OPINION: Excessive use of Emergency Rooms hit home

OPINION :  Excessive use of Emergency Rooms (ER) in Washington State is widespread.  According to the Washington State Hospital Association 11% of all ER visits are avoidable. It's such a problem that our legislature is advising a reduction in the number of preventable ER visits by June 15, 2012.  The average charge of an ER visit is $5,353.  An avoidable  ER visit averages $1,600.   My relative, Jane, was admited to Overlake Hospital ER by an Overlake Urgent Care Physician's Assistent. But, her charge was $7605 and probably avoidable (She had constipation). Many would call this abusive. In fact, an agency is looking into it.

For those of you who have a similar unfortunate experience in an ER your insurance company should be able to help.  Most can direct you to the Fraud and Abuse hot-line.  Excessive charges and procedures are considered "abuse" and should be reported. Overlake Hospital offers the services of a "patient advocate," however don't be mislead - they advocate for the hospital first.

Insurance companies are your friend.  They want to keep their costs down while servicing their clients.   Our insurance rep from Regence arranged a conference call with Overlake to find out why Jane was charged weeks ago without any notification to the carrier.  The agent assured me Jane would get a good rate on insurance and we did.   Appealling the insurance company wasn't necessary. They certainly did their job.

The Washington State Hospital Association reported on 2/11, "One in nine ER visits are avoidable.  Potentially avoidable ER visits can be appropriately treated in another setting at the time the ER visit occurred."

Evergreen Hospital appears to have really caught on to this concept.   I've found pamphlets in their medical hallways to educate patients on how to choose the best place to go for health care.  In addition, Evergreen's Redmond & Woodinville primary care and urgent cares are in the same buildings to facilitate appropriate treatment in a setting other than an ER. 

Unfortunately, Overlake Redmond Urgent Care didn't have a clinical laboratory or contrast Cat Scan, so they sent Jane to the ER for these tests.  Evergreen's Redmond clinics have a lab and imaging department so you don't have to be admitted to an ER.  Same with Virginia Mason - Kirkland.  Read More >>

Swedish Hospital system losing $250,000 a day, warns staff of likely layoffs

Swedish hospital system warns staff of likely layoffs

Swedish Medical Center delivered some grim news to employees Monday: Swedish is losing $250,000 a day and it likely will have to lay off workers.  Read More >>

By Carol M. Ostrom
Seattle Times health reporter
March 19, 2012

NOTE:  Swedish opened a stand-alone ER/Primary & Specialty Care clinic in Redmond on Novelty Hill Road last year.  B.Y.

UPDATED: Overlake adds to the out-patient medical market of Greater Redmond

Overlake Hospital Medical Center

UPDATED:  Medical care organizations continue to migrate into Greater Redmond.   Overlake Hospital Medical Clinic opened it's doors yesterday with 9-5:30 p.m. service, joining the long list of medical services competing for our insurance dollars.  They offer same-day appointments for "acute conditions" (not run-of-the-mill.)

The Overlake Hospital Mendical Center Clinics of Redmond is located at Redmond Town Center, 16315 NE 74th Street.  Their 'Grand Opening' today is celebrated with free smoothies and cholesterol screenings. The convenience of their location is comparable to Evergreen's Redmond Medical Center of Bella Bottega. 

Alan Ertle, MD, Overlake’s vice president of network development was quoted on their website  “Each clinic is connected to our hospital’s acute care, emergency services, outpatient imaging, lab and affiliated specialist physicians, offering patients a full spectrum of medical s the services.”

According to the Overlake-Redmond Clinic's front desk they have a clinical laboratory, but no pharmacy, CT, MRI, or ultrasound equipment.  Availability of on-site specialty care is unknown.

Evergreen Redmond Primary Care Clinics (Redmond, Sammamish, Woodinville), Virginia Mason Clinic (Kirkland, Issaquah, Bellevue) Swedish ER-Redmond provide extensive specialty care services, full-service imaging, clinical laboratory.  V. Mason has a free consulting pharmacist for patients for med-management, BP checks, cholesterol. 

Of the five Greater Redmond medical service organizations surveyed, Evergreen Primary Care - Redmond had the most flexible hours for Primary Care and diagnostic services.  Evergreen-Redmond Clinic of Bella Bottega is open for same-day appointments M - TH (7 -7), F (7 -6) and Saturday (9-3).  Virginia Mason - Kirkland was a close second, open 7 - 8 p.m. M- TH. and 7-6 p.m F, and 8-12 for same-day appointments. (Call 425-814-5100 for exact hours of operation for specialists)  Both have 11 physicians.

By Bob Yoder
Internet photo

Disclosure:  My wife and I go to V. Mason-Kirkland and Evergreen.  My daughter goes to University Physician's Neighborhood Woodinville Clinic when she's home.  I report on the Evegreen Community Hospital Board of Commissioner meetings for my blog.

First in an eight-part series on the rush of new medical services in Greater Redmond.

A series on Redmond's emerging medical services - why are they here? how do we decide?

"Thanks for sharing this blog. Since there are tons of emergency care centers nowadays and it is hard what and where to choose I still do believe in some reviews since it is hard to select which one is telling the truth."
     -- Trixie, July 8, 2011 a Reader's comment under the post:  "Urgent Care vs. Emergency Care"

As of today, I'm starting an 8-part series on Redmond's booming new medical services to try to answer some of Trixie's concerns and provide facts and data to help you decide where to go for services.  Once every 2-4 weeks I'll post a story.  Hopefully, YOU will contribute a comment or personal experience to help our Readers or "bandage your wounds."  Read More >>

Overlake Continues to Expand Clinic Network; Overlake Urgent Care Opens in Redmond

Open seven days a week from 7 a.m. to 11 p.m. in Creekside Crossing Shopping Center across the street from Safeway. 

Overlake Hospital Medical Center is continuing to grow its network of clinics on the Eastside.  Its brand new Urgent Care Clinic at Overlake Medical Clinics Redmond opened January 9, 2012. The clinic is located at Creekside Crossing Shopping Center in Redmond and will be open seven days a week from 7 a.m. to 11 p.m.

“Overlake is an independent, community-focused hospital that is driven by the key objective of best serving the Eastside community,” said Craig Hendrickson, Overlake’s President and CEO. “The continued expansion and opening of this Urgent Care Clinic in Redmond allows us to continue to provide our patients with excellent care and our signature attention to detail, quality and patient safety.”

Disclosure:  Good journalistic practice requires I disclose our family experienced unsatisfactory service,  charges and medical care at Overlake Urgent Care Clinic of Redmond and Overlake Hospital Emergency Room.

 Read More >>

What's behind the Puget Sound's ER building boom? | LocalHealthGuide

What's behind the Puget Sound's ER building boom? -- Seattle Times Seattle/LocalHealthGuide:

"What’s behind the ER building boom?" — Seattle Times
LocalHealthGuide November 27, 2011

Hospitals in the Puget Sound region are in the midst of an emergency room building boom, and in today’s Seattle Times health reporter Carol Ostrom explains the economics–and controversy's–behind the construction.

“Hospital-industry leaders say they’re doing what patients want and what makes good business sense,” Ostrom writes, but critics say the free-standing emergency rooms are “cash cows for hospitals, strategically built in affluent areas to lure busy, well-insured patients and collect fat reimbursements."

Hospitals say the new ERs will streamline care and help reduce costs, but Ostrom points to research that suggests the opposite:

Read "Seattle Times" reporter Carol Ostrom's article here >>

Last year, the "Center for Studying Health System Change," a national research group, noted concerns that increased competition around Seattle could increase overall costs. It found hospitals invading one another’s turf with free-standing ERs and vying to provide big-ticket specialty procedures in cardiac, cancer and orthopedic care.
--Seattle/LocalHealthGuide

Read all RNB stories on Redmond's free-standing Emergency Rooms (ER) here!  
B.Y.

Redmond Ranked #1 by Forbes for "Cities with the Happiest Young Professionals"

DanitaDelimon.com, News.com SAMMAMISH RIVER TRAIL


"The Cities with the Happiest Young Professionals"
By Jacquelyn Smith
Forbes, September 9, 2011

"Heading the list of the cities with the happiest young professionals, Redmond earned an overall score of 3.835. Workers there expressed the most optimism in the Benefits category, which scored 4.260."

Its list [CareerBliss] of the 20 happiest cities for young professionals is based on analysis from thousands of employee generated reviews between 2010 and 2011. Young professionals, defined by CareerBliss as employees with less than 10 years’ experience in a full-time position, were asked to rate eight factors that affect workplace happiness, including growth opportunities, compensation, benefits, work-life balance, career advancement, senior management, job security and whether they would recommend their employer others.

“In our research, CareerBliss found that young professionals take career happiness very seriously,” says the company’s chief executive, Heidi Golledge. “Typically, they will continue to keep their résumé active on job boards just in case something more fulfilling comes along, and they are typically two to three times more likely than their parents to jump jobs for more career happiness. In short, they take the right to pursuit happiness to heart and will typically not stay at a job with poor conditions for very long, and they will even relocate to get out of an unhappy work environment.”

If you’re looking to move to a happier place, you might consider Redmond, Wash.  Read More >>

Chair Tom Martin clarifies plans for the future of Greater Redmond Chamber of Commerce



Greater Redmond Chamber of Commerce

 from the desk of Tom Martin, Board Chair, Greater Redmond Chamber of Commerce (GRCC)...

You may or not read the blog written by Bob Yoder. Today he claimed that as board chair, I said the chamber would be closing its doors by end of year.

This is not the case. I want to take this opportunity to say he has misinterpreted a presentation that was made to the Redmond city council on August 30. At that presentation, I along with Dan Agellar from the Realize Redmond foundation, Bill Biggs from the Redmond Economic Development Alliance spoke about our united effort to make Redmond a great place to live, work and play.  Read More >>

Overlake to open primary care and urgent care clinics in Redmond

Rendering of Overlake Urgent Care Clinic/Redmond

10-exam rooms with full-service imaging

Overlake Expands its Physician and Clinic Network in Redmond and Kirkland

Bellevue, Wash. – Overlake Hospital Medical Center continues to grow its network of primary care medical clinics on the Eastside with three new clinics in Kirkland and Redmond opening in the next six months.

Overlake will open a primary care clinic in Redmond Town Center, at 7525 166th Ave NE, and an urgent care clinic in Redmond’s Creekside Crossing development near SR 520, at 17209 Redmond Way. The Redmond primary care clinic is scheduled to open in January 2012 and the urgent care clinic is scheduled to open December 2011.

Patient care services at the two primary care clinics will include same-day and walk-in appointments, comprehensive care for adults, immunizations, physical exams, acute care and chronic disease management. In addition, both primary care clinics will offer digital X-ray and an electronic medical record. The Redmond urgent care clinic will include 10 exam rooms and a full-service imaging center with digital X-ray, CT and ultrasound. 

"At Overlake, we're looking for ways to provide Eastside residents with better access to convenient cost-effective medical care,"  Read More >>

Emergency Department Wait Times Now Online - Overlake Hospital Medical Center

from the desk of Bob Yoder...
I first heard about Overlake's ER website feature from Tech Flash here.   And now the King 5 TV clip

Emergency Department Wait Times Now Online - Overlake Hospital Medical Center - Bellevue, WA: "Published on July 18, 2011

Overlake First in Seattle Area to Introduce New Website Feature Displaying Emergency Department Wait Times

Patient convenience greatly increased by Overlake's innovative new web feature  Read More >>

UPDATED OPINION: Free-standing ER's drain health resources

UPDATED OPINION:  It's relieving to see Swedish closing one of their free standing Emergency Rooms (ER's)...the Issaquah facility. These ER's drain insurance company resources and the consumers who must buy their policies.

Hospitals use stand-alone ER's to attract the affluent and patients with good-paying insurance. It's about marketing and gaining share, and little about improving the quality of healthcare.

These ER's have millions of dollars tied up in specialists, imaging, laboratories and other technology.  Free-standing ER services are duplicated at hospitals and outpatient imaging centers.

Evergreen Hospital is a sorry example of this excess.  Evergreen Hospital is using millions of taxpayer levy monies to finance their relatively new Hospital ER.  Evergreen's Director of Governance reports they don't have percent occupancy data, but it's known in community circles the hospital emergency department is operating at about 60% to 70% capacity over time.

Yet, when Evergreen found out Swedish was moving into Redmond, to capture the plateau business, they (and the city) rushed to expand their new Evergreen Primary Care Medical Clinic in Redmond with a $15,000,000 free-standing ER.   (Patients needing the Redmond ER longer than 24 hours are required to go to the hospital.) 

Did we forget?  Evergreen Hospital has a new state-of-the-art Hospital ER a few miles away.  It has 4 trauma rooms and 28 private acute treatment rooms and are all equipped with full cardiac monitoring.  This hospital emergency department has it's own cardiac cath lab with 28% faster treatment for 'heart attacks' than the national average and it's only 4 miles away from Redmond.  Why go to a stand-alone facility (especially when you have chest pain) when vacant high tech acute rooms with hospital back-up are waiting for you?

By Bob Yoder
Ref:  Public Record Requests,
2010 Budget Hearing
Attendence at Commision Meetings
Physician and staff interviews

Swedish to close stand-alone Issaquah ER and Open Swedish Medical Center ER, July 14.

The stand-alone Swedish/Issaquah ER (2005 NW Sammamish Road) will close on June 14 and the new Swedish Hospital Medical Center ER at Issaquah Highlands will open on June 14.

Overlake 24/7 Urgent Care on 5708 E. Lake Sammamish Blvd., Issaquah is not far away.


 

Swedish Issaquah Medical Center ER opens July 14.
751 N.E. Blakely Drive, in the Issaquah Highlands, just off I-90 at Exit 18.

Read More >>

Evergreen Medical Center/Redmond ER gets good reviews

Evergreen Medical Center/Redmond at Bella Bottega
Services:   Primary Care, Urgent Care, Specialty Care, ER, Imaging, Lab 

UPDATED:  My daughter spontaneously told me this morning that "many people like Evergreen".  I asked what she meant.  She said her friend who works at Rockwell went to the Evergreen Medical Center ER in Bella Bottega for a cut and "got really good service."  She said  "The people were really nice.

I was in the medical center yesterday to say hi and see what was new.   A friendly receptionist gave me a brochure about all the primary care doctors that work there.  She said the clinic has a new doctor specializing in "foot and ankle"care.   And, she'd order more Healthline magnets with the free nurse consulting number...425.899.3000.
   

My daughter's friend has excellent health insurance from Microsoft and LWSD. So, the extra charge for convenient, local 24/7 ER services is not a big deal for them.

For those with poor insurance coverage and can't afford ER or who can't get to their primary care physician but have an "urgent" need:  Evergreen /Redmond has Urgent Care service in the same building with 9-5 hours (all week).  Evergreen also has Urgent Care in Woodinville with *better hours.

* M-F 8-8, Weekends 9-5.

Report By Bob Yoder
Graphic from Evergreen website

REVIEW: Our first experience with Evergreen Medical Center/Redmond

Evergreen Medical Center / Redmond

OPINION (UPDATED, 5/15):  A few weeks ago, the trees and shrubs were in  full bloom with pollen everywhere!    And, like clockwork, my wife was sneezing, tearing up and congested.  Then came the fatigue and puffiness.  A gentle tap above the eyes, the grimace and I knew she was "there".  Sinusitis.  She gets it almost every year. 

It was Friday afternoon around 4:30.  This wasn't an emergency; no reason to phone the Evergreen "Healthline Nurse" for a free consult.  Our Virginia Mason family doctor was off for the weekend.  Oh! the new Evergreen Medical Center at Bella Bottega has urgent care, 9-5, all week.  Let's go there.  Click the blue link to "Read More">>

OPINION: Swedish/ER advertising is misleading and unfair

UPDATED OPINION:   I woke up this morning, 3/21, to yet another Swedish ER television commercial touting "SWEDISH ER ... the only 24/7 ER in Redmond just popped up".   They show a blue circle "popping up" on a Redmond "neighborhood" map.  (1) (2)

This Swedish television promotion is unfair and misleading.

So how is Swedish untruthfull and misleading the public? 

• First, Swedish is not the only 24/7 ER open for business in Redmond right now.  Evergreen Medical Center/Redmond ER is open for business on March 21, too.  Evergreen had their ribbon cutting ceremony on Saturday (3/19) and their doors are open to ER patients today, March 21.   In fact, Evergreen/Redmond's Urgent Care, Primary Care and Speciality Care are open, as well.  I  confirmed this with Sherry Grindeland,  the Evergreen Communications specialist.
• Swedish promotes themselves as a "Neighborhood ER" and outpatient service.   The ED structure is located right across from UPS on a 'highway', not far from Cadman Gravel and right next to a veterinarian business that according to an employee, doesn't want them as neighbors. (egress/ingress issues). 
• No schools, residential sidewalks, pedestrians or plethora of small businesses are to be found, or expected.  Do you call this a neighborhood? 
• During the Swedish/ER opening ceremony this winter Swedish top brass proclaimed (to an audience of mostly Swedish/Seattle employees) that their massive medical complex ("big box") will stimulate the local economy. It will.  Even the Mayor spoke to the "vibrancy" and growth Swedish would bring to Redmond.  
• Truth be said and observed by the vet business and current commuter traffic - Swedish/Redmond ER plugs up traffic flows on Union Rd.    Local small business considering moving to Union Hill Road are deterred owing to blockage of ingress and egress.  
• Yes, Swedish/ER will bring in the big bucks to Redmond from highly paid Swedish workers.  But, the immediate "neighborhood" and businesses around Swedish will remain stale and lack healthy diversity.  

About Evergreen  
According to the Evergreen website:  "Evergreen Medical Center/Redmond will bring a whole new level of care to downtown Redmond, where primary care, urgent care, lab and imaging services will be conveniently together under one roof...along with a 24/7 emergency department.  The four-story, 48,000-square-foot facility is located at the Bella Bottega shopping center in the heart of downtown Redmond."

No question, Evergreen will bring traffic and parking congestion to the area and the ambulances will be a pain.   But every Bella Bottega business I've talked to in my survey said they were happy with the new business Evergreen will bring.  More residents will take to the sidewalks; new businesses will emerge nearby, happy to be close to Evergreen and our downtown.  Our nearby residential neighborhoods, including the downtown neighborhood, will truly be more vibrant.    In addition, the Urgent Care resources Evergreen/Redmond offers provide valuable service to the prudent consumer.

Swedish is obviously aggressive in self-promotion.  They are clearly stretching the truth by claiming a Redmond neighborhood location and saying they are the only ER game in town today.  The question of future trust arises.   At least for me.   Please share your opinion below this post or by Letter with your name to remondblog@gmail.com  

(1)  On 3/23, two days after this post, Swedish made a change and corrected their ad. 
(2)  On 3/25, Swedish advertised on CNBC they had the only 24/7 ER in Redmond.  I think the point is made. 

Opinion By Bob Yoder

Urgent vs. Emergency Care

Overlake Hospital Medical Center website quoted:

"When involved in a situation where immediate medical treatment is necessary --whether it's a child ear infection of a spouse's chest pain--what level of care is appropriate?  The following chart is intended to assist you in determining where it's best to receive treatment for particular illnesses and injuries.  In the case of an emergency or life-threatening condition, call 911. 

DID YOU KNOW:  Urgent Care and Emergency Care serve very different types of patients and conditions.  When used appropriately for non-life-threatening conditions, Urgent Care can be a cost-effective treatment option, with a co-pay that is usually less than one for an emergency room visit."   

Comment:  Overlake Medical Center Issaquah - Urgent Care Center is the only Urgent Care clinic in the greater Redmond area offering walk-in service 24/7.  The clinic is ~ 10.7 miles from Redmond.   B.Y.

OPEN HOUSE: "Swedish Redmond Primary Care" - Election Day, February 8, 6-8pm

This is a rendering of a Swedish Redmond Primary Care "pod." on the second floor.

Updated:  OPEN HOUSE:  "Please join us at our new location for our Primary Care Open House on February 8th from 6-8pm.  Tour our new space, meet the doctors and get your general health questions answered for free!" 

Swedish Redmond Primary Care - location and office hours 

18100 N.E. Union Hill Rd.
Redmond, WA 98052
Phone: 425-702-8689
Fax: 206-320-5191
Monday-Friday, 7:30 a.m.-5 p.m.
(*No Urgent Care)

Read More>>

Evergreen Medical Center / Redmond opens March 21

24/7 EMERGENCY DEPARTMENT  + FULL LAB + IMAGING + SPECIALTY & PRIMARY CARE

>>>click here for more

Don't know where to go?   What to do? 
Stay Home?  Doctor?  Urgent Care?  ER?
Ask a friendly nurse at:    425.899.3000
No charge - tax dollars at work.

 URGENT CARE + LAB + IMAGING + PRIMARY CARE - EXTENDED HOURS

>>>click here for more

A quick tour of the Swedish/Redmond ER and Imaging Center

A quick tour of the Swedish/Redmond ER and Imaging Center - both are open 24/7.

Swedish/Redmond ER on 18100 Union Hill Road in Redmond has been open for business since  December 21.   If you missed their open house, this slide show will give you some idea of their Imaging Department.  Imaging is located on the 1st floor with the Emergency Department.

On December 16,  Redmond Neighborhood Blog and the Redmond Reporter were given a tour of the new Swedish/Redmond ER facility.  ER Director Brynn Karch, MD gave an excellent tour, patiently and thoroughly answering every question.  Later that day, Swedish CEO Ron Hochman and executives celebrated the ribbon-cutting with Mayor Marchione.    

I knew right where to go for the Saturday, December 18 Open House.  All Swedish imaging equipment is "digital" allowing for immediate transfer of the X-rays to the radiologist.  Most everything is "paperless".  Even patient records are digitalized for your family doctor.  No cumbersome files.

Heather, the Chief CT Tech. made a point that no "developing chemicals" are used, so "digital" is good for the environment.  The actual scan can be as fast at 15 seconds to around 2-3 minutes-or-so, depending on the equipment.  Radiation exposure is minimal.  Dr. Karsch indicated patients are often released within 90 minutes of their admission, thanks in part to digital technology. 

A popular piece of technology is the x-ray camera that takes "live" video showing exactly where to position the needle for a shoulder scan with contrast.  Shawn operated the monitor by touch, like an I-Pad.  Another is the "Tele-Stroke."  Patients with possible strokes can be assessed immediately with "web-cam"  by an off-site Swedish Neurologist.  Chad said the presence of a Specialist is critical during administration of clot-busting drugs.

Costs for the state-of-the-art equipment and the exams themselves weren't quoted nor was the kind of insurance you need for comprehensive coverage.  The building costs $25.5 million and is managed and owned by Hammes Company.  Swedish contracts with Seattle Radiologists for imaging and LabCore for diagnostic lab services.   Later this month Swedish/Redmond will open their outpatient, family care clinic on the second floor.  

Report and Photos by Bob Yoder

Photos taken 12/18/2010

Mustang Boys Basketball Volunteer At Swedish/ER Open House

 Zach Klein, Conner Flain, Leslie Ellis, Jason Harrington

     Redmond Mustang Boys Basketball Team Volunteer at the Swedish/Redmond:ER Open House.

Here's a picture of four Mustang Boys Basketball Team players (Zach Klein, Conner Flain, Leslie Ellis, Jason Harrington) that volunteered at the Swedish/Redmond: ER Open House on December 18.  They worked the Swedish/Redmond "Tree Maze" loading free evergreen Christmas trees donated by Swedish.   Clients from Hope-link and Redmond's  "Together Center" human services mall  received trees until 3:00 pm.  Free trees were open to the public afterwards.  It was a rainy/snowing day but the place was packed.

SEASON UPDATE:  As of this report, the Varsity Boys are off to a good start at 4-3.  The Team has a primed roster with seven juniors and three seniors. Zach (guard), Leslie (forward), Conner (forward) and Jason (g/f) are all Juniors. Most of their games have been close. They lost league games to the Redmond/Kirkland Lake Washington Kangaroos 42-47 on 12/11, and another squeaker to Skyline 37-41.  A couple nights ago the 'Stangs rolled over Ballard  71-58. Last night it was Camas 52-59.  Watch out for next year, though!  Coach Larson and 'Stangs look forward to the Seattle Prep Slalom Slam Tournament on12/27-29.

Thanks for volunteering 'Stangs.  No doubt, Hope-link and Together Center clients will remember you when they put up their trees!

Report By Bob Yoder
Photo by Yoder

Sources:  Mustang b'ball website, Kangaroos b'ball website, Seattle Times, Swedish/Redmond: ER and Outpatient Press Release.