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Originally Posted by dbussone
GolfingEagles has just noted many suggestions that really can make a difference in improving ER performance.
I'll add another. In 4 or 5 poorly performing ERs, I've changed out the group of physicians providing care in an ER. Physicians who are lazy or have a poor attitude bleed these traits to the entire department. A change in a physician, or the entire group of physicians, is sometimes necessary and can generate a huge performance boost.
My observations tell me TVRH has several problems in this area, including not properly matching patient influx and physician staffing. Physician attitudes are another. The ER physicians do not seem to be patient oriented, preferring to spend most of their time at a nurses station rather than with patients. Just my observations.
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I agree with you, and saw the same thing when my wife was there. I just don't know if a complete housecleaning is needed. What type of physician ER staffing currently exists? Are they hospital employees or a subcontracted group?
We didn't have this problem back in 2001 since we had a stable ER physician staff that was there 20 years. But 10 years later, most of them were gone, and we looked into a national staffing group and eventually contracted with one. The problem is that the presentation is usually given by a Harvard graduate, trained at Mass General, with a supposed staff of all American University trained ER docs. It starts off that way, but 3-6 months later, one by one, those docs are replaced with FMGs, many who have yet to master English as a second language. I suspect there is a physician recruitment/retention problem in Central Florida.