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New emergency room among big changes at Rapid City hospital – Huron Daily Tribune

Updated 10:21am, Saturday, August 26, 2017

RAPID CITY, S.D. (AP) A $200 million transformation of Rapid City Regional Hospital has begun with the completion of a three-level parking garage.

The Rapid City Journal reports the most profound upcoming changes include the move of the hospital’s main entrance from the north side to the south side of the building; integration of inpatient and outpatient cardiac care services; expansion of the emergency department and the addition of another parking garage.

“Two years from now what we’re going to see is something completely different, better access for patients and better access for all of our clinical teams,” Paulette Davidson, the hospital’s chief operating officer, said at a Tuesday gathering inside a recently completed 754-space parking facility just south of the main hospital complex. “And this is just the beginning.”

The new, three-story front entrance will be made with glass, and the 36,000-square-foot emergency department will have more patient beds and medical offices.

The new emergency department will be 150 percent larger than the current space, which is already the busiest in the state with 85,000 visits per year. It’ll include five trauma exam rooms, more than 30 private exam rooms, enclosed parking for six ambulances and elevator access to a rooftop helipad.

A 30,000-square-foot intermediate care cardiac unit with outpatient offices of the Heart and Vascular Institute will be located on the level above the new emergency department.

“It’s going to be a fantastic change and will continue to advance the level of cardiac care that people have become accustomed to,” said Joseph Tuma, a cardiologist.

The project is slated for completion in 2020.

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Information from: Rapid City Journal, http://www.rapidcityjournal.com

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New emergency room among big changes at Rapid City hospital – Huron Daily Tribune

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Exclusive: Nation’s first airport emergency room opening at DFW International – Dallas Business Journal


Dallas Business Journal
Exclusive: Nation's first airport emergency room opening at DFW International
Dallas Business Journal
Smack dab in the middle of the heavily saturated North Texas market for freestanding emergency rooms and urgent care centers, Dr. Carrie de Moor found a void. And it's bigger than the island of Manhattan.

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Exclusive: Nation’s first airport emergency room opening at DFW International – Dallas Business Journal

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Total Solar Eclipse, Emergency Room Readiness – FOX10 News

(WALA) –

On a given day you never know what’s going to happen inside the emergency rooms. “Our job is to be ready for any type of emergency at any time.”

Al Babcock is one of eight ER doctors at Springhill Medical Center. Right now they’re working to get the word out about viewing the solar eclipse. On Monday, August 21, 2017, all of North America will be treated to an eclipse of the sun. Anyone within the path of totality can see one. Mobile won’t be in that path, but the area will observe 80%eclipse.

“Because I know there’s going to be something really cool to look at in the sky and people are going to want to look at itand the retina does not feel painso people aren’t going to know they are doing damage,” Dr. Babcock explains.

Proper eye protection is key! We’ve been forewarned about the importance of proper eye wear while viewing the eclipse, still Babcock says injuries will happen.”My concern is that we will see a lot of eye injures from people who didn’t actually practice proper prevention and measures to look at the sun,” Dr. Babcock says.

That damage could be temporary or permanent.

“There are two types of injuries that we worry about from the emergency room and one is treatableit’s called Ultraviolet Keratitis and that’s essentially a sunburn of the eyethe outside covering of the eye can get a sunburn just like our skin can get a sunburn.”

UV Keratitis is treatable. Retinal burns-or what’s called eclipse blindness is more severe. Either way, he says the staff is prepared.

“I am confident. This is what we prepare forthis is what we doit’s kind of like an old bunch of Boy Scouts…always be prepared so it’s literally one of the Wave busescrashes on I 65 we’ve got to be ready for it,” he adds.

Symptoms to look out for include: loss of central vision, distorted or altered colored vision. If you have any of these symptoms after viewing the eclipse, seek medical treatment immediately.

For more safety information on viewing the eclipse, check outhttps://eclipse2017.nasa.gov/safety.

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Greeley’s newest emergency room will close next week – Greeley Tribune

Not even a year old, the Neighbors ER center near Westlake will close permanently next week, amid the company’s struggles to get reimbursed from insurance companies.

Neighbors ER and Next Door Urgent Care, 2015 35th Ave., will close Aug. 4, according to company officials.

“Colorado is a challenging market,” said Tensie Axton, Neighbors Chief Financial Officer in a news release. “Unfortunately, the freestanding emergency center industry is feeling a compression as a whole, and we cannot control the reimbursement rates of insurance companies.”

This center will remain open and seeing patients throughout the week until the closure at 6 a.m. Aug. 4, said Denise Hahn, public relations specialist with Neighbors Health Systems in Houston. Roughly 30 employees will be affected by the closure.

The Texas-based free-standing emergency room clinic was testing the waters in Greeley with a hybrid model that involved an urgent care and emergency services. The company had planned to open two other centers in Colorado, but it didn’t. The center cost a little more than $3.6 million to build and spruced up the long vacant corner at 20th Street and 35th Avenue. At one point, that corner was slated for a drive-through coffee stop.

Hahn said she did not know what would happen to the property once it closes.

Neighbors is an independent, free-standing emergency room which is not affiliated with any Colorado hospital system. In fact, the one in Greeley may be the only one in Colorado. Most emergency centers in Colorado are affiliated with hospital systems, such as the one on 71st Avenue and 10t Street, which is affiliated with UCHealth, and the emergency department at North Colorado Medical Center under Banner Health.

Because there has been an influx of emergency centers in recent years, the Colorado Hospital Association wrote a summary on free-standing emergency rooms in January 2016. Public concern about expense and confusion associated with seeking treatment at the centers vs. traditional emergency departments prompted the summary.

According to the CHA summary, independent free-standing emergency departments “do not meet the federal statutory definition of a hospital, and cannot bill Medicare or Medicaid for emergency services rendered or facility fees.”

Hahn explained that in Texas, laws are different in that independent emergency departments are considered out of network but still reimbursed by insurance companies. She said that Colorado insurance providers were creating obstacles with reimbursement.

“In Texas, we’re not in network, but we are recognized in networked rates,” she said. “That’s not the case in Colorado.”

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Greeley’s newest emergency room will close next week – Greeley Tribune

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Emergency Room Wait Times Getting Longer in North Texas – NBC 5 – NBC 5 Dallas-Fort Worth

The next time you need to visit the emergency room, you might wait longer than usual.

The average wait time to see a medical professional inside a hospital emergency department in Texas is now 26 minutes, according to Centers for Medicare and Medicaid Services.

However, explosive growth in North Texas may keep you from seeing a doctor as fast as possible.

According to W. Stephen Love, president and CEO of the DFW Hospital Council, North Texas is experiencing explosive growth, and federal health care changes will likely lead to more uninsured residents, who he says go to the emergency department for primary care.

Love says right now, Texas leads the nation in uninsured patients.

“Most people who drive themselves to the emergency departments are really people seeking primary care. Primary care will be delivered, but it’s not the best place for primary care. It creates wait times,” he said.

Free-standing ERs affiliated with hospitals can alleviate some of the load, but he says free-standing ERs not owned by hospitals typically don’t treat patients on Medicare or Medicaid.

Love says they have little impact on wait times at the large hospital systems.

Your best bet, he suggests, is to know where to go.

“If you’re going to an emergency room that has trauma built in, like a Level One trauma or a Level Two trauma, sometimes very severe emergencies come in and you’re going to have to wait,” Love said.

Grand Prairie pastor Jordan Tew knows what it’s like to wait in the an emergency room waiting room.

He and his wife recently had to rush their young daughter, Savannah, to the emergency room after she became sick a few days after surgery.

“She had just had surgery to remove an extra digit on her hand and she developed a little stomach illness afterwards,” Tew said.

He says Children’s Health hospital staff had told him if any complication arose, they should return to their hospital.

“We were advised that was the place to go,” Tew said.

He said he didn’t expect to wait four-and-a-half hours to inside the emergency department waiting room.

“This is my number-one priority. It’s my child, but she’s down on a list and that is very frustrating,” he said.

Hospitals now post current wait times on signs and billboards near their facilities.

Many have also launched apps to improve customer service.

Tew says the care his daughter eventually received was excellent, but knowing what he knows now, he would have taken her to an urgent care clinic.

According to Hospital Compare, Parkland Memorial Hospital in Dallas has the longest wait time, from the moment a patient enters the hospital to the time the patient is seen by a medical professional. The average wait time is 83 minutes.

John Peter Smith Hospital in Fort Worth has an average wait time of 35 minutes.

Published at 10:28 PM CDT on Jul 24, 2017 | Updated at 3:58 AM CDT on Jul 25, 2017

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Emergency Room Wait Times Getting Longer in North Texas – NBC 5 – NBC 5 Dallas-Fort Worth

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