We asked who should receive Acute Care assistance AFTER clinic hours and provided an opportunity for comments.
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Comments regarding who receives Acute care AFTER clinic hours.
For Who | Comments |
---|---|
x | none of the above |
x | there is always the fire station ... |
x | They should contact the Fire Dept./ if needed they can be flown off |
x | We already pay the fire department to offer this service! Including a doctor to discuss options on the phone!! |
x | Is this not where the EMT can work with the clinics? |
x | Medical Emergencies=911, Acute issues generally can be handled same or next day. Uncontrolled acute issues like uncontrolled bleeding are already being handled after hours if not 911 appropriate. We live on an island and accepted the fact when we arrived that there are certain things that cannot be done on an island. |
x | I don't have an informed opinon about this. |
x | I really don't know on this one. Wonder how the partnership with EMS fits in and their take on it? |
For patients | Maybe an extra fee if no-residents. |
For patients | Orcas Family Health provides this already with PAs and MD, as part of their care. Tell me why UW cannot. It is a VERY small patient population! |
For patients | We do have an excellent EMT service |
x | Ditto fhe above |
For patients | Until such time as there is a single clinic AND pricing for non-residents can cover their costs |
For patients | I don't want to pay the costs involved to make acute care available after hours. My wife's mother broke her arm in a fall and had to wait until moring to catch a ferry. That solution worked fine. Living on Orcas Island and paying lower taxes has broad appeal. We don't need or want to turn Orcas into a suburb with every possible service available. The way it works now is fine and should not be expanded because people who have lived in area with more services want after hours acute care here. Buck-up campers! We don't need to staff an urgent care unit for after hours non-emergency treatment. Now, if some group wants to fund that themselves, fine, but I shouldn't have to pay for it. |
For patients | EMTs should cover this. |
For patients | I don't want acute care at the clinic at all ! |
For patients | EMS can provide the needed prompt attention to others. |
For patients | Being registered gives clinic a way to bill patients insurance or cash |
Only residents | Yes, since we the property owners via property taxes are paying the full price of this service. |
For patients | acute care after hours is difficult to manage. Drs often forget to get the info needed for the billing and those type of visits end up not being paid for. |
Only residents | See comments above |
Only residents | This is the way it is the city. Tourists go to ER. I am concern that having on call MD that doesn't have the history of the patient is problematic. |
Only residents | Pref should be given to registered UW patients |
Only residents | Non-residents might have to pay to offset higher costs to receive equal access to residents? |
Only residents | If they are paying the taxes, they should receive the care they are already paying for. If you add on a fee for the actual cost of the service, not the cost beyond taxes, but the two costs together, and collect that before service, then treat anyone, but preference for those supporting the clinic through taxes, and the others as timing permits. Also only the cases that would likely not be flown off anyway. There is no sense to a doctor here coming in to send a patient to a hospital elsewhere, when the Paramedics here have been performing that function adequately for many years. |
Only residents | Guests and visitors too but not if capacity overwhemed and they must pay for services |
For everyone | You can?t discriminate without creating potentially dangerous situations. |
For everyone | with fee for non-clients |
For everyone | With surcharge for non residents. |
For everyone | Yes!!!!!!!!! |
For everyone | Yes, it seems that troubles such as trouble with children breathing, severe cuts to the face, broken bones, and extended high fevers are just part of life and they arent confined to business hours.e |
For everyone | The acute care rate for non-residents should have a 'public health district' surcharge. |
For everyone | Triaged |
For everyone | Vital |
For everyone | What is Acute Care? Define your terms so we know what we're talking about here. |
For everyone | with an access fee for non-residents |
For everyone | with an additional "convenience fee" to help pay for the additional staff hours this would need |
For everyone | Since there is no emergency room, acute care is necessary for this island. Some "acute care" can become life-threatening or damaging if put off. I.E. an elderly or pregnant patient with a bladder infection; lacerations (which must be sutured within 12 hours), etc. To not offer acute care services after hours here is both poor patient care and an increase in liability. |
For everyone | See above comment. |
For everyone | See answers to 6, 7 and 8 above. |
For everyone | See comment above on appropriate fee scale and availability to residents and non-residents. |
For everyone | See comments above |
For everyone | Same as above. |
For everyone | For everyone, regardless of residency or being a client |
For everyone | For everyone, regardless of residency or being a client |
For everyone | Same full ride - patient bears full costs |
For everyone | See above |
For everyone | same as above |
For everyone | Same as above. |
For everyone | Non-residents and non-patients should pay full price at time of service. |
For everyone | Same answer initially only to clinic patients then I felt it was best for the community that Cute care should be available to everyone |
For everyone | It's hard to envision denying services to someone in dire need regardless of his or her place of permanent residency. |
For everyone | life saving |
For everyone | Need to consider what acute care is available from Fire Dept |
For everyone | If off-island will pay appropriately |
For everyone | I'm assuming we are working with the OIFR. I mean we can't tell the child who cut off his hand that he is an out-of-towner, sorry! |
For everyone | In addition to the comment above, I feel that service to tourists and other visitors would qualify the clinics to request funds from the lodging tax to support facility improvements. Worth a try? |
For everyone | Inclusivity |
For everyone | Is there a way lodging tax monies can contribute? |
For everyone | Isn't this a hypocratic oath issue? |
For everyone | If not a resident or registered patient there should be an extra/premium charge |
For everyone | I'd hate to travel somewhere and be told only locals are given that level of care. |
For everyone | If care should occur immediately and not wait for next ferry travel. |
For everyone | If it's acute, I'd call 911, so unnecessary |
For everyone | I want Orcas to have a 24-hour, 365-day Emergency Medicine Facility. |
For everyone | I think if service is for everyone on the island then property ownership taxes are unfair. It should include a sales tax part. Also a fee tacked on to the ferry and camp ground users if they get to use the services (tax the tourist ) |
For everyone | I really think there should be priority to residents and registered patients |
For everyone | I telephoned for a neighbor with an acute care problem and was told that maybe someone could call me back later that day, We drove the individual off-island and took her to a medical facility near Seattle where she was sen in an ER, admitted to the hospital and had surgery the next day. This is a disgrace to all citizens of Orcas to be treated in this manner. |
For everyone | I answered for everyone but this question really needs to have a price tag associated to it. What we pay for needs to be island appropriate. The commissioners projected a $0.55 to $0.60 levy rate and they need to live within that projection. I am grateful that that the UW is here and appreciate their services. |
For everyone | For the on-call MD at the clinic to triage and see patients as they deem necessary, otherwise EMS. |
For everyone | How much money to cover this? |
For everyone | HIPPOCRATIC OATH |
For everyone | But this will require someone to evaluate whether Acute Care is really called for. |
For everyone | Could be a patch-thru from EMTs. I thought benefit of joining with UW was access to tele-doctors at all times. |
For everyone | depending on severity of injury - no one should be exempt from urgent care |
For everyone | EMTs |
For everyone | for non locals, their insurence should pay full cost. |
For everyone | A possible example - a grandchild's sudden earache among other things - since we don't have ready access to a hospital emergency room, I would hope a clinic doc might see him/her. |
For everyone | At least by phone or online |
For everyone | Another hard choice. The final decision should include EMT input |
For everyone | Acute Care needs are needs, period. |
For everyone | Acute is acute |
For everyone | After triage with nurse, specially if there is bleeding or broken bones |
For everyone | Again I think for everyone |
For everyone | again partner with ems and 911 to cover need,Comunity para medicine where the provoider does house calls |
For everyone | Again, it will be difficult to exclude non-residents and residents who are not patients.especially for incidents that occur after the last ferry. |
For everyone | Non-residents must pay extra to fund added staff. |
For everyone | A majority of island visitors who might require acute care probably have insurance or the ability to pay. |