Comments on: Destabilization of Psychiatric Services

By: mark p.s.

mark p.s. — Sun, 18 Jul 2010 20:01:11 +0000

As a psychiatry patient I think the rules (you complain about) are best for the patients.
Case No 1 the woman only lost her mind-judgment on the drug alcohol. If she wouldn’t drink, she would not act so crazy. You want her to take psychiatric drugs to magically make her cool tempered and reasoned? Drugs cost money. Logical thinking, reason and good behavior is a luxury only available to the wealthy. If living in poverty a person has limited choices and limited purchasing power to acquire mind altering drugs to escape the troubles and pains of consciousness.
Your case No 2 All physical reasons for madness have to be fixed before you can judge that a patient is insane because of their mind. The mind is not physical.

By: DefendUSA

DefendUSA — Mon, 09 Nov 2009 16:13:22 +0000

WC
In the local Paper in Raleigh, They cited this as well. 3700 patients were put on a waiting list fir services due to lack of beds.
Here is a link to the article;
http://www.newsobserver.com/news/local_state/story/181026.html

By: As Always

As Always — Mon, 09 Nov 2009 06:45:41 +0000

No i think Grunt has a point…What if you were to print it
post a label over it. obstructing its view. Beat them at there own game

By: As Always

As Always — Mon, 09 Nov 2009 06:39:31 +0000

I get so mad when I see or here that happen. I want to become nurse but when i see that day in and day out i just cringe.

Once, then when it happens to me i became enraged and it was a surreal moment, almost psychotic episode. I was just calm one moment and screaming that no-one knows what they are doing anymore and the system is broken. In which it is. We being people who are patients, nurses, MAs, Doctors janitors secretaries, ect. Need to rule out the doctors, Administrators, CEOs that want to increase their books. And help patients get the help that they need and truly deserve.

By: WWWebb

WWWebb — Sat, 07 Nov 2009 14:38:25 +0000

Crazy? You????

Compared to the demonstrated behavior of certain others in this forum, you’re a bastion of sanity in a sea of madness.

By: Matt

Matt — Sat, 07 Nov 2009 04:46:36 +0000

Physicians are a pretty wealthy group as far as interest groups go. Where are your lobbyists?

By: brett

brett — Sat, 07 Nov 2009 02:06:41 +0000

of course not. the political hacks who think they are “solving” this crisis are not listening to those in the trenches.

By: the psycho therapist

the psycho therapist — Sat, 07 Nov 2009 01:34:29 +0000

create a centralized dispatch similar to 911 services that will find the closest open bed.

The closest open bed. (laughing hard)
Hysterical.
As if there was something close to resembling a “supply”.

I like number three. A lot. In my experience, this might be the best shot: pocketbooks.

By: Matt

Matt — Fri, 06 Nov 2009 20:24:26 +0000

Can I find these suggestions, which sound great, in a bill anywhere?

By: WhiteCoat

WhiteCoat — Fri, 06 Nov 2009 20:01:21 +0000

Here’s how to solve the problem:
1. If we’re going to continue to use EMTALA as a means to provide emergency care to everyone, enforce the law. Specialty center won’t take a patient when they have beds available? Report them. Problem is that the referring hospitals don’t want to get into a pissing match with the larger institutions. So violations go unreported unless there is a bad outcome. Enforce fines or other sanctions under the law against hospitals that don’t report violations. Heck, I’d even let the feds come in and do random audits to see if hospitals aren’t reporting.
2. Create a statewide or national database of hospitals/capabilities/specialty beds available. Anyone wanting to transfer any patient to a referral center can go look up on the database what hospitals have beds available in what specialties. No more multiple phone calls to find an available hospital. If you’re listed as available on the database, you have to take the patient in transfer. Either that or create a centralized dispatch similar to 911 services that will find the closest open bed.
3. Create financial incentives for the hospitals that have most percentage of beds open for the most amount of time during a year and/or disincentives for receiving hospitals that accept the fewest transfers.
4. Create standardized screening requirements for all transfers so that hospitals can’t play this “stabilize the TSH” game. Any testing above the basic requirements can be done at the discretion of the transferring hospital (in order to stabilize the patient), but may not be requested/demanded by the receiving hospital as a precondition to accepting transfer.
How’s that for a start?