Thumper on 6/16/2007 5:25:46 PM wrote:
Anyone listening?
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Thumper on 5/25/2007 12:08:46 PM wrote:
I realize that I am taking a personal point of view on this, but please tell me WHY my family is having to backtrack almost everything that is being done at the RM doctor offices and hospital for my family member who is requiring care now?
I feel so sorry for patients who have NO ONE to be their advocates! They just get lost, I guess.
TAKE SOME OF THE $ AND PUT IT INTO IMPROVING THE CARE OF THE PATIENTS WHO ARE WALKING INTO YOUR OFFICES AND ROOMS EACH DAY!!!! The health care professionals that I have come in contact this week "seem" to have too much going on - spread too thin - to really concentrate on the immediate issues of their patients! Oh yes, It's almost a holiday weekend - please hold off on getting sick!
I'm whistling in the wind!
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row_noker on 5/22/2007 10:03:19 AM wrote:
Try Medicare's hospital comparison site.
It evaluates both RMH and LG in the areas of Heart Attack care, Heart Failre care, Pneumonia Care, and Surgical Care Improvement/Surgical Infection Prevention.
In almost all the criteria, LG and RMH have comparable scores, and in most cases both score higher than the state average (the staffs at both hospitals should be commended for this).
http://www.hospitalcompare.hhs.gov/Hospital/Search/SearchCriteria.asp
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ziranthia on 5/22/2007 9:44:24 AM wrote:
"Joint Commission Results?
RM -ratings
Initial antibiotic received within 4 hours of hospital arrival*
Initial antibiotic received within 8 hours of hospital arrival
Initial antibiotic selection for CAP in immunocompetent – non ICU patient
SCIP - Infection Prevention
LG -ratings
Initial antibiotic selection for CAP in immunocompetent – ICU patient*
ACE inhibitor or ARB for LVSD*"
Proof positive that there is a lack of adequate competition in the Roanoke Valley for Carilion Health System. Thanks for your research!
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Thumper on 5/21/2007 10:07:11 PM wrote:
Joint Commission Results?
RM -ratings
Initial antibiotic received within 4 hours of hospital arrival*
Initial antibiotic received within 8 hours of hospital arrival
Initial antibiotic selection for CAP in immunocompetent – non ICU patient
SCIP - Infection Prevention
LG -ratings
Initial antibiotic selection for CAP in immunocompetent – ICU patient*
ACE inhibitor or ARB for LVSD*
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RoanokerSince80 on 5/21/2007 8:40:47 AM wrote:
renap1,
If you're thinking of going to Lewis-Gale Physicians, you'd better think again. You'll walk in there to find more problems than you've probably ever dreamed of at Carilion.
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RoanokerSince80 on 5/21/2007 8:37:52 AM wrote:
Maybe Jonathon Arrington can head up their bankruptcy filing, too.
www.roanoke.com/business/wb/wb/xp-48052
blogs.roanoke.com/chatscan/archives/2006/01/carilion_health_1.html
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ziranthia on 5/21/2007 8:18:21 AM wrote:
" don't follow your logic. You say HCA is bigger, more powerful, pays better and has better quality - yet Carilion doesn't have any competition and is able to throw its weight around"
Lewis Gale, individually, is not considered adequate competition for Roanoke Memorial and Roanoke Community Hospitals. Everyone knows this. My point is that that hospitals' owners are very different entities, with different circumstances. As far as being "for profit"; that is brand new for HCA. Personally, I think "for profit" is better, because an organization isn't catering to stockholders.
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row_noker on 5/20/2007 11:00:16 PM wrote:
Ziranthia,
I don't follow your logic. You say HCA is bigger, more powerful, pays better and has better quality - yet Carilion doesn't have any competition and is able to throw its weight around. The hospitals are 8 miles apart. The truth is they are both fine hospitals. They both pay competitive wages, have excellent doctors and nurses and both recieve equally good quality scores on the Medicare quality website (again, an unbiased source). Lewis Gale is owned by a for-profit company, HCA, which is owned by a private equity firm, KKR, which is in business to make money (nothing wrong with that, its just who they are). Carilion is a not-for-profit governed by a board of community leaders with a mission of returning value to the community.
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ziranthia on 5/20/2007 8:30:30 PM wrote:
"Thank you!Carilion is cheaper!" Of course they are. They are a local company paying Southwestern Virginia wages, unlike HCA, which has hospitals all over the country. I guess the old saying "you get what you pay for" comes to mind here.
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Thumper on 5/20/2007 2:14:34 PM wrote:
Very informative information!Thank you!Carilion is cheaper!That must be the reason for the level of quality care that my family member received.Maybe,it was just a bad day in the ER. Maybe it was just a bad day on the hospital floor when she finally made it to a room.Maybe?!Hmmmn...for some reason I cannot believe that my family member got the same level of care that would be afforded, let's say,a Carilion board member, triage or not!
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row_noker on 5/19/2007 8:31:33 PM wrote:
According to www.vapricepoint.org, a service of the Virginia Hospital and Healthcare Association, Lewis Gale Medical Center provided $15.8 million in charity and uncompensated care in '05, about 3.3% of total of total revenue. Carilion's Roanoke hospitals provided $68 million in charity and uncompensated care in '05, 6% of total revenue.
The pricepoint website also compares pricing, Carilion appears to charge less than Lewis Gale in many instances, for example, average charge for chest pain at Lewis Gale is $9035 vs. $6902 at Carilion. Average charge for a C-section at Lewis Gale is $12,760 vs. $9920 at Carilion. Major joint surgery averages $45,665 at Lewis Gale vs. $38,878 at Carilion. This is public data compiled by a neutral source.
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mumbles on 5/19/2007 5:43:49 PM wrote:
"Lack of competition"
Hmm...how do they compare with charity and indigent care?
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ziranthia on 5/18/2007 12:43:42 PM wrote:
"I FOR ONE WILL PROBABLY CHANGE TO LEWIS GALE".
Smart move. Lewis Gale's owner, Hospital Corporation of America, is a much larger and much more powerful entity than Carilion Health System will ever be. Carilion is simply a big fish in a small fishbowl, throwing its weight around. Carilion does so, because Carilion can. That's a Roanoke thing, of course. Lack of adequate competition is the problem here, and it isn't likely to change anytime soon.
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row_noker on 5/18/2007 12:23:59 PM wrote:
Decisions on whether or not a doctor has priveleges to practice at the hospital are made by the hospital's medical staff (made up of both hospital-employed and private physicians) That decision is not made by the hospital adminstration. Doctors who request priveleges meet the medical staff's criteria are allowed to practice. When a doctor does not have hospital priveleges, a hospital-based doctor is assigned to care for the patient, while keeping in close contact with the patient's family doctor. Many doctors nation-wide are choosing this scenario because it allows them to spend more time with their patients in their offices.
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renap1 on 5/18/2007 12:23:13 PM wrote:
I FOR ONE WILL PROBABLY CHANGE TO LEWIS GALE . CARILLION HAS BECOME A MONEY DRIVEN ENTITY ATTEMPTING TO MONOPOLIZE AND CONTROL THE COST OF HEALTH CARE IN ROANOKE AND THE SURROUNDING AREAS. WE ONLY HAVE OURSELVES TO BLAME. I AM THE ONE WHO WILL CHOOSE THE DOCTORS AND COURSE FOR ME AND MY FAMILY. NOT CARILION AND THEIR PRESIDENT.
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Wynona50 on 5/18/2007 12:14:51 PM wrote:
Why with this "new" system at the hospital is the doctor who has treated my father for over 40 years not allowed to treat him as a patient there? He was always there for my father in the past but now the hospital has their "owe" doctors and my Dad's doctor is not allowed to interfere with his treatment. I do not feel comfortable with people who do not know his health history just jumping in. I hate the new system and think it will not work.
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TripleActionJones on 5/18/2007 11:52:33 AM wrote:
.
I don't think I've ever met a person who said - "You know,I am completely satisfied with my healthcare!"
All the physicians jumping ship on Carilion isn't comforting and can make one wary,but I am holding judgement until I see more of how this will actually work in the end.
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row_noker on 5/18/2007 11:44:57 AM wrote:
Travelguy's scenario is completely inaccurate. The procedure in the ER hasn't changed. These are the same off-site radiologists who read overnight ER scans for the previous radiology group. The ER doc will read the scan himself and begin treatment immediately. The final off-site report, to make sure nothing is missed, is back with 60 minutes. Don't forget, Roanoke Memorial is the region's only level 1 trauma center. People with immediate, life threatening conditions and injuries are constantly coming in and must be treated on a priority basis. Nobody likes to wait, but if my loved one is in a head-on collision on Interstate 81 or has a massive heart attack, I want saving lives to take piority in the emergency room!
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Travelguy on 5/18/2007 10:35:22 AM wrote:
Think about it. You are brought into the ER with a broken leg. While having terrific pain, the ER nurse tells you it will be about 2 hours before we get the results back from the radiologist in Australia. In the meantime, just relax and we will be with you as soon as we can. Talk about patient-oriented health care!!
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Thumper on 5/17/2007 10:19:05 PM wrote:
In a June 2006 news article in the Roanoke Times, Jeff Sturgeon reported that Carilion "generated a surplus of $93.6 million for its last fiscal year".If that was the case, why-did my family member have to spend 9 hours in the ER on 2 separate occasions," didn't she have a pillow on her ER bed while waiting," didn't the ER doctors communicate with her regular doctor who had already called at her arrival (why were there so few doctors in the ER)," was there trash all over the floor-trash cans overflowing,"did the aide yell at the elderly women who knocked her bed pan off the bed...The ER seemed to be understaffed;the 2 doctors who were working seemed overwhelmed with their workload.Where is the quality of health care?
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