Intelligence Report advisor, Gary Tiller, CEO of Ninnescah Valley Health System, which operates the 25-staffed bed Kingman Community Hospital, 25 miles west of Wichita, KA is pessimistic. "We are going to get overrun. I don’t know if we are going to be able to handle it, truth be known. It’s going to be a mess, honest to God," Tiller says, predicting the consequences when more uninsured use the ED.
Some may consider Tiller’s comments hyperbolic. Yet his words convey the depth of the daily grind, echoed by Parkland’s Royer and the unnamed director of emergency services in the Intelligence Report. Their words underscore the obstacles faced by this country’s EDs. And the report shows that among the greatest challenges in the ED is improving patient flow.
In the survey, nearly half of the respondents— 46%—described their EDs as overcrowded, and of that group, 93% expressed concern about patient safety. They also express concern about financial implications. About 80% are expecting their ED revenue margins to worsen as a result of healthcare reform, and 78% say their reimbursement will worsen.