Officials: 6 shot, 1 fatally, on South Side

A total of six people were shot, one fatally, in two shootings on the South Side, officials said.

In the first shooting, two 19-year-old men were reported shot on the 1100 block of West 51st Street, police said. The Shooting was reported at 6:11 p.m., said Chicago Fire Department Chief Joseph Roccasalva.

The men were both taken in serious-to-critical condition to John H. Stroger, Jr. Hospital of Cook County.

One of the men was reportedly shot in the back and the second man was shot in the hand, leg, side and buttocks, said Chicago Police News Affairs Officer VeeJay Zala.

Minutes after that shooting, four people were shot on the 4200 block of South Wells Street at 6:21 p.m., said Roccasalva.

A 30-year-old man sustained a gunshot wound to the head and a 38-year-old man was shot in the neck, both were taken to John H. Stroger, Jr. Hospital of Cook County. One of the men  reportedly died, according to Roccasalva.

A 32-year-old man was sustained a gunshot wound to the stomach. A 27-year-old man waa shot in the leg and taken to Mercy Hospital where his condition was stabilized.

Two of the victims were taken in serious-to-critical condition to Stroger Hospital, one person was taken to Mercy Hospital in fair-to-serious condition and one person was reported dead on the scene, said Roccasalva.

About 20 onlookers gathered on sidewalks and stoops in the 4200 block of South Wells Street where beat cops and detectives were going door to door scouring for witnesses.

A female voice could be heard screaming down the block. Two others were consoling each other with tears in their eyes in the middle of the street.

One officer approached a group of people outside the yellow tape and asked loudly, "Did anybody see anything?"

Nobody said anything back to the officer as she walked away from them.

Rolita Lofton, 34, stood crying at the edge of the police tape Friday night near the shooting site on Wells Street.

"They hit my brother in the chest," Lofton said.

Lofton said her brother, Orivell Chester, 32, was one of the four shot Friday night.

Lofton said she was told her brother was in surgery but did not know the hospital. She said Chester worked at McCormick Place and recently got off work.

Marcus Keene, 38, said he heard the shooters came through the gangway on Wells Street and just started shooting at a group of men gathered on the porch.

He said two of the men shot were on the porch while the other two shot were sitting on the couch inside the next house over. Keene said he believes one of the men who were struck while inside the house has already died.

Keene, who works as a CTA bus driver, expressed frustration.

"Why? Who knows. Is this sad? Yes. The powers at be aren't doing what they should do and neither are the people here," Keene said.

Several police vehicles and an amblance was also stationed on the block full of two-story apartment houses.

Linda McCullough was watching television at her home when she heard about five gunshots. She then went outside to see what was going on.

She says the neighborhood is usually quiet.

"We have some trouble maybe every four years," she said. "People start acting crazy."

In addition to those shootings, a man was found dead of apparent gunshot wounds on the 8200 block of South Dobson, police said.

The victim may have been dead for several weeks and was found in a half-way house, a police source said. The man sustained several gunshot wounds, police said.

chicagobreaking@tribune.com

Twitter: @ChicagoBreaking

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“iCarly” and “Victorious” spinoff gets greenlight from Nickelodeon

LOS ANGELES (TheWrap.com) – Tweens of the world, rejoice: “iCarly” may be relegated to the dustbin of TV-programming history, but a part of it will live on.

Nickelodeon has greenlit “Sam & Cat,” a hybrid spinoff of “iCarly” – which ended its run last week – and the Nickelodeon series “Victorious.”

The series – from “iCarly” and “Victorious” creator Dan Schneider – will star Jennette McCurdy (who played Sam Puckett on “iCarly”) and Ariana Grande (perhaps better known as Cat Valentine to “Victorious” viewers). Both will reprise theo become teen entrepreneurs by starting their own after-school babysitting business.”

The 20-episode first season of “Sam & Cat” will premiere next year; production will begin in January in Los Angeles.

“Jennette and Ariana are adored by our audience, and it’s great to unite these talented actresses in this hilarious new comedy from Dan Schneider,” Nickelodeon’s president of content development and production Russell Hicks said. “This show promises to deliver on what our audience loves most about these two favorite characters – laugh-out-loud humor and non-stop adventure, and is sure to be a compelling new chapter for our new comedic duo.”

The “iCarly” series finale last week drew 6.4 million viewers.

TV News Headlines – Yahoo! News

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Doctors Who Work for Hospitals Face a New Bottom Line

For decades, doctors in picturesque Boise, Idaho, were part of a tight-knit community, freely referring patients to the specialists or hospitals of their choice and exchanging information about the latest medical treatments.

Joshua Roper for The New York Times

St. Luke's Health System dominates the market in Boise, Idaho, and critics say patients are paying more.

Chad Case for The New York Times

Dr. Julie A. Foote, an endocrinologist in Boise, questions whether patients are getting cost-effective care as a result of consolidation in the medical field.

But that began to change a few years ago, when the city’s largest hospital, St. Luke’s Health System, began rapidly buying physician practices all over town, from general practitioners to cardiologists to orthopedic surgeons.

Today, Boise is a medical battleground.

A little over half of the 1,400 doctors in southwestern Idaho are employed by St. Luke’s or its smaller competitor, St. Alphonsus Regional Medical Center.

Many of the independent doctors complain that both hospitals, but especially St. Luke’s, have too much power over every aspect of the medical pipeline, dictating which tests and procedures to perform, how much to charge and which patients to admit.

In interviews, they said their referrals from doctors now employed by St. Luke’s had dropped sharply, while patients, in many cases, were paying more there for the same level of treatment.

Boise’s experience reflects a growing national trend toward consolidation. Across the country, doctors who sold their practices and signed on as employees have similar criticisms. In lawsuits and interviews, they describe growing pressure to meet the financial goals of their new employers — often by performing unnecessary tests and procedures or by admitting patients who do not need a hospital stay.

In Boise, just a few weeks ago, even the hospitals were at war. St. Alphonsus went to court seeking an injunction to stop St. Luke’s from buying another physician practice group, arguing that the hospital’s dominance in the market was enabling it to drive up prices and to demand exclusive or preferential agreements with insurers. The price of a colonoscopy has quadrupled in some instances, and in other cases St. Luke’s charges nearly three times as much for laboratory work as nearby facilities, according to the St. Alphonsus complaint.

Federal and state officials have also joined the fray. In one of a handful of similar cases, the Federal Trade Commission and the Idaho attorney general are investigating whether St. Luke’s has become too powerful in Boise, using its newfound leverage to stifle competition.

Dr. David C. Pate, chief executive of St. Luke’s, denied the assertions by St. Alphonsus that the hospital’s acquisitions had limited patient choice or always resulted in higher prices. In some cases, Dr. Pate said, services that had been underpriced were raised to reflect market value. St. Luke’s, he argued, is simply embracing the new model of health care, which he predicted would lead over the long term to lower overall costs as fewer unnecessary tests and procedures were performed.

Regulators expressed some skepticism about the results, for patients, of rapid consolidation, although the trend is still too new to know for sure. “We’re seeing a lot more consolidation than we did 10 years ago,” said Jeffrey Perry, an assistant director in the F.T.C.’s Bureau of Competition. “Historically, what we’ve seen with the consolidation in the health care industry is that prices go up, but quality does not improve.”

A Drive to Consolidate

An array of new economic realities, from reduced Medicare reimbursements to higher technology costs, is driving consolidation in health care and transforming the practice of medicine in Boise and other communities large and small. In one manifestation of the trend, hospitals, private equity firms and even health insurance companies are acquiring physician practices at a rapid rate.

Today, about 39 percent of doctors nationwide are independent, down from 57 percent in 2000, according to estimates by Accenture, a consulting firm.

Many policy experts praise the shift away from independent practices as a way of making health care less fragmented and expensive. Systems that employ doctors, modeled after well-known organizations like Kaiser Permanente, are better able to coordinate patient care and to find ways to deliver improved services at lower costs, these advocates say. Indeed, consolidation is encouraged by some aspects of the Obama administration’s health care law.

“If you’re going to be paid for value, for performance, you’ve got to perform together,” said Dr. Ricardo Martinez, chief medical officer for North Highland, an Atlanta-based consultant that works with hospitals.

The recent trend is reminiscent of the consolidation that swept the industry in the 1990s in response to the creation of health maintenance organizations, or H.M.O.’s — but there is one major difference. Then, hospitals had difficulty managing the practices, contending that doctors did not work as hard when they were employees as they had as private operators. Now, hospitals are writing contracts more in their own favor.

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Jewel parent says sale talks proceeding

Exterior of Jewel-Osco's first "Green Store" located at 370 N. Desplaines in Chicago. (Antonio Perez / November 29, 2012)

By Emily Bryson York




Chicago Tribune reporter

6:51 a.m. CST, November 30, 2012

Supervalu, the Minneapolis-based parent of Jewel-Osco said sale talks are proceeding after stock closed down more than 18 percent Thursday, to $2.28.

The beleaguered grocery chain was likely moving to combat reports that sale talks with suitor Cerberus Capital Management had stalled over funding.

"The company continues to be in active discussion with several parties," according to the statement. "There can be no assurance that this process will result in any transaction or any change in the Company's overall structure or its business model."

Supervalu, the third-largest U.S. grocery chain, has acknowledged sale talks since the spring. The company has been closing stores and cutting jobs as it has underperformed competitors like Dominick's parent Safeway and Kroger.

If Supervalu does not sell to Cerberus, it may have to restructure on its own or sell off individual assets, which could have big tax consequences, Bloomberg said.

Reuters reported last month that buyout firm Cerberus was preparing a takeover bid for Supervalu, the third-largest U.S. supermarket chain.

Cerberus officials could not be reached immediately for comment.

-- Reuters contributed to this report

In addition to Jewel, Supervalu owns Albertsons, Cub and other regional grocery chains.

SVU data by YCharts

SVU data by YCharts

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Wacker project set to cross finish line

The rebuilt north-south section of Wacker Drive will be completely open to traffic Friday, including the lower-level roadway connection to Congress Parkway, Chicago transportation officials said Thursday.

The plan calls for the Wacker-Van Buren Street intersection to open between 8 and 9 a.m., according to the Chicago Department of Transportation.

Then, in the early afternoon, Lower Wacker is scheduled to fully reopen in phases, for the first time since 2010, to allow for a controlled and orderly debut of the new underground ramp that is designed to provide drivers with a more gradual merge onto Congress Parkway, CDOT spokesman Pete Scales said.

Lower Wacker should be fully open in time for the evening rush, he said Thursday as crews were finishing up lane striping and testing the new lighting.

The reopenings mark the completion, except for landscaping next spring and minor items, of the $300 million reconstruction of Wacker between Randolph Street and Congress.

The stretch, which features wider sidewalks and crosswalks, is used by 150,000 pedestrians on an average weekday, CDOT said. It also serves about 60,000 vehicles, half on Upper Wacker and half on Lower Wacker. The average daily traffic count on Congress is 75,700 vehicles.

"Re-creating a double-deck highway boulevard through the downtown was no small task,'' Chicago Transportation Commissioner Gabe Klein said. "Now it's a modern, much more safe and efficient roadway whether you are in a car, using transit, biking or walking.''

jhilkevitch@tribune.com

Twitter @jhilkevitch

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Thousands touched by photograph of New York cop helping shoeless man

NEW YORK (Reuters) – A photograph of a New York City police officer crouching by a shoeless panhandler to give him a new pair of boots on a cold night in Times Square has drawn a deluge of praise after it was published on the police department‘s Facebook page this week.

By Thursday afternoon, nearly 394,000 people had clicked a button on the department’s Facebook page to indicate that they “liked” the photograph. Tens of thousands left comments, most praising Officer Lawrence DePrimo for his charitable deed.

The photograph was snapped by Jennifer Foster, an employee of the Pinal County Sheriff‘s Office in Florence, Arizona, during a trip to New York this month, according to police.

She took the picture shortly after she noticed the man asking passersby for money.

“Right when I was about to approach, one of your officers came up behind him,” Foster wrote in an email to the New York Police Department accompanying the snapshot, according to the picture caption on the department’s Facebook page. She said she was some distance away, and the officer did not know he was being photographed.

“The officer said, ‘I have these size 12 boots for you, they are all-weather. Let’s put them on and take care of you.’ The officer squatted down on the ground and proceeded to put socks and the new boots on this man.”

DePrimo and Foster could not be reached for comment on Thursday, and the police department did not respond to queries about the photograph.

DePrimo, 25, joined the force in 2010 and lives with his parents on Long Island, according to The New York Times. He paid $ 75 for the boots from a nearby Skechers store after an employee there gave him a 25 percent discount upon learning they were to be donated to a man in need.

“I wish more cops were like this guy,” one person wrote on the department’s Facebook page. Others suggested there were plenty of good-hearted police officers about, even if their good deeds were not photographed or touted on Facebook.

(Editing by Paul Thomasch and Stacey Joyce)

Internet News Headlines – Yahoo! News

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Actor who apparently killed landlady not on drugs

LOS ANGELES (AP) — An autopsy report shows no drugs were detected in the body of a former “Sons of Anarchy” actor who police say killed his landlady and then fell to his death.

Toxicology results on Johnny Lewis found no traces of cocaine, alcohol, marijuana or any other types of drugs in the actor’s system. Officials checked for anti-psychotic drugs as well as psychedelic drugs.

Lewis was found dead in September in the driveway of a Los Angeles residence, and police found his landlady and a cat dead inside the home. Officials believe Lewis fell while trying to flee the home after killing 81-year-old Catherine Davis.

The killing occurred just days after Lewis was released from jail. Records show he had pleaded no contest to assault with a deadly weapon and attempted burglary in separate cases.

Authorities expressed concern about his mental health in court hearings before his release.

Entertainment News Headlines – Yahoo! News

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Medicare Is Faulted in Electronic Medical Records Conversion

The conversion to electronic medical records — a critical piece of the Obama administration’s plan for health care reform — is “vulnerable” to fraud and abuse because of the failure of Medicare officials to develop appropriate safeguards, according to a sharply critical report to be issued Thursday by federal investigators.

Mike Spencer/Wilmington Star-News, via Associated Press

Celeste Stephens, a nurse, leads a session on electronic records at New Hanover Regional Medical Center in Wilmington, N.C.

Centers for Medicare and Medicaid Services

Marilyn Tavenner, acting administrator for Medicare.

The use of electronic medical records has been central to the aim of overhauling health care in America. Advocates contend that electronic records systems will improve patient care and lower costs through better coordination of medical services, and the Obama administration is spending billions of dollars to encourage doctors and hospitals to switch to electronic records to track patient care.

But the report says Medicare, which is charged with managing the incentive program that encourages the adoption of electronic records, has failed to put in place adequate safeguards to ensure that information being provided by hospitals and doctors about their electronic records systems is accurate. To qualify for the incentive payments, doctors and hospitals must demonstrate that the systems lead to better patient care, meeting a so-called meaningful use standard by, for example, checking for harmful drug interactions.

Medicare “faces obstacles” in overseeing the electronic records incentive program “that leave the program vulnerable to paying incentives to professionals and hospitals that do not fully meet the meaningful use requirements,” the investigators concluded. The report was prepared by the Office of Inspector General for the Department of Health and Human Services, which oversees Medicare.

The investigators contrasted the looser management of the incentive program with the agency’s pledge to more closely monitor Medicare payments of medical claims. Medicare officials have indicated that the agency intends to move away from a “pay and chase” model, in which it tried to get back any money it has paid in error, to one in which it focuses on trying to avoid making unjustified payments in the first place.

Late Wednesday, a Medicare spokesman said in a statement: “Protecting taxpayer dollars is our top priority and we have implemented aggressive procedures to hold providers accountable. Making a false claim is a serious offense with serious consequences and we believe the overwhelming majority of doctors and hospitals take seriously their responsibility to honestly report their performance.”

The government’s investment in electronic records was authorized under the broader stimulus package passed in 2009. Medicare expects to spend nearly $7 billion over five years as a way of inducing doctors and hospitals to adopt and use electronic records. So far, the report said, the agency has paid 74, 317 health professionals and 1,333 hospitals. By attesting that they meet the criteria established under the program, a doctor can receive as much as $44,000 for adopting electronic records, while a hospital could be paid as much as $2 million in the first year of its adoption. The inspector general’s report follows earlier concerns among regulators and others over whether doctors and hospitals are using electronic records inappropriately to charge more for services, as reported by The New York Times last September, and is likely to fuel the debate over the government’s efforts to promote electronic records. Critics say the push for electronic records may be resulting in higher Medicare spending with little in the way of improvement in patients’ health. Thursday’s report did not address patient care.

Even those within the industry say the speed with which systems are being developed and adopted by hospitals and doctors has led to a lack of clarity over how the records should be used and concerns about their overall accuracy.

“We’ve gone from the horse and buggy to the Model T, and we don’t know the rules of the road. Now we’ve had a big car pileup,” said Lynne Thomas Gordon, the chief executive of the American Health Information Management Association, a trade group in Chicago. The association, which contends more study is needed to determine whether hospitals and doctors actually are abusing electronic records to increase their payments, says it supports more clarity.

Although there is little disagreement over the potential benefits of electronic records in reducing duplicative tests and avoiding medical errors, critics increasingly argue that the federal government has not devoted enough time or resources to making certain the money it is investing is being well spent.

House Republicans echoed these concerns in early October in a letter to Kathleen Sebelius, secretary of health and human services. Citing the Times article, they called for suspending the incentive program until concerns about standardization had been resolved. “The top House policy makers on health care are concerned that H.H.S. is squandering taxpayer dollars by asking little of providers in return for incentive payments,” said a statement issued at the same time by the Republicans, who are likely to seize on the latest inspector general report as further evidence of lax oversight. Republicans have said they will continue to monitor the program.

In her letter in response, which has not been made public, Ms. Sebelius dismissed the idea of suspending the incentive program, arguing that it “would be profoundly unfair to the hospitals and eligible professionals that have invested billions of dollars and devoted countless hours of work to purchase and install systems and educate staff.” She said Medicare was trying to determine whether electronic records had been used in any fraudulent billing but she insisted that the current efforts to certify the systems and address the concerns raised by the Republicans and others were adequate.

This article has been revised to reflect the following correction:

Correction: November 30, 2012

An article on Thursday about a federal report critical of Medicare’s performance in assuring accuracy as doctors and hospitals switch to electronic medical records misstated, in some copies, the timing of a statement from a Medicare spokesman in response to the report. The statement was released late Wednesday, not late Thursday.

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Groupon board ends meeting; takes no action on CEO Mason's job

Groupon CEO Andrew Mason at the Nasdaq after his company's initial public offering in 2011. (Brendan McDermid/Reuters / November 29, 2012)

By Melissa Harris




Tribune reporter

3:14 p.m. CST, November 29, 2012

Today's meeting of Groupon's board of directors concluded minutes ago with no announced action on chief executive Andrew Mason's job, according to the company's spokesman.

For now, it appears Mason will continue leading the daily deals company as it seeks to turn around its sluggish performance in Europe, expand its offerings and draw in more customers via Google search vs. email blasts.

"The meeting is over and the board and management team are keenly focused on the performance of the company," said company spokesman Paul Taaffe. "And they are all working together with their heads down to achieve Groupon's objectives."

mmharris@tribune.com | Twitter @ChiConfidential

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Emanuel not backing down on CTA fare hike comments

Mayor Rahm Emanuel today refused to back away from his remarks that commuters can choose whether to drive or take the CTA when fares increase, instead saying his earlier comments were misinterpreted.

"What I said is, (it's) a choice. People have a choice between public transportation and private," the mayor said. "If you're coming from O'Hare, you pay $50 for the cab downtown. You can rent a car, which is probably close to that. Or you can take the CTA. That's a choice which is much cheaper."

That’s not much different from Emanuel’s comments Monday, when he was asked  about a proposed CTA budget that will raise prices on transit passes, including shorter passes of a few days often favored by tourists and business travelers and the 30-day pass many Chicagoans rely on to get to work.

"Public transportation is different from driving to work. You will make that choice," Emanuel said Monday when asked about the increase to the 30-day pass.

The mayor's insistence that the CTA hikes are not really fare increases, that public transit remains a bargain and that commuters can "make that choice" about whether to drive became conversation fodder and inspired a Twitter account @RahmSaysDrive.

Emanuel also pointed out then that the standard CTA fare of $2.25 will remain unchanged under the budget, unlike gasoline prices. "Now you, as a commuter, will pick. You can either drive to work or you can take public transportation, and the standard fare will stay the same," Emanuel said Monday.

Today, the mayor noted that 45 percent of CTA riders pay the standard fare, and said his earlier comments were meant to illustrate that cost of a bus or train ride would be set while other consumer prices like gas and milk rise.

"I did not say or imply that you could just drive," Emanuel said at an unrelated news conference. "I said there's a choice. People choose public transportation because it's competitive against private transportation. That's a choice. And the service is getting better and improved. And that's my intention."

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