Talk of The Villages Florida
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Talk of The Villages Florida (https://www.talkofthevillages.com/forums/)
-   The Villages, Florida, General Discussion (https://www.talkofthevillages.com/forums/villages-florida-general-discussion-73/)
-   -   Very Poor TV UF Hospital - What Is Being Done? (https://www.talkofthevillages.com/forums/villages-florida-general-discussion-73/very-poor-tv-uf-hospital-what-being-done-326021/)

Papa_lecki 11-06-2021 10:51 AM
Quote:
Originally Posted by Vikingjunior (Post 2025792)
What's ironic is UF Shands in Gainesville is a excellent hospital.
Median age Gainesville = 26.3
Average Age The Villages = 71 or 72

Wonder where the better health outcomes will be?

Dana1963 11-06-2021 01:02 PM
Quote:
Originally Posted by kendi (Post 2025922)
Notice the number of people say they had a “bad” experience but don’t elaborate. Was it really bad or are they just a complainer? I know people who have good experiences there.

One thing TV us doing to improve healthcare is building the new medical campus south of the turnpike. It will be a research and teaching facility which I hear brings in the top doctors and the most up to date care. The goal (I read) is for it to be a top ranked medical facility.

Also, it is my understanding that the numbers you are looking at lag behind a couple of years. I have heard that since UF took over TV hospital care has improved significantly. Can’t vouch for that personally though since I’ve never been there.
If you read the Daily Sun it’s very good propaganda for TVH. Two years is an eternity waiting for better medical care.

joelfmi 11-06-2021 01:29 PM
From your lips to the lord's ears
 
Quote:
Originally Posted by ChrisTee (Post 2025753)
What can be done about the very low 2 CMS rating for TVH hospital (UF)? I'd like to move to TV but can't figure out what is being done to raise it.

The CMS (Medicare) rating is based on health outcomes + is used across the US. It's on Medicare dot gov.

*Even if you had a good experience, the facts - the data for TVH are POOR. The facts are that many more people have very poor health outcomes at TV Hospital compared to hospitals across the USA.

Are you OK with low quality care/bad health outcomes per CMS? The infection rate is awful as are many other scientific, CMS measures of care/outcomes at TVH.

There are many smart people in TV. What if you or loved one need a CMS rated 3, 4, or 5 star hospital. Today - Now? Why shouldn't you have that basic option in TV - locally? The good life + fun of TV pales pretty quick if you or loved one suffers or dies due to lack of an average or better rated hospital in town.

CMS - Medicare provides a real picture of the quality of care TV UF hospital provides. It's not a good picture. There is no good excuse - how many TVers have suffered or died? Who's next?

Will the rating improve? I hope so! TV is otherwise a very cool place to be!
One of the most important reason for seniors to move to an area55+ community I think is health care for seniors. I could never buy at TV for this terrible reason. Most of the stuff said is made of smoke and mirrors. If you like golf and if possible to get a tee time and like cowds thats the place to buy otherwise move on.

Bjeanj 11-06-2021 01:32 PM
Quote:
Originally Posted by joelfmi (Post 2026078)
One of the most important reason for seniors to move to an area55+ community I think is health care for seniors. I could never buy at TV for this terrible reason. Most of the stuff said is made of smoke and mirrors. If you like golf and if possible to get a tee time and like cowds thats the place to buy otherwise move on.
Based on what you said, it makes me wonder why you are even on TOTV. What’s your interest? I’m curious.

DaleDivine 11-06-2021 01:33 PM
Quote:
Originally Posted by BEETHOVENMIKEY (Post 2025961)
We had very bad experience where our dad died at Leesburg and TVH and we swear we'll never go to either, even with management/owner change.
We've had several elective procedures done up at Ocala/West Marion Hospital Center on Rt 200, and we love them. It's well staffed, attitudes of staff is fantastic and we found the medical treatment great.
On our emergency medical directives that we carry with us and in the house, we specifically state we want to go to West Marion Hospital. It's only 35 minutes from us, here on the north side (compared to 15 minutes to TVH). So, not bad.
Yes...TVH (and Lessburg) has a higher death rate experience, but it's the BAD experiences of those that made it out alive that attribute to much of the bad ratings. It's going to take years to build up the confidence and favorable opinions (ratings) of the facilities
Sorry for your loss but you say he died at Leesburg AND TVH???

:shocked::shocked::ohdear:

Gmaf6 11-06-2021 01:46 PM
Very Poor TV UF Hospital - What is being Done
 
I've never been to The Villages UF Hospital but in the last 10 months have been to UF Shands twice and Leesburg once. I received excellent care in both places - from Doctors, to Nurses, to Admitting and beyond. It's true that many are older - also, CoVid has taken its toll on staffing. I understand that UF recently acquired both TV Hospital as well as Leesburg. It takes time to make changes when one acquires a new business or corporation, so let's give them the time to do so. They are also building a new teaching hospital in the Southern Oaks area so that should help.

Vikingjunior 11-06-2021 01:59 PM
Quote:
Originally Posted by Papa_lecki (Post 2026013)
Median age Gainesville = 26.3
Average Age The Villages = 71 or 72

Wonder where the better health outcomes will be?
It's not about outcomes, it's about quality of care. This is not a comparison of how many people die in TVH vs Shands. I’ve been to both hospitals and TVH doesn't even come close.

If you want to make the comparison that Shands is a Trauma Center and TVH is not, that is fair, but don't try to throw age into this.

golfing eagles 11-06-2021 02:09 PM
Quote:
Originally Posted by Vikingjunior (Post 2026096)
It's not about outcomes, it's about quality of care. This is not a comparison of how many people die in TVH vs Shands. I’ve been to both hospitals and TVH doesn't even come close.

If you want to make the comparison that Shands is a Trauma Center and TVH is not, that is fair, but don't try to throw age into this.
But he was absolutely correct to "throw age into it". The metrics that CMS uses to rate the "quality" of hospitals is partially dependent on mortality and readmission data, both of which are much, much higher with a more aged patient population.

Bogie Shooter 11-06-2021 02:47 PM
Quote:
Originally Posted by joelfmi (Post 2026078)
One of the most important reason for seniors to move to an area55+ community I think is health care for seniors. I could never buy at TV for this terrible reason. Most of the stuff said is made of smoke and mirrors. If you like golf and if possible to get a tee time and like cowds thats the place to buy otherwise move on.
Quote:
Originally Posted by Bjeanj (Post 2026080)
Based on what you said, it makes me wonder why you are even on TOTV. What’s your interest? I’m curious.
Quote:
Originally Posted by golfing eagles (Post 2026083)
Nobody here is likely to miss you:1rotfl::1rotfl::1rotfl:
Hey Joe, went and looked at your past posts. Sure were/are a vast number of uninformed and false slamming of just about everything.

BlueStarAirlines 11-06-2021 03:54 PM
Quote:
Originally Posted by villagetinker (Post 2025765)
I agree with the above comment, there may be a bias in the CMS 'grading' system due to the very large older population.
I initially thought the same thing, but since I have family that is down in Sun City Center, FL I looked at their hospital. Ranked much higher with a just as old population. Their hospital is smaller, which makes sense since it is a smaller location.

If what everyone is reporting is accurate regarding the long waits in the ER, etc, that is a staffing and protocol issue. I'm wondering if the re-hospitalization rates are an indication of folks being discharged too soon. Either issue points to a management and poor protocol adherence.

Papa_lecki 11-06-2021 04:45 PM
Quote:
Originally Posted by Vikingjunior (Post 2026096)
It's not about outcomes, it's about quality of care. This is not a comparison of how many people die in TVH vs Shands. I’ve been to both hospitals and TVH doesn't even come close.

If you want to make the comparison that Shands is a Trauma Center and TVH is not, that is fair, but don't try to throw age into this.
Thanks, I just assumed since the original post referenced a rating based on health outcomes, the purpose was health outcomes.
“The CMS (Medicare) rating is based on health outcomes + is used across the US. It's on Medicare dot gov. “

coralway 11-06-2021 05:00 PM
Quote:
Originally Posted by ChrisTee (Post 2025753)
What can be done about the very low 2 CMS rating for TVH hospital (UF)? I'd like to move to TV but can't figure out what is being done to raise it.

The CMS (Medicare) rating is based on health outcomes + is used across the US. It's on Medicare dot gov.

*Even if you had a good experience, the facts - the data for TVH are POOR. The facts are that many more people have very poor health outcomes at TV Hospital compared to hospitals across the USA.

Are you OK with low quality care/bad health outcomes per CMS? The infection rate is awful as are many other scientific, CMS measures of care/outcomes at TVH.

There are many smart people in TV. What if you or loved one need a CMS rated 3, 4, or 5 star hospital. Today - Now? Why shouldn't you have that basic option in TV - locally? The good life + fun of TV pales pretty quick if you or loved one suffers or dies due to lack of an average or better rated hospital in town.

CMS - Medicare provides a real picture of the quality of care TV UF hospital provides. It's not a good picture. There is no good excuse - how many TVers have suffered or died? Who's next?

Will the rating improve? I hope so! TV is otherwise a very cool place to be!





Don't get sick - that's your best bet if you live here.

BiPartisan 11-06-2021 08:29 PM
TV hospital
 
Quote:
Originally Posted by ChrisTee (Post 2025753)
What can be done about the very low 2 CMS rating for TVH hospital (UF)? I'd like to move to TV but can't figure out what is being done to raise it.

The CMS (Medicare) rating is based on health outcomes + is used across the US. It's on Medicare dot gov.

*Even if you had a good experience, the facts - the data for TVH are POOR. The facts are that many more people have very poor health outcomes at TV Hospital compared to hospitals across the USA.

Are you OK with low quality care/bad health outcomes per CMS? The infection rate is awful as are many other scientific, CMS measures of care/outcomes at TVH.

There are many smart people in TV. What if you or loved one need a CMS rated 3, 4, or 5 star hospital. Today - Now? Why shouldn't you have that basic option in TV - locally? The good life + fun of TV pales pretty quick if you or loved one suffers or dies due to lack of an average or better rated hospital in town.

CMS - Medicare provides a real picture of the quality of care TV UF hospital provides. It's not a good picture. There is no good excuse - how many TVers have suffered or died? Who's next?

Will the rating improve? I hope so! TV is otherwise a very cool place to be!
If your only concern about The Villages is the hospital rating, then don't come. You seem to be a good fit since you started complaining even before living here. Personally I have been at the The Villages hospital twice, both times excellent experience.

Vikingjunior 11-06-2021 09:18 PM
Quote:
Originally Posted by Papa_lecki (Post 2026133)
Thanks, I just assumed since the original post referenced a rating based on health outcomes, the purpose was health outcomes.
“The CMS (Medicare) rating is based on health outcomes + is used across the US. It's on Medicare dot gov. “
It's actually called a "5-star QUALITY rating system" do you think they're so dumb that they don't realize some hospitals are in senior communities which would lead to poorer outcomes. Come on.

John41 11-06-2021 09:59 PM
Quote:
Originally Posted by golfing eagles (Post 2026099)
But he was absolutely correct to "throw age into it". The metrics that CMS uses to rate the "quality" of hospitals is partially dependent on mortality and readmission data, both of which are much, much higher with a more aged patient population.
If the proper multivariate statistical model is formulated then the “score” will be adjusted to reflect different population age or other biases. Of course that assumes the government knows what it is doing.

HORNET 11-06-2021 10:27 PM
Had to use The Village hospital several times, I can’t say anything negative, and I get very defensive of those who have to find fault either The Village hospital. I don’t even want to say what I would like to reply to you

NotGolfer 11-07-2021 07:03 AM
I've been a pt. at TVH a number of times (2x/for surgery) and the care was fine. The ER as others stated really needs an over-hauling but from what I've heard they aren't run by TVH but have traveling nurses and drs. With Covid....the shortages of help is evident. I was just there about 4 wks ago and the ER experience was less-than. The care up stairs on the floor was good however. I had been told my issue would have been "life-threatening" if I'd not come in when I did, so when you hear words like that one is just grateful to be treated. My other half also has been a pt. at both hospitals and his care was very good. Remember T.V. was built in a rural area and NOT a metro-area of FL. Just saying....that you won't get a "Class A" hospital in a rural area. IF that's what you wanted, then maybe moving here wasn't in your best interest. It takes time for things to happen.....hospitals being built for one with people to staff it. I've noticed how people tend to want what they want, WHEN they want it. LIFE doesn't work that way.

MandoMan 11-07-2021 08:07 AM
Quote:
Originally Posted by ChrisTee (Post 2025753)
What can be done about the very low 2 CMS rating for TVH hospital (UF)? I'd like to move to TV but can't figure out what is being done to raise it.

The CMS (Medicare) rating is based on health outcomes + is used across the US. It's on Medicare dot gov.

*Even if you had a good experience, the facts - the data for TVH are POOR. The facts are that many more people have very poor health outcomes at TV Hospital compared to hospitals across the USA.

Are you OK with low quality care/bad health outcomes per CMS? The infection rate is awful as are many other scientific, CMS measures of care/outcomes at TVH.

There are many smart people in TV. What if you or loved one need a CMS rated 3, 4, or 5 star hospital. Today - Now? Why shouldn't you have that basic option in TV - locally? The good life + fun of TV pales pretty quick if you or loved one suffers or dies due to lack of an average or better rated hospital in town.

CMS - Medicare provides a real picture of the quality of care TV UF hospital provides. It's not a good picture. There is no good excuse - how many TVers have suffered or died? Who's next?

Will the rating improve? I hope so! TV is otherwise a very cool place to be!
On one rating scale, all the hospitals in Ocala and the Villages get B ratings, largely because of having too many nosocomial infections—a hospital-acquired infection. Certainly older people are more likely to get these because they often have less competent immune systems, but also because they are more likely to be in the hospital longer for the same surgery or medical issue. Every day counts.

The solution is fanatical, operating-room level cleanliness throughout a hospital, not only among nurses but kitchen personnel and housekeeping staff. This takes a lot of training, a willingness to do something different and more difficult, and intelligence. When I was seventeen, I dropped out of high school and worked as a janitor in an operating room, somI learned how to clean at this level. Then, six months later, I became an operating room technician (scrub nurse), and I learned even more. Then a couple years later I became the surgical supervisor at a hospital in Africa with a 50% surgical infection rate. Within a few months, I had that down to 2%.

Most hospitals have infection review committees to figure out how an infection started and spread. However, training takes a lot of time and money and knowledge of technique.

The other big problem at all of these B-rated hospitals is doctors doing certain reviewed procedures such as coronary bypass or hip replacement who don’t do very many per year. The review boards know that a doctor who does a difficult surgery only half a dozen times a year usually is less proficient than one who does, say, six total hips per week.

The closest A-rated hospital is AdventHealth-Waterman. That’s where I go.

Mrs. B 11-07-2021 08:27 AM
I came from a Magnet, 5-star hospital 50 miles south of Chicago and am disappointed in the ratings for these hospitals. The Villages Hosp had just gotten a 1-star rating 2 years ago and have since been bought out by UF. These ratings are based on data from couple years past so I can only hope that the ratings continue to climb under UF. The hospital CEO is speaking at a VHA event on Dec. 8 which I would love to go to but am not a member (I might join just to listen to her presentation!)

Djean1981 11-07-2021 08:35 AM
I've read the Yelp and Google reviews (there are over 300), they are terrifying. :(

Djean1981 11-07-2021 08:45 AM
Yes the hundreds of Google and Yelp reviews are terrifying. :(.

jimmy D 11-07-2021 08:58 AM
Since you are not living here as of now. Wait another 15 years or so and then come with your list.

PennBF 11-07-2021 09:03 AM
Bad Experienc
 
I did have a bad experience at the Hospital. First time spent 15+ hours in Emergency Room
and second time another 15+ hours in ER. The question raised by the Poster is what is going on? Answer: Either there is not enough money to run an acceptable hospital, or Management charged with that responsibility do not know how to run an acceptable hospital and last, is the controlling team is trying to just grab the cash and run? Which is it? You pick which or other excuse??:ohdear:

csue925@gmail.com 11-07-2021 09:28 AM
It takes time
 
UF has only had control of TV and Leesburg for < 12 months. It takes 3-5 years for new management to make a major impact on quality of care and outcome scores. You will be surprised at the changes that are set to come. In the meantime if you want more quality you will need to go to other UF Facilities such as Shands, Tampa General or Jacksonville which are listed no. 3,2,1 in the state respectively as top hospitals. So we are in a waiting game. You also can try the Orlando Hospital system. It also is top rated. As someone who has been in hospital management and new here we will be going to Shands. I have colleagues who worked there who were top their national professional societies and I have great respect for them. I also received my doctorate from UF in 2000 and was trained by their leaders. I have great respect for them. Having spent almost 30 years in the Houston Medical Center, the largest medical center in the world and home to many of the top hospitals in the US and world, UF is a decent system. Give them time to make improvements.

aces_04 11-07-2021 09:40 AM
Management change
 
Some upper level management was “let go” recently. That’s all I know

Fenster 11-07-2021 10:32 AM
Thank you for your report
 
Quote:
Originally Posted by tophcfa (Post 2025795)
I am not sure how the rating system works, but regardless of age or health I believe the desired outcome for anyone having to go to a hospital is to be in a sanitary and welcoming environment, to be seen by competent professionals in a timely manner, and to be properly diagnosed and treated. Unfortunately, my experience at the Villages Hospital was the exact opposite. I spent approximately 11 1/2 hours in an absolutely filthy waiting room, most of the time with an IV port in my arm that wasn’t hooked up to the fluids which I desperately needed. The only restroom available was probably the most disgusting public restroom I ever had to use. The environment was the opposite of welcoming. I was so sick I was in serious risk of death, and no, it wasn’t Covid. All I did was wait and wait and wait, the whole time in total agony. At one point I fell out of the chair I was trying to stay upright in and passed out on the floor. I am not sure how long I was on the floor before I came too, but I am guessing it was at least 45 minutes. No one ever even came over to ask how I was or if I needed help? When an incompetent doctor finally misdiagnosed me, I was subsequently mistreated and sent home to die. I was in no shape to drive, let alone take care of myself, and desperately needed to be admitted to intensive care. Despite that, they sent me on my way to drive home in my golf cart at midnight. I still can’t believe I somehow made it home without killing myself or someone else.

Fortunately, my wife arrived at our Villages home two days later and brought me to a real hospital, North Florida Regional Medical Center in Gainesville. We went to a stand alone ER affiliated with the hospital. The triage nurse took one look at me and within 5 minutes I was in a bed with a doctor at my side running a bunch of tests. After the doctor evaluated me, she made a phone call and I was in an Ambulance and on my way to an already assigned room in their critical care unit where I spent the next 8 days. What a great hospital, they saved my life. That’s how things are supposed to work. That was last June and now I am back to even better than I was before I got sick. I have always taken great care of myself, but a close brush with the grim reaper now has me doubling down on my exercise, diet, etc…

There is no grade low enough for me to give to the Villages Hospital!
This was a very enlightening story. Thank you for sharing!

asianthree 11-07-2021 10:58 AM
Quote:
Originally Posted by PennBF (Post 2026302)
I did have a bad experience at the Hospital. First time spent 15+ hours in Emergency Room
and second time another 15+ hours in ER. The question raised by the Poster is what is going on? Answer: Either there is not enough money to run an acceptable hospital, or Management charged with that responsibility do not know how to run an acceptable hospital and last, is the controlling team is trying to just grab the cash and run? Which is it? You pick which or other excuse??:ohdear:
ED filled with 70% non emergency patients. Happens to even the best of hospitals.

Michael G. 11-07-2021 11:44 AM
https://www.**************.com/2021/...n-summerfield/

golfing eagles 11-07-2021 01:06 PM
Quote:
Originally Posted by PennBF (Post 2026302)
I did have a bad experience at the Hospital. First time spent 15+ hours in Emergency Room
and second time another 15+ hours in ER. The question raised by the Poster is what is going on? Answer: Either there is not enough money to run an acceptable hospital, or Management charged with that responsibility do not know how to run an acceptable hospital and last, is the controlling team is trying to just grab the cash and run? Which is it? You pick which or other excuse??:ohdear:
Staffing

ChrisTee 11-07-2021 05:25 PM
Thank you!
 
Thank you all! For sharing different viewpoints, I appreciate them. Also appreciate that most comments are respectful. It's cool + helpful.

Csue925 and Village Kahuna... I guess we can expect improvement and change as UF moves forward. I will head up to Shands if needed for cancer care and non-emergent issues...but TVH needs to improve because a closer hospital that's decent is very important, it may be a lifesaver in an acute (heart attack etc.) situation.

I don't think anyone has mentioned TVH's *bad* patient satisfaction scores.
They're LOW. Also support staff - very low nursing staff levels compared to other similar hospitals, and TVH has been run that way for years - cutting corners.

We need to talk about these issues - publicly - so that the good folks in TV get the care they deserve. Again thanks for the good discussion!


Quote:
Originally Posted by csue925@gmail.com (Post 2026322)
UF has only had control of TV and Leesburg for < 12 months. It takes 3-5 years for new management to make a major impact on quality of care and outcome scores. You will be surprised at the changes that are set to come. In the meantime if you want more quality you will need to go to other UF Facilities such as Shands, Tampa General or Jacksonville which are listed no. 3,2,1 in the state respectively as top hospitals. So we are in a waiting game. You also can try the Orlando Hospital system. It also is top rated. As someone who has been in hospital management and new here we will be going to Shands. I have colleagues who worked there who were top their national professional societies and I have great respect for them. I also received my doctorate from UF in 2000 and was trained by their leaders. I have great respect for them. Having spent almost 30 years in the Houston Medical Center, the largest medical center in the world and home to many of the top hospitals in the US and world, UF is a decent system. Give them time to make improvements.

jojo 11-07-2021 06:38 PM
I have volunteered at TVRH for six years. In addition to playing the piano in the lobby, I visit the patients who were newly admitted. The protocols for my visit are to ask if they are familiar with the communications board in the room that list their nurses, doctors, tests etc., if they know how to work the controls on the bed, tv, whether they were admitted through the ER and if so how was that experience, and then asking them about their nursing care. Almost all of the serious issues that I hear are related to long waits in the ER. There are concerns with doctors, particularly communication. Almost without exception, they rate their nursing care highly. If there are concerns or issues, we try to get them addressed immediately.

ChrisTee 11-07-2021 08:28 PM
Thank you for your service.

Quote:
Originally Posted by jojo (Post 2026590)
I have volunteered at TVRH for six years. In addition to playing the piano in the lobby, I visit the patients who were newly admitted. The protocols for my visit are to ask if they are familiar with the communications board in the room that list their nurses, doctors, tests etc., if they know how to work the controls on the bed, tv, whether they were admitted through the ER and if so how was that experience, and then asking them about their nursing care. Almost all of the serious issues that I hear are related to long waits in the ER. There are concerns with doctors, particularly communication. Almost without exception, they rate their nursing care highly. If there are concerns or issues, we try to get them addressed immediately.

MEbner2805 11-08-2021 08:20 PM
TV hospital
 
Quote:
Originally Posted by ChrisTee (Post 2025753)
What can be done about the very low 2 CMS rating for TVH hospital (UF)? I'd like to move to TV but can't figure out what is being done to raise it.

The CMS (Medicare) rating is based on health outcomes + is used across the US. It's on Medicare dot gov.



*Even if you had a good experience, the facts - the data for TVH are POOR. The facts are that many more people have very poor health outcomes at TV Hospital compared to hospitals across the USA.

Are you OK with low quality care/bad health outcomes per CMS? The infection rate is awful as are many other scientific, CMS measures of care/outcomes at TVH.

There are many smart people in TV. What if you or loved one need a CMS rated 3, 4, or 5 star hospital. Today - Now? Why shouldn't you have that basic option in TV - locally? The good life + fun of TV pales pretty quick if you or loved one suffers or dies due to lack of an average or better rated hospital in town.

CMS - Medicare provides a real picture of the quality of care TV UF hospital provides. It's not a good picture. There is no good excuse - how many TVers have suffered or died? Who's next?

Will the rating improve? I hope so! TV is otherwise a very cool place to be!
New owners of TV Hospital here and it takes years to be evaluated and raise that score. Villagers go to 4 other hospitals nearby and are happy with them. No worries on that as the chance you would visit one for a surgery are slim!!
We have several stand-alone ERs now to take care of our emergencies. The urgent care places are all great. It’s not as bad here as the rumors say! Come on down! You won’t regret it!


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