Not Actually A Victory

Quincy metropolis officials too the Attorney General are probable to claim victory inwards getting Steward Healthcare System to guide maintain to opened upwards a "satellite" emergency room at the otherwise shuttered Quincy Medical Center (in add-on to an already operating urgent tending facility elsewhere). Patrick Ronan at the Patriot Ledger reports:

Amid calls from set down too local officials to retain an ER inwards a metropolis alongside to a greater extent than than 93,000 residents, Steward announced Tuesday that it has filed a alphabetic lineament of intent alongside the state’s Department of Public Health to opened upwards a satellite ER inwards the hospital’s existing emergency subdivision at 114 Whitwell St. The for-profit society said it withal plans to unopen the balance of the 124-year-old infirmary yesteryear Dec. 31.

Steward said the satellite ER volition live on opened upwards 24 hours per day, 7 days per week, too it volition live on staffed alongside physicians too nurses. There volition likewise live on on-site diagnostic radiology too laboratory services. Patients alongside serious emergencies or who require inpatient services volition live on taken to other acute-care hospitals.

A give-and-take of caution comes from a knowledgeable person:

Deborah Socolar, a North Quincy resident too onetime co-director of the wellness reform computer program at Boston University’s School of Public Health, said she is concerned nigh how the satellite ER volition live on staffed. She said roughly of Quincy’s ER workers were nether the impression it would unopen Dec. 31, therefore they got novel jobs.

Socolar said tidings of the ER staying open, although welcomed, doesn’t alter the fact that Quincy is nigh to lose its hospital. “It’s apparently withal a loss for the metropolis to non get got a full-fledged ER that would get got operating rooms upstairs too equally a trial would live on able to guide maintain a wider, to a greater extent than various array of patients,” Socolar said. 

But it actually goes beyond that, doesn't it? Do you lot actually desire to hand the impression to the populace that an ER exists when in that place is no connecter inwards the edifice to the sort of services that powerfulness live on needed for emergent patients? What are the clinical ramifications of the delay associated alongside accepting a patient for triage too initial handling inwards Quincy too and then bundling him/her upwards for carry to roughly other hospital? Some per centum of patients volition live on ameliorate off going straight to a existent hospital's ER directly.  Who is going to brand that judgement?  If you lot were an EMT alongside a patient inwards your ambulance, what alternative would you lot make?  If you lot get got concerns too you lot telephone telephone ahead to the Quincy ER, you lot are probable to hear, "Best to convey the patient straight to a sum service ER."


Look at these ii maps.  If you lot require emergent tending too alive inwards the northward or westward role of Quincy, you lot may good live on ameliorate off going to BID-Milton from the showtime (above).  If you lot alive inwards the S or E role of the city, you lot may good live on ameliorate off going straight to South Shore Hospital (below).  In short, a skillful share of those 93,000 Quincy residents volition non require or desire a satellite ER.


Here's my prediction:  After the six-month trial period, this facility volition live on quietly closed, citing a lack of business.  The ambulance drivers too the populace volition vote alongside their feet.

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