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All posts tagged medical

Entry to Leesburg hospital ER moving as part of $27 million expansion – Orlando Sentinel

LEESBURG The entrance to Leesburg Regional Medical Centers emergency room, which will grow in size as part of a $27 million expansion, will close Thursday as part of the construction, hospital officials said.

Starting then, patients will be required to access to the ER through the hospitals main entrance, officials said. Signage and extra security will be in place to help guide patients and family members. Additional parking spaces have been added to the east and west lots to accommodate patients and visitors.

The expansion will increase the hospitals east side by almost 48,000 square feet of space, adding 24 beds to the ER and including a fast-track unit to handle pediatric patients, three or four trauma-sized rooms for critical-care treatment, a spacious waiting room and an atrium-like lobby.

Its the first increase in the ERs capacity since it was built more than 50 years ago, according to Don Henderson, president and CEO of Central Florida Health, LRMCs nonprofit parent company. The expansion is due to be completed in spring of 2018.

jfallstrom@orlandosentinel.com or 352-742-5916

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Belleville Board To Hear Clara Maass Emergency Room Proposal – Patch.com


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Belleville Board To Hear Clara Maass Emergency Room Proposal
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BELLEVILLE, NJ The Belleville Board of Adjustment plans to hear a proposal to construct an addition and make alterations to the emergency room of Clara Maass Medical Center at 1 Clara Maass Drive on Thursday, July 6, according to the municipal …

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New standalone emergency room to open in Roanoke County later this year – WDBJ7

ROANOKE CO., Va. (WDBJ7) Rain cancelled the groundbreaking of LewisGale’s new standalone emergency room back in April, so dignitaries traded their shovels for sharpies to take part in a “beam-signing ceremony” Tuesday morning.

The construction they were celebrating is well under way, with the $12 million, 10,000 square foot facility now taking shape near Tanglewood Mall.

“It’s a logical step for us to grow and put an asset like this in this part of the county,” said LewisGale Regional Health System CEO Brian Baumgardner, “and bring the same level of service that we have in Salem to this part of the 419 corridor.”

This isn’t the first standalone emergency room that construction company CPPI has built. The contractor has worked on more than a dozen, including five for HCA, LewisGale’s parent company.

“It is absolutely a trend,” said CPPI Vice President Vinne Moreschi. “We’re noticing it throughout the country that hospital providers that we’re building for are building them all over the place.”

The benefit for the Roanoke Valley, LewisGale says, is the additional emergency room capacity, and the ability to see more patients more quickly.

Dr. Steve Pasternak is Medical Director of the Emergency Department.

“It just provides more emergency department beds,” Pasternak told WDBJ7. “We just don’t have enough in the Roanoke Valley. Both Carilion and LewisGale, we’re at capacity. We’re filled all the time so I think most importantly this presents more emergency department evaluation beds for the valley.”

Construction should be completed in November, with the new emergency room opening before the end of the year.

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Fueled by growth, $70M Waterman expansion plan includes larger ER – Orlando Sentinel

TAVARES Florida Hospital Waterman in July will launch a mammoth expansion of its nearly 15-year-old Tavares campus, fueled by a substantial uptick in demand for services in its Emergency Department and Lakes steady population growth.

The $70 million undertaking will include the renovation and expansion of the Emergency Department and include the addition of a four-story patient tower dedicated to womens services, pediatrics and future growth, totaling 111,000 square feet in additional patient-care space.

The project represents the single largest investment in a Lake County health-care facility since Watermans Tavares hospital was completed in 2003, David Ottati president and CEO of Adventist Health System Central Florida Division North Region, said in a prepared statement.

Florida Hospital Waterman Foundation has pledged to raise $5 million in donations for the project.

Built to accommodate 50,000 patients annually, the emergency facility last year treated more than 65,000 patients and prompted the need for the expansion, said Abel Biri, the hospitals chief executive officer.

Its the primary reason for the project, he said. Weve had substantial growth in our Emergency Department over the past several years and weve outgrown our capacity.

The countys population has climbed by 50 percent since 2000 and is expected to increase another 12 percent by 2021, according to the U.S. Census Bureau, which will increase the number of people seeking treatment at the hospital. Lakes population is 323,985, according to the latest estimates.

We want to produce an environment that is conducive to the quality of care that we like to provide to our patients, Biri said. There are physical limitations to our current ER.

The project will more than double the Emergency Departments size, taking it from 35 to 58 beds, and will include improvements in privacy and patient flow, as well as innovative treatment options for special patient populations like children, seniors and heart attack patients.

Were not only doubling its size, were building it with a purpose to enhance patient care environments, Biri said.

The expanded emergency room will occupy the first floor of the tower and the second floor will house the 24-bed women and childrens unit. The new center will include womens services including labor and delivery, postpartum care and inpatient pediatrics.

The 269-bed hospitals current Center for Women and Children will be converted to a medical-surgical unit.

The towers third and fourth floor will be shelled for future growth, with the structure able to support an additional two floors.

When fully built out, it will be a six story building, Biri said.

Groundbreaking is scheduled for July 6, with construction starting sometime in August, said Biri, with the expansion and new tower completed by the first quarter of 2019. The existing Emergency Department then will be renovated with a completion in summer 2019.

The project is being designed by Gresham, Smith and Partners of Jacksonville with Robins & Morton of Orlando serving as general contractors.

Waterman is the third major healthcare facility in the County to undertake a major expansion this year.

The 170-bed South Lake Hospital started a $50 million project earlier this year, including upgrades to its Clermont campus and construction of two freestanding emergency departments. The 308-bed Leesburg Regional Medical Center is expanding its Dixie Avenue campus, with a $27 million project that will enlarge the emergency room and add 24 permanent and 24 temporary beds.

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HMC unveils new emergency room – Valley morning Star

HARLINGEN Even hospitals can be better prepared for emergencies.

Harlingen Medical Center officials are certain thats the case after unveiling the emergency room phase of their planned $8.5 million overhaul.

Since opening our doors in 2002, almost 15 years now, weve realized about a 50 percent increase in our patient visits to our ED, president and CEO Brenda Ivory told the crowd Thursday morning. The renovation and the expansion project is really driven by our communitys increased demand for emergency services.

The Emergency Department renovation nearly doubles the size of the allotted space, featuring 20 treatment rooms, two trauma bays, fast-track bays, an isolation room and triage rooms. Additional construction over the next eight months will remake space for the cardiac catheter lab, imaging, cysto room, endoscopy and recovery.

Even though were so excited to open our ED, were also just as excited to get on with Phase II of our construction, Ivory said of the project.

Harlingen Medical Center is one of 44 for-profit hospitals in 14 states owned and operated by Prime Healthcare based in California.

In addition to HMC, Prime Healthcare owns and operates Dallas Medical Center, Dallas Regional Medical Center, Knapp Medical Center in Weslaco and Pampa Regional Medical Center.

rkelley@valleystar.com

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Capital Regional Medical Center to open two freestanding emergency rooms – WCTV

By: Lanetra Bennett June 21, 2017

TALLAHASSEE, Fla. (WCTV) — Capital Regional Medical Center is set to open two full-service emergency departments in Leon County.

Ambrose Kirkland has lived on Tallahassee’s south side for 41 years. He’s glad that one of the two new emergency rooms opening will be on his side of town.

“I think that it’s fabulous.” Kirkland said.

Administrators at Capital Regional Medical Center say they chose Capital Circle at Orange Avenue, and North Monroe near I-10 to give access to care to parts of town that are well established and continuing to grow.

“Most of the people that are over there have to depend on either family or the bus to get them around. With this place being over there, maybe now they can get the help they need.” Kirkland said.

Capital Regional has the E.R. at the main hospital in Northeast Tallahassee and a freestanding E.R. in Quincy.

Administrators say the two saw 101,000 visits in 2016. The C.E.O., Mark Robinson, says E.R. growth is on pace with Tallahassee’s three-percent population growth over the next five years.

“We want to make sure that we’re prepared for that growth and that we provide great quality health care.” Robinson said.

Both one-story facilities will have the same footprint. They will be about 10,800 square feet with 12 rooms and 24 emergency room beds.

Both will provide the same services as any E.R.: offering a full-range of capabilities from pediatric to adult care, full-service lab, C.T., trauma, ultrasound and X-ray.

Robinson said, “It gives folks a chance to do something they might not normally do, and that’s seek care. So, as opposed to debating whether or not they’re going to make the long drive somewhere, they’ve got a place right around that corner that can support them and hopefully treat that injury or illness that they have.”

Construction is scheduled to begin in about three months. The facilities should be open in 2018.

By: Aubrey Brown | WCTV Eyewitness News June 21, 2017

TALLAHASSEE, Fla. (WCTV) — Capital Regional Medical Center is set to open two full-service emergency departments in Leon County in 2018.

One of the emergency rooms will be located on North Monroe Street, just north of I-10. The other will stand at the intersection of Capital Circe SE and Orange Avenue, near Southwood.

There is a need for additional ER services in south and northwest Leon County,” said Mark Robinson, CEO of Capital Regional Medical Center. “Our goal is to provide quality care for our patients with little to no wait time. The new freestanding ERs will allow us to provide critical healthcare services in convenient locations for our patients.

CRMC says both emergency departments will offer 24/7 ER care and are expected to serve more than 25,000 patients per year.

The new ER facilities represent our latest step to expand health care into the community, said Robinson. “The hospitals main campus emergency room and the ER in Gadsden County saw more than 100,000 visits in 2016.

Both facilities will feature 24 emergency room beds and will employ about 62 people full-time.

The project will cost nearly 25-million dollars.

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Suspect tries to escape by running out of local hospital emergency … – KBTX

COLLEGE STATON, Tex. (KBTX)- A Bryan man is facing escape charges after he tried to run from a police officer while in custody at the College Station Medical Center, according to a police report.

On Friday, College Station Police Officer William Anderson was with the suspect at the hospital who was being examined for chest pains.

The suspect, Phillip Lee Martinez, was in custody for 5 warrants including a felony warrants for Evading Arrest with a Previous Conviction.

While he was at the hospital, Martinez, 32, was placed in handcuffs which were double-locked. The handcuffs were moved to the front of his body so that the doctors could do their examinations.

During this time, Officer Anderson was notified by a nurse of another nearby patient in the hospital who was unruly. While attending to that situation, according to the police report, Martinez was able to remove the medical equipment from his body and took off running out of the examination room.

Witnesses said they saw Martinez, still in handcuffs, running out of the emergency room doors.

Officer Anderson was able to catch up to him, and detained him in the hospital’s parking lot.

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‘It’s a big frustration’: Local hospital emergency rooms overwhelmed since passage of Affordable Care Act – The Bakersfield Californian

Emergency room visits are up 29 percent in Kern County since 2009 when the Affordable Care Act was passed, running counter to one of the key takeaways from the law: that they would decrease as consumers take advantage of preventive care.

The problem? Insurance doesnt equal health care access and people still dont know when its appropriate to hit the ER, experts say.

Roughly 51 percent of Kern County ER visits between 2009 and 2016 came from patients enrolled in Medi-Cal, the states insurance plan for low-income individuals, according to data from the Office of Statewide Health Planning and Development analyzed by The Californian.

Medi-Cal was expanded under the ACA, meaning more people have an insurance card. But the number of primary care doctors accepting Medi-Cal hasnt kept up with demand, especially in the Central Valley, and people are still going to ERs for basic care.

People are using the emergency room as their primary care office. People havent really had private doctors, so they dont really know how to use insurance, said Dr. Anthony Iton, senior vice president of The California Endowment, a nonprofit foundation that focuses on health care access.

The result is an added strain on emergency departments across the region, resulting in hospital reorganizations and hiring.

And despite the ACA insuring millions, it still costs hospitals money when Medi-Cal patients walk through the door, said Jan Emerson Shea, vice president of external affairs for the California Hospitals Association.

Now the hospitals are getting a little bit of money, but we still lose on average 40 cents on the dollar for every Medi-Cal patient we treat, Emerson Shea said.

The ACA has eased the burden on taxpayer-funded Kern Medical Center of treating uninsured patients in the ER.

The County of Kern paid $47 million in 2009 to cover the costs of uncompensated care at KMC. Today its financially solvent.

When more Californians began enrolling in Medi-Cal, local hospitals started seeing a surge in emergency room visitors. It has impacted every hospital in Kern County.

Here are the stats for 2009 to 2016:

Valley Childrens Hospital in Madera, the specialty care facility for all southern San Joaquin Valley kids, received 46 percent more emergency room patients, totaling more than 114,000 in 2016 and making it the busiest emergency department in the state (see sidebar).

Not all ER visits, however, have come from people experiencing bona fide emergencies, said Ken Keller, chief operations officer for Bakersfield Memorial Hospital.

We have some come in with a small earache, or a cold, or a flu, or something that doesnt really need to be in an emergency room, Keller said. They have this new benefit they didnt have before, and no education or counseling or outreach to those patients to be able to say, Heres how you access the health care system. What they knew was how to get to an emergency room.

So hospitals have taken on the task of educating patients wandering into emergency departments when they really ought to have gone to doctors offices, Keller said.

Bakersfield Memorial Hospital has hired navigators who can counsel patients on how to seek care outside the emergency room, including finding them primary care doctors who work within their insurance plans, Keller said.

The surge also is forcing hospitals to hire more doctors and staff.

We have more physicians here now than at any point in time than we did seven years ago, Keller said, adding the emergency department has been expanded by about one-third, funded primarily through philanthropy, but also through operating revenue. The hospital recently constructed a pediatric emergency department that has not yet opened and reorganized the way it triages patients.

Jimmy Phillips, administrative director of marketing and communications at San Joaquin Community Hospital, called the surge of patients entering emergency rooms who could have been treated by primary care doctors a big frustration.

Recently, the emergency department has been flooded with patients coming in for things like prescription refills, knee or back pain, cuts and scrapes, fevers and even the common cold, Phillips said.

Those patients, who could have been better served at urgent care facilities, make up roughly 70 percent of SJCHs emergency department admittances, Phillips said, adding that because emergency rooms take patients based on severity of condition, they often face longer wait times for the same quality of care.

Scott Thygerson, the chief strategy officer at Kern Medical Center, said the increase in emergency room admittances has less to do with the Affordable Care Act and more to do with the business of health care and local expansion of emergency departments.

San Joaquin, Mercy Southwest, Mercy Downtown and Bakersfield Memorial have all added beds or expanded their departments since 2009, he said.

When you add expansion, youve got to fill expansion, Thygerson said, pointing to heavy advertising campaigns local hospitals have waged in recent years for their emergency departments. Those emergency departments make up roughly half the admits in the hospital, he said.

Its a big front door, and its the only time a patient truly has a choice where they go for care, Thygerson said, adding that theres no simple answer explaining why emergency department admittances have increased, but that the ACA is just one small part.

State reimbursements to doctors for taking Medi-Cal patients are simply too low for them to justify accepting those patients, leading to the surge in ER visits, said Lanhee Chen, a Republican health care strategist and research fellow at Stanford Universitys Hoover Institution.

Doctors wont accept Medi-Cal patients because reimbursements keep getting crushed, Chen said.

Reimbursements for primary care doctors vary depending on the procedure, but California ranks 48th for their rates nationwide.

Legislators have been working to find solutions. Locally, U.S. Reps. David Valadao, R-Hanford, and Jeff Denham, R-Turlock, have proposed HR 2779, a bill that would field-test the best Medi-Cal reimbursement strategies while incentivizing physicians to work in areas where there are high numbers of Medi-Cal enrollees, like the Central Valley.

Kern County, which has a shortage of providers, high poverty and high infant mortality, is considered to be a medically underserved area by the U.S. Department of Health and Human Services. There arent enough doctors to meet the need.

Here in the valley, we know all too well that possession of an insurance card does not equate to health care services and medical treatment, Valadao said in a statement. By correcting Californias reimbursement method, we can encourage medical professionals to not only set up their practices in the valley, but to provide medical services to all patients, including those who rely on the Medicaid program.

At the state level, Gov. Jerry Brown struck a budget deal with lawmakers last week that set aside $546 million in tobacco tax money for Medi-Cal provider reimbursements roughly half the $1 billion annual estimate of what the measure would generate when voters approved Proposition 56 in 2016.

But even that isnt enough to fix the problem, Chen said.

With the volume of people were talking about with Medicaid, Im not sure that amount of money will be sufficient to deal with the issue. Its not about throwing money at the problem, Chen said. It gets back to the systemic challenges of Medicaid.

Youve got a program that does not have a benefit structure that incentivizes beneficiaries to stay healthy. Its about treating them once theyre sick, and thats not an effective way to manage a population.

A more permanent solution, said The California Endowments Dr. Iton, would be to look at a statewide policy and plan to increase the number of primary care doctors in rural areas of the state where demand is growing.

He suggested the state pay a geographical premium for Medi-Cal reimbursements where theres a dearth of doctors, and create scholarships and incentives for family practice specialties in rural areas while building residency programs that could lure young doctors to practice in the areas where they were educated.

They need sufficient resources infused to match the scale of the problem, Iton said. Right now, were not anywhere close to matching the scale of the problem.

Harold Pierce can be reached at 661-395-7404. Follow him on Twitter: @RoldyPierce.

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Emergency Rooms See Increase In Snakes Bites | Fort Smith … – 5newsonline.com

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(KFSM)- With the warmer days here and everyone heading outdoors, emergency rooms in our area are now seeing an increase in patients with snake bites.

“Typically, summer is going to be a pretty prime time for snake bites,” Nycole Oliver, Sparks Regional Medical Center nurse practitioner said. “In Arkansas, we’ll see copper heads and water moccasins.”

Sparks Regional Medical Center is fully equipped for the bite increases it will see in the coming months.

“We are one of the only hospitals in the area that has anti-venom here,” Oliver said. “We keep it in-house, which is really nice.”

There are several types of snakes you may find in your yard or on a hike, but snake experts say as long as you don’t mess with them, they won’t mess with you.

“Leaving them alone is the best option,” Brad Birchfield, snake expert said. “Even it’s a venomous snake, the chance of you getting bit if you don’t mess with it is greatly reduced.”

If you do come in contact with a snake, Birchfield said there are a few safe ways to scare off the reptile.

“A lot of snakes don’t like water,” Birchfield said. “If you spray them with a hose, they retreat. Sometimes, you can take a broom or use a ho to scoop them up and just carry them off and they’re fine.”

But, the most important thing to remember is if you get bit, go to the emergency room immediately.

“The best snake bite kit you can have is a set of car keys and a cell phone,” Birchfield said.

Those at Sparks Hospital say if you do get bit, try and get a good look at the snake or try to safely take a picture of it. By doing that, you will help doctors with the proper treatment.

In our area, experts said you are likely to see venomous snakes such as the copper head and non-venomous snakes like the king and black rat snakes.

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Valley stroke patients will get faster treatment with new mobile emergency room – FOX 10 News Phoenix

Stroke patients in the Valley will be getting faster treatment, thanks to a new partnership between the Phoenix Fire Department and the Barrow Neurological Institute. On Wednesday,they unveiled a new mobile emergency room that is specifically designed to treat victims of a stroke.

Starting next month, when someone calls 911 and there’s a possible stroke involved, Phoenix Fire crews will deploy the mobile emergency room. The Barrow Emergency Stroke Treatment Unit, or BEST-U for short, will bring all the tools for helping stroke patients right to the scene.

“This is basically an emergency room on wheels for stroke patients,” said Michael Waters, the Medical Director of the unit.

“We will be able to provide the most sophisticated and the most time sensitive diagnosis and treatment for stroke available in the world,” said Stephen Papadopoulos, Chief Medical Officer at Barrow Neurological Institute.

Waters said the unit is equipped with advanced tools. It is staffed with a nurse and CT technician, and it is capable of video-conferences with doctors back at the hospital.

Medics can even do CAT scans on board the unit.

Only ten of these state-of-the art vehicle exist in the entire country.

“This gives us the ability to initiate treatment and do a triage diagnosis in the field,” said Waters.

“The experts have said when a person suffers a stroke, every minute — every second is of paramount importance,” said Phoenix Mayor Greg Stanton.

This mobile emergency room allows medics to treat stroke patients much faster than traditional ways, which will reduce the effects of the stroke.

“This is critical with stroke care because its such a time critical process,” said Waters. “The sooner we are able to treat patients, the better the potential outcome for those patients.”

The unit cost $1 Million, and will be dispatched starting in July.

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