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-   -   Villages ER - awful - Saga continues (https://www.talkofthevillages.com/forums/medical-health-discussion-94/villages-er-awful-saga-continues-226573/)

NotGolfer 04-24-2017 05:35 PM

Quote:

Originally Posted by jojo (Post 1390803)
I am a volunteer at the hospital and speak with all the patients after their first night in the hospital. I give my notes to the volunteer who directs patient surveys. She compiles and meets weekly with the administrative team at the hospital. I don't have the hard data, but I would estimate from my notes that well over 85% of patients are happy with the nursing services they are receiving on the floor. Many give very high ratings. One of the questions that I ask in the protocol that I use is whether the patient was admitted through the ER. I then ask about the wait time and the quality of the treatment in ER. While the answer to the time varies, most patients say they were triaged immediately. They acknowledged that they may have had to wait in the waiting room during busy times if their issue was not life threatening. The major delay they tell me is not in being treated in a timely manner but waiting in the ER rooms for a bed to open in the hospital. As to care in the ER, again the vast majority say it was OK or good. As I read these reports, clearly one would assume that the place is a disaster. I have taken my mother there twice in the past year and we were treated immediately and she was admitted to the hospital both times. I do not question the authenticity of any of these reports. Clearly, folks are telling what happened to them. Obviously some people have experienced major delays or problems in treatment. However, I must tell you that I talk to patients weekly and rarely do I hear stories such as these on TOTV. I wonder, do those who have experienced good care in the ER just not speak up?

Good to hear (read) your post!!! We BOTH have gone thru the ER and both of us have had to be admitted though not at the same time. We are amongst the 85% plus of the people who were completely satisfied with our experiences at TVRH. As you say, there most likely are those who feel they aren't or weren't given good treatment. I will say that we used to hear similar comments about the multiple hospitals in our former area, that we moved here from. LARGE hospitals too, I might add! Mayo is a presence in our former home-town and folks there aren't impressed. As our population (U.S.) grows and gets old and health-care is as it is...we may continue to hear about these. I still stand on that my own care here has been exemplary!

One time we had a conversation with one of the volunteers at TVRH. They said, "Can you imagine trying to manage such a facility as this with the population we have?" IF you're unhappy then write letters, call "powers that be" and see if you get some sort of response. Complaining without doing so, on social media, won't bring you results.

leux75 04-24-2017 05:47 PM

The villages hospital is undesirable for many reasons.My husband was a pt in Feb, we had many complaints.I wrote a letter to hospital administration.Itold them I was disgusted each time I saw a full page add in the Daily Sun stating The Villages is Americas healthiest home town.

arickis 04-25-2017 08:34 AM

Good experience
 
I went to the Villages hospital a few years ago to have three heart stents put in. Treatment was great, people were great, surgery went great. I would go back to them if needed. I have seen horror shows from Leesburg and Munroe while visiting friends who also received poor care at the other hospitals.

Bonny 04-25-2017 08:37 AM

Quote:

Originally Posted by leux75 (Post 1390812)
The villages hospital is undesirable for many reasons.My husband was a pt in Feb, we had many complaints.I wrote a letter to hospital administration.Itold them I was disgusted each time I saw a full page add in the Daily Sun stating The Villages is Americas healthiest home town.

We love the Villages Hospital. Been through the ER several times and have stayed there several times.
Yes, the ER can be very slow as it is in many hospitals, but the care is wonderful !
Not sure what all was wrong when you say, undesirable, many complaints, disgusted, etc.

blueash 04-25-2017 09:24 AM

Quote:

Originally Posted by jojo (Post 1390803)
I am a volunteer at the hospital and speak with all the patients after their first night in the hospital.

Thank you for volunteering. However if I were a hospital administrator I would do my survey after the first night while the patient was still in the hospital. The patient has gone from very frightened to stabilized,and is hopefully pain controlled both of which are a big improvement from the day before, and is still subject to the quality of the care which is going to be received over the next hours and days while still in the hospital. Of course they are going to be both feeling better [pleased] and cautious about complaining. I'd add that the great majority of complaints are about the ER not the inpatient units. Maybe the administration should have you walking about in the ER doing a survey of how satisfied patients down there are feeling. Maybe even make it anonymous and not face to face so there is no pressure to be socially pleasing. Say a cell phone app that allows people to rate the care every 15 minutes, a series of scales looking at wait time, courtesy, housekeeping, being kept informed, comfort. These are features the waiting patient can intelligently rate.

It is uncommon for diners to complain about a bad meal while still in the restaurant even though there is no concern that the staff is going to be cooking their next meal. Server asks "How was the meal" "Fine" but all along they complained to their dining mates about the quality. Which report is the accurate one? The complaint to the friends at the table or the "fine" given the server?

dbussone 04-25-2017 09:46 AM

Quote:

Originally Posted by blueash (Post 1391038)
Thank you for volunteering. However if I were a hospital administrator I would do my survey after the first night while the patient was still in the hospital. The patient has gone from very frightened to stabilized,and is hopefully pain controlled both of which are a big improvement from the day before, and is still subject to the quality of the care which is going to be received over the next hours and days while still in the hospital. Of course they are going to be both feeling better [pleased] and cautious about complaining. I'd add that the great majority of complaints are about the ER not the inpatient units. Maybe the administration should have you walking about in the ER doing a survey of how satisfied patients down there are feeling. Maybe even make it anonymous and not face to face so there is no pressure to be socially pleasing. Say a cell phone app that allows people to rate the care every 15 minutes, a series of scales looking at wait time, courtesy, housekeeping, being kept informed, comfort. These are features the waiting patient can intelligently rate.



It is uncommon for diners to complain about a bad meal while still in the restaurant even though there is no concern that the staff is going to be cooking their next meal. Server asks "How was the meal" "Fine" but all along they complained to their dining mates about the quality. Which report is the accurate one? The complaint to the friends at the table or the "fine" given the server?



There have actually been studies about surveying patients while in the hospital. The data is skewed because patients are concerned they will be mistreated if they complain while still in the hospital. Almost all hospitals survey patients after discharge for this reason.


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Bonny 04-25-2017 12:03 PM

Quote:

Originally Posted by dbussone (Post 1391047)
There have actually been studies about surveying patients while in the hospital. The data is skewed because patients are concerned they will be mistreated if they complain while still in the hospital. Almost all hospitals survey patients after discharge for this reason.


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No one has ever asked me while I'm in the hospital how things were. I always get a call after I'm home to see how things were.

vintageogauge 04-25-2017 12:54 PM

The follow up calls at home are standard practice with all hospitals asking mainly how your recovery is going, nothing to do with the ER. I would never go there again the ER reception area is disgusting. I always give restaurants a second chance if I had a bad meal or bad service, an ER is a whole different ballgame. Even if some of these complaints are not 100% true, they should have an independent survey firm asking key questions sent to the patients after they are home. Complaining here as noted earlier does no good.

Radioman41 04-25-2017 05:34 PM

Went to Leesburg Hospital ER this morning after a nasty fall last night. Was checked in, X-rays taken, examined by PA, and out the door in an hour with two prescriptions. Excellent service. Check out person said busiest day is Monday. She said patients call their physician Monday morning, can't get an appointment, then come to ER. Their web site shows waiting time in ER. BTW, living in Lake Deaton, it is faster for us to to go to Leesburg than to The Villages Hospital.

dbussone 04-26-2017 07:09 AM

Quote:

Originally Posted by vintageogauge (Post 1391111)
The follow up calls at home are standard practice with all hospitals asking mainly how your recovery is going, nothing to do with the ER. I would never go there again the ER reception area is disgusting. I always give restaurants a second chance if I had a bad meal or bad service, an ER is a whole different ballgame. Even if some of these complaints are not 100% true, they should have an independent survey firm asking key questions sent to the patients after they are home. Complaining here as noted earlier does no good.



Hospitals perform several types of surveys. The one most people are familiar with is the survey after being discharged as an inpatient. Then there are those that are done following an outpatient procedure. And another survey is performed for ER patients. Sample size varies based on the total number of patients receiving care in a given area. The surveys are done by professional firms and the results are provided to various organizations, including CMS (Medicare).

Physicians are required to do the same type of surveys.


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Xaribe 05-10-2017 09:11 PM

I have been trying to educate myself on TV. My brother, who lives in Bradenton, said to avoid TV. I was concerned because I have not found much negative about TV until now. The houses and other activities seem fine, yet dental and healthcare seem very lacking with many stories sounding like elderly abuse. I have UHC Advantage, but live in the Northeast. My wife had Merkel Cell Cancer for which medical costs approached $80K, but my out of pocket was at best $1500. So medical care is paramount for me. After reading the responses, I may forget TV. I have never heard so many horror stories. My wife gets a CAT scan every 6 months, and we are 3 yrs now with nothing found.

I do want to thank everyone for providing the information.

NYGUY 05-10-2017 09:36 PM

Quote:

Originally Posted by Xaribe (Post 1397224)
I have been trying to educate myself on TV. My brother, who lives in Bradenton, said to avoid TV. I was concerned because I have not found much negative about TV until now. The houses and other activities seem fine, yet dental and healthcare seem very lacking with many stories sounding like elderly abuse. I have UHC Advantage, but live in the Northeast. My wife had Merkel Cell Cancer for which medical costs approached $80K, but my out of pocket was at best $1500. So medical care is paramount for me. After reading the responses, I may forget TV. I have never heard so many horror stories. My wife gets a CAT scan every 6 months, and we are 3 yrs now with nothing found.

I do want to thank everyone for providing the information.

I advise people who have significant health care concerns that they might want to think twice about moving to a rural area such as this....good luck!!

Xaribe 05-24-2017 05:20 PM

Recent Visit to Fenny
 
I am still working things out. Came down for my grand childs graduation and went to Fenny. Saw a house at $724K, but had a problem with it. My brother bought in Bradenton at $250K couple of years ago. Comparing "Apples to Apples" his house is larger, has a bigger pool, and is still in a closed Golf Community. At this point I have to rationalize the extra expense. Now the medical issue is still paramount, but we are 45 min from Boston or NYC and my wife's doctors are in Providence. So I guess we will continue to deal with this.

dbussone 05-24-2017 05:30 PM

Villages ER - awful - Saga continues
 
Quote:

Originally Posted by Xaribe (Post 1397224)
I have been trying to educate myself on TV. My brother, who lives in Bradenton, said to avoid TV. I was concerned because I have not found much negative about TV until now. The houses and other activities seem fine, yet dental and healthcare seem very lacking with many stories sounding like elderly abuse. I have UHC Advantage, but live in the Northeast. My wife had Merkel Cell Cancer for which medical costs approached $80K, but my out of pocket was at best $1500. So medical care is paramount for me. After reading the responses, I may forget TV. I have never heard so many horror stories. My wife gets a CAT scan every 6 months, and we are 3 yrs now with nothing found.



I do want to thank everyone for providing the information.



Just a little information for you. My wife and I both grew up in the Boston area. She is an RN trained at Massachusetts General Hospital. We both have some issues common to those our age, and she has MS. We have successfully found local physicians who provide quality care. When sub-specialty care has been needed, we (and our internist) have identified very competent physicians within an hour of The Villages. It used to take longer than that to get into Boston from 25 miles away.

Everything is a matter of perspective.


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graciegirl 05-24-2017 06:30 PM

Quote:

Originally Posted by dbussone (Post 1402657)
Just a little information for you. My wife and I both grew up in the Boston area. She is an RN trained at Massachusetts General Hospital. We both have some issues common to those our age, and she has MS. We have successfully found local physicians who provide quality care. When sub-specialty care has been needed, we (and our internist) have identified very competent physicians within an hour of The Villages. It used to take longer than that to get into Boston from 25 miles away.

Everything is a matter of perspective.


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We too have found competent physicians here in The Villages including, GP, ENT, Gastroenterologist, Cardiologist*, dermatologist, endocrinologist, and opthamologist *Our Helene must see specialty doctors in Cincinnati once a year and we both see the oncologist there once a year too. Gainesville has a large teaching hospital and a lot of expertise up there, and it isn't far, an hour or so.

Hancle704 05-24-2017 06:58 PM

Problem still occurring at TVRH. Today, my neighbor went to ER with Chest pains. No beds in ER so he was seen seen, sent for testing, IV started and then returned to waiting room. The bottleneck IMO, is open beds "upstairs" in hospital, but no nurses . So folks remain in a bed or gurney in ER or out in waiting room until more nursing staff is brought in. This situation occurs now, unlike peak season when there are nurses but no rooms. Meanwhile TV continues to grow, but there does not appear to be a plan in place to manage this problem at TVRH. My wife just spent and extra weekend in hospital occupying a bed because they had no Physical Therapist available to do an assessment of her post hospital needs.

villages07 05-24-2017 07:28 PM

Villages ER - awful - Saga continues
 
Quote:

Originally Posted by Hancle704 (Post 1402696)
Problem still occurring at TVRH. Today, my neighbor went to ER with Chest pains. No beds in ER so he was seen seen, sent for testing, IV started and then returned to waiting room. The bottleneck IMO, is open beds "upstairs" in hospital, but no nurses . So folks remain in a bed or gurney in ER or out in waiting room until more nursing staff is brought in. This situation occurs now, unlike peak season when there are nurses but no rooms. Meanwhile TV continues to grow, but there does not appear to be a plan in place to manage this problem at TVRH. My wife just spent and extra weekend in hospital occupying a bed because they had no Physical Therapist available to do an assessment of her post hospital needs.



Hancle.... I can validate your story. Spent more than Six hours at ER today accompanying someone else. He gave up and went home when they said it might be two hours more. If they had communicated better we could have made other, better choices...like Leesburg ER or new ER up on 441. Very poorly run. I am proud of many things about The Villages and the ancillary businesses, but, I am ashamed at how the ER is run. He got the same story about beds upstairs being full.

By the way, I checked TVRH website at the midpoint and it said wait time was 0 minutes. What a farce. Yes, they are quick at checkin and triage but a long, long wait to see a doc.

This is on a Wednesday morning in late May. I can only imagine what it's like on a Saturday night in March!


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dbussone 05-24-2017 08:03 PM

Quote:

Originally Posted by villages07 (Post 1402707)
Hancle.... I can validate your story. Spent more than Six hours at ER today accompanying someone else. He gave up and went home when they said it might be two hours more. If they had communicated better we could have made other, better choices...like Leesburg ER or new ER up on 441. Very poorly run. I am proud of many things about The Villages and the ancillary businesses, but, I am ashamed at how the ER is run. He got the same story about beds upstairs being full.

By the way, I checked TVRH website at the midpoint and it said wait time was 0 minutes. What a farce. Yes, they are quick at checkin and triage but a long, long wait to see a doc.

This is on a Wednesday morning in late May. I can only imagine what it's like on a Saturday night in March!


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TVRH has just added new inpatient beds. And expanded the ER, as well as a holding unit for patients who are staying overnight or waiting for an inpatient bed. If they don't have sufficient nursing/technical staff in off-season, as you imply, that says a lot to me. Staff can also include the ER docs and hospitalists. All can create bottlenecks.


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Hancle704 05-26-2017 07:20 PM

Update on this thread that started in January 2017. Today May 26th the expansion of hospital is supposedly almost complete, there is still some minor construction between ER waiting room and Triage Nurse's station, seasonal visitors have left and today the ER was overloaded, with patients on gurneys and chairs inside the ER, a crowd in waiting room waiting to be seen, 30 patients in ER waiting to be admitted and sent up to rooms and nothing has changed. Why? If there are rooms why does hospital not have enough nursing staff. The bottleneck continues despite all of the expansion. Guess it is just a matter of more homes being sold every month and the hospital is failing to meet the growth curve. There has been a significant increase in urgent care facilities in and around the Villages to handle non life threatening issues, so one must ask what has gone wrong with "America's Healthiest Community"? Do we need another hospital or a new management team and quite possibly competitive wages to attract more nurses? IMO this situation will continue to worsen unless things change rapidly.

JoMar 05-26-2017 07:36 PM

You all do know this isn't a hospital associated with The Villages right?

Dan9871 05-26-2017 08:02 PM

Quote:

Originally Posted by Xaribe (Post 1397224)
I have been trying to educate myself on TV. My brother, who lives in Bradenton, said to avoid TV. I was concerned because I have not found much negative about TV until now. The houses and other activities seem fine, yet dental and healthcare seem very lacking with many stories sounding like elderly abuse. I have UHC Advantage, but live in the Northeast. My wife had Merkel Cell Cancer for which medical costs approached $80K, but my out of pocket was at best $1500. So medical care is paramount for me. After reading the responses, I may forget TV. I have never heard so many horror stories. My wife gets a CAT scan every 6 months, and we are 3 yrs now with nothing found.

I do want to thank everyone for providing the information.

Of course you have to decide for yourself about medical care in the villages.

But just to give you another data point to consider...

My wife and I also have UHC Advantage and use Villages Health. She has had serious medical issues this year and been in the ER numerous times, both at TVH and Ocala Regional Medical Center. Both seem to be very busy, have lot's of patients in gurneys in the hallways and take forever to get admitted to the hospital, usually due to lack of beds.

I know that some the doc's and medical people that respond on here on TOTV say that TVH ER needs improvements but from what little I know of ER's it seems about the same as most, at least from a patient's point of view.

But the overall care and quality in the hospitals and from the medical people has been very good. We both feel it is more than equal to what had when we lived in Eastern Mass.

As far as medical costs so far for my wife the cost on paper from the doc's and hospitals is over $280,000. Our out of pocket so far is almost $4500 plus what we pay for Medicare. The UHC Advantage plan we have limits our out of pocket to $4500 so we are just about done with out of pocket for this year.

We've haven't had any issue finding a good PCP or specialists, or getting the tests my wife needs. We've depended on our PCP's recommendations and it has worked out very well.

One time a provider that UHC said we had to use was about 40 minutes away. We found another in the Villages and asked UHC for an exception based strictly on convenience for us. UHC only to one day to approve it without anything more than filling out a request form.

Hancle704 05-26-2017 08:28 PM

Quote:

Originally Posted by JoMar (Post 1403507)
You all do know this isn't a hospital associated with The Villages right?

I know, not that it makes any difference. I also know that it was built where Harold Schwartz said it would be built during his lifetime. I also recall when it opened with 60 beds it was already too small and I recall when the hospital needed a hospital taxing authority it was proposed in the Fl Legislature. This proposal despite predictions that hospital would not expand if the referendum was not passed, was voted down by the voters after hearing that part of the money it would raise would go to a developer foundation. Somehow money was raised and what is there after at least 2 expansions is still not capable of meeting today's demands with most or all of the seasonal visitors having left. Concerned if it can't meet today's demands where will ambulances take you during the next peak season when they go on divert. For sure it won't be "golf cart accessible".

NotGolfer 05-27-2017 09:30 AM

Quote:

Originally Posted by Dan9871 (Post 1403515)
Of course you have to decide for yourself about medical care in the villages.

But just to give you another data point to consider...

My wife and I also have UHC Advantage and use Villages Health. She has had serious medical issues this year and been in the ER numerous times, both at TVH and Ocala Regional Medical Center. Both seem to be very busy, have lot's of patients in gurneys in the hallways and take forever to get admitted to the hospital, usually due to lack of beds.

I know that some the doc's and medical people that respond on here on TOTV say that TVH ER needs improvements but from what little I know of ER's it seems about the same as most, at least from a patient's point of view.

But the overall care and quality in the hospitals and from the medical people has been very good. We both feel it is more than equal to what had when we lived in Eastern Mass.

As far as medical costs so far for my wife the cost on paper from the doc's and hospitals is over $280,000. Our out of pocket so far is almost $4500 plus what we pay for Medicare. The UHC Advantage plan we have limits our out of pocket to $4500 so we are just about done with out of pocket for this year.

We've haven't had any issue finding a good PCP or specialists, or getting the tests my wife needs. We've depended on our PCP's recommendations and it has worked out very well.

One time a provider that UHC said we had to use was about 40 minutes away. We found another in the Villages and asked UHC for an exception based strictly on convenience for us. UHC only to one day to approve it without anything more than filling out a request form.

:BigApplause: I have to agree with this! We too have had numerous occassions of transport to both Leesburg hospital and The Villages Hospital as well as admittance to both. No issues except maybe the long ER waiting room wait (if you're a walk-in). I think rather than renumerating on social media sites folks should all band together and call as well as write the admins with their complaints. Perhaps then, management will do something for improvements. I'm not educated on what it takes to run a hospital so perception as a consumer is where I come from. I can't complain about our health care here since we have UHC through T.V. and it's served our needs well.

Xaribe 05-27-2017 09:54 AM

thank you very much for that input. I will also relay the info to my wife. I am sure the data will be very helpful, again, thanks


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