WEBVTT 00:00.033 --> 00:01.468 align:left position:10%,start line:89% size:80% ♪ 00:01.468 --> 00:02.936 align:left position:10%,start line:89% size:80% >> ON "HEALTH MATTERS," 00:02.936 --> 00:04.104 align:left position:10%,start line:89% size:80% TELEVISION FOR LIFE, A HIGH 00:04.104 --> 00:05.138 align:left position:10%,start line:89% size:80% SCHOOL FOOTBALL PLAYER IS 00:05.138 --> 00:06.406 align:left position:10%,start line:89% size:80% AIRLIFTED TO THE HOSPITAL AFTER 00:06.406 --> 00:07.107 align:left position:10%,start line:89% size:80% A HIT ON THE FIELD KNOCKS HIM 00:07.107 --> 00:10.176 align:left position:10%,start line:89% size:80% OUT. 00:10.176 --> 00:11.411 align:left position:10%,start line:89% size:80% >> IT COULD HAVE BEEN SO MUCH 00:11.411 --> 00:13.680 align:left position:10%,start line:89% size:80% WORSE. 00:13.680 --> 00:14.414 align:left position:10%,start line:89% size:80% >> GO INSIDE THE NEWEST CHOPPER 00:14.414 --> 00:15.215 align:left position:10%,start line:89% size:80% AT NORTHWEST MEDSTAR AND SEE HOW 00:15.215 --> 00:16.182 align:left position:10%,start line:89% size:80% TECHNOLOGY IS SAVING LIVES. 00:16.182 --> 00:20.086 align:left position:10%,start line:89% size:80% >> IT'S BEEN A VERY EXCITING 00:20.086 --> 00:21.187 align:left position:10%,start line:89% size:80% TIME IN THE DEVELOPMENT OF 00:21.187 --> 00:23.890 align:left position:10%,start line:89% size:80% EMERGENCY MEDICINE. 00:23.890 --> 00:24.624 align:left position:10%,start line:89% size:80% >> FROM URGENT CARE TO THE E.R., 00:24.624 --> 00:25.625 align:left position:10%,start line:89% size:80% EXPERIENCE THE FAST-PACED WORLD 00:25.625 --> 00:26.326 align:left position:10%,start line:89% size:80% OF MODERN EMERGENCY MEDICINE. 00:26.326 --> 00:31.865 align:left position:10%,start line:89% size:80% RIGHT NOW ON "HEALTH MATTERS." 00:31.865 --> 00:32.732 align:left position:10%,start line:89% size:80% >> "HEALTH MATTERS" IS MADE 00:32.732 --> 00:34.100 align:left position:10%,start line:89% size:80% POSSIBLE BY VIEWERS LIKE YOU, 00:34.100 --> 00:35.468 align:left position:10%,start line:89% size:80% THE FRIENDS OF KSPS. 00:35.468 --> 00:41.074 align:left position:10%,start line:89% size:80% AND BY THE FOLLOWING: 00:41.074 --> 00:42.776 align:left position:10%,start line:89% size:80% >> WILLIAM, I REALLY LIKED THE 00:42.776 --> 00:44.177 align:left position:10%,start line:89% size:80% IDEA OF BEING PART OF 00:44.177 --> 00:44.577 align:left position:10%,start line:89% size:80% PROVIDENCE. 00:44.577 --> 00:46.046 align:left position:10%,start line:89% size:80% IF I HAVE A QUESTION AND THERE'S 00:46.046 --> 00:47.814 align:left position:10%,start line:89% size:80% SOMETHING I'M CONCERNED ABOUT, I 00:47.814 --> 00:49.783 align:left position:10%,start line:89% size:80% CAN ALWAYS CALL A SPECIALIST. 00:49.783 --> 00:51.384 align:left position:10%,start line:89% size:80% I'M DR. ANNA BARBER. 00:51.384 --> 00:52.919 align:left position:10%,start line:89% size:80% HERE I CAN HELP CHILDREN THRIVE 00:52.919 --> 00:54.387 align:left position:10%,start line:89% size:80% AND REACH THEIR HIGHEST 00:54.387 --> 00:56.156 align:left position:10%,start line:89% size:80% POTENTIAL. 00:56.156 --> 00:56.823 align:left position:10%,start line:89% size:80% >> IF YOU READ PROVIDENCE'S 00:56.823 --> 00:57.490 align:left position:10%,start line:89% size:80% MISSION STATEMENT, IT'S ALL 00:57.490 --> 00:58.291 align:left position:10%,start line:89% size:80% ABOUT DELIVERING QUALITY CARE TO 00:58.291 --> 00:59.893 align:left position:10%,start line:89% size:80% THE PATIENT AT ALL TIMES. 00:59.893 --> 01:01.361 align:left position:10%,start line:89% size:80% I'M DR. PETER RONALDI, AND I 01:01.361 --> 01:04.831 align:left position:10%,start line:89% size:80% CHOSE PROVIDENCE BECAUSE THEY 01:04.831 --> 01:08.435 align:left position:10%,start line:89% size:80% PUT THE DOCTOR-PATIENT 01:08.435 --> 01:11.304 align:left position:10%,start line:89% size:80% RELATIONSHIP FIRST. 01:11.304 --> 01:12.005 align:left position:10%,start line:89% size:80% >> FIND YOUR DOCTOR ONLINE AT 01:12.005 --> 01:15.575 align:left position:10%,start line:89% size:80% PHC.ORG. 01:15.575 --> 01:16.276 align:left position:10%,start line:89% size:80% >> GOOD EVENING AND WELCOME TO 01:16.276 --> 01:17.277 align:left position:10%,start line:89% size:80% "HEALTH MATTERS" HERE ON KSPS. 01:17.277 --> 01:18.445 align:left position:10%,start line:89% size:80% I'M YOUR HOST TERESA LUKENS. 01:18.445 --> 01:19.446 align:left position:10%,start line:89% size:80% ACCORDING TO THE CDC, EMERGENCY 01:19.446 --> 01:21.448 align:left position:10%,start line:89% size:80% DEPARTMENTS ACROSS THE COUNTRY 01:21.448 --> 01:23.283 align:left position:10%,start line:89% size:80% SEE MORE THAN 136 MILLION PEOPLE 01:23.283 --> 01:28.855 align:left position:10%,start line:89% size:80% EACH YEAR. 01:28.855 --> 01:30.457 align:left position:10%,start line:89% size:80% IT'S A SPECIALIZED CERTAINLY IN 01:30.457 --> 01:31.558 align:left position:10%,start line:89% size:80% EMERGENCY MEDICINE AND ONE THAT 01:31.558 --> 01:34.561 align:left position:10%,start line:89% size:80% A LOT OF PEOPLE ARE FASCINATED 01:34.561 --> 01:34.861 align:left position:10%,start line:89% size:80% BY. 01:34.861 --> 01:36.096 align:left position:10%,start line:89% size:80% ALSO URGENT CARE IS ANOTHER 01:36.096 --> 01:36.963 align:left position:10%,start line:89% size:80% SPECIALTY AND WE WILL BREAK DOWN 01:36.963 --> 01:38.364 align:left position:10%,start line:89% size:80% BOTH OF THOSE TODAY WITH OUR 01:38.364 --> 01:40.467 align:left position:10%,start line:89% size:80% GROUP OF PANELISTS WHO WE 01:40.467 --> 01:41.768 align:left position:10%,start line:89% size:80% ASSEMBLED TO TALK ABOUT 01:41.768 --> 01:43.069 align:left position:10%,start line:89% size:80% EMERGENCY CARE AND URGENT CARE 01:43.069 --> 01:47.874 align:left position:10%,start line:89% size:80% AND ALSO E.M.T.s. 01:47.874 --> 01:49.609 align:left position:10%,start line:89% size:80% SO WITH US TONIGHT IS 01:49.609 --> 01:50.343 align:left position:10%,start line:89% size:80% HEATHER HEALY IS THE DIRECTOR OF 01:50.343 --> 01:51.077 align:left position:10%,start line:89% size:80% NURSING AND THE DIRECTOR OF SIX 01:51.077 --> 01:51.811 align:left position:10%,start line:89% size:80% URGENT CARE CLINICS FOR ROCKWOOD 01:51.811 --> 01:52.946 align:left position:10%,start line:89% size:80% HEALTH SYSTEM. 01:52.946 --> 01:55.982 align:left position:10%,start line:89% size:80% DAN GETZ IS THE MEDICAL DIRECTOR 01:55.982 --> 01:56.716 align:left position:10%,start line:89% size:80% FOR THE PROVIDENCE SACRED HEART 01:56.716 --> 01:58.418 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT. 01:58.418 --> 01:59.619 align:left position:10%,start line:89% size:80% SHAUN PITTS IS AN ADVANCED 01:59.619 --> 02:00.987 align:left position:10%,start line:89% size:80% EMERGENCY MEDICAL TECHNICIAN AND 02:00.987 --> 02:01.888 align:left position:10%,start line:89% size:80% INSTRUCTOR FOR INLAND NORTHWEST 02:01.888 --> 02:04.591 align:left position:10%,start line:89% size:80% HEALTH SERVICES. 02:04.591 --> 02:05.258 align:left position:10%,start line:89% size:80% TAMARA BRINING WORKS IN THE 02:05.258 --> 02:07.393 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT AT VALLEY 02:07.393 --> 02:08.128 align:left position:10%,start line:89% size:80% HOSPITAL WHERE SHE IS ONE OF THE 02:08.128 --> 02:11.331 align:left position:10%,start line:89% size:80% ASSISTANT MEDICAL DIRECTORS. 02:11.331 --> 02:12.632 align:left position:10%,start line:89% size:80% THANK YOU ALL FOR BEING HERE 02:12.632 --> 02:12.966 align:left position:10%,start line:89% size:80% TONIGHT. 02:12.966 --> 02:14.634 align:left position:10%,start line:89% size:80% THIS IS A GREAT TOPIC, AND ONE 02:14.634 --> 02:17.403 align:left position:10%,start line:89% size:80% WE REALLY HAVEN'T EXPLORED, AND 02:17.403 --> 02:18.505 align:left position:10%,start line:89% size:80% IT'S VERY SPECIALIZED. 02:18.505 --> 02:19.139 align:left position:10%,start line:89% size:80% IT'S VERY DIFFERENT. 02:19.139 --> 02:21.407 align:left position:10%,start line:89% size:80% I THINK FASCINATING TO A LOT OF 02:21.407 --> 02:22.642 align:left position:10%,start line:89% size:80% PEOPLE AND OFTEN ONE THAT THEY 02:22.642 --> 02:23.610 align:left position:10%,start line:89% size:80% DON'T KNOW ABOUT UNTIL THEY HAVE 02:23.610 --> 02:25.145 align:left position:10%,start line:89% size:80% TO USE ONE OF YOUR SERVICES. 02:25.145 --> 02:27.147 align:left position:10%,start line:89% size:80% SO LET'S TALK, FIRST, ABOUT 02:27.147 --> 02:29.516 align:left position:10%,start line:89% size:80% EMERGENCY CARE, DAN. 02:29.516 --> 02:30.617 align:left position:10%,start line:89% size:80% AND WHAT WE'RE TALKING ABOUT 02:30.617 --> 02:31.651 align:left position:10%,start line:89% size:80% WHEN WE ARE TALKING ABOUT THE 02:31.651 --> 02:33.019 align:left position:10%,start line:89% size:80% EMERGENCY ROOM AND THE UNIQUE 02:33.019 --> 02:34.420 align:left position:10%,start line:89% size:80% FEATURES TO THE EMERGENCY ROOM 02:34.420 --> 02:37.157 align:left position:10%,start line:89% size:80% AND WHY WE GO THERE, AND WHAT IS 02:37.157 --> 02:37.724 align:left position:10%,start line:89% size:80% OFFERED. 02:37.724 --> 02:38.124 align:left position:10%,start line:89% size:80% >> SURE. 02:38.124 --> 02:39.425 align:left position:10%,start line:89% size:80% EMERGENCY MEDICINE IS A FAIRLY 02:39.425 --> 02:40.627 align:left position:10%,start line:89% size:80% UNIQUE SPECIALTY IN THAT WE ARE 02:40.627 --> 02:42.328 align:left position:10%,start line:89% size:80% REALLY THE FIRST LINE OF CARE 02:42.328 --> 02:44.230 align:left position:10%,start line:89% size:80% FOR LIFE THREATENING OR 02:44.230 --> 02:45.231 align:left position:10%,start line:89% size:80% POTENTIALLY IMMEDIATELY 02:45.231 --> 02:45.832 align:left position:10%,start line:89% size:80% DISABLING ILLNESS. 02:45.832 --> 02:47.834 align:left position:10%,start line:89% size:80% SO IF YOU SEE THAT AMBULANCE IS 02:47.834 --> 02:49.135 align:left position:10%,start line:89% size:80% DRIVING BY, USUALLY THEY ARE 02:49.135 --> 02:51.037 align:left position:10%,start line:89% size:80% COMING TO SEE ONE OF OUR LOCAL 02:51.037 --> 02:53.239 align:left position:10%,start line:89% size:80% E.R.s WITH PRETTY SICK PEOPLE. 02:53.239 --> 02:56.543 align:left position:10%,start line:89% size:80% AND THERE'S A LOT OF CONFUSION 02:56.543 --> 02:58.244 align:left position:10%,start line:89% size:80% ON WHAT WARRANTS AND E.D. VISIT, 02:58.244 --> 03:00.613 align:left position:10%,start line:89% size:80% BUT ANYTHING THAT'S LIFE 03:00.613 --> 03:05.251 align:left position:10%,start line:89% size:80% THREATENING OR DISABLING, WE 03:05.251 --> 03:08.688 align:left position:10%,start line:89% size:80% TEND TO GET THEM. 03:08.688 --> 03:11.891 align:left position:10%,start line:89% size:80% WE HAVE BROKEN ANKLES AND URGENT 03:11.891 --> 03:12.992 align:left position:10%,start line:89% size:80% CARES WHERE A PERSON WHO 03:12.992 --> 03:13.993 align:left position:10%,start line:89% size:80% PRESENTS WITH A COMPLAINT THAT 03:13.993 --> 03:16.196 align:left position:10%,start line:89% size:80% MAY NOT BE APPROPRIATE FOR THEIR 03:16.196 --> 03:17.297 align:left position:10%,start line:89% size:80% SETTING BUT THEY WILL SEND IT TO 03:17.297 --> 03:18.097 align:left position:10%,start line:89% size:80% THE EMERGENCY DEPARTMENT. 03:18.097 --> 03:19.199 align:left position:10%,start line:89% size:80% >> THAT'S A GREAT WAY TO BRING 03:19.199 --> 03:20.700 align:left position:10%,start line:89% size:80% YOU IN, HEATHER TO TALK MORE 03:20.700 --> 03:22.101 align:left position:10%,start line:89% size:80% ABOUT THE URGENT CARE 03:22.101 --> 03:22.502 align:left position:10%,start line:89% size:80% FACILITIES. 03:22.502 --> 03:23.803 align:left position:10%,start line:89% size:80% WE ARE SEEING A LOT OF THEM NOW 03:23.803 --> 03:25.205 align:left position:10%,start line:89% size:80% IN SPOKANE, WHICH IS A GOOD 03:25.205 --> 03:25.505 align:left position:10%,start line:89% size:80% THING. 03:25.505 --> 03:27.307 align:left position:10%,start line:89% size:80% WHY DO WE GO TO URGENT CARE AS 03:27.307 --> 03:28.208 align:left position:10%,start line:89% size:80% OPPOSED TO MAYBE GOING TO THE 03:28.208 --> 03:29.509 align:left position:10%,start line:89% size:80% EMERGENCY ROOM? 03:29.509 --> 03:32.712 align:left position:10%,start line:89% size:80% >> IT'S A GREAT ACCESS POINT 03:32.712 --> 03:33.846 align:left position:10%,start line:89% size:80% DURING THE WEEK, DURING THE DAY 03:33.846 --> 03:36.182 align:left position:10%,start line:89% size:80% IF YOU CAN'T GET IN WITH YOUR 03:36.182 --> 03:38.484 align:left position:10%,start line:89% size:80% PRIMARY CARE AND YOU HAVE COLD, 03:38.484 --> 03:41.387 align:left position:10%,start line:89% size:80% FLU-LIKE SYMPTOMS, A CHEST COLD, 03:41.387 --> 03:43.022 align:left position:10%,start line:89% size:80% THE FLU BUG THAT'S GOING AROUND 03:43.022 --> 03:43.990 align:left position:10%,start line:89% size:80% RIGHT NOW. 03:43.990 --> 03:47.560 align:left position:10%,start line:89% size:80% IT'S -- SO IT'S NOT THE URGENT 03:47.560 --> 03:49.128 align:left position:10%,start line:89% size:80% AND IMMEDIATE, REALLY LIFE 03:49.128 --> 03:50.196 align:left position:10%,start line:89% size:80% ALTERING THAT DAN WAS TALKING 03:50.196 --> 03:51.698 align:left position:10%,start line:89% size:80% ABOUT. 03:51.698 --> 03:54.067 align:left position:10%,start line:89% size:80% SOME OF THE QUICK ILLNESSES IN 03:54.067 --> 03:55.201 align:left position:10%,start line:89% size:80% THE URGENT CARE, WE CAN DO, YOU 03:55.201 --> 03:58.471 align:left position:10%,start line:89% size:80% KNOW, ANKLES AND SPRAINS AND 03:58.471 --> 03:59.606 align:left position:10%,start line:89% size:80% STRAINS, THAT TYPE OF THING. 03:59.606 --> 04:05.178 align:left position:10%,start line:89% size:80% BUT IT'S SOME VERY QUICK, COLDS, 04:05.178 --> 04:06.679 align:left position:10%,start line:89% size:80% FLUS, AND THEN WE JUST KIND OF 04:06.679 --> 04:07.013 align:left position:10%,start line:89% size:80% ASSESS. 04:07.013 --> 04:08.681 align:left position:10%,start line:89% size:80% IF WE DO FEEL LIKE MAYBE YOU 04:08.681 --> 04:10.783 align:left position:10%,start line:89% size:80% NEEDED AN E.R., THEN WE 04:10.783 --> 04:12.852 align:left position:10%,start line:89% size:80% ABSOLUTELY SEND TO THE E.R.s 04:12.852 --> 04:15.555 align:left position:10%,start line:89% size:80% IN THE AREA, ROCKWOOD VALLEY, 04:15.555 --> 04:17.657 align:left position:10%,start line:89% size:80% AND THEN PROVIDENCE IF NEEDED. 04:17.657 --> 04:18.691 align:left position:10%,start line:89% size:80% >> AND THE IDEA BEING THAT I CAN 04:18.691 --> 04:20.560 align:left position:10%,start line:89% size:80% JUST WALK IN AND GET THAT CARE 04:20.560 --> 04:24.163 align:left position:10%,start line:89% size:80% THAT I NEED IF MY PHYSICIAN IS 04:24.163 --> 04:24.998 align:left position:10%,start line:89% size:80% NOT AVAILABLE. 04:24.998 --> 04:26.766 align:left position:10%,start line:89% size:80% YOU ARE PROBABLY FAIRLY BUSY ON 04:26.766 --> 04:27.867 align:left position:10%,start line:89% size:80% THE WEEKENDS ALSO? 04:27.867 --> 04:29.068 align:left position:10%,start line:89% size:80% >> YES, WE HAVE OUR WEEKENDS AND 04:29.068 --> 04:30.870 align:left position:10%,start line:89% size:80% SATURDAY AND SUNDAYS, THOSE ARE 04:30.870 --> 04:32.272 align:left position:10%,start line:89% size:80% TIMES WHEN PEOPLE CAN'T GET INTO 04:32.272 --> 04:33.273 align:left position:10%,start line:89% size:80% PRIMARY CARE BUT THEY ARE SICK. 04:33.273 --> 04:34.274 align:left position:10%,start line:89% size:80% THEY NEED TO GET IN. 04:34.274 --> 04:35.675 align:left position:10%,start line:89% size:80% THEY WANT TO GET HEALTHIER AND 04:35.675 --> 04:36.476 align:left position:10%,start line:89% size:80% GET BACK TO WORK. 04:36.476 --> 04:38.678 align:left position:10%,start line:89% size:80% AND SO SATURDAYS AND SUNDAYS ARE 04:38.678 --> 04:39.779 align:left position:10%,start line:89% size:80% BUSY, ESPECIALLY WITH ALL THE 04:39.779 --> 04:40.713 align:left position:10%,start line:89% size:80% SPORTS GOING ON. 04:40.713 --> 04:42.081 align:left position:10%,start line:89% size:80% WE WILL GET KIDDOS THERE. 04:42.081 --> 04:43.316 align:left position:10%,start line:89% size:80% WE HAVE SPORTS PHYSICALS. 04:43.316 --> 04:44.784 align:left position:10%,start line:89% size:80% WE CAN TAKE CARE OF THAT. 04:44.784 --> 04:45.918 align:left position:10%,start line:89% size:80% SO SOME WELLNESS THINGS TOO. 04:45.918 --> 04:48.054 align:left position:10%,start line:89% size:80% SO THAT'S GOOD. 04:48.054 --> 04:48.488 align:left position:10%,start line:89% size:80% >> MM-HMM. 04:48.488 --> 04:49.355 align:left position:10%,start line:89% size:80% >> AND SHAUN, YOUR CREWS ARE 04:49.355 --> 04:51.190 align:left position:10%,start line:89% size:80% FIRST ON THE SCENE AS THE 04:51.190 --> 04:51.958 align:left position:10%,start line:89% size:80% E.M.T.s AND SO YOU ARE THERE 04:51.958 --> 04:53.693 align:left position:10%,start line:89% size:80% TO DO THAT FIRST ASSESSMENT. 04:53.693 --> 04:55.461 align:left position:10%,start line:89% size:80% TO GET THEM TO ONE OF THE 04:55.461 --> 04:55.862 align:left position:10%,start line:89% size:80% FACILITIES. 04:55.862 --> 04:57.664 align:left position:10%,start line:89% size:80% TALK ABOUT YOUR ROLE AND THE 04:57.664 --> 05:02.068 align:left position:10%,start line:89% size:80% LARGER ROLE THAT E.M.T.s PLAY. 05:02.068 --> 05:02.568 align:left position:10%,start line:89% size:80% >> ABSOLUTELY. 05:02.568 --> 05:05.204 align:left position:10%,start line:89% size:80% SO WE -- YOU CALL 911 AND WE ARE 05:05.204 --> 05:08.241 align:left position:10%,start line:89% size:80% WHO SHOWS UP, A MIX OF E.M. 05:08.241 --> 05:10.743 align:left position:10%,start line:89% size:80% T.s AND SOME AREAS ADVANCED 05:10.743 --> 05:12.845 align:left position:10%,start line:89% size:80% E.M.T.s AND OTHERS OFFER 05:12.845 --> 05:14.147 align:left position:10%,start line:89% size:80% PARAMEDICINE. 05:14.147 --> 05:15.181 align:left position:10%,start line:89% size:80% MOST OF ALL OF THE PATIENTS WE 05:15.181 --> 05:16.749 align:left position:10%,start line:89% size:80% ARE TAKING FROM THEIR HOME TO AN 05:16.749 --> 05:18.251 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT FACILITY. 05:18.251 --> 05:19.919 align:left position:10%,start line:89% size:80% EVERY ONCE IN A WHILE, WE GET 05:19.919 --> 05:22.322 align:left position:10%,start line:89% size:80% SOMEONE WHO HAS AN URGENT CARE 05:22.322 --> 05:23.723 align:left position:10%,start line:89% size:80% FACILITY THAT WE ARE TAKING INTO 05:23.723 --> 05:24.357 align:left position:10%,start line:89% size:80% THE EMERGENCY DEPARTMENT, 05:24.357 --> 05:25.191 align:left position:10%,start line:89% size:80% WHETHER IT WAS SOMETHING THAT 05:25.191 --> 05:27.927 align:left position:10%,start line:89% size:80% WAS A LITTLE MORE CRITICAL THAN 05:27.927 --> 05:29.429 align:left position:10%,start line:89% size:80% THE PATIENT THOUGHT OR THE 05:29.429 --> 05:31.230 align:left position:10%,start line:89% size:80% NURSING STAFF DECIDED IT WOULD 05:31.230 --> 05:33.032 align:left position:10%,start line:89% size:80% NEED TO BE HANDLED ON THE E.D. 05:33.032 --> 05:34.133 align:left position:10%,start line:89% size:80% SIDE OF THINGS. 05:34.133 --> 05:35.635 align:left position:10%,start line:89% size:80% WE TRANSPORT THEM IN AND GET 05:35.635 --> 05:39.639 align:left position:10%,start line:89% size:80% THEM TAKEN CARE OF BY THE 05:39.639 --> 05:43.343 align:left position:10%,start line:89% size:80% DIFFERENT E.R. FACILITIES. 05:43.343 --> 05:44.911 align:left position:10%,start line:89% size:80% >> AND SOME FACILITIES INDICATOR 05:44.911 --> 05:45.945 align:left position:10%,start line:89% size:80% TO SENIORS AND CHILDREN'S 05:45.945 --> 05:47.046 align:left position:10%,start line:89% size:80% HOSPITAL WITH A TRAUMA UNIT. 05:47.046 --> 05:49.248 align:left position:10%,start line:89% size:80% SO TALK ABOUT HOW WE'RE 05:49.248 --> 05:50.350 align:left position:10%,start line:89% size:80% ADDRESSING THOSE UNIQUE NEEDS OF 05:50.350 --> 05:51.617 align:left position:10%,start line:89% size:80% THE PATIENTS AND NOT JUST KIND 05:51.617 --> 05:53.453 align:left position:10%,start line:89% size:80% OF A CATTLE CALL, SO TO SPEAK. 05:53.453 --> 05:54.153 align:left position:10%,start line:89% size:80% >> YES, THAT'S TRUE. 05:54.153 --> 05:56.556 align:left position:10%,start line:89% size:80% WE HAVE KIND OF -- EACH 05:56.556 --> 05:57.256 align:left position:10%,start line:89% size:80% DIFFERENT -- EACH INSTITUTION 05:57.256 --> 05:59.058 align:left position:10%,start line:89% size:80% THAT WE HAVE IN SPOKANE HAS A 05:59.058 --> 06:00.727 align:left position:10%,start line:89% size:80% CERTAIN, YOU KNOW, LEVEL OF 06:00.727 --> 06:02.028 align:left position:10%,start line:89% size:80% SPECIALTY, WHETHER IT BE THE 06:02.028 --> 06:02.929 align:left position:10%,start line:89% size:80% SACRED HEART CHILDREN'S 06:02.929 --> 06:03.296 align:left position:10%,start line:89% size:80% HOSPITAL. 06:03.296 --> 06:05.798 align:left position:10%,start line:89% size:80% WE FOCUS MORE ON SOME GERIATRIC 06:05.798 --> 06:08.000 align:left position:10%,start line:89% size:80% APPROACH FROM VALLEY HOSPITAL'S 06:08.000 --> 06:09.902 align:left position:10%,start line:89% size:80% STANDPOINT, BEING A GERIATRIC 06:09.902 --> 06:11.104 align:left position:10%,start line:89% size:80% FRIENDLY E.D. 06:11.104 --> 06:12.872 align:left position:10%,start line:89% size:80% URGENT CARE, YOU SEE ALL WALKS, 06:12.872 --> 06:13.706 align:left position:10%,start line:89% size:80% OF COURSE. 06:13.706 --> 06:17.610 align:left position:10%,start line:89% size:80% YOU HAVE YOUNG, OLD, DOESN'T -- 06:17.610 --> 06:18.378 align:left position:10%,start line:89% size:80% ALL AGE RANGES. 06:18.378 --> 06:19.712 align:left position:10%,start line:89% size:80% THERE ARE SOME SPECIALTY E.D.s 06:19.712 --> 06:21.214 align:left position:10%,start line:89% size:80% AS WELL, EVEN OUTSIDE OF OUR 06:21.214 --> 06:23.916 align:left position:10%,start line:89% size:80% LOCAL COMMUNITY AS WELL THAT 06:23.916 --> 06:26.185 align:left position:10%,start line:89% size:80% FOCUS ON SUBSPECIALTY NEUROLOGY, 06:26.185 --> 06:27.320 align:left position:10%,start line:89% size:80% ET CETERA, THAT KIND OF THING. 06:27.320 --> 06:29.188 align:left position:10%,start line:89% size:80% I THINK WE ARE PROBABLY ALL THE 06:29.188 --> 06:31.023 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENTS IN OUR 06:31.023 --> 06:33.292 align:left position:10%,start line:89% size:80% SURROUNDING AREA, SPOKANE 06:33.292 --> 06:35.795 align:left position:10%,start line:89% size:80% SPECIFICALLY, CAN TAILOR, YOU 06:35.795 --> 06:37.330 align:left position:10%,start line:89% size:80% KNOW, TO ANYONE WHO WALKS 06:37.330 --> 06:38.498 align:left position:10%,start line:89% size:80% THROUGH THE DOOR OR GETS BROUGHT 06:38.498 --> 06:40.500 align:left position:10%,start line:89% size:80% IN THROUGH THE AMBULANCE DOOR. 06:40.500 --> 06:41.601 align:left position:10%,start line:89% size:80% >> SO KIND OF TAKE US THROUGH 06:41.601 --> 06:43.503 align:left position:10%,start line:89% size:80% THAT PROCESS, ESPECIALLY WHERE 06:43.503 --> 06:44.904 align:left position:10%,start line:89% size:80% YOU CATER TO SENIORS. 06:44.904 --> 06:46.806 align:left position:10%,start line:89% size:80% WHY IS IT UNIQUE FOR THEM? 06:46.806 --> 06:48.808 align:left position:10%,start line:89% size:80% >> SO FOR SENIORS, SPECIFICALLY, 06:48.808 --> 06:50.610 align:left position:10%,start line:89% size:80% ONE OF THE FOCUSES THAT WE TOOK 06:50.610 --> 06:52.612 align:left position:10%,start line:89% size:80% WAS BEING ABLE TO HAVE A 06:52.612 --> 06:55.014 align:left position:10%,start line:89% size:80% COMFORTABLE, EASY ACCESS, 06:55.014 --> 06:55.615 align:left position:10%,start line:89% size:80% ACCESSIBLE ENVIRONMENT. 06:55.615 --> 06:57.817 align:left position:10%,start line:89% size:80% SO ESSENTIALLY THAT EASIER 06:57.817 --> 06:58.151 align:left position:10%,start line:89% size:80% PARKING. 06:58.151 --> 06:59.619 align:left position:10%,start line:89% size:80% SO BRINGING A PARKING SPOT 06:59.619 --> 07:00.887 align:left position:10%,start line:89% size:80% CLOSER TO THE DOOR. 07:00.887 --> 07:02.588 align:left position:10%,start line:89% size:80% BECAUSE IT'S A BIG DEAL TO GET 07:02.588 --> 07:04.190 align:left position:10%,start line:89% size:80% FROM THAT CAR TO THE FRONT DOOR 07:04.190 --> 07:06.392 align:left position:10%,start line:89% size:80% IN SOME CASES. 07:06.392 --> 07:09.796 align:left position:10%,start line:89% size:80% WE HAVE THICKER MATTRESS 07:09.796 --> 07:10.196 align:left position:10%,start line:89% size:80% STRETCHERS. 07:10.196 --> 07:11.697 align:left position:10%,start line:89% size:80% SO ESSENTIALLY WE ADDED MORE 07:11.697 --> 07:12.031 align:left position:10%,start line:89% size:80% PADDING. 07:12.031 --> 07:13.966 align:left position:10%,start line:89% size:80% SO YOU DON'T FEEL -- YOU DON'T 07:13.966 --> 07:15.668 align:left position:10%,start line:89% size:80% FEEL THE STRETCHER AS MUCH WHILE 07:15.668 --> 07:16.769 align:left position:10%,start line:89% size:80% YOU ARE SITTING THERE GETTING 07:16.769 --> 07:17.170 align:left position:10%,start line:89% size:80% YOUR CARE. 07:17.170 --> 07:19.405 align:left position:10%,start line:89% size:80% SO LITTLE THINGS THAT MAKE THE 07:19.405 --> 07:19.806 align:left position:10%,start line:89% size:80% DIFFERENCE. 07:19.806 --> 07:20.873 align:left position:10%,start line:89% size:80% >> AND DAN, WE OFTEN SAY ON THE 07:20.873 --> 07:24.944 align:left position:10%,start line:89% size:80% SHOW WITH A LOT OF OUR DOCS THAT 07:24.944 --> 07:25.678 align:left position:10%,start line:89% size:80% CHILDREN AREN'T JUST SMALL 07:25.678 --> 07:26.245 align:left position:10%,start line:89% size:80% ADULTS. 07:26.245 --> 07:27.547 align:left position:10%,start line:89% size:80% THEY HAVE SPECIAL NEEDS AND 07:27.547 --> 07:28.948 align:left position:10%,start line:89% size:80% THAT'S WHERE CHILDREN'S 07:28.948 --> 07:30.049 align:left position:10%,start line:89% size:80% HOSPITAL, SACRED HEART 07:30.049 --> 07:30.950 align:left position:10%,start line:89% size:80% CHILDREN'S HOSPITAL COMES INTO 07:30.950 --> 07:33.052 align:left position:10%,start line:89% size:80% MAY WITH THE ONLY AREA TRAUMA 07:33.052 --> 07:34.220 align:left position:10%,start line:89% size:80% UNIT FOR KIDS. 07:34.220 --> 07:36.022 align:left position:10%,start line:89% size:80% >> YES, IT'S -- THE WAY WE SET 07:36.022 --> 07:37.523 align:left position:10%,start line:89% size:80% UP OUR PEDIATRIC EMERGENCY 07:37.523 --> 07:38.491 align:left position:10%,start line:89% size:80% DEPARTMENT, IT'S FOR THE MOST 07:38.491 --> 07:40.426 align:left position:10%,start line:89% size:80% PART STAFFED BY EMERGENCY 07:40.426 --> 07:42.028 align:left position:10%,start line:89% size:80% MEDICINE PHYSICIANS, FELLOWSHIP 07:42.028 --> 07:43.729 align:left position:10%,start line:89% size:80% TRAINING AND PEDIATRIC CARE. 07:43.729 --> 07:45.331 align:left position:10%,start line:89% size:80% IT'S DEFINITELY A VERY DIFFERENT 07:45.331 --> 07:46.833 align:left position:10%,start line:89% size:80% SPECIALTY FROM GENERAL EMERGENCY 07:46.833 --> 07:48.334 align:left position:10%,start line:89% size:80% MEDICINE AND A VERY UNIQUE 07:48.334 --> 07:48.701 align:left position:10%,start line:89% size:80% PRACTICE. 07:48.701 --> 07:49.936 align:left position:10%,start line:89% size:80% THEY DO A VERY GOOD JOB 07:49.936 --> 07:51.037 align:left position:10%,start line:89% size:80% PROVIDING CARE TO VERY, VERY 07:51.037 --> 07:51.938 align:left position:10%,start line:89% size:80% SICK CHILDREN. 07:51.938 --> 07:52.939 align:left position:10%,start line:89% size:80% THAT'S ONE OF THE CHALLENGES 07:52.939 --> 07:54.540 align:left position:10%,start line:89% size:80% WHEN YOU HAVE A CHILDREN'S 07:54.540 --> 07:56.542 align:left position:10%,start line:89% size:80% HOSPITAL, YOU DEAL WITH THE 07:56.542 --> 07:57.743 align:left position:10%,start line:89% size:80% PEDIATRIC POPULATION WITH SOME 07:57.743 --> 07:59.245 align:left position:10%,start line:89% size:80% VERY SERIOUS ILLNESSES AND WE 07:59.245 --> 08:00.613 align:left position:10%,start line:89% size:80% HAVE CHILDREN COMING FROM THE 08:00.613 --> 08:02.715 align:left position:10%,start line:89% size:80% SEATTLE AREA TO RECEIVE CARE IN 08:02.715 --> 08:03.216 align:left position:10%,start line:89% size:80% SPOKANE. 08:03.216 --> 08:03.649 align:left position:10%,start line:89% size:80% >> MM-HMM. 08:03.649 --> 08:05.017 align:left position:10%,start line:89% size:80% SO ALL OF THE EQUIPMENT IS 08:05.017 --> 08:05.918 align:left position:10%,start line:89% size:80% GEARED TOWARDS CHILDREN. 08:05.918 --> 08:08.221 align:left position:10%,start line:89% size:80% IT'S CHILD-SIZED SO TO SPEAK? 08:08.221 --> 08:09.589 align:left position:10%,start line:89% size:80% >> YES, EVEN THE WAY YOU WALK IN 08:09.589 --> 08:10.823 align:left position:10%,start line:89% size:80% THERE, THERE'S A TREMENDOUSLY 08:10.823 --> 08:12.058 align:left position:10%,start line:89% size:80% BIG FISH TANK AND VIDEO GAMES 08:12.058 --> 08:13.793 align:left position:10%,start line:89% size:80% AND WE TRY TO MAKE IT AS 08:13.793 --> 08:14.694 align:left position:10%,start line:89% size:80% COMFORTABLE AS WE CAN FOR THE 08:14.694 --> 08:15.995 align:left position:10%,start line:89% size:80% CHILDREN, AS WELL AS THE 08:15.995 --> 08:16.362 align:left position:10%,start line:89% size:80% FAMILIES. 08:16.362 --> 08:18.231 align:left position:10%,start line:89% size:80% IT'S AN ENTIRELY DIFFERENT 08:18.231 --> 08:19.398 align:left position:10%,start line:89% size:80% WAITING ROOM FROM OUR ADULT 08:19.398 --> 08:19.999 align:left position:10%,start line:89% size:80% WAITING ROOM. 08:19.999 --> 08:22.602 align:left position:10%,start line:89% size:80% THANKS TO A LARGE DONATION, 08:22.602 --> 08:25.304 align:left position:10%,start line:89% size:80% THERE WAS A NEW PEDIATRIC 08:25.304 --> 08:26.606 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT THAT'S 08:26.606 --> 08:28.207 align:left position:10%,start line:89% size:80% BEAUTIFUL AND COMFORTABLE FOR 08:28.207 --> 08:30.309 align:left position:10%,start line:89% size:80% CHILDREN AND THEIR FAMILIES. 08:30.309 --> 08:31.611 align:left position:10%,start line:89% size:80% >> SHAUN, IS THAT AN AUTOMATIC 08:31.611 --> 08:34.113 align:left position:10%,start line:89% size:80% FOR THE E.M.T.s TO KNOW WHICH 08:34.113 --> 08:35.181 align:left position:10%,start line:89% size:80% FACILITY TO USE? 08:35.181 --> 08:37.183 align:left position:10%,start line:89% size:80% I'M FASCINATED BY THAT PROCESS? 08:37.183 --> 08:37.683 align:left position:10%,start line:89% size:80% >> ABSOLUTELY. 08:37.683 --> 08:38.718 align:left position:10%,start line:89% size:80% WE ALL HAVE POLICIES AND 08:38.718 --> 08:39.619 align:left position:10%,start line:89% size:80% PROCEDURES THAT WE DETERMINE ON 08:39.619 --> 08:41.821 align:left position:10%,start line:89% size:80% THE SCENE IF IT'S A PEDIATRIC 08:41.821 --> 08:43.489 align:left position:10%,start line:89% size:80% PATIENT, THEN WE WILL BE HEADED 08:43.489 --> 08:45.324 align:left position:10%,start line:89% size:80% DOWN TO SEE PEOPLE AT SACRED 08:45.324 --> 08:45.625 align:left position:10%,start line:89% size:80% HEART. 08:45.625 --> 08:46.626 align:left position:10%,start line:89% size:80% DIFFERENT LEVELS OF CARE, WHICH 08:46.626 --> 08:48.828 align:left position:10%,start line:89% size:80% IT'S A CARDIAC PATIENT, AND WHAT 08:48.828 --> 08:49.929 align:left position:10%,start line:89% size:80% HOSPITAL THEY ARE SUPPOSED TO GO 08:49.929 --> 08:51.731 align:left position:10%,start line:89% size:80% TO OR A STROKE PATIENT, 08:51.731 --> 08:52.331 align:left position:10%,start line:89% size:80% UTILIZING THOSE. 08:52.331 --> 08:54.400 align:left position:10%,start line:89% size:80% AND SPOKANE COUNTY AND OTHER 08:54.400 --> 08:56.102 align:left position:10%,start line:89% size:80% AGENCIES LIKE THEM HAVE 08:56.102 --> 08:57.303 align:left position:10%,start line:89% size:80% PROTOCOLS SET UP THAT WE CAN USE 08:57.303 --> 08:58.938 align:left position:10%,start line:89% size:80% AS GUIDELINES OF WHERE TO GO AND 08:58.938 --> 09:00.773 align:left position:10%,start line:89% size:80% ONE THING THAT WE HAVE ALWAYS 09:00.773 --> 09:02.575 align:left position:10%,start line:89% size:80% UTILIZED IS AN ONLINE MEDICAL 09:02.575 --> 09:03.342 align:left position:10%,start line:89% size:80% DIRECTION, WHERE WE CAN PICK UP 09:03.342 --> 09:05.011 align:left position:10%,start line:89% size:80% OUR CELL PHONES OR RADIOS AND 09:05.011 --> 09:12.084 align:left position:10%,start line:89% size:80% CONTACT AN E.R. PHYSICIANS, 09:12.084 --> 09:14.987 align:left position:10%,start line:89% size:80% THESE ARE OUR PATIENT'S 09:14.987 --> 09:16.689 align:left position:10%,start line:89% size:80% SYMPTOMS, WOULD YOU LIKE THEM TO 09:16.689 --> 09:18.357 align:left position:10%,start line:89% size:80% BE SEEN AT YOUR FACILITY OR 09:18.357 --> 09:19.592 align:left position:10%,start line:89% size:80% ANOTHER FACILITY. 09:19.592 --> 09:21.060 align:left position:10%,start line:89% size:80% MOST OF THE TIME, MOST OF OUR 09:21.060 --> 09:22.161 align:left position:10%,start line:89% size:80% PATIENTS, ONE OF OUR FIRST 09:22.161 --> 09:23.195 align:left position:10%,start line:89% size:80% QUESTIONS IS WHAT HOSPITAL WOULD 09:23.195 --> 09:24.163 align:left position:10%,start line:89% size:80% YOU LIKE TO BE SEEN AT? 09:24.163 --> 09:25.064 align:left position:10%,start line:89% size:80% AND THOSE PATIENTS DETERMINE 09:25.064 --> 09:26.332 align:left position:10%,start line:89% size:80% WHERE THEY ARE GOING TO GO. 09:26.332 --> 09:29.068 align:left position:10%,start line:89% size:80% AND WE TRY TO FOLLOW THOSE 09:29.068 --> 09:30.570 align:left position:10%,start line:89% size:80% WISHES UNTIL THERE'S SOMETHING 09:30.570 --> 09:31.470 align:left position:10%,start line:89% size:80% THAT'S SPECIALIZED AND 09:31.470 --> 09:32.371 align:left position:10%,start line:89% size:80% ABSOLUTELY NEEDED. 09:32.371 --> 09:33.372 align:left position:10%,start line:89% size:80% >> WHEN SOMEONE PICKS UP THE 09:33.372 --> 09:36.475 align:left position:10%,start line:89% size:80% PHONE TO CALL 911 AND THEY NEED 09:36.475 --> 09:39.178 align:left position:10%,start line:89% size:80% ASSISTANCE, WHEN DOES AN 09:39.178 --> 09:40.680 align:left position:10%,start line:89% size:80% AMBULANCE ARRIVE AND WHEN DOES A 09:40.680 --> 09:42.081 align:left position:10%,start line:89% size:80% FIRE AID CAR ARRIVES? 09:42.081 --> 09:43.382 align:left position:10%,start line:89% size:80% HOW IS THAT DETERMINED? 09:43.382 --> 09:45.518 align:left position:10%,start line:89% size:80% >> IF THIS AREA IF YOU CALL 911 09:45.518 --> 09:47.186 align:left position:10%,start line:89% size:80% AND YOU ARE REQUESTING A MEDICAL 09:47.186 --> 09:47.987 align:left position:10%,start line:89% size:80% NEED, THE FIRE DEPARTMENT AROUND 09:47.987 --> 09:49.889 align:left position:10%,start line:89% size:80% HERE IS STAFFED WITH E.M.T.s 09:49.889 --> 09:51.390 align:left position:10%,start line:89% size:80% AND PARAMEDICS AND SO YOU WILL 09:51.390 --> 09:52.692 align:left position:10%,start line:89% size:80% GET A FIRE RESPONSE, WHETHER 09:52.692 --> 09:53.960 align:left position:10%,start line:89% size:80% IT'S AN ENGINE OR SOMETHING 09:53.960 --> 09:55.361 align:left position:10%,start line:89% size:80% ALONG THOSE LINES, AND THEN AN 09:55.361 --> 09:56.262 align:left position:10%,start line:89% size:80% AMBULANCE RESPONDS. 09:56.262 --> 09:59.065 align:left position:10%,start line:89% size:80% AND SO MOST PLACES ESPECIALLY IN 09:59.065 --> 10:00.900 align:left position:10%,start line:89% size:80% THE CITY OF SPOKANE AND THE 10:00.900 --> 10:02.969 align:left position:10%,start line:89% size:80% SPOKANE COUNTY AREA, YOU GET 10:02.969 --> 10:03.769 align:left position:10%,start line:89% size:80% BOTH THE FIRE DEPARTMENT AND THE 10:03.769 --> 10:04.236 align:left position:10%,start line:89% size:80% AMBULANCE AREA. 10:04.236 --> 10:05.671 align:left position:10%,start line:89% size:80% WE ARE ALL PRETTY USED TO 10:05.671 --> 10:07.373 align:left position:10%,start line:89% size:80% WORKING TOGETHER, AND, AGAIN, 10:07.373 --> 10:08.975 align:left position:10%,start line:89% size:80% JUST DEPENDS WHERE YOU LIVE 10:08.975 --> 10:10.076 align:left position:10%,start line:89% size:80% WHETHER THE FIRE DEPARTMENT HAS 10:10.076 --> 10:12.778 align:left position:10%,start line:89% size:80% A PARAMEDICS OR JUST A PARAMEDIC 10:12.778 --> 10:15.381 align:left position:10%,start line:89% size:80% ON AN AMBULANCE. 10:15.381 --> 10:16.882 align:left position:10%,start line:89% size:80% THAT PARAMEDIC LEVEL IS WHAT WE 10:16.882 --> 10:17.883 align:left position:10%,start line:89% size:80% STRIVE TO GET TO OUR COMMUNITY, 10:17.883 --> 10:19.385 align:left position:10%,start line:89% size:80% AS QUICK AS POSSIBLE, BECAUSE OF 10:19.385 --> 10:22.188 align:left position:10%,start line:89% size:80% THEIR SCOPE OF PRACTICE. 10:22.188 --> 10:22.622 align:left position:10%,start line:89% size:80% >> MM-HMM. 10:22.622 --> 10:23.856 align:left position:10%,start line:89% size:80% AND HEATHER, MORE PEOPLE ARE 10:23.856 --> 10:25.091 align:left position:10%,start line:89% size:80% USING URGENT CARE WHICH IS A 10:25.091 --> 10:25.958 align:left position:10%,start line:89% size:80% GOOD THING AND WITH THE HEALTH 10:25.958 --> 10:27.193 align:left position:10%,start line:89% size:80% INSURANCE CHANGES YOU ARE SEEING 10:27.193 --> 10:29.562 align:left position:10%,start line:89% size:80% MORE PATIENTS AT YOUR CLINICS. 10:29.562 --> 10:30.663 align:left position:10%,start line:89% size:80% WHAT WOULD YOU LIKE THOSE PEOPLE 10:30.663 --> 10:33.466 align:left position:10%,start line:89% size:80% TO KNOW THAT MAYBE HAVEN'T SET 10:33.466 --> 10:35.301 align:left position:10%,start line:89% size:80% FOOT IN AN URGENT CARE FACILITY 10:35.301 --> 10:36.102 align:left position:10%,start line:89% size:80% BEFORE THEY ARRIVE. 10:36.102 --> 10:38.304 align:left position:10%,start line:89% size:80% WHAT DO THEY NEED TO KNOW, FOR 10:38.304 --> 10:39.872 align:left position:10%,start line:89% size:80% INSTANCE, ABOUT THEIR INSURANCE 10:39.872 --> 10:41.407 align:left position:10%,start line:89% size:80% OR WHAT THEY NEED TO BRING AND 10:41.407 --> 10:43.275 align:left position:10%,start line:89% size:80% THE TYPE OF DOCTOR AND NURSES 10:43.275 --> 10:44.977 align:left position:10%,start line:89% size:80% THAT THEY ARE GOING TO SEE? 10:44.977 --> 10:47.079 align:left position:10%,start line:89% size:80% >> SO IN OUR URGENT CARES, WE 10:47.079 --> 10:50.583 align:left position:10%,start line:89% size:80% ARE STAFFED BY PHYSICIANS, NURSE 10:50.583 --> 10:51.884 align:left position:10%,start line:89% size:80% PRACTITIONERS, PHYSICIAN'S 10:51.884 --> 10:53.285 align:left position:10%,start line:89% size:80% ASSISTANTS AND SO THEY COULD SEE 10:53.285 --> 10:57.056 align:left position:10%,start line:89% size:80% ALL THREE OF THE PROVIDER TYPE. 10:57.056 --> 10:59.258 align:left position:10%,start line:89% size:80% WE HAVE R.N.s AND MEDICAL 10:59.258 --> 11:00.359 align:left position:10%,start line:89% size:80% ASSISTANTS AND SO THEY SEE THE 11:00.359 --> 11:01.260 align:left position:10%,start line:89% size:80% WHOLE GAMUT. 11:01.260 --> 11:02.828 align:left position:10%,start line:89% size:80% ONE REALLY, REALLY, REALLY 11:02.828 --> 11:04.664 align:left position:10%,start line:89% size:80% IMPORTANT THING IS THEIR 11:04.664 --> 11:05.731 align:left position:10%,start line:89% size:80% MEDICATION LIST. 11:05.731 --> 11:07.366 align:left position:10%,start line:89% size:80% BECAUSE IF THEY HAVE COME TO 11:07.366 --> 11:09.035 align:left position:10%,start line:89% size:80% URGENT CARE FOR THE VERY FIRST 11:09.035 --> 11:11.037 align:left position:10%,start line:89% size:80% TIME, EITHER THEY ARE ROCKWOOD 11:11.037 --> 11:12.338 align:left position:10%,start line:89% size:80% PATIENTS OR THEY ARE PROVIDENCE 11:12.338 --> 11:14.340 align:left position:10%,start line:89% size:80% PATIENTS OR THEY ARE JUST MOVING 11:14.340 --> 11:15.441 align:left position:10%,start line:89% size:80% THROUGH, BECAUSE THEY ARE 11:15.441 --> 11:16.642 align:left position:10%,start line:89% size:80% VISITING FAMILY FOR A FUNCTION 11:16.642 --> 11:17.843 align:left position:10%,start line:89% size:80% OR WHATEVER, WE DON'T HAVE ANY 11:17.843 --> 11:19.445 align:left position:10%,start line:89% size:80% OF THEIR HEALTH RECORDS ON FILE. 11:19.445 --> 11:20.946 align:left position:10%,start line:89% size:80% AND SO WE NEED TO KNOW WHAT 11:20.946 --> 11:22.148 align:left position:10%,start line:89% size:80% MEDICATIONS THEY ARE TAKING SO 11:22.148 --> 11:25.051 align:left position:10%,start line:89% size:80% THAT WE CAN TREAT THEM PROPERLY, 11:25.051 --> 11:27.853 align:left position:10%,start line:89% size:80% PREVENT MORE ILLNESS BECAUSE WE 11:27.853 --> 11:29.355 align:left position:10%,start line:89% size:80% USE MEDS THAT DIDN'T MATCH OR 11:29.355 --> 11:29.722 align:left position:10%,start line:89% size:80% ALLERGIES. 11:29.722 --> 11:31.357 align:left position:10%,start line:89% size:80% SO IF THEY HAD A MED LIST, IF 11:31.357 --> 11:33.359 align:left position:10%,start line:89% size:80% THEY HAD A LIST OF SOME OF THEIR 11:33.359 --> 11:35.261 align:left position:10%,start line:89% size:80% CHRONIC CONDITIONS, THAT'S 11:35.261 --> 11:36.562 align:left position:10%,start line:89% size:80% HELPFUL SO THAT WE CAN KIND OF 11:36.562 --> 11:37.730 align:left position:10%,start line:89% size:80% NARROW IT DOWN AND SPEED UP 11:37.730 --> 11:38.230 align:left position:10%,start line:89% size:80% THEIR CARE. 11:38.230 --> 11:39.665 align:left position:10%,start line:89% size:80% WE WOULD LIKE TO GET THEM IN AND 11:39.665 --> 11:40.666 align:left position:10%,start line:89% size:80% OUT QUICKLY. 11:40.666 --> 11:41.867 align:left position:10%,start line:89% size:80% >> I CAN SEE HOW THAT WOULD BE A 11:41.867 --> 11:42.668 align:left position:10%,start line:89% size:80% CHALLENGE BECAUSE ESSENTIALLY 11:42.668 --> 11:44.270 align:left position:10%,start line:89% size:80% YOU ARE SEEING THIS DOCTOR 11:44.270 --> 11:45.137 align:left position:10%,start line:89% size:80% PROBABLY FOR FIRST TIME. 11:45.137 --> 11:45.538 align:left position:10%,start line:89% size:80% >> YES. 11:45.538 --> 11:50.042 align:left position:10%,start line:89% size:80% >> IF I HAVE BEEN TO AN URGENT 11:50.042 --> 11:51.110 align:left position:10%,start line:89% size:80% CARE, AND I NEED TO GO BACK AT 11:51.110 --> 11:53.446 align:left position:10%,start line:89% size:80% SOME POINT, IS IT IMPORTANT TO 11:53.446 --> 11:54.447 align:left position:10%,start line:89% size:80% GO TO THE SAME ONE? 11:54.447 --> 11:56.449 align:left position:10%,start line:89% size:80% >> IN OUR SYSTEM, ALL SIX ARE 11:56.449 --> 11:56.816 align:left position:10%,start line:89% size:80% CONNECTED. 11:56.816 --> 11:58.284 align:left position:10%,start line:89% size:80% SO HELPS WITH THE CONNECTION 11:58.284 --> 11:59.652 align:left position:10%,start line:89% size:80% WITH THE COMPUTER SYSTEMS AND 11:59.652 --> 12:00.653 align:left position:10%,start line:89% size:80% THE MEDICAL RECORD. 12:00.653 --> 12:03.622 align:left position:10%,start line:89% size:80% IF YOU WENT TO ONE ROCKWOOD IN 12:03.622 --> 12:05.424 align:left position:10%,start line:89% size:80% OUR OR BEGAN FACILITY OR 12:05.424 --> 12:07.626 align:left position:10%,start line:89% size:80% ROCKWOOD AT LIBERTY LAKE, THOSE 12:07.626 --> 12:08.527 align:left position:10%,start line:89% size:80% MEDICAL RECORDS WOULD BE 12:08.527 --> 12:08.894 align:left position:10%,start line:89% size:80% CONNECTED. 12:08.894 --> 12:10.229 align:left position:10%,start line:89% size:80% SO IT DOESN'T MATTER WHICH 12:10.229 --> 12:12.431 align:left position:10%,start line:89% size:80% URGENT CARE YOU GO TO, WE WOULD 12:12.431 --> 12:13.199 align:left position:10%,start line:89% size:80% HAVE THAT DATA. 12:13.199 --> 12:14.633 align:left position:10%,start line:89% size:80% >> I'M HEARING A LOT ABOUT 12:14.633 --> 12:15.634 align:left position:10%,start line:89% size:80% CUSTOMER SERVICE AND THE FACT 12:15.634 --> 12:17.336 align:left position:10%,start line:89% size:80% THAT THERE AS A LOT -- A LOT OF 12:17.336 --> 12:20.840 align:left position:10%,start line:89% size:80% THOUGHT BE PUT INTO MAKING SURE 12:20.840 --> 12:23.109 align:left position:10%,start line:89% size:80% THE PATIENT IS COMFORTABLE, 12:23.109 --> 12:24.710 align:left position:10%,start line:89% size:80% MAKING SURE YOU SEE THEM 12:24.710 --> 12:25.111 align:left position:10%,start line:89% size:80% COMFORTABLE. 12:25.111 --> 12:26.412 align:left position:10%,start line:89% size:80% YOU HAVE A 30 MINUTE OR LESS 12:26.412 --> 12:27.113 align:left position:10%,start line:89% size:80% POLICY. 12:27.113 --> 12:29.448 align:left position:10%,start line:89% size:80% >> WE HAVE A PLAQUE ABOUT THAT. 12:29.448 --> 12:29.849 align:left position:10%,start line:89% size:80% >> YEAH. 12:29.849 --> 12:30.816 align:left position:10%,start line:89% size:80% >> SO ESSENTIALLY WE PLEDGE TO 12:30.816 --> 12:32.118 align:left position:10%,start line:89% size:80% SEE THE PATIENT WITHIN 30 12:32.118 --> 12:33.552 align:left position:10%,start line:89% size:80% MINUTES UPON ARRIVAL IN THE 12:33.552 --> 12:33.953 align:left position:10%,start line:89% size:80% DEPARTMENT. 12:33.953 --> 12:34.920 align:left position:10%,start line:89% size:80% NOW, WHEN YOU FIRST COME, IN YOU 12:34.920 --> 12:36.722 align:left position:10%,start line:89% size:80% ARE GREETED BY A GREETER, 12:36.722 --> 12:37.089 align:left position:10%,start line:89% size:80% OBVIOUSLY. 12:37.089 --> 12:41.026 align:left position:10%,start line:89% size:80% IF YOU NEED SOMETHING 12:41.026 --> 12:42.928 align:left position:10%,start line:89% size:80% EMERGENTLY, IT HAPPENS 12:42.928 --> 12:43.329 align:left position:10%,start line:89% size:80% EMERGENTLY. 12:43.329 --> 12:49.635 align:left position:10%,start line:89% size:80% BUT AS A PROVIDER WE STAFF NURSE 12:49.635 --> 12:50.336 align:left position:10%,start line:89% size:80% PRACTITIONERS AT THE FRONT OF 12:50.336 --> 12:50.803 align:left position:10%,start line:89% size:80% THE DEPARTMENT. 12:50.803 --> 12:51.937 align:left position:10%,start line:89% size:80% SO WE CAN GET A LOOK AT THEM 12:51.937 --> 12:53.939 align:left position:10%,start line:89% size:80% WITHIN THAT 30-MINUTE TIME FRAME 12:53.939 --> 12:55.608 align:left position:10%,start line:89% size:80% TO DECIDE WHAT DO WE HAVE TO DO? 12:55.608 --> 12:57.910 align:left position:10%,start line:89% size:80% DO WE NEED TO EXPEDITE THE CARE 12:57.910 --> 12:59.845 align:left position:10%,start line:89% size:80% AND FIGURE OUT WHAT WE NEED TO 12:59.845 --> 13:00.880 align:left position:10%,start line:89% size:80% DO FOR THEIR STAY AT THE 13:00.880 --> 13:02.181 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT AND FIGURE 13:02.181 --> 13:04.083 align:left position:10%,start line:89% size:80% OUT THE BEST WAY TO GET THEM 13:04.083 --> 13:05.885 align:left position:10%,start line:89% size:80% THROUGH AND WHAT THEY NEED. 13:05.885 --> 13:09.288 align:left position:10%,start line:89% size:80% IT HELPS US TO EXPEDITE THEIR 13:09.288 --> 13:10.790 align:left position:10%,start line:89% size:80% CARE OVERALL. 13:10.790 --> 13:11.791 align:left position:10%,start line:89% size:80% >> TYPICALLY HOW MANY STAFF ARE 13:11.791 --> 13:12.057 align:left position:10%,start line:89% size:80% ON? 13:12.057 --> 13:12.925 align:left position:10%,start line:89% size:80% IS THERE A BUSY TIME? 13:12.925 --> 13:14.393 align:left position:10%,start line:89% size:80% DO YOU HAVE MORE PEOPLE 13:14.393 --> 13:15.995 align:left position:10%,start line:89% size:80% OVERNIGHT OR ON WEEKENDS OR IN 13:15.995 --> 13:17.396 align:left position:10%,start line:89% size:80% THE SUMMER MONTHS WHEN WE TEND 13:17.396 --> 13:19.498 align:left position:10%,start line:89% size:80% TO SEE MORE INJURIES? 13:19.498 --> 13:22.201 align:left position:10%,start line:89% size:80% >> SOME OF OUR BUSIEST MONTHS 13:22.201 --> 13:23.502 align:left position:10%,start line:89% size:80% WITH TRAUMA SEASONS, WITH THE 13:23.502 --> 13:25.905 align:left position:10%,start line:89% size:80% WAY SPOKANE HAS GROWN, THERE'S 13:25.905 --> 13:27.072 align:left position:10%,start line:89% size:80% REALLY NO SLOW TIME IN THE 13:27.072 --> 13:27.640 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT. 13:27.640 --> 13:29.608 align:left position:10%,start line:89% size:80% WE FINISHED LAST YEAR SEEING 13:29.608 --> 13:31.510 align:left position:10%,start line:89% size:80% 82,000 PATIENTS IN THE EMERGENCY 13:31.510 --> 13:32.511 align:left position:10%,start line:89% size:80% DEPARTMENT OF THE SACRED HEART 13:32.511 --> 13:34.713 align:left position:10%,start line:89% size:80% AND WE ARE ON PACE TO SEE CLOSE 13:34.713 --> 13:35.581 align:left position:10%,start line:89% size:80% TO 100,000 THIS YEAR. 13:35.581 --> 13:37.183 align:left position:10%,start line:89% size:80% SO IT REALLY -- YOU REALLY BUILD 13:37.183 --> 13:39.218 align:left position:10%,start line:89% size:80% FROM PROBABLY 2 P.M. TO 1 A.M. 13:39.218 --> 13:40.886 align:left position:10%,start line:89% size:80% AND THEN IT SLOWS DOWN A LITTLE 13:40.886 --> 13:43.589 align:left position:10%,start line:89% size:80% BIT, BUT IT'S -- IT'S VERY BUSY 13:43.589 --> 13:44.190 align:left position:10%,start line:89% size:80% THE WHOLE TIME. 13:44.190 --> 13:47.393 align:left position:10%,start line:89% size:80% WE HAVE A SIMILAR APPROACH WHERE 13:47.393 --> 13:48.794 align:left position:10%,start line:89% size:80% WE USE NURSE PRACTITIONERS AND 13:48.794 --> 13:50.596 align:left position:10%,start line:89% size:80% PHYSICIAN ASSISTANTS IN TRIAGE, 13:50.596 --> 13:52.565 align:left position:10%,start line:89% size:80% WE CALL IT A PROVIDER IN TRIAGE 13:52.565 --> 13:53.899 align:left position:10%,start line:89% size:80% PROGRAM TO GET THE PATIENTS SEEN 13:53.899 --> 13:55.601 align:left position:10%,start line:89% size:80% MORE EXPEDIENTLY ON THE VERY 13:55.601 --> 13:56.936 align:left position:10%,start line:89% size:80% HIGH VOLUME DAYS WHICH IS 13:56.936 --> 13:58.170 align:left position:10%,start line:89% size:80% SATURDAY, SUNDAY AND MONDAY AND 13:58.170 --> 13:59.505 align:left position:10%,start line:89% size:80% WE WILL EXPAND THAT PROBABLY TO 13:59.505 --> 14:00.372 align:left position:10%,start line:89% size:80% EVERY DAY OF THE WEEK BECAUSE WE 14:00.372 --> 14:02.007 align:left position:10%,start line:89% size:80% ARE RUNNING OUT OF REAL ESTATE 14:02.007 --> 14:02.975 align:left position:10%,start line:89% size:80% WHEN WE ARE DEALING WITH THE 14:02.975 --> 14:05.678 align:left position:10%,start line:89% size:80% PATIENT VOLUMES BUT THE CUSTOMER 14:05.678 --> 14:07.112 align:left position:10%,start line:89% size:80% SATISFACTION AND OUR PATIENTS 14:07.112 --> 14:08.881 align:left position:10%,start line:89% size:80% ARE OUR CUSTOMERS ARE COMING TO 14:08.881 --> 14:10.082 align:left position:10%,start line:89% size:80% THE FOREFRONT OF EMERGENCY 14:10.082 --> 14:10.549 align:left position:10%,start line:89% size:80% MEDICINE. 14:10.549 --> 14:12.918 align:left position:10%,start line:89% size:80% ACTUALLY IN 2016O EARLY 2017, 14:12.918 --> 14:15.054 align:left position:10%,start line:89% size:80% THEY ARE GOING TO BE ROLLING OUT 14:15.054 --> 14:16.455 align:left position:10%,start line:89% size:80% E.D. CAPS WHICH IS HOSPITALS 14:16.455 --> 14:18.390 align:left position:10%,start line:89% size:80% WILL BE REIMBURSED AND PART OF 14:18.390 --> 14:20.693 align:left position:10%,start line:89% size:80% THE MEDICARE D.R.G. MONEY BASED 14:20.693 --> 14:22.061 align:left position:10%,start line:89% size:80% ON PATIENT SATISFACTION SURVEYS. 14:22.061 --> 14:23.362 align:left position:10%,start line:89% size:80% SO IT'S REALLY ONE OF THOSE 14:23.362 --> 14:25.164 align:left position:10%,start line:89% size:80% THINGS WHERE IT USED TO BE, YOU 14:25.164 --> 14:25.965 align:left position:10%,start line:89% size:80% COME INTO AN EMERGENCY 14:25.965 --> 14:27.066 align:left position:10%,start line:89% size:80% DEPARTMENT WHO KNOWS HOW YOUR 14:27.066 --> 14:27.533 align:left position:10%,start line:89% size:80% EXPERIENCE WAS. 14:27.533 --> 14:28.534 align:left position:10%,start line:89% size:80% YOU WILL GET A TREMENDOUSLY 14:28.534 --> 14:30.102 align:left position:10%,start line:89% size:80% LARGE BILL, AND THANKS, HAVE A 14:30.102 --> 14:30.870 align:left position:10%,start line:89% size:80% NICE DAY. 14:30.870 --> 14:32.838 align:left position:10%,start line:89% size:80% WELL, NOW PATIENTS HAVE A CHANCE 14:32.838 --> 14:33.672 align:left position:10%,start line:89% size:80% TO CONTRIBUTE BACK, AND IF THEY 14:33.672 --> 14:35.274 align:left position:10%,start line:89% size:80% HAD A BAD EXPERIENCE, WE NEED TO 14:35.274 --> 14:36.041 align:left position:10%,start line:89% size:80% KNOW ABOUT IT. 14:36.041 --> 14:36.442 align:left position:10%,start line:89% size:80% >> HMM. 14:36.442 --> 14:37.376 align:left position:10%,start line:89% size:80% WHAT ARE SOME OF THE CHALLENGES 14:37.376 --> 14:38.377 align:left position:10%,start line:89% size:80% THAT YOU ARE FACING? 14:38.377 --> 14:39.612 align:left position:10%,start line:89% size:80% >> WELL, I THINK EXPECTATIONS 14:39.612 --> 14:40.946 align:left position:10%,start line:89% size:80% AND THIS IS, I THINK, A HUGE 14:40.946 --> 14:42.181 align:left position:10%,start line:89% size:80% QUESTION IN THE MINDS OF PEOPLE 14:42.181 --> 14:43.182 align:left position:10%,start line:89% size:80% WHEN THEY COME INTO THE 14:43.182 --> 14:45.684 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT. 14:45.684 --> 14:47.586 align:left position:10%,start line:89% size:80% I ALMOST WISH WE COULD NAME IT 14:47.586 --> 14:48.487 align:left position:10%,start line:89% size:80% WHAT IT AIN'T DEPARTMENT. 14:48.487 --> 14:49.488 align:left position:10%,start line:89% size:80% I HAVE A PATIENT COME IN AND 14:49.488 --> 14:51.257 align:left position:10%,start line:89% size:80% THEY WILL BE IN THE EMERGENCY 14:51.257 --> 14:52.358 align:left position:10%,start line:89% size:80% DEPARTMENT FOR THREE AND A HALF 14:52.358 --> 14:53.993 align:left position:10%,start line:89% size:80% HOURS AND ORDER A BATTERY OF 14:53.993 --> 14:57.563 align:left position:10%,start line:89% size:80% TESTS AND THEY WILL COME WITH 14:57.563 --> 14:59.164 align:left position:10%,start line:89% size:80% ABDOMINAL PAIN AND I WILL TELL 14:59.164 --> 15:00.766 align:left position:10%,start line:89% size:80% THEM I DON'T KNOW WHAT THE 15:00.766 --> 15:02.835 align:left position:10%,start line:89% size:80% ABDOMINAL PAIN IS. 15:02.835 --> 15:07.072 align:left position:10%,start line:89% size:80% IT'S NOT LIFE THREATENING OR 15:07.072 --> 15:07.873 align:left position:10%,start line:89% size:80% APPENDITIS, BUT I TELL THEM THAT 15:07.873 --> 15:09.275 align:left position:10%,start line:89% size:80% NO NEWS IS GOOD NEWS FROM THE 15:09.275 --> 15:09.842 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT. 15:09.842 --> 15:11.243 align:left position:10%,start line:89% size:80% SO IF WE CAN SELL THEM SOME 15:11.243 --> 15:12.144 align:left position:10%,start line:89% size:80% REASSURANCE AND REALIZE THAT YOU 15:12.144 --> 15:13.746 align:left position:10%,start line:89% size:80% DON'T HAVE A LIFE THREATENING OR 15:13.746 --> 15:14.647 align:left position:10%,start line:89% size:80% POTENTIALLY DISABLING CONDITION 15:14.647 --> 15:15.547 align:left position:10%,start line:89% size:80% AND YOU ARE STABLE TO FOLLOW UP 15:15.547 --> 15:17.416 align:left position:10%,start line:89% size:80% WITH YOUR PRIMARY CARE CONDITION 15:17.416 --> 15:19.451 align:left position:10%,start line:89% size:80% FOR FURTHER TESTING, THAT'S THE 15:19.451 --> 15:20.019 align:left position:10%,start line:89% size:80% VALUE OF THE EMERGENCY 15:20.019 --> 15:20.419 align:left position:10%,start line:89% size:80% DEPARTMENT. 15:20.419 --> 15:21.620 align:left position:10%,start line:89% size:80% BUT IF WE DO FIND SOMETHING, WE 15:21.620 --> 15:22.988 align:left position:10%,start line:89% size:80% ARE EQUIPPED TO HANDLE THAT BUT 15:22.988 --> 15:24.823 align:left position:10%,start line:89% size:80% WE ARE SET TO LOOK FOR A VERY 15:24.823 --> 15:26.158 align:left position:10%,start line:89% size:80% SMALL SPECTRUM OF ILLNESS THAT 15:26.158 --> 15:28.527 align:left position:10%,start line:89% size:80% CAN POTENTIALLY KILL YOU. 15:28.527 --> 15:30.095 align:left position:10%,start line:89% size:80% IF WE DON'T FIND THAT, THAT'S A 15:30.095 --> 15:31.030 align:left position:10%,start line:89% size:80% GOOD THING FOR PEOPLE. 15:31.030 --> 15:31.931 align:left position:10%,start line:89% size:80% >> IS THAT SOME OF THE 15:31.931 --> 15:33.632 align:left position:10%,start line:89% size:80% CHALLENGES THAT YOU FACE WITH 15:33.632 --> 15:34.133 align:left position:10%,start line:89% size:80% URGENT CARE? 15:34.133 --> 15:34.667 align:left position:10%,start line:89% size:80% >> WE DO THAT. 15:34.667 --> 15:36.035 align:left position:10%,start line:89% size:80% I THINK PEOPLE WILL SEE A HEALTH 15:36.035 --> 15:37.069 align:left position:10%,start line:89% size:80% SYSTEM NAME AND THEN THEY WILL 15:37.069 --> 15:38.570 align:left position:10%,start line:89% size:80% GO THIS NO MATTER WHAT. 15:38.570 --> 15:40.272 align:left position:10%,start line:89% size:80% AND SO WE'LL HAVE PEOPLE COME 15:40.272 --> 15:42.141 align:left position:10%,start line:89% size:80% INTO THE URGENT CARE THAT HAVE 15:42.141 --> 15:44.476 align:left position:10%,start line:89% size:80% HAD, YOU KNOW, THE CLASSIC CHEST 15:44.476 --> 15:46.946 align:left position:10%,start line:89% size:80% PAIN SIGNS, YOU KNOW, PRESSURE, 15:46.946 --> 15:49.915 align:left position:10%,start line:89% size:80% RADIATING UP MY JAW AND DOWN MY 15:49.915 --> 15:52.751 align:left position:10%,start line:89% size:80% ARM, AND THEY JUST SEE ROCKWOOD 15:52.751 --> 15:54.019 align:left position:10%,start line:89% size:80% OR THEY SEE PROVIDENCE AND 15:54.019 --> 15:56.322 align:left position:10%,start line:89% size:80% THAT'S WHERE THEY GO, AND THAT'S 15:56.322 --> 15:57.723 align:left position:10%,start line:89% size:80% REALLY NOT THE BEST CARE FOR 15:57.723 --> 15:58.857 align:left position:10%,start line:89% size:80% THEM, BECAUSE WE CAN'T GET TO 15:58.857 --> 16:00.125 align:left position:10%,start line:89% size:80% THE -- THOSE ARE THE ONES THAT 16:00.125 --> 16:00.960 align:left position:10%,start line:89% size:80% MIGHT CAUSE A DEATH. 16:00.960 --> 16:02.795 align:left position:10%,start line:89% size:80% SO WE NEED TO GET THEM TO THE EX 16:02.795 --> 16:06.498 align:left position:10%,start line:89% size:80% E.R. AS FAST AS WE CAN. 16:06.498 --> 16:08.500 align:left position:10%,start line:89% size:80% WE CALL OUR E.M.S. TEAM AND THEY 16:08.500 --> 16:10.202 align:left position:10%,start line:89% size:80% GET THEM THERE QUICK. 16:10.202 --> 16:11.403 align:left position:10%,start line:89% size:80% THE PATIENTS ARE SCARED IN AN 16:11.403 --> 16:13.005 align:left position:10%,start line:89% size:80% EMERGENCY AND ALL THAT THEY KNOW 16:13.005 --> 16:15.307 align:left position:10%,start line:89% size:80% IS I GO TO ROCKWOOD OR I GO TO 16:15.307 --> 16:17.109 align:left position:10%,start line:89% size:80% PROVIDENCE AND I WANT TO SEE MY 16:17.109 --> 16:17.810 align:left position:10%,start line:89% size:80% DOC, BUT I CAN'T. 16:17.810 --> 16:19.311 align:left position:10%,start line:89% size:80% SO I'M GOING TO GO TO THE NEXT 16:19.311 --> 16:19.812 align:left position:10%,start line:89% size:80% BEST THING. 16:19.812 --> 16:20.913 align:left position:10%,start line:89% size:80% AND SO THEY SEE THE NAME AND 16:20.913 --> 16:21.714 align:left position:10%,start line:89% size:80% THEY GO RIGHT IN. 16:21.714 --> 16:23.515 align:left position:10%,start line:89% size:80% SO WE HAVE HIGHLY TRAINED STAFF 16:23.515 --> 16:25.317 align:left position:10%,start line:89% size:80% THAT CAN TRIAGE THAT PATIENT AND 16:25.317 --> 16:27.186 align:left position:10%,start line:89% size:80% FIGURE OUT IS THIS THE RIGHT 16:27.186 --> 16:27.486 align:left position:10%,start line:89% size:80% PLACE? 16:27.486 --> 16:29.388 align:left position:10%,start line:89% size:80% OR IS THE E.R. THE RIGHT PLACE? 16:29.388 --> 16:32.624 align:left position:10%,start line:89% size:80% AND SOMETIMES E.R.s WILL DO 16:32.624 --> 16:33.993 align:left position:10%,start line:89% size:80% THE REVERSE AND THEY WILL FIGURE 16:33.993 --> 16:35.427 align:left position:10%,start line:89% size:80% OUT, YOU ARE A LEVEL FIVE OR A 16:35.427 --> 16:37.463 align:left position:10%,start line:89% size:80% LEVEL ONE AND THEN THEY HELP TO 16:37.463 --> 16:38.464 align:left position:10%,start line:89% size:80% TRIAGE AND GET THE RIGHT CARE 16:38.464 --> 16:39.732 align:left position:10%,start line:89% size:80% FOR THE RIGHT THING. 16:39.732 --> 16:41.000 align:left position:10%,start line:89% size:80% >> THAT'S WHAT'S FRUSTRATING FOR 16:41.000 --> 16:41.467 align:left position:10%,start line:89% size:80% PATIENTS TOO. 16:41.467 --> 16:43.002 align:left position:10%,start line:89% size:80% WHEN THEY WALK INTO A BUSY 16:43.002 --> 16:44.203 align:left position:10%,start line:89% size:80% WAITING ROOM AND THEY SEE 20 16:44.203 --> 16:46.105 align:left position:10%,start line:89% size:80% PATIENTS AND THEY KEEP SEEING 16:46.105 --> 16:47.206 align:left position:10%,start line:89% size:80% PEOPLE COMING PAST THEM INTO THE 16:47.206 --> 16:47.806 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT. 16:47.806 --> 16:48.741 align:left position:10%,start line:89% size:80% THEY GET FRUSTRATED. 16:48.741 --> 16:50.009 align:left position:10%,start line:89% size:80% I HAVE BEEN HERE TWO HOURS AND 16:50.009 --> 16:51.310 align:left position:10%,start line:89% size:80% THAT PATIENT JUST WALKED IN. 16:51.310 --> 16:53.345 align:left position:10%,start line:89% size:80% BUT WHAT SHE ALLUDED TO WAS THE 16:53.345 --> 16:54.380 align:left position:10%,start line:89% size:80% TRIAGE CRITERIA. 16:54.380 --> 16:55.314 align:left position:10%,start line:89% size:80% IF SOMEONE POTENTIALS WITH 16:55.314 --> 16:56.415 align:left position:10%,start line:89% size:80% POTENTIALLY MORE SERIOUS 16:56.415 --> 16:58.117 align:left position:10%,start line:89% size:80% COMPLAINT WE EXPEDITE THEM BACK 16:58.117 --> 16:59.885 align:left position:10%,start line:89% size:80% AS QUICKLY AS POSSIBLE. 16:59.885 --> 17:01.020 align:left position:10%,start line:89% size:80% I DON'T THINK PEOPLE ALWAYS 17:01.020 --> 17:02.688 align:left position:10%,start line:89% size:80% REALLYIZE THAT THE AMBULANCE IS 17:02.688 --> 17:03.889 align:left position:10%,start line:89% size:80% COMING THROUGH THE BACK DOOR AT 17:03.889 --> 17:04.690 align:left position:10%,start line:89% size:80% A STEADY CLIP. 17:04.690 --> 17:06.692 align:left position:10%,start line:89% size:80% LAST I SAW STATISTICALLY ABOUT 17:06.692 --> 17:07.793 align:left position:10%,start line:89% size:80% 80% OF ALL AMBULANCE TRAFFIC 17:07.793 --> 17:10.662 align:left position:10%,start line:89% size:80% GOES TO SACRED HEART. 17:10.662 --> 17:13.565 align:left position:10%,start line:89% size:80% SO WE HAVE A STEADY STREAM OF 17:13.565 --> 17:14.299 align:left position:10%,start line:89% size:80% AMBULANCES. 17:14.299 --> 17:15.034 align:left position:10%,start line:89% size:80% SOMETIMES 60 AMBULANCES A DAY 17:15.034 --> 17:16.368 align:left position:10%,start line:89% size:80% WHICH COMES THROUGH THE BACK 17:16.368 --> 17:17.669 align:left position:10%,start line:89% size:80% DOOR, WHICH MAKES IT HARDER FOR 17:17.669 --> 17:18.670 align:left position:10%,start line:89% size:80% PEOPLE TO COME THROUGH THE FRONT 17:18.670 --> 17:18.971 align:left position:10%,start line:89% size:80% DOOR. 17:18.971 --> 17:20.072 align:left position:10%,start line:89% size:80% >> I THINK THAT'S WHY IT'S 17:20.072 --> 17:21.173 align:left position:10%,start line:89% size:80% ESSENTIAL THAT WE NOW HAVE THE 17:21.173 --> 17:21.974 align:left position:10%,start line:89% size:80% PROVIDERS IN KIND OF THE FRONT 17:21.974 --> 17:23.375 align:left position:10%,start line:89% size:80% OF THE DEPARTMENT AS WELL, 17:23.375 --> 17:24.977 align:left position:10%,start line:89% size:80% BECAUSE, YOU KNOW WHEN YOU ARE 17:24.977 --> 17:27.579 align:left position:10%,start line:89% size:80% LOOKING AT PRIME REAL ESTATE FOR 17:27.579 --> 17:28.680 align:left position:10%,start line:89% size:80% SICK, SICK PATIENTS IF YOU CAN 17:28.680 --> 17:30.482 align:left position:10%,start line:89% size:80% SEE SOMEONE QUICKLY, THAT 17:30.482 --> 17:32.985 align:left position:10%,start line:89% size:80% DOESN'T REQUIRE A BED, THAT CAN 17:32.985 --> 17:34.086 align:left position:10%,start line:89% size:80% STAY UPRIGHT AND GET THEIR 17:34.086 --> 17:37.089 align:left position:10%,start line:89% size:80% TREATMENT QUICKLY, THEN I THINK 17:37.089 --> 17:38.657 align:left position:10%,start line:89% size:80% THAT'S WORTH ITS WEIGHT IN GOLD, 17:38.657 --> 17:39.858 align:left position:10%,start line:89% size:80% BECAUSE THEN, YOU KNOW, THEY 17:39.858 --> 17:41.994 align:left position:10%,start line:89% size:80% DON'T HAVE TO STAY FOR 17:41.994 --> 17:43.195 align:left position:10%,start line:89% size:80% PROLONGED, YOU KNOW, WORKUP. 17:43.195 --> 17:44.463 align:left position:10%,start line:89% size:80% AND THE PATIENT THAT NEEDS THE 17:44.463 --> 17:45.831 align:left position:10%,start line:89% size:80% BED CAN GET TO THE BED FASTER, 17:45.831 --> 17:46.799 align:left position:10%,start line:89% size:80% AND GET WHAT THEY NEED. 17:46.799 --> 17:48.300 align:left position:10%,start line:89% size:80% SO I THINK THAT'S A BIG -- I 17:48.300 --> 17:50.569 align:left position:10%,start line:89% size:80% THINK THAT'S A BIG DRIVE WITH 17:50.569 --> 17:51.670 align:left position:10%,start line:89% size:80% SOME OF THE PROGRAMS THAT WE 17:51.670 --> 17:54.373 align:left position:10%,start line:89% size:80% HAVE INSTITUTES, AT BOTH OF OUR 17:54.373 --> 17:54.673 align:left position:10%,start line:89% size:80% E.D.s. 17:54.673 --> 17:56.475 align:left position:10%,start line:89% size:80% >> A LOT OF IN-PRO PROCESS 17:56.475 --> 17:56.809 align:left position:10%,start line:89% size:80% WAITING. 17:56.809 --> 17:57.776 align:left position:10%,start line:89% size:80% THAT'S THE NAME OF THE GAME. 17:57.776 --> 17:59.078 align:left position:10%,start line:89% size:80% AND WHEN YOU WALK THROUGH THE 17:59.078 --> 17:59.578 align:left position:10%,start line:89% size:80% FRONT DOOR. 17:59.578 --> 18:00.913 align:left position:10%,start line:89% size:80% WHEN YOU WALK INTO OUR LOBBY, 18:00.913 --> 18:02.548 align:left position:10%,start line:89% size:80% EVEN IF WE CAN'T GET A BED BACK 18:02.548 --> 18:03.649 align:left position:10%,start line:89% size:80% FOR YOU, IF WE CAN GET IN FRONT 18:03.649 --> 18:05.851 align:left position:10%,start line:89% size:80% OF A PROVIDER AND START CARE AND 18:05.851 --> 18:07.853 align:left position:10%,start line:89% size:80% GET YOUR WORKUP ARE GOING THAT 18:07.853 --> 18:08.687 align:left position:10%,start line:89% size:80% MAYBE POTENTIALLY HOUR AND A 18:08.687 --> 18:10.756 align:left position:10%,start line:89% size:80% HALF THAT YOU WAITED IS GETTING 18:10.756 --> 18:12.224 align:left position:10%,start line:89% size:80% AN HOUR AND A HALF AND 18:12.224 --> 18:14.159 align:left position:10%,start line:89% size:80% DISPOSITION HOME, AND THAT'S 18:14.159 --> 18:16.228 align:left position:10%,start line:89% size:80% WHERE THE VALUE ADD IS FOR THE 18:16.228 --> 18:16.562 align:left position:10%,start line:89% size:80% PATIENT. 18:16.562 --> 18:17.663 align:left position:10%,start line:89% size:80% >> WE HAVE A CALLER COMING IN 18:17.663 --> 18:18.664 align:left position:10%,start line:89% size:80% FROM SPOKANE. 18:18.664 --> 18:19.865 align:left position:10%,start line:89% size:80% THIS IS KATHY. 18:19.865 --> 18:20.566 align:left position:10%,start line:89% size:80% >> Caller: GOOD EVENING. 18:20.566 --> 18:21.333 align:left position:10%,start line:89% size:80% >> THANK YOU SO MUCH FOR 18:21.333 --> 18:21.667 align:left position:10%,start line:89% size:80% CALLING. 18:21.667 --> 18:22.568 align:left position:10%,start line:89% size:80% DO YOU HAVE A QUESTION FOR OUR 18:22.568 --> 18:25.370 align:left position:10%,start line:89% size:80% PANEL? 18:25.370 --> 18:26.238 align:left position:10%,start line:89% size:80% >> Caller: YES, I JUST WANT TO 18:26.238 --> 18:27.739 align:left position:10%,start line:89% size:80% KNOW, LIKE, WHEN YOU GO -- I 18:27.739 --> 18:31.343 align:left position:10%,start line:89% size:80% RECENTLY WENT TO AN URGENT CARE, 18:31.343 --> 18:34.546 align:left position:10%,start line:89% size:80% AND -- BECAUSE I HAD FALLEN, AND 18:34.546 --> 18:36.448 align:left position:10%,start line:89% size:80% THERE WAS A DOCTOR THAT, YOU 18:36.448 --> 18:40.452 align:left position:10%,start line:89% size:80% KNOW, TALKED TO ME, AND I GOT 18:40.452 --> 18:41.153 align:left position:10%,start line:89% size:80% X-RAYS AND STUFF. 18:41.153 --> 18:44.256 align:left position:10%,start line:89% size:80% AND THEN THIS WAS A DIFFERENT 18:44.256 --> 18:47.426 align:left position:10%,start line:89% size:80% DOCTOR THAT READ THE X-RAYS. 18:47.426 --> 18:50.462 align:left position:10%,start line:89% size:80% SO I WANTED TO KNOW -- AND THAT 18:50.462 --> 18:53.365 align:left position:10%,start line:89% size:80% DOCTOR WAS NOT A PROVIDER IN MY 18:53.365 --> 18:53.732 align:left position:10%,start line:89% size:80% INSURANCE. 18:53.732 --> 18:56.068 align:left position:10%,start line:89% size:80% SO I WANTED TO KNOW, LIKE, AS A 18:56.068 --> 18:58.270 align:left position:10%,start line:89% size:80% PATIENT COMING IN, WHAT 18:58.270 --> 19:00.172 align:left position:10%,start line:89% size:80% QUESTIONS DO WE HAVE TO ASK? 19:00.172 --> 19:03.008 align:left position:10%,start line:89% size:80% DO WE HAVE TO ASK, LIKE, IF THE 19:03.008 --> 19:05.511 align:left position:10%,start line:89% size:80% DOCTOR THAT'S GOING TO BE SEEING 19:05.511 --> 19:08.013 align:left position:10%,start line:89% size:80% US IS IN OUR NETWORK AND THE 19:08.013 --> 19:10.816 align:left position:10%,start line:89% size:80% DOCTOR THAT READS THE X-RAYS IS 19:10.816 --> 19:11.917 align:left position:10%,start line:89% size:80% THAT A DIFFERENT NETWORK? 19:11.917 --> 19:13.819 align:left position:10%,start line:89% size:80% DOES THIS MAKE SENSE? 19:13.819 --> 19:15.621 align:left position:10%,start line:89% size:80% >> YES, I THINK IT, DOES KATHY, 19:15.621 --> 19:17.222 align:left position:10%,start line:89% size:80% AND HEATHER, CAN YOU TAKE THAT? 19:17.222 --> 19:18.323 align:left position:10%,start line:89% size:80% >> YES, I THINK IT'S AN 19:18.323 --> 19:20.225 align:left position:10%,start line:89% size:80% EXCELLENT QUESTION, AND ONE OF 19:20.225 --> 19:22.227 align:left position:10%,start line:89% size:80% THE TOPICS WE HAVEN'T REALLY 19:22.227 --> 19:23.896 align:left position:10%,start line:89% size:80% TOUCHED ON IS HOW INSURANCE 19:23.896 --> 19:26.431 align:left position:10%,start line:89% size:80% DICTATES WHERE YOU GO TO WHAT 19:26.431 --> 19:28.700 align:left position:10%,start line:89% size:80% URGENT CARE YOU GO TO WHAT 19:28.700 --> 19:29.635 align:left position:10%,start line:89% size:80% EMERGENCY ROOM YOU GO TO. 19:29.635 --> 19:33.939 align:left position:10%,start line:89% size:80% AND IN TERMS OF THE RADIOLOGIST. 19:33.939 --> 19:36.408 align:left position:10%,start line:89% size:80% SO IN THE ROCKWOOD URGENT CARE 19:36.408 --> 19:39.111 align:left position:10%,start line:89% size:80% SYSTEM, WE DO TAKE THE RADIOLOGY 19:39.111 --> 19:40.812 align:left position:10%,start line:89% size:80% LOGICAL FILMS AND THEN A 19:40.812 --> 19:41.813 align:left position:10%,start line:89% size:80% RADIOLOGIST DOES THE 19:41.813 --> 19:43.515 align:left position:10%,start line:89% size:80% CONFIRMATION FILM, WHICH WOULD 19:43.515 --> 19:45.817 align:left position:10%,start line:89% size:80% BE THE SAME IN THE EMERGENCY 19:45.817 --> 19:49.621 align:left position:10%,start line:89% size:80% ROOMS, AND THAT RADIOLOGIST IS 19:49.621 --> 19:51.924 align:left position:10%,start line:89% size:80% PARTNERED WITH ROCKWOOD, AND SO 19:51.924 --> 19:54.159 align:left position:10%,start line:89% size:80% IF THE INSURANCE WORKED FOR 19:54.159 --> 19:57.529 align:left position:10%,start line:89% size:80% ROCKWOOD, YOU KNOW, WE'RE NOT -- 19:57.529 --> 19:58.931 align:left position:10%,start line:89% size:80% WE DON'T ALWAYS KNOW THAT THE 19:58.931 --> 19:59.531 align:left position:10%,start line:89% size:80% RADIOLOGIST WILL BE THE 19:59.531 --> 20:00.132 align:left position:10%,start line:89% size:80% INSURANCE CARRIER. 20:00.132 --> 20:01.733 align:left position:10%,start line:89% size:80% SO WE DO CHECK ON THE INSURANCE 20:01.733 --> 20:03.135 align:left position:10%,start line:89% size:80% FOR THE EMERGENCY ROOM VISIT OR 20:03.135 --> 20:04.903 align:left position:10%,start line:89% size:80% THE URGENT CARE VISIT, BUT SOME 20:04.903 --> 20:07.439 align:left position:10%,start line:89% size:80% OF THE ANCILLARY SERVICES, IT'S 20:07.439 --> 20:10.809 align:left position:10%,start line:89% size:80% NOT ALWAYS 100% THAT WE KNOW ALL 20:10.809 --> 20:13.045 align:left position:10%,start line:89% size:80% OF YOUR PARTS AND PIECES TO THE 20:13.045 --> 20:13.412 align:left position:10%,start line:89% size:80% INSURANCE. 20:13.412 --> 20:14.746 align:left position:10%,start line:89% size:80% AND I THINK WHAT'S REALLY 20:14.746 --> 20:19.218 align:left position:10%,start line:89% size:80% CHALLENGING IS THERE'S SO MANY 20:19.218 --> 20:19.885 align:left position:10%,start line:89% size:80% DIVISIONS WITH THE DIFFERENT 20:19.885 --> 20:20.919 align:left position:10%,start line:89% size:80% INSURANCE COMPANIES AND SO THEY 20:20.919 --> 20:21.920 align:left position:10%,start line:89% size:80% WILL COVER THIS OR THEY WILL PAY 20:21.920 --> 20:23.422 align:left position:10%,start line:89% size:80% FOR THIS, BUT THEY WON'T PAY FOR 20:23.422 --> 20:23.722 align:left position:10%,start line:89% size:80% THAT. 20:23.722 --> 20:25.023 align:left position:10%,start line:89% size:80% AND THAT'S INSURANCE A. 20:25.023 --> 20:26.325 align:left position:10%,start line:89% size:80% AND INSURANCE B IS GOING TO DO 20:26.325 --> 20:27.826 align:left position:10%,start line:89% size:80% IT A LITTLE BIT DIFFERENT. 20:27.826 --> 20:29.728 align:left position:10%,start line:89% size:80% INSURANCE C DOES IT A LITTLE BIT 20:29.728 --> 20:30.095 align:left position:10%,start line:89% size:80% DIFFERENT. 20:30.095 --> 20:32.130 align:left position:10%,start line:89% size:80% AND SO ON OUR END, THAT IS HARD 20:32.130 --> 20:33.832 align:left position:10%,start line:89% size:80% SOMETIMES FOR OUR RECEPTION 20:33.832 --> 20:35.300 align:left position:10%,start line:89% size:80% STAFF AND FOR OUR MEDICAL STAFF. 20:35.300 --> 20:37.536 align:left position:10%,start line:89% size:80% SO WHAT WE DO, OUR PRIMARY 20:37.536 --> 20:38.737 align:left position:10%,start line:89% size:80% OBJECTIVE IS WE WANT TO GET YOU 20:38.737 --> 20:39.004 align:left position:10%,start line:89% size:80% IN. 20:39.004 --> 20:40.505 align:left position:10%,start line:89% size:80% WE WANT TO GET YOU TAKEN CARE OF 20:40.505 --> 20:41.740 align:left position:10%,start line:89% size:80% AND WE WANT TO GET THE 20:41.740 --> 20:44.443 align:left position:10%,start line:89% size:80% MEDICATIONS AND THINGS THAT YOU 20:44.443 --> 20:44.743 align:left position:10%,start line:89% size:80% NEED. 20:44.743 --> 20:45.744 align:left position:10%,start line:89% size:80% AND THEN THAT OTHER FINANCIAL 20:45.744 --> 20:46.945 align:left position:10%,start line:89% size:80% PART IS THAT BACK END. 20:46.945 --> 20:48.747 align:left position:10%,start line:89% size:80% SO FOR THE CALLER'S QUESTION, 20:48.747 --> 20:52.851 align:left position:10%,start line:89% size:80% IT'S GREAT TO LOOK THROUGH YOUR 20:52.851 --> 20:54.720 align:left position:10%,start line:89% size:80% BENEFIT PACKAGE AND FIGURE IT 20:54.720 --> 20:55.921 align:left position:10%,start line:89% size:80% OUT, WHICH HOSPITAL DO THEY WANT 20:55.921 --> 20:57.322 align:left position:10%,start line:89% size:80% YOU TO GO TO, WHICH EMERGENCY 20:57.322 --> 20:58.924 align:left position:10%,start line:89% size:80% ROOM DO THEY WANT YOU TO GO TO, 20:58.924 --> 21:00.325 align:left position:10%,start line:89% size:80% WHICH URGENT CARE DO THEY WANT 21:00.325 --> 21:02.194 align:left position:10%,start line:89% size:80% YOU TO GO TO AND THEN DO THEY 21:02.194 --> 21:03.996 align:left position:10%,start line:89% size:80% REALLY PLACE IT OUT SPECIFICALLY 21:03.996 --> 21:07.032 align:left position:10%,start line:89% size:80% ON WHICH LAB, WHICH RADIOLOGY? 21:07.032 --> 21:09.301 align:left position:10%,start line:89% size:80% AND THAT CAN HELP, BUT THAT'S 21:09.301 --> 21:11.003 align:left position:10%,start line:89% size:80% DATA THAT THE PATIENT NEEDS TO 21:11.003 --> 21:13.205 align:left position:10%,start line:89% size:80% COME IN WITH THEM FOR US. 21:13.205 --> 21:14.206 align:left position:10%,start line:89% size:80% >> AGAIN, GOOD INFORMATION TO 21:14.206 --> 21:15.607 align:left position:10%,start line:89% size:80% HAVE ALONG WITH THAT MEDICATION 21:15.607 --> 21:15.907 align:left position:10%,start line:89% size:80% LIST. 21:15.907 --> 21:17.776 align:left position:10%,start line:89% size:80% THESE ARE THINGS THAT YOU SHOULD 21:17.776 --> 21:20.512 align:left position:10%,start line:89% size:80% BE PREPARING BEFORE YOU HAVE THE 21:20.512 --> 21:21.780 align:left position:10%,start line:89% size:80% EMERGENCY AND BEFORE YOU BECOME 21:21.780 --> 21:22.114 align:left position:10%,start line:89% size:80% SICK. 21:22.114 --> 21:23.215 align:left position:10%,start line:89% size:80% >> YES, IT'S GREAT TO HAVE IN 21:23.215 --> 21:24.483 align:left position:10%,start line:89% size:80% YOUR WALLET OR YOUR PURSE. 21:24.483 --> 21:25.050 align:left position:10%,start line:89% size:80% >> THAT'S GREAT. 21:25.050 --> 21:26.451 align:left position:10%,start line:89% size:80% I WANT TO BRING IN ANOTHER PIECE 21:26.451 --> 21:27.886 align:left position:10%,start line:89% size:80% OF THE PUZZLE WHEN IT COMES TO 21:27.886 --> 21:29.888 align:left position:10%,start line:89% size:80% EMERGENCY CARE. 21:29.888 --> 21:32.591 align:left position:10%,start line:89% size:80% WE HAVE SEEN SPOKANE'S EMERGENCY 21:32.591 --> 21:33.792 align:left position:10%,start line:89% size:80% ROOMS AND URGENT CARE ARE READY 21:33.792 --> 21:36.895 align:left position:10%,start line:89% size:80% AT A MOMENT'S 21:36.895 --> 21:37.596 align:left position:10%,start line:89% size:80% NOTICE TO PROVIDE LIFE-SAVING 21:37.596 --> 21:38.163 align:left position:10%,start line:89% size:80% MEDICAL ASSISTANCE. 21:38.163 --> 21:39.231 align:left position:10%,start line:89% size:80% ONE KEY TO THAT SUCCESS IS 21:39.231 --> 21:40.032 align:left position:10%,start line:89% size:80% NORTHWEST MEDSTAR WHICH USES 21:40.032 --> 21:42.901 align:left position:10%,start line:89% size:80% HELICOPTERS TO TRANSPORT 21:42.901 --> 21:48.206 align:left position:10%,start line:89% size:80% PATIENTS. 21:48.206 --> 21:48.974 align:left position:10%,start line:89% size:80% WITH A SERVICE AREA THAT REACHES 21:48.974 --> 21:49.808 align:left position:10%,start line:89% size:80% INTO FOUR STATES, NORTHWEST 21:49.808 --> 21:50.809 align:left position:10%,start line:89% size:80% MEDSTAR COVERS A LOT OF GROUND 21:50.809 --> 21:51.443 align:left position:10%,start line:89% size:80% AND TRANSPORTS A LOT OF 21:51.443 --> 21:55.614 align:left position:10%,start line:89% size:80% PATIENTS. 21:55.614 --> 21:59.217 align:left position:10%,start line:89% size:80% >> HUNDREDS EVERY YEAR. 21:59.217 --> 21:59.951 align:left position:10%,start line:89% size:80% >> BUT DR. JAMES NANIA, MEDICAL 21:59.951 --> 22:00.652 align:left position:10%,start line:89% size:80% DIRECTOR FOR MEDSTAR, IS QUICK 22:00.652 --> 22:01.453 align:left position:10%,start line:89% size:80% TO POINT OUT, IT'S NOT ABOUT THE 22:01.453 --> 22:01.787 align:left position:10%,start line:89% size:80% NUMBERS. 22:01.787 --> 22:03.555 align:left position:10%,start line:89% size:80% IT'S ABOUT THE PEOPLE. 22:03.555 --> 22:04.222 align:left position:10%,start line:89% size:80% >> YOU JUST HAVE TO MEET ONE 22:04.222 --> 22:05.691 align:left position:10%,start line:89% size:80% PERSON THAT WASN'T GOING TO BE 22:05.691 --> 22:07.059 align:left position:10%,start line:89% size:80% THERE NEXT CHRISTMAS, WASN'T 22:07.059 --> 22:08.727 align:left position:10%,start line:89% size:80% GONNA MAKE THEIR BIRTHDAY, 22:08.727 --> 22:09.995 align:left position:10%,start line:89% size:80% WASN'T GONNA SEE THEIR FIRST KID 22:09.995 --> 22:11.463 align:left position:10%,start line:89% size:80% BORN, AND SEE THAT THEY ARE 22:11.463 --> 22:12.931 align:left position:10%,start line:89% size:80% ALIVE BY VIRTUE OF WHAT IS BEING 22:12.931 --> 22:13.665 align:left position:10%,start line:89% size:80% DONE HERE, AND THAT'S WHY I AM A 22:13.665 --> 22:15.067 align:left position:10%,start line:89% size:80% FAN. 22:15.067 --> 22:19.504 align:left position:10%,start line:89% size:80% IT IS MIRACLES. 22:19.504 --> 22:20.372 align:left position:10%,start line:89% size:80% >> THOSE MIRACLES HAPPEN HIGH IN 22:20.372 --> 22:21.673 align:left position:10%,start line:89% size:80% THE SKY AT SPEEDS OF 140 MILES 22:21.673 --> 22:22.708 align:left position:10%,start line:89% size:80% AN HOUR AND IN SOME PRETTY TIGHT 22:22.708 --> 22:25.444 align:left position:10%,start line:89% size:80% QUARTERS. 22:25.444 --> 22:26.978 align:left position:10%,start line:89% size:80% HERE EMS PERSONNEL HAVE ACCESS 22:26.978 --> 22:29.081 align:left position:10%,start line:89% size:80% TO TOOLS ONCE RESERVED FOR 22:29.081 --> 22:34.519 align:left position:10%,start line:89% size:80% HOSPITAL STAFF. 22:34.519 --> 22:35.253 align:left position:10%,start line:89% size:80% >> THE MONITORS ARE MUCH MORE 22:35.253 --> 22:36.221 align:left position:10%,start line:89% size:80% SOPHISTICATED. 22:36.221 --> 22:37.222 align:left position:10%,start line:89% size:80% MAYBE ONLY 20 YEARS AGO, YOU 22:37.222 --> 22:38.657 align:left position:10%,start line:89% size:80% COULDN'T DO AN EKG TO LOOK FOR 22:38.657 --> 22:39.391 align:left position:10%,start line:89% size:80% A HEART ATTACK TILL THEY GOT TO 22:39.391 --> 22:41.326 align:left position:10%,start line:89% size:80% THE HOSPITAL. 22:41.326 --> 22:41.993 align:left position:10%,start line:89% size:80% >> THE ADDED TECHNOLOGY AND 22:41.993 --> 22:42.694 align:left position:10%,start line:89% size:80% TRAINING MEAN DR. NANIA'S TEAM 22:42.694 --> 22:43.628 align:left position:10%,start line:89% size:80% CANNOT ONLY TREAT, BUT PREVENT 22:43.628 --> 22:49.401 align:left position:10%,start line:89% size:80% SOME COMMON KILLERS. 22:49.401 --> 22:50.669 align:left position:10%,start line:89% size:80% >> WE ARE ABLE NOW TO STOP 22:50.669 --> 22:53.805 align:left position:10%,start line:89% size:80% STROKES SOMETIMES. 22:53.805 --> 22:54.439 align:left position:10%,start line:89% size:80% WE ARE ABLE TO STOP HEART 22:54.439 --> 22:54.940 align:left position:10%,start line:89% size:80% ATTACKS SOMETIMES. 22:54.940 --> 22:55.607 align:left position:10%,start line:89% size:80% >> IT'S THAT COMBINATION OF 22:55.607 --> 22:56.575 align:left position:10%,start line:89% size:80% SPEED AND EXPERTISE THAT GIVE 22:56.575 --> 22:57.843 align:left position:10%,start line:89% size:80% PATIENTS A FIGHTING CHANCE. 22:57.843 --> 23:01.780 align:left position:10%,start line:89% size:80% PATIENTS LIKE MAXWELL MIELKE. 23:01.780 --> 23:03.281 align:left position:10%,start line:89% size:80% >> I WAS PLAYING A FOOTBALL GAME 23:03.281 --> 23:04.082 align:left position:10%,start line:89% size:80% AT LAKESIDE HIGH SCHOOL, RUNNING 23:04.082 --> 23:06.385 align:left position:10%,start line:89% size:80% THE FOOTBALL, AND I ENDED UP 23:06.385 --> 23:13.592 align:left position:10%,start line:89% size:80% GETTING HELMET-TO-HELMET CONTACT 23:13.592 --> 23:14.326 align:left position:10%,start line:89% size:80% AND ENDED UP GOING IN AND OUT OF 23:14.326 --> 23:15.060 align:left position:10%,start line:89% size:80% CONSCIOUSNESS, ENDED UP A HAVING 23:15.060 --> 23:15.727 align:left position:10%,start line:89% size:80% A FRACTURE OF THE SKULL AND 23:15.727 --> 23:16.294 align:left position:10%,start line:89% size:80% BLEEDING OF THE BRAIN. 23:16.294 --> 23:16.962 align:left position:10%,start line:89% size:80% >> MAXWELL WAS AIRLIFTED BY 23:16.962 --> 23:17.829 align:left position:10%,start line:89% size:80% NORTHWEST MEDSTAR. 23:17.829 --> 23:20.732 align:left position:10%,start line:89% size:80% THE MEDICAL TREATMENT HE 23:20.732 --> 23:21.400 align:left position:10%,start line:89% size:80% RECEIVED EN ROUTE AND AT THE 23:21.400 --> 23:22.200 align:left position:10%,start line:89% size:80% HOSPITAL MADE ALL THE 23:22.200 --> 23:23.135 align:left position:10%,start line:89% size:80% DIFFERENCE. 23:23.135 --> 23:23.835 align:left position:10%,start line:89% size:80% >> IT COULD HAVE BEEN SO MUCH 23:23.835 --> 23:24.669 align:left position:10%,start line:89% size:80% WORSE. 23:24.669 --> 23:25.570 align:left position:10%,start line:89% size:80% THANKS TO THEM, I'M PRETTY MUCH 23:25.570 --> 23:26.738 align:left position:10%,start line:89% size:80% A NORMAL HUMAN BEING. 23:26.738 --> 23:28.240 align:left position:10%,start line:89% size:80% >> MEDSTAR OPERATES FROM SIX 23:28.240 --> 23:29.107 align:left position:10%,start line:89% size:80% SITES IN EASTERN WASHINGTON AND 23:29.107 --> 23:32.544 align:left position:10%,start line:89% size:80% MONTANA. 23:32.544 --> 23:33.879 align:left position:10%,start line:89% size:80% READY TO GO 24/7. 23:33.879 --> 23:35.781 align:left position:10%,start line:89% size:80% AN INVESTMENT IN CRITICAL CARE 23:35.781 --> 23:36.748 align:left position:10%,start line:89% size:80% THAT IS PAYING OFF ONE CALL AT 23:36.748 --> 23:40.519 align:left position:10%,start line:89% size:80% TIME. 23:40.519 --> 23:45.957 align:left position:10%,start line:89% size:80% >> IT'S THE BEST. 23:45.957 --> 23:47.526 align:left position:10%,start line:89% size:80% >> AND DAN, TALK ABOUT THIS 23:47.526 --> 23:48.026 align:left position:10%,start line:89% size:80% MEDSTAR UNIT. 23:48.026 --> 23:51.229 align:left position:10%,start line:89% size:80% THESE ARE INCREDIBLE FLYING MINI 23:51.229 --> 23:52.464 align:left position:10%,start line:89% size:80% HOSPITALS IN ESSENCE. 23:52.464 --> 23:53.432 align:left position:10%,start line:89% size:80% >> YEAH, THEY ARE AMAZING. 23:53.432 --> 23:55.567 align:left position:10%,start line:89% size:80% THEY ARE FLYING I.C.U.s AND 23:55.567 --> 23:57.836 align:left position:10%,start line:89% size:80% THE STAFF THAT WORK ON THEM ARE 23:57.836 --> 23:58.236 align:left position:10%,start line:89% size:80% INCREDIBLE. 23:58.236 --> 23:59.738 align:left position:10%,start line:89% size:80% THEY ARE TAKING PATIENTS FROM 23:59.738 --> 24:01.706 align:left position:10%,start line:89% size:80% THE MIDDLE OF NOWHERE OUT ON THE 24:01.706 --> 24:02.707 align:left position:10%,start line:89% size:80% HIGHWAYS AND SCOOPING THEM UP 24:02.707 --> 24:05.010 align:left position:10%,start line:89% size:80% AND PROTECTING THEIR AIRWAY AND 24:05.010 --> 24:07.546 align:left position:10%,start line:89% size:80% GUARDING THEIR CERVICAL SPINE 24:07.546 --> 24:10.315 align:left position:10%,start line:89% size:80% AND STABILIZING THEM EN ROUTE TO 24:10.315 --> 24:12.117 align:left position:10%,start line:89% size:80% GET THEM IN A HOSPITAL SETTING. 24:12.117 --> 24:14.019 align:left position:10%,start line:89% size:80% IT'S AN AMAZING TECHNOLOGY AND 24:14.019 --> 24:16.021 align:left position:10%,start line:89% size:80% SOMETHING THAT'S ADVANCED THE 24:16.021 --> 24:17.122 align:left position:10%,start line:89% size:80% EMERGENCY MEDICINE OVER THE PAST 24:17.122 --> 24:18.490 align:left position:10%,start line:89% size:80% 20 YEARS. 24:18.490 --> 24:19.257 align:left position:10%,start line:89% size:80% HISTORICALLY IF YOU WERE OUT IN 24:19.257 --> 24:20.492 align:left position:10%,start line:89% size:80% THE MIDDLE OF NOWHERE, YOU WOULD 24:20.492 --> 24:23.094 align:left position:10%,start line:89% size:80% GO TO A CRITICAL ACCESS HOSPITAL 24:23.094 --> 24:24.262 align:left position:10%,start line:89% size:80% THAT WOULD NOT BE EQUIPPED TO 24:24.262 --> 24:27.299 align:left position:10%,start line:89% size:80% DEAL WITH THE LEVEL OF INJURIES 24:27.299 --> 24:27.799 align:left position:10%,start line:89% size:80% YOU HAVE. 24:27.799 --> 24:28.900 align:left position:10%,start line:89% size:80% AND NOW WE CAN GET YOU TO A 24:28.900 --> 24:30.902 align:left position:10%,start line:89% size:80% TRAUMA CENTER AND FROM A TRAUMA 24:30.902 --> 24:32.604 align:left position:10%,start line:89% size:80% SURGEON AND EMERGENCY MEDICINE 24:32.604 --> 24:33.004 align:left position:10%,start line:89% size:80% SPECIALIST. 24:33.004 --> 24:33.805 align:left position:10%,start line:89% size:80% IT'S PRETTY AMAZING. 24:33.805 --> 24:35.507 align:left position:10%,start line:89% size:80% >> WE LIVE IN AN AREA WHERE YOU 24:35.507 --> 24:37.008 align:left position:10%,start line:89% size:80% ARE 20 MINUTES FROM BEING IN A 24:37.008 --> 24:37.509 align:left position:10%,start line:89% size:80% RURAL AREA. 24:37.509 --> 24:39.511 align:left position:10%,start line:89% size:80% WE HAVE LOTS OF SMALL TOWNS, AND 24:39.511 --> 24:41.913 align:left position:10%,start line:89% size:80% NOW THEY ALSO EVEN OFFER THAT 24:41.913 --> 24:43.415 align:left position:10%,start line:89% size:80% YEARLY PAYMENT SERVICE, WHICH WE 24:43.415 --> 24:46.117 align:left position:10%,start line:89% size:80% HAVE SEEN A LOT OF PEOPLE END UP 24:46.117 --> 24:47.319 align:left position:10%,start line:89% size:80% USING OTHERWISE THAT CAN BE A 24:47.319 --> 24:48.520 align:left position:10%,start line:89% size:80% PRETTY EXPENSIVE RIDE TO THE 24:48.520 --> 24:48.887 align:left position:10%,start line:89% size:80% HOSPITAL. 24:48.887 --> 24:50.021 align:left position:10%,start line:89% size:80% >> IT CAN BE. 24:50.021 --> 24:51.122 align:left position:10%,start line:89% size:80% >> ABSOLUTELY, BUT WELL WORTH IT 24:51.122 --> 24:51.423 align:left position:10%,start line:89% size:80% ALSO. 24:51.423 --> 24:52.624 align:left position:10%,start line:89% size:80% TALK ABOUT THE TECHNOLOGY THAT'S 24:52.624 --> 24:54.292 align:left position:10%,start line:89% size:80% INSIDE MEDSTAR. 24:54.292 --> 24:55.093 align:left position:10%,start line:89% size:80% >> SURE. 24:55.093 --> 24:57.095 align:left position:10%,start line:89% size:80% WELL, THE MOBILE I.C.U. UNITS 24:57.095 --> 24:58.497 align:left position:10%,start line:89% size:80% WHETHER THEY ARE GOING BY AIR OR 24:58.497 --> 24:59.264 align:left position:10%,start line:89% size:80% GROUND, THEY HAVE PRETTY MUCH 24:59.264 --> 25:01.099 align:left position:10%,start line:89% size:80% EVERYTHING YOU WOULD IN AN 25:01.099 --> 25:02.634 align:left position:10%,start line:89% size:80% I.C.U., THEY HAVE ADVANCED PUMPS 25:02.634 --> 25:04.769 align:left position:10%,start line:89% size:80% AND THINGS TO DELIVER LIFE 25:04.769 --> 25:05.971 align:left position:10%,start line:89% size:80% SAVING MEDICATIONS IF THEY NEED 25:05.971 --> 25:06.238 align:left position:10%,start line:89% size:80% IT. 25:06.238 --> 25:08.273 align:left position:10%,start line:89% size:80% THEY HAVE ADVANCED AIRWAY 25:08.273 --> 25:12.377 align:left position:10%,start line:89% size:80% SUPPLIES IF THEY NEED TO 25:12.377 --> 25:13.678 align:left position:10%,start line:89% size:80% INTUBATE YOU OR PROTECT YOUR 25:13.678 --> 25:14.012 align:left position:10%,start line:89% size:80% AIRWAY. 25:14.012 --> 25:14.980 align:left position:10%,start line:89% size:80% THEY HAVE PRETTY MUCH EVERYTHING 25:14.980 --> 25:17.282 align:left position:10%,start line:89% size:80% IN THE I.C.U., PRETTY NICE 25:17.282 --> 25:20.051 align:left position:10%,start line:89% size:80% AMOUNT OF MEDICATIONS IF YOUR 25:20.051 --> 25:22.254 align:left position:10%,start line:89% size:80% HEART NEEDS SOME MEDICATIONS. 25:22.254 --> 25:23.788 align:left position:10%,start line:89% size:80% >> ARE THESE PHYSICIANS ON 25:23.788 --> 25:24.089 align:left position:10%,start line:89% size:80% BOARD. 25:24.089 --> 25:25.257 align:left position:10%,start line:89% size:80% >> FOR THE MOST PART, NO, THEY 25:25.257 --> 25:29.327 align:left position:10%,start line:89% size:80% ARE NOT, THEY ARE R.N., FORMER 25:29.327 --> 25:31.496 align:left position:10%,start line:89% size:80% I.C.U. R.N.s THAT ARE TRAINED 25:31.496 --> 25:31.963 align:left position:10%,start line:89% size:80% FOR TRANSPORT. 25:31.963 --> 25:32.898 align:left position:10%,start line:89% size:80% THERE ARE SOME PLACES WHERE THEY 25:32.898 --> 25:35.400 align:left position:10%,start line:89% size:80% WILL HAVE PHYSICIANS ON E.M.S. 25:35.400 --> 25:36.067 align:left position:10%,start line:89% size:80% TEAMS BUT I DON'T BELIEVE 25:36.067 --> 25:37.102 align:left position:10%,start line:89% size:80% SPOKANE IS USING THAT. 25:37.102 --> 25:38.403 align:left position:10%,start line:89% size:80% >> PRETTY AMAZING THAT WE HAVE 25:38.403 --> 25:40.672 align:left position:10%,start line:89% size:80% THAT HERE AT OUR DISPOSAL, 25:40.672 --> 25:40.972 align:left position:10%,start line:89% size:80% AGAIN. 25:40.972 --> 25:42.173 align:left position:10%,start line:89% size:80% JUST KIND OF GOES TO WHAT 25:42.173 --> 25:44.209 align:left position:10%,start line:89% size:80% SPOKANE HAS TO OFFER IN MODE 25:44.209 --> 25:47.579 align:left position:10%,start line:89% size:80% SIN, AND -- MEDICINE AND, AGAIN, 25:47.579 --> 25:48.680 align:left position:10%,start line:89% size:80% TAKING YOU INSIDE THE EMERGENCY 25:48.680 --> 25:51.082 align:left position:10%,start line:89% size:80% ROOMS AND THE URGENT CARE 25:51.082 --> 25:52.784 align:left position:10%,start line:89% size:80% FACILITIES HERE ON "HEALTH 25:52.784 --> 25:53.485 align:left position:10%,start line:89% size:80% MATTERS" TONIGHT. 25:53.485 --> 25:55.387 align:left position:10%,start line:89% size:80% SHAUN, LET'S TALK ABOUT CPR. 25:55.387 --> 25:57.689 align:left position:10%,start line:89% size:80% THERE WAS JUST A STORY OUT OF 25:57.689 --> 25:59.190 align:left position:10%,start line:89% size:80% EVERETT, WHERE TWO TEENAGED 25:59.190 --> 26:00.892 align:left position:10%,start line:89% size:80% GIRLS JUST COMPLETED THEIR CPR 26:00.892 --> 26:01.459 align:left position:10%,start line:89% size:80% CLASS AT HIGH SCHOOL. 26:01.459 --> 26:03.161 align:left position:10%,start line:89% size:80% THEY WERE AT A RESTAURANT AND A 26:03.161 --> 26:05.130 align:left position:10%,start line:89% size:80% GENTLEMAN WAS HAVING AN 26:05.130 --> 26:05.497 align:left position:10%,start line:89% size:80% INCIDENT. 26:05.497 --> 26:07.165 align:left position:10%,start line:89% size:80% AND THOSE TWO GIRLS WHO HAD JUST 26:07.165 --> 26:08.967 align:left position:10%,start line:89% size:80% COMPLETED THAT CPR CLASS PULLED 26:08.967 --> 26:10.735 align:left position:10%,start line:89% size:80% HIM OUT OF HIS PICKUP AND 26:10.735 --> 26:12.270 align:left position:10%,start line:89% size:80% PERFORMED CPR AND MOST LIKELY 26:12.270 --> 26:12.938 align:left position:10%,start line:89% size:80% SAVED HIS LIFE. 26:12.938 --> 26:13.838 align:left position:10%,start line:89% size:80% PRETTY AMAZING STUFF. 26:13.838 --> 26:15.473 align:left position:10%,start line:89% size:80% BUT A LOT OF PEOPLE ARE STILL 26:15.473 --> 26:17.742 align:left position:10%,start line:89% size:80% HESITANT TO LEARN CPR OR TO USE 26:17.742 --> 26:18.043 align:left position:10%,start line:89% size:80% IT. 26:18.043 --> 26:18.743 align:left position:10%,start line:89% size:80% >> YES, ABSOLUTELY. 26:18.743 --> 26:20.245 align:left position:10%,start line:89% size:80% AND ONE OF THE THINGS THAT WE 26:20.245 --> 26:22.547 align:left position:10%,start line:89% size:80% ARE DOING AROUND THIS AREA IS 26:22.547 --> 26:23.748 align:left position:10%,start line:89% size:80% WORKING ON TEACHING WHAT'S 26:23.748 --> 26:25.584 align:left position:10%,start line:89% size:80% CALLED HANDS ONLY CPR WHICH 26:25.584 --> 26:27.652 align:left position:10%,start line:89% size:80% TAKES OUT THE MOUTH-TO-MOUTH 26:27.652 --> 26:27.953 align:left position:10%,start line:89% size:80% PIECE. 26:27.953 --> 26:29.654 align:left position:10%,start line:89% size:80% >> IS THAT WHY PEOPLE WERE 26:29.654 --> 26:30.021 align:left position:10%,start line:89% size:80% HESITANT? 26:30.021 --> 26:31.156 align:left position:10%,start line:89% size:80% >> I THINK THAT WAS THE BIGGEST 26:31.156 --> 26:31.489 align:left position:10%,start line:89% size:80% PROBLEM. 26:31.489 --> 26:32.123 align:left position:10%,start line:89% size:80% THEY WERE CONCERNED ABOUT 26:32.123 --> 26:33.758 align:left position:10%,start line:89% size:80% WHETHER IT WAS DISEASE 26:33.758 --> 26:35.060 align:left position:10%,start line:89% size:80% PREVENTION OR TRANSFER OF 26:35.060 --> 26:36.127 align:left position:10%,start line:89% size:80% DISEASES OR NOT KNOWING, MAYBE 26:36.127 --> 26:37.462 align:left position:10%,start line:89% size:80% NOT DOING IT CORRECTLY. 26:37.462 --> 26:39.064 align:left position:10%,start line:89% size:80% THERE'S A COUPLE OF DIFFERENT 26:39.064 --> 26:41.466 align:left position:10%,start line:89% size:80% AGENCIES AROUND HERE THAT DO DO 26:41.466 --> 26:43.168 align:left position:10%,start line:89% size:80% HANDS ONLY CPR CLASSES. 26:43.168 --> 26:44.569 align:left position:10%,start line:89% size:80% THERE'S A COUPLE OF GROUPS, I 26:44.569 --> 26:46.171 align:left position:10%,start line:89% size:80% KNOW, ONE OF THE DOCTORS FROM 26:46.171 --> 26:47.205 align:left position:10%,start line:89% size:80% PROVIDENCE DOES A GROUP FOR THE 26:47.205 --> 26:49.608 align:left position:10%,start line:89% size:80% HIGH SCHOOLS AND THE MEADS 26:49.608 --> 26:51.376 align:left position:10%,start line:89% size:80% SCHOOL DISTRICT AND DISTRICT 81, 26:51.376 --> 26:52.978 align:left position:10%,start line:89% size:80% WHERE THE SENIORS ARE GETTING 26:52.978 --> 26:56.681 align:left position:10%,start line:89% size:80% TAUGHT CPR, WHICH IS PRETTY 26:56.681 --> 26:57.082 align:left position:10%,start line:89% size:80% IMPRESSIVE. 26:57.082 --> 26:58.550 align:left position:10%,start line:89% size:80% WE ALWAYS GET THE PHONE CALLS OF 26:58.550 --> 27:00.151 align:left position:10%,start line:89% size:80% HOW YOUNG CAN I HAVE MY SON OR 27:00.151 --> 27:01.386 align:left position:10%,start line:89% size:80% DAUGHTER LEARN TO DO CPR. 27:01.386 --> 27:03.455 align:left position:10%,start line:89% size:80% WE ARE BASICALLY TELL PEOPLE IF 27:03.455 --> 27:05.824 align:left position:10%,start line:89% size:80% THEY ARE STRONG ENOUGH TO PUSH 27:05.824 --> 27:06.891 align:left position:10%,start line:89% size:80% ON SOMEONE'S CHEST, WE CAN TEACH 27:06.891 --> 27:08.326 align:left position:10%,start line:89% size:80% THEM HOW TO DO CPR. 27:08.326 --> 27:10.929 align:left position:10%,start line:89% size:80% WE DON'T HAVE TO TEACH THE 27:10.929 --> 27:13.131 align:left position:10%,start line:89% size:80% MOUTH-TO-MOUTH PIECE OR THE 27:13.131 --> 27:13.732 align:left position:10%,start line:89% size:80% PULSE CHECK PIECE. 27:13.732 --> 27:14.833 align:left position:10%,start line:89% size:80% IF THE PERSON DOESN'T LOOK LIKE 27:14.833 --> 27:16.501 align:left position:10%,start line:89% size:80% THEY HAVE SIGNS OF LIFE AND THEN 27:16.501 --> 27:18.136 align:left position:10%,start line:89% size:80% TEACHING THEM HOW TO DO CHEST 27:18.136 --> 27:18.536 align:left position:10%,start line:89% size:80% COMPRESSION. 27:18.536 --> 27:19.437 align:left position:10%,start line:89% size:80% ONE THE BIG NEW THINGS HERE IN 27:19.437 --> 27:21.840 align:left position:10%,start line:89% size:80% THE SPOKANE AREA IS THE PULSE 27:21.840 --> 27:22.340 align:left position:10%,start line:89% size:80% POINT APP. 27:22.340 --> 27:23.842 align:left position:10%,start line:89% size:80% IT'S AN APP THAT GOES ON YOUR 27:23.842 --> 27:25.577 align:left position:10%,start line:89% size:80% PHONE THAT NOTIFIES YOU AS A 27:25.577 --> 27:28.513 align:left position:10%,start line:89% size:80% PUBLIC SERVICE PERSON ANYBODY 27:28.513 --> 27:29.748 align:left position:10%,start line:89% size:80% CAN DOWNLOAD IT. 27:29.748 --> 27:31.249 align:left position:10%,start line:89% size:80% IT NOTIFIES OF YOU A CARDIAC 27:31.249 --> 27:32.851 align:left position:10%,start line:89% size:80% ARREST NEARBY IN A PUBLIC VENUE 27:32.851 --> 27:34.619 align:left position:10%,start line:89% size:80% AND RECENTLY HERE IN SPOKANE, 27:34.619 --> 27:36.521 align:left position:10%,start line:89% size:80% THEY DID HAVE THE FIRST 27:36.521 --> 27:37.722 align:left position:10%,start line:89% size:80% CONFIRMED SAVE -- THE APP IS 27:37.722 --> 27:39.124 align:left position:10%,start line:89% size:80% BASED OUT OF CALIFORNIA AND THE 27:39.124 --> 27:41.426 align:left position:10%,start line:89% size:80% FIRST CONFIRMED SAVE WAS HERE IN 27:41.426 --> 27:43.161 align:left position:10%,start line:89% size:80% SPOKANE, WASHINGTON. 27:43.161 --> 27:44.729 align:left position:10%,start line:89% size:80% THAT INDIVIDUAL WAS -- HIS STORY 27:44.729 --> 27:47.532 align:left position:10%,start line:89% size:80% WAS SENT ALL AROUND THE NATION, 27:47.532 --> 27:49.434 align:left position:10%,start line:89% size:80% AND TALKED ABOUT THAT STORY, BUT 27:49.434 --> 27:51.136 align:left position:10%,start line:89% size:80% ANYBODY CAN DOWNLOAD IT AND IT'S 27:51.136 --> 27:54.039 align:left position:10%,start line:89% size:80% JUST GETTING CPR BY BYSTANDERS 27:54.039 --> 27:54.372 align:left position:10%,start line:89% size:80% QUICKER. 27:54.372 --> 27:55.340 align:left position:10%,start line:89% size:80% ONE OF THE BIGGEST THINGS WE 27:55.340 --> 27:56.441 align:left position:10%,start line:89% size:80% DEAL WITH IN THE AMBULANCE THAT 27:56.441 --> 27:57.208 align:left position:10%,start line:89% size:80% WE CAN'T CONTROL IS THE AMOUNT 27:57.208 --> 27:58.610 align:left position:10%,start line:89% size:80% OF TIME IT TAKES US TO GET TO 27:58.610 --> 28:00.078 align:left position:10%,start line:89% size:80% THE RURAL AREA. 28:00.078 --> 28:01.646 align:left position:10%,start line:89% size:80% THE AMBULANCE COMPANY THAT I 28:01.646 --> 28:03.682 align:left position:10%,start line:89% size:80% WORK FOR, BEST CASE SCENARIO, 28:03.682 --> 28:05.383 align:left position:10%,start line:89% size:80% INSIDE TOWN, WE CAN BE THERE IN 28:05.383 --> 28:06.885 align:left position:10%,start line:89% size:80% 10 TO 15 MINUTES. 28:06.885 --> 28:09.587 align:left position:10%,start line:89% size:80% WORST CASE SCENARIO WE COVER 720 28:09.587 --> 28:11.189 align:left position:10%,start line:89% size:80% SQUARE MILES AND SO IT COULD BE 28:11.189 --> 28:12.891 align:left position:10%,start line:89% size:80% 45 MINUTES TO 50 MINUTES BEFORE 28:12.891 --> 28:13.692 align:left position:10%,start line:89% size:80% YOU GET AN AMBULANCE. 28:13.692 --> 28:15.393 align:left position:10%,start line:89% size:80% AND SO GETTING BYSTANDERS THERE 28:15.393 --> 28:18.463 align:left position:10%,start line:89% size:80% QUICKER THAT CAN DO CPR IS A 28:18.463 --> 28:19.197 align:left position:10%,start line:89% size:80% PRETTY IMPORTANT PIECE. 28:19.197 --> 28:20.365 align:left position:10%,start line:89% size:80% >> AND THE HANDS ONLY PIECE IS 28:20.365 --> 28:22.100 align:left position:10%,start line:89% size:80% JUST AS EFFECTIVE AS THE OLD CPR 28:22.100 --> 28:24.803 align:left position:10%,start line:89% size:80% THAT SOME OF US LEARNED MANY 28:24.803 --> 28:26.604 align:left position:10%,start line:89% size:80% YEARS AGO. 28:26.604 --> 28:27.105 align:left position:10%,start line:89% size:80% >> ABSOLUTELY. 28:27.105 --> 28:32.777 align:left position:10%,start line:89% size:80% THE AMERICAN HEART ASSOCIATION 28:32.777 --> 28:34.045 align:left position:10%,start line:89% size:80% SAYS THAT THE CIRCULATION IS THE 28:34.045 --> 28:36.114 align:left position:10%,start line:89% size:80% MOST IMPORTANT PART. 28:36.114 --> 28:37.515 align:left position:10%,start line:89% size:80% CIRCULATING THAT TO YOUR HEART 28:37.515 --> 28:39.317 align:left position:10%,start line:89% size:80% AND VITAL ORGANS. 28:39.317 --> 28:40.685 align:left position:10%,start line:89% size:80% >> SO HOW YOUNG CAN YOU BE TO 28:40.685 --> 28:41.519 align:left position:10%,start line:89% size:80% LEARN THIS TECHNIQUE. 28:41.519 --> 28:42.987 align:left position:10%,start line:89% size:80% >> WE HAVE SEEN KIDS AS YOUNG AS 28:42.987 --> 28:44.789 align:left position:10%,start line:89% size:80% 11 OR 12 THAT CAN PUSH DOWN ON 28:44.789 --> 28:46.891 align:left position:10%,start line:89% size:80% THE CHEST AND WE ARE GLAD TO 28:46.891 --> 28:48.493 align:left position:10%,start line:89% size:80% TEACH THEM CPR AND GET THEM OUT 28:48.493 --> 28:48.793 align:left position:10%,start line:89% size:80% THERE. 28:48.793 --> 28:50.862 align:left position:10%,start line:89% size:80% IN THE UNIQUE CIRCUMSTANCES THEY 28:50.862 --> 28:52.464 align:left position:10%,start line:89% size:80% CAN DO IT EFFECTIVELY. 28:52.464 --> 28:53.598 align:left position:10%,start line:89% size:80% >> ARE YOU SEEING MORE FAMILY 28:53.598 --> 28:54.499 align:left position:10%,start line:89% size:80% MEMBERS THAT BRING IN PATIENTS 28:54.499 --> 28:57.502 align:left position:10%,start line:89% size:80% INTO THE EMERGENCY ROOM THAT 28:57.502 --> 28:59.904 align:left position:10%,start line:89% size:80% HAVE PERFORMED CPR AND SAVED 28:59.904 --> 29:00.205 align:left position:10%,start line:89% size:80% LIVES. 29:00.205 --> 29:01.106 align:left position:10%,start line:89% size:80% >> WE HAD A FEW. 29:01.106 --> 29:02.474 align:left position:10%,start line:89% size:80% THAT'S WHAT SAVED THEM. 29:02.474 --> 29:03.374 align:left position:10%,start line:89% size:80% >> THAT'S PRETTY EXCITING. 29:03.374 --> 29:04.976 align:left position:10%,start line:89% size:80% AND THE HANDS ONLY? 29:04.976 --> 29:05.877 align:left position:10%,start line:89% size:80% >> HANDS ONLY. 29:05.877 --> 29:06.277 align:left position:10%,start line:89% size:80% MM-HMM. 29:06.277 --> 29:07.979 align:left position:10%,start line:89% size:80% BECAUSE THEY WEREN'T ACTUALLY 29:07.979 --> 29:09.080 align:left position:10%,start line:89% size:80% TRAINED, THE FEW CASES THAT WE 29:09.080 --> 29:10.148 align:left position:10%,start line:89% size:80% HAD WHEN I WAS ON SHIFT. 29:10.148 --> 29:11.216 align:left position:10%,start line:89% size:80% >> I KNOW THERE USED TO BE A 29:11.216 --> 29:13.118 align:left position:10%,start line:89% size:80% FEAR THAT YOU COULD HURT 29:13.118 --> 29:14.953 align:left position:10%,start line:89% size:80% SOMEBODY WITH CPR. 29:14.953 --> 29:16.254 align:left position:10%,start line:89% size:80% >> WELL, PROBABLY A LITTLE BIT, 29:16.254 --> 29:17.355 align:left position:10%,start line:89% size:80% BUT FOR THE GOOD OF THEM. 29:17.355 --> 29:18.890 align:left position:10%,start line:89% size:80% >> FOR THE GOOD. 29:18.890 --> 29:19.791 align:left position:10%,start line:89% size:80% YEAH, YOU HAVE TO PRESS THEM 29:19.791 --> 29:20.959 align:left position:10%,start line:89% size:80% PRETTY HARD AND I THINK THE 29:20.959 --> 29:22.060 align:left position:10%,start line:89% size:80% BENEFIT ALSO OF TAKING THESE 29:22.060 --> 29:24.195 align:left position:10%,start line:89% size:80% TYPE OF CLASSES, THEY TRAIN YOU 29:24.195 --> 29:27.866 align:left position:10%,start line:89% size:80% ON THE USE OF THE AUTOMATED 29:27.866 --> 29:30.135 align:left position:10%,start line:89% size:80% EXTERNAL DEFIBRILLATORS AND THEY 29:30.135 --> 29:31.369 align:left position:10%,start line:89% size:80% SAVE LIVES AND TEACHING THE 29:31.369 --> 29:32.937 align:left position:10%,start line:89% size:80% PUBLIC HOW TO UTILIZE THOSE. 29:32.937 --> 29:34.372 align:left position:10%,start line:89% size:80% IT'S MAKING A HUGE IMPACT ON 29:34.372 --> 29:35.507 align:left position:10%,start line:89% size:80% PEOPLE THAT HAVE WITNESSED 29:35.507 --> 29:35.974 align:left position:10%,start line:89% size:80% CARDIAC ARREST. 29:35.974 --> 29:37.475 align:left position:10%,start line:89% size:80% >> AND I THINK THE THING FOR THE 29:37.475 --> 29:39.410 align:left position:10%,start line:89% size:80% PUBLIC TO REMEMBER AND THIS 29:39.410 --> 29:40.979 align:left position:10%,start line:89% size:80% MIGHT SOUND CRASS, BUT THEY ARE 29:40.979 --> 29:41.279 align:left position:10%,start line:89% size:80% DEAD. 29:41.279 --> 29:42.514 align:left position:10%,start line:89% size:80% SO YOU CAN'T HURT THEM. 29:42.514 --> 29:45.283 align:left position:10%,start line:89% size:80% YOU CAN ONLY SAVE THEM. 29:45.283 --> 29:46.618 align:left position:10%,start line:89% size:80% >> I HAVE NEVER HEARD IT QUITE 29:46.618 --> 29:48.586 align:left position:10%,start line:89% size:80% THAT WAY AND I THINK YOU MAKE AN 29:48.586 --> 29:50.188 align:left position:10%,start line:89% size:80% EXCELLENT POINT. 29:50.188 --> 29:51.489 align:left position:10%,start line:89% size:80% >> LET'S TAKE ANOTHER PHONE 29:51.489 --> 29:51.790 align:left position:10%,start line:89% size:80% CALL. 29:51.790 --> 29:53.057 align:left position:10%,start line:89% size:80% WE HAVE TINA FROM SPOKANE. 29:53.057 --> 29:56.461 align:left position:10%,start line:89% size:80% GOOD EVENING, TINA. 29:56.461 --> 29:57.228 align:left position:10%,start line:89% size:80% >> Caller: HI, THIS IS TINA. 29:57.228 --> 29:58.463 align:left position:10%,start line:89% size:80% I HAVE A COUPLE OF QUESTIONS 29:58.463 --> 30:02.267 align:left position:10%,start line:89% size:80% ABOUT EMERGENCY SERVICES HERE IN 30:02.267 --> 30:03.468 align:left position:10%,start line:89% size:80% SPOKANE. 30:03.468 --> 30:03.868 align:left position:10%,start line:89% size:80% >> SURE. 30:03.868 --> 30:05.170 align:left position:10%,start line:89% size:80% >> Caller: I HAVE BEEN AN R.N. 30:05.170 --> 30:08.072 align:left position:10%,start line:89% size:80% FOR 44 YEARS AND I HAVE WORKED 30:08.072 --> 30:12.076 align:left position:10%,start line:89% size:80% HERE AT A LOCAL E.R. AND ALSO AT 30:12.076 --> 30:14.779 align:left position:10%,start line:89% size:80% AN LOCAL AMBULATORY CARE OFFICE, 30:14.779 --> 30:21.986 align:left position:10%,start line:89% size:80% AND I HAVE CONCERNS ABOUT E.R. 30:21.986 --> 30:22.420 align:left position:10%,start line:89% size:80% ACCESSIBILITY. 30:22.420 --> 30:24.088 align:left position:10%,start line:89% size:80% I HAD A KNEE REPLACEMENT ABOUT 30:24.088 --> 30:26.257 align:left position:10%,start line:89% size:80% FOUR YEARS AGO, AND I HAD 30:26.257 --> 30:28.193 align:left position:10%,start line:89% size:80% ABSOLUTE EXCELLENT CARE. 30:28.193 --> 30:33.464 align:left position:10%,start line:89% size:80% THE FOLLOWING YEAR, MY HUSBAND 30:33.464 --> 30:36.367 align:left position:10%,start line:89% size:80% HAD SOME ISSUES THAT REQUIRED A 30:36.367 --> 30:37.969 align:left position:10%,start line:89% size:80% CAT SCAN AND THEY DISCOVERED 30:37.969 --> 30:43.274 align:left position:10%,start line:89% size:80% THAT HE HAD A TUMOR IN HIS 30:43.274 --> 30:43.641 align:left position:10%,start line:89% size:80% PANCREAS. 30:43.641 --> 30:48.379 align:left position:10%,start line:89% size:80% AND HE WAS TREATED ABSOLUTELY 30:48.379 --> 30:49.781 align:left position:10%,start line:89% size:80% WITH EXCELLENCE AT CANCER CARE 30:49.781 --> 30:52.917 align:left position:10%,start line:89% size:80% NORTHWEST WITH THE SCANS AND THE 30:52.917 --> 30:53.785 align:left position:10%,start line:89% size:80% WHIFFLE PROCEDURE BUT AFTERWARDS 30:53.785 --> 30:56.187 align:left position:10%,start line:89% size:80% HE WAS IN THE HOSPITAL FOR A 30:56.187 --> 30:56.487 align:left position:10%,start line:89% size:80% MONTH. 30:56.487 --> 31:01.492 align:left position:10%,start line:89% size:80% HE HAD MAJOR COMPLICATIONS. 31:01.492 --> 31:04.562 align:left position:10%,start line:89% size:80% HIS -- HIS ONCOLOGIST SURGEON 31:04.562 --> 31:06.164 align:left position:10%,start line:89% size:80% CALLED SACRED HEART AND SAID 31:06.164 --> 31:07.565 align:left position:10%,start line:89% size:80% THIS IS -- THIS GUY IS COMING 31:07.565 --> 31:07.832 align:left position:10%,start line:89% size:80% IN. 31:07.832 --> 31:09.033 align:left position:10%,start line:89% size:80% THIS IS WHAT'S GOING ON. 31:09.033 --> 31:11.002 align:left position:10%,start line:89% size:80% HE NEEDS TO BE SEEN. 31:11.002 --> 31:13.371 align:left position:10%,start line:89% size:80% AND WE LITERALLY SAT IN THE E.R. 31:13.371 --> 31:15.039 align:left position:10%,start line:89% size:80% FOR FIVE HOURS. 31:15.039 --> 31:17.275 align:left position:10%,start line:89% size:80% I WENT UP TO THEM AND ASKED IS 31:17.275 --> 31:18.743 align:left position:10%,start line:89% size:80% THERE A PLACE HE CAN ACTUALLY 31:18.743 --> 31:19.777 align:left position:10%,start line:89% size:80% LAY DOWN? 31:19.777 --> 31:22.347 align:left position:10%,start line:89% size:80% HE WAS PROPPED IN A CHAIR WITH 31:22.347 --> 31:23.848 align:left position:10%,start line:89% size:80% HIS FEET ON ANOTHER CHAIR, 31:23.848 --> 31:26.150 align:left position:10%,start line:89% size:80% BARELY ABLE TO DO ANYTHING. 31:26.150 --> 31:28.920 align:left position:10%,start line:89% size:80% AND HAVING E.R. EXPERIENCE IN 31:28.920 --> 31:31.556 align:left position:10%,start line:89% size:80% THE PAST, WHICH ISN'T THAT 31:31.556 --> 31:33.358 align:left position:10%,start line:89% size:80% UPDATED NOW, I WAS VERY, VERY 31:33.358 --> 31:36.261 align:left position:10%,start line:89% size:80% FRUSTRATED WITH THE WAY HE WAS 31:36.261 --> 31:38.663 align:left position:10%,start line:89% size:80% TREATED, THE LACK OF RESPONSE TO 31:38.663 --> 31:40.765 align:left position:10%,start line:89% size:80% GETTING HIM IN A ROOM, AND THE 31:40.765 --> 31:42.767 align:left position:10%,start line:89% size:80% FACT THAT THE ONCOLOGY PHYSICIAN 31:42.767 --> 31:45.737 align:left position:10%,start line:89% size:80% HAD CALLED IN AND SAID, THIS 31:45.737 --> 31:48.473 align:left position:10%,start line:89% size:80% NEEDS TO BE DEALT WITH. 31:48.473 --> 31:51.576 align:left position:10%,start line:89% size:80% AND I JUST DON'T FEEL WE WERE 31:51.576 --> 31:53.044 align:left position:10%,start line:89% size:80% ADEQUATELY ADDRESSED. 31:53.044 --> 31:55.146 align:left position:10%,start line:89% size:80% I THINK WE WERE PUT OFF, AND HE 31:55.146 --> 31:57.081 align:left position:10%,start line:89% size:80% WAS OUT IN THE WAITING AREA FOR 31:57.081 --> 32:01.252 align:left position:10%,start line:89% size:80% A MINIMUM OF FOUR TO FIVE HOURS 32:01.252 --> 32:02.921 align:left position:10%,start line:89% size:80% WITHOUT -- YOU KNOW, WITH ALL OF 32:02.921 --> 32:04.355 align:left position:10%,start line:89% size:80% THAT OTHER CONTAGIOUS STUFF 32:04.355 --> 32:06.057 align:left position:10%,start line:89% size:80% GOING ON. 32:06.057 --> 32:06.557 align:left position:10%,start line:89% size:80% >> ALL RIGHT. 32:06.557 --> 32:07.458 align:left position:10%,start line:89% size:80% THANK YOU, TINA. 32:07.458 --> 32:09.227 align:left position:10%,start line:89% size:80% WOULD ANYONE LIKE TO ADDRESS -- 32:09.227 --> 32:11.729 align:left position:10%,start line:89% size:80% IT WAS OBVIOUSLY, SHE WAS VERY 32:11.729 --> 32:13.231 align:left position:10%,start line:89% size:80% FRUSTRATED BY THAT PROCESS. 32:13.231 --> 32:13.631 align:left position:10%,start line:89% size:80% >> SURE. 32:13.631 --> 32:15.333 align:left position:10%,start line:89% size:80% WE HATE TO HAVE PEOPLE WAIT. 32:15.333 --> 32:17.435 align:left position:10%,start line:89% size:80% AND, YOU KNOW, A COUPLE OF 32:17.435 --> 32:18.836 align:left position:10%,start line:89% size:80% THINGS THAT MAYBE WOULD HAVE 32:18.836 --> 32:20.538 align:left position:10%,start line:89% size:80% PREVENTED THAT WAIT IS THAT ON 32:20.538 --> 32:22.440 align:left position:10%,start line:89% size:80% KOHLISTS COULD HAVE ALWAYS -- 32:22.440 --> 32:23.641 align:left position:10%,start line:89% size:80% ONCOLOGISTS COULD HAVE DIRECTLY 32:23.641 --> 32:24.542 align:left position:10%,start line:89% size:80% ADMITTED HIM TO THE HOSPITAL IF 32:24.542 --> 32:26.044 align:left position:10%,start line:89% size:80% THEY THOUGHT HE NEEDED TO BE 32:26.044 --> 32:26.477 align:left position:10%,start line:89% size:80% HOSPITALIZED. 32:26.477 --> 32:28.246 align:left position:10%,start line:89% size:80% MAYBE HE DIDN'T NEED TO GO TO 32:28.246 --> 32:29.781 align:left position:10%,start line:89% size:80% THE E.R. IN THE FIRST PLACE AND 32:29.781 --> 32:31.249 align:left position:10%,start line:89% size:80% JUST HAVE ONE OF THE MEDICAL 32:31.249 --> 32:32.951 align:left position:10%,start line:89% size:80% PHYSICIANS UPSTAIRS CARE FOR 32:32.951 --> 32:33.618 align:left position:10%,start line:89% size:80% HIM. 32:33.618 --> 32:35.019 align:left position:10%,start line:89% size:80% SECONDLY, WE DON'T KEEP PEOPLE 32:35.019 --> 32:36.721 align:left position:10%,start line:89% size:80% OUT THERE ON PURPOSE. 32:36.721 --> 32:37.922 align:left position:10%,start line:89% size:80% WE HAVE HIGH ACUITY. 32:37.922 --> 32:39.223 align:left position:10%,start line:89% size:80% WE HAVE TO DEAL WITH THE ILL 32:39.223 --> 32:40.124 align:left position:10%,start line:89% size:80% PEOPLE THAT WE HAVE. 32:40.124 --> 32:42.627 align:left position:10%,start line:89% size:80% FIVE HOURS IS AN EXTENSIVE WAIT 32:42.627 --> 32:44.429 align:left position:10%,start line:89% size:80% AND I HATE TO HEAR NUMBERS LIKE 32:44.429 --> 32:44.829 align:left position:10%,start line:89% size:80% THAT. 32:44.829 --> 32:46.331 align:left position:10%,start line:89% size:80% THAT'S BY NO MEANS THE NORM AND 32:46.331 --> 32:48.232 align:left position:10%,start line:89% size:80% THERE'S NO LOBBY THAT IS A 32:48.232 --> 32:49.233 align:left position:10%,start line:89% size:80% COMFORTABLE SETTING FOR SOMEBODY 32:49.233 --> 32:49.801 align:left position:10%,start line:89% size:80% THAT'S HURTING. 32:49.801 --> 32:52.236 align:left position:10%,start line:89% size:80% YOU KNOW, IT'S AN UNFORTUNATE 32:52.236 --> 32:53.204 align:left position:10%,start line:89% size:80% EXPERIENCE WHEN PEOPLE DO GO TO 32:53.204 --> 32:54.038 align:left position:10%,start line:89% size:80% THE EMERGENCY DEPARTMENTS. 32:54.038 --> 32:56.674 align:left position:10%,start line:89% size:80% DEPARTMENTS 32:56.674 --> 32:57.408 align:left position:10%,start line:89% size:80% THERE'S THE POTENTIAL THAT WE 32:57.408 --> 32:59.911 align:left position:10%,start line:89% size:80% WILL BE WAITING A FAIR AMOUNT OF 32:59.911 --> 33:01.446 align:left position:10%,start line:89% size:80% TIME IF THEY DON'T REQUIRE 33:01.446 --> 33:02.347 align:left position:10%,start line:89% size:80% AGGRESSIVE CARE IMMEDIATELY. 33:02.347 --> 33:03.114 align:left position:10%,start line:89% size:80% WE WILL TAKE CARE OF THOSE 33:03.114 --> 33:04.582 align:left position:10%,start line:89% size:80% PEOPLE AHEAD OF THEM THAT DO. 33:04.582 --> 33:05.583 align:left position:10%,start line:89% size:80% >> IS THERE ANYTHING SHE COULD 33:05.583 --> 33:08.820 align:left position:10%,start line:89% size:80% HAVE MAYBE DONE DIFFERENTLY IN 33:08.820 --> 33:09.754 align:left position:10%,start line:89% size:80% THAT SITUATION NOT KNOWING THE 33:09.754 --> 33:11.489 align:left position:10%,start line:89% size:80% FULL STOREY? 33:11.489 --> 33:13.458 align:left position:10%,start line:89% size:80% >> IT'S REALLY TOUGH, AND THAT'S 33:13.458 --> 33:14.492 align:left position:10%,start line:89% size:80% ONE THING AS AN EMERGENCY 33:14.492 --> 33:15.793 align:left position:10%,start line:89% size:80% DEPARTMENT WE ARE STRIVING TO 33:15.793 --> 33:16.127 align:left position:10%,start line:89% size:80% IMPROVE. 33:16.127 --> 33:18.262 align:left position:10%,start line:89% size:80% AND WHAT DAN SPEAKS OF WITH 33:18.262 --> 33:21.466 align:left position:10%,start line:89% size:80% REGARDS TO COMMUNICATING WITH 33:21.466 --> 33:23.701 align:left position:10%,start line:89% size:80% YOUR PHYSICIAN OR YOUR 33:23.701 --> 33:26.104 align:left position:10%,start line:89% size:80% ONCOLOGIST, OR SOMEONE TO 33:26.104 --> 33:27.672 align:left position:10%,start line:89% size:80% ADVOCATE ON YOUR BEHALF. 33:27.672 --> 33:29.173 align:left position:10%,start line:89% size:80% IT MAY SAVE YOU A TRIP INTO THE 33:29.173 --> 33:30.074 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT, NOT TO 33:30.074 --> 33:31.509 align:left position:10%,start line:89% size:80% TURN BUSINESS AWAY BUT AT THE 33:31.509 --> 33:33.011 align:left position:10%,start line:89% size:80% SAME TIME TO GET HIM THE CARE 33:33.011 --> 33:35.013 align:left position:10%,start line:89% size:80% THAT HE NEEDS MORE 33:35.013 --> 33:35.580 align:left position:10%,start line:89% size:80% EXPEDITIOUSLY. 33:35.580 --> 33:37.782 align:left position:10%,start line:89% size:80% IT MIGHT BE IN HIS BEST TO HAVE 33:37.782 --> 33:39.183 align:left position:10%,start line:89% size:80% YOUR PROVIDER SPEAK ON YOUR 33:39.183 --> 33:39.517 align:left position:10%,start line:89% size:80% BEHALF. 33:39.517 --> 33:41.152 align:left position:10%,start line:89% size:80% BUT OTHER THAN THAT, NO, I DON'T 33:41.152 --> 33:43.187 align:left position:10%,start line:89% size:80% THINK THERE'S ANYTHING HE OR SHE 33:43.187 --> 33:44.255 align:left position:10%,start line:89% size:80% COULD HAVE DONE DIFFERENTLY. 33:44.255 --> 33:45.823 align:left position:10%,start line:89% size:80% IT'S JUST THE WAY THAT THE 33:45.823 --> 33:47.792 align:left position:10%,start line:89% size:80% CURRENT SYSTEM WORKS WITH WHEN 33:47.792 --> 33:49.327 align:left position:10%,start line:89% size:80% YOU HAVE SOMEONE WHO YOU ARE 33:49.327 --> 33:51.496 align:left position:10%,start line:89% size:80% ACTIVELY RESUSCITATING IN THE 33:51.496 --> 33:52.797 align:left position:10%,start line:89% size:80% BACK OR AN AMBULANCE THAT, YOU 33:52.797 --> 33:54.098 align:left position:10%,start line:89% size:80% KNOW, YOU BROUGHT IN SOMEBODY 33:54.098 --> 33:55.400 align:left position:10%,start line:89% size:80% THAT YOU ARE RESUSCITATING THERE 33:55.400 --> 33:56.934 align:left position:10%,start line:89% size:80% AND YOU CAN'T PHYSICALLY GET OUT 33:56.934 --> 33:59.003 align:left position:10%,start line:89% size:80% TO THE SEE THE PATIENT OR GET 33:59.003 --> 33:59.904 align:left position:10%,start line:89% size:80% THEM BACK INTO A BED. 33:59.904 --> 34:01.706 align:left position:10%,start line:89% size:80% I THINK THAT'S WHY WE ARE 34:01.706 --> 34:03.274 align:left position:10%,start line:89% size:80% CONSTANTLY TRYING TO MAKE SMALL 34:03.274 --> 34:04.842 align:left position:10%,start line:89% size:80% IMPROVEMENTS EVERY DAY TO 34:04.842 --> 34:06.144 align:left position:10%,start line:89% size:80% EXPEDITE AND KIND OF PREVENT 34:06.144 --> 34:07.979 align:left position:10%,start line:89% size:80% THAT FROM HAPPENING THOSE 34:07.979 --> 34:10.982 align:left position:10%,start line:89% size:80% FIVE-HOUR WAITS. 34:10.982 --> 34:12.250 align:left position:10%,start line:89% size:80% >> THAT'S THE RATIONALE BEHIND 34:12.250 --> 34:16.254 align:left position:10%,start line:89% size:80% THE URGENT CARE OPENING. 34:16.254 --> 34:18.556 align:left position:10%,start line:89% size:80% WE ARE TRYING TO DRIVE THOSE WHO 34:18.556 --> 34:19.924 align:left position:10%,start line:89% size:80% DON'T REQUIRE EMERGENCY CARE TO 34:19.924 --> 34:20.391 align:left position:10%,start line:89% size:80% URGENT CARE. 34:20.391 --> 34:21.526 align:left position:10%,start line:89% size:80% PEOPLE WHO REQUIRE ADVANCED CARE 34:21.526 --> 34:23.094 align:left position:10%,start line:89% size:80% HAVE AN EASIER TIME GETTING 34:23.094 --> 34:23.761 align:left position:10%,start line:89% size:80% ACCESS TO THAT. 34:23.761 --> 34:25.263 align:left position:10%,start line:89% size:80% >> IT IS PRETTY AMAZING THE 34:25.263 --> 34:27.665 align:left position:10%,start line:89% size:80% LEVELS OF CARE WE HAVE STARTING 34:27.665 --> 34:29.767 align:left position:10%,start line:89% size:80% WITH THE FIRST RESPONDERS AND 34:29.767 --> 34:33.471 align:left position:10%,start line:89% size:80% THEN HAVING ACCESS NOW TO URGENT 34:33.471 --> 34:35.073 align:left position:10%,start line:89% size:80% CARE AND EMERGENCY ROOM OR YOUR 34:35.073 --> 34:35.606 align:left position:10%,start line:89% size:80% OWN PHYSICIANS. 34:35.606 --> 34:36.707 align:left position:10%,start line:89% size:80% SO WE REALLY DO HAVE THE 34:36.707 --> 34:38.076 align:left position:10%,start line:89% size:80% DIFFERENT LEVELS, SO TO SPEAK, 34:38.076 --> 34:39.744 align:left position:10%,start line:89% size:80% THAT YOU JUST NEED TO TARGET AND 34:39.744 --> 34:41.579 align:left position:10%,start line:89% size:80% SNOW WHAT'S BEST FOR YOUR 34:41.579 --> 34:43.581 align:left position:10%,start line:89% size:80% SITUATION OR HAVE THE DOCTORS 34:43.581 --> 34:44.682 align:left position:10%,start line:89% size:80% ASSESS THAT AND LET YOU KNOW 34:44.682 --> 34:46.684 align:left position:10%,start line:89% size:80% WHAT IS BEST FOR THAT SITUATION. 34:46.684 --> 34:47.885 align:left position:10%,start line:89% size:80% SO WE ARE FORTUNATE. 34:47.885 --> 34:49.353 align:left position:10%,start line:89% size:80% >> PROVIDENCE IS ROLLING OUT 34:49.353 --> 34:50.088 align:left position:10%,start line:89% size:80% TELEMEDICINE NOW TO THE AREA. 34:50.088 --> 34:52.256 align:left position:10%,start line:89% size:80% SO IF YOU HAVE PINK EYE OR IF 34:52.256 --> 34:53.858 align:left position:10%,start line:89% size:80% YOU HAVE A COUGH, YOU CAN TAKE A 34:53.858 --> 34:55.159 align:left position:10%,start line:89% size:80% PICTURE OF WHAT IS BOTHERING YOU 34:55.159 --> 34:57.361 align:left position:10%,start line:89% size:80% AND FOR $35, THEY WILL TAKE CARE 34:57.361 --> 35:00.131 align:left position:10%,start line:89% size:80% OF THAT VIA A TELECONSULT. 35:00.131 --> 35:01.165 align:left position:10%,start line:89% size:80% SO YOU DON'T HAVE TO LEAVE YOUR 35:01.165 --> 35:01.666 align:left position:10%,start line:89% size:80% OWN HOME. 35:01.666 --> 35:04.335 align:left position:10%,start line:89% size:80% I THINK WHAT YOU WILL SEE NOW 35:04.335 --> 35:06.037 align:left position:10%,start line:89% size:80% WITH COUGH, THE LANDSCAPE OF 35:06.037 --> 35:07.338 align:left position:10%,start line:89% size:80% MEDICINE IS REALLY SHIFTING 35:07.338 --> 35:09.040 align:left position:10%,start line:89% size:80% TOWARDS MORE ACCESSIBLE MEDICINE 35:09.040 --> 35:10.274 align:left position:10%,start line:89% size:80% THAT STILL HAS GOOD QUALITY BUT 35:10.274 --> 35:11.342 align:left position:10%,start line:89% size:80% FOR CHEAPER. 35:11.342 --> 35:12.543 align:left position:10%,start line:89% size:80% AND IF WE CAN KEEP PEOPLE IN 35:12.543 --> 35:14.045 align:left position:10%,start line:89% size:80% THEIR OWN HOME, THEY DON'T NEED 35:14.045 --> 35:15.446 align:left position:10%,start line:89% size:80% TO GET IN THEIR CAR AND DRIVE TO 35:15.446 --> 35:16.647 align:left position:10%,start line:89% size:80% AN URGENT CARE, THAT WILL SAVE 35:16.647 --> 35:17.748 align:left position:10%,start line:89% size:80% MONEY FOR THE SYSTEM AND THEY 35:17.748 --> 35:20.351 align:left position:10%,start line:89% size:80% SHOULD STILL HAVE PRETTY QUALITY 35:20.351 --> 35:20.651 align:left position:10%,start line:89% size:80% CARE. 35:20.651 --> 35:21.486 align:left position:10%,start line:89% size:80% >> HOW MUCH NETWORKING IS GOING 35:21.486 --> 35:23.421 align:left position:10%,start line:89% size:80% ON BETWEEN THE FACILITIES AND 35:23.421 --> 35:25.022 align:left position:10%,start line:89% size:80% THESE DIFFERENT LEVELS OF CARE? 35:25.022 --> 35:26.824 align:left position:10%,start line:89% size:80% ARE THERE -- ARE THERE WAYS YOU 35:26.824 --> 35:28.025 align:left position:10%,start line:89% size:80% GET TOGETHER AND PUT YOUR HEADS 35:28.025 --> 35:30.495 align:left position:10%,start line:89% size:80% TOGETHER TO TRY AND ADDRESS 35:30.495 --> 35:32.263 align:left position:10%,start line:89% size:80% THOSE CUSTOMER ISSUES? 35:32.263 --> 35:33.931 align:left position:10%,start line:89% size:80% >> I THINK QUITE A BIT. 35:33.931 --> 35:38.736 align:left position:10%,start line:89% size:80% I KNOW FOR US, WE MEET WITH THE 35:38.736 --> 35:39.837 align:left position:10%,start line:89% size:80% MANAGEMENT FOR OUR EMERGENCY 35:39.837 --> 35:42.840 align:left position:10%,start line:89% size:80% ROOMS AND OUR SYSTEM EVERY 35:42.840 --> 35:43.341 align:left position:10%,start line:89% size:80% QUARTER. 35:43.341 --> 35:47.178 align:left position:10%,start line:89% size:80% AND THEN WE HAVE THE PHYSICIANS 35:47.178 --> 35:47.912 align:left position:10%,start line:89% size:80% THAT COMMUNITY BACK AND FORTH. 35:47.912 --> 35:52.817 align:left position:10%,start line:89% size:80% WE ACTUALLY JUST MET WITH SOME 35:52.817 --> 35:55.753 align:left position:10%,start line:89% size:80% OF THE COMMUNITY BOARDSES WITH 35:55.753 --> 35:56.854 align:left position:10%,start line:89% size:80% IT, AND WANTING TO MAKE SURE 35:56.854 --> 35:57.955 align:left position:10%,start line:89% size:80% THAT WE DIDN'T JUST LOOK AT THE 35:57.955 --> 35:59.824 align:left position:10%,start line:89% size:80% EMERGENCY ROOM FOR DISASTER 35:59.824 --> 36:00.992 align:left position:10%,start line:89% size:80% PLANNING BUT LOOKED AT THE 36:00.992 --> 36:01.759 align:left position:10%,start line:89% size:80% URGENT CARES AS WELL. 36:01.759 --> 36:03.227 align:left position:10%,start line:89% size:80% WE ARE STARTING TO DO A LOT MORE 36:03.227 --> 36:05.796 align:left position:10%,start line:89% size:80% COMMUNITY AWARENESS, COMMUNITY 36:05.796 --> 36:06.797 align:left position:10%,start line:89% size:80% BENEFIT, COMMUNITY RELATIONSHIPS 36:06.797 --> 36:08.900 align:left position:10%,start line:89% size:80% TO MAKE SURE THAT WE ARE MEETING 36:08.900 --> 36:12.503 align:left position:10%,start line:89% size:80% THE NEED OF THE AREA. 36:12.503 --> 36:13.905 align:left position:10%,start line:89% size:80% SO BEING NEW IN TOWN, I FEEL 36:13.905 --> 36:15.806 align:left position:10%,start line:89% size:80% LIKE WE ARE DOING QUITE A BIT TO 36:15.806 --> 36:18.209 align:left position:10%,start line:89% size:80% START TO BUILD THOSE 36:18.209 --> 36:20.111 align:left position:10%,start line:89% size:80% RELATIONSHIPS AND COMMUNITY WITH 36:20.111 --> 36:22.713 align:left position:10%,start line:89% size:80% ALL -- COMMUNICATE WITH ALL THE 36:22.713 --> 36:23.481 align:left position:10%,start line:89% size:80% DIFFERENT ENTITIES. 36:23.481 --> 36:24.815 align:left position:10%,start line:89% size:80% IT STARTS WITH E. 36:24.815 --> 36:26.417 align:left position:10%,start line:89% size:80% M.S. AND THEN THEY GO TO THE 36:26.417 --> 36:30.188 align:left position:10%,start line:89% size:80% E.R. OR IT START STARTS WITH THE 36:30.188 --> 36:31.722 align:left position:10%,start line:89% size:80% URGENT CARE AND THEN E.M.S. TO 36:31.722 --> 36:32.890 align:left position:10%,start line:89% size:80% GET THEM TO THE HOSPITAL. 36:32.890 --> 36:34.225 align:left position:10%,start line:89% size:80% >> ALL THE PIECES HAVE TO FIT 36:34.225 --> 36:34.592 align:left position:10%,start line:89% size:80% TOGETHER. 36:34.592 --> 36:35.526 align:left position:10%,start line:89% size:80% >> WE CAN'T DO IT ALONE. 36:35.526 --> 36:37.695 align:left position:10%,start line:89% size:80% WE CAN'T DO IT IN A SILO. 36:37.695 --> 36:38.930 align:left position:10%,start line:89% size:80% FOR THE BEST PATIENT CARE AND TO 36:38.930 --> 36:40.031 align:left position:10%,start line:89% size:80% MAKE THE TIME SMALLER FOR HIKE 36:40.031 --> 36:41.799 align:left position:10%,start line:89% size:80% THE CALLER WHO HAD THE LONG 36:41.799 --> 36:43.201 align:left position:10%,start line:89% size:80% WAIT, WE ARE TRYING TO REALLY 36:43.201 --> 36:44.702 align:left position:10%,start line:89% size:80% STREAMLINE IT AND LIKE DAN SAID, 36:44.702 --> 36:46.304 align:left position:10%,start line:89% size:80% HAVE THE PATIENTS GO TO THE 36:46.304 --> 36:48.206 align:left position:10%,start line:89% size:80% RIGHT LEVEL OF CARE, TO GET IT 36:48.206 --> 36:49.507 align:left position:10%,start line:89% size:80% INTO FASTER. 36:49.507 --> 36:50.608 align:left position:10%,start line:89% size:80% >> MM-HMM AND ALSO BE PREPARED 36:50.608 --> 36:53.411 align:left position:10%,start line:89% size:80% IF WE WERE TO HAVE SOME SORT OF 36:53.411 --> 36:54.011 align:left position:10%,start line:89% size:80% LARGE-SCALE DISASTER. 36:54.011 --> 36:55.613 align:left position:10%,start line:89% size:80% I KNOW THERE'S A LOT OF 36:55.613 --> 36:57.114 align:left position:10%,start line:89% size:80% READINESS DRILLS THAT SPOKANE 36:57.114 --> 36:59.217 align:left position:10%,start line:89% size:80% DOES, ALONG WITH FIRE AND THE 36:59.217 --> 37:00.184 align:left position:10%,start line:89% size:80% FACILITIES THAT WE PROVIDE, AND 37:00.184 --> 37:02.587 align:left position:10%,start line:89% size:80% TO BE READY FOR A SITUATION 37:02.587 --> 37:03.854 align:left position:10%,start line:89% size:80% SHOULD SOMETHING COME UP. 37:03.854 --> 37:04.288 align:left position:10%,start line:89% size:80% >> MM-HMM. 37:04.288 --> 37:06.657 align:left position:10%,start line:89% size:80% HOW OFTEN DO YOU DO THOSE? 37:06.657 --> 37:08.859 align:left position:10%,start line:89% size:80% >> WITH THE EBOLA SCARE, WE HAD 37:08.859 --> 37:09.860 align:left position:10%,start line:89% size:80% THEM PRETTY REGULARLY. 37:09.860 --> 37:10.361 align:left position:10%,start line:89% size:80% YEAH. 37:10.361 --> 37:11.896 align:left position:10%,start line:89% size:80% THAT WAS PROBABLY THE MOST 37:11.896 --> 37:13.264 align:left position:10%,start line:89% size:80% RECENT WITH THE INFLUENZA SEASON 37:13.264 --> 37:13.931 align:left position:10%,start line:89% size:80% THAT WE HAD. 37:13.931 --> 37:15.433 align:left position:10%,start line:89% size:80% WE HAD SOME DRILLING THERE. 37:15.433 --> 37:17.335 align:left position:10%,start line:89% size:80% BUT DISASTER PREPAREDNESS 37:17.335 --> 37:18.736 align:left position:10%,start line:89% size:80% COURSES ARE PRETTY ROUTINE 37:18.736 --> 37:19.570 align:left position:10%,start line:89% size:80% THROUGH EMERGENCY DEPARTMENTS. 37:19.570 --> 37:22.039 align:left position:10%,start line:89% size:80% WE WORK CLOSELY WITH THE E.M.S. 37:22.039 --> 37:23.107 align:left position:10%,start line:89% size:80% COMMUNITY, ORGANIZING THOSE 37:23.107 --> 37:24.242 align:left position:10%,start line:89% size:80% DRILLS AS WELL, BECAUSE YOU ARE 37:24.242 --> 37:25.009 align:left position:10%,start line:89% size:80% KIND OF IT. 37:25.009 --> 37:26.244 align:left position:10%,start line:89% size:80% YOU HAVE SOMEONE THAT COMES IN 37:26.244 --> 37:28.012 align:left position:10%,start line:89% size:80% AND THEY HAVE BEEN EXPOSED TO A 37:28.012 --> 37:29.680 align:left position:10%,start line:89% size:80% CHEMICAL OR THEY HAVE AN 37:29.680 --> 37:30.948 align:left position:10%,start line:89% size:80% INFECTIOUS EXPOSURE, THAT'S 37:30.948 --> 37:33.217 align:left position:10%,start line:89% size:80% WHERE THEY ARE GOING THROUGH IS 37:33.217 --> 37:34.018 align:left position:10%,start line:89% size:80% THE EMERGENCY DEPARTMENT AND 37:34.018 --> 37:34.819 align:left position:10%,start line:89% size:80% TRYING TO MAKE SURE THAT 37:34.819 --> 37:39.056 align:left position:10%,start line:89% size:80% PEOPLE THAT THEY ARE NOT WALKING 37:39.056 --> 37:40.725 align:left position:10%,start line:89% size:80% THROUGH A WAITING ROOM FULL OF 37:40.725 --> 37:41.025 align:left position:10%,start line:89% size:80% FOLKS. 37:41.025 --> 37:42.326 align:left position:10%,start line:89% size:80% >> YOU HAVE TO BE READY FOR JUST 37:42.326 --> 37:44.262 align:left position:10%,start line:89% size:80% ABOUT ANYTHING. 37:44.262 --> 37:45.029 align:left position:10%,start line:89% size:80% >> DECONTAMINATION ROOMS AND A 37:45.029 --> 37:46.130 align:left position:10%,start line:89% size:80% SPECIAL WAY TO TRIAGE. 37:46.130 --> 37:48.532 align:left position:10%,start line:89% size:80% YES, WE DO THAT QUITE REGULARLY. 37:48.532 --> 37:49.333 align:left position:10%,start line:89% size:80% >> LET'S TAKE ANOTHER PHONE 37:49.333 --> 37:49.634 align:left position:10%,start line:89% size:80% CALL. 37:49.634 --> 37:50.101 align:left position:10%,start line:89% size:80% WE HAVE DAN. 37:50.101 --> 37:51.702 align:left position:10%,start line:89% size:80% GOOD EVENING, DAN. 37:51.702 --> 37:52.536 align:left position:10%,start line:89% size:80% >> Caller: GOOD EVENING. 37:52.536 --> 37:54.472 align:left position:10%,start line:89% size:80% THANK YOU FOR TAKING MY CALL. 37:54.472 --> 37:55.740 align:left position:10%,start line:89% size:80% >> WELL, THANK YOU FOR WAITING. 37:55.740 --> 37:56.507 align:left position:10%,start line:89% size:80% >> Caller: I HAVE A QUESTION 37:56.507 --> 37:58.142 align:left position:10%,start line:89% size:80% ABOUT THE CONSISTENT CARE 37:58.142 --> 38:01.946 align:left position:10%,start line:89% size:80% PROGRAM AND HOW THE EMERGENCY 38:01.946 --> 38:03.414 align:left position:10%,start line:89% size:80% ROOMS IN THE STATE OF WASHINGTON 38:03.414 --> 38:05.683 align:left position:10%,start line:89% size:80% JUST ABOUT ALL OF THEM, ARE 38:05.683 --> 38:08.419 align:left position:10%,start line:89% size:80% GOING TO THE CONSISTENT CARE 38:08.419 --> 38:08.753 align:left position:10%,start line:89% size:80% PROGRAM. 38:08.753 --> 38:10.821 align:left position:10%,start line:89% size:80% HOW DO THEY GET AWAY WITH THE 38:10.821 --> 38:12.023 align:left position:10%,start line:89% size:80% LIFETIME OF PROFILING THE SICK 38:12.023 --> 38:14.692 align:left position:10%,start line:89% size:80% AND THE DISABLED, A LIFETIME 38:14.692 --> 38:16.894 align:left position:10%,start line:89% size:80% SENSE THAT CAN NEVER BE REMOVED, 38:16.894 --> 38:19.297 align:left position:10%,start line:89% size:80% AND THAT DISCRIMINATES AGAINST 38:19.297 --> 38:24.402 align:left position:10%,start line:89% size:80% THE DISABLED THAT HAVE CHRONIC 38:24.402 --> 38:25.803 align:left position:10%,start line:89% size:80% PROBLEMS AND NEED THE EMERGENCY 38:25.803 --> 38:26.771 align:left position:10%,start line:89% size:80% ROOM ON A REGULAR BASIS. 38:26.771 --> 38:29.607 align:left position:10%,start line:89% size:80% I WANT TO KNOW WHAT YOUR 38:29.607 --> 38:32.310 align:left position:10%,start line:89% size:80% FEELINGS ARE ABOUT THAT AND HOW 38:32.310 --> 38:35.313 align:left position:10%,start line:89% size:80% I GO ABOUT GETTING MYSELF OFF 38:35.313 --> 38:39.984 align:left position:10%,start line:89% size:80% THE CONSISTENT CARE LIST. 38:39.984 --> 38:41.018 align:left position:10%,start line:89% size:80% >> I'M NOT FAMILIAR WITH THE 38:41.018 --> 38:41.352 align:left position:10%,start line:89% size:80% PROGRAM. 38:41.352 --> 38:42.153 align:left position:10%,start line:89% size:80% >> I CAN -- I'M VERY FAMILIAR 38:42.153 --> 38:42.586 align:left position:10%,start line:89% size:80% WITH IT. 38:42.586 --> 38:44.789 align:left position:10%,start line:89% size:80% SO THE CONSISTENT CARE PROGRAM, 38:44.789 --> 38:46.190 align:left position:10%,start line:89% size:80% WHEN WE LOOK AT THE AMOUNT OF 38:46.190 --> 38:47.591 align:left position:10%,start line:89% size:80% MONEY WE HAVE TO DELIVER 38:47.591 --> 38:49.293 align:left position:10%,start line:89% size:80% HEALTHCARE ACROSS THE COUNTRY, 38:49.293 --> 38:50.695 align:left position:10%,start line:89% size:80% IT'S NOT GETTING ANY BIGGER AND 38:50.695 --> 38:52.797 align:left position:10%,start line:89% size:80% WE HAVE MORE PATIENTS AND 38:52.797 --> 38:54.231 align:left position:10%,start line:89% size:80% EXPANDING WAX WE HAVE DONE IS WE 38:54.231 --> 38:55.900 align:left position:10%,start line:89% size:80% HAVE IDENTIFIED PEOPLE WHO ARE 38:55.900 --> 38:57.401 align:left position:10%,start line:89% size:80% FREQUENT UTILIZERS OF EMERGENCY 38:57.401 --> 38:58.402 align:left position:10%,start line:89% size:80% SERVICES, AND WHEN WE IDENTIFY 38:58.402 --> 38:59.537 align:left position:10%,start line:89% size:80% THOSE PEOPLE, WE GO THROUGH 38:59.537 --> 39:01.605 align:left position:10%,start line:89% size:80% THEIR VISITS, DO A CASE REVIEW 39:01.605 --> 39:02.573 align:left position:10%,start line:89% size:80% WITH TWO PHYSICIANS. 39:02.573 --> 39:04.275 align:left position:10%,start line:89% size:80% USUALLY THE PRIMARY CARE 39:04.275 --> 39:06.077 align:left position:10%,start line:89% size:80% PHYSICIAN OF THAT PATIENT AND 39:06.077 --> 39:07.978 align:left position:10%,start line:89% size:80% SEE IF THEY ARE APPROPRIATE USES 39:07.978 --> 39:11.816 align:left position:10%,start line:89% size:80% OF EMERGENCY DEPARTMENT. 39:11.816 --> 39:13.351 align:left position:10%,start line:89% size:80% THE AVERAGE BILL IS $1,200. 39:13.351 --> 39:16.587 align:left position:10%,start line:89% size:80% SO EVERY TIME, A $1,200 BILL IS 39:16.587 --> 39:16.987 align:left position:10%,start line:89% size:80% ENGENDERED. 39:16.987 --> 39:20.057 align:left position:10%,start line:89% size:80% IT'S NOT DESIGNED TO KEEP THOSE 39:20.057 --> 39:22.360 align:left position:10%,start line:89% size:80% PEOPLE OUT OF THE EMERGENCY 39:22.360 --> 39:22.760 align:left position:10%,start line:89% size:80% DEPARTMENT. 39:22.760 --> 39:24.562 align:left position:10%,start line:89% size:80% IF THEY HAVE AN ISSUE THAT WE 39:24.562 --> 39:29.266 align:left position:10%,start line:89% size:80% FEEL REQUIRES EMERGENCY ROOM. 39:29.266 --> 39:30.768 align:left position:10%,start line:89% size:80% THE CONSISTENT CARE HAS CREATED 39:30.768 --> 39:32.370 align:left position:10%,start line:89% size:80% A RESOURCE FOR PATIENTS THAT ARE 39:32.370 --> 39:34.372 align:left position:10%,start line:89% size:80% IDENTIFIED AS HIGH UTILIZERS TO 39:34.372 --> 39:35.840 align:left position:10%,start line:89% size:80% GET CARE THROUGH THEIR PRIMARY 39:35.840 --> 39:36.507 align:left position:10%,start line:89% size:80% CARE PHYSICIANS. 39:36.507 --> 39:38.809 align:left position:10%,start line:89% size:80% A LOT OF IT WAS DONE TO CRACK 39:38.809 --> 39:39.510 align:left position:10%,start line:89% size:80% DOWN ON NARCOTIC PRESCRIPTIONS 39:39.510 --> 39:40.378 align:left position:10%,start line:89% size:80% ACROSS THE STREET. 39:40.378 --> 39:41.479 align:left position:10%,start line:89% size:80% SPOKANE COUNTY HAS ONE OF THE 39:41.479 --> 39:43.481 align:left position:10%,start line:89% size:80% HIGHEST DEATH RATES SECONDARY TO 39:43.481 --> 39:44.448 align:left position:10%,start line:89% size:80% OVERDOSE FROM PRESCRIPTION 39:44.448 --> 39:45.883 align:left position:10%,start line:89% size:80% NARCOTICS ANYWHERE IN THE 39:45.883 --> 39:46.217 align:left position:10%,start line:89% size:80% COUNTRY. 39:46.217 --> 39:47.451 align:left position:10%,start line:89% size:80% AND SO WHAT WE FOUND IS THAT 39:47.451 --> 39:48.886 align:left position:10%,start line:89% size:80% PEOPLE WE ARE GOING TO E.R.s 39:48.886 --> 39:50.488 align:left position:10%,start line:89% size:80% TO OBTAIN THESE PRESCRIPTIONS, 39:50.488 --> 39:52.556 align:left position:10%,start line:89% size:80% SELLING THEM ON THE STREET, AND 39:52.556 --> 39:57.161 align:left position:10%,start line:89% size:80% THIS PROGRAM STARTED DARIN 39:57.161 --> 39:58.863 align:left position:10%,start line:89% size:80% NEVEN, WORKING WITH SOME PEOPLE 39:58.863 --> 40:00.664 align:left position:10%,start line:89% size:80% IN OLYMPIA AND GOT THIS PROGRAM 40:00.664 --> 40:01.465 align:left position:10%,start line:89% size:80% UP AND RUNNING. 40:01.465 --> 40:03.868 align:left position:10%,start line:89% size:80% WE IDENTIFIED PEOPLE WHO WERE 40:03.868 --> 40:05.803 align:left position:10%,start line:89% size:80% USING THE EMERGENCY DEPARTMENT 40:05.803 --> 40:06.670 align:left position:10%,start line:89% size:80% 60 TIMES A YEAR. 40:06.670 --> 40:09.106 align:left position:10%,start line:89% size:80% DO THE MATH, 60 TIMES A YEAR AT 40:09.106 --> 40:10.775 align:left position:10%,start line:89% size:80% $1,200 FOR THE MINIMAL COST. 40:10.775 --> 40:13.677 align:left position:10%,start line:89% size:80% IT WASN'T FAIR TO THE SYSTEM. 40:13.677 --> 40:15.246 align:left position:10%,start line:89% size:80% WHEN WE GET THE CONSISTENT CARE, 40:15.246 --> 40:16.480 align:left position:10%,start line:89% size:80% WE GET THEM ENROLLED. 40:16.480 --> 40:18.482 align:left position:10%,start line:89% size:80% FOR THE GENTLEMAN'S QUESTION, I 40:18.482 --> 40:19.784 align:left position:10%,start line:89% size:80% FEEL TERRIBLE THAT HE FEELS LIKE 40:19.784 --> 40:21.185 align:left position:10%,start line:89% size:80% HE WAS DISCRIMINATED AGAINST BUT 40:21.185 --> 40:22.586 align:left position:10%,start line:89% size:80% WE WANT YOU TO HAVE ACCESS TO 40:22.586 --> 40:24.188 align:left position:10%,start line:89% size:80% THE CARE THAT YOU NEED THAT IS, 40:24.188 --> 40:25.689 align:left position:10%,start line:89% size:80% ONE, COST EFFECTIVE AND TWO, 40:25.689 --> 40:26.991 align:left position:10%,start line:89% size:80% VERY HIGH QUALITY CARE AND IF 40:26.991 --> 40:32.463 align:left position:10%,start line:89% size:80% YOU DO HAVE AN EMERGENT 40:32.463 --> 40:32.830 align:left position:10%,start line:89% size:80% COMPLAINT. 40:32.830 --> 40:33.898 align:left position:10%,start line:89% size:80% COME TO THE E.R. 40:33.898 --> 40:36.767 align:left position:10%,start line:89% size:80% IF WE FEEL IT DOESN'T FEEL LIKE 40:36.767 --> 40:38.369 align:left position:10%,start line:89% size:80% YOU REQUIRE EMERGENT CARE, WE 40:38.369 --> 40:39.870 align:left position:10%,start line:89% size:80% WILL GET YOU SEEN AT 8:00 IN THE 40:39.870 --> 40:40.371 align:left position:10%,start line:89% size:80% MORNING. 40:40.371 --> 40:41.505 align:left position:10%,start line:89% size:80% WE HAVE SOCIAL WORKERS THAT HELP 40:41.505 --> 40:42.673 align:left position:10%,start line:89% size:80% OUT WITH THESE FOLKS. 40:42.673 --> 40:44.175 align:left position:10%,start line:89% size:80% THAT'S A DRIFT OF MEDICINE IN 40:44.175 --> 40:45.075 align:left position:10%,start line:89% size:80% GENERAL AND WE HAVE SO MANY 40:45.075 --> 40:46.477 align:left position:10%,start line:89% size:80% DIFFERENT ISSUES THAT WE DEAL 40:46.477 --> 40:47.678 align:left position:10%,start line:89% size:80% WITH IN OUR COMMUNITY THAT 40:47.678 --> 40:48.312 align:left position:10%,start line:89% size:80% FUNNEL INTO THE EMERGENCY 40:48.312 --> 40:49.480 align:left position:10%,start line:89% size:80% DEPARTMENT BECAUSE IT'S THE ONLY 40:49.480 --> 40:50.548 align:left position:10%,start line:89% size:80% PLACE OPEN AT 3 A.M. 40:50.548 --> 40:55.486 align:left position:10%,start line:89% size:80% SO WE HAVE BEEN CREATING 40:55.486 --> 40:56.587 align:left position:10%,start line:89% size:80% ALLIANCES WITH THE COMMUNITY 40:56.587 --> 40:57.855 align:left position:10%,start line:89% size:80% DETOX AND MENTAL HEALTH 40:57.855 --> 40:59.256 align:left position:10%,start line:89% size:80% FACILITIES SO WE CAN EXPEDITE 40:59.256 --> 41:00.491 align:left position:10%,start line:89% size:80% PEOPLE WHO HAVE MENTAL HEALTH 41:00.491 --> 41:00.791 align:left position:10%,start line:89% size:80% CARE. 41:00.791 --> 41:03.093 align:left position:10%,start line:89% size:80% AND THAT'S THE GAME OF MEDICINE 41:03.093 --> 41:03.994 align:left position:10%,start line:89% size:80% UNFORTUNATELY AND THIS 41:03.994 --> 41:05.396 align:left position:10%,start line:89% size:80% GENTLEMEN'S ISSUE THAT WE ARE 41:05.396 --> 41:07.498 align:left position:10%,start line:89% size:80% TRYING TO BE CREATIVE IN HOW DO 41:07.498 --> 41:08.999 align:left position:10%,start line:89% size:80% WE PROVIDE HIGH QUALITY CARE 41:08.999 --> 41:10.634 align:left position:10%,start line:89% size:80% THAT IS MORE ON PAR WITH WHAT 41:10.634 --> 41:11.735 align:left position:10%,start line:89% size:80% THE REST OF THE WORLD IS 41:11.735 --> 41:12.102 align:left position:10%,start line:89% size:80% SPENDING. 41:12.102 --> 41:13.871 align:left position:10%,start line:89% size:80% >> CAN HE GET OFF THE LIST ONCE 41:13.871 --> 41:15.706 align:left position:10%,start line:89% size:80% HE'S BEEN PUT ON THE LIST? 41:15.706 --> 41:16.240 align:left position:10%,start line:89% size:80% >> YES, YOU CAN. 41:16.240 --> 41:17.374 align:left position:10%,start line:89% size:80% >> DO YOU ASK TO BE TAKEN OFF A 41:17.374 --> 41:17.675 align:left position:10%,start line:89% size:80% LIST? 41:17.675 --> 41:18.375 align:left position:10%,start line:89% size:80% HOW DOES THAT -- 41:18.375 --> 41:20.411 align:left position:10%,start line:89% size:80% >> WHAT IS THE PROCEDURE? 41:20.411 --> 41:26.016 align:left position:10%,start line:89% size:80% >> IT TAKES ALMOST AS MUCH TIME 41:26.016 --> 41:29.653 align:left position:10%,start line:89% size:80% AND COMMUNICATION WITH THE 41:29.653 --> 41:30.988 align:left position:10%,start line:89% size:80% PHYSICIAN, AND THE HOSPITAL. 41:30.988 --> 41:32.857 align:left position:10%,start line:89% size:80% IT IS A VERY EXTENSIVE PROCESS. 41:32.857 --> 41:34.692 align:left position:10%,start line:89% size:80% IT INVOLVES CASE MANAGEMENT. 41:34.692 --> 41:37.495 align:left position:10%,start line:89% size:80% WE HAVE CASE MANAGERS AT OUR 41:37.495 --> 41:38.696 align:left position:10%,start line:89% size:80% HOSPITAL AS WELL AS I'M SURE 41:38.696 --> 41:39.597 align:left position:10%,start line:89% size:80% PROVIDENCE, THAT WORK ON THAT 41:39.597 --> 41:41.499 align:left position:10%,start line:89% size:80% WITH US, WITH ALL THE PATIENTS 41:41.499 --> 41:43.100 align:left position:10%,start line:89% size:80% THAT ARE ON THIS PROGRAM. 41:43.100 --> 41:44.502 align:left position:10%,start line:89% size:80% BECAUSE IT IS SO EXTENSIVE. 41:44.502 --> 41:46.804 align:left position:10%,start line:89% size:80% BECAUSE IT'S TAKEN VERY 41:46.804 --> 41:47.171 align:left position:10%,start line:89% size:80% SERIOUSLY. 41:47.171 --> 41:48.706 align:left position:10%,start line:89% size:80% IT'S SOMETHING THAT'S NOT TAKEN 41:48.706 --> 41:49.039 align:left position:10%,start line:89% size:80% LIGHTLY. 41:49.039 --> 41:50.508 align:left position:10%,start line:89% size:80% IT'S NOT SOMETHING THAT SOMEONE 41:50.508 --> 41:52.209 align:left position:10%,start line:89% size:80% COMES IN FIVE TIMES AND IT GETS 41:52.209 --> 41:52.810 align:left position:10%,start line:89% size:80% TURNED ON. 41:52.810 --> 41:53.978 align:left position:10%,start line:89% size:80% IT DOESN'T HAPPEN THAT EASILY. 41:53.978 --> 41:55.079 align:left position:10%,start line:89% size:80% YOU CAN GET OFF THE LIST. 41:55.079 --> 41:56.013 align:left position:10%,start line:89% size:80% IT JUST TAKES WORK. 41:56.013 --> 41:57.181 align:left position:10%,start line:89% size:80% IT TAKES A LITTLE EFFORT. 41:57.181 --> 41:58.415 align:left position:10%,start line:89% size:80% >> AND THE STATE TRACKS IT. 41:58.415 --> 42:01.285 align:left position:10%,start line:89% size:80% SO THERE'S A -- THE E.D., THE 42:01.285 --> 42:03.454 align:left position:10%,start line:89% size:80% EMERGENCY DEPARTMENT INFORMATION 42:03.454 --> 42:04.221 align:left position:10%,start line:89% size:80% EXCHANGE WILL TRACK VISITS 42:04.221 --> 42:04.855 align:left position:10%,start line:89% size:80% THROUGHOUT THE STATE. 42:04.855 --> 42:06.056 align:left position:10%,start line:89% size:80% SO WHEN I HAVE A PATIENT THAT 42:06.056 --> 42:08.058 align:left position:10%,start line:89% size:80% SHOWS UP, I GET A FAX FROM E.D. 42:08.058 --> 42:09.159 align:left position:10%,start line:89% size:80% THAT SAYS THIS PATIENT HAS BEEN 42:09.159 --> 42:10.895 align:left position:10%,start line:89% size:80% SEEN IN NINE DIFFERENT E.R.s 42:10.895 --> 42:12.062 align:left position:10%,start line:89% size:80% ACROSS THE STATE IN THE LAST 42:12.062 --> 42:13.163 align:left position:10%,start line:89% size:80% THREE MONTHS AND WHAT WE ARE 42:13.163 --> 42:15.666 align:left position:10%,start line:89% size:80% LINKING RIGHT NOW TO THESE E.D. 42:15.666 --> 42:16.667 align:left position:10%,start line:89% size:80% FAXES ARE ACCESS TO THE 42:16.667 --> 42:18.669 align:left position:10%,start line:89% size:80% WASHINGTON STATE PRESCRIPTION 42:18.669 --> 42:19.436 align:left position:10%,start line:89% size:80% MONITORING PROGRAM. 42:19.436 --> 42:21.005 align:left position:10%,start line:89% size:80% WE WILL KNOW IN A PATIENT HAS 42:21.005 --> 42:22.506 align:left position:10%,start line:89% size:80% BEEN PRESCRIBED NARCOTICS IN 42:22.506 --> 42:25.509 align:left position:10%,start line:89% size:80% OLYMPIA OR KENNEWICK, AND SO THE 42:25.509 --> 42:27.144 align:left position:10%,start line:89% size:80% CONSISTENT CARE PROGRAM, IT 42:27.144 --> 42:31.181 align:left position:10%,start line:89% size:80% SHOULDN'T HAVE A DEROGATORY 42:31.181 --> 42:31.582 align:left position:10%,start line:89% size:80% CONNOTATION. 42:31.582 --> 42:33.250 align:left position:10%,start line:89% size:80% IT'S A GOOD PROGRAM FOR PATIENTS 42:33.250 --> 42:34.785 align:left position:10%,start line:89% size:80% WOULD REQUIRE HIGHER LEVEL OR 42:34.785 --> 42:35.786 align:left position:10%,start line:89% size:80% MORE FREQUENT LEVELS OF CARE. 42:35.786 --> 42:37.454 align:left position:10%,start line:89% size:80% I DON'T KNOW IF THERE'S TRULY A 42:37.454 --> 42:38.455 align:left position:10%,start line:89% size:80% WAY TO GET OUT OF IT. 42:38.455 --> 42:40.658 align:left position:10%,start line:89% size:80% IT'S NOT DESIGNED TO 42:40.658 --> 42:41.091 align:left position:10%,start line:89% size:80% DISCRIMINATE. 42:41.091 --> 42:42.760 align:left position:10%,start line:89% size:80% IT'S TO CREATE AN EXTRA LEVEL OF 42:42.760 --> 42:44.161 align:left position:10%,start line:89% size:80% NETWORK FOR THAT PATIENT TO GET 42:44.161 --> 42:44.995 align:left position:10%,start line:89% size:80% CARE EXPEDITED. 42:44.995 --> 42:46.964 align:left position:10%,start line:89% size:80% IF THEY DON'T NEED IT AT 2 A.M., 42:46.964 --> 42:48.465 align:left position:10%,start line:89% size:80% THEN WE WILL GET IT FOR THEM 42:48.465 --> 42:49.066 align:left position:10%,start line:89% size:80% LATER THAT DAY. 42:49.066 --> 42:50.467 align:left position:10%,start line:89% size:80% >> I THINK ONE OF THE THINGS WE 42:50.467 --> 42:52.369 align:left position:10%,start line:89% size:80% TALKED SO MUCH TODAY ABOUT THE 42:52.369 --> 42:53.671 align:left position:10%,start line:89% size:80% RIGHT CARE AT THE RIGHT 42:53.671 --> 42:54.038 align:left position:10%,start line:89% size:80% LOCATION. 42:54.038 --> 42:56.140 align:left position:10%,start line:89% size:80% AND THIS IS JUST BEFORE THAT. 42:56.140 --> 42:58.175 align:left position:10%,start line:89% size:80% SO THIS IS THE RIGHT CARE IN 42:58.175 --> 42:59.176 align:left position:10%,start line:89% size:80% PRIMARY CARE. 42:59.176 --> 43:03.147 align:left position:10%,start line:89% size:80% AND SO IF YOU HAVE PULMONARY 43:03.147 --> 43:04.848 align:left position:10%,start line:89% size:80% DISEASE OR HEART DISEASE OR 43:04.848 --> 43:07.518 align:left position:10%,start line:89% size:80% DIABETES, YOU KNOW, 9 -- THE 43:07.518 --> 43:10.054 align:left position:10%,start line:89% size:80% E.R. OR THE URGENT CARE, YOU 43:10.054 --> 43:11.922 align:left position:10%,start line:89% size:80% KNOW, THEIR PURPOSE IS FOR THOSE 43:11.922 --> 43:13.223 align:left position:10%,start line:89% size:80% LIFE THREATENING DISEASES OR 43:13.223 --> 43:15.826 align:left position:10%,start line:89% size:80% LIFE THREATENING ISSUES, AND WE 43:15.826 --> 43:20.230 align:left position:10%,start line:89% size:80% WANT YOUR CHRONIC ILLNESS, YOUR 43:20.230 --> 43:22.633 align:left position:10%,start line:89% size:80% ASTHMA, PULMONARY ISSUES, HEART 43:22.633 --> 43:23.834 align:left position:10%,start line:89% size:80% FAILURE, WE WANT THEM DONE IN 43:23.834 --> 43:25.035 align:left position:10%,start line:89% size:80% THE PRIMARY CARE FOR YOUR DOC 43:25.035 --> 43:26.537 align:left position:10%,start line:89% size:80% AND YOUR TEAM TO KNOW WHAT YOUR 43:26.537 --> 43:28.038 align:left position:10%,start line:89% size:80% MEDICINES ARE, WHAT DID WE DO 43:28.038 --> 43:28.339 align:left position:10%,start line:89% size:80% LAST. 43:28.339 --> 43:28.839 align:left position:10%,start line:89% size:80% IT DIDN'T WORK. 43:28.839 --> 43:29.740 align:left position:10%,start line:89% size:80% SO LET'S TRY THIS. 43:29.740 --> 43:32.142 align:left position:10%,start line:89% size:80% IF WE -- IF WE E.R. SHOP, THEN 43:32.142 --> 43:34.244 align:left position:10%,start line:89% size:80% WE DON'T HAVE THAT HISTORY. 43:34.244 --> 43:35.746 align:left position:10%,start line:89% size:80% AND SO THE BEST THING FOR THE 43:35.746 --> 43:37.948 align:left position:10%,start line:89% size:80% PATIENT IS TO HAVE THAT PRIMARY 43:37.948 --> 43:40.317 align:left position:10%,start line:89% size:80% CARE PROVIDER AND ACROSS THE 43:40.317 --> 43:42.419 align:left position:10%,start line:89% size:80% COUNTRY, THEY HAVE THE PATIENT 43:42.419 --> 43:43.220 align:left position:10%,start line:89% size:80% CENTERED MEDICAL HOME AND THE 43:43.220 --> 43:45.222 align:left position:10%,start line:89% size:80% IDEA IS THAT YOU HAVE A MEDICAL 43:45.222 --> 43:46.624 align:left position:10%,start line:89% size:80% HOME AND THEN YOU GO TO THE 43:46.624 --> 43:47.625 align:left position:10%,start line:89% size:80% RIGHT CARE AT THE RIGHT TIME FOR 43:47.625 --> 43:48.359 align:left position:10%,start line:89% size:80% THE RIGHT THING. 43:48.359 --> 43:49.526 align:left position:10%,start line:89% size:80% AND SO I THINK THAT'S A LITTLE 43:49.526 --> 43:50.828 align:left position:10%,start line:89% size:80% BIT OF WHAT WE ARE TALKING AND 43:50.828 --> 43:52.429 align:left position:10%,start line:89% size:80% THAT'S WHAT THAT PROGRAM DOES. 43:52.429 --> 43:54.932 align:left position:10%,start line:89% size:80% IT SAYS, THE RIGHT PLACE FOR THE 43:54.932 --> 43:56.433 align:left position:10%,start line:89% size:80% RIGHT CARE AT THE RIGHT TIME. 43:56.433 --> 43:58.035 align:left position:10%,start line:89% size:80% >> VERY WELL SAID. 43:58.035 --> 43:59.536 align:left position:10%,start line:89% size:80% LET'S TAKE ANOTHER PHONE CALL. 43:59.536 --> 44:01.639 align:left position:10%,start line:89% size:80% DON FROM CALGARY, GOOD EVENING, 44:01.639 --> 44:01.905 align:left position:10%,start line:89% size:80% DON. 44:01.905 --> 44:02.606 align:left position:10%,start line:89% size:80% >> Caller: GOOD EVENING. 44:02.606 --> 44:04.708 align:left position:10%,start line:89% size:80% THANK YOU FOR TAKING MY CALL. 44:04.708 --> 44:06.010 align:left position:10%,start line:89% size:80% I JUST HAVE A GENERAL QUESTION 44:06.010 --> 44:06.744 align:left position:10%,start line:89% size:80% FOR YOUR PANEL. 44:06.744 --> 44:07.845 align:left position:10%,start line:89% size:80% I WONDERED WHAT THEY THOUGHT OF 44:07.845 --> 44:12.116 align:left position:10%,start line:89% size:80% THE CONCEPT OF PATIENTS OF A 44:12.116 --> 44:16.353 align:left position:10%,start line:89% size:80% CERTAIN AGE GROUP GOING TO BABY 44:16.353 --> 44:17.788 align:left position:10%,start line:89% size:80% ASPIRIN IN THEIR POCKET AND IF 44:17.788 --> 44:21.492 align:left position:10%,start line:89% size:80% THEY HAVE CHEST PAIN TO TAKE IT. 44:21.492 --> 44:23.227 align:left position:10%,start line:89% size:80% IT MIGHT SAVE THEIR LIFE. 44:23.227 --> 44:23.727 align:left position:10%,start line:89% size:80% >> ALL RIGHT. 44:23.727 --> 44:25.696 align:left position:10%,start line:89% size:80% THANK YOU, DON. 44:25.696 --> 44:26.196 align:left position:10%,start line:89% size:80% >> ABSOLUTELY. 44:26.196 --> 44:27.331 align:left position:10%,start line:89% size:80% SO ONE OF THE THINGS THAT WE DO 44:27.331 --> 44:30.734 align:left position:10%,start line:89% size:80% HERE IN SPOKANE IS OUR 911 44:30.734 --> 44:32.169 align:left position:10%,start line:89% size:80% DISPATCHERS ARE TRAINED TO GIVE 44:32.169 --> 44:33.971 align:left position:10%,start line:89% size:80% SOME OVER-THE-PHONE INSTRUCTIONS 44:33.971 --> 44:35.673 align:left position:10%,start line:89% size:80% AND THAT'S ONE OF THE THINGS 44:35.673 --> 44:36.507 align:left position:10%,start line:89% size:80% THAT'S BEING DONE IS THE 44:36.507 --> 44:38.242 align:left position:10%,start line:89% size:80% POSSIBILITY OF ASKING THE RIGHT 44:38.242 --> 44:39.410 align:left position:10%,start line:89% size:80% QUESTIONS WHEN THE CALLER 44:39.410 --> 44:41.145 align:left position:10%,start line:89% size:80% REPORTS THAT SO AND SO IS HAVING 44:41.145 --> 44:43.013 align:left position:10%,start line:89% size:80% CHEST PAIN OR WHATEVER THEIR 44:43.013 --> 44:43.714 align:left position:10%,start line:89% size:80% COMPLAINT MIGHT BE. 44:43.714 --> 44:45.115 align:left position:10%,start line:89% size:80% WHAT THEY THEN DO IS ASK A 44:45.115 --> 44:46.216 align:left position:10%,start line:89% size:80% SERIES OF QUESTIONS AND THEN IF 44:46.216 --> 44:47.818 align:left position:10%,start line:89% size:80% THEY DO HAVE THAT ASPIRIN 44:47.818 --> 44:49.820 align:left position:10%,start line:89% size:80% AVAILABLE IN THEIR HOME, GIVING 44:49.820 --> 44:50.421 align:left position:10%,start line:89% size:80% THEM THE ASPIRIN. 44:50.421 --> 44:52.289 align:left position:10%,start line:89% size:80% THEY TEACH CPR GUIDELINES OVER 44:52.289 --> 44:53.057 align:left position:10%,start line:89% size:80% THE PHONE. 44:53.057 --> 44:54.992 align:left position:10%,start line:89% size:80% THERE'S WAYS OF, YOU KNOW IS 44:54.992 --> 44:56.326 align:left position:10%,start line:89% size:80% THERE EPINEPHRINE IN THE 44:56.326 --> 44:58.896 align:left position:10%,start line:89% size:80% HOUSE/DO THEY HAVE KNOWN 44:58.896 --> 44:59.263 align:left position:10%,start line:89% size:80% ALLERGIES? 44:59.263 --> 45:00.831 align:left position:10%,start line:89% size:80% SO OUR DISPATCHERS ARE 45:00.831 --> 45:02.533 align:left position:10%,start line:89% size:80% ADDRESSING THAT TO HOPEFULLY 45:02.533 --> 45:03.567 align:left position:10%,start line:89% size:80% PROVIDE FOR SOME BETTER CARE 45:03.567 --> 45:05.269 align:left position:10%,start line:89% size:80% BEFORE IT TAKES US TIME TO GET 45:05.269 --> 45:05.969 align:left position:10%,start line:89% size:80% THERE. 45:05.969 --> 45:07.805 align:left position:10%,start line:89% size:80% AND SO, I KNOW ONE OF THE THINGS 45:07.805 --> 45:08.539 align:left position:10%,start line:89% size:80% THE AMERICAN HEART ASSOCIATION 45:08.539 --> 45:11.341 align:left position:10%,start line:89% size:80% IS PUSHING IS FOR THE USE OF 45:11.341 --> 45:12.476 align:left position:10%,start line:89% size:80% ASPIRIN WHEN IT COMES TO 45:12.476 --> 45:14.978 align:left position:10%,start line:89% size:80% CARBACK. 45:14.978 --> 45:15.679 align:left position:10%,start line:89% size:80% CARDIACS. 45:15.679 --> 45:17.281 align:left position:10%,start line:89% size:80% YOU SEE THE COMMERCIALS AND THE 45:17.281 --> 45:17.581 align:left position:10%,start line:89% size:80% BEAR. 45:17.581 --> 45:18.749 align:left position:10%,start line:89% size:80% I THINK IT IS A GOOD TOOL, AS 45:18.749 --> 45:20.984 align:left position:10%,start line:89% size:80% LONG AS THERE'S DEFINITELY SOME 45:20.984 --> 45:21.952 align:left position:10%,start line:89% size:80% INSTANCES WHERE YOU WOULDN'T 45:21.952 --> 45:23.187 align:left position:10%,start line:89% size:80% WANT TO GIVE THAT ASPIRIN. 45:23.187 --> 45:24.688 align:left position:10%,start line:89% size:80% FOR THE MOST PART, I THINK IF 45:24.688 --> 45:25.789 align:left position:10%,start line:89% size:80% IT'S DEEMED UNDER THOSE 45:25.789 --> 45:26.690 align:left position:10%,start line:89% size:80% CIRCUMSTANCES THAT'S ABSOLUTELY 45:26.690 --> 45:27.491 align:left position:10%,start line:89% size:80% A GOOD IDEA. 45:27.491 --> 45:28.492 align:left position:10%,start line:89% size:80% >> THAT'S SO FASCINATING. 45:28.492 --> 45:31.462 align:left position:10%,start line:89% size:80% WHAT OTHER TYPES OF MAYBE BASIC 45:31.462 --> 45:33.097 align:left position:10%,start line:89% size:80% FIRST AID DO YOU ADVISE PEOPLE 45:33.097 --> 45:34.798 align:left position:10%,start line:89% size:80% TO KNOW ABOUT, SAY, AND WE ARE 45:34.798 --> 45:37.067 align:left position:10%,start line:89% size:80% COMING UP ON THE SUMMER MONTHS. 45:37.067 --> 45:38.602 align:left position:10%,start line:89% size:80% WE TALKED A LITTLE BIT ABOUT 45:38.602 --> 45:40.504 align:left position:10%,start line:89% size:80% THIS BEFORE THE SHOW STARTED 45:40.504 --> 45:41.338 align:left position:10%,start line:89% size:80% TONIGHT, BUT, FOR INSTANCE, HOW 45:41.338 --> 45:44.074 align:left position:10%,start line:89% size:80% DO I KNOW IF MY CHILD HAS A 45:44.074 --> 45:44.441 align:left position:10%,start line:89% size:80% FRACTURE? 45:44.441 --> 45:45.709 align:left position:10%,start line:89% size:80% AND YOU KNOW, SOME OF THOSE 45:45.709 --> 45:47.177 align:left position:10%,start line:89% size:80% THINGS, BEE STINGS ARE GOING TO 45:47.177 --> 45:48.479 align:left position:10%,start line:89% size:80% BECOME PROMINENT. 45:48.479 --> 45:50.280 align:left position:10%,start line:89% size:80% TICK BITES, THOSE SORTS OF 45:50.280 --> 45:50.681 align:left position:10%,start line:89% size:80% THINGS. 45:50.681 --> 45:52.783 align:left position:10%,start line:89% size:80% WHAT CAN WE ARM OURSELVES WITH 45:52.783 --> 45:53.984 align:left position:10%,start line:89% size:80% BEFORE WE MAKE THE PHONE CALL OR 45:53.984 --> 45:55.185 align:left position:10%,start line:89% size:80% WHILE WE ARE MAKING THE PHONE 45:55.185 --> 45:56.386 align:left position:10%,start line:89% size:80% CALL AND BEFORE EMERGENCY TEAMS 45:56.386 --> 45:56.887 align:left position:10%,start line:89% size:80% GET THERE? 45:56.887 --> 45:57.888 align:left position:10%,start line:89% size:80% >> I THINK THE BEST THING IS 45:57.888 --> 45:59.189 align:left position:10%,start line:89% size:80% MOST OF THOSE FIRST AID KITS 45:59.189 --> 46:01.091 align:left position:10%,start line:89% size:80% THAT YOU WOULD GET AT WALMART, 46:01.091 --> 46:02.526 align:left position:10%,start line:89% size:80% YOU KNOW, IT'S ONE OF THOSE YOU 46:02.526 --> 46:04.828 align:left position:10%,start line:89% size:80% GET WHAT YOU PAY FOR SO IF IT'S 46:04.828 --> 46:08.665 align:left position:10%,start line:89% size:80% A $5 OR $6 FIRST AID KIT, IT 46:08.665 --> 46:10.234 align:left position:10%,start line:89% size:80% WILL HAVE BAND-AID AND GAUZE. 46:10.234 --> 46:11.668 align:left position:10%,start line:89% size:80% THE MORE YOU SPEND ON THE FIRST 46:11.668 --> 46:14.571 align:left position:10%,start line:89% size:80% AID, YOU WILL GET SOME DIFFERENT 46:14.571 --> 46:15.472 align:left position:10%,start line:89% size:80% SPLINTS OR A BEE STING KIT AND 46:15.472 --> 46:16.507 align:left position:10%,start line:89% size:80% SOME OF THOSE THINGS. 46:16.507 --> 46:17.941 align:left position:10%,start line:89% size:80% ONE OF THE BIG THINGS WE PUSH 46:17.941 --> 46:22.546 align:left position:10%,start line:89% size:80% FOR IS JUST THE EDUCATION SIDE. 46:22.546 --> 46:24.648 align:left position:10%,start line:89% size:80% INHS TEACHES FIRST AID AND CPR 46:24.648 --> 46:26.350 align:left position:10%,start line:89% size:80% THAT COMBINES THE TWO CLASSES 46:26.350 --> 46:27.451 align:left position:10%,start line:89% size:80% AND TEACHES VERY, VERY BASIC 46:27.451 --> 46:28.952 align:left position:10%,start line:89% size:80% FIRST AID MANEUVERS WHETHER IT'S 46:28.952 --> 46:31.155 align:left position:10%,start line:89% size:80% USING A MAGAZINE TO SPLINT A 46:31.155 --> 46:32.456 align:left position:10%,start line:89% size:80% POSSIBLE BROKEN ARM OR LEG. 46:32.456 --> 46:35.058 align:left position:10%,start line:89% size:80% WE TALK ABOUT TOURNIQUET USE 46:35.058 --> 46:36.260 align:left position:10%,start line:89% size:80% THAT'S BIG IN EMERGENCY MEDICINE 46:36.260 --> 46:37.561 align:left position:10%,start line:89% size:80% WHEN IT COMES TO STOPPING 46:37.561 --> 46:38.562 align:left position:10%,start line:89% size:80% BLEEDING, ESPECIALLY IF YOU ARE 46:38.562 --> 46:39.930 align:left position:10%,start line:89% size:80% OUT IN THE RURAL AREA AND A 46:39.930 --> 46:42.166 align:left position:10%,start line:89% size:80% CHAIN SAW INCIDENT OR SOME SORT 46:42.166 --> 46:43.934 align:left position:10%,start line:89% size:80% OF LACERATION THAT CAUSES LIFE 46:43.934 --> 46:44.635 align:left position:10%,start line:89% size:80% THREATENING BLEEDING. 46:44.635 --> 46:46.170 align:left position:10%,start line:89% size:80% ONE OF THE THINGS WE ARE 46:46.170 --> 46:48.071 align:left position:10%,start line:89% size:80% TEACHING IS THE USE OF 46:48.071 --> 46:48.672 align:left position:10%,start line:89% size:80% TOURNIQUETS. 46:48.672 --> 46:50.574 align:left position:10%,start line:89% size:80% FIRST AID KITS THAT HAVE BEE 46:50.574 --> 46:51.675 align:left position:10%,start line:89% size:80% STING KITS AND THINGS ALONG 46:51.675 --> 46:52.576 align:left position:10%,start line:89% size:80% THOSE LINES ARE GOOD. 46:52.576 --> 46:54.945 align:left position:10%,start line:89% size:80% YOU KNOW, THE ONLY DOWNFALL IF 46:54.945 --> 46:56.647 align:left position:10%,start line:89% size:80% IT'S A KNOWN ALLERGY AND YOU 46:56.647 --> 46:58.448 align:left position:10%,start line:89% size:80% DON'T HAVE THAT EPINEPHRINE PEN, 46:58.448 --> 47:01.451 align:left position:10%,start line:89% size:80% YOU WON'T FIND AN EPI PEN INSIDE 47:01.451 --> 47:03.620 align:left position:10%,start line:89% size:80% ONE OF THOSE KITS. 47:03.620 --> 47:04.822 align:left position:10%,start line:89% size:80% THAT NEEDS TO BE PRESCRIBED TO 47:04.822 --> 47:05.722 align:left position:10%,start line:89% size:80% YOU FROM A FACILITY. 47:05.722 --> 47:07.624 align:left position:10%,start line:89% size:80% I THINK THE EDUCATION SIDE IS 47:07.624 --> 47:08.826 align:left position:10%,start line:89% size:80% THE BIGGEST PIECE OF GETTING OUT 47:08.826 --> 47:10.227 align:left position:10%,start line:89% size:80% THERE AND THEY ARE USUALLY 47:10.227 --> 47:11.261 align:left position:10%,start line:89% size:80% PRETTY LOW COST PROGRAMS THAT WE 47:11.261 --> 47:12.362 align:left position:10%,start line:89% size:80% TEACH IT IN THE AREA AND THEY 47:12.362 --> 47:14.431 align:left position:10%,start line:89% size:80% CAN COME TO US AND HELP WITH 47:14.431 --> 47:15.566 align:left position:10%,start line:89% size:80% THAT THINKING OUTSIDE THE BOX 47:15.566 --> 47:17.501 align:left position:10%,start line:89% size:80% WHEN IT COMES TO TREATING SOME 47:17.501 --> 47:19.102 align:left position:10%,start line:89% size:80% PRETTY SERIOUS INJURIES. 47:19.102 --> 47:21.004 align:left position:10%,start line:89% size:80% >> DO YOU ADVISE AT ALL GOING TO 47:21.004 --> 47:22.339 align:left position:10%,start line:89% size:80% THE INTERNET FOR ANY OF THAT? 47:22.339 --> 47:25.509 align:left position:10%,start line:89% size:80% ARE THERE ANY WEBSITES THAT CAN 47:25.509 --> 47:26.710 align:left position:10%,start line:89% size:80% HELP OR WOULD YOU RATHER SEE 47:26.710 --> 47:28.011 align:left position:10%,start line:89% size:80% THEM TAKE ONE OF THE CLASSES? 47:28.011 --> 47:29.413 align:left position:10%,start line:89% size:80% >> I DEFINITELY WOULD ALWAYS 47:29.413 --> 47:31.815 align:left position:10%,start line:89% size:80% RECOMMEND A CREDIBLE SOURCE. 47:31.815 --> 47:33.317 align:left position:10%,start line:89% size:80% THE INTERNET IS FILLED WITH 47:33.317 --> 47:34.718 align:left position:10%,start line:89% size:80% CREDIBLE SOURCES AND 47:34.718 --> 47:35.519 align:left position:10%,start line:89% size:80% NON-CREDIBLE SOURCES. 47:35.519 --> 47:37.020 align:left position:10%,start line:89% size:80% YOU KNOW, ONE OF THE THINGS WE 47:37.020 --> 47:39.223 align:left position:10%,start line:89% size:80% SEE ON THE AMBULANCE IS IF 47:39.223 --> 47:40.424 align:left position:10%,start line:89% size:80% SOMEONE LOOKS UP THEIR SYMPTOM 47:40.424 --> 47:43.727 align:left position:10%,start line:89% size:80% ON SOME SORT OF WEB-BASED 47:43.727 --> 47:46.730 align:left position:10%,start line:89% size:80% DIAGNOSTIC AND IT'S EITHER 47:46.730 --> 47:47.764 align:left position:10%,start line:89% size:80% CANCER OR RUNNY NOSE. 47:47.764 --> 47:49.533 align:left position:10%,start line:89% size:80% IT RANGES IN SEVERITY. 47:49.533 --> 47:50.534 align:left position:10%,start line:89% size:80% AMERICAN HEART ASSOCIATION IS 47:50.534 --> 47:51.335 align:left position:10%,start line:89% size:80% ALWAYS A GOOD TOOL. 47:51.335 --> 47:52.703 align:left position:10%,start line:89% size:80% THEY DO FIRST AID THINGS ALONG 47:52.703 --> 47:54.605 align:left position:10%,start line:89% size:80% THOSE LINES BUT I THINK 47:54.605 --> 47:55.706 align:left position:10%,start line:89% size:80% EDUCATION FROM A CREDIBLE 47:55.706 --> 47:57.241 align:left position:10%,start line:89% size:80% SOURCE, I THINK COULD DEFINITELY 47:57.241 --> 47:58.141 align:left position:10%,start line:89% size:80% BE RECOMMENDED. 47:58.141 --> 47:58.542 align:left position:10%,start line:89% size:80% >> OKAY. 47:58.542 --> 47:59.209 align:left position:10%,start line:89% size:80% VERY GOOD. 47:59.209 --> 48:01.411 align:left position:10%,start line:89% size:80% LET'S TAKE ANOTHER PHONE CALL. 48:01.411 --> 48:02.813 align:left position:10%,start line:89% size:80% DIANE, GOOD EVENING. 48:02.813 --> 48:03.447 align:left position:10%,start line:89% size:80% >> Caller: HELLO. 48:03.447 --> 48:03.881 align:left position:10%,start line:89% size:80% >> HELLO. 48:03.881 --> 48:04.615 align:left position:10%,start line:89% size:80% DO YOU HAVE A QUESTION FOR OUR 48:04.615 --> 48:05.582 align:left position:10%,start line:89% size:80% PANEL? 48:05.582 --> 48:06.283 align:left position:10%,start line:89% size:80% >> Caller: YES, I DO. 48:06.283 --> 48:09.386 align:left position:10%,start line:89% size:80% AND THANK YOU ALL SO MUCH FOR 48:09.386 --> 48:11.355 align:left position:10%,start line:89% size:80% SPENDING THE TIME WITH US. 48:11.355 --> 48:15.325 align:left position:10%,start line:89% size:80% I WAS WONDERING HISTORICALLY 48:15.325 --> 48:17.694 align:left position:10%,start line:89% size:80% EMERGENCY ROOMS HAVE BEEN USED 48:17.694 --> 48:22.599 align:left position:10%,start line:89% size:80% FOR THE HOMELESS PEOPLE AS THEIR 48:22.599 --> 48:25.002 align:left position:10%,start line:89% size:80% FIRST BASE OF CARE, AND THE 48:25.002 --> 48:26.503 align:left position:10%,start line:89% size:80% UNDER EMPLOYED WHERE THEY DON'T 48:26.503 --> 48:28.605 align:left position:10%,start line:89% size:80% HAVE ANY INSURANCE, AND THIS IS 48:28.605 --> 48:31.875 align:left position:10%,start line:89% size:80% THE FIRST PLACE THEY COME TO IS 48:31.875 --> 48:33.810 align:left position:10%,start line:89% size:80% THE EMERGENCY ROOM. 48:33.810 --> 48:36.113 align:left position:10%,start line:89% size:80% IS THAT SEEING ANY KIND OF 48:36.113 --> 48:37.981 align:left position:10%,start line:89% size:80% LESSENING EFFECT NOW THAT WE 48:37.981 --> 48:42.319 align:left position:10%,start line:89% size:80% HAVE THE A.C.A. AND MORE PEOPLE 48:42.319 --> 48:43.787 align:left position:10%,start line:89% size:80% HOPEFULLY BEING INSURED? 48:43.787 --> 48:46.023 align:left position:10%,start line:89% size:80% HOW IS THAT GOING AS FAR AS THE 48:46.023 --> 48:47.491 align:left position:10%,start line:89% size:80% EMERGENCY ROOMS? 48:47.491 --> 48:48.392 align:left position:10%,start line:89% size:80% >> THAT'S AN INTERESTING POINT. 48:48.392 --> 48:49.293 align:left position:10%,start line:89% size:80% >> I WOULD SAY, YES. 48:49.293 --> 48:50.694 align:left position:10%,start line:89% size:80% I THINK WE ARE STARTING TO SEE 48:50.694 --> 48:52.296 align:left position:10%,start line:89% size:80% SOME IMPROVEMENTS WITH REGARDS 48:52.296 --> 48:54.698 align:left position:10%,start line:89% size:80% TO PEOPLE HAVING COVERAGE. 48:54.698 --> 48:56.400 align:left position:10%,start line:89% size:80% WE ALSO HAVE MORE PROGRAMS 48:56.400 --> 48:59.603 align:left position:10%,start line:89% size:80% WITHIN OUR HOSPITAL TO GET 48:59.603 --> 49:01.405 align:left position:10%,start line:89% size:80% PEOPLE ENROLLED IN COVERAGE AND 49:01.405 --> 49:03.573 align:left position:10%,start line:89% size:80% I'M SURE PROVIDENCE DOES AND SO 49:03.573 --> 49:04.274 align:left position:10%,start line:89% size:80% DOES ROCKWOOD. 49:04.274 --> 49:05.842 align:left position:10%,start line:89% size:80% IT REALLY HELPS THE PATIENT GET 49:05.842 --> 49:08.278 align:left position:10%,start line:89% size:80% ON TO A PROGRAM, AND I THINK WE 49:08.278 --> 49:10.180 align:left position:10%,start line:89% size:80% HAVE SEEN AN INCREASE IN COVERED 49:10.180 --> 49:11.949 align:left position:10%,start line:89% size:80% FOLKS THAT COME IN THROUGH THE 49:11.949 --> 49:13.150 align:left position:10%,start line:89% size:80% DOOR, BUT ALSO THOSE THAT 49:13.150 --> 49:14.451 align:left position:10%,start line:89% size:80% AREN'T, THEY ARE GETTING ACCESS 49:14.451 --> 49:15.352 align:left position:10%,start line:89% size:80% TO CARE. 49:15.352 --> 49:17.254 align:left position:10%,start line:89% size:80% AND ACCESS TO COVERAGE FOR THE 49:17.254 --> 49:18.555 align:left position:10%,start line:89% size:80% CARE THAT THEY HAVE BEEN GIVEN. 49:18.555 --> 49:21.458 align:left position:10%,start line:89% size:80% SO I THINK THERE HAS BEEN A 49:21.458 --> 49:22.659 align:left position:10%,start line:89% size:80% POSITIVE. 49:22.659 --> 49:23.093 align:left position:10%,start line:89% size:80% >> MM-HMM. 49:23.093 --> 49:24.761 align:left position:10%,start line:89% size:80% >> IT'S GOING TO BE AN UPHILL 49:24.761 --> 49:25.095 align:left position:10%,start line:89% size:80% BATTLE. 49:25.095 --> 49:27.364 align:left position:10%,start line:89% size:80% >> I MEAN, THE APPLE CARE IS 49:27.364 --> 49:29.666 align:left position:10%,start line:89% size:80% GREAT AND WE HAVE AN EXPANDED 49:29.666 --> 49:30.467 align:left position:10%,start line:89% size:80% INSURED PATIENT POPULATION. 49:30.467 --> 49:32.369 align:left position:10%,start line:89% size:80% THE PROBLEM THAT WE HAVE IS 49:32.369 --> 49:33.570 align:left position:10%,start line:89% size:80% THERE'S A LARGE LACK OF PRIMARY 49:33.570 --> 49:34.671 align:left position:10%,start line:89% size:80% CARE PROVIDERS IN THE AREA. 49:34.671 --> 49:36.273 align:left position:10%,start line:89% size:80% THAT'S ONE OF THE BIG PUSHES TO 49:36.273 --> 49:37.574 align:left position:10%,start line:89% size:80% HAVE THESE MEDICAL SCHOOLS OPEN 49:37.574 --> 49:41.378 align:left position:10%,start line:89% size:80% IN SPOKANE AND HEAVILY RECRUIT 49:41.378 --> 49:42.779 align:left position:10%,start line:89% size:80% PRIMARY CARE DOCTORS. 49:42.779 --> 49:45.482 align:left position:10%,start line:89% size:80% IF YOU ARE UNDER INSURED OR 49:45.482 --> 49:46.149 align:left position:10%,start line:89% size:80% UNINSURED THE EMERGENCY 49:46.149 --> 49:48.085 align:left position:10%,start line:89% size:80% DEPARTMENT IS REALLY YOUR ONLY 49:48.085 --> 49:48.685 align:left position:10%,start line:89% size:80% OPTION. 49:48.685 --> 49:49.953 align:left position:10%,start line:89% size:80% IT'S AN EXPENSIVE OPTION. 49:49.953 --> 49:52.089 align:left position:10%,start line:89% size:80% SO JUST LIKE ROCKWOOD IS DOING, 49:52.089 --> 49:53.724 align:left position:10%,start line:89% size:80% PROVIDENCE HAS BEEN VERY 49:53.724 --> 49:55.892 align:left position:10%,start line:89% size:80% AGGRESSIVE AT FINDING EXPANDED 49:55.892 --> 49:57.260 align:left position:10%,start line:89% size:80% WAYS OF KEEPING PEOPLE IN OUR 49:57.260 --> 49:58.261 align:left position:10%,start line:89% size:80% COMMUNITY IN THE RIGHT DIRECTION 49:58.261 --> 50:00.564 align:left position:10%,start line:89% size:80% FOR PRIMARY CARE AND HOPEFULLY 50:00.564 --> 50:02.599 align:left position:10%,start line:89% size:80% IT GETS BETTER AS WE GET MORE 50:02.599 --> 50:04.468 align:left position:10%,start line:89% size:80% PRIMARY CARE PHYSICIANS IN THE 50:04.468 --> 50:04.768 align:left position:10%,start line:89% size:80% AREA. 50:04.768 --> 50:06.269 align:left position:10%,start line:89% size:80% THE LAST STATISTIC, THERE'S A 50:06.269 --> 50:08.772 align:left position:10%,start line:89% size:80% SHORTAGE OF 35,000 PRIMARY CARE 50:08.772 --> 50:09.473 align:left position:10%,start line:89% size:80% PHYSICIANS ACROSS THE UNITED 50:09.473 --> 50:10.374 align:left position:10%,start line:89% size:80% STATES, AND IF YOU LOOK AT HOW 50:10.374 --> 50:11.975 align:left position:10%,start line:89% size:80% LONG IT TAKES TO MAKE A PRIMARY 50:11.975 --> 50:13.276 align:left position:10%,start line:89% size:80% CARE DOCTOR, IT'S GOING TO BE A 50:13.276 --> 50:15.379 align:left position:10%,start line:89% size:80% WHILE TO FILL THAT. 50:15.379 --> 50:19.983 align:left position:10%,start line:89% size:80% I THINK THAT'S WHY NURSE 50:19.983 --> 50:21.885 align:left position:10%,start line:89% size:80% PRACTITIONERS AND PHYSICIAN 50:21.885 --> 50:22.919 align:left position:10%,start line:89% size:80% ASSISTANTS EXTEND THAT AND YOU 50:22.919 --> 50:24.554 align:left position:10%,start line:89% size:80% CAN HAVE THEM RUNNING THEIR OWN 50:24.554 --> 50:26.256 align:left position:10%,start line:89% size:80% CLINIC AND PROVIDING GOOD 50:26.256 --> 50:27.557 align:left position:10%,start line:89% size:80% PRIMARY CARE AND FILLING THAT 50:27.557 --> 50:27.858 align:left position:10%,start line:89% size:80% GAP. 50:27.858 --> 50:28.258 align:left position:10%,start line:89% size:80% >> OKAY. 50:28.258 --> 50:29.059 align:left position:10%,start line:89% size:80% WE HAVE ANOTHER PHONE CALL 50:29.059 --> 50:30.660 align:left position:10%,start line:89% size:80% COMING IN FROM RON HERE IN 50:30.660 --> 50:30.994 align:left position:10%,start line:89% size:80% SPOKANE. 50:30.994 --> 50:33.330 align:left position:10%,start line:89% size:80% GOOD EVENING, RON. 50:33.330 --> 50:34.031 align:left position:10%,start line:89% size:80% >> Caller: GOOD EVENING. 50:34.031 --> 50:37.067 align:left position:10%,start line:89% size:80% I WANTED TO CALL IN AND SAY THAT 50:37.067 --> 50:38.035 align:left position:10%,start line:89% size:80% DR. GOETZ WOULD NOT REMEMBER ME, 50:38.035 --> 50:40.370 align:left position:10%,start line:89% size:80% BUT I REMEMBER HIM. 50:40.370 --> 50:44.875 align:left position:10%,start line:89% size:80% I WAS OPERATED ON IN PHOENIX IN 50:44.875 --> 50:48.578 align:left position:10%,start line:89% size:80% EARLY FEBRUARY, AND I GOT HOME 50:48.578 --> 50:49.679 align:left position:10%,start line:89% size:80% HERE, AND WHAT HAD A HAPPENED 50:49.679 --> 50:53.116 align:left position:10%,start line:89% size:80% WAS THEY HAD TO DRILL A HOLE IN 50:53.116 --> 50:54.885 align:left position:10%,start line:89% size:80% MY SKULL, THE SIZE OF A 50-CENT 50:54.885 --> 50:55.185 align:left position:10%,start line:89% size:80% PIECE. 50:55.185 --> 50:58.555 align:left position:10%,start line:89% size:80% >> I REMEMBER YOU! 50:58.555 --> 51:00.290 align:left position:10%,start line:89% size:80% >> AND IT GOT QUITE INFECTED. 51:00.290 --> 51:04.528 align:left position:10%,start line:89% size:80% >> OH, BOY. 51:04.528 --> 51:05.629 align:left position:10%,start line:89% size:80% >> IT WAS REALLY QUITE A 51:05.629 --> 51:05.962 align:left position:10%,start line:89% size:80% PROBLEM. 51:05.962 --> 51:08.865 align:left position:10%,start line:89% size:80% I FOUND OUT LATER, IT WAS SPINAL 51:08.865 --> 51:10.967 align:left position:10%,start line:89% size:80% FLUID COMING OUT OF THE HOLE 51:10.967 --> 51:14.738 align:left position:10%,start line:89% size:80% AND, YOU GOT ME IN AND 51:14.738 --> 51:16.139 align:left position:10%,start line:89% size:80% DR. CARLSON DID A GREAT JOB. 51:16.139 --> 51:17.641 align:left position:10%,start line:89% size:80% HAD TO TAKE ALL THE HARDWARE OUT 51:17.641 --> 51:20.143 align:left position:10%,start line:89% size:80% OF MY HEAD, BUT I'M DOING GREAT. 51:20.143 --> 51:22.546 align:left position:10%,start line:89% size:80% >> THAT'S WONDERFUL TO HEAR. 51:22.546 --> 51:23.447 align:left position:10%,start line:89% size:80% >> RON, THANK YOU SO MUCH FOR 51:23.447 --> 51:23.947 align:left position:10%,start line:89% size:80% YOUR CALL. 51:23.947 --> 51:25.048 align:left position:10%,start line:89% size:80% THAT'S VERY NICE OF YOU TO CALL 51:25.048 --> 51:27.951 align:left position:10%,start line:89% size:80% IN AND I'M SURE THAT TOUCHED 51:27.951 --> 51:28.552 align:left position:10%,start line:89% size:80% DR. GETZ TONIGHT ALSO. 51:28.552 --> 51:29.152 align:left position:10%,start line:89% size:80% THANK YOU. 51:29.152 --> 51:30.153 align:left position:10%,start line:89% size:80% AND WE'RE GLAD THAT YOU ARE 51:30.153 --> 51:31.755 align:left position:10%,start line:89% size:80% DOING BETTER. 51:31.755 --> 51:32.522 align:left position:10%,start line:89% size:80% >> SAY HI TO YOUR WIFE. 51:32.522 --> 51:33.857 align:left position:10%,start line:89% size:80% >> YOU PROBABLY GET THAT QUITE 51:33.857 --> 51:34.224 align:left position:10%,start line:89% size:80% OFTEN. 51:34.224 --> 51:35.625 align:left position:10%,start line:89% size:80% >> THAT'S WHY WE DO THIS. 51:35.625 --> 51:37.160 align:left position:10%,start line:89% size:80% IT'S PHENOMENALLY REWARDING. 51:37.160 --> 51:38.929 align:left position:10%,start line:89% size:80% I GET COOKIES BAKED, YOU KNOW, 51:38.929 --> 51:41.364 align:left position:10%,start line:89% size:80% DROPPED OFF AND I DO EAT THEM. 51:41.364 --> 51:43.066 align:left position:10%,start line:89% size:80% IT'S A GOOD IDEA. 51:43.066 --> 51:45.035 align:left position:10%,start line:89% size:80% AND LOTS OF THANK YOU CARDS AND 51:45.035 --> 51:46.436 align:left position:10%,start line:89% size:80% THAT'S THE REWARDING PART. 51:46.436 --> 51:47.537 align:left position:10%,start line:89% size:80% HEY, YOU DID MAKE A BIG 51:47.537 --> 51:52.776 align:left position:10%,start line:89% size:80% IFFERENCE AND I THINK PEP PEOPLE 51:52.776 --> 51:54.144 align:left position:10%,start line:89% size:80% HISTORICALLY THINK THAT 51:54.144 --> 51:56.646 align:left position:10%,start line:89% size:80% EMERGENCY PEOPLE DON'T DO 51:56.646 --> 51:57.247 align:left position:10%,start line:89% size:80% ANYTHING. 51:57.247 --> 51:59.950 align:left position:10%,start line:89% size:80% BUT FOR THE SMALL GROUP, WE DO A 51:59.950 --> 52:00.217 align:left position:10%,start line:89% size:80% LOT. 52:00.217 --> 52:01.284 align:left position:10%,start line:89% size:80% >> IT'S A SPECIAL TYPE OF BREED. 52:01.284 --> 52:02.586 align:left position:10%,start line:89% size:80% IT'S A SPECIAL TYPE OF DOCTOR TO 52:02.586 --> 52:04.121 align:left position:10%,start line:89% size:80% DO WHAT YOU DO AND SEE THE 52:04.121 --> 52:05.822 align:left position:10%,start line:89% size:80% PATIENTS THAT ALL OF YOU SEE ON 52:05.822 --> 52:08.191 align:left position:10%,start line:89% size:80% A DAILY BASIS. 52:08.191 --> 52:09.693 align:left position:10%,start line:89% size:80% YOU KNOW, WHY DID YOU CHOOSE 52:09.693 --> 52:11.528 align:left position:10%,start line:89% size:80% EMERGENCY MEDICINE? 52:11.528 --> 52:13.029 align:left position:10%,start line:89% size:80% >> WELL, I THINK IT WAS A MIX I 52:13.029 --> 52:15.699 align:left position:10%,start line:89% size:80% LOVE THE PACE OF IT, AND I LIKE 52:15.699 --> 52:17.033 align:left position:10%,start line:89% size:80% THAT SENSE OF NEVER KNOWING WHAT 52:17.033 --> 52:17.801 align:left position:10%,start line:89% size:80% COMES THROUGH THE DOOR. 52:17.801 --> 52:20.003 align:left position:10%,start line:89% size:80% I THINK THAT'S -- WE TEND TO BE 52:20.003 --> 52:22.606 align:left position:10%,start line:89% size:80% A LITTLE BIT FRENETIC IN OUR 52:22.606 --> 52:23.807 align:left position:10%,start line:89% size:80% PACE WHEN WE APPROACH THINGS. 52:23.807 --> 52:25.509 align:left position:10%,start line:89% size:80% I COME IN FOR A 9 OR 10 HOUR 52:25.509 --> 52:27.210 align:left position:10%,start line:89% size:80% SHIFT AND I BLINK AND IT'S OVER. 52:27.210 --> 52:29.513 align:left position:10%,start line:89% size:80% I MIGHT HAVE HAD A CUP OF 52:29.513 --> 52:30.814 align:left position:10%,start line:89% size:80% COFFEE, AND NO LUNCH AND USED 52:30.814 --> 52:32.916 align:left position:10%,start line:89% size:80% THE BATHROOM ONCE BUT IT'S 52:32.916 --> 52:33.283 align:left position:10%,start line:89% size:80% WONDERFUL. 52:33.283 --> 52:34.317 align:left position:10%,start line:89% size:80% WE USE SCRIBES IN OUR EMERGENCY 52:34.317 --> 52:35.652 align:left position:10%,start line:89% size:80% DEPARTMENT WOULD ACTUALLY DO ALL 52:35.652 --> 52:36.653 align:left position:10%,start line:89% size:80% OF THE NOTE TAKING. 52:36.653 --> 52:39.956 align:left position:10%,start line:89% size:80% I DON'T HAVE TO CARRY A PEN IN 52:39.956 --> 52:42.025 align:left position:10%,start line:89% size:80% ANY LONGER. 52:42.025 --> 52:43.827 align:left position:10%,start line:89% size:80% AND THESE ARE ALL GIFTED COLLEGE 52:43.827 --> 52:46.696 align:left position:10%,start line:89% size:80% STUDENTS AND THE FIRST EMERGENCY 52:46.696 --> 52:47.898 align:left position:10%,start line:89% size:80% SHIFT THEY WORK. 52:47.898 --> 52:50.700 align:left position:10%,start line:89% size:80% AND THEIR FEET WORK AND THEY ARE 52:50.700 --> 52:51.034 align:left position:10%,start line:89% size:80% HUNGRY. 52:51.034 --> 52:53.403 align:left position:10%,start line:89% size:80% AND WHEN THEY SEE WHAT COMES 52:53.403 --> 52:54.838 align:left position:10%,start line:89% size:80% THROUGH THE DOORS AND THEY SAY I 52:54.838 --> 52:55.805 align:left position:10%,start line:89% size:80% WANT TO BE AN EMERGENCY ROOM 52:55.805 --> 52:56.139 align:left position:10%,start line:89% size:80% DOCTOR. 52:56.139 --> 52:58.508 align:left position:10%,start line:89% size:80% I HAVE BEEN DOING IT ALMOST TEN 52:58.508 --> 52:59.709 align:left position:10%,start line:89% size:80% YEARS, POST RESIDENCY AND EVERY 52:59.709 --> 53:02.412 align:left position:10%,start line:89% size:80% DAY I GO TO WORK, I ENJOY DOING 53:02.412 --> 53:02.679 align:left position:10%,start line:89% size:80% IT. 53:02.679 --> 53:04.681 align:left position:10%,start line:89% size:80% >> I BET THE SAME CAN BE FED FOR 53:04.681 --> 53:06.683 align:left position:10%,start line:89% size:80% ALL OF YOU -- STEAD FOR ALL OF. 53:06.683 --> 53:08.785 align:left position:10%,start line:89% size:80% >> YOU I THINK EMERGENCY 53:08.785 --> 53:15.692 align:left position:10%,start line:89% size:80% MEDICINE CHOSE IN A SENSE WHEN I 53:15.692 --> 53:17.027 align:left position:10%,start line:89% size:80% ROTATED THROUGH THE DEPARTMENT. 53:17.027 --> 53:18.161 align:left position:10%,start line:89% size:80% SOMETHING SPOKE TO ME. 53:18.161 --> 53:19.896 align:left position:10%,start line:89% size:80% IT'S NEVER A DULL MOMENT AND 53:19.896 --> 53:20.597 align:left position:10%,start line:89% size:80% IT'S GRATIFYING AT THE END OF 53:20.597 --> 53:20.964 align:left position:10%,start line:89% size:80% THE DAY. 53:20.964 --> 53:21.998 align:left position:10%,start line:89% size:80% YOU FEEL LIKE YOU HAVE DONE A 53:21.998 --> 53:23.500 align:left position:10%,start line:89% size:80% GOOD JOB FOR YOUR COMMUNITY AND 53:23.500 --> 53:24.968 align:left position:10%,start line:89% size:80% LIKE PEOPLE CALLING IN AND, YOU 53:24.968 --> 53:26.603 align:left position:10%,start line:89% size:80% KNOW, LETTING YOU KNOW OR SEEING 53:26.603 --> 53:27.504 align:left position:10%,start line:89% size:80% THAT PERSON IN THE GROCERY STORE 53:27.504 --> 53:28.872 align:left position:10%,start line:89% size:80% WOULD WASN'T ABLE TO WALK TWO 53:28.872 --> 53:31.474 align:left position:10%,start line:89% size:80% MONTHS EARLIER WHO IS NOW UP AND 53:31.474 --> 53:34.411 align:left position:10%,start line:89% size:80% AROUND BUYING THEIR APPLES. 53:34.411 --> 53:36.279 align:left position:10%,start line:89% size:80% >> OR MAYBE RECOGNIZES YOU OR -- 53:36.279 --> 53:37.080 align:left position:10%,start line:89% size:80% >> OR VICE VERSA. 53:37.080 --> 53:40.083 align:left position:10%,start line:89% size:80% >> YOU SEE A LOT OF PATIENTS. 53:40.083 --> 53:40.817 align:left position:10%,start line:89% size:80% >> YOU MIGHT RECOGNIZE THEM. 53:40.817 --> 53:42.485 align:left position:10%,start line:89% size:80% THERE ARE A LOT OF REWARDS. 53:42.485 --> 53:44.187 align:left position:10%,start line:89% size:80% >> EVEN FOR ME, I DO MOSTLY 53:44.187 --> 53:46.289 align:left position:10%,start line:89% size:80% ADMINISTRATION, BUT I STAY 53:46.289 --> 53:48.258 align:left position:10%,start line:89% size:80% CLINICAL AS A NURSE PRACTITIONER 53:48.258 --> 53:49.893 align:left position:10%,start line:89% size:80% IN THE URGENT CARES BECAUSE YOU 53:49.893 --> 53:50.827 align:left position:10%,start line:89% size:80% CAN'T STEP AWAY FROM THAT 53:50.827 --> 53:51.628 align:left position:10%,start line:89% size:80% PATIENT ALL THE TIME. 53:51.628 --> 53:52.996 align:left position:10%,start line:89% size:80% YOU STILL NEED THAT PATIENT 53:52.996 --> 53:54.397 align:left position:10%,start line:89% size:80% FOCUS AND THAT PATIENT CARE AND 53:54.397 --> 53:55.899 align:left position:10%,start line:89% size:80% IT KEEPS YOU KIND OF CENTERED 53:55.899 --> 53:56.499 align:left position:10%,start line:89% size:80% AND GROUNDED. 53:56.499 --> 53:57.500 align:left position:10%,start line:89% size:80% SO ABSOLUTELY. 53:57.500 --> 54:00.103 align:left position:10%,start line:89% size:80% >> AND SHAUN, WHAT DO YOU SAY TO 54:00.103 --> 54:01.972 align:left position:10%,start line:89% size:80% THOSE MAYBE TEENAGERS THAT ARE 54:01.972 --> 54:04.040 align:left position:10%,start line:89% size:80% CONSIDERING E.M.S., BECOMING 54:04.040 --> 54:06.743 align:left position:10%,start line:89% size:80% ANE.M.T. 54:06.743 --> 54:08.278 align:left position:10%,start line:89% size:80% WHAT DO YOU TELL THEM ABOUT YOUR 54:08.278 --> 54:09.746 align:left position:10%,start line:89% size:80% PATIENT FOR THIS SIDE OF 54:09.746 --> 54:11.047 align:left position:10%,start line:89% size:80% MEDICINE. 54:11.047 --> 54:12.549 align:left position:10%,start line:89% size:80% >> MY DEFINITE SIDE IS THE 54:12.549 --> 54:12.882 align:left position:10%,start line:89% size:80% PEOPLE. 54:12.882 --> 54:14.251 align:left position:10%,start line:89% size:80% I LOVE INTERACING WITH THE 54:14.251 --> 54:14.651 align:left position:10%,start line:89% size:80% PEOPLE. 54:14.651 --> 54:17.454 align:left position:10%,start line:89% size:80% IT'S LIKE -- DR. GETZ SAID, IT'S 54:17.454 --> 54:18.955 align:left position:10%,start line:89% size:80% NEVER THE SAME TWO DAYS IN A 54:18.955 --> 54:19.222 align:left position:10%,start line:89% size:80% ROW. 54:19.222 --> 54:20.757 align:left position:10%,start line:89% size:80% YOU CAN SEE THE SAME PATIENT TWO 54:20.757 --> 54:24.661 align:left position:10%,start line:89% size:80% DAYS IN A ROW AND IT WILL BE 54:24.661 --> 54:25.028 align:left position:10%,start line:89% size:80% DIFFERENT. 54:25.028 --> 54:26.463 align:left position:10%,start line:89% size:80% IT'S BY FAR THE MOST REWARDING 54:26.463 --> 54:27.197 align:left position:10%,start line:89% size:80% JOB I EVER HAD. 54:27.197 --> 54:28.398 align:left position:10%,start line:89% size:80% IT DEFINITELY DOES SOMETHING TO 54:28.398 --> 54:28.765 align:left position:10%,start line:89% size:80% YOU. 54:28.765 --> 54:29.799 align:left position:10%,start line:89% size:80% THERE'S DEFINITELY THE LOSSES 54:29.799 --> 54:31.268 align:left position:10%,start line:89% size:80% THAT AFFECT YOU IN A CERTAIN 54:31.268 --> 54:33.570 align:left position:10%,start line:89% size:80% WAY, BUT WE SEE A LOT KIND OF 54:33.570 --> 54:35.839 align:left position:10%,start line:89% size:80% LIKE DR. GETZ WAS SAYING WHERE 54:35.839 --> 54:36.940 align:left position:10%,start line:89% size:80% WE SEE TRANSPORT A PATIENT AND 54:36.940 --> 54:38.541 align:left position:10%,start line:89% size:80% WE DON'T GET A LOT OF AFTER NEWS 54:38.541 --> 54:39.276 align:left position:10%,start line:89% size:80% ABOUT THEM. 54:39.276 --> 54:40.477 align:left position:10%,start line:89% size:80% WE DROP THEM OFF AT A HOSPITAL 54:40.477 --> 54:41.878 align:left position:10%,start line:89% size:80% AND WE PASS THE CARE OFF TO THEM 54:41.878 --> 54:43.647 align:left position:10%,start line:89% size:80% BUT WE DON'T HEAR HOW THEY DO 54:43.647 --> 54:47.150 align:left position:10%,start line:89% size:80% T IS A PRETTY AS MANYING AMAZING 54:47.150 --> 54:48.952 align:left position:10%,start line:89% size:80% WHERE THEY STOP BACK BY AND THEY 54:48.952 --> 54:51.454 align:left position:10%,start line:89% size:80% BRING COOKIES AN DOUGHNUTS AND 54:51.454 --> 54:53.056 align:left position:10%,start line:89% size:80% CAKES AND PIES AND ALL KINDS OF 54:53.056 --> 54:54.357 align:left position:10%,start line:89% size:80% THINGS AND THANK YOU CARDS. 54:54.357 --> 54:55.759 align:left position:10%,start line:89% size:80% WE HAVE A WALL UP IN DEER PARK 54:55.759 --> 54:57.560 align:left position:10%,start line:89% size:80% WITH ALL THE THANK YOU CARDS AND 54:57.560 --> 54:59.195 align:left position:10%,start line:89% size:80% THAT'S BY FAR THE MOST 54:59.195 --> 55:00.397 align:left position:10%,start line:89% size:80% REWARDING. 55:00.397 --> 55:01.264 align:left position:10%,start line:89% size:80% THAT BEATS ANYTHING ABOUT THIS 55:01.264 --> 55:01.531 align:left position:10%,start line:89% size:80% JOB. 55:01.531 --> 55:03.633 align:left position:10%,start line:89% size:80% AND THAT'S MY DRIVE TOWARDS IT 55:03.633 --> 55:05.368 align:left position:10%,start line:89% size:80% AND I THINK THAT'S WHAT WE TRY 55:05.368 --> 55:07.971 align:left position:10%,start line:89% size:80% TO PASS ON TO OTHER PEOPLE, ALL 55:07.971 --> 55:12.842 align:left position:10%,start line:89% size:80% THE STUDENTS WHO GO THROUGH OUR 55:12.842 --> 55:13.243 align:left position:10%,start line:89% size:80% PROGRAM. 55:13.243 --> 55:16.112 align:left position:10%,start line:89% size:80% THERE'S DAYS WHERE YOU ARE WOKEN 55:16.112 --> 55:17.947 align:left position:10%,start line:89% size:80% UP, YOU ARE TRYING TO SLEEP OR 55:17.947 --> 55:19.215 align:left position:10%,start line:89% size:80% TRYING TO HAVE DINNER AND IT 55:19.215 --> 55:20.250 align:left position:10%,start line:89% size:80% PAYS OFF AT THE END OF IT. 55:20.250 --> 55:21.418 align:left position:10%,start line:89% size:80% >> I'M HEARING TOO, WE ARE DOWN 55:21.418 --> 55:22.919 align:left position:10%,start line:89% size:80% TO JUST A FEW MINUTES LEFT IN 55:22.919 --> 55:23.520 align:left position:10%,start line:89% size:80% THE SHOW. 55:23.520 --> 55:25.322 align:left position:10%,start line:89% size:80% BUT I'M HEARING A LOT OF WITH 55:25.322 --> 55:26.823 align:left position:10%,start line:89% size:80% THE APPS THAT YOU TALKED ABOUT, 55:26.823 --> 55:28.525 align:left position:10%,start line:89% size:80% SHAUN, AND THE TECHNOLOGY THAT'S 55:28.525 --> 55:29.626 align:left position:10%,start line:89% size:80% COMING INTO PLACE WITH PEOPLE 55:29.626 --> 55:31.528 align:left position:10%,start line:89% size:80% BEING ABLE TO SEND PICTURES AND 55:31.528 --> 55:32.629 align:left position:10%,start line:89% size:80% PHOTOS IN AND DO THAT THROUGH 55:32.629 --> 55:34.731 align:left position:10%,start line:89% size:80% THE COMPUTER, WHAT'S ON THE 55:34.731 --> 55:35.832 align:left position:10%,start line:89% size:80% HORIZON FOR EMERGENCY MEDICINE? 55:35.832 --> 55:37.233 align:left position:10%,start line:89% size:80% WHAT ARE WE LOOKING AT? 55:37.233 --> 55:39.469 align:left position:10%,start line:89% size:80% BECAUSE IT'S EVER CHANGING. 55:39.469 --> 55:40.470 align:left position:10%,start line:89% size:80% ALWAYS SOMETHING DIFFERENT. 55:40.470 --> 55:44.374 align:left position:10%,start line:89% size:80% WHAT ARE WE GOING TO SEE IN THE 55:44.374 --> 55:45.608 align:left position:10%,start line:89% size:80% NEAR FUTURE WHEN IT COMES TO 55:45.608 --> 55:46.743 align:left position:10%,start line:89% size:80% EMERGENCY MEDICINE. 55:46.743 --> 55:48.645 align:left position:10%,start line:89% size:80% >> I THINK YOU TOUCHED ON IT 55:48.645 --> 55:50.447 align:left position:10%,start line:89% size:80% WITH THE TELEMEDICINE. 55:50.447 --> 55:51.715 align:left position:10%,start line:89% size:80% THAT'S THE TALK AS OF LATE WITH 55:51.715 --> 55:54.851 align:left position:10%,start line:89% size:80% REGARDS TO KIND OF NEXT LEVEL OF 55:54.851 --> 55:55.919 align:left position:10%,start line:89% size:80% PATIENT CARE WITHOUT HAVING TO 55:55.919 --> 55:57.320 align:left position:10%,start line:89% size:80% ACTUALLY LEAVE YOUR HOME. 55:57.320 --> 55:57.754 align:left position:10%,start line:89% size:80% >> MM-HMM. 55:57.754 --> 55:59.656 align:left position:10%,start line:89% size:80% FOR SOME OF THOSE THINGS THAT 55:59.656 --> 56:00.824 align:left position:10%,start line:89% size:80% CAN BE MANAGED THAT WAY. 56:00.824 --> 56:02.926 align:left position:10%,start line:89% size:80% I THINK THAT'S DEFINITELY ON THE 56:02.926 --> 56:03.259 align:left position:10%,start line:89% size:80% HORIZON. 56:03.259 --> 56:04.928 align:left position:10%,start line:89% size:80% >> I THINK CONSOLIDATED CARE 56:04.928 --> 56:06.296 align:left position:10%,start line:89% size:80% NETWORKS IS GOING TO BE THE BIG 56:06.296 --> 56:07.597 align:left position:10%,start line:89% size:80% THING. 56:07.597 --> 56:11.201 align:left position:10%,start line:89% size:80% I THINK THE DAYS OF HAVING THE 56:11.201 --> 56:12.402 align:left position:10%,start line:89% size:80% PRIMARY CARE DOCTOR WITH THE 56:12.402 --> 56:13.269 align:left position:10%,start line:89% size:80% SHOP ON THE CORNER. 56:13.269 --> 56:15.205 align:left position:10%,start line:89% size:80% WE ARE LOOKING AT WAYS TO 56:15.205 --> 56:17.207 align:left position:10%,start line:89% size:80% DELIVER CENTRALIZED CARE TO MAKE 56:17.207 --> 56:19.309 align:left position:10%,start line:89% size:80% IT EASY FOR PATIENTS AND AVOID 56:19.309 --> 56:20.710 align:left position:10%,start line:89% size:80% EXCESS VISITS THAT WERE NOT 56:20.710 --> 56:21.111 align:left position:10%,start line:89% size:80% REQUIRED. 56:21.111 --> 56:22.011 align:left position:10%,start line:89% size:80% PROVIDENCE HAS BEEN VERY 56:22.011 --> 56:23.012 align:left position:10%,start line:89% size:80% AGGRESSIVE WITH THAT IN TRYING 56:23.012 --> 56:25.181 align:left position:10%,start line:89% size:80% TO FIND WAYS TO DELIVER, 56:25.181 --> 56:27.317 align:left position:10%,start line:89% size:80% CONSOLIDATED CARE TO CUT DOWN ON 56:27.317 --> 56:28.718 align:left position:10%,start line:89% size:80% OVER TREATMENT OR OVER 56:28.718 --> 56:29.619 align:left position:10%,start line:89% size:80% UTILIZATION OF RESOURCES THAT 56:29.619 --> 56:30.920 align:left position:10%,start line:89% size:80% AREN'T NEEDED AND I THINK THAT'S 56:30.920 --> 56:32.822 align:left position:10%,start line:89% size:80% WHY WE HAVE MOVED TOWARDS 56:32.822 --> 56:33.523 align:left position:10%,start line:89% size:80% ELECTRONIC MEDICATION RECORDS 56:33.523 --> 56:34.758 align:left position:10%,start line:89% size:80% AND THAT I CAN PULL UP THE 56:34.758 --> 56:37.794 align:left position:10%,start line:89% size:80% MEDICAL RECORD OF A PROVIDENCE 56:37.794 --> 56:39.896 align:left position:10%,start line:89% size:80% PATIENT WHO WAS SEEN BY THEIR 56:39.896 --> 56:41.197 align:left position:10%,start line:89% size:80% PRIMARY CARE PATIENT TWO DAYS 56:41.197 --> 56:41.464 align:left position:10%,start line:89% size:80% AGO. 56:41.464 --> 56:44.100 align:left position:10%,start line:89% size:80% AND I'M NOT FLYING BLIND. 56:44.100 --> 56:46.803 align:left position:10%,start line:89% size:80% I'M NOT ORDERING A $1,200 TEST 56:46.803 --> 56:48.505 align:left position:10%,start line:89% size:80% THAT WAS ORDERED TWO DAYS AGO. 56:48.505 --> 56:50.707 align:left position:10%,start line:89% size:80% I THINK CONSOLIDATED CARE IS 56:50.707 --> 56:51.708 align:left position:10%,start line:89% size:80% PART OF THE FUTURE. 56:51.708 --> 56:52.909 align:left position:10%,start line:89% size:80% >> IT WAS A WONDERFUL 56:52.909 --> 56:53.309 align:left position:10%,start line:89% size:80% DISCUSSION. 56:53.309 --> 56:54.077 align:left position:10%,start line:89% size:80% THANK YOU SO MUCH FOR SHARING 56:54.077 --> 56:55.412 align:left position:10%,start line:89% size:80% YOUR THOUGHTS AND YOUR WISDOM 56:55.412 --> 56:57.614 align:left position:10%,start line:89% size:80% AND KNOWLEDGE WITH US THIS 56:57.614 --> 56:57.947 align:left position:10%,start line:89% size:80% EVENING. 56:57.947 --> 57:00.517 align:left position:10%,start line:89% size:80% THAT WILL DO IT FOR "HEALTH 57:00.517 --> 57:00.884 align:left position:10%,start line:89% size:80% MATTERS." 57:00.884 --> 57:01.651 align:left position:10%,start line:89% size:80% I THANK EVERYONE WHO CALLED IN 57:01.651 --> 57:03.553 align:left position:10%,start line:89% size:80% WITH A YES. 57:03.553 --> 57:06.022 align:left position:10%,start line:89% size:80% -- WITH A QUESTION. 57:06.022 --> 57:06.723 align:left position:10%,start line:89% size:80% WE HOPE YOU'LL JOIN US ON MAY 57:06.723 --> 57:07.390 align:left position:10%,start line:89% size:80% 21ST WHEN OUR TOPIC WILL BE 57:07.390 --> 57:07.857 align:left position:10%,start line:89% size:80% RURAL MEDICINE. 57:07.857 --> 57:09.058 align:left position:10%,start line:89% size:80% UNTIL THEN, THANKS, FOR 57:09.058 --> 57:09.426 align:left position:10%,start line:89% size:80% WATCHING. 57:09.426 --> 57:12.629 align:left position:10%,start line:89% size:80% I'M TERESA LUKENS. 57:09.926 --> 57:14.130 align:left position:10%,start line:89% size:80% GOOD NIGHT. 57:15.832 --> 57:20.236 align:left position:10%,start line:5% size:80% CLOSED CAPTION PRODUCTIONS ccproductions.com 602-456-0977 57:22.572 --> 57:23.640 align:left position:10%,start line:89% size:80% >> "HEALTH MATTERS" IS MADE 57:23.640 --> 57:25.942 align:left position:10%,start line:89% size:80% POSSIBLE BY VIEWERS LIKE YOU, 57:25.942 --> 57:26.543 align:left position:10%,start line:89% size:80% THE FRIENDS OF KSPS. 57:26.543 --> 57:31.314 align:left position:10%,start line:89% size:80% AND BY THE FOLLOWING: 57:31.314 --> 57:32.015 align:left position:10%,start line:89% size:80% >> I REALLY LIKED THE IDEA OF 57:32.015 --> 57:32.816 align:left position:10%,start line:89% size:80% BEING PART OF PROVIDENCE, WHERE 57:32.816 --> 57:33.750 align:left position:10%,start line:89% size:80% IF I HAVE A QUESTION, IF THERE'S 57:33.750 --> 57:34.717 align:left position:10%,start line:89% size:80% SOMETHING THAT I'M CONCERNED 57:34.717 --> 57:35.351 align:left position:10%,start line:89% size:80% ABOUT, I CAN ALWAYS CALL A 57:35.351 --> 57:37.420 align:left position:10%,start line:89% size:80% SPECIALIST. 57:37.420 --> 57:38.922 align:left position:10%,start line:89% size:80% I'M DR. ANNA BARBER, AND I CHOSE 57:38.922 --> 57:40.056 align:left position:10%,start line:89% size:80% PROVIDENCE BECAUSE HERE, I CAN 57:40.056 --> 57:40.924 align:left position:10%,start line:89% size:80% HELP CHILDREN THRIVE AND REACH 57:40.924 --> 57:45.595 align:left position:10%,start line:89% size:80% THEIR HIGHEST POTENTIAL. 57:45.595 --> 57:46.262 align:left position:10%,start line:89% size:80% >> IF YOU READ PROVIDENCE'S 57:46.262 --> 57:46.930 align:left position:10%,start line:89% size:80% MISSION STATEMENT, IT'S ALL 57:46.930 --> 57:47.697 align:left position:10%,start line:89% size:80% ABOUT DELIVERING QUALITY CARE TO 57:47.697 --> 57:49.666 align:left position:10%,start line:89% size:80% THE PATIENT AT ALL TIMES. 57:49.666 --> 57:51.134 align:left position:10%,start line:89% size:80% I'M DR. PETER RONALDI, AND I 57:51.134 --> 57:53.736 align:left position:10%,start line:89% size:80% CHOSE PROVIDENCE BECAUSE THEY 57:53.736 --> 57:56.306 align:left position:10%,start line:89% size:80% PUT THE DOCTOR-PATIENT 57:56.306 --> 57:58.708 align:left position:10%,start line:89% size:80% RELATIONSHIP FIRST. 57:58.708 --> 58:01.144 align:left position:10%,start line:89% size:80% >> FIND YOUR DOCTOR ONLINE AT 57:59.409 --> 58:01.144 align:left position:10%,start line:89% size:80% PHC.ORG.