By Nick Tabor, New Era Senior Staff Writer
At low points — including most of last year, Beth McCraw’s
first year as vice president of nursing services — the phone rang continuously
with complaint calls. Patients could wait all day for treatment for low-level
emergencies, and about 9 percent walked off without getting treatment.
McCraw says Align MD, a
Clarksville-based doctor group that took over around early March, has reversed
the trend.
“It’s a totally different place
down there,” she said Friday.
Her volume of complaint calls has
dropped dramatically. When they do come in, Debra Flowers, who now oversees the
emergency department’s nurses, returns the disgruntled patient’s call, she
said.
Whereas patients with tooth aches
or stubbed toes could wait eight or nine hours before, now they seldom wait
more than two hours — three at the busiest times, Flowers said. Now only 2 or 3
percent leave without getting tnreatment, Flowers said.
Staff believe quality of
treatment is also improving.
McCraw took her current position
around the time Eric Lee became the hospital’s chief executive officer, in
January 2011, she said. They identified the emergency department as one of four
main areas they wanted to improve.
She describes it as the “front
door of the hospital.” It sees an average of 100 to 130 patients a day, and
many of them never see the rest of the facility. Moreover, patients’ general
satisfaction correlates closely to satisfaction rates with the ER, she said.
All the ER’s nurses, including
the nursing director, work for Jennie Stuart. But providers, including
nurse-practitioners and the ER’s medical director, are contract employees from
the physician company. Lee and McCraw wanted a medical director and nursing
director who would work together smoothly.
The professionals they found —
Flowers and Dr. Randall Ellis — had worked together for seven years at Centennial Medical
Center in Nashville , according to a Jennie Stuart news
release. It was the match Jennie Stuart wanted.
Dr. Mark Green, the president of
Align MD, worked at Jennie Stuart’s ER years ago. His company now works with
six hospitals in the southeastern U.S.
The ER relied heavily on
part-time doctors in the past, including some who only worked their for
single-day contract shifts, McCraw said. Now it has six full-time doctors who
have moved here and committed to the area, Flowers said. Ellis said the
department will hire two more.
Patients and nurses become more
familiar with full-time doctors, Flowers said. McCraw said the doctors now send
her frequent emails and text messages with ideas for tweaking hospital
practices.
“They truly do care,” McCraw
said. “What I hear is the compassion that’s in the providers. (Patients)
haven’t seen that before.”
Ellis is becoming the medical
director of Christian
County ’s emergency
medical services, which helps improve communication with ambulance services, he
said. And the ER is communicating better with Convenient Care at Jennie Stuart,
sending more patients there for non-emergency treatment.
The staff has reevaluated its
airway equipment and its protocol for treating heart attacks and strokes, Ellis
said.
“We’re trying to improve quality
while also improving the patient experience,” Ellis said. “My thought was always,
if you’re not providing quality care, it doesn’t matter how fast you move them
in and out.”
The ER treated slightly more than
32,000 patients last year, Flowers said. She expects a final count for this
year between 35,000 and 36,000, though she suspects there are other factors
besides the ER’s improvement, such as changes in the uninsured rate.
For more information on the Align MD, visit its website at www.alignmd.com.
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