[NotGolfer]

Originally Posted by dbussone

Excellent post. And since GE asked, I will weigh in.

Having observed, used, and survived some ERs, not all are equal. Once one is seriously broken, as is TVRH's, it can be very difficult to turn around. I've turned around a couple in my career so I speak from experience.

What I'm posting here has been written and told to the hospital leadership. There are a number of issues that are easily noted for someone like GE so let's see if he agrees with my analysis.

First problem, the ER docs are lazy. They have no skin in the game and act like they really don't give a darn. They certainly aren't oriented toward productivity. SOLUTION: hire a new ER group, and make sure the contract speaks to quality and productivity standards.

Second problem, the hospital employees have a terrible attitude. It shows in the way they interact with each other and patients. I believe the attitude has rubbed off from the docs. SOLUTION: Replace the docs, and have all employees take a mandatory course on customer relations. Disney offers these, and they will teach it on site.

Third problem (and this one is literally a killer), best practice protocols are not being followed. When a patient arrives at the hospital with chest pain, there are practices that must be put in place immediately. Although anecdotal, there is sufficient evidence to believe cardiac and other protocols are not always followed. SOLUTION: Replace the ER group. There should also be a medical staff committee that reviews records to assure QA. I'd recommend that the committee investigate certain protocols to be sure they are being followed. Where appropriate it may be necessary to require education, or restrict privileges.

Fourth problem, they invested millions to the expand the ER...most likely hoping construction would resolve many of the issues discussed here and in other threads. The problems have remained. And IMO, the ER docs are the bottleneck. SOLUTION: fire the ER docs, and bring in a consultant to assess patient flow and staff work patterns.

That's enough for now. What do you think GE?


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I so agree with you DB....."stuff" filters down from the top. I could give a seminar on how to be an effective front desk person in an office (medical or otherwise) as I've been there. They are the 1st people to be seen and represent the facility they work for. IF they aren't exhibiting a professional manner...then they should be fired! Bottom line. I can't speak to laziness of the doctors/nurses from our experiences at TVRH...we felt they were doing the best they could (for us) under the circumstances. What we see at the ER also happens in clinics across The Villages as well. Haven't seen it at T.V. health-care however but the others could use some training for sure. Again I say there it's their dr's and management who control that!!