Wate is 72 years old and has high blood pressure, high cholesterol, and mild dementia.
He lives with his wife Betty.
Water can be considered healthy, but the situation is deteriorating.
Now I need help to bathe and dress.
One day he got gastro-intestinal disease, and spit and pull was very serious.
He could not drink any liquid at all and became dehydrated.
He stood up and wanted to go to the bathroom, but he felt very vague and dizzy.
Then fell.
Because the skin on his arm is very thin, causing extensive skin lacerations,
Both arms are forearms.
He can crawl back into bed, but Betty is worried.
So dial 911,
The ambulance arrived at their home and sent Water to the emergency room.
He stayed there for six hours and did several blood tests and scans.
Although they could not find any special reason,
Or let him observe in hospital.
Two days later, he began to improve.
But because of being in a new hospital environment, it becomes very confusing,
However, he is still too weak to go home.
Finally he was sent to a technical nursing home for rehabilitation.
So I went to the emergency room and spent a few days in the ward.
After even going to the rehabilitation center,
Walter finally returned home after ten days.
Ten days, and thousands of dollars in hospital bills.
Your name may not be Water,
However, for most people, this experience may be very real.
We feel that our health is very problematic.
We played 911 and went to the emergency room.
The emergency room is for patients in the front-line.
The moment you receive your call from 911,
It started a very complex care system.
This hospital-based system uses sound emergency medical services
To help patients who are seriously injured or seriously ill.
They have well-trained physicians, certified emergency care nurses,
Critical care technicians,
Trauma specialists, and other specialists.
That is because you are allergic to your throat
can not breath,
Or you are afraid that you have internal bleeding due to a terrible accident.
Or where the head hurts.
The emergency room provides professional care in the event of such an emergency.
We have to admit that the emergency room is a life-saving place.
It is very likely that someone is here
The patient who used to be my patient in the emergency room, if not me, is someone who looks like me –
Someone who cares for you when you are most vulnerable;
One can judge your stomach pain because of appendicitis,
Or because of Judith’s rotten simmering;
(laughter)
Or your heartburn and chest pain is due to acid reflux,
Or really because of myocardial infarction;
A person who will take care of you regardless of your situation;
A person who cares for patients in more than 5,000 emergency rooms throughout the United States.
The emergency room was set up for emergency medical emergencies and medical emergency without registration.
Like heart attack, stroke, severe trauma,
Or when you decide to drink drunk, then you break into an ostrich farm,
Dancing with a 300-pound ostrich,
(laughter)
Sounds like fun?
(laughter)
Until it is heavily stepped on you,
Then you wake up in the hospital and find yourself breaking the ribs.
There is only a vague memory of the biggest chicken you have ever seen.
(laughter)
This is a true story.
(laughter)
But my work experience in the past 20 years, regardless of day shifts, night shifts, night shifts, holidays,
Care for all types of patients,
From minor illnesses to serious life-threatening illnesses,
What I see is that the emergency room has become a place for quick and easy care.
There are indeed urgent medical conditions in care.
There are no serious cases of death or death.
Today, about 37% of emergency room visits are deemed unnecessary.
Less than one-tenth of emergency patients
His injury or condition is so serious that he must be hospitalized.
Because there are full-time specialists in the emergency room,
Training, medicines and equipment are prepared for the worst
The emergency room can be said to be the most expensive care unit.
We are talking about nearly 46 million visits.
Forty to six billion dollars,
These may all be diagnosed and treated elsewhere.
Personal expenses are also high.
In Colorado, go to an emergency room and add an ambulance
The average cost is about US$3,200.
Nationally, the cost is between 1,400 and 3,600 U.S. dollars.
And there are concerns beyond cost.
Older people who go to the hospital like Watt,
Maybe it’s just because the hospital stays sick for a few days.
For all of us, there is a 5 to 10 percent chance
It may be due to some infection just a few days after hospitalization.
Most of us want to get
When I feel sick and uncomfortable,
Feel that you have only a few choices:
Stay at home and try to get through the hard times.
Whole outfit, find a car, go to the hospital;
Or call an ambulance to the emergency room.
But do we really need to go to the emergency room because of nausea, vomiting and dehydration?
fever?
Or a big cut on the arm?
Do everyone who goes to the emergency room really need high-level care?
The emergency room has become a safety net for all kinds of injuries.
According to the US Bureau of Disease Control, 46% of patients who went to the emergency room in 2015
Describe them because there is no other place to visit.
Unfortunately, this imposes a heavy burden on medical personnel.
We know that patients do not get the best care.
We need to reimagine the emergency room and provide better, faster and cheaper care.
Focus on bringing care to the community
It is literally referring to taking emergency care home.
We need a 21st century emergency room.
(Applause) (Cheers)
Many of the non-life-threatening situations that would have ended up in the emergency room
It is easy and safe to get treatment in a comfortable home.
Well-trained physician assistants can stitch you
Improper use of a paring knife and cuts can be made in your kitchen.
An emergency ambulance technician can do some treatment for you, treating symptoms such as nausea and dehydration.
And you can play on your sofa.
Skilled nurses can reload
A nasogastric tube that falls out or is blocked,
And you don’t have to get out of bed before they arrive.
Imagine being completely cared for in a comfortable home.
Think about when you were sick last time.
It’s not a stuffy nose. It’s really serious.
Cough, dry cough, asthma, breathless.
Isn’t this very good if you can call
Please send them to you?
You can use your own phone, web, mobile app
Contact the medical team and sit in the waiting room.
They can start asking your symptoms and conditions immediately.
They will let you know that you really need to go to the emergency room.
Or they can send a person to see you.
If it is not a life-threatening situation,
They can form a team and send it to your home.
Simultaneously,
They can start giving you instructions and teach you how to treat some of the symptoms.
Such as severe sprained ankles, sore throat, flu-like symptoms and so on.
Then about an hour later,
Toyota Prius loaded with medical supplies,
Equipped with blood testing room, streptococcal fast screening test and pharmacy,
There are plywood, suturing equipment, and even electrocardiograms will arrive at your home.
This clinic can help many patients,
But it is especially helpful for the elderly, cowardly and demented patients.
To disrupt the regular daily life of these people,
Take them to the emergency room,
There may be several days to weeks of behavior problems for patients and their families.
A high-cost, hospital-based care system
Instead of being convenient, patient-centered, and low-cost care, it is the patient’s desire.
This will allow medical professionals to provide better and faster care.
Physicians with skills can learn about the patient’s life inside the patient’s home.
This is something you cannot get in the clinic or emergency room.
Physicians in the clinic may spend months or even years.
Try to clarify why Mary’s breathing problem
Will not improve, even if the treatment has been changed;
The action team can enter her home, see the home mess and three cats,
Then suddenly realized!
Doctors who arrive at home can obtain
The whole community’s electronic medical records,
They can learn about the patient’s recent hospitalization record,
Various inspection data, X-ray films, computerized faults.
They can provide immediate care, like a breathing sprayer.
Or use antibiotics to treat pneumonia,
Treating asthma with steroids,
Provide tetanus vaccine to wounded patients.
They can also communicate with the patient’s physician.
Find a useful treatment plan.
21st Century Emergency Room
Let patients have more convenient care
Let medical professionals provide better care
But also save money.
In 2013, I started with my colleagues
An emergency room was made in Denver.
We use very conservative calculations to calculate
In 2016, Guangguang saved more than four million yuan.
(applause)
We also put the emergency room plus the price of the ambulance
From 3,200 to less than $300.
We make emergency room care faster and cheaper.
At the same time, let the patient’s satisfaction
It is three times higher than the national medical average.
If we can put this new model
It is good to expand to ten cities in the next two years.
We may save 50 million U.S. dollars in medical costs.
It can also provide better experience for everyone.
(Applause) (Cheers)
Patients should be treated at the right place, at the right time,
The cost should also be reasonable.
We should use them as the main method.
Do it in their most comfortable place.
With the reimagined 21st century emergency department,
Water and Betty don’t need to call 911.
Or spend a week hospitalization.
They do not need it.
Fortunately, Betty took the emergency room home.
Watt dripped in his comfortable bed.
His laceration on the skin was clean and carefully stitched.
Betty stays with her.
When the care team arrived, they talked to Water’s physician.
Together come up with the most suitable care plan.
After Walter felt much better,
Home care practitioners regularly visit clinics.
Help them deal with the wound and let him heal.
Rehabilitators helped him regain his strength.
Walter doesn’t need to leave home.
We should not be satisfied with the current status of emergency care.
The moment for making major changes is now.
Thank you.
(Applause) (Cheers)
”
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