ER doctors sue state, say emergency room system near collapse | L.A. Now | Los Angeles Times

ER doctors sue state, say emergency room system near collapse | L.A. Now | Los Angeles Times
Emergency room doctors filed a lawsuit today against the state, saying that California’s overstressed emergency healthcare system is on the verge of collapse unless they receive additional funding.

Emergency room physicians say they have been particularly hard hit by the state’s fiscal problems. Unlike other doctors, who can choose not to accept Medi-Cal patients, emergency rooms cannot deny treatment. They provide care for these patients but are reimbursed at rates they say are half the cost of the treatment. California’s reimbursement rate ranks 43rd in the country, state officials said.

Hmm.  I understand their frustration but wonder what they think they’re going to get from a state that’s essentially insolvent.

richard[WINTERS]md: Concierge Emergency Department / also, the Seniors ED

richard[WINTERS]md: Concierge Emergency Department is a very interesting idea.

Every hospital I’ve been to treats every patient to the same experience, with the same care. Some people would gladly pay for the same care but a better experience (see above blog post). I know I would.

What say you, folks about the Concierge ED: good, bad, or indifferent?

On the same track, an ED in Silver Springs, MD had a good idea, the Seniors ED:

When Barbara Rayner, 78, came to the emergency room at Holy Cross Hospital in Silver Spring last month with severe lower back pain, she was expecting a long wait and harried staff. But within minutes she was whisked into a separate area, called the senior emergency center. It is one of the nation’s first ERs designed to serve a population 65 and older.

Seniors get a better experience, and the hospital gets to market to a payor group that’s nearly 100% covered by some kind of insurance.  Win/Win.

Zippy the Lobster travels to the Bahamas

I was pleased to be Zippy’s caretaker when we went to the Bahamas for a medical conference (background on Zippy Here).

I’ve made a pictorial essay on the travels and travails of Zippy the Lobster:

 

Also, recall what Zippy’s trying to do, raise awareness (and coff money coff) for childrens’ brain cancer research.  So, if you feel the urge, go over there and give a little.

2008 Medical Weblog Awards Sponsored by Epocrates: Meet the Winners! – Medgadget – www.medgadget.com

2008 Medical Weblog Awards Sponsored by Epocrates: Meet the Winners! – Medgadget – www.medgadget.com

I was away and missed this.  Congratulations to all the winners!