WhiteCoat

Healthcare Update Satellite – 01-30-2014

More medical news from around the web over on my other blog at DrWhitecoat.com

St. Barnabas Hospital in Bronx, NY registers a patient in emergency department to be seen for a rash. Told to go sit in the emergency department. Was called several times over the loudspeaker but didn’t answer. Found “stiff, cold, and blue” 8 hours later.
An unnamed hospital employee told news that the man died because there is “not enough staff to take care of the number of patients we see each day.”
Comment sections of both articles about the story have created a crowd of people with torches and pitchforks relating their own ED horror stories and demanding to know how hospital staff could be so stupid not to know that rashes could be deadly.

Virginia emergency department closed four hours due to … bedbugs. I’m guessing that they aren’t just in the ED, but that’s another story.

Repeal and replace. Republicans offer framework for a health care plan to replace ObamaCare. Will it work? I wonder if telling everyone “you have to pass it to find out what’s in it” would suffice.

Go to one San Jose, CA hospital emergency department without insurance and you’ll get someone offering to sign you up for ObamaCare while you’re sitting in the waiting room.

Doctors Medical Center, the largest emergency department in California’s West County with more than 41,000 visits per year at risk of closing – due to lack of funding.
Doctors Medical Center handles 79% of the region’s hospital admissions, 62% of the region’s ambulance traffic and 59% of the region’s emergency room care, yet 75% of the patients have government “insurance” – which is being cut – and another 11% of patients have no insurance at all. Only 12% have private insurance with who knows how high of deductibles.
“Hospitals are facing $23 billion in government payment cuts through 2020, so independent safety net hospitals that don’t have the large number of private payers face a huge challenge.”
Who’s left to pick up the tab? Taxpayers. The county has already passed two prior property tax increases to help keep the hospital open and is considering a third in November.

And then we wonder why patients with insurance are charged $89,000 for going to the emergency department with a snake bite. Different state, private hospital, same issue.

In Sweden where the government is trying to “guarantee patient care,” patients are purchasing health care insurance so that they can get timely care. Even then, the waits are longer than we would be accustomed to in the United States. “It’s quicker to get a colleague back to work if you have an operation in two weeks’ time rather than having to wait for a year.”
Remember the Engineer’s Triangle: Fast Care, Cheap Care, Quality Care – Pick any Two.

Hospital orderly finds patient’s purse in emergency department and turns it over to a hospital security guard. Security guard then rifles through purse, takes patient’s debit card, leaves work, goes down the street to a fried chicken joint, and withdraws $1,400 – all while patient was still in the emergency department.
When security guard gets back to hospital and sees patient speaking with police officer, he tries to give money back to the patient.
Now the security guard is under arrest and the bail is $5,000. No, he didn’t put down a $1,400 deposit.

Obese preschoolers are four times as likely to become obese teenagers.
Dr. Wikipedia beating out Dr. Google for health care searches. Wikipedia is reportedly the leading source of health care information for both patients AND physicians.
My guess is that the reason for Wikipedia’s dominance has something to do with Wikipedia entries appearing at the top of the search results when someone seeks out a topic.

Don’t go parking in the emergency department patient’s lot if you work at the University of Iowa. They’ll fire you quicker than their clerks take insurance information. News just broke of a third employee fired for the offense (and denied unemployment benefits). Husband and wife employees were fired for the same thing a couple of months ago.

One Response to “Healthcare Update Satellite – 01-30-2014”

  1. mark says:

    Regarding the triangle , you cant have a fire without all three. http://firextinguishing.blogspot.ca/2011/02/blog-post.html

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