, who told me that the best solution was to remove the nail and cauterize the nail root to stop it from growing — permanently. On Thursday, February 17, ’11, at 4:28 pm, after twenty minutes of bloody surgery, my right big toenail was gone. I’ll miss you. You didn’t deserve this. What should I do now? Maybe I should send pictures of it to Valerie Johnstone, thanking her for driving the office pool crazy, literally!