Triage guidelines are formalized and documented. To determine if you were not seen timely ,a review of the patients seen before you since your arrival charts would have to be done to determine if you were correctly prioritized. There limits to resources in every organization and yes bloody clothes and temporary blindness do not move ahead of heart failure, or head wounds. for example, depending on how deep your cuts were an infant with a temperature of 104 or greater is at much more risk than you were.
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The hospital emergency room.
- Thread starter MJ5150
- Start date
Triage guidelines are formalized and documented. To determine if you were not seen timely ,a review of the patients seen before you since your arrival charts would have to be done to determine if you were correctly prioritized. There limits to resources in every organization and yes bloody clothes and temporary blindness do not move ahead of heart failure, or head wounds. for example, depending on how deep your cuts were an infant with a temperature of 104 or greater is at much more risk than you were.
Government caused the problem in the first place with EMTALA. Obamacare has nothing to do with providing access and better care. All that had to be done was extend the reach of Medicare and Medicaid so all are insured.
Urgent care centers are awesome minimal wait and more convenient hours. Again these fall outside of EMTALA regulations so showing up there without cash, credit card, or insurance will get you referred to the free clinic or ER
Cool site. Check it out. Compare the US and Canada to say, South Africa. And that's when Ginger Baker was living there.
The cats out of the bag. I may be wrong but it's my understanding that 90% of the oxycodone consumption world wide is North American.
Might as well keep the addicts off the street. Or give them a safe place to cop until they choose to OD.
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That's because they let the most expensive patients die. That whole you have served your useful purpose bit.
Another factor is some socialized medicine does not adopt certain technology's based on their cost.
You can but in US The EMTALA act stipulates the ER has to Treat them regardless.
When I was in Turkey they, the natives, told me to make sure I didn't get in an accident. It's much cheaper to let you stay in one place rather than transport you to the hospital.
I tell people when they travel to foreign lands to keep in mind they are not in America.
The typical response it " But I'm an American Citizen!"
Oxy is pretty cheap as is. The problem is that ya need more and more. Even without a prescription it would cost money.
The cost from constant overdoses would add up quickly. Accidental or not.
I knew one guy that was getting 2 80 mg oxy with a few 30 mg roxi boosters a day.
90% of ODs are the result of poor QC on the part of venders. Or other dose issues.
NO! Just no. Sorry, that is not how health care works, you categorically do not get seen quicker for turning up in an ambulance- I'm confident even applying that to America. Though you clearly were in need of an ambulance.
Speaking as an emergency call taker for the Ambulance service (somewhere in England, I shan't say where) you would genuinely be baffled by what people call us for. Just today I took a call from someone requesting an ambulance for toothache.
I'm not sure if you got that TOOTHACHE. Called an AMBULANCE....
Having see the dentist earlier today and been given antibiotics that "aren't working".
Man, I could tell some stories. The things I hear. Today is also known as mad/ black eye Friday.
It's a sad state of affairs that people these days don't know what an emergency is, don't understand their own healthcare and unfortunately a large proportion of people not only have no education on how healthcare facilities work or what triage is but are so involved in their own bubbles that they think their insignificant little medical incident (broken nail etc) is not only an emergency but THE emergency and more important than anyone else.
But I love my job. Genuinely.
I'd have to see actual factual reports on both of these assertions before I'll believe that.
Okay, an idea about ER's. You'll never overcome the fact that people trust an ER to be a place where they can get any kind of care no matter what's wrong with them, regardless of their financial situation or IQ. Build a primary care facility adjacent to each ER, and divert incoming patients as they walk in the door.
About non-payment: Everybody should be covered by employer based insurance, exchange based, or Medicaid.
Another idea: As health care becomes more standardized, add "how to deal with health care" to the high school curriculum. There should be a catch-all class in how to survive as an adult, which includes personal health and finance.
About non-payment: Everybody should be covered by employer based insurance, exchange based, or Medicaid.
Another idea: As health care becomes more standardized, add "how to deal with health care" to the high school curriculum. There should be a catch-all class in how to survive as an adult, which includes personal health and finance.
I have seen some very expensive patients that were long since brain dead that we kept alive for years. I think in these extreme cases, the hospital stopped getting reimbursement about a year and a half in.
If we turn away non emergency cases they'll learn in no time.
Problem solved. And it's free!
And with many people failing to make it though high school I can't see your Master Plan working very well.
Just my opinion.
Let people learn the hard way. They tend to remember better.
It saddens me that you're at a level where you have access to this information, yet haven't heard of basic cost reduction measures that are widespread in the business world.
Oh wise oracle of business, tell us how to make trauma centers and ghetto hospitals profitable. Inquiring minds want to know.
It might not be possible to make those institutions profitable, but profit is neither a goal nor a guarantee that I've offered. Not all businesses succeed. And private ownership of hospitals in high poverty areas isn't an idea that I've even advocated.
My hope is for a nationwide health care system that costs less while delivering better care. Lower cost means somebody makes less money. I can't tell you that something will be cheaper and more profitable at the same time.
As for saying exactly what to do, that can't be an expectation of an informal discussion, because none of us are content matter experts, yet we are free to discuss issues anyway. And in my case, I'm hampered by the fact that what I advocate starts with gathering information:
Where is the money going?
Are you opposed to this? Why?
Where is the money going?
Yes I was responding to the "low" cost comment of someone. But yes absolutely you can reach lifetime maximums in an insurance policy even Medicare.
I would think,hospitals are able to claim on bad debt reporting as charitable care as long as the patient is not in an acute setting and moved to a more long term facility. Not full reimbursement but not a full loss either.
