1 00:00:00,033 --> 00:00:01,468 ♪ 2 00:00:01,468 --> 00:00:02,936 >> ON "HEALTH MATTERS," 3 00:00:02,936 --> 00:00:04,104 TELEVISION FOR LIFE, A HIGH 4 00:00:04,104 --> 00:00:05,138 SCHOOL FOOTBALL PLAYER IS 5 00:00:05,138 --> 00:00:06,406 AIRLIFTED TO THE HOSPITAL AFTER 6 00:00:06,406 --> 00:00:07,107 A HIT ON THE FIELD KNOCKS HIM 7 00:00:07,107 --> 00:00:10,176 OUT. 8 00:00:10,176 --> 00:00:11,411 >> IT COULD HAVE BEEN SO MUCH 9 00:00:11,411 --> 00:00:13,680 WORSE. 10 00:00:13,680 --> 00:00:14,414 >> GO INSIDE THE NEWEST CHOPPER 11 00:00:14,414 --> 00:00:15,215 AT NORTHWEST MEDSTAR AND SEE HOW 12 00:00:15,215 --> 00:00:16,182 TECHNOLOGY IS SAVING LIVES. 13 00:00:16,182 --> 00:00:20,086 >> IT'S BEEN A VERY EXCITING 14 00:00:20,086 --> 00:00:21,187 TIME IN THE DEVELOPMENT OF 15 00:00:21,187 --> 00:00:23,890 EMERGENCY MEDICINE. 16 00:00:23,890 --> 00:00:24,624 >> FROM URGENT CARE TO THE E.R., 17 00:00:24,624 --> 00:00:25,625 EXPERIENCE THE FAST-PACED WORLD 18 00:00:25,625 --> 00:00:26,326 OF MODERN EMERGENCY MEDICINE. 19 00:00:26,326 --> 00:00:31,865 RIGHT NOW ON "HEALTH MATTERS." 20 00:00:31,865 --> 00:00:32,732 >> "HEALTH MATTERS" IS MADE 21 00:00:32,732 --> 00:00:34,100 POSSIBLE BY VIEWERS LIKE YOU, 22 00:00:34,100 --> 00:00:35,468 THE FRIENDS OF KSPS. 23 00:00:35,468 --> 00:00:41,074 AND BY THE FOLLOWING: 24 00:00:41,074 --> 00:00:42,776 >> WILLIAM, I REALLY LIKED THE 25 00:00:42,776 --> 00:00:44,177 IDEA OF BEING PART OF 26 00:00:44,177 --> 00:00:44,577 PROVIDENCE. 27 00:00:44,577 --> 00:00:46,046 IF I HAVE A QUESTION AND THERE'S 28 00:00:46,046 --> 00:00:47,814 SOMETHING I'M CONCERNED ABOUT, I 29 00:00:47,814 --> 00:00:49,783 CAN ALWAYS CALL A SPECIALIST. 30 00:00:49,783 --> 00:00:51,384 I'M DR. ANNA BARBER. 31 00:00:51,384 --> 00:00:52,919 HERE I CAN HELP CHILDREN THRIVE 32 00:00:52,919 --> 00:00:54,387 AND REACH THEIR HIGHEST 33 00:00:54,387 --> 00:00:56,156 POTENTIAL. 34 00:00:56,156 --> 00:00:56,823 >> IF YOU READ PROVIDENCE'S 35 00:00:56,823 --> 00:00:57,490 MISSION STATEMENT, IT'S ALL 36 00:00:57,490 --> 00:00:58,291 ABOUT DELIVERING QUALITY CARE TO 37 00:00:58,291 --> 00:00:59,893 THE PATIENT AT ALL TIMES. 38 00:00:59,893 --> 00:01:01,361 I'M DR. PETER RONALDI, AND I 39 00:01:01,361 --> 00:01:04,831 CHOSE PROVIDENCE BECAUSE THEY 40 00:01:04,831 --> 00:01:08,435 PUT THE DOCTOR-PATIENT 41 00:01:08,435 --> 00:01:11,304 RELATIONSHIP FIRST. 42 00:01:11,304 --> 00:01:12,005 >> FIND YOUR DOCTOR ONLINE AT 43 00:01:12,005 --> 00:01:15,575 PHC.ORG. 44 00:01:15,575 --> 00:01:16,276 >> GOOD EVENING AND WELCOME TO 45 00:01:16,276 --> 00:01:17,277 "HEALTH MATTERS" HERE ON KSPS. 46 00:01:17,277 --> 00:01:18,445 I'M YOUR HOST TERESA LUKENS. 47 00:01:18,445 --> 00:01:19,446 ACCORDING TO THE CDC, EMERGENCY 48 00:01:19,446 --> 00:01:21,448 DEPARTMENTS ACROSS THE COUNTRY 49 00:01:21,448 --> 00:01:23,283 SEE MORE THAN 136 MILLION PEOPLE 50 00:01:23,283 --> 00:01:28,855 EACH YEAR. 51 00:01:28,855 --> 00:01:30,457 IT'S A SPECIALIZED CERTAINLY IN 52 00:01:30,457 --> 00:01:31,558 EMERGENCY MEDICINE AND ONE THAT 53 00:01:31,558 --> 00:01:34,561 A LOT OF PEOPLE ARE FASCINATED 54 00:01:34,561 --> 00:01:34,861 BY. 55 00:01:34,861 --> 00:01:36,096 ALSO URGENT CARE IS ANOTHER 56 00:01:36,096 --> 00:01:36,963 SPECIALTY AND WE WILL BREAK DOWN 57 00:01:36,963 --> 00:01:38,364 BOTH OF THOSE TODAY WITH OUR 58 00:01:38,364 --> 00:01:40,467 GROUP OF PANELISTS WHO WE 59 00:01:40,467 --> 00:01:41,768 ASSEMBLED TO TALK ABOUT 60 00:01:41,768 --> 00:01:43,069 EMERGENCY CARE AND URGENT CARE 61 00:01:43,069 --> 00:01:47,874 AND ALSO E.M.T.s. 62 00:01:47,874 --> 00:01:49,609 SO WITH US TONIGHT IS 63 00:01:49,609 --> 00:01:50,343 HEATHER HEALY IS THE DIRECTOR OF 64 00:01:50,343 --> 00:01:51,077 NURSING AND THE DIRECTOR OF SIX 65 00:01:51,077 --> 00:01:51,811 URGENT CARE CLINICS FOR ROCKWOOD 66 00:01:51,811 --> 00:01:52,946 HEALTH SYSTEM. 67 00:01:52,946 --> 00:01:55,982 DAN GETZ IS THE MEDICAL DIRECTOR 68 00:01:55,982 --> 00:01:56,716 FOR THE PROVIDENCE SACRED HEART 69 00:01:56,716 --> 00:01:58,418 EMERGENCY DEPARTMENT. 70 00:01:58,418 --> 00:01:59,619 SHAUN PITTS IS AN ADVANCED 71 00:01:59,619 --> 00:02:00,987 EMERGENCY MEDICAL TECHNICIAN AND 72 00:02:00,987 --> 00:02:01,888 INSTRUCTOR FOR INLAND NORTHWEST 73 00:02:01,888 --> 00:02:04,591 HEALTH SERVICES. 74 00:02:04,591 --> 00:02:05,258 TAMARA BRINING WORKS IN THE 75 00:02:05,258 --> 00:02:07,393 EMERGENCY DEPARTMENT AT VALLEY 76 00:02:07,393 --> 00:02:08,128 HOSPITAL WHERE SHE IS ONE OF THE 77 00:02:08,128 --> 00:02:11,331 ASSISTANT MEDICAL DIRECTORS. 78 00:02:11,331 --> 00:02:12,632 THANK YOU ALL FOR BEING HERE 79 00:02:12,632 --> 00:02:12,966 TONIGHT. 80 00:02:12,966 --> 00:02:14,634 THIS IS A GREAT TOPIC, AND ONE 81 00:02:14,634 --> 00:02:17,403 WE REALLY HAVEN'T EXPLORED, AND 82 00:02:17,403 --> 00:02:18,505 IT'S VERY SPECIALIZED. 83 00:02:18,505 --> 00:02:19,139 IT'S VERY DIFFERENT. 84 00:02:19,139 --> 00:02:21,407 I THINK FASCINATING TO A LOT OF 85 00:02:21,407 --> 00:02:22,642 PEOPLE AND OFTEN ONE THAT THEY 86 00:02:22,642 --> 00:02:23,610 DON'T KNOW ABOUT UNTIL THEY HAVE 87 00:02:23,610 --> 00:02:25,145 TO USE ONE OF YOUR SERVICES. 88 00:02:25,145 --> 00:02:27,147 SO LET'S TALK, FIRST, ABOUT 89 00:02:27,147 --> 00:02:29,516 EMERGENCY CARE, DAN. 90 00:02:29,516 --> 00:02:30,617 AND WHAT WE'RE TALKING ABOUT 91 00:02:30,617 --> 00:02:31,651 WHEN WE ARE TALKING ABOUT THE 92 00:02:31,651 --> 00:02:33,019 EMERGENCY ROOM AND THE UNIQUE 93 00:02:33,019 --> 00:02:34,420 FEATURES TO THE EMERGENCY ROOM 94 00:02:34,420 --> 00:02:37,157 AND WHY WE GO THERE, AND WHAT IS 95 00:02:37,157 --> 00:02:37,724 OFFERED. 96 00:02:37,724 --> 00:02:38,124 >> SURE. 97 00:02:38,124 --> 00:02:39,425 EMERGENCY MEDICINE IS A FAIRLY 98 00:02:39,425 --> 00:02:40,627 UNIQUE SPECIALTY IN THAT WE ARE 99 00:02:40,627 --> 00:02:42,328 REALLY THE FIRST LINE OF CARE 100 00:02:42,328 --> 00:02:44,230 FOR LIFE THREATENING OR 101 00:02:44,230 --> 00:02:45,231 POTENTIALLY IMMEDIATELY 102 00:02:45,231 --> 00:02:45,832 DISABLING ILLNESS. 103 00:02:45,832 --> 00:02:47,834 SO IF YOU SEE THAT AMBULANCE IS 104 00:02:47,834 --> 00:02:49,135 DRIVING BY, USUALLY THEY ARE 105 00:02:49,135 --> 00:02:51,037 COMING TO SEE ONE OF OUR LOCAL 106 00:02:51,037 --> 00:02:53,239 E.R.s WITH PRETTY SICK PEOPLE. 107 00:02:53,239 --> 00:02:56,543 AND THERE'S A LOT OF CONFUSION 108 00:02:56,543 --> 00:02:58,244 ON WHAT WARRANTS AND E.D. VISIT, 109 00:02:58,244 --> 00:03:00,613 BUT ANYTHING THAT'S LIFE 110 00:03:00,613 --> 00:03:05,251 THREATENING OR DISABLING, WE 111 00:03:05,251 --> 00:03:08,688 TEND TO GET THEM. 112 00:03:08,688 --> 00:03:11,891 WE HAVE BROKEN ANKLES AND URGENT 113 00:03:11,891 --> 00:03:12,992 CARES WHERE A PERSON WHO 114 00:03:12,992 --> 00:03:13,993 PRESENTS WITH A COMPLAINT THAT 115 00:03:13,993 --> 00:03:16,196 MAY NOT BE APPROPRIATE FOR THEIR 116 00:03:16,196 --> 00:03:17,297 SETTING BUT THEY WILL SEND IT TO 117 00:03:17,297 --> 00:03:18,097 THE EMERGENCY DEPARTMENT. 118 00:03:18,097 --> 00:03:19,199 >> THAT'S A GREAT WAY TO BRING 119 00:03:19,199 --> 00:03:20,700 YOU IN, HEATHER TO TALK MORE 120 00:03:20,700 --> 00:03:22,101 ABOUT THE URGENT CARE 121 00:03:22,101 --> 00:03:22,502 FACILITIES. 122 00:03:22,502 --> 00:03:23,803 WE ARE SEEING A LOT OF THEM NOW 123 00:03:23,803 --> 00:03:25,205 IN SPOKANE, WHICH IS A GOOD 124 00:03:25,205 --> 00:03:25,505 THING. 125 00:03:25,505 --> 00:03:27,307 WHY DO WE GO TO URGENT CARE AS 126 00:03:27,307 --> 00:03:28,208 OPPOSED TO MAYBE GOING TO THE 127 00:03:28,208 --> 00:03:29,509 EMERGENCY ROOM? 128 00:03:29,509 --> 00:03:32,712 >> IT'S A GREAT ACCESS POINT 129 00:03:32,712 --> 00:03:33,846 DURING THE WEEK, DURING THE DAY 130 00:03:33,846 --> 00:03:36,182 IF YOU CAN'T GET IN WITH YOUR 131 00:03:36,182 --> 00:03:38,484 PRIMARY CARE AND YOU HAVE COLD, 132 00:03:38,484 --> 00:03:41,387 FLU-LIKE SYMPTOMS, A CHEST COLD, 133 00:03:41,387 --> 00:03:43,022 THE FLU BUG THAT'S GOING AROUND 134 00:03:43,022 --> 00:03:43,990 RIGHT NOW. 135 00:03:43,990 --> 00:03:47,560 IT'S -- SO IT'S NOT THE URGENT 136 00:03:47,560 --> 00:03:49,128 AND IMMEDIATE, REALLY LIFE 137 00:03:49,128 --> 00:03:50,196 ALTERING THAT DAN WAS TALKING 138 00:03:50,196 --> 00:03:51,698 ABOUT. 139 00:03:51,698 --> 00:03:54,067 SOME OF THE QUICK ILLNESSES IN 140 00:03:54,067 --> 00:03:55,201 THE URGENT CARE, WE CAN DO, YOU 141 00:03:55,201 --> 00:03:58,471 KNOW, ANKLES AND SPRAINS AND 142 00:03:58,471 --> 00:03:59,606 STRAINS, THAT TYPE OF THING. 143 00:03:59,606 --> 00:04:05,178 BUT IT'S SOME VERY QUICK, COLDS, 144 00:04:05,178 --> 00:04:06,679 FLUS, AND THEN WE JUST KIND OF 145 00:04:06,679 --> 00:04:07,013 ASSESS. 146 00:04:07,013 --> 00:04:08,681 IF WE DO FEEL LIKE MAYBE YOU 147 00:04:08,681 --> 00:04:10,783 NEEDED AN E.R., THEN WE 148 00:04:10,783 --> 00:04:12,852 ABSOLUTELY SEND TO THE E.R.s 149 00:04:12,852 --> 00:04:15,555 IN THE AREA, ROCKWOOD VALLEY, 150 00:04:15,555 --> 00:04:17,657 AND THEN PROVIDENCE IF NEEDED. 151 00:04:17,657 --> 00:04:18,691 >> AND THE IDEA BEING THAT I CAN 152 00:04:18,691 --> 00:04:20,560 JUST WALK IN AND GET THAT CARE 153 00:04:20,560 --> 00:04:24,163 THAT I NEED IF MY PHYSICIAN IS 154 00:04:24,163 --> 00:04:24,998 NOT AVAILABLE. 155 00:04:24,998 --> 00:04:26,766 YOU ARE PROBABLY FAIRLY BUSY ON 156 00:04:26,766 --> 00:04:27,867 THE WEEKENDS ALSO? 157 00:04:27,867 --> 00:04:29,068 >> YES, WE HAVE OUR WEEKENDS AND 158 00:04:29,068 --> 00:04:30,870 SATURDAY AND SUNDAYS, THOSE ARE 159 00:04:30,870 --> 00:04:32,272 TIMES WHEN PEOPLE CAN'T GET INTO 160 00:04:32,272 --> 00:04:33,273 PRIMARY CARE BUT THEY ARE SICK. 161 00:04:33,273 --> 00:04:34,274 THEY NEED TO GET IN. 162 00:04:34,274 --> 00:04:35,675 THEY WANT TO GET HEALTHIER AND 163 00:04:35,675 --> 00:04:36,476 GET BACK TO WORK. 164 00:04:36,476 --> 00:04:38,678 AND SO SATURDAYS AND SUNDAYS ARE 165 00:04:38,678 --> 00:04:39,779 BUSY, ESPECIALLY WITH ALL THE 166 00:04:39,779 --> 00:04:40,713 SPORTS GOING ON. 167 00:04:40,713 --> 00:04:42,081 WE WILL GET KIDDOS THERE. 168 00:04:42,081 --> 00:04:43,316 WE HAVE SPORTS PHYSICALS. 169 00:04:43,316 --> 00:04:44,784 WE CAN TAKE CARE OF THAT. 170 00:04:44,784 --> 00:04:45,918 SO SOME WELLNESS THINGS TOO. 171 00:04:45,918 --> 00:04:48,054 SO THAT'S GOOD. 172 00:04:48,054 --> 00:04:48,488 >> MM-HMM. 173 00:04:48,488 --> 00:04:49,355 >> AND SHAUN, YOUR CREWS ARE 174 00:04:49,355 --> 00:04:51,190 FIRST ON THE SCENE AS THE 175 00:04:51,190 --> 00:04:51,958 E.M.T.s AND SO YOU ARE THERE 176 00:04:51,958 --> 00:04:53,693 TO DO THAT FIRST ASSESSMENT. 177 00:04:53,693 --> 00:04:55,461 TO GET THEM TO ONE OF THE 178 00:04:55,461 --> 00:04:55,862 FACILITIES. 179 00:04:55,862 --> 00:04:57,664 TALK ABOUT YOUR ROLE AND THE 180 00:04:57,664 --> 00:05:02,068 LARGER ROLE THAT E.M.T.s PLAY. 181 00:05:02,068 --> 00:05:02,568 >> ABSOLUTELY. 182 00:05:02,568 --> 00:05:05,204 SO WE -- YOU CALL 911 AND WE ARE 183 00:05:05,204 --> 00:05:08,241 WHO SHOWS UP, A MIX OF E.M. 184 00:05:08,241 --> 00:05:10,743 T.s AND SOME AREAS ADVANCED 185 00:05:10,743 --> 00:05:12,845 E.M.T.s AND OTHERS OFFER 186 00:05:12,845 --> 00:05:14,147 PARAMEDICINE. 187 00:05:14,147 --> 00:05:15,181 MOST OF ALL OF THE PATIENTS WE 188 00:05:15,181 --> 00:05:16,749 ARE TAKING FROM THEIR HOME TO AN 189 00:05:16,749 --> 00:05:18,251 EMERGENCY DEPARTMENT FACILITY. 190 00:05:18,251 --> 00:05:19,919 EVERY ONCE IN A WHILE, WE GET 191 00:05:19,919 --> 00:05:22,322 SOMEONE WHO HAS AN URGENT CARE 192 00:05:22,322 --> 00:05:23,723 FACILITY THAT WE ARE TAKING INTO 193 00:05:23,723 --> 00:05:24,357 THE EMERGENCY DEPARTMENT, 194 00:05:24,357 --> 00:05:25,191 WHETHER IT WAS SOMETHING THAT 195 00:05:25,191 --> 00:05:27,927 WAS A LITTLE MORE CRITICAL THAN 196 00:05:27,927 --> 00:05:29,429 THE PATIENT THOUGHT OR THE 197 00:05:29,429 --> 00:05:31,230 NURSING STAFF DECIDED IT WOULD 198 00:05:31,230 --> 00:05:33,032 NEED TO BE HANDLED ON THE E.D. 199 00:05:33,032 --> 00:05:34,133 SIDE OF THINGS. 200 00:05:34,133 --> 00:05:35,635 WE TRANSPORT THEM IN AND GET 201 00:05:35,635 --> 00:05:39,639 THEM TAKEN CARE OF BY THE 202 00:05:39,639 --> 00:05:43,343 DIFFERENT E.R. FACILITIES. 203 00:05:43,343 --> 00:05:44,911 >> AND SOME FACILITIES INDICATOR 204 00:05:44,911 --> 00:05:45,945 TO SENIORS AND CHILDREN'S 205 00:05:45,945 --> 00:05:47,046 HOSPITAL WITH A TRAUMA UNIT. 206 00:05:47,046 --> 00:05:49,248 SO TALK ABOUT HOW WE'RE 207 00:05:49,248 --> 00:05:50,350 ADDRESSING THOSE UNIQUE NEEDS OF 208 00:05:50,350 --> 00:05:51,617 THE PATIENTS AND NOT JUST KIND 209 00:05:51,617 --> 00:05:53,453 OF A CATTLE CALL, SO TO SPEAK. 210 00:05:53,453 --> 00:05:54,153 >> YES, THAT'S TRUE. 211 00:05:54,153 --> 00:05:56,556 WE HAVE KIND OF -- EACH 212 00:05:56,556 --> 00:05:57,256 DIFFERENT -- EACH INSTITUTION 213 00:05:57,256 --> 00:05:59,058 THAT WE HAVE IN SPOKANE HAS A 214 00:05:59,058 --> 00:06:00,727 CERTAIN, YOU KNOW, LEVEL OF 215 00:06:00,727 --> 00:06:02,028 SPECIALTY, WHETHER IT BE THE 216 00:06:02,028 --> 00:06:02,929 SACRED HEART CHILDREN'S 217 00:06:02,929 --> 00:06:03,296 HOSPITAL. 218 00:06:03,296 --> 00:06:05,798 WE FOCUS MORE ON SOME GERIATRIC 219 00:06:05,798 --> 00:06:08,000 APPROACH FROM VALLEY HOSPITAL'S 220 00:06:08,000 --> 00:06:09,902 STANDPOINT, BEING A GERIATRIC 221 00:06:09,902 --> 00:06:11,104 FRIENDLY E.D. 222 00:06:11,104 --> 00:06:12,872 URGENT CARE, YOU SEE ALL WALKS, 223 00:06:12,872 --> 00:06:13,706 OF COURSE. 224 00:06:13,706 --> 00:06:17,610 YOU HAVE YOUNG, OLD, DOESN'T -- 225 00:06:17,610 --> 00:06:18,378 ALL AGE RANGES. 226 00:06:18,378 --> 00:06:19,712 THERE ARE SOME SPECIALTY E.D.s 227 00:06:19,712 --> 00:06:21,214 AS WELL, EVEN OUTSIDE OF OUR 228 00:06:21,214 --> 00:06:23,916 LOCAL COMMUNITY AS WELL THAT 229 00:06:23,916 --> 00:06:26,185 FOCUS ON SUBSPECIALTY NEUROLOGY, 230 00:06:26,185 --> 00:06:27,320 ET CETERA, THAT KIND OF THING. 231 00:06:27,320 --> 00:06:29,188 I THINK WE ARE PROBABLY ALL THE 232 00:06:29,188 --> 00:06:31,023 EMERGENCY DEPARTMENTS IN OUR 233 00:06:31,023 --> 00:06:33,292 SURROUNDING AREA, SPOKANE 234 00:06:33,292 --> 00:06:35,795 SPECIFICALLY, CAN TAILOR, YOU 235 00:06:35,795 --> 00:06:37,330 KNOW, TO ANYONE WHO WALKS 236 00:06:37,330 --> 00:06:38,498 THROUGH THE DOOR OR GETS BROUGHT 237 00:06:38,498 --> 00:06:40,500 IN THROUGH THE AMBULANCE DOOR. 238 00:06:40,500 --> 00:06:41,601 >> SO KIND OF TAKE US THROUGH 239 00:06:41,601 --> 00:06:43,503 THAT PROCESS, ESPECIALLY WHERE 240 00:06:43,503 --> 00:06:44,904 YOU CATER TO SENIORS. 241 00:06:44,904 --> 00:06:46,806 WHY IS IT UNIQUE FOR THEM? 242 00:06:46,806 --> 00:06:48,808 >> SO FOR SENIORS, SPECIFICALLY, 243 00:06:48,808 --> 00:06:50,610 ONE OF THE FOCUSES THAT WE TOOK 244 00:06:50,610 --> 00:06:52,612 WAS BEING ABLE TO HAVE A 245 00:06:52,612 --> 00:06:55,014 COMFORTABLE, EASY ACCESS, 246 00:06:55,014 --> 00:06:55,615 ACCESSIBLE ENVIRONMENT. 247 00:06:55,615 --> 00:06:57,817 SO ESSENTIALLY THAT EASIER 248 00:06:57,817 --> 00:06:58,151 PARKING. 249 00:06:58,151 --> 00:06:59,619 SO BRINGING A PARKING SPOT 250 00:06:59,619 --> 00:07:00,887 CLOSER TO THE DOOR. 251 00:07:00,887 --> 00:07:02,588 BECAUSE IT'S A BIG DEAL TO GET 252 00:07:02,588 --> 00:07:04,190 FROM THAT CAR TO THE FRONT DOOR 253 00:07:04,190 --> 00:07:06,392 IN SOME CASES. 254 00:07:06,392 --> 00:07:09,796 WE HAVE THICKER MATTRESS 255 00:07:09,796 --> 00:07:10,196 STRETCHERS. 256 00:07:10,196 --> 00:07:11,697 SO ESSENTIALLY WE ADDED MORE 257 00:07:11,697 --> 00:07:12,031 PADDING. 258 00:07:12,031 --> 00:07:13,966 SO YOU DON'T FEEL -- YOU DON'T 259 00:07:13,966 --> 00:07:15,668 FEEL THE STRETCHER AS MUCH WHILE 260 00:07:15,668 --> 00:07:16,769 YOU ARE SITTING THERE GETTING 261 00:07:16,769 --> 00:07:17,170 YOUR CARE. 262 00:07:17,170 --> 00:07:19,405 SO LITTLE THINGS THAT MAKE THE 263 00:07:19,405 --> 00:07:19,806 DIFFERENCE. 264 00:07:19,806 --> 00:07:20,873 >> AND DAN, WE OFTEN SAY ON THE 265 00:07:20,873 --> 00:07:24,944 SHOW WITH A LOT OF OUR DOCS THAT 266 00:07:24,944 --> 00:07:25,678 CHILDREN AREN'T JUST SMALL 267 00:07:25,678 --> 00:07:26,245 ADULTS. 268 00:07:26,245 --> 00:07:27,547 THEY HAVE SPECIAL NEEDS AND 269 00:07:27,547 --> 00:07:28,948 THAT'S WHERE CHILDREN'S 270 00:07:28,948 --> 00:07:30,049 HOSPITAL, SACRED HEART 271 00:07:30,049 --> 00:07:30,950 CHILDREN'S HOSPITAL COMES INTO 272 00:07:30,950 --> 00:07:33,052 MAY WITH THE ONLY AREA TRAUMA 273 00:07:33,052 --> 00:07:34,220 UNIT FOR KIDS. 274 00:07:34,220 --> 00:07:36,022 >> YES, IT'S -- THE WAY WE SET 275 00:07:36,022 --> 00:07:37,523 UP OUR PEDIATRIC EMERGENCY 276 00:07:37,523 --> 00:07:38,491 DEPARTMENT, IT'S FOR THE MOST 277 00:07:38,491 --> 00:07:40,426 PART STAFFED BY EMERGENCY 278 00:07:40,426 --> 00:07:42,028 MEDICINE PHYSICIANS, FELLOWSHIP 279 00:07:42,028 --> 00:07:43,729 TRAINING AND PEDIATRIC CARE. 280 00:07:43,729 --> 00:07:45,331 IT'S DEFINITELY A VERY DIFFERENT 281 00:07:45,331 --> 00:07:46,833 SPECIALTY FROM GENERAL EMERGENCY 282 00:07:46,833 --> 00:07:48,334 MEDICINE AND A VERY UNIQUE 283 00:07:48,334 --> 00:07:48,701 PRACTICE. 284 00:07:48,701 --> 00:07:49,936 THEY DO A VERY GOOD JOB 285 00:07:49,936 --> 00:07:51,037 PROVIDING CARE TO VERY, VERY 286 00:07:51,037 --> 00:07:51,938 SICK CHILDREN. 287 00:07:51,938 --> 00:07:52,939 THAT'S ONE OF THE CHALLENGES 288 00:07:52,939 --> 00:07:54,540 WHEN YOU HAVE A CHILDREN'S 289 00:07:54,540 --> 00:07:56,542 HOSPITAL, YOU DEAL WITH THE 290 00:07:56,542 --> 00:07:57,743 PEDIATRIC POPULATION WITH SOME 291 00:07:57,743 --> 00:07:59,245 VERY SERIOUS ILLNESSES AND WE 292 00:07:59,245 --> 00:08:00,613 HAVE CHILDREN COMING FROM THE 293 00:08:00,613 --> 00:08:02,715 SEATTLE AREA TO RECEIVE CARE IN 294 00:08:02,715 --> 00:08:03,216 SPOKANE. 295 00:08:03,216 --> 00:08:03,649 >> MM-HMM. 296 00:08:03,649 --> 00:08:05,017 SO ALL OF THE EQUIPMENT IS 297 00:08:05,017 --> 00:08:05,918 GEARED TOWARDS CHILDREN. 298 00:08:05,918 --> 00:08:08,221 IT'S CHILD-SIZED SO TO SPEAK? 299 00:08:08,221 --> 00:08:09,589 >> YES, EVEN THE WAY YOU WALK IN 300 00:08:09,589 --> 00:08:10,823 THERE, THERE'S A TREMENDOUSLY 301 00:08:10,823 --> 00:08:12,058 BIG FISH TANK AND VIDEO GAMES 302 00:08:12,058 --> 00:08:13,793 AND WE TRY TO MAKE IT AS 303 00:08:13,793 --> 00:08:14,694 COMFORTABLE AS WE CAN FOR THE 304 00:08:14,694 --> 00:08:15,995 CHILDREN, AS WELL AS THE 305 00:08:15,995 --> 00:08:16,362 FAMILIES. 306 00:08:16,362 --> 00:08:18,231 IT'S AN ENTIRELY DIFFERENT 307 00:08:18,231 --> 00:08:19,398 WAITING ROOM FROM OUR ADULT 308 00:08:19,398 --> 00:08:19,999 WAITING ROOM. 309 00:08:19,999 --> 00:08:22,602 THANKS TO A LARGE DONATION, 310 00:08:22,602 --> 00:08:25,304 THERE WAS A NEW PEDIATRIC 311 00:08:25,304 --> 00:08:26,606 EMERGENCY DEPARTMENT THAT'S 312 00:08:26,606 --> 00:08:28,207 BEAUTIFUL AND COMFORTABLE FOR 313 00:08:28,207 --> 00:08:30,309 CHILDREN AND THEIR FAMILIES. 314 00:08:30,309 --> 00:08:31,611 >> SHAUN, IS THAT AN AUTOMATIC 315 00:08:31,611 --> 00:08:34,113 FOR THE E.M.T.s TO KNOW WHICH 316 00:08:34,113 --> 00:08:35,181 FACILITY TO USE? 317 00:08:35,181 --> 00:08:37,183 I'M FASCINATED BY THAT PROCESS? 318 00:08:37,183 --> 00:08:37,683 >> ABSOLUTELY. 319 00:08:37,683 --> 00:08:38,718 WE ALL HAVE POLICIES AND 320 00:08:38,718 --> 00:08:39,619 PROCEDURES THAT WE DETERMINE ON 321 00:08:39,619 --> 00:08:41,821 THE SCENE IF IT'S A PEDIATRIC 322 00:08:41,821 --> 00:08:43,489 PATIENT, THEN WE WILL BE HEADED 323 00:08:43,489 --> 00:08:45,324 DOWN TO SEE PEOPLE AT SACRED 324 00:08:45,324 --> 00:08:45,625 HEART. 325 00:08:45,625 --> 00:08:46,626 DIFFERENT LEVELS OF CARE, WHICH 326 00:08:46,626 --> 00:08:48,828 IT'S A CARDIAC PATIENT, AND WHAT 327 00:08:48,828 --> 00:08:49,929 HOSPITAL THEY ARE SUPPOSED TO GO 328 00:08:49,929 --> 00:08:51,731 TO OR A STROKE PATIENT, 329 00:08:51,731 --> 00:08:52,331 UTILIZING THOSE. 330 00:08:52,331 --> 00:08:54,400 AND SPOKANE COUNTY AND OTHER 331 00:08:54,400 --> 00:08:56,102 AGENCIES LIKE THEM HAVE 332 00:08:56,102 --> 00:08:57,303 PROTOCOLS SET UP THAT WE CAN USE 333 00:08:57,303 --> 00:08:58,938 AS GUIDELINES OF WHERE TO GO AND 334 00:08:58,938 --> 00:09:00,773 ONE THING THAT WE HAVE ALWAYS 335 00:09:00,773 --> 00:09:02,575 UTILIZED IS AN ONLINE MEDICAL 336 00:09:02,575 --> 00:09:03,342 DIRECTION, WHERE WE CAN PICK UP 337 00:09:03,342 --> 00:09:05,011 OUR CELL PHONES OR RADIOS AND 338 00:09:05,011 --> 00:09:12,084 CONTACT AN E.R. PHYSICIANS, 339 00:09:12,084 --> 00:09:14,987 THESE ARE OUR PATIENT'S 340 00:09:14,987 --> 00:09:16,689 SYMPTOMS, WOULD YOU LIKE THEM TO 341 00:09:16,689 --> 00:09:18,357 BE SEEN AT YOUR FACILITY OR 342 00:09:18,357 --> 00:09:19,592 ANOTHER FACILITY. 343 00:09:19,592 --> 00:09:21,060 MOST OF THE TIME, MOST OF OUR 344 00:09:21,060 --> 00:09:22,161 PATIENTS, ONE OF OUR FIRST 345 00:09:22,161 --> 00:09:23,195 QUESTIONS IS WHAT HOSPITAL WOULD 346 00:09:23,195 --> 00:09:24,163 YOU LIKE TO BE SEEN AT? 347 00:09:24,163 --> 00:09:25,064 AND THOSE PATIENTS DETERMINE 348 00:09:25,064 --> 00:09:26,332 WHERE THEY ARE GOING TO GO. 349 00:09:26,332 --> 00:09:29,068 AND WE TRY TO FOLLOW THOSE 350 00:09:29,068 --> 00:09:30,570 WISHES UNTIL THERE'S SOMETHING 351 00:09:30,570 --> 00:09:31,470 THAT'S SPECIALIZED AND 352 00:09:31,470 --> 00:09:32,371 ABSOLUTELY NEEDED. 353 00:09:32,371 --> 00:09:33,372 >> WHEN SOMEONE PICKS UP THE 354 00:09:33,372 --> 00:09:36,475 PHONE TO CALL 911 AND THEY NEED 355 00:09:36,475 --> 00:09:39,178 ASSISTANCE, WHEN DOES AN 356 00:09:39,178 --> 00:09:40,680 AMBULANCE ARRIVE AND WHEN DOES A 357 00:09:40,680 --> 00:09:42,081 FIRE AID CAR ARRIVES? 358 00:09:42,081 --> 00:09:43,382 HOW IS THAT DETERMINED? 359 00:09:43,382 --> 00:09:45,518 >> IF THIS AREA IF YOU CALL 911 360 00:09:45,518 --> 00:09:47,186 AND YOU ARE REQUESTING A MEDICAL 361 00:09:47,186 --> 00:09:47,987 NEED, THE FIRE DEPARTMENT AROUND 362 00:09:47,987 --> 00:09:49,889 HERE IS STAFFED WITH E.M.T.s 363 00:09:49,889 --> 00:09:51,390 AND PARAMEDICS AND SO YOU WILL 364 00:09:51,390 --> 00:09:52,692 GET A FIRE RESPONSE, WHETHER 365 00:09:52,692 --> 00:09:53,960 IT'S AN ENGINE OR SOMETHING 366 00:09:53,960 --> 00:09:55,361 ALONG THOSE LINES, AND THEN AN 367 00:09:55,361 --> 00:09:56,262 AMBULANCE RESPONDS. 368 00:09:56,262 --> 00:09:59,065 AND SO MOST PLACES ESPECIALLY IN 369 00:09:59,065 --> 00:10:00,900 THE CITY OF SPOKANE AND THE 370 00:10:00,900 --> 00:10:02,969 SPOKANE COUNTY AREA, YOU GET 371 00:10:02,969 --> 00:10:03,769 BOTH THE FIRE DEPARTMENT AND THE 372 00:10:03,769 --> 00:10:04,236 AMBULANCE AREA. 373 00:10:04,236 --> 00:10:05,671 WE ARE ALL PRETTY USED TO 374 00:10:05,671 --> 00:10:07,373 WORKING TOGETHER, AND, AGAIN, 375 00:10:07,373 --> 00:10:08,975 JUST DEPENDS WHERE YOU LIVE 376 00:10:08,975 --> 00:10:10,076 WHETHER THE FIRE DEPARTMENT HAS 377 00:10:10,076 --> 00:10:12,778 A PARAMEDICS OR JUST A PARAMEDIC 378 00:10:12,778 --> 00:10:15,381 ON AN AMBULANCE. 379 00:10:15,381 --> 00:10:16,882 THAT PARAMEDIC LEVEL IS WHAT WE 380 00:10:16,882 --> 00:10:17,883 STRIVE TO GET TO OUR COMMUNITY, 381 00:10:17,883 --> 00:10:19,385 AS QUICK AS POSSIBLE, BECAUSE OF 382 00:10:19,385 --> 00:10:22,188 THEIR SCOPE OF PRACTICE. 383 00:10:22,188 --> 00:10:22,622 >> MM-HMM. 384 00:10:22,622 --> 00:10:23,856 AND HEATHER, MORE PEOPLE ARE 385 00:10:23,856 --> 00:10:25,091 USING URGENT CARE WHICH IS A 386 00:10:25,091 --> 00:10:25,958 GOOD THING AND WITH THE HEALTH 387 00:10:25,958 --> 00:10:27,193 INSURANCE CHANGES YOU ARE SEEING 388 00:10:27,193 --> 00:10:29,562 MORE PATIENTS AT YOUR CLINICS. 389 00:10:29,562 --> 00:10:30,663 WHAT WOULD YOU LIKE THOSE PEOPLE 390 00:10:30,663 --> 00:10:33,466 TO KNOW THAT MAYBE HAVEN'T SET 391 00:10:33,466 --> 00:10:35,301 FOOT IN AN URGENT CARE FACILITY 392 00:10:35,301 --> 00:10:36,102 BEFORE THEY ARRIVE. 393 00:10:36,102 --> 00:10:38,304 WHAT DO THEY NEED TO KNOW, FOR 394 00:10:38,304 --> 00:10:39,872 INSTANCE, ABOUT THEIR INSURANCE 395 00:10:39,872 --> 00:10:41,407 OR WHAT THEY NEED TO BRING AND 396 00:10:41,407 --> 00:10:43,275 THE TYPE OF DOCTOR AND NURSES 397 00:10:43,275 --> 00:10:44,977 THAT THEY ARE GOING TO SEE? 398 00:10:44,977 --> 00:10:47,079 >> SO IN OUR URGENT CARES, WE 399 00:10:47,079 --> 00:10:50,583 ARE STAFFED BY PHYSICIANS, NURSE 400 00:10:50,583 --> 00:10:51,884 PRACTITIONERS, PHYSICIAN'S 401 00:10:51,884 --> 00:10:53,285 ASSISTANTS AND SO THEY COULD SEE 402 00:10:53,285 --> 00:10:57,056 ALL THREE OF THE PROVIDER TYPE. 403 00:10:57,056 --> 00:10:59,258 WE HAVE R.N.s AND MEDICAL 404 00:10:59,258 --> 00:11:00,359 ASSISTANTS AND SO THEY SEE THE 405 00:11:00,359 --> 00:11:01,260 WHOLE GAMUT. 406 00:11:01,260 --> 00:11:02,828 ONE REALLY, REALLY, REALLY 407 00:11:02,828 --> 00:11:04,664 IMPORTANT THING IS THEIR 408 00:11:04,664 --> 00:11:05,731 MEDICATION LIST. 409 00:11:05,731 --> 00:11:07,366 BECAUSE IF THEY HAVE COME TO 410 00:11:07,366 --> 00:11:09,035 URGENT CARE FOR THE VERY FIRST 411 00:11:09,035 --> 00:11:11,037 TIME, EITHER THEY ARE ROCKWOOD 412 00:11:11,037 --> 00:11:12,338 PATIENTS OR THEY ARE PROVIDENCE 413 00:11:12,338 --> 00:11:14,340 PATIENTS OR THEY ARE JUST MOVING 414 00:11:14,340 --> 00:11:15,441 THROUGH, BECAUSE THEY ARE 415 00:11:15,441 --> 00:11:16,642 VISITING FAMILY FOR A FUNCTION 416 00:11:16,642 --> 00:11:17,843 OR WHATEVER, WE DON'T HAVE ANY 417 00:11:17,843 --> 00:11:19,445 OF THEIR HEALTH RECORDS ON FILE. 418 00:11:19,445 --> 00:11:20,946 AND SO WE NEED TO KNOW WHAT 419 00:11:20,946 --> 00:11:22,148 MEDICATIONS THEY ARE TAKING SO 420 00:11:22,148 --> 00:11:25,051 THAT WE CAN TREAT THEM PROPERLY, 421 00:11:25,051 --> 00:11:27,853 PREVENT MORE ILLNESS BECAUSE WE 422 00:11:27,853 --> 00:11:29,355 USE MEDS THAT DIDN'T MATCH OR 423 00:11:29,355 --> 00:11:29,722 ALLERGIES. 424 00:11:29,722 --> 00:11:31,357 SO IF THEY HAD A MED LIST, IF 425 00:11:31,357 --> 00:11:33,359 THEY HAD A LIST OF SOME OF THEIR 426 00:11:33,359 --> 00:11:35,261 CHRONIC CONDITIONS, THAT'S 427 00:11:35,261 --> 00:11:36,562 HELPFUL SO THAT WE CAN KIND OF 428 00:11:36,562 --> 00:11:37,730 NARROW IT DOWN AND SPEED UP 429 00:11:37,730 --> 00:11:38,230 THEIR CARE. 430 00:11:38,230 --> 00:11:39,665 WE WOULD LIKE TO GET THEM IN AND 431 00:11:39,665 --> 00:11:40,666 OUT QUICKLY. 432 00:11:40,666 --> 00:11:41,867 >> I CAN SEE HOW THAT WOULD BE A 433 00:11:41,867 --> 00:11:42,668 CHALLENGE BECAUSE ESSENTIALLY 434 00:11:42,668 --> 00:11:44,270 YOU ARE SEEING THIS DOCTOR 435 00:11:44,270 --> 00:11:45,137 PROBABLY FOR FIRST TIME. 436 00:11:45,137 --> 00:11:45,538 >> YES. 437 00:11:45,538 --> 00:11:50,042 >> IF I HAVE BEEN TO AN URGENT 438 00:11:50,042 --> 00:11:51,110 CARE, AND I NEED TO GO BACK AT 439 00:11:51,110 --> 00:11:53,446 SOME POINT, IS IT IMPORTANT TO 440 00:11:53,446 --> 00:11:54,447 GO TO THE SAME ONE? 441 00:11:54,447 --> 00:11:56,449 >> IN OUR SYSTEM, ALL SIX ARE 442 00:11:56,449 --> 00:11:56,816 CONNECTED. 443 00:11:56,816 --> 00:11:58,284 SO HELPS WITH THE CONNECTION 444 00:11:58,284 --> 00:11:59,652 WITH THE COMPUTER SYSTEMS AND 445 00:11:59,652 --> 00:12:00,653 THE MEDICAL RECORD. 446 00:12:00,653 --> 00:12:03,622 IF YOU WENT TO ONE ROCKWOOD IN 447 00:12:03,622 --> 00:12:05,424 OUR OR BEGAN FACILITY OR 448 00:12:05,424 --> 00:12:07,626 ROCKWOOD AT LIBERTY LAKE, THOSE 449 00:12:07,626 --> 00:12:08,527 MEDICAL RECORDS WOULD BE 450 00:12:08,527 --> 00:12:08,894 CONNECTED. 451 00:12:08,894 --> 00:12:10,229 SO IT DOESN'T MATTER WHICH 452 00:12:10,229 --> 00:12:12,431 URGENT CARE YOU GO TO, WE WOULD 453 00:12:12,431 --> 00:12:13,199 HAVE THAT DATA. 454 00:12:13,199 --> 00:12:14,633 >> I'M HEARING A LOT ABOUT 455 00:12:14,633 --> 00:12:15,634 CUSTOMER SERVICE AND THE FACT 456 00:12:15,634 --> 00:12:17,336 THAT THERE AS A LOT -- A LOT OF 457 00:12:17,336 --> 00:12:20,840 THOUGHT BE PUT INTO MAKING SURE 458 00:12:20,840 --> 00:12:23,109 THE PATIENT IS COMFORTABLE, 459 00:12:23,109 --> 00:12:24,710 MAKING SURE YOU SEE THEM 460 00:12:24,710 --> 00:12:25,111 COMFORTABLE. 461 00:12:25,111 --> 00:12:26,412 YOU HAVE A 30 MINUTE OR LESS 462 00:12:26,412 --> 00:12:27,113 POLICY. 463 00:12:27,113 --> 00:12:29,448 >> WE HAVE A PLAQUE ABOUT THAT. 464 00:12:29,448 --> 00:12:29,849 >> YEAH. 465 00:12:29,849 --> 00:12:30,816 >> SO ESSENTIALLY WE PLEDGE TO 466 00:12:30,816 --> 00:12:32,118 SEE THE PATIENT WITHIN 30 467 00:12:32,118 --> 00:12:33,552 MINUTES UPON ARRIVAL IN THE 468 00:12:33,552 --> 00:12:33,953 DEPARTMENT. 469 00:12:33,953 --> 00:12:34,920 NOW, WHEN YOU FIRST COME, IN YOU 470 00:12:34,920 --> 00:12:36,722 ARE GREETED BY A GREETER, 471 00:12:36,722 --> 00:12:37,089 OBVIOUSLY. 472 00:12:37,089 --> 00:12:41,026 IF YOU NEED SOMETHING 473 00:12:41,026 --> 00:12:42,928 EMERGENTLY, IT HAPPENS 474 00:12:42,928 --> 00:12:43,329 EMERGENTLY. 475 00:12:43,329 --> 00:12:49,635 BUT AS A PROVIDER WE STAFF NURSE 476 00:12:49,635 --> 00:12:50,336 PRACTITIONERS AT THE FRONT OF 477 00:12:50,336 --> 00:12:50,803 THE DEPARTMENT. 478 00:12:50,803 --> 00:12:51,937 SO WE CAN GET A LOOK AT THEM 479 00:12:51,937 --> 00:12:53,939 WITHIN THAT 30-MINUTE TIME FRAME 480 00:12:53,939 --> 00:12:55,608 TO DECIDE WHAT DO WE HAVE TO DO? 481 00:12:55,608 --> 00:12:57,910 DO WE NEED TO EXPEDITE THE CARE 482 00:12:57,910 --> 00:12:59,845 AND FIGURE OUT WHAT WE NEED TO 483 00:12:59,845 --> 00:13:00,880 DO FOR THEIR STAY AT THE 484 00:13:00,880 --> 00:13:02,181 EMERGENCY DEPARTMENT AND FIGURE 485 00:13:02,181 --> 00:13:04,083 OUT THE BEST WAY TO GET THEM 486 00:13:04,083 --> 00:13:05,885 THROUGH AND WHAT THEY NEED. 487 00:13:05,885 --> 00:13:09,288 IT HELPS US TO EXPEDITE THEIR 488 00:13:09,288 --> 00:13:10,790 CARE OVERALL. 489 00:13:10,790 --> 00:13:11,791 >> TYPICALLY HOW MANY STAFF ARE 490 00:13:11,791 --> 00:13:12,057 ON? 491 00:13:12,057 --> 00:13:12,925 IS THERE A BUSY TIME? 492 00:13:12,925 --> 00:13:14,393 DO YOU HAVE MORE PEOPLE 493 00:13:14,393 --> 00:13:15,995 OVERNIGHT OR ON WEEKENDS OR IN 494 00:13:15,995 --> 00:13:17,396 THE SUMMER MONTHS WHEN WE TEND 495 00:13:17,396 --> 00:13:19,498 TO SEE MORE INJURIES? 496 00:13:19,498 --> 00:13:22,201 >> SOME OF OUR BUSIEST MONTHS 497 00:13:22,201 --> 00:13:23,502 WITH TRAUMA SEASONS, WITH THE 498 00:13:23,502 --> 00:13:25,905 WAY SPOKANE HAS GROWN, THERE'S 499 00:13:25,905 --> 00:13:27,072 REALLY NO SLOW TIME IN THE 500 00:13:27,072 --> 00:13:27,640 EMERGENCY DEPARTMENT. 501 00:13:27,640 --> 00:13:29,608 WE FINISHED LAST YEAR SEEING 502 00:13:29,608 --> 00:13:31,510 82,000 PATIENTS IN THE EMERGENCY 503 00:13:31,510 --> 00:13:32,511 DEPARTMENT OF THE SACRED HEART 504 00:13:32,511 --> 00:13:34,713 AND WE ARE ON PACE TO SEE CLOSE 505 00:13:34,713 --> 00:13:35,581 TO 100,000 THIS YEAR. 506 00:13:35,581 --> 00:13:37,183 SO IT REALLY -- YOU REALLY BUILD 507 00:13:37,183 --> 00:13:39,218 FROM PROBABLY 2 P.M. TO 1 A.M. 508 00:13:39,218 --> 00:13:40,886 AND THEN IT SLOWS DOWN A LITTLE 509 00:13:40,886 --> 00:13:43,589 BIT, BUT IT'S -- IT'S VERY BUSY 510 00:13:43,589 --> 00:13:44,190 THE WHOLE TIME. 511 00:13:44,190 --> 00:13:47,393 WE HAVE A SIMILAR APPROACH WHERE 512 00:13:47,393 --> 00:13:48,794 WE USE NURSE PRACTITIONERS AND 513 00:13:48,794 --> 00:13:50,596 PHYSICIAN ASSISTANTS IN TRIAGE, 514 00:13:50,596 --> 00:13:52,565 WE CALL IT A PROVIDER IN TRIAGE 515 00:13:52,565 --> 00:13:53,899 PROGRAM TO GET THE PATIENTS SEEN 516 00:13:53,899 --> 00:13:55,601 MORE EXPEDIENTLY ON THE VERY 517 00:13:55,601 --> 00:13:56,936 HIGH VOLUME DAYS WHICH IS 518 00:13:56,936 --> 00:13:58,170 SATURDAY, SUNDAY AND MONDAY AND 519 00:13:58,170 --> 00:13:59,505 WE WILL EXPAND THAT PROBABLY TO 520 00:13:59,505 --> 00:14:00,372 EVERY DAY OF THE WEEK BECAUSE WE 521 00:14:00,372 --> 00:14:02,007 ARE RUNNING OUT OF REAL ESTATE 522 00:14:02,007 --> 00:14:02,975 WHEN WE ARE DEALING WITH THE 523 00:14:02,975 --> 00:14:05,678 PATIENT VOLUMES BUT THE CUSTOMER 524 00:14:05,678 --> 00:14:07,112 SATISFACTION AND OUR PATIENTS 525 00:14:07,112 --> 00:14:08,881 ARE OUR CUSTOMERS ARE COMING TO 526 00:14:08,881 --> 00:14:10,082 THE FOREFRONT OF EMERGENCY 527 00:14:10,082 --> 00:14:10,549 MEDICINE. 528 00:14:10,549 --> 00:14:12,918 ACTUALLY IN 2016O EARLY 2017, 529 00:14:12,918 --> 00:14:15,054 THEY ARE GOING TO BE ROLLING OUT 530 00:14:15,054 --> 00:14:16,455 E.D. CAPS WHICH IS HOSPITALS 531 00:14:16,455 --> 00:14:18,390 WILL BE REIMBURSED AND PART OF 532 00:14:18,390 --> 00:14:20,693 THE MEDICARE D.R.G. MONEY BASED 533 00:14:20,693 --> 00:14:22,061 ON PATIENT SATISFACTION SURVEYS. 534 00:14:22,061 --> 00:14:23,362 SO IT'S REALLY ONE OF THOSE 535 00:14:23,362 --> 00:14:25,164 THINGS WHERE IT USED TO BE, YOU 536 00:14:25,164 --> 00:14:25,965 COME INTO AN EMERGENCY 537 00:14:25,965 --> 00:14:27,066 DEPARTMENT WHO KNOWS HOW YOUR 538 00:14:27,066 --> 00:14:27,533 EXPERIENCE WAS. 539 00:14:27,533 --> 00:14:28,534 YOU WILL GET A TREMENDOUSLY 540 00:14:28,534 --> 00:14:30,102 LARGE BILL, AND THANKS, HAVE A 541 00:14:30,102 --> 00:14:30,870 NICE DAY. 542 00:14:30,870 --> 00:14:32,838 WELL, NOW PATIENTS HAVE A CHANCE 543 00:14:32,838 --> 00:14:33,672 TO CONTRIBUTE BACK, AND IF THEY 544 00:14:33,672 --> 00:14:35,274 HAD A BAD EXPERIENCE, WE NEED TO 545 00:14:35,274 --> 00:14:36,041 KNOW ABOUT IT. 546 00:14:36,041 --> 00:14:36,442 >> HMM. 547 00:14:36,442 --> 00:14:37,376 WHAT ARE SOME OF THE CHALLENGES 548 00:14:37,376 --> 00:14:38,377 THAT YOU ARE FACING? 549 00:14:38,377 --> 00:14:39,612 >> WELL, I THINK EXPECTATIONS 550 00:14:39,612 --> 00:14:40,946 AND THIS IS, I THINK, A HUGE 551 00:14:40,946 --> 00:14:42,181 QUESTION IN THE MINDS OF PEOPLE 552 00:14:42,181 --> 00:14:43,182 WHEN THEY COME INTO THE 553 00:14:43,182 --> 00:14:45,684 EMERGENCY DEPARTMENT. 554 00:14:45,684 --> 00:14:47,586 I ALMOST WISH WE COULD NAME IT 555 00:14:47,586 --> 00:14:48,487 WHAT IT AIN'T DEPARTMENT. 556 00:14:48,487 --> 00:14:49,488 I HAVE A PATIENT COME IN AND 557 00:14:49,488 --> 00:14:51,257 THEY WILL BE IN THE EMERGENCY 558 00:14:51,257 --> 00:14:52,358 DEPARTMENT FOR THREE AND A HALF 559 00:14:52,358 --> 00:14:53,993 HOURS AND ORDER A BATTERY OF 560 00:14:53,993 --> 00:14:57,563 TESTS AND THEY WILL COME WITH 561 00:14:57,563 --> 00:14:59,164 ABDOMINAL PAIN AND I WILL TELL 562 00:14:59,164 --> 00:15:00,766 THEM I DON'T KNOW WHAT THE 563 00:15:00,766 --> 00:15:02,835 ABDOMINAL PAIN IS. 564 00:15:02,835 --> 00:15:07,072 IT'S NOT LIFE THREATENING OR 565 00:15:07,072 --> 00:15:07,873 APPENDITIS, BUT I TELL THEM THAT 566 00:15:07,873 --> 00:15:09,275 NO NEWS IS GOOD NEWS FROM THE 567 00:15:09,275 --> 00:15:09,842 EMERGENCY DEPARTMENT. 568 00:15:09,842 --> 00:15:11,243 SO IF WE CAN SELL THEM SOME 569 00:15:11,243 --> 00:15:12,144 REASSURANCE AND REALIZE THAT YOU 570 00:15:12,144 --> 00:15:13,746 DON'T HAVE A LIFE THREATENING OR 571 00:15:13,746 --> 00:15:14,647 POTENTIALLY DISABLING CONDITION 572 00:15:14,647 --> 00:15:15,547 AND YOU ARE STABLE TO FOLLOW UP 573 00:15:15,547 --> 00:15:17,416 WITH YOUR PRIMARY CARE CONDITION 574 00:15:17,416 --> 00:15:19,451 FOR FURTHER TESTING, THAT'S THE 575 00:15:19,451 --> 00:15:20,019 VALUE OF THE EMERGENCY 576 00:15:20,019 --> 00:15:20,419 DEPARTMENT. 577 00:15:20,419 --> 00:15:21,620 BUT IF WE DO FIND SOMETHING, WE 578 00:15:21,620 --> 00:15:22,988 ARE EQUIPPED TO HANDLE THAT BUT 579 00:15:22,988 --> 00:15:24,823 WE ARE SET TO LOOK FOR A VERY 580 00:15:24,823 --> 00:15:26,158 SMALL SPECTRUM OF ILLNESS THAT 581 00:15:26,158 --> 00:15:28,527 CAN POTENTIALLY KILL YOU. 582 00:15:28,527 --> 00:15:30,095 IF WE DON'T FIND THAT, THAT'S A 583 00:15:30,095 --> 00:15:31,030 GOOD THING FOR PEOPLE. 584 00:15:31,030 --> 00:15:31,931 >> IS THAT SOME OF THE 585 00:15:31,931 --> 00:15:33,632 CHALLENGES THAT YOU FACE WITH 586 00:15:33,632 --> 00:15:34,133 URGENT CARE? 587 00:15:34,133 --> 00:15:34,667 >> WE DO THAT. 588 00:15:34,667 --> 00:15:36,035 I THINK PEOPLE WILL SEE A HEALTH 589 00:15:36,035 --> 00:15:37,069 SYSTEM NAME AND THEN THEY WILL 590 00:15:37,069 --> 00:15:38,570 GO THIS NO MATTER WHAT. 591 00:15:38,570 --> 00:15:40,272 AND SO WE'LL HAVE PEOPLE COME 592 00:15:40,272 --> 00:15:42,141 INTO THE URGENT CARE THAT HAVE 593 00:15:42,141 --> 00:15:44,476 HAD, YOU KNOW, THE CLASSIC CHEST 594 00:15:44,476 --> 00:15:46,946 PAIN SIGNS, YOU KNOW, PRESSURE, 595 00:15:46,946 --> 00:15:49,915 RADIATING UP MY JAW AND DOWN MY 596 00:15:49,915 --> 00:15:52,751 ARM, AND THEY JUST SEE ROCKWOOD 597 00:15:52,751 --> 00:15:54,019 OR THEY SEE PROVIDENCE AND 598 00:15:54,019 --> 00:15:56,322 THAT'S WHERE THEY GO, AND THAT'S 599 00:15:56,322 --> 00:15:57,723 REALLY NOT THE BEST CARE FOR 600 00:15:57,723 --> 00:15:58,857 THEM, BECAUSE WE CAN'T GET TO 601 00:15:58,857 --> 00:16:00,125 THE -- THOSE ARE THE ONES THAT 602 00:16:00,125 --> 00:16:00,960 MIGHT CAUSE A DEATH. 603 00:16:00,960 --> 00:16:02,795 SO WE NEED TO GET THEM TO THE EX 604 00:16:02,795 --> 00:16:06,498 E.R. AS FAST AS WE CAN. 605 00:16:06,498 --> 00:16:08,500 WE CALL OUR E.M.S. TEAM AND THEY 606 00:16:08,500 --> 00:16:10,202 GET THEM THERE QUICK. 607 00:16:10,202 --> 00:16:11,403 THE PATIENTS ARE SCARED IN AN 608 00:16:11,403 --> 00:16:13,005 EMERGENCY AND ALL THAT THEY KNOW 609 00:16:13,005 --> 00:16:15,307 IS I GO TO ROCKWOOD OR I GO TO 610 00:16:15,307 --> 00:16:17,109 PROVIDENCE AND I WANT TO SEE MY 611 00:16:17,109 --> 00:16:17,810 DOC, BUT I CAN'T. 612 00:16:17,810 --> 00:16:19,311 SO I'M GOING TO GO TO THE NEXT 613 00:16:19,311 --> 00:16:19,812 BEST THING. 614 00:16:19,812 --> 00:16:20,913 AND SO THEY SEE THE NAME AND 615 00:16:20,913 --> 00:16:21,714 THEY GO RIGHT IN. 616 00:16:21,714 --> 00:16:23,515 SO WE HAVE HIGHLY TRAINED STAFF 617 00:16:23,515 --> 00:16:25,317 THAT CAN TRIAGE THAT PATIENT AND 618 00:16:25,317 --> 00:16:27,186 FIGURE OUT IS THIS THE RIGHT 619 00:16:27,186 --> 00:16:27,486 PLACE? 620 00:16:27,486 --> 00:16:29,388 OR IS THE E.R. THE RIGHT PLACE? 621 00:16:29,388 --> 00:16:32,624 AND SOMETIMES E.R.s WILL DO 622 00:16:32,624 --> 00:16:33,993 THE REVERSE AND THEY WILL FIGURE 623 00:16:33,993 --> 00:16:35,427 OUT, YOU ARE A LEVEL FIVE OR A 624 00:16:35,427 --> 00:16:37,463 LEVEL ONE AND THEN THEY HELP TO 625 00:16:37,463 --> 00:16:38,464 TRIAGE AND GET THE RIGHT CARE 626 00:16:38,464 --> 00:16:39,732 FOR THE RIGHT THING. 627 00:16:39,732 --> 00:16:41,000 >> THAT'S WHAT'S FRUSTRATING FOR 628 00:16:41,000 --> 00:16:41,467 PATIENTS TOO. 629 00:16:41,467 --> 00:16:43,002 WHEN THEY WALK INTO A BUSY 630 00:16:43,002 --> 00:16:44,203 WAITING ROOM AND THEY SEE 20 631 00:16:44,203 --> 00:16:46,105 PATIENTS AND THEY KEEP SEEING 632 00:16:46,105 --> 00:16:47,206 PEOPLE COMING PAST THEM INTO THE 633 00:16:47,206 --> 00:16:47,806 EMERGENCY DEPARTMENT. 634 00:16:47,806 --> 00:16:48,741 THEY GET FRUSTRATED. 635 00:16:48,741 --> 00:16:50,009 I HAVE BEEN HERE TWO HOURS AND 636 00:16:50,009 --> 00:16:51,310 THAT PATIENT JUST WALKED IN. 637 00:16:51,310 --> 00:16:53,345 BUT WHAT SHE ALLUDED TO WAS THE 638 00:16:53,345 --> 00:16:54,380 TRIAGE CRITERIA. 639 00:16:54,380 --> 00:16:55,314 IF SOMEONE POTENTIALS WITH 640 00:16:55,314 --> 00:16:56,415 POTENTIALLY MORE SERIOUS 641 00:16:56,415 --> 00:16:58,117 COMPLAINT WE EXPEDITE THEM BACK 642 00:16:58,117 --> 00:16:59,885 AS QUICKLY AS POSSIBLE. 643 00:16:59,885 --> 00:17:01,020 I DON'T THINK PEOPLE ALWAYS 644 00:17:01,020 --> 00:17:02,688 REALLYIZE THAT THE AMBULANCE IS 645 00:17:02,688 --> 00:17:03,889 COMING THROUGH THE BACK DOOR AT 646 00:17:03,889 --> 00:17:04,690 A STEADY CLIP. 647 00:17:04,690 --> 00:17:06,692 LAST I SAW STATISTICALLY ABOUT 648 00:17:06,692 --> 00:17:07,793 80% OF ALL AMBULANCE TRAFFIC 649 00:17:07,793 --> 00:17:10,662 GOES TO SACRED HEART. 650 00:17:10,662 --> 00:17:13,565 SO WE HAVE A STEADY STREAM OF 651 00:17:13,565 --> 00:17:14,299 AMBULANCES. 652 00:17:14,299 --> 00:17:15,034 SOMETIMES 60 AMBULANCES A DAY 653 00:17:15,034 --> 00:17:16,368 WHICH COMES THROUGH THE BACK 654 00:17:16,368 --> 00:17:17,669 DOOR, WHICH MAKES IT HARDER FOR 655 00:17:17,669 --> 00:17:18,670 PEOPLE TO COME THROUGH THE FRONT 656 00:17:18,670 --> 00:17:18,971 DOOR. 657 00:17:18,971 --> 00:17:20,072 >> I THINK THAT'S WHY IT'S 658 00:17:20,072 --> 00:17:21,173 ESSENTIAL THAT WE NOW HAVE THE 659 00:17:21,173 --> 00:17:21,974 PROVIDERS IN KIND OF THE FRONT 660 00:17:21,974 --> 00:17:23,375 OF THE DEPARTMENT AS WELL, 661 00:17:23,375 --> 00:17:24,977 BECAUSE, YOU KNOW WHEN YOU ARE 662 00:17:24,977 --> 00:17:27,579 LOOKING AT PRIME REAL ESTATE FOR 663 00:17:27,579 --> 00:17:28,680 SICK, SICK PATIENTS IF YOU CAN 664 00:17:28,680 --> 00:17:30,482 SEE SOMEONE QUICKLY, THAT 665 00:17:30,482 --> 00:17:32,985 DOESN'T REQUIRE A BED, THAT CAN 666 00:17:32,985 --> 00:17:34,086 STAY UPRIGHT AND GET THEIR 667 00:17:34,086 --> 00:17:37,089 TREATMENT QUICKLY, THEN I THINK 668 00:17:37,089 --> 00:17:38,657 THAT'S WORTH ITS WEIGHT IN GOLD, 669 00:17:38,657 --> 00:17:39,858 BECAUSE THEN, YOU KNOW, THEY 670 00:17:39,858 --> 00:17:41,994 DON'T HAVE TO STAY FOR 671 00:17:41,994 --> 00:17:43,195 PROLONGED, YOU KNOW, WORKUP. 672 00:17:43,195 --> 00:17:44,463 AND THE PATIENT THAT NEEDS THE 673 00:17:44,463 --> 00:17:45,831 BED CAN GET TO THE BED FASTER, 674 00:17:45,831 --> 00:17:46,799 AND GET WHAT THEY NEED. 675 00:17:46,799 --> 00:17:48,300 SO I THINK THAT'S A BIG -- I 676 00:17:48,300 --> 00:17:50,569 THINK THAT'S A BIG DRIVE WITH 677 00:17:50,569 --> 00:17:51,670 SOME OF THE PROGRAMS THAT WE 678 00:17:51,670 --> 00:17:54,373 HAVE INSTITUTES, AT BOTH OF OUR 679 00:17:54,373 --> 00:17:54,673 E.D.s. 680 00:17:54,673 --> 00:17:56,475 >> A LOT OF IN-PRO PROCESS 681 00:17:56,475 --> 00:17:56,809 WAITING. 682 00:17:56,809 --> 00:17:57,776 THAT'S THE NAME OF THE GAME. 683 00:17:57,776 --> 00:17:59,078 AND WHEN YOU WALK THROUGH THE 684 00:17:59,078 --> 00:17:59,578 FRONT DOOR. 685 00:17:59,578 --> 00:18:00,913 WHEN YOU WALK INTO OUR LOBBY, 686 00:18:00,913 --> 00:18:02,548 EVEN IF WE CAN'T GET A BED BACK 687 00:18:02,548 --> 00:18:03,649 FOR YOU, IF WE CAN GET IN FRONT 688 00:18:03,649 --> 00:18:05,851 OF A PROVIDER AND START CARE AND 689 00:18:05,851 --> 00:18:07,853 GET YOUR WORKUP ARE GOING THAT 690 00:18:07,853 --> 00:18:08,687 MAYBE POTENTIALLY HOUR AND A 691 00:18:08,687 --> 00:18:10,756 HALF THAT YOU WAITED IS GETTING 692 00:18:10,756 --> 00:18:12,224 AN HOUR AND A HALF AND 693 00:18:12,224 --> 00:18:14,159 DISPOSITION HOME, AND THAT'S 694 00:18:14,159 --> 00:18:16,228 WHERE THE VALUE ADD IS FOR THE 695 00:18:16,228 --> 00:18:16,562 PATIENT. 696 00:18:16,562 --> 00:18:17,663 >> WE HAVE A CALLER COMING IN 697 00:18:17,663 --> 00:18:18,664 FROM SPOKANE. 698 00:18:18,664 --> 00:18:19,865 THIS IS KATHY. 699 00:18:19,865 --> 00:18:20,566 >> Caller: GOOD EVENING. 700 00:18:20,566 --> 00:18:21,333 >> THANK YOU SO MUCH FOR 701 00:18:21,333 --> 00:18:21,667 CALLING. 702 00:18:21,667 --> 00:18:22,568 DO YOU HAVE A QUESTION FOR OUR 703 00:18:22,568 --> 00:18:25,370 PANEL? 704 00:18:25,370 --> 00:18:26,238 >> Caller: YES, I JUST WANT TO 705 00:18:26,238 --> 00:18:27,739 KNOW, LIKE, WHEN YOU GO -- I 706 00:18:27,739 --> 00:18:31,343 RECENTLY WENT TO AN URGENT CARE, 707 00:18:31,343 --> 00:18:34,546 AND -- BECAUSE I HAD FALLEN, AND 708 00:18:34,546 --> 00:18:36,448 THERE WAS A DOCTOR THAT, YOU 709 00:18:36,448 --> 00:18:40,452 KNOW, TALKED TO ME, AND I GOT 710 00:18:40,452 --> 00:18:41,153 X-RAYS AND STUFF. 711 00:18:41,153 --> 00:18:44,256 AND THEN THIS WAS A DIFFERENT 712 00:18:44,256 --> 00:18:47,426 DOCTOR THAT READ THE X-RAYS. 713 00:18:47,426 --> 00:18:50,462 SO I WANTED TO KNOW -- AND THAT 714 00:18:50,462 --> 00:18:53,365 DOCTOR WAS NOT A PROVIDER IN MY 715 00:18:53,365 --> 00:18:53,732 INSURANCE. 716 00:18:53,732 --> 00:18:56,068 SO I WANTED TO KNOW, LIKE, AS A 717 00:18:56,068 --> 00:18:58,270 PATIENT COMING IN, WHAT 718 00:18:58,270 --> 00:19:00,172 QUESTIONS DO WE HAVE TO ASK? 719 00:19:00,172 --> 00:19:03,008 DO WE HAVE TO ASK, LIKE, IF THE 720 00:19:03,008 --> 00:19:05,511 DOCTOR THAT'S GOING TO BE SEEING 721 00:19:05,511 --> 00:19:08,013 US IS IN OUR NETWORK AND THE 722 00:19:08,013 --> 00:19:10,816 DOCTOR THAT READS THE X-RAYS IS 723 00:19:10,816 --> 00:19:11,917 THAT A DIFFERENT NETWORK? 724 00:19:11,917 --> 00:19:13,819 DOES THIS MAKE SENSE? 725 00:19:13,819 --> 00:19:15,621 >> YES, I THINK IT, DOES KATHY, 726 00:19:15,621 --> 00:19:17,222 AND HEATHER, CAN YOU TAKE THAT? 727 00:19:17,222 --> 00:19:18,323 >> YES, I THINK IT'S AN 728 00:19:18,323 --> 00:19:20,225 EXCELLENT QUESTION, AND ONE OF 729 00:19:20,225 --> 00:19:22,227 THE TOPICS WE HAVEN'T REALLY 730 00:19:22,227 --> 00:19:23,896 TOUCHED ON IS HOW INSURANCE 731 00:19:23,896 --> 00:19:26,431 DICTATES WHERE YOU GO TO WHAT 732 00:19:26,431 --> 00:19:28,700 URGENT CARE YOU GO TO WHAT 733 00:19:28,700 --> 00:19:29,635 EMERGENCY ROOM YOU GO TO. 734 00:19:29,635 --> 00:19:33,939 AND IN TERMS OF THE RADIOLOGIST. 735 00:19:33,939 --> 00:19:36,408 SO IN THE ROCKWOOD URGENT CARE 736 00:19:36,408 --> 00:19:39,111 SYSTEM, WE DO TAKE THE RADIOLOGY 737 00:19:39,111 --> 00:19:40,812 LOGICAL FILMS AND THEN A 738 00:19:40,812 --> 00:19:41,813 RADIOLOGIST DOES THE 739 00:19:41,813 --> 00:19:43,515 CONFIRMATION FILM, WHICH WOULD 740 00:19:43,515 --> 00:19:45,817 BE THE SAME IN THE EMERGENCY 741 00:19:45,817 --> 00:19:49,621 ROOMS, AND THAT RADIOLOGIST IS 742 00:19:49,621 --> 00:19:51,924 PARTNERED WITH ROCKWOOD, AND SO 743 00:19:51,924 --> 00:19:54,159 IF THE INSURANCE WORKED FOR 744 00:19:54,159 --> 00:19:57,529 ROCKWOOD, YOU KNOW, WE'RE NOT -- 745 00:19:57,529 --> 00:19:58,931 WE DON'T ALWAYS KNOW THAT THE 746 00:19:58,931 --> 00:19:59,531 RADIOLOGIST WILL BE THE 747 00:19:59,531 --> 00:20:00,132 INSURANCE CARRIER. 748 00:20:00,132 --> 00:20:01,733 SO WE DO CHECK ON THE INSURANCE 749 00:20:01,733 --> 00:20:03,135 FOR THE EMERGENCY ROOM VISIT OR 750 00:20:03,135 --> 00:20:04,903 THE URGENT CARE VISIT, BUT SOME 751 00:20:04,903 --> 00:20:07,439 OF THE ANCILLARY SERVICES, IT'S 752 00:20:07,439 --> 00:20:10,809 NOT ALWAYS 100% THAT WE KNOW ALL 753 00:20:10,809 --> 00:20:13,045 OF YOUR PARTS AND PIECES TO THE 754 00:20:13,045 --> 00:20:13,412 INSURANCE. 755 00:20:13,412 --> 00:20:14,746 AND I THINK WHAT'S REALLY 756 00:20:14,746 --> 00:20:19,218 CHALLENGING IS THERE'S SO MANY 757 00:20:19,218 --> 00:20:19,885 DIVISIONS WITH THE DIFFERENT 758 00:20:19,885 --> 00:20:20,919 INSURANCE COMPANIES AND SO THEY 759 00:20:20,919 --> 00:20:21,920 WILL COVER THIS OR THEY WILL PAY 760 00:20:21,920 --> 00:20:23,422 FOR THIS, BUT THEY WON'T PAY FOR 761 00:20:23,422 --> 00:20:23,722 THAT. 762 00:20:23,722 --> 00:20:25,023 AND THAT'S INSURANCE A. 763 00:20:25,023 --> 00:20:26,325 AND INSURANCE B IS GOING TO DO 764 00:20:26,325 --> 00:20:27,826 IT A LITTLE BIT DIFFERENT. 765 00:20:27,826 --> 00:20:29,728 INSURANCE C DOES IT A LITTLE BIT 766 00:20:29,728 --> 00:20:30,095 DIFFERENT. 767 00:20:30,095 --> 00:20:32,130 AND SO ON OUR END, THAT IS HARD 768 00:20:32,130 --> 00:20:33,832 SOMETIMES FOR OUR RECEPTION 769 00:20:33,832 --> 00:20:35,300 STAFF AND FOR OUR MEDICAL STAFF. 770 00:20:35,300 --> 00:20:37,536 SO WHAT WE DO, OUR PRIMARY 771 00:20:37,536 --> 00:20:38,737 OBJECTIVE IS WE WANT TO GET YOU 772 00:20:38,737 --> 00:20:39,004 IN. 773 00:20:39,004 --> 00:20:40,505 WE WANT TO GET YOU TAKEN CARE OF 774 00:20:40,505 --> 00:20:41,740 AND WE WANT TO GET THE 775 00:20:41,740 --> 00:20:44,443 MEDICATIONS AND THINGS THAT YOU 776 00:20:44,443 --> 00:20:44,743 NEED. 777 00:20:44,743 --> 00:20:45,744 AND THEN THAT OTHER FINANCIAL 778 00:20:45,744 --> 00:20:46,945 PART IS THAT BACK END. 779 00:20:46,945 --> 00:20:48,747 SO FOR THE CALLER'S QUESTION, 780 00:20:48,747 --> 00:20:52,851 IT'S GREAT TO LOOK THROUGH YOUR 781 00:20:52,851 --> 00:20:54,720 BENEFIT PACKAGE AND FIGURE IT 782 00:20:54,720 --> 00:20:55,921 OUT, WHICH HOSPITAL DO THEY WANT 783 00:20:55,921 --> 00:20:57,322 YOU TO GO TO, WHICH EMERGENCY 784 00:20:57,322 --> 00:20:58,924 ROOM DO THEY WANT YOU TO GO TO, 785 00:20:58,924 --> 00:21:00,325 WHICH URGENT CARE DO THEY WANT 786 00:21:00,325 --> 00:21:02,194 YOU TO GO TO AND THEN DO THEY 787 00:21:02,194 --> 00:21:03,996 REALLY PLACE IT OUT SPECIFICALLY 788 00:21:03,996 --> 00:21:07,032 ON WHICH LAB, WHICH RADIOLOGY? 789 00:21:07,032 --> 00:21:09,301 AND THAT CAN HELP, BUT THAT'S 790 00:21:09,301 --> 00:21:11,003 DATA THAT THE PATIENT NEEDS TO 791 00:21:11,003 --> 00:21:13,205 COME IN WITH THEM FOR US. 792 00:21:13,205 --> 00:21:14,206 >> AGAIN, GOOD INFORMATION TO 793 00:21:14,206 --> 00:21:15,607 HAVE ALONG WITH THAT MEDICATION 794 00:21:15,607 --> 00:21:15,907 LIST. 795 00:21:15,907 --> 00:21:17,776 THESE ARE THINGS THAT YOU SHOULD 796 00:21:17,776 --> 00:21:20,512 BE PREPARING BEFORE YOU HAVE THE 797 00:21:20,512 --> 00:21:21,780 EMERGENCY AND BEFORE YOU BECOME 798 00:21:21,780 --> 00:21:22,114 SICK. 799 00:21:22,114 --> 00:21:23,215 >> YES, IT'S GREAT TO HAVE IN 800 00:21:23,215 --> 00:21:24,483 YOUR WALLET OR YOUR PURSE. 801 00:21:24,483 --> 00:21:25,050 >> THAT'S GREAT. 802 00:21:25,050 --> 00:21:26,451 I WANT TO BRING IN ANOTHER PIECE 803 00:21:26,451 --> 00:21:27,886 OF THE PUZZLE WHEN IT COMES TO 804 00:21:27,886 --> 00:21:29,888 EMERGENCY CARE. 805 00:21:29,888 --> 00:21:32,591 WE HAVE SEEN SPOKANE'S EMERGENCY 806 00:21:32,591 --> 00:21:33,792 ROOMS AND URGENT CARE ARE READY 807 00:21:33,792 --> 00:21:36,895 AT A MOMENT'S 808 00:21:36,895 --> 00:21:37,596 NOTICE TO PROVIDE LIFE-SAVING 809 00:21:37,596 --> 00:21:38,163 MEDICAL ASSISTANCE. 810 00:21:38,163 --> 00:21:39,231 ONE KEY TO THAT SUCCESS IS 811 00:21:39,231 --> 00:21:40,032 NORTHWEST MEDSTAR WHICH USES 812 00:21:40,032 --> 00:21:42,901 HELICOPTERS TO TRANSPORT 813 00:21:42,901 --> 00:21:48,206 PATIENTS. 814 00:21:48,206 --> 00:21:48,974 WITH A SERVICE AREA THAT REACHES 815 00:21:48,974 --> 00:21:49,808 INTO FOUR STATES, NORTHWEST 816 00:21:49,808 --> 00:21:50,809 MEDSTAR COVERS A LOT OF GROUND 817 00:21:50,809 --> 00:21:51,443 AND TRANSPORTS A LOT OF 818 00:21:51,443 --> 00:21:55,614 PATIENTS. 819 00:21:55,614 --> 00:21:59,217 >> HUNDREDS EVERY YEAR. 820 00:21:59,217 --> 00:21:59,951 >> BUT DR. JAMES NANIA, MEDICAL 821 00:21:59,951 --> 00:22:00,652 DIRECTOR FOR MEDSTAR, IS QUICK 822 00:22:00,652 --> 00:22:01,453 TO POINT OUT, IT'S NOT ABOUT THE 823 00:22:01,453 --> 00:22:01,787 NUMBERS. 824 00:22:01,787 --> 00:22:03,555 IT'S ABOUT THE PEOPLE. 825 00:22:03,555 --> 00:22:04,222 >> YOU JUST HAVE TO MEET ONE 826 00:22:04,222 --> 00:22:05,691 PERSON THAT WASN'T GOING TO BE 827 00:22:05,691 --> 00:22:07,059 THERE NEXT CHRISTMAS, WASN'T 828 00:22:07,059 --> 00:22:08,727 GONNA MAKE THEIR BIRTHDAY, 829 00:22:08,727 --> 00:22:09,995 WASN'T GONNA SEE THEIR FIRST KID 830 00:22:09,995 --> 00:22:11,463 BORN, AND SEE THAT THEY ARE 831 00:22:11,463 --> 00:22:12,931 ALIVE BY VIRTUE OF WHAT IS BEING 832 00:22:12,931 --> 00:22:13,665 DONE HERE, AND THAT'S WHY I AM A 833 00:22:13,665 --> 00:22:15,067 FAN. 834 00:22:15,067 --> 00:22:19,504 IT IS MIRACLES. 835 00:22:19,504 --> 00:22:20,372 >> THOSE MIRACLES HAPPEN HIGH IN 836 00:22:20,372 --> 00:22:21,673 THE SKY AT SPEEDS OF 140 MILES 837 00:22:21,673 --> 00:22:22,708 AN HOUR AND IN SOME PRETTY TIGHT 838 00:22:22,708 --> 00:22:25,444 QUARTERS. 839 00:22:25,444 --> 00:22:26,978 HERE EMS PERSONNEL HAVE ACCESS 840 00:22:26,978 --> 00:22:29,081 TO TOOLS ONCE RESERVED FOR 841 00:22:29,081 --> 00:22:34,519 HOSPITAL STAFF. 842 00:22:34,519 --> 00:22:35,253 >> THE MONITORS ARE MUCH MORE 843 00:22:35,253 --> 00:22:36,221 SOPHISTICATED. 844 00:22:36,221 --> 00:22:37,222 MAYBE ONLY 20 YEARS AGO, YOU 845 00:22:37,222 --> 00:22:38,657 COULDN'T DO AN EKG TO LOOK FOR 846 00:22:38,657 --> 00:22:39,391 A HEART ATTACK TILL THEY GOT TO 847 00:22:39,391 --> 00:22:41,326 THE HOSPITAL. 848 00:22:41,326 --> 00:22:41,993 >> THE ADDED TECHNOLOGY AND 849 00:22:41,993 --> 00:22:42,694 TRAINING MEAN DR. NANIA'S TEAM 850 00:22:42,694 --> 00:22:43,628 CANNOT ONLY TREAT, BUT PREVENT 851 00:22:43,628 --> 00:22:49,401 SOME COMMON KILLERS. 852 00:22:49,401 --> 00:22:50,669 >> WE ARE ABLE NOW TO STOP 853 00:22:50,669 --> 00:22:53,805 STROKES SOMETIMES. 854 00:22:53,805 --> 00:22:54,439 WE ARE ABLE TO STOP HEART 855 00:22:54,439 --> 00:22:54,940 ATTACKS SOMETIMES. 856 00:22:54,940 --> 00:22:55,607 >> IT'S THAT COMBINATION OF 857 00:22:55,607 --> 00:22:56,575 SPEED AND EXPERTISE THAT GIVE 858 00:22:56,575 --> 00:22:57,843 PATIENTS A FIGHTING CHANCE. 859 00:22:57,843 --> 00:23:01,780 PATIENTS LIKE MAXWELL MIELKE. 860 00:23:01,780 --> 00:23:03,281 >> I WAS PLAYING A FOOTBALL GAME 861 00:23:03,281 --> 00:23:04,082 AT LAKESIDE HIGH SCHOOL, RUNNING 862 00:23:04,082 --> 00:23:06,385 THE FOOTBALL, AND I ENDED UP 863 00:23:06,385 --> 00:23:13,592 GETTING HELMET-TO-HELMET CONTACT 864 00:23:13,592 --> 00:23:14,326 AND ENDED UP GOING IN AND OUT OF 865 00:23:14,326 --> 00:23:15,060 CONSCIOUSNESS, ENDED UP A HAVING 866 00:23:15,060 --> 00:23:15,727 A FRACTURE OF THE SKULL AND 867 00:23:15,727 --> 00:23:16,294 BLEEDING OF THE BRAIN. 868 00:23:16,294 --> 00:23:16,962 >> MAXWELL WAS AIRLIFTED BY 869 00:23:16,962 --> 00:23:17,829 NORTHWEST MEDSTAR. 870 00:23:17,829 --> 00:23:20,732 THE MEDICAL TREATMENT HE 871 00:23:20,732 --> 00:23:21,400 RECEIVED EN ROUTE AND AT THE 872 00:23:21,400 --> 00:23:22,200 HOSPITAL MADE ALL THE 873 00:23:22,200 --> 00:23:23,135 DIFFERENCE. 874 00:23:23,135 --> 00:23:23,835 >> IT COULD HAVE BEEN SO MUCH 875 00:23:23,835 --> 00:23:24,669 WORSE. 876 00:23:24,669 --> 00:23:25,570 THANKS TO THEM, I'M PRETTY MUCH 877 00:23:25,570 --> 00:23:26,738 A NORMAL HUMAN BEING. 878 00:23:26,738 --> 00:23:28,240 >> MEDSTAR OPERATES FROM SIX 879 00:23:28,240 --> 00:23:29,107 SITES IN EASTERN WASHINGTON AND 880 00:23:29,107 --> 00:23:32,544 MONTANA. 881 00:23:32,544 --> 00:23:33,879 READY TO GO 24/7. 882 00:23:33,879 --> 00:23:35,781 AN INVESTMENT IN CRITICAL CARE 883 00:23:35,781 --> 00:23:36,748 THAT IS PAYING OFF ONE CALL AT 884 00:23:36,748 --> 00:23:40,519 TIME. 885 00:23:40,519 --> 00:23:45,957 >> IT'S THE BEST. 886 00:23:45,957 --> 00:23:47,526 >> AND DAN, TALK ABOUT THIS 887 00:23:47,526 --> 00:23:48,026 MEDSTAR UNIT. 888 00:23:48,026 --> 00:23:51,229 THESE ARE INCREDIBLE FLYING MINI 889 00:23:51,229 --> 00:23:52,464 HOSPITALS IN ESSENCE. 890 00:23:52,464 --> 00:23:53,432 >> YEAH, THEY ARE AMAZING. 891 00:23:53,432 --> 00:23:55,567 THEY ARE FLYING I.C.U.s AND 892 00:23:55,567 --> 00:23:57,836 THE STAFF THAT WORK ON THEM ARE 893 00:23:57,836 --> 00:23:58,236 INCREDIBLE. 894 00:23:58,236 --> 00:23:59,738 THEY ARE TAKING PATIENTS FROM 895 00:23:59,738 --> 00:24:01,706 THE MIDDLE OF NOWHERE OUT ON THE 896 00:24:01,706 --> 00:24:02,707 HIGHWAYS AND SCOOPING THEM UP 897 00:24:02,707 --> 00:24:05,010 AND PROTECTING THEIR AIRWAY AND 898 00:24:05,010 --> 00:24:07,546 GUARDING THEIR CERVICAL SPINE 899 00:24:07,546 --> 00:24:10,315 AND STABILIZING THEM EN ROUTE TO 900 00:24:10,315 --> 00:24:12,117 GET THEM IN A HOSPITAL SETTING. 901 00:24:12,117 --> 00:24:14,019 IT'S AN AMAZING TECHNOLOGY AND 902 00:24:14,019 --> 00:24:16,021 SOMETHING THAT'S ADVANCED THE 903 00:24:16,021 --> 00:24:17,122 EMERGENCY MEDICINE OVER THE PAST 904 00:24:17,122 --> 00:24:18,490 20 YEARS. 905 00:24:18,490 --> 00:24:19,257 HISTORICALLY IF YOU WERE OUT IN 906 00:24:19,257 --> 00:24:20,492 THE MIDDLE OF NOWHERE, YOU WOULD 907 00:24:20,492 --> 00:24:23,094 GO TO A CRITICAL ACCESS HOSPITAL 908 00:24:23,094 --> 00:24:24,262 THAT WOULD NOT BE EQUIPPED TO 909 00:24:24,262 --> 00:24:27,299 DEAL WITH THE LEVEL OF INJURIES 910 00:24:27,299 --> 00:24:27,799 YOU HAVE. 911 00:24:27,799 --> 00:24:28,900 AND NOW WE CAN GET YOU TO A 912 00:24:28,900 --> 00:24:30,902 TRAUMA CENTER AND FROM A TRAUMA 913 00:24:30,902 --> 00:24:32,604 SURGEON AND EMERGENCY MEDICINE 914 00:24:32,604 --> 00:24:33,004 SPECIALIST. 915 00:24:33,004 --> 00:24:33,805 IT'S PRETTY AMAZING. 916 00:24:33,805 --> 00:24:35,507 >> WE LIVE IN AN AREA WHERE YOU 917 00:24:35,507 --> 00:24:37,008 ARE 20 MINUTES FROM BEING IN A 918 00:24:37,008 --> 00:24:37,509 RURAL AREA. 919 00:24:37,509 --> 00:24:39,511 WE HAVE LOTS OF SMALL TOWNS, AND 920 00:24:39,511 --> 00:24:41,913 NOW THEY ALSO EVEN OFFER THAT 921 00:24:41,913 --> 00:24:43,415 YEARLY PAYMENT SERVICE, WHICH WE 922 00:24:43,415 --> 00:24:46,117 HAVE SEEN A LOT OF PEOPLE END UP 923 00:24:46,117 --> 00:24:47,319 USING OTHERWISE THAT CAN BE A 924 00:24:47,319 --> 00:24:48,520 PRETTY EXPENSIVE RIDE TO THE 925 00:24:48,520 --> 00:24:48,887 HOSPITAL. 926 00:24:48,887 --> 00:24:50,021 >> IT CAN BE. 927 00:24:50,021 --> 00:24:51,122 >> ABSOLUTELY, BUT WELL WORTH IT 928 00:24:51,122 --> 00:24:51,423 ALSO. 929 00:24:51,423 --> 00:24:52,624 TALK ABOUT THE TECHNOLOGY THAT'S 930 00:24:52,624 --> 00:24:54,292 INSIDE MEDSTAR. 931 00:24:54,292 --> 00:24:55,093 >> SURE. 932 00:24:55,093 --> 00:24:57,095 WELL, THE MOBILE I.C.U. UNITS 933 00:24:57,095 --> 00:24:58,497 WHETHER THEY ARE GOING BY AIR OR 934 00:24:58,497 --> 00:24:59,264 GROUND, THEY HAVE PRETTY MUCH 935 00:24:59,264 --> 00:25:01,099 EVERYTHING YOU WOULD IN AN 936 00:25:01,099 --> 00:25:02,634 I.C.U., THEY HAVE ADVANCED PUMPS 937 00:25:02,634 --> 00:25:04,769 AND THINGS TO DELIVER LIFE 938 00:25:04,769 --> 00:25:05,971 SAVING MEDICATIONS IF THEY NEED 939 00:25:05,971 --> 00:25:06,238 IT. 940 00:25:06,238 --> 00:25:08,273 THEY HAVE ADVANCED AIRWAY 941 00:25:08,273 --> 00:25:12,377 SUPPLIES IF THEY NEED TO 942 00:25:12,377 --> 00:25:13,678 INTUBATE YOU OR PROTECT YOUR 943 00:25:13,678 --> 00:25:14,012 AIRWAY. 944 00:25:14,012 --> 00:25:14,980 THEY HAVE PRETTY MUCH EVERYTHING 945 00:25:14,980 --> 00:25:17,282 IN THE I.C.U., PRETTY NICE 946 00:25:17,282 --> 00:25:20,051 AMOUNT OF MEDICATIONS IF YOUR 947 00:25:20,051 --> 00:25:22,254 HEART NEEDS SOME MEDICATIONS. 948 00:25:22,254 --> 00:25:23,788 >> ARE THESE PHYSICIANS ON 949 00:25:23,788 --> 00:25:24,089 BOARD. 950 00:25:24,089 --> 00:25:25,257 >> FOR THE MOST PART, NO, THEY 951 00:25:25,257 --> 00:25:29,327 ARE NOT, THEY ARE R.N., FORMER 952 00:25:29,327 --> 00:25:31,496 I.C.U. R.N.s THAT ARE TRAINED 953 00:25:31,496 --> 00:25:31,963 FOR TRANSPORT. 954 00:25:31,963 --> 00:25:32,898 THERE ARE SOME PLACES WHERE THEY 955 00:25:32,898 --> 00:25:35,400 WILL HAVE PHYSICIANS ON E.M.S. 956 00:25:35,400 --> 00:25:36,067 TEAMS BUT I DON'T BELIEVE 957 00:25:36,067 --> 00:25:37,102 SPOKANE IS USING THAT. 958 00:25:37,102 --> 00:25:38,403 >> PRETTY AMAZING THAT WE HAVE 959 00:25:38,403 --> 00:25:40,672 THAT HERE AT OUR DISPOSAL, 960 00:25:40,672 --> 00:25:40,972 AGAIN. 961 00:25:40,972 --> 00:25:42,173 JUST KIND OF GOES TO WHAT 962 00:25:42,173 --> 00:25:44,209 SPOKANE HAS TO OFFER IN MODE 963 00:25:44,209 --> 00:25:47,579 SIN, AND -- MEDICINE AND, AGAIN, 964 00:25:47,579 --> 00:25:48,680 TAKING YOU INSIDE THE EMERGENCY 965 00:25:48,680 --> 00:25:51,082 ROOMS AND THE URGENT CARE 966 00:25:51,082 --> 00:25:52,784 FACILITIES HERE ON "HEALTH 967 00:25:52,784 --> 00:25:53,485 MATTERS" TONIGHT. 968 00:25:53,485 --> 00:25:55,387 SHAUN, LET'S TALK ABOUT CPR. 969 00:25:55,387 --> 00:25:57,689 THERE WAS JUST A STORY OUT OF 970 00:25:57,689 --> 00:25:59,190 EVERETT, WHERE TWO TEENAGED 971 00:25:59,190 --> 00:26:00,892 GIRLS JUST COMPLETED THEIR CPR 972 00:26:00,892 --> 00:26:01,459 CLASS AT HIGH SCHOOL. 973 00:26:01,459 --> 00:26:03,161 THEY WERE AT A RESTAURANT AND A 974 00:26:03,161 --> 00:26:05,130 GENTLEMAN WAS HAVING AN 975 00:26:05,130 --> 00:26:05,497 INCIDENT. 976 00:26:05,497 --> 00:26:07,165 AND THOSE TWO GIRLS WHO HAD JUST 977 00:26:07,165 --> 00:26:08,967 COMPLETED THAT CPR CLASS PULLED 978 00:26:08,967 --> 00:26:10,735 HIM OUT OF HIS PICKUP AND 979 00:26:10,735 --> 00:26:12,270 PERFORMED CPR AND MOST LIKELY 980 00:26:12,270 --> 00:26:12,938 SAVED HIS LIFE. 981 00:26:12,938 --> 00:26:13,838 PRETTY AMAZING STUFF. 982 00:26:13,838 --> 00:26:15,473 BUT A LOT OF PEOPLE ARE STILL 983 00:26:15,473 --> 00:26:17,742 HESITANT TO LEARN CPR OR TO USE 984 00:26:17,742 --> 00:26:18,043 IT. 985 00:26:18,043 --> 00:26:18,743 >> YES, ABSOLUTELY. 986 00:26:18,743 --> 00:26:20,245 AND ONE OF THE THINGS THAT WE 987 00:26:20,245 --> 00:26:22,547 ARE DOING AROUND THIS AREA IS 988 00:26:22,547 --> 00:26:23,748 WORKING ON TEACHING WHAT'S 989 00:26:23,748 --> 00:26:25,584 CALLED HANDS ONLY CPR WHICH 990 00:26:25,584 --> 00:26:27,652 TAKES OUT THE MOUTH-TO-MOUTH 991 00:26:27,652 --> 00:26:27,953 PIECE. 992 00:26:27,953 --> 00:26:29,654 >> IS THAT WHY PEOPLE WERE 993 00:26:29,654 --> 00:26:30,021 HESITANT? 994 00:26:30,021 --> 00:26:31,156 >> I THINK THAT WAS THE BIGGEST 995 00:26:31,156 --> 00:26:31,489 PROBLEM. 996 00:26:31,489 --> 00:26:32,123 THEY WERE CONCERNED ABOUT 997 00:26:32,123 --> 00:26:33,758 WHETHER IT WAS DISEASE 998 00:26:33,758 --> 00:26:35,060 PREVENTION OR TRANSFER OF 999 00:26:35,060 --> 00:26:36,127 DISEASES OR NOT KNOWING, MAYBE 1000 00:26:36,127 --> 00:26:37,462 NOT DOING IT CORRECTLY. 1001 00:26:37,462 --> 00:26:39,064 THERE'S A COUPLE OF DIFFERENT 1002 00:26:39,064 --> 00:26:41,466 AGENCIES AROUND HERE THAT DO DO 1003 00:26:41,466 --> 00:26:43,168 HANDS ONLY CPR CLASSES. 1004 00:26:43,168 --> 00:26:44,569 THERE'S A COUPLE OF GROUPS, I 1005 00:26:44,569 --> 00:26:46,171 KNOW, ONE OF THE DOCTORS FROM 1006 00:26:46,171 --> 00:26:47,205 PROVIDENCE DOES A GROUP FOR THE 1007 00:26:47,205 --> 00:26:49,608 HIGH SCHOOLS AND THE MEADS 1008 00:26:49,608 --> 00:26:51,376 SCHOOL DISTRICT AND DISTRICT 81, 1009 00:26:51,376 --> 00:26:52,978 WHERE THE SENIORS ARE GETTING 1010 00:26:52,978 --> 00:26:56,681 TAUGHT CPR, WHICH IS PRETTY 1011 00:26:56,681 --> 00:26:57,082 IMPRESSIVE. 1012 00:26:57,082 --> 00:26:58,550 WE ALWAYS GET THE PHONE CALLS OF 1013 00:26:58,550 --> 00:27:00,151 HOW YOUNG CAN I HAVE MY SON OR 1014 00:27:00,151 --> 00:27:01,386 DAUGHTER LEARN TO DO CPR. 1015 00:27:01,386 --> 00:27:03,455 WE ARE BASICALLY TELL PEOPLE IF 1016 00:27:03,455 --> 00:27:05,824 THEY ARE STRONG ENOUGH TO PUSH 1017 00:27:05,824 --> 00:27:06,891 ON SOMEONE'S CHEST, WE CAN TEACH 1018 00:27:06,891 --> 00:27:08,326 THEM HOW TO DO CPR. 1019 00:27:08,326 --> 00:27:10,929 WE DON'T HAVE TO TEACH THE 1020 00:27:10,929 --> 00:27:13,131 MOUTH-TO-MOUTH PIECE OR THE 1021 00:27:13,131 --> 00:27:13,732 PULSE CHECK PIECE. 1022 00:27:13,732 --> 00:27:14,833 IF THE PERSON DOESN'T LOOK LIKE 1023 00:27:14,833 --> 00:27:16,501 THEY HAVE SIGNS OF LIFE AND THEN 1024 00:27:16,501 --> 00:27:18,136 TEACHING THEM HOW TO DO CHEST 1025 00:27:18,136 --> 00:27:18,536 COMPRESSION. 1026 00:27:18,536 --> 00:27:19,437 ONE THE BIG NEW THINGS HERE IN 1027 00:27:19,437 --> 00:27:21,840 THE SPOKANE AREA IS THE PULSE 1028 00:27:21,840 --> 00:27:22,340 POINT APP. 1029 00:27:22,340 --> 00:27:23,842 IT'S AN APP THAT GOES ON YOUR 1030 00:27:23,842 --> 00:27:25,577 PHONE THAT NOTIFIES YOU AS A 1031 00:27:25,577 --> 00:27:28,513 PUBLIC SERVICE PERSON ANYBODY 1032 00:27:28,513 --> 00:27:29,748 CAN DOWNLOAD IT. 1033 00:27:29,748 --> 00:27:31,249 IT NOTIFIES OF YOU A CARDIAC 1034 00:27:31,249 --> 00:27:32,851 ARREST NEARBY IN A PUBLIC VENUE 1035 00:27:32,851 --> 00:27:34,619 AND RECENTLY HERE IN SPOKANE, 1036 00:27:34,619 --> 00:27:36,521 THEY DID HAVE THE FIRST 1037 00:27:36,521 --> 00:27:37,722 CONFIRMED SAVE -- THE APP IS 1038 00:27:37,722 --> 00:27:39,124 BASED OUT OF CALIFORNIA AND THE 1039 00:27:39,124 --> 00:27:41,426 FIRST CONFIRMED SAVE WAS HERE IN 1040 00:27:41,426 --> 00:27:43,161 SPOKANE, WASHINGTON. 1041 00:27:43,161 --> 00:27:44,729 THAT INDIVIDUAL WAS -- HIS STORY 1042 00:27:44,729 --> 00:27:47,532 WAS SENT ALL AROUND THE NATION, 1043 00:27:47,532 --> 00:27:49,434 AND TALKED ABOUT THAT STORY, BUT 1044 00:27:49,434 --> 00:27:51,136 ANYBODY CAN DOWNLOAD IT AND IT'S 1045 00:27:51,136 --> 00:27:54,039 JUST GETTING CPR BY BYSTANDERS 1046 00:27:54,039 --> 00:27:54,372 QUICKER. 1047 00:27:54,372 --> 00:27:55,340 ONE OF THE BIGGEST THINGS WE 1048 00:27:55,340 --> 00:27:56,441 DEAL WITH IN THE AMBULANCE THAT 1049 00:27:56,441 --> 00:27:57,208 WE CAN'T CONTROL IS THE AMOUNT 1050 00:27:57,208 --> 00:27:58,610 OF TIME IT TAKES US TO GET TO 1051 00:27:58,610 --> 00:28:00,078 THE RURAL AREA. 1052 00:28:00,078 --> 00:28:01,646 THE AMBULANCE COMPANY THAT I 1053 00:28:01,646 --> 00:28:03,682 WORK FOR, BEST CASE SCENARIO, 1054 00:28:03,682 --> 00:28:05,383 INSIDE TOWN, WE CAN BE THERE IN 1055 00:28:05,383 --> 00:28:06,885 10 TO 15 MINUTES. 1056 00:28:06,885 --> 00:28:09,587 WORST CASE SCENARIO WE COVER 720 1057 00:28:09,587 --> 00:28:11,189 SQUARE MILES AND SO IT COULD BE 1058 00:28:11,189 --> 00:28:12,891 45 MINUTES TO 50 MINUTES BEFORE 1059 00:28:12,891 --> 00:28:13,692 YOU GET AN AMBULANCE. 1060 00:28:13,692 --> 00:28:15,393 AND SO GETTING BYSTANDERS THERE 1061 00:28:15,393 --> 00:28:18,463 QUICKER THAT CAN DO CPR IS A 1062 00:28:18,463 --> 00:28:19,197 PRETTY IMPORTANT PIECE. 1063 00:28:19,197 --> 00:28:20,365 >> AND THE HANDS ONLY PIECE IS 1064 00:28:20,365 --> 00:28:22,100 JUST AS EFFECTIVE AS THE OLD CPR 1065 00:28:22,100 --> 00:28:24,803 THAT SOME OF US LEARNED MANY 1066 00:28:24,803 --> 00:28:26,604 YEARS AGO. 1067 00:28:26,604 --> 00:28:27,105 >> ABSOLUTELY. 1068 00:28:27,105 --> 00:28:32,777 THE AMERICAN HEART ASSOCIATION 1069 00:28:32,777 --> 00:28:34,045 SAYS THAT THE CIRCULATION IS THE 1070 00:28:34,045 --> 00:28:36,114 MOST IMPORTANT PART. 1071 00:28:36,114 --> 00:28:37,515 CIRCULATING THAT TO YOUR HEART 1072 00:28:37,515 --> 00:28:39,317 AND VITAL ORGANS. 1073 00:28:39,317 --> 00:28:40,685 >> SO HOW YOUNG CAN YOU BE TO 1074 00:28:40,685 --> 00:28:41,519 LEARN THIS TECHNIQUE. 1075 00:28:41,519 --> 00:28:42,987 >> WE HAVE SEEN KIDS AS YOUNG AS 1076 00:28:42,987 --> 00:28:44,789 11 OR 12 THAT CAN PUSH DOWN ON 1077 00:28:44,789 --> 00:28:46,891 THE CHEST AND WE ARE GLAD TO 1078 00:28:46,891 --> 00:28:48,493 TEACH THEM CPR AND GET THEM OUT 1079 00:28:48,493 --> 00:28:48,793 THERE. 1080 00:28:48,793 --> 00:28:50,862 IN THE UNIQUE CIRCUMSTANCES THEY 1081 00:28:50,862 --> 00:28:52,464 CAN DO IT EFFECTIVELY. 1082 00:28:52,464 --> 00:28:53,598 >> ARE YOU SEEING MORE FAMILY 1083 00:28:53,598 --> 00:28:54,499 MEMBERS THAT BRING IN PATIENTS 1084 00:28:54,499 --> 00:28:57,502 INTO THE EMERGENCY ROOM THAT 1085 00:28:57,502 --> 00:28:59,904 HAVE PERFORMED CPR AND SAVED 1086 00:28:59,904 --> 00:29:00,205 LIVES. 1087 00:29:00,205 --> 00:29:01,106 >> WE HAD A FEW. 1088 00:29:01,106 --> 00:29:02,474 THAT'S WHAT SAVED THEM. 1089 00:29:02,474 --> 00:29:03,374 >> THAT'S PRETTY EXCITING. 1090 00:29:03,374 --> 00:29:04,976 AND THE HANDS ONLY? 1091 00:29:04,976 --> 00:29:05,877 >> HANDS ONLY. 1092 00:29:05,877 --> 00:29:06,277 MM-HMM. 1093 00:29:06,277 --> 00:29:07,979 BECAUSE THEY WEREN'T ACTUALLY 1094 00:29:07,979 --> 00:29:09,080 TRAINED, THE FEW CASES THAT WE 1095 00:29:09,080 --> 00:29:10,148 HAD WHEN I WAS ON SHIFT. 1096 00:29:10,148 --> 00:29:11,216 >> I KNOW THERE USED TO BE A 1097 00:29:11,216 --> 00:29:13,118 FEAR THAT YOU COULD HURT 1098 00:29:13,118 --> 00:29:14,953 SOMEBODY WITH CPR. 1099 00:29:14,953 --> 00:29:16,254 >> WELL, PROBABLY A LITTLE BIT, 1100 00:29:16,254 --> 00:29:17,355 BUT FOR THE GOOD OF THEM. 1101 00:29:17,355 --> 00:29:18,890 >> FOR THE GOOD. 1102 00:29:18,890 --> 00:29:19,791 YEAH, YOU HAVE TO PRESS THEM 1103 00:29:19,791 --> 00:29:20,959 PRETTY HARD AND I THINK THE 1104 00:29:20,959 --> 00:29:22,060 BENEFIT ALSO OF TAKING THESE 1105 00:29:22,060 --> 00:29:24,195 TYPE OF CLASSES, THEY TRAIN YOU 1106 00:29:24,195 --> 00:29:27,866 ON THE USE OF THE AUTOMATED 1107 00:29:27,866 --> 00:29:30,135 EXTERNAL DEFIBRILLATORS AND THEY 1108 00:29:30,135 --> 00:29:31,369 SAVE LIVES AND TEACHING THE 1109 00:29:31,369 --> 00:29:32,937 PUBLIC HOW TO UTILIZE THOSE. 1110 00:29:32,937 --> 00:29:34,372 IT'S MAKING A HUGE IMPACT ON 1111 00:29:34,372 --> 00:29:35,507 PEOPLE THAT HAVE WITNESSED 1112 00:29:35,507 --> 00:29:35,974 CARDIAC ARREST. 1113 00:29:35,974 --> 00:29:37,475 >> AND I THINK THE THING FOR THE 1114 00:29:37,475 --> 00:29:39,410 PUBLIC TO REMEMBER AND THIS 1115 00:29:39,410 --> 00:29:40,979 MIGHT SOUND CRASS, BUT THEY ARE 1116 00:29:40,979 --> 00:29:41,279 DEAD. 1117 00:29:41,279 --> 00:29:42,514 SO YOU CAN'T HURT THEM. 1118 00:29:42,514 --> 00:29:45,283 YOU CAN ONLY SAVE THEM. 1119 00:29:45,283 --> 00:29:46,618 >> I HAVE NEVER HEARD IT QUITE 1120 00:29:46,618 --> 00:29:48,586 THAT WAY AND I THINK YOU MAKE AN 1121 00:29:48,586 --> 00:29:50,188 EXCELLENT POINT. 1122 00:29:50,188 --> 00:29:51,489 >> LET'S TAKE ANOTHER PHONE 1123 00:29:51,489 --> 00:29:51,790 CALL. 1124 00:29:51,790 --> 00:29:53,057 WE HAVE TINA FROM SPOKANE. 1125 00:29:53,057 --> 00:29:56,461 GOOD EVENING, TINA. 1126 00:29:56,461 --> 00:29:57,228 >> Caller: HI, THIS IS TINA. 1127 00:29:57,228 --> 00:29:58,463 I HAVE A COUPLE OF QUESTIONS 1128 00:29:58,463 --> 00:30:02,267 ABOUT EMERGENCY SERVICES HERE IN 1129 00:30:02,267 --> 00:30:03,468 SPOKANE. 1130 00:30:03,468 --> 00:30:03,868 >> SURE. 1131 00:30:03,868 --> 00:30:05,170 >> Caller: I HAVE BEEN AN R.N. 1132 00:30:05,170 --> 00:30:08,072 FOR 44 YEARS AND I HAVE WORKED 1133 00:30:08,072 --> 00:30:12,076 HERE AT A LOCAL E.R. AND ALSO AT 1134 00:30:12,076 --> 00:30:14,779 AN LOCAL AMBULATORY CARE OFFICE, 1135 00:30:14,779 --> 00:30:21,986 AND I HAVE CONCERNS ABOUT E.R. 1136 00:30:21,986 --> 00:30:22,420 ACCESSIBILITY. 1137 00:30:22,420 --> 00:30:24,088 I HAD A KNEE REPLACEMENT ABOUT 1138 00:30:24,088 --> 00:30:26,257 FOUR YEARS AGO, AND I HAD 1139 00:30:26,257 --> 00:30:28,193 ABSOLUTE EXCELLENT CARE. 1140 00:30:28,193 --> 00:30:33,464 THE FOLLOWING YEAR, MY HUSBAND 1141 00:30:33,464 --> 00:30:36,367 HAD SOME ISSUES THAT REQUIRED A 1142 00:30:36,367 --> 00:30:37,969 CAT SCAN AND THEY DISCOVERED 1143 00:30:37,969 --> 00:30:43,274 THAT HE HAD A TUMOR IN HIS 1144 00:30:43,274 --> 00:30:43,641 PANCREAS. 1145 00:30:43,641 --> 00:30:48,379 AND HE WAS TREATED ABSOLUTELY 1146 00:30:48,379 --> 00:30:49,781 WITH EXCELLENCE AT CANCER CARE 1147 00:30:49,781 --> 00:30:52,917 NORTHWEST WITH THE SCANS AND THE 1148 00:30:52,917 --> 00:30:53,785 WHIFFLE PROCEDURE BUT AFTERWARDS 1149 00:30:53,785 --> 00:30:56,187 HE WAS IN THE HOSPITAL FOR A 1150 00:30:56,187 --> 00:30:56,487 MONTH. 1151 00:30:56,487 --> 00:31:01,492 HE HAD MAJOR COMPLICATIONS. 1152 00:31:01,492 --> 00:31:04,562 HIS -- HIS ONCOLOGIST SURGEON 1153 00:31:04,562 --> 00:31:06,164 CALLED SACRED HEART AND SAID 1154 00:31:06,164 --> 00:31:07,565 THIS IS -- THIS GUY IS COMING 1155 00:31:07,565 --> 00:31:07,832 IN. 1156 00:31:07,832 --> 00:31:09,033 THIS IS WHAT'S GOING ON. 1157 00:31:09,033 --> 00:31:11,002 HE NEEDS TO BE SEEN. 1158 00:31:11,002 --> 00:31:13,371 AND WE LITERALLY SAT IN THE E.R. 1159 00:31:13,371 --> 00:31:15,039 FOR FIVE HOURS. 1160 00:31:15,039 --> 00:31:17,275 I WENT UP TO THEM AND ASKED IS 1161 00:31:17,275 --> 00:31:18,743 THERE A PLACE HE CAN ACTUALLY 1162 00:31:18,743 --> 00:31:19,777 LAY DOWN? 1163 00:31:19,777 --> 00:31:22,347 HE WAS PROPPED IN A CHAIR WITH 1164 00:31:22,347 --> 00:31:23,848 HIS FEET ON ANOTHER CHAIR, 1165 00:31:23,848 --> 00:31:26,150 BARELY ABLE TO DO ANYTHING. 1166 00:31:26,150 --> 00:31:28,920 AND HAVING E.R. EXPERIENCE IN 1167 00:31:28,920 --> 00:31:31,556 THE PAST, WHICH ISN'T THAT 1168 00:31:31,556 --> 00:31:33,358 UPDATED NOW, I WAS VERY, VERY 1169 00:31:33,358 --> 00:31:36,261 FRUSTRATED WITH THE WAY HE WAS 1170 00:31:36,261 --> 00:31:38,663 TREATED, THE LACK OF RESPONSE TO 1171 00:31:38,663 --> 00:31:40,765 GETTING HIM IN A ROOM, AND THE 1172 00:31:40,765 --> 00:31:42,767 FACT THAT THE ONCOLOGY PHYSICIAN 1173 00:31:42,767 --> 00:31:45,737 HAD CALLED IN AND SAID, THIS 1174 00:31:45,737 --> 00:31:48,473 NEEDS TO BE DEALT WITH. 1175 00:31:48,473 --> 00:31:51,576 AND I JUST DON'T FEEL WE WERE 1176 00:31:51,576 --> 00:31:53,044 ADEQUATELY ADDRESSED. 1177 00:31:53,044 --> 00:31:55,146 I THINK WE WERE PUT OFF, AND HE 1178 00:31:55,146 --> 00:31:57,081 WAS OUT IN THE WAITING AREA FOR 1179 00:31:57,081 --> 00:32:01,252 A MINIMUM OF FOUR TO FIVE HOURS 1180 00:32:01,252 --> 00:32:02,921 WITHOUT -- YOU KNOW, WITH ALL OF 1181 00:32:02,921 --> 00:32:04,355 THAT OTHER CONTAGIOUS STUFF 1182 00:32:04,355 --> 00:32:06,057 GOING ON. 1183 00:32:06,057 --> 00:32:06,557 >> ALL RIGHT. 1184 00:32:06,557 --> 00:32:07,458 THANK YOU, TINA. 1185 00:32:07,458 --> 00:32:09,227 WOULD ANYONE LIKE TO ADDRESS -- 1186 00:32:09,227 --> 00:32:11,729 IT WAS OBVIOUSLY, SHE WAS VERY 1187 00:32:11,729 --> 00:32:13,231 FRUSTRATED BY THAT PROCESS. 1188 00:32:13,231 --> 00:32:13,631 >> SURE. 1189 00:32:13,631 --> 00:32:15,333 WE HATE TO HAVE PEOPLE WAIT. 1190 00:32:15,333 --> 00:32:17,435 AND, YOU KNOW, A COUPLE OF 1191 00:32:17,435 --> 00:32:18,836 THINGS THAT MAYBE WOULD HAVE 1192 00:32:18,836 --> 00:32:20,538 PREVENTED THAT WAIT IS THAT ON 1193 00:32:20,538 --> 00:32:22,440 KOHLISTS COULD HAVE ALWAYS -- 1194 00:32:22,440 --> 00:32:23,641 ONCOLOGISTS COULD HAVE DIRECTLY 1195 00:32:23,641 --> 00:32:24,542 ADMITTED HIM TO THE HOSPITAL IF 1196 00:32:24,542 --> 00:32:26,044 THEY THOUGHT HE NEEDED TO BE 1197 00:32:26,044 --> 00:32:26,477 HOSPITALIZED. 1198 00:32:26,477 --> 00:32:28,246 MAYBE HE DIDN'T NEED TO GO TO 1199 00:32:28,246 --> 00:32:29,781 THE E.R. IN THE FIRST PLACE AND 1200 00:32:29,781 --> 00:32:31,249 JUST HAVE ONE OF THE MEDICAL 1201 00:32:31,249 --> 00:32:32,951 PHYSICIANS UPSTAIRS CARE FOR 1202 00:32:32,951 --> 00:32:33,618 HIM. 1203 00:32:33,618 --> 00:32:35,019 SECONDLY, WE DON'T KEEP PEOPLE 1204 00:32:35,019 --> 00:32:36,721 OUT THERE ON PURPOSE. 1205 00:32:36,721 --> 00:32:37,922 WE HAVE HIGH ACUITY. 1206 00:32:37,922 --> 00:32:39,223 WE HAVE TO DEAL WITH THE ILL 1207 00:32:39,223 --> 00:32:40,124 PEOPLE THAT WE HAVE. 1208 00:32:40,124 --> 00:32:42,627 FIVE HOURS IS AN EXTENSIVE WAIT 1209 00:32:42,627 --> 00:32:44,429 AND I HATE TO HEAR NUMBERS LIKE 1210 00:32:44,429 --> 00:32:44,829 THAT. 1211 00:32:44,829 --> 00:32:46,331 THAT'S BY NO MEANS THE NORM AND 1212 00:32:46,331 --> 00:32:48,232 THERE'S NO LOBBY THAT IS A 1213 00:32:48,232 --> 00:32:49,233 COMFORTABLE SETTING FOR SOMEBODY 1214 00:32:49,233 --> 00:32:49,801 THAT'S HURTING. 1215 00:32:49,801 --> 00:32:52,236 YOU KNOW, IT'S AN UNFORTUNATE 1216 00:32:52,236 --> 00:32:53,204 EXPERIENCE WHEN PEOPLE DO GO TO 1217 00:32:53,204 --> 00:32:54,038 THE EMERGENCY DEPARTMENTS. 1218 00:32:54,038 --> 00:32:56,674 DEPARTMENTS 1219 00:32:56,674 --> 00:32:57,408 THERE'S THE POTENTIAL THAT WE 1220 00:32:57,408 --> 00:32:59,911 WILL BE WAITING A FAIR AMOUNT OF 1221 00:32:59,911 --> 00:33:01,446 TIME IF THEY DON'T REQUIRE 1222 00:33:01,446 --> 00:33:02,347 AGGRESSIVE CARE IMMEDIATELY. 1223 00:33:02,347 --> 00:33:03,114 WE WILL TAKE CARE OF THOSE 1224 00:33:03,114 --> 00:33:04,582 PEOPLE AHEAD OF THEM THAT DO. 1225 00:33:04,582 --> 00:33:05,583 >> IS THERE ANYTHING SHE COULD 1226 00:33:05,583 --> 00:33:08,820 HAVE MAYBE DONE DIFFERENTLY IN 1227 00:33:08,820 --> 00:33:09,754 THAT SITUATION NOT KNOWING THE 1228 00:33:09,754 --> 00:33:11,489 FULL STOREY? 1229 00:33:11,489 --> 00:33:13,458 >> IT'S REALLY TOUGH, AND THAT'S 1230 00:33:13,458 --> 00:33:14,492 ONE THING AS AN EMERGENCY 1231 00:33:14,492 --> 00:33:15,793 DEPARTMENT WE ARE STRIVING TO 1232 00:33:15,793 --> 00:33:16,127 IMPROVE. 1233 00:33:16,127 --> 00:33:18,262 AND WHAT DAN SPEAKS OF WITH 1234 00:33:18,262 --> 00:33:21,466 REGARDS TO COMMUNICATING WITH 1235 00:33:21,466 --> 00:33:23,701 YOUR PHYSICIAN OR YOUR 1236 00:33:23,701 --> 00:33:26,104 ONCOLOGIST, OR SOMEONE TO 1237 00:33:26,104 --> 00:33:27,672 ADVOCATE ON YOUR BEHALF. 1238 00:33:27,672 --> 00:33:29,173 IT MAY SAVE YOU A TRIP INTO THE 1239 00:33:29,173 --> 00:33:30,074 EMERGENCY DEPARTMENT, NOT TO 1240 00:33:30,074 --> 00:33:31,509 TURN BUSINESS AWAY BUT AT THE 1241 00:33:31,509 --> 00:33:33,011 SAME TIME TO GET HIM THE CARE 1242 00:33:33,011 --> 00:33:35,013 THAT HE NEEDS MORE 1243 00:33:35,013 --> 00:33:35,580 EXPEDITIOUSLY. 1244 00:33:35,580 --> 00:33:37,782 IT MIGHT BE IN HIS BEST TO HAVE 1245 00:33:37,782 --> 00:33:39,183 YOUR PROVIDER SPEAK ON YOUR 1246 00:33:39,183 --> 00:33:39,517 BEHALF. 1247 00:33:39,517 --> 00:33:41,152 BUT OTHER THAN THAT, NO, I DON'T 1248 00:33:41,152 --> 00:33:43,187 THINK THERE'S ANYTHING HE OR SHE 1249 00:33:43,187 --> 00:33:44,255 COULD HAVE DONE DIFFERENTLY. 1250 00:33:44,255 --> 00:33:45,823 IT'S JUST THE WAY THAT THE 1251 00:33:45,823 --> 00:33:47,792 CURRENT SYSTEM WORKS WITH WHEN 1252 00:33:47,792 --> 00:33:49,327 YOU HAVE SOMEONE WHO YOU ARE 1253 00:33:49,327 --> 00:33:51,496 ACTIVELY RESUSCITATING IN THE 1254 00:33:51,496 --> 00:33:52,797 BACK OR AN AMBULANCE THAT, YOU 1255 00:33:52,797 --> 00:33:54,098 KNOW, YOU BROUGHT IN SOMEBODY 1256 00:33:54,098 --> 00:33:55,400 THAT YOU ARE RESUSCITATING THERE 1257 00:33:55,400 --> 00:33:56,934 AND YOU CAN'T PHYSICALLY GET OUT 1258 00:33:56,934 --> 00:33:59,003 TO THE SEE THE PATIENT OR GET 1259 00:33:59,003 --> 00:33:59,904 THEM BACK INTO A BED. 1260 00:33:59,904 --> 00:34:01,706 I THINK THAT'S WHY WE ARE 1261 00:34:01,706 --> 00:34:03,274 CONSTANTLY TRYING TO MAKE SMALL 1262 00:34:03,274 --> 00:34:04,842 IMPROVEMENTS EVERY DAY TO 1263 00:34:04,842 --> 00:34:06,144 EXPEDITE AND KIND OF PREVENT 1264 00:34:06,144 --> 00:34:07,979 THAT FROM HAPPENING THOSE 1265 00:34:07,979 --> 00:34:10,982 FIVE-HOUR WAITS. 1266 00:34:10,982 --> 00:34:12,250 >> THAT'S THE RATIONALE BEHIND 1267 00:34:12,250 --> 00:34:16,254 THE URGENT CARE OPENING. 1268 00:34:16,254 --> 00:34:18,556 WE ARE TRYING TO DRIVE THOSE WHO 1269 00:34:18,556 --> 00:34:19,924 DON'T REQUIRE EMERGENCY CARE TO 1270 00:34:19,924 --> 00:34:20,391 URGENT CARE. 1271 00:34:20,391 --> 00:34:21,526 PEOPLE WHO REQUIRE ADVANCED CARE 1272 00:34:21,526 --> 00:34:23,094 HAVE AN EASIER TIME GETTING 1273 00:34:23,094 --> 00:34:23,761 ACCESS TO THAT. 1274 00:34:23,761 --> 00:34:25,263 >> IT IS PRETTY AMAZING THE 1275 00:34:25,263 --> 00:34:27,665 LEVELS OF CARE WE HAVE STARTING 1276 00:34:27,665 --> 00:34:29,767 WITH THE FIRST RESPONDERS AND 1277 00:34:29,767 --> 00:34:33,471 THEN HAVING ACCESS NOW TO URGENT 1278 00:34:33,471 --> 00:34:35,073 CARE AND EMERGENCY ROOM OR YOUR 1279 00:34:35,073 --> 00:34:35,606 OWN PHYSICIANS. 1280 00:34:35,606 --> 00:34:36,707 SO WE REALLY DO HAVE THE 1281 00:34:36,707 --> 00:34:38,076 DIFFERENT LEVELS, SO TO SPEAK, 1282 00:34:38,076 --> 00:34:39,744 THAT YOU JUST NEED TO TARGET AND 1283 00:34:39,744 --> 00:34:41,579 SNOW WHAT'S BEST FOR YOUR 1284 00:34:41,579 --> 00:34:43,581 SITUATION OR HAVE THE DOCTORS 1285 00:34:43,581 --> 00:34:44,682 ASSESS THAT AND LET YOU KNOW 1286 00:34:44,682 --> 00:34:46,684 WHAT IS BEST FOR THAT SITUATION. 1287 00:34:46,684 --> 00:34:47,885 SO WE ARE FORTUNATE. 1288 00:34:47,885 --> 00:34:49,353 >> PROVIDENCE IS ROLLING OUT 1289 00:34:49,353 --> 00:34:50,088 TELEMEDICINE NOW TO THE AREA. 1290 00:34:50,088 --> 00:34:52,256 SO IF YOU HAVE PINK EYE OR IF 1291 00:34:52,256 --> 00:34:53,858 YOU HAVE A COUGH, YOU CAN TAKE A 1292 00:34:53,858 --> 00:34:55,159 PICTURE OF WHAT IS BOTHERING YOU 1293 00:34:55,159 --> 00:34:57,361 AND FOR $35, THEY WILL TAKE CARE 1294 00:34:57,361 --> 00:35:00,131 OF THAT VIA A TELECONSULT. 1295 00:35:00,131 --> 00:35:01,165 SO YOU DON'T HAVE TO LEAVE YOUR 1296 00:35:01,165 --> 00:35:01,666 OWN HOME. 1297 00:35:01,666 --> 00:35:04,335 I THINK WHAT YOU WILL SEE NOW 1298 00:35:04,335 --> 00:35:06,037 WITH COUGH, THE LANDSCAPE OF 1299 00:35:06,037 --> 00:35:07,338 MEDICINE IS REALLY SHIFTING 1300 00:35:07,338 --> 00:35:09,040 TOWARDS MORE ACCESSIBLE MEDICINE 1301 00:35:09,040 --> 00:35:10,274 THAT STILL HAS GOOD QUALITY BUT 1302 00:35:10,274 --> 00:35:11,342 FOR CHEAPER. 1303 00:35:11,342 --> 00:35:12,543 AND IF WE CAN KEEP PEOPLE IN 1304 00:35:12,543 --> 00:35:14,045 THEIR OWN HOME, THEY DON'T NEED 1305 00:35:14,045 --> 00:35:15,446 TO GET IN THEIR CAR AND DRIVE TO 1306 00:35:15,446 --> 00:35:16,647 AN URGENT CARE, THAT WILL SAVE 1307 00:35:16,647 --> 00:35:17,748 MONEY FOR THE SYSTEM AND THEY 1308 00:35:17,748 --> 00:35:20,351 SHOULD STILL HAVE PRETTY QUALITY 1309 00:35:20,351 --> 00:35:20,651 CARE. 1310 00:35:20,651 --> 00:35:21,486 >> HOW MUCH NETWORKING IS GOING 1311 00:35:21,486 --> 00:35:23,421 ON BETWEEN THE FACILITIES AND 1312 00:35:23,421 --> 00:35:25,022 THESE DIFFERENT LEVELS OF CARE? 1313 00:35:25,022 --> 00:35:26,824 ARE THERE -- ARE THERE WAYS YOU 1314 00:35:26,824 --> 00:35:28,025 GET TOGETHER AND PUT YOUR HEADS 1315 00:35:28,025 --> 00:35:30,495 TOGETHER TO TRY AND ADDRESS 1316 00:35:30,495 --> 00:35:32,263 THOSE CUSTOMER ISSUES? 1317 00:35:32,263 --> 00:35:33,931 >> I THINK QUITE A BIT. 1318 00:35:33,931 --> 00:35:38,736 I KNOW FOR US, WE MEET WITH THE 1319 00:35:38,736 --> 00:35:39,837 MANAGEMENT FOR OUR EMERGENCY 1320 00:35:39,837 --> 00:35:42,840 ROOMS AND OUR SYSTEM EVERY 1321 00:35:42,840 --> 00:35:43,341 QUARTER. 1322 00:35:43,341 --> 00:35:47,178 AND THEN WE HAVE THE PHYSICIANS 1323 00:35:47,178 --> 00:35:47,912 THAT COMMUNITY BACK AND FORTH. 1324 00:35:47,912 --> 00:35:52,817 WE ACTUALLY JUST MET WITH SOME 1325 00:35:52,817 --> 00:35:55,753 OF THE COMMUNITY BOARDSES WITH 1326 00:35:55,753 --> 00:35:56,854 IT, AND WANTING TO MAKE SURE 1327 00:35:56,854 --> 00:35:57,955 THAT WE DIDN'T JUST LOOK AT THE 1328 00:35:57,955 --> 00:35:59,824 EMERGENCY ROOM FOR DISASTER 1329 00:35:59,824 --> 00:36:00,992 PLANNING BUT LOOKED AT THE 1330 00:36:00,992 --> 00:36:01,759 URGENT CARES AS WELL. 1331 00:36:01,759 --> 00:36:03,227 WE ARE STARTING TO DO A LOT MORE 1332 00:36:03,227 --> 00:36:05,796 COMMUNITY AWARENESS, COMMUNITY 1333 00:36:05,796 --> 00:36:06,797 BENEFIT, COMMUNITY RELATIONSHIPS 1334 00:36:06,797 --> 00:36:08,900 TO MAKE SURE THAT WE ARE MEETING 1335 00:36:08,900 --> 00:36:12,503 THE NEED OF THE AREA. 1336 00:36:12,503 --> 00:36:13,905 SO BEING NEW IN TOWN, I FEEL 1337 00:36:13,905 --> 00:36:15,806 LIKE WE ARE DOING QUITE A BIT TO 1338 00:36:15,806 --> 00:36:18,209 START TO BUILD THOSE 1339 00:36:18,209 --> 00:36:20,111 RELATIONSHIPS AND COMMUNITY WITH 1340 00:36:20,111 --> 00:36:22,713 ALL -- COMMUNICATE WITH ALL THE 1341 00:36:22,713 --> 00:36:23,481 DIFFERENT ENTITIES. 1342 00:36:23,481 --> 00:36:24,815 IT STARTS WITH E. 1343 00:36:24,815 --> 00:36:26,417 M.S. AND THEN THEY GO TO THE 1344 00:36:26,417 --> 00:36:30,188 E.R. OR IT START STARTS WITH THE 1345 00:36:30,188 --> 00:36:31,722 URGENT CARE AND THEN E.M.S. TO 1346 00:36:31,722 --> 00:36:32,890 GET THEM TO THE HOSPITAL. 1347 00:36:32,890 --> 00:36:34,225 >> ALL THE PIECES HAVE TO FIT 1348 00:36:34,225 --> 00:36:34,592 TOGETHER. 1349 00:36:34,592 --> 00:36:35,526 >> WE CAN'T DO IT ALONE. 1350 00:36:35,526 --> 00:36:37,695 WE CAN'T DO IT IN A SILO. 1351 00:36:37,695 --> 00:36:38,930 FOR THE BEST PATIENT CARE AND TO 1352 00:36:38,930 --> 00:36:40,031 MAKE THE TIME SMALLER FOR HIKE 1353 00:36:40,031 --> 00:36:41,799 THE CALLER WHO HAD THE LONG 1354 00:36:41,799 --> 00:36:43,201 WAIT, WE ARE TRYING TO REALLY 1355 00:36:43,201 --> 00:36:44,702 STREAMLINE IT AND LIKE DAN SAID, 1356 00:36:44,702 --> 00:36:46,304 HAVE THE PATIENTS GO TO THE 1357 00:36:46,304 --> 00:36:48,206 RIGHT LEVEL OF CARE, TO GET IT 1358 00:36:48,206 --> 00:36:49,507 INTO FASTER. 1359 00:36:49,507 --> 00:36:50,608 >> MM-HMM AND ALSO BE PREPARED 1360 00:36:50,608 --> 00:36:53,411 IF WE WERE TO HAVE SOME SORT OF 1361 00:36:53,411 --> 00:36:54,011 LARGE-SCALE DISASTER. 1362 00:36:54,011 --> 00:36:55,613 I KNOW THERE'S A LOT OF 1363 00:36:55,613 --> 00:36:57,114 READINESS DRILLS THAT SPOKANE 1364 00:36:57,114 --> 00:36:59,217 DOES, ALONG WITH FIRE AND THE 1365 00:36:59,217 --> 00:37:00,184 FACILITIES THAT WE PROVIDE, AND 1366 00:37:00,184 --> 00:37:02,587 TO BE READY FOR A SITUATION 1367 00:37:02,587 --> 00:37:03,854 SHOULD SOMETHING COME UP. 1368 00:37:03,854 --> 00:37:04,288 >> MM-HMM. 1369 00:37:04,288 --> 00:37:06,657 HOW OFTEN DO YOU DO THOSE? 1370 00:37:06,657 --> 00:37:08,859 >> WITH THE EBOLA SCARE, WE HAD 1371 00:37:08,859 --> 00:37:09,860 THEM PRETTY REGULARLY. 1372 00:37:09,860 --> 00:37:10,361 YEAH. 1373 00:37:10,361 --> 00:37:11,896 THAT WAS PROBABLY THE MOST 1374 00:37:11,896 --> 00:37:13,264 RECENT WITH THE INFLUENZA SEASON 1375 00:37:13,264 --> 00:37:13,931 THAT WE HAD. 1376 00:37:13,931 --> 00:37:15,433 WE HAD SOME DRILLING THERE. 1377 00:37:15,433 --> 00:37:17,335 BUT DISASTER PREPAREDNESS 1378 00:37:17,335 --> 00:37:18,736 COURSES ARE PRETTY ROUTINE 1379 00:37:18,736 --> 00:37:19,570 THROUGH EMERGENCY DEPARTMENTS. 1380 00:37:19,570 --> 00:37:22,039 WE WORK CLOSELY WITH THE E.M.S. 1381 00:37:22,039 --> 00:37:23,107 COMMUNITY, ORGANIZING THOSE 1382 00:37:23,107 --> 00:37:24,242 DRILLS AS WELL, BECAUSE YOU ARE 1383 00:37:24,242 --> 00:37:25,009 KIND OF IT. 1384 00:37:25,009 --> 00:37:26,244 YOU HAVE SOMEONE THAT COMES IN 1385 00:37:26,244 --> 00:37:28,012 AND THEY HAVE BEEN EXPOSED TO A 1386 00:37:28,012 --> 00:37:29,680 CHEMICAL OR THEY HAVE AN 1387 00:37:29,680 --> 00:37:30,948 INFECTIOUS EXPOSURE, THAT'S 1388 00:37:30,948 --> 00:37:33,217 WHERE THEY ARE GOING THROUGH IS 1389 00:37:33,217 --> 00:37:34,018 THE EMERGENCY DEPARTMENT AND 1390 00:37:34,018 --> 00:37:34,819 TRYING TO MAKE SURE THAT 1391 00:37:34,819 --> 00:37:39,056 PEOPLE THAT THEY ARE NOT WALKING 1392 00:37:39,056 --> 00:37:40,725 THROUGH A WAITING ROOM FULL OF 1393 00:37:40,725 --> 00:37:41,025 FOLKS. 1394 00:37:41,025 --> 00:37:42,326 >> YOU HAVE TO BE READY FOR JUST 1395 00:37:42,326 --> 00:37:44,262 ABOUT ANYTHING. 1396 00:37:44,262 --> 00:37:45,029 >> DECONTAMINATION ROOMS AND A 1397 00:37:45,029 --> 00:37:46,130 SPECIAL WAY TO TRIAGE. 1398 00:37:46,130 --> 00:37:48,532 YES, WE DO THAT QUITE REGULARLY. 1399 00:37:48,532 --> 00:37:49,333 >> LET'S TAKE ANOTHER PHONE 1400 00:37:49,333 --> 00:37:49,634 CALL. 1401 00:37:49,634 --> 00:37:50,101 WE HAVE DAN. 1402 00:37:50,101 --> 00:37:51,702 GOOD EVENING, DAN. 1403 00:37:51,702 --> 00:37:52,536 >> Caller: GOOD EVENING. 1404 00:37:52,536 --> 00:37:54,472 THANK YOU FOR TAKING MY CALL. 1405 00:37:54,472 --> 00:37:55,740 >> WELL, THANK YOU FOR WAITING. 1406 00:37:55,740 --> 00:37:56,507 >> Caller: I HAVE A QUESTION 1407 00:37:56,507 --> 00:37:58,142 ABOUT THE CONSISTENT CARE 1408 00:37:58,142 --> 00:38:01,946 PROGRAM AND HOW THE EMERGENCY 1409 00:38:01,946 --> 00:38:03,414 ROOMS IN THE STATE OF WASHINGTON 1410 00:38:03,414 --> 00:38:05,683 JUST ABOUT ALL OF THEM, ARE 1411 00:38:05,683 --> 00:38:08,419 GOING TO THE CONSISTENT CARE 1412 00:38:08,419 --> 00:38:08,753 PROGRAM. 1413 00:38:08,753 --> 00:38:10,821 HOW DO THEY GET AWAY WITH THE 1414 00:38:10,821 --> 00:38:12,023 LIFETIME OF PROFILING THE SICK 1415 00:38:12,023 --> 00:38:14,692 AND THE DISABLED, A LIFETIME 1416 00:38:14,692 --> 00:38:16,894 SENSE THAT CAN NEVER BE REMOVED, 1417 00:38:16,894 --> 00:38:19,297 AND THAT DISCRIMINATES AGAINST 1418 00:38:19,297 --> 00:38:24,402 THE DISABLED THAT HAVE CHRONIC 1419 00:38:24,402 --> 00:38:25,803 PROBLEMS AND NEED THE EMERGENCY 1420 00:38:25,803 --> 00:38:26,771 ROOM ON A REGULAR BASIS. 1421 00:38:26,771 --> 00:38:29,607 I WANT TO KNOW WHAT YOUR 1422 00:38:29,607 --> 00:38:32,310 FEELINGS ARE ABOUT THAT AND HOW 1423 00:38:32,310 --> 00:38:35,313 I GO ABOUT GETTING MYSELF OFF 1424 00:38:35,313 --> 00:38:39,984 THE CONSISTENT CARE LIST. 1425 00:38:39,984 --> 00:38:41,018 >> I'M NOT FAMILIAR WITH THE 1426 00:38:41,018 --> 00:38:41,352 PROGRAM. 1427 00:38:41,352 --> 00:38:42,153 >> I CAN -- I'M VERY FAMILIAR 1428 00:38:42,153 --> 00:38:42,586 WITH IT. 1429 00:38:42,586 --> 00:38:44,789 SO THE CONSISTENT CARE PROGRAM, 1430 00:38:44,789 --> 00:38:46,190 WHEN WE LOOK AT THE AMOUNT OF 1431 00:38:46,190 --> 00:38:47,591 MONEY WE HAVE TO DELIVER 1432 00:38:47,591 --> 00:38:49,293 HEALTHCARE ACROSS THE COUNTRY, 1433 00:38:49,293 --> 00:38:50,695 IT'S NOT GETTING ANY BIGGER AND 1434 00:38:50,695 --> 00:38:52,797 WE HAVE MORE PATIENTS AND 1435 00:38:52,797 --> 00:38:54,231 EXPANDING WAX WE HAVE DONE IS WE 1436 00:38:54,231 --> 00:38:55,900 HAVE IDENTIFIED PEOPLE WHO ARE 1437 00:38:55,900 --> 00:38:57,401 FREQUENT UTILIZERS OF EMERGENCY 1438 00:38:57,401 --> 00:38:58,402 SERVICES, AND WHEN WE IDENTIFY 1439 00:38:58,402 --> 00:38:59,537 THOSE PEOPLE, WE GO THROUGH 1440 00:38:59,537 --> 00:39:01,605 THEIR VISITS, DO A CASE REVIEW 1441 00:39:01,605 --> 00:39:02,573 WITH TWO PHYSICIANS. 1442 00:39:02,573 --> 00:39:04,275 USUALLY THE PRIMARY CARE 1443 00:39:04,275 --> 00:39:06,077 PHYSICIAN OF THAT PATIENT AND 1444 00:39:06,077 --> 00:39:07,978 SEE IF THEY ARE APPROPRIATE USES 1445 00:39:07,978 --> 00:39:11,816 OF EMERGENCY DEPARTMENT. 1446 00:39:11,816 --> 00:39:13,351 THE AVERAGE BILL IS $1,200. 1447 00:39:13,351 --> 00:39:16,587 SO EVERY TIME, A $1,200 BILL IS 1448 00:39:16,587 --> 00:39:16,987 ENGENDERED. 1449 00:39:16,987 --> 00:39:20,057 IT'S NOT DESIGNED TO KEEP THOSE 1450 00:39:20,057 --> 00:39:22,360 PEOPLE OUT OF THE EMERGENCY 1451 00:39:22,360 --> 00:39:22,760 DEPARTMENT. 1452 00:39:22,760 --> 00:39:24,562 IF THEY HAVE AN ISSUE THAT WE 1453 00:39:24,562 --> 00:39:29,266 FEEL REQUIRES EMERGENCY ROOM. 1454 00:39:29,266 --> 00:39:30,768 THE CONSISTENT CARE HAS CREATED 1455 00:39:30,768 --> 00:39:32,370 A RESOURCE FOR PATIENTS THAT ARE 1456 00:39:32,370 --> 00:39:34,372 IDENTIFIED AS HIGH UTILIZERS TO 1457 00:39:34,372 --> 00:39:35,840 GET CARE THROUGH THEIR PRIMARY 1458 00:39:35,840 --> 00:39:36,507 CARE PHYSICIANS. 1459 00:39:36,507 --> 00:39:38,809 A LOT OF IT WAS DONE TO CRACK 1460 00:39:38,809 --> 00:39:39,510 DOWN ON NARCOTIC PRESCRIPTIONS 1461 00:39:39,510 --> 00:39:40,378 ACROSS THE STREET. 1462 00:39:40,378 --> 00:39:41,479 SPOKANE COUNTY HAS ONE OF THE 1463 00:39:41,479 --> 00:39:43,481 HIGHEST DEATH RATES SECONDARY TO 1464 00:39:43,481 --> 00:39:44,448 OVERDOSE FROM PRESCRIPTION 1465 00:39:44,448 --> 00:39:45,883 NARCOTICS ANYWHERE IN THE 1466 00:39:45,883 --> 00:39:46,217 COUNTRY. 1467 00:39:46,217 --> 00:39:47,451 AND SO WHAT WE FOUND IS THAT 1468 00:39:47,451 --> 00:39:48,886 PEOPLE WE ARE GOING TO E.R.s 1469 00:39:48,886 --> 00:39:50,488 TO OBTAIN THESE PRESCRIPTIONS, 1470 00:39:50,488 --> 00:39:52,556 SELLING THEM ON THE STREET, AND 1471 00:39:52,556 --> 00:39:57,161 THIS PROGRAM STARTED DARIN 1472 00:39:57,161 --> 00:39:58,863 NEVEN, WORKING WITH SOME PEOPLE 1473 00:39:58,863 --> 00:40:00,664 IN OLYMPIA AND GOT THIS PROGRAM 1474 00:40:00,664 --> 00:40:01,465 UP AND RUNNING. 1475 00:40:01,465 --> 00:40:03,868 WE IDENTIFIED PEOPLE WHO WERE 1476 00:40:03,868 --> 00:40:05,803 USING THE EMERGENCY DEPARTMENT 1477 00:40:05,803 --> 00:40:06,670 60 TIMES A YEAR. 1478 00:40:06,670 --> 00:40:09,106 DO THE MATH, 60 TIMES A YEAR AT 1479 00:40:09,106 --> 00:40:10,775 $1,200 FOR THE MINIMAL COST. 1480 00:40:10,775 --> 00:40:13,677 IT WASN'T FAIR TO THE SYSTEM. 1481 00:40:13,677 --> 00:40:15,246 WHEN WE GET THE CONSISTENT CARE, 1482 00:40:15,246 --> 00:40:16,480 WE GET THEM ENROLLED. 1483 00:40:16,480 --> 00:40:18,482 FOR THE GENTLEMAN'S QUESTION, I 1484 00:40:18,482 --> 00:40:19,784 FEEL TERRIBLE THAT HE FEELS LIKE 1485 00:40:19,784 --> 00:40:21,185 HE WAS DISCRIMINATED AGAINST BUT 1486 00:40:21,185 --> 00:40:22,586 WE WANT YOU TO HAVE ACCESS TO 1487 00:40:22,586 --> 00:40:24,188 THE CARE THAT YOU NEED THAT IS, 1488 00:40:24,188 --> 00:40:25,689 ONE, COST EFFECTIVE AND TWO, 1489 00:40:25,689 --> 00:40:26,991 VERY HIGH QUALITY CARE AND IF 1490 00:40:26,991 --> 00:40:32,463 YOU DO HAVE AN EMERGENT 1491 00:40:32,463 --> 00:40:32,830 COMPLAINT. 1492 00:40:32,830 --> 00:40:33,898 COME TO THE E.R. 1493 00:40:33,898 --> 00:40:36,767 IF WE FEEL IT DOESN'T FEEL LIKE 1494 00:40:36,767 --> 00:40:38,369 YOU REQUIRE EMERGENT CARE, WE 1495 00:40:38,369 --> 00:40:39,870 WILL GET YOU SEEN AT 8:00 IN THE 1496 00:40:39,870 --> 00:40:40,371 MORNING. 1497 00:40:40,371 --> 00:40:41,505 WE HAVE SOCIAL WORKERS THAT HELP 1498 00:40:41,505 --> 00:40:42,673 OUT WITH THESE FOLKS. 1499 00:40:42,673 --> 00:40:44,175 THAT'S A DRIFT OF MEDICINE IN 1500 00:40:44,175 --> 00:40:45,075 GENERAL AND WE HAVE SO MANY 1501 00:40:45,075 --> 00:40:46,477 DIFFERENT ISSUES THAT WE DEAL 1502 00:40:46,477 --> 00:40:47,678 WITH IN OUR COMMUNITY THAT 1503 00:40:47,678 --> 00:40:48,312 FUNNEL INTO THE EMERGENCY 1504 00:40:48,312 --> 00:40:49,480 DEPARTMENT BECAUSE IT'S THE ONLY 1505 00:40:49,480 --> 00:40:50,548 PLACE OPEN AT 3 A.M. 1506 00:40:50,548 --> 00:40:55,486 SO WE HAVE BEEN CREATING 1507 00:40:55,486 --> 00:40:56,587 ALLIANCES WITH THE COMMUNITY 1508 00:40:56,587 --> 00:40:57,855 DETOX AND MENTAL HEALTH 1509 00:40:57,855 --> 00:40:59,256 FACILITIES SO WE CAN EXPEDITE 1510 00:40:59,256 --> 00:41:00,491 PEOPLE WHO HAVE MENTAL HEALTH 1511 00:41:00,491 --> 00:41:00,791 CARE. 1512 00:41:00,791 --> 00:41:03,093 AND THAT'S THE GAME OF MEDICINE 1513 00:41:03,093 --> 00:41:03,994 UNFORTUNATELY AND THIS 1514 00:41:03,994 --> 00:41:05,396 GENTLEMEN'S ISSUE THAT WE ARE 1515 00:41:05,396 --> 00:41:07,498 TRYING TO BE CREATIVE IN HOW DO 1516 00:41:07,498 --> 00:41:08,999 WE PROVIDE HIGH QUALITY CARE 1517 00:41:08,999 --> 00:41:10,634 THAT IS MORE ON PAR WITH WHAT 1518 00:41:10,634 --> 00:41:11,735 THE REST OF THE WORLD IS 1519 00:41:11,735 --> 00:41:12,102 SPENDING. 1520 00:41:12,102 --> 00:41:13,871 >> CAN HE GET OFF THE LIST ONCE 1521 00:41:13,871 --> 00:41:15,706 HE'S BEEN PUT ON THE LIST? 1522 00:41:15,706 --> 00:41:16,240 >> YES, YOU CAN. 1523 00:41:16,240 --> 00:41:17,374 >> DO YOU ASK TO BE TAKEN OFF A 1524 00:41:17,374 --> 00:41:17,675 LIST? 1525 00:41:17,675 --> 00:41:18,375 HOW DOES THAT -- 1526 00:41:18,375 --> 00:41:20,411 >> WHAT IS THE PROCEDURE? 1527 00:41:20,411 --> 00:41:26,016 >> IT TAKES ALMOST AS MUCH TIME 1528 00:41:26,016 --> 00:41:29,653 AND COMMUNICATION WITH THE 1529 00:41:29,653 --> 00:41:30,988 PHYSICIAN, AND THE HOSPITAL. 1530 00:41:30,988 --> 00:41:32,857 IT IS A VERY EXTENSIVE PROCESS. 1531 00:41:32,857 --> 00:41:34,692 IT INVOLVES CASE MANAGEMENT. 1532 00:41:34,692 --> 00:41:37,495 WE HAVE CASE MANAGERS AT OUR 1533 00:41:37,495 --> 00:41:38,696 HOSPITAL AS WELL AS I'M SURE 1534 00:41:38,696 --> 00:41:39,597 PROVIDENCE, THAT WORK ON THAT 1535 00:41:39,597 --> 00:41:41,499 WITH US, WITH ALL THE PATIENTS 1536 00:41:41,499 --> 00:41:43,100 THAT ARE ON THIS PROGRAM. 1537 00:41:43,100 --> 00:41:44,502 BECAUSE IT IS SO EXTENSIVE. 1538 00:41:44,502 --> 00:41:46,804 BECAUSE IT'S TAKEN VERY 1539 00:41:46,804 --> 00:41:47,171 SERIOUSLY. 1540 00:41:47,171 --> 00:41:48,706 IT'S SOMETHING THAT'S NOT TAKEN 1541 00:41:48,706 --> 00:41:49,039 LIGHTLY. 1542 00:41:49,039 --> 00:41:50,508 IT'S NOT SOMETHING THAT SOMEONE 1543 00:41:50,508 --> 00:41:52,209 COMES IN FIVE TIMES AND IT GETS 1544 00:41:52,209 --> 00:41:52,810 TURNED ON. 1545 00:41:52,810 --> 00:41:53,978 IT DOESN'T HAPPEN THAT EASILY. 1546 00:41:53,978 --> 00:41:55,079 YOU CAN GET OFF THE LIST. 1547 00:41:55,079 --> 00:41:56,013 IT JUST TAKES WORK. 1548 00:41:56,013 --> 00:41:57,181 IT TAKES A LITTLE EFFORT. 1549 00:41:57,181 --> 00:41:58,415 >> AND THE STATE TRACKS IT. 1550 00:41:58,415 --> 00:42:01,285 SO THERE'S A -- THE E.D., THE 1551 00:42:01,285 --> 00:42:03,454 EMERGENCY DEPARTMENT INFORMATION 1552 00:42:03,454 --> 00:42:04,221 EXCHANGE WILL TRACK VISITS 1553 00:42:04,221 --> 00:42:04,855 THROUGHOUT THE STATE. 1554 00:42:04,855 --> 00:42:06,056 SO WHEN I HAVE A PATIENT THAT 1555 00:42:06,056 --> 00:42:08,058 SHOWS UP, I GET A FAX FROM E.D. 1556 00:42:08,058 --> 00:42:09,159 THAT SAYS THIS PATIENT HAS BEEN 1557 00:42:09,159 --> 00:42:10,895 SEEN IN NINE DIFFERENT E.R.s 1558 00:42:10,895 --> 00:42:12,062 ACROSS THE STATE IN THE LAST 1559 00:42:12,062 --> 00:42:13,163 THREE MONTHS AND WHAT WE ARE 1560 00:42:13,163 --> 00:42:15,666 LINKING RIGHT NOW TO THESE E.D. 1561 00:42:15,666 --> 00:42:16,667 FAXES ARE ACCESS TO THE 1562 00:42:16,667 --> 00:42:18,669 WASHINGTON STATE PRESCRIPTION 1563 00:42:18,669 --> 00:42:19,436 MONITORING PROGRAM. 1564 00:42:19,436 --> 00:42:21,005 WE WILL KNOW IN A PATIENT HAS 1565 00:42:21,005 --> 00:42:22,506 BEEN PRESCRIBED NARCOTICS IN 1566 00:42:22,506 --> 00:42:25,509 OLYMPIA OR KENNEWICK, AND SO THE 1567 00:42:25,509 --> 00:42:27,144 CONSISTENT CARE PROGRAM, IT 1568 00:42:27,144 --> 00:42:31,181 SHOULDN'T HAVE A DEROGATORY 1569 00:42:31,181 --> 00:42:31,582 CONNOTATION. 1570 00:42:31,582 --> 00:42:33,250 IT'S A GOOD PROGRAM FOR PATIENTS 1571 00:42:33,250 --> 00:42:34,785 WOULD REQUIRE HIGHER LEVEL OR 1572 00:42:34,785 --> 00:42:35,786 MORE FREQUENT LEVELS OF CARE. 1573 00:42:35,786 --> 00:42:37,454 I DON'T KNOW IF THERE'S TRULY A 1574 00:42:37,454 --> 00:42:38,455 WAY TO GET OUT OF IT. 1575 00:42:38,455 --> 00:42:40,658 IT'S NOT DESIGNED TO 1576 00:42:40,658 --> 00:42:41,091 DISCRIMINATE. 1577 00:42:41,091 --> 00:42:42,760 IT'S TO CREATE AN EXTRA LEVEL OF 1578 00:42:42,760 --> 00:42:44,161 NETWORK FOR THAT PATIENT TO GET 1579 00:42:44,161 --> 00:42:44,995 CARE EXPEDITED. 1580 00:42:44,995 --> 00:42:46,964 IF THEY DON'T NEED IT AT 2 A.M., 1581 00:42:46,964 --> 00:42:48,465 THEN WE WILL GET IT FOR THEM 1582 00:42:48,465 --> 00:42:49,066 LATER THAT DAY. 1583 00:42:49,066 --> 00:42:50,467 >> I THINK ONE OF THE THINGS WE 1584 00:42:50,467 --> 00:42:52,369 TALKED SO MUCH TODAY ABOUT THE 1585 00:42:52,369 --> 00:42:53,671 RIGHT CARE AT THE RIGHT 1586 00:42:53,671 --> 00:42:54,038 LOCATION. 1587 00:42:54,038 --> 00:42:56,140 AND THIS IS JUST BEFORE THAT. 1588 00:42:56,140 --> 00:42:58,175 SO THIS IS THE RIGHT CARE IN 1589 00:42:58,175 --> 00:42:59,176 PRIMARY CARE. 1590 00:42:59,176 --> 00:43:03,147 AND SO IF YOU HAVE PULMONARY 1591 00:43:03,147 --> 00:43:04,848 DISEASE OR HEART DISEASE OR 1592 00:43:04,848 --> 00:43:07,518 DIABETES, YOU KNOW, 9 -- THE 1593 00:43:07,518 --> 00:43:10,054 E.R. OR THE URGENT CARE, YOU 1594 00:43:10,054 --> 00:43:11,922 KNOW, THEIR PURPOSE IS FOR THOSE 1595 00:43:11,922 --> 00:43:13,223 LIFE THREATENING DISEASES OR 1596 00:43:13,223 --> 00:43:15,826 LIFE THREATENING ISSUES, AND WE 1597 00:43:15,826 --> 00:43:20,230 WANT YOUR CHRONIC ILLNESS, YOUR 1598 00:43:20,230 --> 00:43:22,633 ASTHMA, PULMONARY ISSUES, HEART 1599 00:43:22,633 --> 00:43:23,834 FAILURE, WE WANT THEM DONE IN 1600 00:43:23,834 --> 00:43:25,035 THE PRIMARY CARE FOR YOUR DOC 1601 00:43:25,035 --> 00:43:26,537 AND YOUR TEAM TO KNOW WHAT YOUR 1602 00:43:26,537 --> 00:43:28,038 MEDICINES ARE, WHAT DID WE DO 1603 00:43:28,038 --> 00:43:28,339 LAST. 1604 00:43:28,339 --> 00:43:28,839 IT DIDN'T WORK. 1605 00:43:28,839 --> 00:43:29,740 SO LET'S TRY THIS. 1606 00:43:29,740 --> 00:43:32,142 IF WE -- IF WE E.R. SHOP, THEN 1607 00:43:32,142 --> 00:43:34,244 WE DON'T HAVE THAT HISTORY. 1608 00:43:34,244 --> 00:43:35,746 AND SO THE BEST THING FOR THE 1609 00:43:35,746 --> 00:43:37,948 PATIENT IS TO HAVE THAT PRIMARY 1610 00:43:37,948 --> 00:43:40,317 CARE PROVIDER AND ACROSS THE 1611 00:43:40,317 --> 00:43:42,419 COUNTRY, THEY HAVE THE PATIENT 1612 00:43:42,419 --> 00:43:43,220 CENTERED MEDICAL HOME AND THE 1613 00:43:43,220 --> 00:43:45,222 IDEA IS THAT YOU HAVE A MEDICAL 1614 00:43:45,222 --> 00:43:46,624 HOME AND THEN YOU GO TO THE 1615 00:43:46,624 --> 00:43:47,625 RIGHT CARE AT THE RIGHT TIME FOR 1616 00:43:47,625 --> 00:43:48,359 THE RIGHT THING. 1617 00:43:48,359 --> 00:43:49,526 AND SO I THINK THAT'S A LITTLE 1618 00:43:49,526 --> 00:43:50,828 BIT OF WHAT WE ARE TALKING AND 1619 00:43:50,828 --> 00:43:52,429 THAT'S WHAT THAT PROGRAM DOES. 1620 00:43:52,429 --> 00:43:54,932 IT SAYS, THE RIGHT PLACE FOR THE 1621 00:43:54,932 --> 00:43:56,433 RIGHT CARE AT THE RIGHT TIME. 1622 00:43:56,433 --> 00:43:58,035 >> VERY WELL SAID. 1623 00:43:58,035 --> 00:43:59,536 LET'S TAKE ANOTHER PHONE CALL. 1624 00:43:59,536 --> 00:44:01,639 DON FROM CALGARY, GOOD EVENING, 1625 00:44:01,639 --> 00:44:01,905 DON. 1626 00:44:01,905 --> 00:44:02,606 >> Caller: GOOD EVENING. 1627 00:44:02,606 --> 00:44:04,708 THANK YOU FOR TAKING MY CALL. 1628 00:44:04,708 --> 00:44:06,010 I JUST HAVE A GENERAL QUESTION 1629 00:44:06,010 --> 00:44:06,744 FOR YOUR PANEL. 1630 00:44:06,744 --> 00:44:07,845 I WONDERED WHAT THEY THOUGHT OF 1631 00:44:07,845 --> 00:44:12,116 THE CONCEPT OF PATIENTS OF A 1632 00:44:12,116 --> 00:44:16,353 CERTAIN AGE GROUP GOING TO BABY 1633 00:44:16,353 --> 00:44:17,788 ASPIRIN IN THEIR POCKET AND IF 1634 00:44:17,788 --> 00:44:21,492 THEY HAVE CHEST PAIN TO TAKE IT. 1635 00:44:21,492 --> 00:44:23,227 IT MIGHT SAVE THEIR LIFE. 1636 00:44:23,227 --> 00:44:23,727 >> ALL RIGHT. 1637 00:44:23,727 --> 00:44:25,696 THANK YOU, DON. 1638 00:44:25,696 --> 00:44:26,196 >> ABSOLUTELY. 1639 00:44:26,196 --> 00:44:27,331 SO ONE OF THE THINGS THAT WE DO 1640 00:44:27,331 --> 00:44:30,734 HERE IN SPOKANE IS OUR 911 1641 00:44:30,734 --> 00:44:32,169 DISPATCHERS ARE TRAINED TO GIVE 1642 00:44:32,169 --> 00:44:33,971 SOME OVER-THE-PHONE INSTRUCTIONS 1643 00:44:33,971 --> 00:44:35,673 AND THAT'S ONE OF THE THINGS 1644 00:44:35,673 --> 00:44:36,507 THAT'S BEING DONE IS THE 1645 00:44:36,507 --> 00:44:38,242 POSSIBILITY OF ASKING THE RIGHT 1646 00:44:38,242 --> 00:44:39,410 QUESTIONS WHEN THE CALLER 1647 00:44:39,410 --> 00:44:41,145 REPORTS THAT SO AND SO IS HAVING 1648 00:44:41,145 --> 00:44:43,013 CHEST PAIN OR WHATEVER THEIR 1649 00:44:43,013 --> 00:44:43,714 COMPLAINT MIGHT BE. 1650 00:44:43,714 --> 00:44:45,115 WHAT THEY THEN DO IS ASK A 1651 00:44:45,115 --> 00:44:46,216 SERIES OF QUESTIONS AND THEN IF 1652 00:44:46,216 --> 00:44:47,818 THEY DO HAVE THAT ASPIRIN 1653 00:44:47,818 --> 00:44:49,820 AVAILABLE IN THEIR HOME, GIVING 1654 00:44:49,820 --> 00:44:50,421 THEM THE ASPIRIN. 1655 00:44:50,421 --> 00:44:52,289 THEY TEACH CPR GUIDELINES OVER 1656 00:44:52,289 --> 00:44:53,057 THE PHONE. 1657 00:44:53,057 --> 00:44:54,992 THERE'S WAYS OF, YOU KNOW IS 1658 00:44:54,992 --> 00:44:56,326 THERE EPINEPHRINE IN THE 1659 00:44:56,326 --> 00:44:58,896 HOUSE/DO THEY HAVE KNOWN 1660 00:44:58,896 --> 00:44:59,263 ALLERGIES? 1661 00:44:59,263 --> 00:45:00,831 SO OUR DISPATCHERS ARE 1662 00:45:00,831 --> 00:45:02,533 ADDRESSING THAT TO HOPEFULLY 1663 00:45:02,533 --> 00:45:03,567 PROVIDE FOR SOME BETTER CARE 1664 00:45:03,567 --> 00:45:05,269 BEFORE IT TAKES US TIME TO GET 1665 00:45:05,269 --> 00:45:05,969 THERE. 1666 00:45:05,969 --> 00:45:07,805 AND SO, I KNOW ONE OF THE THINGS 1667 00:45:07,805 --> 00:45:08,539 THE AMERICAN HEART ASSOCIATION 1668 00:45:08,539 --> 00:45:11,341 IS PUSHING IS FOR THE USE OF 1669 00:45:11,341 --> 00:45:12,476 ASPIRIN WHEN IT COMES TO 1670 00:45:12,476 --> 00:45:14,978 CARBACK. 1671 00:45:14,978 --> 00:45:15,679 CARDIACS. 1672 00:45:15,679 --> 00:45:17,281 YOU SEE THE COMMERCIALS AND THE 1673 00:45:17,281 --> 00:45:17,581 BEAR. 1674 00:45:17,581 --> 00:45:18,749 I THINK IT IS A GOOD TOOL, AS 1675 00:45:18,749 --> 00:45:20,984 LONG AS THERE'S DEFINITELY SOME 1676 00:45:20,984 --> 00:45:21,952 INSTANCES WHERE YOU WOULDN'T 1677 00:45:21,952 --> 00:45:23,187 WANT TO GIVE THAT ASPIRIN. 1678 00:45:23,187 --> 00:45:24,688 FOR THE MOST PART, I THINK IF 1679 00:45:24,688 --> 00:45:25,789 IT'S DEEMED UNDER THOSE 1680 00:45:25,789 --> 00:45:26,690 CIRCUMSTANCES THAT'S ABSOLUTELY 1681 00:45:26,690 --> 00:45:27,491 A GOOD IDEA. 1682 00:45:27,491 --> 00:45:28,492 >> THAT'S SO FASCINATING. 1683 00:45:28,492 --> 00:45:31,462 WHAT OTHER TYPES OF MAYBE BASIC 1684 00:45:31,462 --> 00:45:33,097 FIRST AID DO YOU ADVISE PEOPLE 1685 00:45:33,097 --> 00:45:34,798 TO KNOW ABOUT, SAY, AND WE ARE 1686 00:45:34,798 --> 00:45:37,067 COMING UP ON THE SUMMER MONTHS. 1687 00:45:37,067 --> 00:45:38,602 WE TALKED A LITTLE BIT ABOUT 1688 00:45:38,602 --> 00:45:40,504 THIS BEFORE THE SHOW STARTED 1689 00:45:40,504 --> 00:45:41,338 TONIGHT, BUT, FOR INSTANCE, HOW 1690 00:45:41,338 --> 00:45:44,074 DO I KNOW IF MY CHILD HAS A 1691 00:45:44,074 --> 00:45:44,441 FRACTURE? 1692 00:45:44,441 --> 00:45:45,709 AND YOU KNOW, SOME OF THOSE 1693 00:45:45,709 --> 00:45:47,177 THINGS, BEE STINGS ARE GOING TO 1694 00:45:47,177 --> 00:45:48,479 BECOME PROMINENT. 1695 00:45:48,479 --> 00:45:50,280 TICK BITES, THOSE SORTS OF 1696 00:45:50,280 --> 00:45:50,681 THINGS. 1697 00:45:50,681 --> 00:45:52,783 WHAT CAN WE ARM OURSELVES WITH 1698 00:45:52,783 --> 00:45:53,984 BEFORE WE MAKE THE PHONE CALL OR 1699 00:45:53,984 --> 00:45:55,185 WHILE WE ARE MAKING THE PHONE 1700 00:45:55,185 --> 00:45:56,386 CALL AND BEFORE EMERGENCY TEAMS 1701 00:45:56,386 --> 00:45:56,887 GET THERE? 1702 00:45:56,887 --> 00:45:57,888 >> I THINK THE BEST THING IS 1703 00:45:57,888 --> 00:45:59,189 MOST OF THOSE FIRST AID KITS 1704 00:45:59,189 --> 00:46:01,091 THAT YOU WOULD GET AT WALMART, 1705 00:46:01,091 --> 00:46:02,526 YOU KNOW, IT'S ONE OF THOSE YOU 1706 00:46:02,526 --> 00:46:04,828 GET WHAT YOU PAY FOR SO IF IT'S 1707 00:46:04,828 --> 00:46:08,665 A $5 OR $6 FIRST AID KIT, IT 1708 00:46:08,665 --> 00:46:10,234 WILL HAVE BAND-AID AND GAUZE. 1709 00:46:10,234 --> 00:46:11,668 THE MORE YOU SPEND ON THE FIRST 1710 00:46:11,668 --> 00:46:14,571 AID, YOU WILL GET SOME DIFFERENT 1711 00:46:14,571 --> 00:46:15,472 SPLINTS OR A BEE STING KIT AND 1712 00:46:15,472 --> 00:46:16,507 SOME OF THOSE THINGS. 1713 00:46:16,507 --> 00:46:17,941 ONE OF THE BIG THINGS WE PUSH 1714 00:46:17,941 --> 00:46:22,546 FOR IS JUST THE EDUCATION SIDE. 1715 00:46:22,546 --> 00:46:24,648 INHS TEACHES FIRST AID AND CPR 1716 00:46:24,648 --> 00:46:26,350 THAT COMBINES THE TWO CLASSES 1717 00:46:26,350 --> 00:46:27,451 AND TEACHES VERY, VERY BASIC 1718 00:46:27,451 --> 00:46:28,952 FIRST AID MANEUVERS WHETHER IT'S 1719 00:46:28,952 --> 00:46:31,155 USING A MAGAZINE TO SPLINT A 1720 00:46:31,155 --> 00:46:32,456 POSSIBLE BROKEN ARM OR LEG. 1721 00:46:32,456 --> 00:46:35,058 WE TALK ABOUT TOURNIQUET USE 1722 00:46:35,058 --> 00:46:36,260 THAT'S BIG IN EMERGENCY MEDICINE 1723 00:46:36,260 --> 00:46:37,561 WHEN IT COMES TO STOPPING 1724 00:46:37,561 --> 00:46:38,562 BLEEDING, ESPECIALLY IF YOU ARE 1725 00:46:38,562 --> 00:46:39,930 OUT IN THE RURAL AREA AND A 1726 00:46:39,930 --> 00:46:42,166 CHAIN SAW INCIDENT OR SOME SORT 1727 00:46:42,166 --> 00:46:43,934 OF LACERATION THAT CAUSES LIFE 1728 00:46:43,934 --> 00:46:44,635 THREATENING BLEEDING. 1729 00:46:44,635 --> 00:46:46,170 ONE OF THE THINGS WE ARE 1730 00:46:46,170 --> 00:46:48,071 TEACHING IS THE USE OF 1731 00:46:48,071 --> 00:46:48,672 TOURNIQUETS. 1732 00:46:48,672 --> 00:46:50,574 FIRST AID KITS THAT HAVE BEE 1733 00:46:50,574 --> 00:46:51,675 STING KITS AND THINGS ALONG 1734 00:46:51,675 --> 00:46:52,576 THOSE LINES ARE GOOD. 1735 00:46:52,576 --> 00:46:54,945 YOU KNOW, THE ONLY DOWNFALL IF 1736 00:46:54,945 --> 00:46:56,647 IT'S A KNOWN ALLERGY AND YOU 1737 00:46:56,647 --> 00:46:58,448 DON'T HAVE THAT EPINEPHRINE PEN, 1738 00:46:58,448 --> 00:47:01,451 YOU WON'T FIND AN EPI PEN INSIDE 1739 00:47:01,451 --> 00:47:03,620 ONE OF THOSE KITS. 1740 00:47:03,620 --> 00:47:04,822 THAT NEEDS TO BE PRESCRIBED TO 1741 00:47:04,822 --> 00:47:05,722 YOU FROM A FACILITY. 1742 00:47:05,722 --> 00:47:07,624 I THINK THE EDUCATION SIDE IS 1743 00:47:07,624 --> 00:47:08,826 THE BIGGEST PIECE OF GETTING OUT 1744 00:47:08,826 --> 00:47:10,227 THERE AND THEY ARE USUALLY 1745 00:47:10,227 --> 00:47:11,261 PRETTY LOW COST PROGRAMS THAT WE 1746 00:47:11,261 --> 00:47:12,362 TEACH IT IN THE AREA AND THEY 1747 00:47:12,362 --> 00:47:14,431 CAN COME TO US AND HELP WITH 1748 00:47:14,431 --> 00:47:15,566 THAT THINKING OUTSIDE THE BOX 1749 00:47:15,566 --> 00:47:17,501 WHEN IT COMES TO TREATING SOME 1750 00:47:17,501 --> 00:47:19,102 PRETTY SERIOUS INJURIES. 1751 00:47:19,102 --> 00:47:21,004 >> DO YOU ADVISE AT ALL GOING TO 1752 00:47:21,004 --> 00:47:22,339 THE INTERNET FOR ANY OF THAT? 1753 00:47:22,339 --> 00:47:25,509 ARE THERE ANY WEBSITES THAT CAN 1754 00:47:25,509 --> 00:47:26,710 HELP OR WOULD YOU RATHER SEE 1755 00:47:26,710 --> 00:47:28,011 THEM TAKE ONE OF THE CLASSES? 1756 00:47:28,011 --> 00:47:29,413 >> I DEFINITELY WOULD ALWAYS 1757 00:47:29,413 --> 00:47:31,815 RECOMMEND A CREDIBLE SOURCE. 1758 00:47:31,815 --> 00:47:33,317 THE INTERNET IS FILLED WITH 1759 00:47:33,317 --> 00:47:34,718 CREDIBLE SOURCES AND 1760 00:47:34,718 --> 00:47:35,519 NON-CREDIBLE SOURCES. 1761 00:47:35,519 --> 00:47:37,020 YOU KNOW, ONE OF THE THINGS WE 1762 00:47:37,020 --> 00:47:39,223 SEE ON THE AMBULANCE IS IF 1763 00:47:39,223 --> 00:47:40,424 SOMEONE LOOKS UP THEIR SYMPTOM 1764 00:47:40,424 --> 00:47:43,727 ON SOME SORT OF WEB-BASED 1765 00:47:43,727 --> 00:47:46,730 DIAGNOSTIC AND IT'S EITHER 1766 00:47:46,730 --> 00:47:47,764 CANCER OR RUNNY NOSE. 1767 00:47:47,764 --> 00:47:49,533 IT RANGES IN SEVERITY. 1768 00:47:49,533 --> 00:47:50,534 AMERICAN HEART ASSOCIATION IS 1769 00:47:50,534 --> 00:47:51,335 ALWAYS A GOOD TOOL. 1770 00:47:51,335 --> 00:47:52,703 THEY DO FIRST AID THINGS ALONG 1771 00:47:52,703 --> 00:47:54,605 THOSE LINES BUT I THINK 1772 00:47:54,605 --> 00:47:55,706 EDUCATION FROM A CREDIBLE 1773 00:47:55,706 --> 00:47:57,241 SOURCE, I THINK COULD DEFINITELY 1774 00:47:57,241 --> 00:47:58,141 BE RECOMMENDED. 1775 00:47:58,141 --> 00:47:58,542 >> OKAY. 1776 00:47:58,542 --> 00:47:59,209 VERY GOOD. 1777 00:47:59,209 --> 00:48:01,411 LET'S TAKE ANOTHER PHONE CALL. 1778 00:48:01,411 --> 00:48:02,813 DIANE, GOOD EVENING. 1779 00:48:02,813 --> 00:48:03,447 >> Caller: HELLO. 1780 00:48:03,447 --> 00:48:03,881 >> HELLO. 1781 00:48:03,881 --> 00:48:04,615 DO YOU HAVE A QUESTION FOR OUR 1782 00:48:04,615 --> 00:48:05,582 PANEL? 1783 00:48:05,582 --> 00:48:06,283 >> Caller: YES, I DO. 1784 00:48:06,283 --> 00:48:09,386 AND THANK YOU ALL SO MUCH FOR 1785 00:48:09,386 --> 00:48:11,355 SPENDING THE TIME WITH US. 1786 00:48:11,355 --> 00:48:15,325 I WAS WONDERING HISTORICALLY 1787 00:48:15,325 --> 00:48:17,694 EMERGENCY ROOMS HAVE BEEN USED 1788 00:48:17,694 --> 00:48:22,599 FOR THE HOMELESS PEOPLE AS THEIR 1789 00:48:22,599 --> 00:48:25,002 FIRST BASE OF CARE, AND THE 1790 00:48:25,002 --> 00:48:26,503 UNDER EMPLOYED WHERE THEY DON'T 1791 00:48:26,503 --> 00:48:28,605 HAVE ANY INSURANCE, AND THIS IS 1792 00:48:28,605 --> 00:48:31,875 THE FIRST PLACE THEY COME TO IS 1793 00:48:31,875 --> 00:48:33,810 THE EMERGENCY ROOM. 1794 00:48:33,810 --> 00:48:36,113 IS THAT SEEING ANY KIND OF 1795 00:48:36,113 --> 00:48:37,981 LESSENING EFFECT NOW THAT WE 1796 00:48:37,981 --> 00:48:42,319 HAVE THE A.C.A. AND MORE PEOPLE 1797 00:48:42,319 --> 00:48:43,787 HOPEFULLY BEING INSURED? 1798 00:48:43,787 --> 00:48:46,023 HOW IS THAT GOING AS FAR AS THE 1799 00:48:46,023 --> 00:48:47,491 EMERGENCY ROOMS? 1800 00:48:47,491 --> 00:48:48,392 >> THAT'S AN INTERESTING POINT. 1801 00:48:48,392 --> 00:48:49,293 >> I WOULD SAY, YES. 1802 00:48:49,293 --> 00:48:50,694 I THINK WE ARE STARTING TO SEE 1803 00:48:50,694 --> 00:48:52,296 SOME IMPROVEMENTS WITH REGARDS 1804 00:48:52,296 --> 00:48:54,698 TO PEOPLE HAVING COVERAGE. 1805 00:48:54,698 --> 00:48:56,400 WE ALSO HAVE MORE PROGRAMS 1806 00:48:56,400 --> 00:48:59,603 WITHIN OUR HOSPITAL TO GET 1807 00:48:59,603 --> 00:49:01,405 PEOPLE ENROLLED IN COVERAGE AND 1808 00:49:01,405 --> 00:49:03,573 I'M SURE PROVIDENCE DOES AND SO 1809 00:49:03,573 --> 00:49:04,274 DOES ROCKWOOD. 1810 00:49:04,274 --> 00:49:05,842 IT REALLY HELPS THE PATIENT GET 1811 00:49:05,842 --> 00:49:08,278 ON TO A PROGRAM, AND I THINK WE 1812 00:49:08,278 --> 00:49:10,180 HAVE SEEN AN INCREASE IN COVERED 1813 00:49:10,180 --> 00:49:11,949 FOLKS THAT COME IN THROUGH THE 1814 00:49:11,949 --> 00:49:13,150 DOOR, BUT ALSO THOSE THAT 1815 00:49:13,150 --> 00:49:14,451 AREN'T, THEY ARE GETTING ACCESS 1816 00:49:14,451 --> 00:49:15,352 TO CARE. 1817 00:49:15,352 --> 00:49:17,254 AND ACCESS TO COVERAGE FOR THE 1818 00:49:17,254 --> 00:49:18,555 CARE THAT THEY HAVE BEEN GIVEN. 1819 00:49:18,555 --> 00:49:21,458 SO I THINK THERE HAS BEEN A 1820 00:49:21,458 --> 00:49:22,659 POSITIVE. 1821 00:49:22,659 --> 00:49:23,093 >> MM-HMM. 1822 00:49:23,093 --> 00:49:24,761 >> IT'S GOING TO BE AN UPHILL 1823 00:49:24,761 --> 00:49:25,095 BATTLE. 1824 00:49:25,095 --> 00:49:27,364 >> I MEAN, THE APPLE CARE IS 1825 00:49:27,364 --> 00:49:29,666 GREAT AND WE HAVE AN EXPANDED 1826 00:49:29,666 --> 00:49:30,467 INSURED PATIENT POPULATION. 1827 00:49:30,467 --> 00:49:32,369 THE PROBLEM THAT WE HAVE IS 1828 00:49:32,369 --> 00:49:33,570 THERE'S A LARGE LACK OF PRIMARY 1829 00:49:33,570 --> 00:49:34,671 CARE PROVIDERS IN THE AREA. 1830 00:49:34,671 --> 00:49:36,273 THAT'S ONE OF THE BIG PUSHES TO 1831 00:49:36,273 --> 00:49:37,574 HAVE THESE MEDICAL SCHOOLS OPEN 1832 00:49:37,574 --> 00:49:41,378 IN SPOKANE AND HEAVILY RECRUIT 1833 00:49:41,378 --> 00:49:42,779 PRIMARY CARE DOCTORS. 1834 00:49:42,779 --> 00:49:45,482 IF YOU ARE UNDER INSURED OR 1835 00:49:45,482 --> 00:49:46,149 UNINSURED THE EMERGENCY 1836 00:49:46,149 --> 00:49:48,085 DEPARTMENT IS REALLY YOUR ONLY 1837 00:49:48,085 --> 00:49:48,685 OPTION. 1838 00:49:48,685 --> 00:49:49,953 IT'S AN EXPENSIVE OPTION. 1839 00:49:49,953 --> 00:49:52,089 SO JUST LIKE ROCKWOOD IS DOING, 1840 00:49:52,089 --> 00:49:53,724 PROVIDENCE HAS BEEN VERY 1841 00:49:53,724 --> 00:49:55,892 AGGRESSIVE AT FINDING EXPANDED 1842 00:49:55,892 --> 00:49:57,260 WAYS OF KEEPING PEOPLE IN OUR 1843 00:49:57,260 --> 00:49:58,261 COMMUNITY IN THE RIGHT DIRECTION 1844 00:49:58,261 --> 00:50:00,564 FOR PRIMARY CARE AND HOPEFULLY 1845 00:50:00,564 --> 00:50:02,599 IT GETS BETTER AS WE GET MORE 1846 00:50:02,599 --> 00:50:04,468 PRIMARY CARE PHYSICIANS IN THE 1847 00:50:04,468 --> 00:50:04,768 AREA. 1848 00:50:04,768 --> 00:50:06,269 THE LAST STATISTIC, THERE'S A 1849 00:50:06,269 --> 00:50:08,772 SHORTAGE OF 35,000 PRIMARY CARE 1850 00:50:08,772 --> 00:50:09,473 PHYSICIANS ACROSS THE UNITED 1851 00:50:09,473 --> 00:50:10,374 STATES, AND IF YOU LOOK AT HOW 1852 00:50:10,374 --> 00:50:11,975 LONG IT TAKES TO MAKE A PRIMARY 1853 00:50:11,975 --> 00:50:13,276 CARE DOCTOR, IT'S GOING TO BE A 1854 00:50:13,276 --> 00:50:15,379 WHILE TO FILL THAT. 1855 00:50:15,379 --> 00:50:19,983 I THINK THAT'S WHY NURSE 1856 00:50:19,983 --> 00:50:21,885 PRACTITIONERS AND PHYSICIAN 1857 00:50:21,885 --> 00:50:22,919 ASSISTANTS EXTEND THAT AND YOU 1858 00:50:22,919 --> 00:50:24,554 CAN HAVE THEM RUNNING THEIR OWN 1859 00:50:24,554 --> 00:50:26,256 CLINIC AND PROVIDING GOOD 1860 00:50:26,256 --> 00:50:27,557 PRIMARY CARE AND FILLING THAT 1861 00:50:27,557 --> 00:50:27,858 GAP. 1862 00:50:27,858 --> 00:50:28,258 >> OKAY. 1863 00:50:28,258 --> 00:50:29,059 WE HAVE ANOTHER PHONE CALL 1864 00:50:29,059 --> 00:50:30,660 COMING IN FROM RON HERE IN 1865 00:50:30,660 --> 00:50:30,994 SPOKANE. 1866 00:50:30,994 --> 00:50:33,330 GOOD EVENING, RON. 1867 00:50:33,330 --> 00:50:34,031 >> Caller: GOOD EVENING. 1868 00:50:34,031 --> 00:50:37,067 I WANTED TO CALL IN AND SAY THAT 1869 00:50:37,067 --> 00:50:38,035 DR. GOETZ WOULD NOT REMEMBER ME, 1870 00:50:38,035 --> 00:50:40,370 BUT I REMEMBER HIM. 1871 00:50:40,370 --> 00:50:44,875 I WAS OPERATED ON IN PHOENIX IN 1872 00:50:44,875 --> 00:50:48,578 EARLY FEBRUARY, AND I GOT HOME 1873 00:50:48,578 --> 00:50:49,679 HERE, AND WHAT HAD A HAPPENED 1874 00:50:49,679 --> 00:50:53,116 WAS THEY HAD TO DRILL A HOLE IN 1875 00:50:53,116 --> 00:50:54,885 MY SKULL, THE SIZE OF A 50-CENT 1876 00:50:54,885 --> 00:50:55,185 PIECE. 1877 00:50:55,185 --> 00:50:58,555 >> I REMEMBER YOU! 1878 00:50:58,555 --> 00:51:00,290 >> AND IT GOT QUITE INFECTED. 1879 00:51:00,290 --> 00:51:04,528 >> OH, BOY. 1880 00:51:04,528 --> 00:51:05,629 >> IT WAS REALLY QUITE A 1881 00:51:05,629 --> 00:51:05,962 PROBLEM. 1882 00:51:05,962 --> 00:51:08,865 I FOUND OUT LATER, IT WAS SPINAL 1883 00:51:08,865 --> 00:51:10,967 FLUID COMING OUT OF THE HOLE 1884 00:51:10,967 --> 00:51:14,738 AND, YOU GOT ME IN AND 1885 00:51:14,738 --> 00:51:16,139 DR. CARLSON DID A GREAT JOB. 1886 00:51:16,139 --> 00:51:17,641 HAD TO TAKE ALL THE HARDWARE OUT 1887 00:51:17,641 --> 00:51:20,143 OF MY HEAD, BUT I'M DOING GREAT. 1888 00:51:20,143 --> 00:51:22,546 >> THAT'S WONDERFUL TO HEAR. 1889 00:51:22,546 --> 00:51:23,447 >> RON, THANK YOU SO MUCH FOR 1890 00:51:23,447 --> 00:51:23,947 YOUR CALL. 1891 00:51:23,947 --> 00:51:25,048 THAT'S VERY NICE OF YOU TO CALL 1892 00:51:25,048 --> 00:51:27,951 IN AND I'M SURE THAT TOUCHED 1893 00:51:27,951 --> 00:51:28,552 DR. GETZ TONIGHT ALSO. 1894 00:51:28,552 --> 00:51:29,152 THANK YOU. 1895 00:51:29,152 --> 00:51:30,153 AND WE'RE GLAD THAT YOU ARE 1896 00:51:30,153 --> 00:51:31,755 DOING BETTER. 1897 00:51:31,755 --> 00:51:32,522 >> SAY HI TO YOUR WIFE. 1898 00:51:32,522 --> 00:51:33,857 >> YOU PROBABLY GET THAT QUITE 1899 00:51:33,857 --> 00:51:34,224 OFTEN. 1900 00:51:34,224 --> 00:51:35,625 >> THAT'S WHY WE DO THIS. 1901 00:51:35,625 --> 00:51:37,160 IT'S PHENOMENALLY REWARDING. 1902 00:51:37,160 --> 00:51:38,929 I GET COOKIES BAKED, YOU KNOW, 1903 00:51:38,929 --> 00:51:41,364 DROPPED OFF AND I DO EAT THEM. 1904 00:51:41,364 --> 00:51:43,066 IT'S A GOOD IDEA. 1905 00:51:43,066 --> 00:51:45,035 AND LOTS OF THANK YOU CARDS AND 1906 00:51:45,035 --> 00:51:46,436 THAT'S THE REWARDING PART. 1907 00:51:46,436 --> 00:51:47,537 HEY, YOU DID MAKE A BIG 1908 00:51:47,537 --> 00:51:52,776 IFFERENCE AND I THINK PEP PEOPLE 1909 00:51:52,776 --> 00:51:54,144 HISTORICALLY THINK THAT 1910 00:51:54,144 --> 00:51:56,646 EMERGENCY PEOPLE DON'T DO 1911 00:51:56,646 --> 00:51:57,247 ANYTHING. 1912 00:51:57,247 --> 00:51:59,950 BUT FOR THE SMALL GROUP, WE DO A 1913 00:51:59,950 --> 00:52:00,217 LOT. 1914 00:52:00,217 --> 00:52:01,284 >> IT'S A SPECIAL TYPE OF BREED. 1915 00:52:01,284 --> 00:52:02,586 IT'S A SPECIAL TYPE OF DOCTOR TO 1916 00:52:02,586 --> 00:52:04,121 DO WHAT YOU DO AND SEE THE 1917 00:52:04,121 --> 00:52:05,822 PATIENTS THAT ALL OF YOU SEE ON 1918 00:52:05,822 --> 00:52:08,191 A DAILY BASIS. 1919 00:52:08,191 --> 00:52:09,693 YOU KNOW, WHY DID YOU CHOOSE 1920 00:52:09,693 --> 00:52:11,528 EMERGENCY MEDICINE? 1921 00:52:11,528 --> 00:52:13,029 >> WELL, I THINK IT WAS A MIX I 1922 00:52:13,029 --> 00:52:15,699 LOVE THE PACE OF IT, AND I LIKE 1923 00:52:15,699 --> 00:52:17,033 THAT SENSE OF NEVER KNOWING WHAT 1924 00:52:17,033 --> 00:52:17,801 COMES THROUGH THE DOOR. 1925 00:52:17,801 --> 00:52:20,003 I THINK THAT'S -- WE TEND TO BE 1926 00:52:20,003 --> 00:52:22,606 A LITTLE BIT FRENETIC IN OUR 1927 00:52:22,606 --> 00:52:23,807 PACE WHEN WE APPROACH THINGS. 1928 00:52:23,807 --> 00:52:25,509 I COME IN FOR A 9 OR 10 HOUR 1929 00:52:25,509 --> 00:52:27,210 SHIFT AND I BLINK AND IT'S OVER. 1930 00:52:27,210 --> 00:52:29,513 I MIGHT HAVE HAD A CUP OF 1931 00:52:29,513 --> 00:52:30,814 COFFEE, AND NO LUNCH AND USED 1932 00:52:30,814 --> 00:52:32,916 THE BATHROOM ONCE BUT IT'S 1933 00:52:32,916 --> 00:52:33,283 WONDERFUL. 1934 00:52:33,283 --> 00:52:34,317 WE USE SCRIBES IN OUR EMERGENCY 1935 00:52:34,317 --> 00:52:35,652 DEPARTMENT WOULD ACTUALLY DO ALL 1936 00:52:35,652 --> 00:52:36,653 OF THE NOTE TAKING. 1937 00:52:36,653 --> 00:52:39,956 I DON'T HAVE TO CARRY A PEN IN 1938 00:52:39,956 --> 00:52:42,025 ANY LONGER. 1939 00:52:42,025 --> 00:52:43,827 AND THESE ARE ALL GIFTED COLLEGE 1940 00:52:43,827 --> 00:52:46,696 STUDENTS AND THE FIRST EMERGENCY 1941 00:52:46,696 --> 00:52:47,898 SHIFT THEY WORK. 1942 00:52:47,898 --> 00:52:50,700 AND THEIR FEET WORK AND THEY ARE 1943 00:52:50,700 --> 00:52:51,034 HUNGRY. 1944 00:52:51,034 --> 00:52:53,403 AND WHEN THEY SEE WHAT COMES 1945 00:52:53,403 --> 00:52:54,838 THROUGH THE DOORS AND THEY SAY I 1946 00:52:54,838 --> 00:52:55,805 WANT TO BE AN EMERGENCY ROOM 1947 00:52:55,805 --> 00:52:56,139 DOCTOR. 1948 00:52:56,139 --> 00:52:58,508 I HAVE BEEN DOING IT ALMOST TEN 1949 00:52:58,508 --> 00:52:59,709 YEARS, POST RESIDENCY AND EVERY 1950 00:52:59,709 --> 00:53:02,412 DAY I GO TO WORK, I ENJOY DOING 1951 00:53:02,412 --> 00:53:02,679 IT. 1952 00:53:02,679 --> 00:53:04,681 >> I BET THE SAME CAN BE FED FOR 1953 00:53:04,681 --> 00:53:06,683 ALL OF YOU -- STEAD FOR ALL OF. 1954 00:53:06,683 --> 00:53:08,785 >> YOU I THINK EMERGENCY 1955 00:53:08,785 --> 00:53:15,692 MEDICINE CHOSE IN A SENSE WHEN I 1956 00:53:15,692 --> 00:53:17,027 ROTATED THROUGH THE DEPARTMENT. 1957 00:53:17,027 --> 00:53:18,161 SOMETHING SPOKE TO ME. 1958 00:53:18,161 --> 00:53:19,896 IT'S NEVER A DULL MOMENT AND 1959 00:53:19,896 --> 00:53:20,597 IT'S GRATIFYING AT THE END OF 1960 00:53:20,597 --> 00:53:20,964 THE DAY. 1961 00:53:20,964 --> 00:53:21,998 YOU FEEL LIKE YOU HAVE DONE A 1962 00:53:21,998 --> 00:53:23,500 GOOD JOB FOR YOUR COMMUNITY AND 1963 00:53:23,500 --> 00:53:24,968 LIKE PEOPLE CALLING IN AND, YOU 1964 00:53:24,968 --> 00:53:26,603 KNOW, LETTING YOU KNOW OR SEEING 1965 00:53:26,603 --> 00:53:27,504 THAT PERSON IN THE GROCERY STORE 1966 00:53:27,504 --> 00:53:28,872 WOULD WASN'T ABLE TO WALK TWO 1967 00:53:28,872 --> 00:53:31,474 MONTHS EARLIER WHO IS NOW UP AND 1968 00:53:31,474 --> 00:53:34,411 AROUND BUYING THEIR APPLES. 1969 00:53:34,411 --> 00:53:36,279 >> OR MAYBE RECOGNIZES YOU OR -- 1970 00:53:36,279 --> 00:53:37,080 >> OR VICE VERSA. 1971 00:53:37,080 --> 00:53:40,083 >> YOU SEE A LOT OF PATIENTS. 1972 00:53:40,083 --> 00:53:40,817 >> YOU MIGHT RECOGNIZE THEM. 1973 00:53:40,817 --> 00:53:42,485 THERE ARE A LOT OF REWARDS. 1974 00:53:42,485 --> 00:53:44,187 >> EVEN FOR ME, I DO MOSTLY 1975 00:53:44,187 --> 00:53:46,289 ADMINISTRATION, BUT I STAY 1976 00:53:46,289 --> 00:53:48,258 CLINICAL AS A NURSE PRACTITIONER 1977 00:53:48,258 --> 00:53:49,893 IN THE URGENT CARES BECAUSE YOU 1978 00:53:49,893 --> 00:53:50,827 CAN'T STEP AWAY FROM THAT 1979 00:53:50,827 --> 00:53:51,628 PATIENT ALL THE TIME. 1980 00:53:51,628 --> 00:53:52,996 YOU STILL NEED THAT PATIENT 1981 00:53:52,996 --> 00:53:54,397 FOCUS AND THAT PATIENT CARE AND 1982 00:53:54,397 --> 00:53:55,899 IT KEEPS YOU KIND OF CENTERED 1983 00:53:55,899 --> 00:53:56,499 AND GROUNDED. 1984 00:53:56,499 --> 00:53:57,500 SO ABSOLUTELY. 1985 00:53:57,500 --> 00:54:00,103 >> AND SHAUN, WHAT DO YOU SAY TO 1986 00:54:00,103 --> 00:54:01,972 THOSE MAYBE TEENAGERS THAT ARE 1987 00:54:01,972 --> 00:54:04,040 CONSIDERING E.M.S., BECOMING 1988 00:54:04,040 --> 00:54:06,743 ANE.M.T. 1989 00:54:06,743 --> 00:54:08,278 WHAT DO YOU TELL THEM ABOUT YOUR 1990 00:54:08,278 --> 00:54:09,746 PATIENT FOR THIS SIDE OF 1991 00:54:09,746 --> 00:54:11,047 MEDICINE. 1992 00:54:11,047 --> 00:54:12,549 >> MY DEFINITE SIDE IS THE 1993 00:54:12,549 --> 00:54:12,882 PEOPLE. 1994 00:54:12,882 --> 00:54:14,251 I LOVE INTERACING WITH THE 1995 00:54:14,251 --> 00:54:14,651 PEOPLE. 1996 00:54:14,651 --> 00:54:17,454 IT'S LIKE -- DR. GETZ SAID, IT'S 1997 00:54:17,454 --> 00:54:18,955 NEVER THE SAME TWO DAYS IN A 1998 00:54:18,955 --> 00:54:19,222 ROW. 1999 00:54:19,222 --> 00:54:20,757 YOU CAN SEE THE SAME PATIENT TWO 2000 00:54:20,757 --> 00:54:24,661 DAYS IN A ROW AND IT WILL BE 2001 00:54:24,661 --> 00:54:25,028 DIFFERENT. 2002 00:54:25,028 --> 00:54:26,463 IT'S BY FAR THE MOST REWARDING 2003 00:54:26,463 --> 00:54:27,197 JOB I EVER HAD. 2004 00:54:27,197 --> 00:54:28,398 IT DEFINITELY DOES SOMETHING TO 2005 00:54:28,398 --> 00:54:28,765 YOU. 2006 00:54:28,765 --> 00:54:29,799 THERE'S DEFINITELY THE LOSSES 2007 00:54:29,799 --> 00:54:31,268 THAT AFFECT YOU IN A CERTAIN 2008 00:54:31,268 --> 00:54:33,570 WAY, BUT WE SEE A LOT KIND OF 2009 00:54:33,570 --> 00:54:35,839 LIKE DR. GETZ WAS SAYING WHERE 2010 00:54:35,839 --> 00:54:36,940 WE SEE TRANSPORT A PATIENT AND 2011 00:54:36,940 --> 00:54:38,541 WE DON'T GET A LOT OF AFTER NEWS 2012 00:54:38,541 --> 00:54:39,276 ABOUT THEM. 2013 00:54:39,276 --> 00:54:40,477 WE DROP THEM OFF AT A HOSPITAL 2014 00:54:40,477 --> 00:54:41,878 AND WE PASS THE CARE OFF TO THEM 2015 00:54:41,878 --> 00:54:43,647 BUT WE DON'T HEAR HOW THEY DO 2016 00:54:43,647 --> 00:54:47,150 T IS A PRETTY AS MANYING AMAZING 2017 00:54:47,150 --> 00:54:48,952 WHERE THEY STOP BACK BY AND THEY 2018 00:54:48,952 --> 00:54:51,454 BRING COOKIES AN DOUGHNUTS AND 2019 00:54:51,454 --> 00:54:53,056 CAKES AND PIES AND ALL KINDS OF 2020 00:54:53,056 --> 00:54:54,357 THINGS AND THANK YOU CARDS. 2021 00:54:54,357 --> 00:54:55,759 WE HAVE A WALL UP IN DEER PARK 2022 00:54:55,759 --> 00:54:57,560 WITH ALL THE THANK YOU CARDS AND 2023 00:54:57,560 --> 00:54:59,195 THAT'S BY FAR THE MOST 2024 00:54:59,195 --> 00:55:00,397 REWARDING. 2025 00:55:00,397 --> 00:55:01,264 THAT BEATS ANYTHING ABOUT THIS 2026 00:55:01,264 --> 00:55:01,531 JOB. 2027 00:55:01,531 --> 00:55:03,633 AND THAT'S MY DRIVE TOWARDS IT 2028 00:55:03,633 --> 00:55:05,368 AND I THINK THAT'S WHAT WE TRY 2029 00:55:05,368 --> 00:55:07,971 TO PASS ON TO OTHER PEOPLE, ALL 2030 00:55:07,971 --> 00:55:12,842 THE STUDENTS WHO GO THROUGH OUR 2031 00:55:12,842 --> 00:55:13,243 PROGRAM. 2032 00:55:13,243 --> 00:55:16,112 THERE'S DAYS WHERE YOU ARE WOKEN 2033 00:55:16,112 --> 00:55:17,947 UP, YOU ARE TRYING TO SLEEP OR 2034 00:55:17,947 --> 00:55:19,215 TRYING TO HAVE DINNER AND IT 2035 00:55:19,215 --> 00:55:20,250 PAYS OFF AT THE END OF IT. 2036 00:55:20,250 --> 00:55:21,418 >> I'M HEARING TOO, WE ARE DOWN 2037 00:55:21,418 --> 00:55:22,919 TO JUST A FEW MINUTES LEFT IN 2038 00:55:22,919 --> 00:55:23,520 THE SHOW. 2039 00:55:23,520 --> 00:55:25,322 BUT I'M HEARING A LOT OF WITH 2040 00:55:25,322 --> 00:55:26,823 THE APPS THAT YOU TALKED ABOUT, 2041 00:55:26,823 --> 00:55:28,525 SHAUN, AND THE TECHNOLOGY THAT'S 2042 00:55:28,525 --> 00:55:29,626 COMING INTO PLACE WITH PEOPLE 2043 00:55:29,626 --> 00:55:31,528 BEING ABLE TO SEND PICTURES AND 2044 00:55:31,528 --> 00:55:32,629 PHOTOS IN AND DO THAT THROUGH 2045 00:55:32,629 --> 00:55:34,731 THE COMPUTER, WHAT'S ON THE 2046 00:55:34,731 --> 00:55:35,832 HORIZON FOR EMERGENCY MEDICINE? 2047 00:55:35,832 --> 00:55:37,233 WHAT ARE WE LOOKING AT? 2048 00:55:37,233 --> 00:55:39,469 BECAUSE IT'S EVER CHANGING. 2049 00:55:39,469 --> 00:55:40,470 ALWAYS SOMETHING DIFFERENT. 2050 00:55:40,470 --> 00:55:44,374 WHAT ARE WE GOING TO SEE IN THE 2051 00:55:44,374 --> 00:55:45,608 NEAR FUTURE WHEN IT COMES TO 2052 00:55:45,608 --> 00:55:46,743 EMERGENCY MEDICINE. 2053 00:55:46,743 --> 00:55:48,645 >> I THINK YOU TOUCHED ON IT 2054 00:55:48,645 --> 00:55:50,447 WITH THE TELEMEDICINE. 2055 00:55:50,447 --> 00:55:51,715 THAT'S THE TALK AS OF LATE WITH 2056 00:55:51,715 --> 00:55:54,851 REGARDS TO KIND OF NEXT LEVEL OF 2057 00:55:54,851 --> 00:55:55,919 PATIENT CARE WITHOUT HAVING TO 2058 00:55:55,919 --> 00:55:57,320 ACTUALLY LEAVE YOUR HOME. 2059 00:55:57,320 --> 00:55:57,754 >> MM-HMM. 2060 00:55:57,754 --> 00:55:59,656 FOR SOME OF THOSE THINGS THAT 2061 00:55:59,656 --> 00:56:00,824 CAN BE MANAGED THAT WAY. 2062 00:56:00,824 --> 00:56:02,926 I THINK THAT'S DEFINITELY ON THE 2063 00:56:02,926 --> 00:56:03,259 HORIZON. 2064 00:56:03,259 --> 00:56:04,928 >> I THINK CONSOLIDATED CARE 2065 00:56:04,928 --> 00:56:06,296 NETWORKS IS GOING TO BE THE BIG 2066 00:56:06,296 --> 00:56:07,597 THING. 2067 00:56:07,597 --> 00:56:11,201 I THINK THE DAYS OF HAVING THE 2068 00:56:11,201 --> 00:56:12,402 PRIMARY CARE DOCTOR WITH THE 2069 00:56:12,402 --> 00:56:13,269 SHOP ON THE CORNER. 2070 00:56:13,269 --> 00:56:15,205 WE ARE LOOKING AT WAYS TO 2071 00:56:15,205 --> 00:56:17,207 DELIVER CENTRALIZED CARE TO MAKE 2072 00:56:17,207 --> 00:56:19,309 IT EASY FOR PATIENTS AND AVOID 2073 00:56:19,309 --> 00:56:20,710 EXCESS VISITS THAT WERE NOT 2074 00:56:20,710 --> 00:56:21,111 REQUIRED. 2075 00:56:21,111 --> 00:56:22,011 PROVIDENCE HAS BEEN VERY 2076 00:56:22,011 --> 00:56:23,012 AGGRESSIVE WITH THAT IN TRYING 2077 00:56:23,012 --> 00:56:25,181 TO FIND WAYS TO DELIVER, 2078 00:56:25,181 --> 00:56:27,317 CONSOLIDATED CARE TO CUT DOWN ON 2079 00:56:27,317 --> 00:56:28,718 OVER TREATMENT OR OVER 2080 00:56:28,718 --> 00:56:29,619 UTILIZATION OF RESOURCES THAT 2081 00:56:29,619 --> 00:56:30,920 AREN'T NEEDED AND I THINK THAT'S 2082 00:56:30,920 --> 00:56:32,822 WHY WE HAVE MOVED TOWARDS 2083 00:56:32,822 --> 00:56:33,523 ELECTRONIC MEDICATION RECORDS 2084 00:56:33,523 --> 00:56:34,758 AND THAT I CAN PULL UP THE 2085 00:56:34,758 --> 00:56:37,794 MEDICAL RECORD OF A PROVIDENCE 2086 00:56:37,794 --> 00:56:39,896 PATIENT WHO WAS SEEN BY THEIR 2087 00:56:39,896 --> 00:56:41,197 PRIMARY CARE PATIENT TWO DAYS 2088 00:56:41,197 --> 00:56:41,464 AGO. 2089 00:56:41,464 --> 00:56:44,100 AND I'M NOT FLYING BLIND. 2090 00:56:44,100 --> 00:56:46,803 I'M NOT ORDERING A $1,200 TEST 2091 00:56:46,803 --> 00:56:48,505 THAT WAS ORDERED TWO DAYS AGO. 2092 00:56:48,505 --> 00:56:50,707 I THINK CONSOLIDATED CARE IS 2093 00:56:50,707 --> 00:56:51,708 PART OF THE FUTURE. 2094 00:56:51,708 --> 00:56:52,909 >> IT WAS A WONDERFUL 2095 00:56:52,909 --> 00:56:53,309 DISCUSSION. 2096 00:56:53,309 --> 00:56:54,077 THANK YOU SO MUCH FOR SHARING 2097 00:56:54,077 --> 00:56:55,412 YOUR THOUGHTS AND YOUR WISDOM 2098 00:56:55,412 --> 00:56:57,614 AND KNOWLEDGE WITH US THIS 2099 00:56:57,614 --> 00:56:57,947 EVENING. 2100 00:56:57,947 --> 00:57:00,517 THAT WILL DO IT FOR "HEALTH 2101 00:57:00,517 --> 00:57:00,884 MATTERS." 2102 00:57:00,884 --> 00:57:01,651 I THANK EVERYONE WHO CALLED IN 2103 00:57:01,651 --> 00:57:03,553 WITH A YES. 2104 00:57:03,553 --> 00:57:06,022 -- WITH A QUESTION. 2105 00:57:06,022 --> 00:57:06,723 WE HOPE YOU'LL JOIN US ON MAY 2106 00:57:06,723 --> 00:57:07,390 21ST WHEN OUR TOPIC WILL BE 2107 00:57:07,390 --> 00:57:07,857 RURAL MEDICINE. 2108 00:57:07,857 --> 00:57:09,058 UNTIL THEN, THANKS, FOR 2109 00:57:09,058 --> 00:57:09,426 WATCHING. 2110 00:57:09,426 --> 00:57:12,629 I'M TERESA LUKENS. 2111 00:57:09,926 --> 00:57:14,130 GOOD NIGHT. 2112 00:57:15,832 --> 00:57:20,236 CLOSED CAPTION PRODUCTIONS ccproductions.com 602-456-0977 2113 00:57:22,572 --> 00:57:23,640 >> "HEALTH MATTERS" IS MADE 2114 00:57:23,640 --> 00:57:25,942 POSSIBLE BY VIEWERS LIKE YOU, 2115 00:57:25,942 --> 00:57:26,543 THE FRIENDS OF KSPS. 2116 00:57:26,543 --> 00:57:31,314 AND BY THE FOLLOWING: 2117 00:57:31,314 --> 00:57:32,015 >> I REALLY LIKED THE IDEA OF 2118 00:57:32,015 --> 00:57:32,816 BEING PART OF PROVIDENCE, WHERE 2119 00:57:32,816 --> 00:57:33,750 IF I HAVE A QUESTION, IF THERE'S 2120 00:57:33,750 --> 00:57:34,717 SOMETHING THAT I'M CONCERNED 2121 00:57:34,717 --> 00:57:35,351 ABOUT, I CAN ALWAYS CALL A 2122 00:57:35,351 --> 00:57:37,420 SPECIALIST. 2123 00:57:37,420 --> 00:57:38,922 I'M DR. ANNA BARBER, AND I CHOSE 2124 00:57:38,922 --> 00:57:40,056 PROVIDENCE BECAUSE HERE, I CAN 2125 00:57:40,056 --> 00:57:40,924 HELP CHILDREN THRIVE AND REACH 2126 00:57:40,924 --> 00:57:45,595 THEIR HIGHEST POTENTIAL. 2127 00:57:45,595 --> 00:57:46,262 >> IF YOU READ PROVIDENCE'S 2128 00:57:46,262 --> 00:57:46,930 MISSION STATEMENT, IT'S ALL 2129 00:57:46,930 --> 00:57:47,697 ABOUT DELIVERING QUALITY CARE TO 2130 00:57:47,697 --> 00:57:49,666 THE PATIENT AT ALL TIMES. 2131 00:57:49,666 --> 00:57:51,134 I'M DR. PETER RONALDI, AND I 2132 00:57:51,134 --> 00:57:53,736 CHOSE PROVIDENCE BECAUSE THEY 2133 00:57:53,736 --> 00:57:56,306 PUT THE DOCTOR-PATIENT 2134 00:57:56,306 --> 00:57:58,708 RELATIONSHIP FIRST. 2135 00:57:58,708 --> 00:58:01,144 >> FIND YOUR DOCTOR ONLINE AT 2136 00:57:59,409 --> 00:58:01,144 PHC.ORG.