1,754 EMS transports to Lwood ER in 2017

[David Anderson]

Thanks to Fire Chief Gilman who helped me through some numbers related to questions from another thread.

Mr. Kindt, there were 1,754 Lakewood EMS transports to Lakewood's ER in 2017.
- 25 percent of all Lakewood Fire/EMS responses concerning residents are treated on site and not transported.
- 30 percent of those that are transported are admitted to Fairview.

I believe three or four free standing emergency rooms have been brought on-line in Cuyahoga County in the last couple of years.

David Anderson
Member of Council
Ward One
216-789-6463
David.anderson@lakewoodoh.net

[David Anderson]

Metro - Cleve Hts.
Metro - Parma
UH - Brecksville
Metro - Brecksville
CCF - Twinsburg
CCF - Brunswick

All recent free standing ERs built in the region.

David Anderson
Member of Council -Ward One

[Bridget Conant]

Mr. Kindt, there were 1,754 Lakewood EMS transports to Lakewood's ER in 2017.
- 25 percent of all Lakewood Fire/EMS responses concerning residents are treated on site and not transported.
- 30 percent of those that are transported are admitted to Fairview.

Although your statement is convoluted and difficult to make sense of, it appears that 30 percent of those transported to Lakewood are then admitted to Fairview.

That means Lakewood couldn’t handle the case and sent them in to Fairview. That’s close to ONE THIRD of patients.

ONE THIRD! Why with those odds why bother with Lakewood”s “ER” at all?

[Brian Essi]

Thanks to Fire Chief Gilman who helped me through some numbers related to questions from another thread.

Mr. Kindt, there were 1,754 Lakewood EMS transports to Lakewood's ER in 2017.
- 25 percent of all Lakewood Fire/EMS responses concerning residents are treated on site and not transported.
- 30 percent of those that are transported are admitted to Fairview.

I believe three or four free standing emergency rooms have been brought on-line in Cuyahoga County in the last couple of years.

David Anderson
Member of Council
Ward One
216-789-6463
David.anderson@lakewoodoh.net

2889FC02-E805-4465-AB49-5FF9E3223FE5.JPG (36.13 KiB) Viewed 4764 times

[mjkuhns]

Perhaps this is a good occasion to revisit this thread, which involved some of the same issues.

[Bill Call]

Metro - Cleve Hts.
Metro - Parma
UH - Brecksville
Metro - Brecksville
CCF - Twinsburg
CCF - Brunswick

All recent free standing ERs built in the region.

David Anderson
Member of Council -Ward One

Thank you for the information.

Metros ER in Parma and Cleveland Heights are attached to small hospitals:

https://www.metrohealth.org/simplywell/ ... w-horizons

How many overnight rooms will be available at then new medical building in Lakewood?

Here is the Twinsburg Cleveland Clinic facility:

https://my.clevelandclinic.org/locations/twinsburg-fhsc

How does that compare with Lakewood's emergency room?

Twinsburg also has a University Hospital health center:

http://www.uhhospitals.org/twinsburg

How does that compare with Lakewood's emergency room?

Parma also has a Cleveland Clinic family health center:

https://my.clevelandclinic.org/locations/brunswick-fhc

Brunswick also has a University Hospital site and surgery center.

What surgeries will be offered at the Clinics new medical office building?

[todd vainisi]

Oh man, I almost went and rejoined that facebook group again to see what has been going on, but just seeing your image including Jen's immediate decision to silence that person... it makes me so mad that they can control so much thought and speech in our city. I thought we had reported Jen's use of facebook to someone official and she had been removed from that capacity?

[Mark Kindt]

Thanks to Fire Chief Gilman who helped me through some numbers related to questions from another thread.

Mr. Kindt, there were 1,754 Lakewood EMS transports to Lakewood's ER in 2017.
- 25 percent of all Lakewood Fire/EMS responses concerning residents are treated on site and not transported.
- 30 percent of those that are transported are admitted to Fairview.

I believe three or four free standing emergency rooms have been brought on-line in Cuyahoga County in the last couple of years.

David Anderson
Member of Council
Ward One
216-789-6463
David.anderson@lakewoodoh.net

Thank you for taking the time to research this information and posting it. You have answered my question. Again, thanks, much appreciated.

[cmager]

Thanks to Fire Chief Gilman who helped me through some numbers related to questions from another thread.
Mr. Kindt, there were 1,754 Lakewood EMS transports to Lakewood's ER in 2017.
- 25 percent of all Lakewood Fire/EMS responses concerning residents are treated on site and not transported.
- 30 percent of those that are transported are admitted to Fairview.
I believe three or four free standing emergency rooms have been brought on-line in Cuyahoga County in the last couple of years.

David Anderson
Member of Council, Ward One

Mr. Anderson, I've no clue how to make sense of your answer totaling 55%. Where are the other 45% - are they stuck in limbo, a CCF gulag? This is a sad, odd explanation at best. How about you provide the data (sans personal identifiers) and let us crunch the numbers into a sensible answer?

[Kate McCarthy]

Metro - Cleve Hts.
Metro - Parma
UH - Brecksville
Metro - Brecksville
CCF - Twinsburg
CCF - Brunswick

All recent free standing ERs built in the region.

David Anderson
Member of Council -Ward One

Councilperson Anderson,

How many of these communities swapped out an ER attached to a full service hospital for a free-standing ER? Correct me if I am wrong, but for all the communities you listed, not one.

Please begin to acknowledge that Lakewood lost quite a lot. There is absolutely no added value, just diminished health care options in our community. This constant refrain that a lot of cities don't have a hospital, look at all the other free-standing ERs, etc. is quite frankly ridiculous. If that is what you have to tell yourself to justify your actions, fine, but please, keep it to yourself.

[Pam Wetula]

Thanks to Fire Chief Gilman who helped me through some numbers related to questions from another thread.

Mr. Kindt, there were 1,754 Lakewood EMS transports to Lakewood's ER in 2017.
- 25 percent of all Lakewood Fire/EMS responses concerning residents are treated on site and not transported.
- 30 percent of those that are transported are admitted to Fairview.

I believe three or four free standing emergency rooms have been brought on-line in Cuyahoga County in the last couple of years.

David Anderson
Member of Council
Ward One
216-789-6463
David.anderson@lakewoodoh.net

Thank you Mr. Anderson for proving how much Lakewood's free standing ER is NOT helping. You and your fellow Council Members cannot find a way to explain away or resolve the issue of giving away a much needed FULL SERVICE hospital and ER.

The visits of 1,754 a year translates to 145.42 trips a month and 4.8 a day. with 30% 1.5 a day going to Fairview, 1.2 actually being helped by Lakewood's ED a day and 2.2 a day going elsewhere..Metro?

That means that in 75% of the trips by EMS to Lakewood, the patient incurred an additional charge for the second trip. Certainly a portion of those would be necessary even if Lakewood Hospital was still open-- Trauma to Metro as an example. I would guess not a huge number before CCF starting removing major departments from LH during the Vision For Tomorrow and the Decanting of Lakewood Hospital Plan.

I remember a figure was bandied about at some time stating just how many visits were required to make this LKWD ED financially viable. Remember that there is NOTHING in the Master Agreement that guarantees that CCF maintain this facility or even the FHC. All is up for periodic review. Remember that Sagamore Hills had a CCF Freestanding ED that was closed/ downgraded to an urgent care in late 2015 because it was not generating sufficient revenue.

Does anyone remember the number of ED visits required to maintain financial solvency at Lakewood's ED? I believe it was far greater than 145.42 a month. I will look to see if I can find anything but I do believe it was at least several hundred.

Is the ED still losing money each month? There was a figure presented some time ago that was quite large. What is that figure now Mr. Anderson? Do you believe that CCF is in this for the long haul this time?

[cmager]

Metro - Cleve Hts.
Metro - Parma
UH - Brecksville
Metro - Brecksville
CCF - Twinsburg
CCF - Brunswick
All recent free standing ERs built in the region.

David Anderson
Member of Council, Ward One

Mr. Anderson,
Metro Parma and Metro Cleveland Heights include hospital services along with their ER. Granted, these are not for Trauma or ICU.

If you are unaware, then you have no business making healthcare and development decisions for the City of Lakewood. If you know this and used this forum to misrepresent or lie, then you have no business being on Lakewood City Council. Good government requires honesty and transparency.
https://www.metrohealth.org/simplywell/ ... w-horizons

[tom monahan]

Pam:

That number was 60 as a breakeven point. It was told to us by both Drs. Donley and Jones at one of the so-called public meetings.

And the figures released by the fire chief need further clarification: what is the total number of runs; what type of illnesses made up those runs; list all of the hospitals our squads took patients to for treatment; how many times did we need mutual aid from other departments all of our squads were out of the city, etc.

Also, David, nice try at at telling us about other cities have free standing ERs. BUt what you miss is that we don't live in those other cities. You helped screw us out a great hospital and soon the chickens are going to come to roost and visit our city's feckless leaders and council members.

[David Anderson]

All - Not to keep going back, but, my reasons for voting to allow for the hospital's closure is well documented here and in print editions: LHA responsible for operating losses; $90m needed to make the hospital and garage safe and competitive; no ability to issue debt beyond $500,000 without the Clinic's approval; no alternative partner for Council to consider; all $50m of LHA assets gone by 2019-2021 to pay operating losses; no new service lines coming into LH; no legitimate way to get to the day AFTER the lease expired in 2026 with anything resembling a working hospital (referrals, doctors, etc).

However, my posts here are not fueled by hatred, anger or revenge. Nor are they issued with expectation of changing anyone's mind. Just simply to reframe how I arrived at my position and provide some additional info (see below).

Regarding the ER, I started this thread because it was posted that EMS is not transporting to Lakewood's ER. This claim is patently false and I addressed it.

Now, it seems the expectation is that the ER be able to treat all comers regardless of the medical condition. Well, was this ever the case at any time in the past when the ER was connected to the former Lakewood Hospital? Patients had always been transported from Lakewood's ER to other hospitals even when Lakewood Hospital was functioning. LFD/EMS works hard to get patients to the best location that meets their needs. But, sometimes patients are adamant about where they wish to be transported because of false information.

Thank you Chief Gilman for providing the following more complete set of data for 2017:

In 2017 LFD had 5387 EMS patient contacts.

1389 were treated at the scene and did not require transport to a hospital.

1879, or 47 percent, were transported to Fairview Hospital.

1754, or 44 percent, were transported to Lakewood ER and less than one percent of these 1754 were transported to another facility.

202, five percent, were taken to Metro.

The remaining four percent were taken to other facilities.

Just under 30 percent of the total number of patients were admitted to a hospital. (I feel your criticism of the lack of clarity in my original post on this thread was fair, Ms. Conant.)

Mr. Kuhn - You simply do not have have the entire story about that particular incident and maybe we should refrain from using incomplete anecdotes in an attempt to make a broader point.

What I see is that far more patients can be effectively and properly served by Lakewood's current ER given the fact that more than 99 percent of EMS transports to Lakewood ER are being treated and returned home. This rings a loud alarm to me that much more needs to be done to let residents know about the abilities of the current ER and coming ER/FHC and not allow misinformation about what is available here and now win the day.

The planned 10 and eight bed Metro facilities for each of the two suburbs I cited previously are not acute care facilities and will transfer patients out for cardiac catch, strokes, abdominal problems, etc.

I am sorry, Ms. McCarthy, that you feel I should keep my opinions to myself. Unfortunately, I feel you speak for many here.

David Anderson
Member of Council - Ward One

[Jim O'Bryan]

Thanks to Fire Chief Gilman who helped me through some numbers related to questions from another thread.

Mr. Kindt, there were 1,754 Lakewood EMS transports to Lakewood's ER in 2017.
- 25 percent of all Lakewood Fire/EMS responses concerning residents are treated on site and not transported.
- 30 percent of those that are transported are admitted to Fairview.

I believe three or four free standing emergency rooms have been brought on-line in Cuyahoga County in the last couple of years.

Pam

I am not an expert on healthcare, and though I know far more than I want to, I can only speak from second hand knowledge and information on these things. The Observer papers also have many contracts with doctors, and hospitals including Metro, UH but not the Clinic currently, though they have placed ads on an off with Observer papers.

The other day a person mentioned a document I am trying to get from the Clinic about Emergency Room vists, to my knowledge it is a closed informational document.

For this case I am sure that it will not matter.

The punchline is, that approx 70% of the people taken to Fairview Emergency Room are treated and released, meaning that a majority of those patients had they gone to Lakewood ER, or another ER could have been treated. In other words, not transferred into the hospital or to another hospital.

I called Lakewood ER this afternoon, and got a number of under 2% of the patients in Lakewood ER need to be transferred to another institution. Meaning they are being treated and released out of the emergency room here in Lakewood. One of the concerns expressed to me was, when asked on an emergency run, people are opting for Fairview or Metro because they have heard Lakewood Hospital is closed, which of course it is. Fearing EMS services are inadequate they are asking to go to Fairview and Metro, which is putting a strain on local EMS crews with the additional travel time.

In other words, rumors and distrust are adding to the problem. I have not spoken to David Anderson about this, but I have spoken with him and others about conversations on the Deck, and they fear, because people read the Deck, instead of merely speaking of problems in open conversation we could be adding to the problems we are talking about.

I pulled out the rest of this answer because it was actually questions to all Deck members and looking for input.