Villages hospital

[daylilylady]

Does anyone know if they have a patient advocate?

[blueash]

Google is your friend
"If you feel that an issue hasn't been resolved to your satisfaction by your nurse, nurse manager or physician, please contact a patient advocate at (352) 265-0123 with complaints or concerns. You may call at any time during or after your stay."

[tophcfa]

Hmmm, I wasn’t aware there was a hospital in the Villages, just the place off El Camino Real that impersonates a hospital?

[Stu from NYC]

Hmmm, I wasn’t aware there was a hospital in the Villages, just the place off El Camino Real that impersonates a hospital?

The developer says it is a hospital so it is a hospital

[golfing eagles]

Hmmm, I wasn’t aware there was a hospital in the Villages, just the place off El Camino Real that impersonates a hospital?

In years gone by you might have a point. But consider this: In the last thread about the hospital on TOTV, 42 out of the first 44 comments were POSITIVE.

[Randall55]

In years gone by you might have a point. But consider this: In the last thread about the hospital on TOTV, 42 out of the first 44 comments were POSITIVE. Agree. We have had positive experiences. But, for those who have not, their stories are bone-chilling. My family keeps a watchful.eye when a relative is admitted.

[Stu from NYC]

In years gone by you might have a point. But consider this: In the last thread about the hospital on TOTV, 42 out of the first 44 comments were POSITIVE.

Hopefully they have turned this around.

[Debfrommaine]

The developer says it is a hospital so it is a hospital

Developer doesn't run the hospital.

[LuvNH]

Hopefully they have turned this around.

Pity they did not turn it around a long time ago. I am a 24/7 caregiver to my husband due to their incompetence. They did try hard to kill him, but he resisted their efforts.

[Dusty_Star]

Pity they did not turn it around a long time ago. I am a 24/7 caregiver to my husband due to their incompetence. They did try hard to kill him, but he resisted their efforts.

I'm very sorry for your family's pain & trauma.

According to our friend Google iatrogenic deaths are the third leading cause of death in the U.S. with something like 1/4 million annually.

[golfing eagles]

I'm very sorry for your family's pain & trauma.

According to our friend Google iatrogenic deaths are the third leading cause of death in the U.S. with something like 1/4 million annually.

And "your friend" google is citing bogus data from the Johns Hopkins bogus study. The problem is with the definition of "iatrogenic death", which also probably varies from state to state. I can only speak for NY. If a terminal patient with stage 4 pancreatic cancer receives a standing dose of Tylenol outside the 1 hour window----lets say 31 minutes early, that is considered a "medication error" and must be reported to the state health department. When he dies 10 days later, it is an "iatrogenic death" since there was a medication "error" during the hospital stay. Now, when Hopkins gathered "iatrogenic death" data from the states, guess how badly their data was skewed. This is not to say there aren't any iatrogenic deaths, just that the Hopkins study greatly overestimated them.

[frayedends]

Hopefully the new hospital being built inside the new Costco in Dabney will be better.

[Michael G.]

In years gone by you might have a point. But consider this: In the last thread about the hospital on TOTV, 42 out of the first 44 comments were POSITIVE.

And all 42 are died.

[4$ALE]

And all 42 are died.

:confused: You have me confused again. What is "are died"supposed to mean? I don't understand the point you are trying to make or was it meant to be a joke? My only other guess would be you were trying to agree with the haters. :shrug: Could you please explain? Thanks.

[4$ALE]

Hopefully the new hospital being built inside the new Costco in Dabney will be better.

:1rotfl: Not a COSTCO...... just a TRADER JOE'S which is smaller so it will probably just be an Urgent Care Place not a hospital. :ho:

[BigDawgInLakeDenham]

And "your friend" google is citing bogus data from the Johns Hopkins bogus study. The problem is with the definition of "iatrogenic death", which also probably varies from state to state. I can only speak for NY. If a terminal patient with stage 4 pancreatic cancer receives a standing dose of Tylenol outside the 1 hour window----lets say 31 minutes early, that is considered a "medication error" and must be reported to the state health department. When he dies 10 days later, it is an "iatrogenic death" since there was a medication "error" during the hospital stay. Now, when Hopkins gathered "iatrogenic death" data from the states, guess how badly their data was skewed. This is not to say there aren't any iatrogenic deaths, just that the Hopkins study greatly overestimated them.

The real crime in your scenario is that the dying patient could only get Tylenol. This is a real and sad fact about our Healthcare in this country and Lord help us if we actually need pain medication, thanks to lawyers and legislators.

After a career in hospitals I have to speak up and say that I, without a doubt, never saw any Healthcare worker trying to kill a patient. First and foremost, I would have stopped them. If someone was not competent in their job performance I would have reported to my supervisor and removed them from the situation. I can make that judgment because I have enough knowledge to do that...and I have. Healthcare workers are human people with loved ones, and we always think about how we would want our loved ones taken care of. Healthcare professionals are hard on each other, if needed, and scrutinize their work because we take pride in our chosen profession. Some people you just can't please...no way, no how, and that's a sorry fact. You lose control of the life you HAD when something bad happens to you. Change is hard.

I've witnessed people become angry because they don’t have control of disease processes and can't save their loved ones. They use this anger against those that have helped the best they are allowed. When you enter the Healthcare system with an illness, you use lose control because of that illness, but you lash out against those trying help, in attempts to have some control over something. This is a common thing. Blaming others for lose of loved ones is common....unfortunately I can only blame myself for my lost loved ones because I feel like I should have been able to, when realistically, I couldn't.

I'm not claiming to know anything about TV's hospital because I've never been a patient.....yet. I might end up working there but I cannot predict my future. Every hospital has lovers and haters....just like everything else in life. A real question is....if you're minutes away from death would you say "I won't go to TV Hospital"? Just a question

[Stu from NYC]

The real crime in your scenario is that the dying patient could only get Tylenol. This is a real and sad fact about our Healthcare in this country and Lord help us if we actually need pain medication, thanks to lawyers and legislators.

After a career in hospitals I have to speak up and say that I, without a doubt, never saw any Healthcare worker trying to kill a patient. First and foremost, I would have stopped them. If someone was not competent in their job performance I would have reported to my supervisor and removed them from the situation. I can make that judgment because I have enough knowledge to do that...and I have. Healthcare workers are human people with loved ones, and we always think about how we would want our loved ones taken care of. Healthcare professionals are hard on each other, if needed, and scrutinize their work because we take pride in our chosen profession. Some people you just can't please...no way, no how, and that's a sorry fact. You lose control of the life you HAD when something bad happens to you. Change is hard.

I've witnessed people become angry because they don’t have control of disease processes and can't save their loved ones. They use this anger against those that have helped the best they are allowed. When you enter the Healthcare system with an illness, you use lose control because of that illness, but you lash out against those trying help, in attempts to have some control over something. This is a common thing. Blaming others for lose of loved ones is common....unfortunately I can only blame myself for my lost loved ones because I feel like I should have been able to, when realistically, I couldn't.

I'm not claiming to know anything about TV's hospital because I've never been a patient.....yet. I might end up working there but I cannot predict my future. Every hospital has lovers and haters....just like everything else in life. A real question is....if you're minutes away from death would you say "I won't go to TV Hospital"? Just a question

Thank you for your post and thank you for caring.

We have never been to the TV hospital but lots of posts on here on terrible experiences and supposedly their ratings for whoever does ratings of hospitals (others on here can be more specific) has been very poor.

Sure hope they can get their act together.

[BigDawgInLakeDenham]

Thank you for your post and thank you for caring.

We have never been to the TV hospital but lots of posts on here on terrible experiences and supposedly their ratings for whoever does ratings of hospitals (others on here can be more specific) has been very poor.

Sure hope they can get their act together.

You're welcome. There are lots of terrible posts on here by the same small group of people. Probably not even Villagers. Any time I mention totv to another Villager they say, "you don't believe those nasty people, do you?". And....I don't

[LuvNH]

:confused: You have me confused again. What is "are died"supposed to mean? I don't understand the point you are trying to make or was it meant to be a joke? My only other guess would be you were trying to agree with the haters. :shrug: Could you please explain? Thanks.

I have to assume you are referring to me as a "hater" which is not so at all. My husband had a rare autoimmune disease which could not be diagnosed for 16 days, by which time lack of oxygen to the brain and extremities was irreversible.

I still beat myself up for not knowing what to do.

[BigDawgInLakeDenham]

I have to assume you are referring to me as a "hater" which is not so at all. My husband had a rare autoimmune disease which could not be diagnosed for 16 days, by which time lack of oxygen to the brain and extremities was irreversible.

I still beat myself up for not knowing what to do.

Please know it's not your fault. You're doing the best you can in this life. Having worked at one of the most recognized names in medicine, Please accept my words as true.....even at the hospital that elites fly to, from all over the globe because of the name, it is typical to take a while to diagnose a rare disorder. Thank you for taking care of your husband like no one else could.

[golfing eagles]

The real crime in your scenario is that the dying patient could only get Tylenol. This is a real and sad fact about our Healthcare in this country and Lord help us if we actually need pain medication, thanks to lawyers and legislators.

After a career in hospitals I have to speak up and say that I, without a doubt, never saw any Healthcare worker trying to kill a patient. First and foremost, I would have stopped them. If someone was not competent in their job performance I would have reported to my supervisor and removed them from the situation. I can make that judgment because I have enough knowledge to do that...and I have. Healthcare workers are human people with loved ones, and we always think about how we would want our loved ones taken care of. Healthcare professionals are hard on each other, if needed, and scrutinize their work because we take pride in our chosen profession. Some people you just can't please...no way, no how, and that's a sorry fact. You lose control of the life you HAD when something bad happens to you. Change is hard.

I've witnessed people become angry because they don’t have control of disease processes and can't save their loved ones. They use this anger against those that have helped the best they are allowed. When you enter the Healthcare system with an illness, you use lose control because of that illness, but you lash out against those trying help, in attempts to have some control over something. This is a common thing. Blaming others for lose of loved ones is common....unfortunately I can only blame myself for my lost loved ones because I feel like I should have been able to, when realistically, I couldn't.

I'm not claiming to know anything about TV's hospital because I've never been a patient.....yet. I might end up working there but I cannot predict my future. Every hospital has lovers and haters....just like everything else in life. A real question is....if you're minutes away from death would you say "I won't go to TV Hospital"? Just a question

I’m sorry. I didn’t see the part of my post that stated the patient could ONLY get Tylenol. Did you?????

[BigDawgInLakeDenham]

You have absolutely no friggin idea what you’re talking about! I am a Villager (much longer than you) and the supposedly hospital in question did its absolute best to try and kill me. I’m not making it up, and it’s not a nasty post, it’s simply the ugly truth that some choose to ignore. The only reason I post about it is because I wouldn’t want my worst enemy to go through what I went through at that place. My heart bleeds for the unfortunate other fellow Villagers who weren’t as lucky as me and never recovered from that places total incompetence.

Please....Explain how exactly they tried to kill you, who was arrested for attempted murder, and how much did you win from your law suits? How long have you worked in patient care? Maybe I'll understand after you give the details

[tophcfa]

Please....Explain how exactly they tried to kill you, who was arrested for attempted murder, and how much did you win from your law suits? How long have you worked in patient care? Maybe I'll understand after you give the details

Read post history regarding subject, it’s all there. PM me if you want to hear it in person.

[BigDawgInLakeDenham]

Read post history regarding subject, it’s all there. PM me if you want to hear it in person.

Don't see where you described your attempted murder in last 300 posts

[Randall55]

Don't see where you described your attempted murder in last 300 postsSometimes, compassion is needed. If you do not believe what others are saying, keep it to yourself. Give it time. Maybe, in the future, you or someone you know will experience something similar. At that time, you will say, "Oh! I get it!" People who post what you do not want to hear are not nasty or miserable. They are simply posting their experiences. There is no need to be harsh. If you don't believe them, move on! There are plenty of other threads to read.

[Shipping up to Boston]

To be called a hospital, one would think of licensure to be able to be called one. Accreditation being in the forefront, but I have to say, down here, they’re really more glorified medical centers (yes, there’s a difference). It’s just like a college vs university...one offers more than other.

[Rwirish]

You can call and ask them.

[golfing eagles]

To be called a hospital, one would think of licensure to be able to be called one. Accreditation being in the forefront, but I have to say, down here, they’re really more glorified medical centers (yes, there’s a difference). It’s just like a college vs university...one offers more than other.

Ever hear of JCAHO???? Yes, it IS a hospital with full accreditation.

[golfing eagles]

I have to assume you are referring to me as a "hater" which is not so at all. My husband had a rare autoimmune disease which could not be diagnosed for 16 days, by which time lack of oxygen to the brain and extremities was irreversible.

I still beat myself up for not knowing what to do.

Please know it's not your fault. You're doing the best you can in this life. Having worked at one of the most recognized names in medicine, Please accept my words as true.....even at the hospital that elites fly to, from all over the globe because of the name, it is typical to take a while to diagnose a rare disorder. Thank you for taking care of your husband like no one else could.

Please allow me to second what Big posted, in no way was this tragedy your fault and there is no reason you should have known "what to do" if the health care professionals didn't know. I'm sorry for your loss. And he/she is also correct---rare diseases aren't always immediately evident, and in the case of autoimmune disorders even the antibody tests may take over a week to come back from a reference lab. Also, any autoimmune process that can kill someone in 16 days in most cases wouldn't be all that responsive to treatment within that time frame, and even if it was, his life might have been severely compromised. I realize these words will ring hollow, but he may very well be in a better place than he would have been had he survived.

[Snowbirdtobe]

Medicare has a star ratings system that grades the hospitals on a sliding scale. The Villages Hospital still has a one star rating on overall care and Patient survey rating. The nearest 3 star hospitals are Adventhealth Ocala and Adventhealth Waterman.
The star ratings system gives 5 stars to the best hospitals in the country and 1 star to the worst.
The ratings are done by Medicare and the hospital dataset was updated on Jan 31 2024.

[golfing eagles]

Medicare has a star ratings system that grades the hospitals on a sliding scale. The Villages Hospital still has a one star rating on overall care and Patient survey rating. The nearest 3 star hospitals are Adventhealth Ocala and Adventhealth Waterman.
The star ratings system gives 5 stars to the best hospitals in the country and 1 star to the worst.
The ratings are done by Medicare and the hospital dataset was updated on Jan 31 2024.

Those ratings are questionable, since they only look at 4 outcome and readmission criteria---acute MI, CHF, CAP and nosocomial infection. Their "data set" and ratings run about 2-3 years behind what is actually happening as well. In addition, that data is highly skewed when the population of the catchment area is older than the national average and the hospital is serving a larger population than average. Nobody is claiming The Villages Regional Hospital is Mass. General. But the reviews by those that have actually been there recently are overwhelmingly positive.

[Heytubes]

Having been a patient several times during my major health issue, the Villages hospital has always given me and other patients I’ve know excellent care.
One person with a bad experience tells ten, ten patients with a good experience tells one.

[Arlington2]

Having been a patient several times during my major health issue, the Villages hospital has always given me and other patients I’ve know excellent care.
One person with a bad experience tells ten, ten patients with a good experience tells one.
And One Person with a bad experience feels complelled to repeat it 100 times, people with a positive experience don't feel compelled to repeat. We also have had positive experiences in the hospital, and also the emergency rooms at both 44 and SS.

[golfing eagles]

Having been a patient several times during my major health issue, the Villages hospital has always given me and other patients I’ve know excellent care.
One person with a bad experience tells ten, ten patients with a good experience tells one.

And One Person with a bad experience feels complelled to repeat it 100 times, people with a positive experience don't feel compelled to repeat. We also have had positive experiences in the hospital, and also the emergency rooms at both 44 and SS.

Very true. And there are 2 other factors:
1) the complainers are generally very vocal
2) People hear what they want to hear and believe what they want as well, regardless of the facts.

As Chief of Staff, I once had a family member complain to me that a physician walked into her mother's room and said "Aren't you dead yet?". That physician was one of the best I've known, and when I had to speak to him about it, we both laughed. What he said was nothing like that.

Also, the spectrum of what sets people off is very wide and often exaggerated. I can't count the number of times people complained about long wait times in our ER---"I waited 7 hours to be seen". Since their arrival time, time of triage, time evaluated by the ER nurse and time first seen by the ER doc was all logged, I could confront the complaint head on. The best was "I hear what you are saying, but the time from your arrival to being seen by the doctor was 37 minutes---perhaps your watch is broken". That of course was challenged with "They're lying". And in turn, I would respond with "computer time stamps don't lie". They would walk away unswayed and unhappy, convinced that they were right. Others would be set off by "cold food", even though patient food temps were measured by thermometer and recorded. Or I rang the call bell and the nurse took "hours" to respond. These times are also monitored so of course it was, well, a misperception to put it kindly. People are very often quite off their game when they or a relative are sick.

[dewilson58]

Having been a patient several times during my major health issue, the Villages hospital has always given me and other patients I’ve know excellent care.
One person with a bad experience tells ten, ten patients with a good experience tells one.

^^^

[MSGirl]

[QUOTE=tophcfa;2311161]You have absolutely no friggin idea what you’re talking about! I am a Villager (much longer than you) and the supposedly hospital in question did its absolute best to try and kill me. I’m not making it up, and it’s not a nasty post, it’s simply the ugly truth that some choose to ignore. The only reason I post about it is because I wouldn’t want my worst enemy to go through what I went through at that place. My heart bleeds for the unfortunate other fellow Villagers who weren’t as lucky as me and never recovered from that places total incompetence.[/QUOT
I’m sorry this happened to you and your husband .that same hospital in question saved my life

[Annie66]

You have absolutely no friggin idea what you’re talking about! I am a Villager (much longer than you) and the supposedly hospital in question did its absolute best to try and kill me. I’m not making it up, and it’s not a nasty post, it’s simply the ugly truth that some choose to ignore. The only reason I post about it is because I wouldn’t want my worst enemy to go through what I went through at that place. My heart bleeds for the unfortunate other fellow Villagers who weren’t as lucky as me and never recovered from that places total incompetence.

I'm truly sorry for what you went through and I can understand your anger. Most likely though, your case is the result of a small handful of employees who either through a lack of talent centered on your particular case or a lack of caring (which I doubt), you suffered. It does not necessarily reflect the caring and treatment that most UF Hospital employees provide. In speaking with many recent patients, I find the vast majority are truly happy with their treatment and progress.

We have a friend who is on the hospital's Board of Directors for our hospital. He regularly reviews the most recent customer survey data. It shows a significant improvement in the treatment and satisfaction for patients. The data published a few months ago giving the hospital a rating of 1 is 2-years old. I understand that is a common occurrence. For some unknown reason to me, they cannot provide more up-to-date information.

So bash the hospital if you must. I suspect the folks who are truly happy with their care and treatment will remain the silent majority.

[dewilson58]

You have

O man, sorry to hear.

[ThirdOfFive]

Very true. And there are 2 other factors:
1) the complainers are generally very vocal
2) People hear what they want to hear and believe what they want as well, regardless of the facts.

As Chief of Staff, I once had a family member complain to me that a physician walked into her mother's room and said "Aren't you dead yet?". That physician was one of the best I've known, and when I had to speak to him about it, we both laughed. What he said was nothing like that.

Also, the spectrum of what sets people off is very wide and often exaggerated. I can't count the number of times people complained about long wait times in our ER---"I waited 7 hours to be seen". Since their arrival time, time of triage, time evaluated by the ER nurse and time first seen by the ER doc was all logged, I could confront the complaint head on. The best was "I hear what you are saying, but the time from your arrival to being seen by the doctor was 37 minutes---perhaps your watch is broken". That of course was challenged with "They're lying". And in turn, I would respond with "computer time stamps don't lie". They would walk away unswayed and unhappy, convinced that they were right. Others would be set off by "cold food", even though patient food temps were measured by thermometer and recorded. Or I rang the call bell and the nurse took "hours" to respond. These times are also monitored so of course it was, well, a misperception to put it kindly. People are very often quite off their game when they or a relative are sick.
"Very true. And there are 2 other factors:
1) the complainers are generally very vocal
2) People hear what they want to hear and believe what they want as well, regardless of the facts."

Absolutely. As Winston Churchill once said, "a lie can get halfway around the world before the truth can get it's pants on". It is why I am suspicious of "reviews", be they on Amazon, bar chatter, posts following an article or wherever. They are at best subjective interpretations of events made by people who may have little or no knowledge of the situation or the facts beyond their own often emotionally clouded perception. One ax-grinder can generate one hell of a lot of negativity.

That said however, an overall bad reputation is rarely the fault of just a few ax-grinders. The Villages Hospital MAY have turned the corner on quality of care. I recall not too many months back they hired a new head honcho (can't remember the exact title) and that MAY have made a positive difference. Staff expertise and competence MAY be at a level or even above that of any other area hospital. All that MAY be a fact, today.

But I will take the Villages Hospital some time, perhaps years, to prove it and thereby outlive it's reputation.

[Justputt]

I've worked in hospitals for several decades and I've never seen anyone try to kill anyone. I have rarely seen bad doctors and nurses. Poor care is a sad fact in some settings. The patient advocate is a good way to go for a start, then there's Chief Medical Officer, COO and the CEO if you feel the need to be more expressive of a bigger issue and not just an isolated problem you had or saw. By law they have to make available to you a complaint system that usually ends up in the Federal government and/or State's hands. Because of that, I've found hospitals I've worked in to be pretty on top of real issues. Long wait times are not unusual. We all often put off going to our family doctor or clinic until we're really sick, then it's afterhours, which means the ER is the only place open, so off we go.... with everyone else that waited too long. My only complaint with the TV healthcare so far is not taking government Medicare.

[Deden]

Omg i'm soooo sorry

[Frank495]

Hmmm, I wasn’t aware there was a hospital in the Villages, just the place off El Camino Real that impersonates a hospital?
As a previous Hospital Administrator I can comfortably say, "The box they call a hospital is the biggest black eye of the Villages." I wouldn't send my exwife there.

[golfing eagles]

I've worked in hospitals for several decades and I've never seen anyone try to kill anyone. I have rarely seen bad doctors and nurses. Poor care is a sad fact in some settings. The patient advocate is a good way to go for a start, then there's Chief Medical Officer, COO and the CEO if you feel the need to be more expressive of a bigger issue and not just an isolated problem you had or saw. By law they have to make available to you a complaint system that usually ends up in the Federal government and/or State's hands. Because of that, I've found hospitals I've worked in to be pretty on top of real issues. Long wait times are not unusual. We all often put off going to our family doctor or clinic until we're really sick, then it's afterhours, which means the ER is the only place open, so off we go.... with everyone else that waited too long. My only complaint with the TV healthcare so far is not taking government Medicare.

All true. And that's not to say there aren't bad doctors out there---just like there are bad lawyers, dentists, accountants, mechanics and trash collectors. I had to suspend the privileges of two doctors---one was for inappropriately touching a female patient that was under anesthesia (big no-no) and the other for transecting the ureters of 3 women during LAVH in a 6 month span (the average gynecologist will transect 0 or 1 in an entire career). Unlike whatever the media and AARP want you to believe, unlike the deeply flawed Johns Hopkins study that estimated 1/4 million deaths per year due to medical errors, that was the exception, not the rule.

[golfing eagles]

As a previous Hospital Administrator I can comfortably say, "The box they call a hospital is the biggest black eye of the Villages." I wouldn't send my exwife there.

If that's true, and you have the expertise you claim to have, then you would know everything I've posted on this subject is 100% accurate. I would humbly suggest you look at the recent patient comments and not 2-3 year old government "ratings". Also, if you have ideas for further improvements, perhaps you could lend your expertise as a consultant to U of F Health rather than bashing the hospital based on just what?????

[Shipping up to Boston]

Ever hear of JCAHO???? Yes, it IS a hospital with full accreditation.

My point exactly
For clarity, JCAHO also does accreditation on urgent care and medical centers as well (if the applicant is seeking that designation). It’s semantics

[Shipping up to Boston]

If I can digress...
Seinfeld had a great episode on everybody saying their doctor was the best. Paraphrasing ‘ in medical school, not everybody got an A...somebody got a D’!

[golfing eagles]

To be called a hospital, one would think of licensure to be able to be called one. Accreditation being in the forefront, but I have to say, down here, they’re really more glorified medical centers (yes, there’s a difference). It’s just like a college vs university...one offers more than other.

Ever hear of JCAHO???? Yes, it IS a hospital with full accreditation.

My point exactly
For clarity, JCAHO also does accreditation on urgent care and medical centers as well (if the applicant is seeking that designation). It’s semantics

That's your point?????

My bad---it looked like you were making the point that TVRH is not a hospital, but a "glorified medical center". Ever sit through a JCAHO site survey and exit interviews??? I'd rather putt on the greens at Havana. It's far from "semantics"

[golfing eagles]

If I can digress...
Seinfeld had a great episode on everybody saying their doctor was the best. Paraphrasing ‘ in medical school, not everybody got an A...somebody got a D’!

And in my graduating class of 225, 2 graduates went into psychiatry---numbers 222 and 225 in class rank. Good luck if you ever need to see one.

Of note, on this mornings local news, it is residency match day and of the 117 graduates of UCF medical school, 16 want to go into psychiatry, citing changes since the pandemic. Translation---they don't want to touch patients.:1rotfl::1rotfl::1rotfl:

[Shipping up to Boston]

That's your point?????

My bad---it looked like you were making the point that TVRH is not a hospital, but a "glorified medical center". Ever sit through a JCAHO site survey and exit interviews??? I'd rather putt on the greens at Havana. It's far from "semantics"

Not comparing resumes but know it well....as I know the MAGNET designation. Been thru more than I care to. That said, I know what I expect from a ‘hospital ‘ and where I need to go for anything more intricate. If TV hospital fits your needs, that’s great. I’m not degrading it, it’s a matter of choice.

[Shipping up to Boston]

And in my graduating class of 225, 2 graduates went into psychiatry---numbers 222 and 225 in class rank. Good luck if you ever need to see one.

Of note, on this mornings local news, it is residency match day and of the 117 graduates of UCF medical school, 16 want to go into psychiatry, citing changes since the pandemic. Translation---they don't want to touch patients.:1rotfl::1rotfl::1rotfl:

Also remember, there’s no blood in psychiatry

[golfing eagles]

Not comparing resumes but know it well....as I know the MAGNET designation. Been thru more than I care to. That said, I know what I expect from a ‘hospital ‘ and where I need to go for anything more intricate. If TV hospital fits your needs, that’s great. I’m not degrading it, it’s a matter of choice.

That's fair, although a slightly different point. TVRH is hardly a level 1 trauma center, a first rate cardiac center that does over 1,000 caths/year, or a nationally recognized oncology center. It is a middle of the road community hospital which gets somewhat overwhelmed when an extra 50-60,000 people show up during high season. But it's more than a "medical center" , a term which I would apply to a multispecialty group perhaps with an urgent care center and an endoscopy suite.

[Lea N]

I have to assume you are referring to me as a "hater" which is not so at all. My husband had a rare autoimmune disease which could not be diagnosed for 16 days, by which time lack of oxygen to the brain and extremities was irreversible.

I still beat myself up for not knowing what to do.

I'm so sorry this happened to your husband and you. I wish I had words that would help you both.

[Stu from NYC]

And in my graduating class of 225, 2 graduates went into psychiatry---numbers 222 and 225 in class rank. Good luck if you ever need to see one.

Of note, on this mornings local news, it is residency match day and of the 117 graduates of UCF medical school, 16 want to go into psychiatry, citing changes since the pandemic. Translation---they don't want to touch patients.:1rotfl::1rotfl::1rotfl:

Would have thought more need for family medicine docs but guess money better in the shrink bus.

[LuvNH]

I'm so sorry this happened to your husband and you. I wish I had words that would help you both.

Thank you, but we are doing OK. His blood problem affects one in every 200,000, but He has an excellent Hematologist now, his Hb is back up in the 16 range (he was at 4), he gets blood drawn every month, and he is taking steroids, low dose, for the rest of his life. This is basically all that can be done for auto immune. His initial diagnosis was in 2021, I am sure the hospital has improved since then.

[Two Bills]

And in my graduating class of 225, 2 graduates went into psychiatry---numbers 222 and 225 in class rank. Good luck if you ever need to see one.

Of note, on this mornings local news, it is residency match day and of the 117 graduates of UCF medical school, 16 want to go into psychiatry, citing changes since the pandemic. Translation---they don't want to touch patients.:1rotfl::1rotfl::1rotfl:

Giving all new acronyms for some sort of newly discovered/perceived mental problems, I would think Psychiatry is the absolute way to go as a medical profession. There is a fortune to be earned out there.
Every reason for being an a-h among the young and not so young these days, has it own new trendy acronym as an excuse, and is classed a mental problem.
In my day, a quick clout round the ear soon sorted out any problem or confusion about right and wrong.
Mind you, I don't feel too left out, and realize I do have a personal acronym, as most who live around our house, refer to me as that MOB who lives down the road! :shrug:

[golfing eagles]

Thank you, but we are doing OK. His blood problem affects one in every 200,000, but He has an excellent Hematologist now, his Hb is back up in the 16 range (he was at 4), he gets blood drawn every month, and he is taking steroids, low dose, for the rest of his life. This is basically all that can be done for auto immune. His initial diagnosis was in 2021, I am sure the hospital has improved since then.

That’s great. Sounds like, and I’m just guessing, he has an autoimmune hemolytic anemia. I’m happy you were able to hook up with a good hematologist

[Frank495]

If that's true, and you have the expertise you claim to have, then you would know everything I've posted on this subject is 100% accurate. I would humbly suggest you look at the recent patient comments and not 2-3 year old government "ratings". Also, if you have ideas for further improvements, perhaps you could lend your expertise as a consultant to U of F Health rather than bashing the hospital based on just what????? i am not bashing for the fun of it. The fact that some people had a good experience, dors not change the big picture. The hospital is in a group of hospitals ranked the worst in the state. The "box" provides very inferior care. Thats a fact, if people are so blind, so be it. But its a shame that the developers dont see the benefit of having an acceptable medical facility. I am avail.

[golfing eagles]

i am not bashing for the fun of it. The fact that some people had a good experience, dors not change the big picture. The hospital is in a group of hospitals ranked the worst in the state. The "box" provides very inferior care. Thats a fact, if people are so blind, so be it. But its a shame that the developers dont see the benefit of having an acceptable medical facility. I am avail.

So, even though you claim to be a hospital administrator, you are basing your opinion on the "rankings" even though you know (should know/claim to know) that they lag 2-3 years behind current events. You state "some people" had a good experience when the posts on this very site are overwhelmingly (95%+) positive. You state the hospital, that you derogatorily refer to as "the box" provides "inferior care", but give no basis for that statement, and then claim it to be a "fact" and those that don't agree are "blind". Are you familiar with Bradbury's "The Martian Chronicles", the part where they were placed in a "facility" because they claimed to be from Earth? That facility had an administrator as well. :1rotfl::1rotfl::1rotfl:

[Shipping up to Boston]

So, even though you claim to be a hospital administrator, you are basing your opinion on the "rankings" even though you know (should know/claim to know) that they lag 2-3 years behind current events. You state "some people" had a good experience when the posts on this very site are overwhelmingly (95%+) positive. You state the hospital, that you derogatorily refer to as "the box" provides "inferior care", but give no basis for that statement, and then claim it to be a "fact" and those that don't agree are "blind". Are you familiar with Bradbury's "The Martian Chronicles", the part where they were placed in a "facility" because they claimed to be from Earth? That facility had an administrator as well. :1rotfl::1rotfl::1rotfl:

1980 Rock Hudson from beyond the grave thanks you for noticing!

[golfing eagles]

1980 Rock Hudson from beyond the grave thanks you for noticing!

You're welcome. It's just the more he posts, the more ridiculous his claim that he was a hospital administrator gets.

[Shipping up to Boston]

You're welcome. It's just the more he posts, the more ridiculous his claim that he was a hospital administrator gets.

‘Hospital Administrator’ is quite ambiguous. He/she could be one of a dozen or so in a facility. So I don’t think it’s representative. Could just be a disgruntled ex employee shown the door with a less than attractive severance package. But what do I know

[golfing eagles]

‘Hospital Administrator’ is quite ambiguous. He/she could be one of a dozen or so in a facility. So I don’t think it’s representative. Could just be a disgruntled ex employee shown the door with a less than attractive severance package. But what do I know

True, could have been a number cruncher in a small dark room with absolutely no knowledge of QA or operations. I'd love to see the "box" he worked at :1rotfl::1rotfl::1rotfl:

[Frank495]

‘Hospital Administrator’ is quite ambiguous. He/she could be one of a dozen or so in a facility. So I don’t think it’s representative. Could just be a disgruntled ex employee shown the door with a less than attractive severance package. But what do I know
I was THE administrator of a large, quality, profitable hospital in south florida.

[golfing eagles]

I was THE administrator of a large, quality, profitable hospital in south florida.

Scary

[blueash]

Those ratings are questionable, since they only look at 4 outcome and readmission criteria---acute MI, CHF, CAP and nosocomial infection. Their "data set" and ratings run about 2-3 years behind what is actually happening as well. In addition, that data is highly skewed when the population of the catchment area is older than the national average and the hospital is serving a larger population than average. Nobody is claiming The Villages Regional Hospital is Mass. General. But the reviews by those that have actually been there recently are overwhelmingly positive.

That summary of CMS hospital medicare rating methodology is not quite the full story. BUT the rating is not based on just 4 outcome and readmissions criteria.

4 does not equal 46 .


"The 2023 Overall Star Rating selects 46 (https://data.cms.gov/provider-data/topics/hospitals/overall-hospital-quality-star-rating/) of the hospital quality measures CMS publicly reports on Medicare.gov and divides them into 5 measure groups: Mortality, Safety of Care, Readmission, Patient Experience, and Timely & Effective Care. "

There are 7 mortality numbers including:
1. Death rate for heart attack patients
2 Death rate for coronary artery bypass graft surgery patients
3. Death rate for chronic obstructive pulmonary disease patients (COPD)
4. Death rate for heart failure patients
5. Death rate for pneumonia patients
6. Death rate for stroke patients
7. Deaths among patients with serious TREATABLE complications after surgery

Then Safety of Care 8 criteria for that category including

8. Central line-associated bloodstream infections
9. Catheter associated urinary tract infections
10 Surgical site infections from colon surgery
11 Surgical site infections from abdominal hysterectomy
12.....

Then Readmission rates for 11 different patient populations

Then 8 different measures of patient experience

Then 13 measures of timely and effective care

So no, golfing eagle, the one star lowest rating possible only given to the worst ~5% of hospitals in the country is not based on 4 criteria.

As to the age of the data, yes it is not 2024 data but it has always taken hospitals time to submit their data to CMS. The summer 2023 ratings include data on patient visits up to 12/21 or up to 6/22 depending on which criteria. There should be a new rating sometime this summer based on data up to 6/2023

As to your excuse that the Villages sees old people. So does every single hospital for the great majority of the diseases being evaluated. Heart attacks means old people, strokes means old people, heart failure means old people. If anything our hospital should be really good at that stuff as it is a lot of what they see.

Waiting times for a room is not age related. Nor is hours in ER waiting or whether the doctor/nurse explained things.

Hospitals with the lowest rating are not bad hospitals. They just are not as good as most other hospitals. It is like cars. Most people who bought a Yugo or a Gremlin did fine with that car. But overall they were not a good a choice as other vehicles.

[golfing eagles]

That summary of CMS hospital medicare rating methodology is not quite the full story. BUT the rating is not based on just 4 outcome and readmissions criteria.

4 does not equal 46 .


"The 2023 Overall Star Rating selects 46 (https://data.cms.gov/provider-data/topics/hospitals/overall-hospital-quality-star-rating/) of the hospital quality measures CMS publicly reports on Medicare.gov and divides them into 5 measure groups: Mortality, Safety of Care, Readmission, Patient Experience, and Timely & Effective Care. "

There are 7 mortality numbers including:
1. Death rate for heart attack patients
2 Death rate for coronary artery bypass graft surgery patients
3. Death rate for chronic obstructive pulmonary disease patients (COPD)
4. Death rate for heart failure patients
5. Death rate for pneumonia patients
6. Death rate for stroke patients
7. Deaths among patients with serious TREATABLE complications after surgery

Then Safety of Care 8 criteria for that category including

8. Central line-associated bloodstream infections
9. Catheter associated urinary tract infections
10 Surgical site infections from colon surgery
11 Surgical site infections from abdominal hysterectomy
12.....

Then Readmission rates for 11 different patient populations

Then 8 different measures of patient experience

Then 13 measures of timely and effective care

So no, golfing eagle, the one star lowest rating possible only given to the worst ~5% of hospitals in the country is not based on 4 criteria.

As to the age of the data, yes it is not 2024 data but it has always taken hospitals time to submit their data to CMS. The summer 2023 ratings include data on patient visits up to 12/21 or up to 6/22 depending on which criteria. There should be a new rating sometime this summer based on data up to 6/2023

As to your excuse that the Villages sees old people. So does every single hospital for the great majority of the diseases being evaluated. Heart attacks means old people, strokes means old people, heart failure means old people. If anything our hospital should be really good at that stuff as it is a lot of what they see.

Waiting times for a room is not age related. Nor is hours in ER waiting or whether the doctor/nurse explained things.

Hospitals with the lowest rating are not bad hospitals. They just are not as good as most other hospitals. It is like cars. Most people who bought a Yugo or a Gremlin did fine with that car. But overall they were not a good a choice as other vehicles.

Perhaps I should have stated "4 broad categories"--you've split them out but in essence they are all ACS,CHF,CAP,CVA and nosocomial infections. But yes, you are technically correct, no dispute.

I do disagree that these numbers are not skewed by the demographics of the hospital's catchment area. The older the population, the more likely they are to get a nosocomial infection or a post op infection. Older people are more likely to sit at home chugging Alka seltzer for their chest pain and present to the hospital later. Older people are more likely to succumb to CAP despite treatment. Older people may have underlying COPD, young people generally do not. Older people have a higher prevalence of a smoking history. Older people are somewhat less likely to present with a CVA within 1 hour. (Yes, I know the window for thrombolytic Rx has changed). Basically, if they wanted to be accurate, they would have to age match the patient populations of the various hospitals, which they do not do.

The other point is that all those rankings lag 2-3 years, it's just the nature of their methodology.

Again, I think we are saying pretty much the same thing in different ways. TVRH is NOT Mass. General by any means. But based on patient feedback, they seem to be improving since UF took over, so we'll just have to wait 2-3 years to see their new rankings and compare rather than judge today's hospital by old criteria.

[blueash]

Let's now evaluate the argument made here by GE, claiming expertise on that issue, that it is a few complainers who got the hospital its low rating. He even has stories to tell to prove his anecdotal point..

The patient experience portion of the CMS rating is based on a random sample of every single person who is admitted to the ER/inpatient facility, if they survive of course.

It is not based on who complains. Now if people don't return the survey, and there may be some bias that unhappy people are more likely to return the survey that may skew it some. But that factor applies to every single hospital not just ours.


And how does The Villages hospital do on patient satisfaction? Yep, ONE STAR.

They had 2586 returned surveys. A 37% return rate.

Did the nurses always communicate well TVH 65% National Ave 79%
Did doctors always communicate well TVH 64% National Ave 79%
Did patients always get help soon TVH 46% National Ave 66%
Did staff explain meds before giving TVH 49% National Ave 62%
Was area around room quiet at night TVH 47% National Ave 62%
Patients given info about home recovery TVH 78% National Ave 86%
Patients strongly agree they understand care when left hosp TVH 36% Nat 52%
Pat who gave hosp 9or10 on scale TVH 44% National 71%
Patients who recommend hosp to friends TVH 41% National 69%

Now this data is better data than who posts on TOTV and on every single measurement TVH scores lower than the national average. And on the very important, to me, would you recommend this hospital only 41% said yes.

Would you choose a restaurant with a 41% satisfaction, or a hotel, or doctor?

EDIT: As to the argument that you need to wait for better data now that UF is running the hospital. UF took over in Jan 2020. The patient satisfaction data is measured from April 2021 to Mar 2022.

EDIT: In the Daily Sun on Dec 9 2021 Heather Long COO of UF Health Central Florida said:
"This is going to be a journey over the next 24 to 36 months, but there is no reason why The Villages Hospital cannot be a 5-star hospital.
Note she is not claiming that all those old people make it impossible for our rating to improve.

[Caymus]

Let's now evaluate the argument made here by GE, claiming expertise on that issue, that it is a few complainers who got the hospital its low rating. He even has stories to tell to prove his anecdotal point..

The patient experience portion of the CMS rating is based on a random sample of every single person who is admitted to the ER/inpatient facility, if they survive of course.

It is not based on who complains. Now if people don't return the survey, and there may be some bias that unhappy people are more likely to return the survey that may skew it some. But that factor applies to every single hospital not just ours.


And how does The Villages hospital do on patient satisfaction? Yep, ONE STAR.

They had 2586 returned surveys. A 37% return rate.

Did the nurses always communicate well TVH 65% National Ave 79%
Did doctors always communicate well TVH 64% National Ave 79%
Did patients always get help soon TVH 46% National Ave 66%
Did staff explain meds before giving TVH 49% National Ave 62%
Was area around room quiet at night TVH 47% National Ave 62%
Patients given info about home recovery TVH 78% National Ave 86%
Patients strongly agree they understand care when left hosp TVH 36% Nat 52%
Pat who gave hosp 9or10 on scale TVH 44% National 71%
Patients who recommend hosp to friends TVH 41% National 69%

Now this data is better data than who posts on TOTV and on every single measurement TVH scores lower than the national average. And on the very important, to me, would you recommend this hospital only 41% said yes.

Would you choose a restaurant with a 41% satisfaction, or a hotel, or doctor?

EDIT: As to the argument that you need to wait for better data now that UF is running the hospital. UF took over in Jan 2020. The patient satisfaction data is measured from April 2021 to Mar 2022.

EDIT: In the Daily Sun on Dec 9 2021 Heather Long COO of UF Health Central Florida said:

Note she is not claiming that all those old people make it impossible for our rating to improve.


At least it is working for her. She is now CEO.

[Shipping up to Boston]

Let's now evaluate the argument made here by GE, claiming expertise on that issue, that it is a few complainers who got the hospital its low rating. He even has stories to tell to prove his anecdotal point..

The patient experience portion of the CMS rating is based on a random sample of every single person who is admitted to the ER/inpatient facility, if they survive of course.

It is not based on who complains. Now if people don't return the survey, and there may be some bias that unhappy people are more likely to return the survey that may skew it some. But that factor applies to every single hospital not just ours.


And how does The Villages hospital do on patient satisfaction? Yep, ONE STAR.

They had 2586 returned surveys. A 37% return rate.

Did the nurses always communicate well TVH 65% National Ave 79%
Did doctors always communicate well TVH 64% National Ave 79%
Did patients always get help soon TVH 46% National Ave 66%
Did staff explain meds before giving TVH 49% National Ave 62%
Was area around room quiet at night TVH 47% National Ave 62%
Patients given info about home recovery TVH 78% National Ave 86%
Patients strongly agree they understand care when left hosp TVH 36% Nat 52%
Pat who gave hosp 9or10 on scale TVH 44% National 71%
Patients who recommend hosp to friends TVH 41% National 69%

Now this data is better data than who posts on TOTV and on every single measurement TVH scores lower than the national average. And on the very important, to me, would you recommend this hospital only 41% said yes.

Would you choose a restaurant with a 41% satisfaction, or a hotel, or doctor?

EDIT: As to the argument that you need to wait for better data now that UF is running the hospital. UF took over in Jan 2020. The patient satisfaction data is measured from April 2021 to Mar 2022.

EDIT: In the Daily Sun on Dec 9 2021 Heather Long COO of UF Health Central Florida said:

Note she is not claiming that all those old people make it impossible for our rating to improve.

I sense a little Dr on Dr crime here!

I’m actually enjoying educated back and forth whether I agree or not. Thank you kind sir(s)

[golfing eagles]

Let's now evaluate the argument made here by GE, claiming expertise on that issue, that it is a few complainers who got the hospital its low rating. He even has stories to tell to prove his anecdotal point..

The patient experience portion of the CMS rating is based on a random sample of every single person who is admitted to the ER/inpatient facility, if they survive of course.

It is not based on who complains. Now if people don't return the survey, and there may be some bias that unhappy people are more likely to return the survey that may skew it some. But that factor applies to every single hospital not just ours.


And how does The Villages hospital do on patient satisfaction? Yep, ONE STAR.

They had 2586 returned surveys. A 37% return rate.

Did the nurses always communicate well TVH 65% National Ave 79%
Did doctors always communicate well TVH 64% National Ave 79%
Did patients always get help soon TVH 46% National Ave 66%
Did staff explain meds before giving TVH 49% National Ave 62%
Was area around room quiet at night TVH 47% National Ave 62%
Patients given info about home recovery TVH 78% National Ave 86%
Patients strongly agree they understand care when left hosp TVH 36% Nat 52%
Pat who gave hosp 9or10 on scale TVH 44% National 71%
Patients who recommend hosp to friends TVH 41% National 69%

Now this data is better data than who posts on TOTV and on every single measurement TVH scores lower than the national average. And on the very important, to me, would you recommend this hospital only 41% said yes.

Would you choose a restaurant with a 41% satisfaction, or a hotel, or doctor?

EDIT: As to the argument that you need to wait for better data now that UF is running the hospital. UF took over in Jan 2020. The patient satisfaction data is measured from April 2021 to Mar 2022.

EDIT: In the Daily Sun on Dec 9 2021 Heather Long COO of UF Health Central Florida said:

Note she is not claiming that all those old people make it impossible for our rating to improve.

What on God's green earth are you talking about. Please show me where i wrote that "complainers" got the hospital a poor rating. Your argument about the finer details of the rating system have some degree of validity---you don't have to start fabricating by putting made up words on my posts.

The hospital clearly earned its low rating, basically it sucked----2 to 3 years ago which is when the data for the rating was gathered. It MAY BE better now, the data is not in yet, but patient comments on recent threads overwhelmingly suggest that it is much better. THAT'S MY ONLY POINT. The ratings are somewhat skewed against hospitals with an older patient population, we can debate that all day (and I'd win). The ratings also include 4-5 categories of data collection which are basically limited to cardiopulmonary disease and nosocomial infections. That's OK, it's easy to measure and does represent the most commonly billed CPT codes.

As far as the rest of it goes, change does not happen overnight. Wouldn't you agree that patient comments made this week may be a more accurate reflection of current events than 3 year old patient satisfaction surveys?

And finally, I know we don't see eye to eye on many issues, but there is no reason for outright hostility.

[wereback]

Aug 22 spent a week in the Intensive care unit with Covid I had the best care the entire time including the doctor that signed me out. I was not the best of patient as needed much extra care due to health issues everyone always came quickly and with a smile I personally feel they are really trying to do a good job if you help.

[Dusty_Star]

Aug 22 spent a week in the Intensive care unit with Covid I had the best care the entire time including the doctor that signed me out. I was not the best of patient as needed much extra care due to health issues everyone always came quickly and with a smile I personally feel they are really trying to do a good job if you help.


Thank you for your first person review. It is very good news to learn that they are: trying, & in many cases succeeding.

[JMintzer]

Let's now evaluate the argument made here by GE, claiming expertise on that issue, that it is a few complainers who got the hospital its low rating. He even has stories to tell to prove his anecdotal point..

The patient experience portion of the CMS rating is based on a random sample of every single person who is admitted to the ER/inpatient facility, if they survive of course.

It is not based on who complains. Now if people don't return the survey, and there may be some bias that unhappy people are more likely to return the survey that may skew it some. But that factor applies to every single hospital not just ours.


And how does The Villages hospital do on patient satisfaction? Yep, ONE STAR.

They had 2586 returned surveys. A 37% return rate.

Did the nurses always communicate well TVH 65% National Ave 79%
Did doctors always communicate well TVH 64% National Ave 79%
Did patients always get help soon TVH 46% National Ave 66%
Did staff explain meds before giving TVH 49% National Ave 62%
Was area around room quiet at night TVH 47% National Ave 62%
Patients given info about home recovery TVH 78% National Ave 86%
Patients strongly agree they understand care when left hosp TVH 36% Nat 52%
Pat who gave hosp 9or10 on scale TVH 44% National 71%
Patients who recommend hosp to friends TVH 41% National 69%

Now this data is better data than who posts on TOTV and on every single measurement TVH scores lower than the national average. And on the very important, to me, would you recommend this hospital only 41% said yes.

Would you choose a restaurant with a 41% satisfaction, or a hotel, or doctor?

EDIT: As to the argument that you need to wait for better data now that UF is running the hospital. UF took over in Jan 2020. The patient satisfaction data is measured from April 2021 to Mar 2022.

EDIT: In the Daily Sun on Dec 9 2021 Heather Long COO of UF Health Central Florida said:

Note she is not claiming that all those old people make it impossible for our rating to improve.

If the survey responders are anything like many of the posters on ToTV, I'm surprised the "satisfaction rate" isn't lower...

Face it, there are many around these parts who would complain if they were hung with a new rope...