E really is for emergency, more hospitals say

  1. E really is for emergency, more hospitals say

    Two First Coast hospitals now charge extra for non-emergency ER visits.


    http://www.jacksonville.com/tu-onlin..._6482335.shtml
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  2. 35 Comments

  3. by   UKRNinUSA
    what an excellent idea!
  4. by   Shamira Aizza
    Fantastic!

    It would be even better if these hospital ED's would exercise their rights (according to EMTALA) to refuse red-carpet service to patients who are not experiencing an emergency as defined by EMTALA and hospital policy...maybe at least when they are operating at elevated capacity.

    These folks could be turfed to more appropriate venues such as pharmacy-based clinics or (GASP!), their FAMILY physician.

    But maybe that's just me.
  5. by   morte
    you cant get blood from a stone......
  6. by   Hellllllo Nurse
    Quote from morte
    you cant get blood from a stone......
    And what about Medicare pts? Will we have to pay the extra $100. if they chose to be seen?
  7. by   babynurselsa
    Some of the little ERs that I work at have a similar protocal. You are triaged, the physician performs a MSE. If he determines that you are non-emergent then the clerk comes in and explains that if you would like to be seen then you must pay anywhere from a 75-100 dollar co-pay REGARDLESS of your insurance or lack. Otherwise you are referred to f/u with a pcp/clinic in the am. In these places there is not the abuses of the system. It is awesome.
  8. by   UKRNinUSA
    I wonder what this does to the Press Gainey scores?
  9. by   oramar
    I think most hospitals are much to timid to risk the wrath of the community by doing this.
    Last edit by oramar on Dec 6, '06
  10. by   bethin
    Good idea!

    It wouldn't work in my rural area where the urgent care clinic has the same hours as the MD's office and isn't open on weekends. Also, what insurance company will pay for an emergency room visit and an urgent care visit in the same day? I know mine wouldn't.

    If it was me that went to the ER, waited, got back to see dr only to be told it wasn't an emergency but that for an extra $100 the MD could treat me, I would just pay the money. You have to wait just as long in an urgent care center.

    But I think this is a great idea for larger communities where urgent care clinics are more accessible.

    I think more people need to realize that they need primary physicians and that a cough or cold won't kill you. Also, more doctors need to realize that many people are working extra hours and may only be free on the weekends or evenings. I remember as a kid going to the dr on Sat. Not anymore.
  11. by   General E. Speaking, RN
    Quote from UKRNinUSA
    I wonder what this does to the Press Gainey scores?
    LOL-I think this would be a MAJOR concern in my hospital
  12. by   RGN1
    From a UK perspective - what a great idea - I'm surprised Tony Blair hasn't thought of it, "NICE" could decide if a condition was an emergency or not!!

    & the money would go............straight to the treasury to add to the coffers........oh sorry I mean to further improve the services of the NHS!

    Sorry if I've lost my US friends on this but I'm sure UK nurses will have a laugh!
  13. by   RN4NICU
    Quote from Hellllllo Nurse
    And what about Medicare pts? Will we have to pay the extra $100. if they chose to be seen?

    The rule doesn't apply to patients under 5 or over 65, so Medicare wouldn't be an issue.

    For other patients without private health insurance, it certainly wouldn't hurt to add a provision that the money must be paid out of pocket at the time of service (more than fair since it is NOT an emergency).
    Last edit by RN4NICU on Dec 6, '06
  14. by   jpab
    In Belgium - Europe it is common practice to charge an extra for abusing the emergency department... It is allso known that it doesn't bother certain types of patients to continue abusing the ED...
    They even refuse paying any bill sent by the hospital... Strange enough the same patient-category is very demanding when it comes to care and support...
    Last edit by jpab on Dec 6, '06

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