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Fayetteville hospital makes changes to ER, keeps Medicare funding

Posted December 23, 2011
Updated March 4, 2012

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— Cape Fear Valley Medical Center is no longer in danger of losing Medicare funding after federal regulators reviewed changes to its emergency room care.

The Center for Medicare & Medicaid Services had placed Cape Fear in "immediate jeopardy" of losing funding for patients after Adarrin Washington, 30, died Nov. 22 on his way home after the hospital discharged him.

Since then, the hospital has changed its procedures to discharge patients and assess patients in the ER, hospital officials said Friday.

"The surveyors were very impressed with our comprehensive discharge assessment process. They were likewise complimentary of our Emergency Department improvements," Michael Nagowski, Cape Fear Valley Health CEO, said in a statement.

Hospital officials said that fewer than 1 percent of patients left the ER without being seen in December, despite a high volume of 331 patients a day. That rate is below national best practices.

Cape Fear has added a triage physician to help assess patients and a paramedic to communicate with patients as they arrive at the ER.

The hospital is running ads encouraging people to use its Express Care facilities, instead of the ER, for minor illnesses and injuries.

13 Comments

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  • josecleveland Dec 23, 2011

    Hopefully medical care will get better...here in Buffalo, Ahmadinejad had mentioned via tv news that he (1) would send some students to its Med School (2) He got on tv advertisement on nationwide station & dressed as a doctor for same med school commercial two weeks before (3) anonymous $550M donation was accepted by same school. Reported to both fbi/fcc by someone at home on disability, me. I just found out Hitler mentioned a CAndi & that's me as well. Lackawanna, ny is nearby & they had passed me by en route to wtc/pentagon as well in July 2001. Good luck, it seems there's investigative results not in yet.

  • affirmativediversity Dec 23, 2011

    Oh and Sherlock...First Health does not deserve any sympathy from you or anyone. Long before Cape Fear stepped up and said they'd build a hospital in Hoke County, First Health was handed the opportunity on a silver platter. THEY REFUSED.

    Only after Cape Fear announced they'd build a hospital for the residents of Hoke County in Hoke County...only then...did First Health step up and say they wanted to build one to...BUT even then they only wanted to build an 8 bed hospital...3 BEDS...that's nothing more than a glorified waiting area.

    Then First Health was given a third bite at the "provide Hoke County with a hospital" and they tossed in "a helicopter pad from their 8 bed satellite waiting area".

    At least Cape Fear is attempting to address the needs of the community IN the community!

  • affirmativediversity Dec 23, 2011

    I think they're trying to do their best in a bad situation. What's needed is total healthcare reform (national healthcare) and tort reform. It's an embarrassment that the USA is so far behind the rest of the civilized world in health care. per fayncmike

    ---------------------

    I can't believe I'm posting this but...I partially agree with you. I, too, believe that Cape Fear is "trying to do their best in a bad situation." What most people don't realize is on any given day Cape Fear's Emergency Department is clogged with people who know their medical condition is NOT an emergency BUT its more convenient for them (YES MORE CONVENIENT) than making and waiting for an appointment with their family doctor because IT COSTS THEM NOTHING because they are on medicaid.

    I'd like to see a study of how many of those Cape Fear ER visits are obviously not emergencies and then break those numbers down by "medicaid recipient" and "private insurance so therefore has to pay a copay".

  • fayncmike Dec 23, 2011

    "For fayncmike, your right, the hospital will never lose that funding it was just a paper work drill that cost us taxpayers more money...Every wonder why the hospital made the changes, to get more money for their services, had to make changes , cost more money, they would never made the changes any other way..Just like the government said they could not build out in Hoke County, yet they have broken ground the work trailer and a power light is in place..... they did not pay that money for the stuff to just set there. and poor old 1st Health only a sign to show for their work.....and they have never be place on the Medicaid hit list.... better service all around that hospital....
    Sherlock"

    I think they're trying to do their best in a bad situation. What's needed is total healthcare reform (national healthcare) and tort reform. It's an embarrassment that the USA is so far behind the rest of the civilized world in health care.

  • fayncmike Dec 23, 2011

    "Having had the opportunity to avail their Emergency Services myself a year or so ago, it was first class. I do not know what may or may not have occurred since my visit, but I was treated immediately, admitted and eventually released after surgery. I have nothing but the utmost respect for the staff and operations there.
    bigal02282"

    I was brought there twice after sky diving mishaps and received the best of care both times.

  • Sherlock Dec 23, 2011

    For fayncmike, your right, the hospital will never lose that funding it was just a paper work drill that cost us taxpayers more money...Every wonder why the hospital made the changes, to get more money for their services, had to make changes , cost more money, they would never made the changes any other way..Just like the government said they could not build out in Hoke County, yet they have broken ground the work trailer and a power light is in place..... they did not pay that money for the stuff to just set there. and poor old 1st Health only a sign to show for their work.....and they have never be place on the Medicaid hit list.... better service all around that hospital....

  • Sherlock Dec 23, 2011

    Hospital officials said that fewer than 1 percent of patients left the ER without being seen in December, despite a high volume of 331 patients a day. BUT, how long did they have to wait, hours upon hours, and will it stay that why are change back after a month??? Also how many just left the ER after waiting and waiting?? And bigalo2282 , did you come in by front door and the back door (meat wagon) if the back you had to be treated right then, you were seen as an emergency...

  • bigal02282 Dec 23, 2011

    Having had the opportunity to avail their Emergency Services myself a year or so ago, it was first class. I do not know what may or may not have occurred since my visit, but I was treated immediately, admitted and eventually released after surgery. I have nothing but the utmost respect for the staff and operations there.

  • anne53ozzy Dec 23, 2011

    I am not a typist...she did not "fall in". She was left to dress without medical supervision and fell, breaking severely her wrist and fracturing a vertebra. Her surgery was for a knee problem so clearly she should have been with nurses prior to her fall.

  • anne53ozzy Dec 23, 2011

    They need to look at the care of my sister who fell in and was injured terribly in their 'CARE' AFTER SURGERY.

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