Leading Question
Patients visiting emergency rooms these days are sicker, less insured and arriving in greater numbers than ever before.
Total ER visits nationally are up 32 percent from 1996 to 2006, according to a report released this year by the
“A lot of these patients are uninsured,” says Michael Harrington, chief operating officer of
“What it means is that they’re sicker when they get here,” says Doctors Hospital CEO Robert Meade. “Based on the high cost of healthcare insurance, a lot of businesses are no longer able to afford coverage for their employees. As a result, many people are waiting longer and longer to see a doctor.”
In what Meade calls “an alarming trend,”
Changes in the ER are forcing hospitals to add staff, open new facilities, borrow available staff from other departments and make other changes, such as shortening inpatient stays and encouraging morning discharges to free up beds for when the ER starts to get busy later in the afternoon, says Linda Antes, director of Critical Care Services at Manatee Memorial.
She says Manatee Memorial added 4.2 positions this year to help triage ER patients and another two positions during the peak seasonal months to help manage admissions and treatment.
“Our process improvement has helped us manage patients more effectively,” Antes says. “Getting people upstairs is key; it’s a hospitalwide initiative to improve our ER efficiency.”
Sarasota Memorial has perhaps taken the greatest steps in recent years to manage its ER traffic. In January 2006, SMH opened an urgent care walk-in center on
SMH also is in the middle of construction of a freestanding emergency care center in
You can expect to see continued efforts to improve emergency care efficiency, as hospital administrators everywhere expect more of the same in near future.
“Nationally, ER wait times are increasing and ERs are clogged with patients,” Antes says. “We’ve been doing some things to try to improve service. You have to. Eighteen percent of our patients are admitted, and that’s probably not going to change any time soon.”