Streams

E.R. Report Card: New York Gets a C

Tuesday, January 21, 2014

Emergency Room at Maimonides Medical Center (Jennifer Hsu/WNYC)

With emergency room care expected to increase under the Affordable Care Act, how are New York's emergency care units performing? E.R. doctor Joshua Moskovitz, who teaches emergency medicine and public health at Hofstra Northshore LIJ School of Medicine, discusses a new report card that grades the quality of emergency room services around the country. He explains how he helped develop the report card as a member of the American College of Emergency Physicians Task Force, how the group evaluates emergency care, and why they gave New York a C.

Guests:

Joshua Moskovitz

Comments [11]

Beth from NYC - Manhattan

Brian, you did eventually pick up on this doc's agenda, but I have to say it should have been revealed even before the segment. This was yet another MD picking a random issue and distorting the analysis to prove the need for "tort reform," which should ALWAYS be in quotes. I am a nurse and I can attest that MAYBE, MAYBE 1% of really dangerous malpractice ever comes to the courts. Furthermore studies prove that these "frivolous" lawsuits amount to at most a whopping 2% of health care costs. The discussion of tort reform is like the discussion of school reform - adopting the erroneous term "reform" to protect the perquisites of powerful doctors who do not want their practice questioned. The incidence of these lawsuits would drop dramatically if we had TRUE universal single-payer health care (Obamacare is not this), because many families sue for the costs of healthcare that would otherwise bankrupt them.

The research may have been interesting - however the hidden agenda should have been the story.

Jan. 21 2014 11:55 AM
Taher from Croton on Hudson

Yes out west aggrieved petiences use guns
on doctors to settle disputes. As in a case in Reno.

Jan. 21 2014 11:43 AM
Truth & Beauty from Brooklyn

Forgive me, please, but I was under the impression that EMERGENCY rooms are called that because they are for - pardon my astonishment - EMERGENCIES!!! How, Brian, do you plan ahead for an emergency (except, perhaps, impending childbirth)? You don't shop in advance for an emergency room. I have had one or two occasions when I've needed to go to emergency rooms and I've always wound up at the one that was closest to my location when the emergency occurred. One can be transferred after triage, but emergency care is for emergencies and they cannot be planned.

Jan. 21 2014 11:39 AM
Bev from Manhattan

Brian, please, say "so-called tort reform" rather than "tort reform." The so-called "tort reform" movement is just one more of the right-wing wants, but it actually deprives those injured by medical negligence (there's plenty of it) from recovering the level of damages that can enable them to live more easily and comfortably in their (medically) injured condition. And liability makes practicing negligently MUCH less attractive to care providers.

So-called tort reform is just one more GOP swindle, like so-called "right to work" laws (which aim to destroy workers' ability to organize).

Jan. 21 2014 11:39 AM
Mary from Bronx

In my experience, ERsin NYC differ greatly.

I have had extensive experience with the NYU Medical Center ER, mostly with relatives, and have found the care to be excellent. A key factor, I believe, is that the entire staff communicates well with patients and their relatives...consistently and continually giving information about what is happening. In all cases, every effort was made to either discharge or move to a room (depending on condition). The overall atmosphere was one of well-paced competence.

On the other hand, a relative’s single experience with Cornell’s ER left us very cynical, thinking that they wanted to keep him (for tests that were never done) simply for the money. Very poor communication, left in a room for two days with little being done. The overall atmosphere was hectic and disorganized.

Jan. 21 2014 11:39 AM
Robert from NYC

Never mind the emergency room the EMS, I'm sorry to report, sucked the 3 times I used them. Even if I'm bleeding to death again I'll call a cab before I call EMS. Where do they get these uncaring people? To tell me he wouldn't come into the room because I was nude from the waist down because I was bleeding profusely and lying on tons of towels and mats, is not what I want in an EMS (fireman) person. Then you get to the "Emergency" room and wait in line until the people ahead of you are being asked insurance questions while you lie there bleeding profusely.
LOL?

Jan. 21 2014 11:39 AM
Amy from Manhattan

My best friend (who has too much experience w/hospitals) told me about being in an ER in which the policy was that no one could be admitted w/o being seen by a dr., & there weren't enough dr's. For many cases, a nurse-practitioner or physician ass't. could make these decisions. What would it take to change this kind of policy?

Jan. 21 2014 11:39 AM
Robert from NYC

Avoid Death Israel. You don't wanna know!

Jan. 21 2014 11:34 AM
fdemtp from queens

Brian, it's not an EMERGENCY ROOM..it's an EMERGENCY DEPARTMENT.

Jan. 21 2014 11:31 AM
Pat from NYC

Went to NYU's ER with a really bad eye infection, gritty feeling and could barely open my eyes (after petting a cat; I'm allergic). The doctors/interns there washed my eyes with saline and said I had some unpronounceable condition. The next day when I went to my eye Dr, he asked me what the ER doctors had said,
"Hmm, never heard of that." Then used antibiotic (?) eye drops which immediately cleared my eyesight and discomfort. He is also an NYU doc-office across the street from Langone.

Jan. 21 2014 11:30 AM
jgarbuz from Queens

When I was a kid, this was what our family doctor did. He charged us less when were poor in the housing projects, and increased it when we better off and got our own home. That was in the '50s and early '60s, before Medicare and Medicaid. When my father made $5 dollars a day, he'd charge us about $5. When my father made $20 a day, we'd pay $15 to $20. A doctor was a businessman who could charge whatever the traffic bore.

Jan. 21 2014 10:49 AM

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