Emergency Room Breakeven?

[Marguerite Harkness]

So - our ER has been diminished; is staffed by two Registered Nurses according to Cleveland Clinic ad last week (prox May 1, 2016).

There is a lady doctor who is in charge of the ER - but she isn't working 24 hours/day, is she?

How many ER visits does this ER need, per day, to break even?

To cover the overhead, lights, whatever equipment is left, other utilities, radiologists if they are still there, and the two RN's?

How many hours a day is the ER in the Building Formerly Known as Lakewood Hospital, open at this time?

Chief Gilman, do you have answers? Anyone else?

[Lori Allen _]

I heard the Chief Gilman was up at one of the senior citizen buildings recently telling the residents how emergency care in Lakewood is still top notch. Interesting.

I am sure that Gilman will soon be here to defend the new emergency room after a City Hall pow-wow.

[scott gilman]

Te ER is staffed 24 hours per day minimum staffing of 3 RN's, paramedic, RT,Board certified ER doctor,Lab, CT and X ray tech, secretary and security. Maximum staff goes up to 5 nurses, 2 medics, doctor and 2 PA's.
The daily patient visits are running about the same as the Twinsburg ER.

And Lori i didn't need a city hall pow wow to post the reply. The presentation at the Westerly was to provide correct information about the capabilities of the ER. The residents asked good questions about the ER.

I cannot provide answers as to the break even cost for operating the ER.

[Lori Allen _]

Most of us already know and have known that this hospital ordeal, including our new "ER", AKA, souped up doctor's office or Urgi-Care is nothing but a big scam. My mom has friends both at the Westerly and at the Fedor Mannor. They aren't buying any of this "ER" crap either. In fact, most of them can't stand the mayor for what he has done.

[scott gilman]

There is no scam with the ER it can do all the same procedures that were done in the ER last year except admit a patient to an in patient bed in Lakewood Hospital. From what I have seen the doctors and the staff provide excellent care to the patients they treat. I wold have no problem being treated as a patient at Lakewood.

[Brian Essi]

Breakeven is not really an issue. As CCF's Brian Donley told the LHA trustees on January 14, 2015, the ER is part of a "specialty referral center"--that means that CCF feeds its hospitals business from the Lakewood transfer station.

As far as any "losses" between 2016 and the 2018 opening of the "specialty referral center"--there won't be any "losses"--- CCF got the balance of $50M LHA/Lakewood portfolio of of liquid investments together with all bed licenses, millions of dollars worth of equipment, accounts receivable and more for FREE.

They are ahead $70-$100M before they break ground on the "referral center"--they will be in the black for a long time.

[Meg Ostrowski]

There is no scam with the ER it can do all the same procedures that were done in the ER last year except admit a patient to an in patient bed in Lakewood Hospital.

But can it do all of the same procedures that were done in the years prior to last?

Is the ER Operating Room in use?

The capabilities of the ER have been diminished by the loss of specialty consultations. In years past, if we were there with a kidney issue, we saw a nephrologist; a heart issue, a cardiologist; a head injury, a neurologist. They were called down or called in. What is the procedure today if such knowledge is needed to determine treatment?

[scott gilman]

All of the procedures that were done in the ER before the closure of the inpatient beds can still be done in the ER. I do not recall surgeries in the old ER. As for specialty procedures many of what you list were called in from home or consulted by phone the were not in the hospital at all times of the day. The procedure is the same today. As an example when I cut off the tip of my finger the hand surgeon was consulted by phone and the procedure was completed by the ER staff.