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Norman Sperling
2625 Alcatraz Avenue #235
Berkeley, CA 94705-2702

cellphone 650 - 200 - 9211
eMail normsperling [at] gmail.com

ER Clinics

© Norman Sperling, April 3, 2011

Hospital doctors and managers complain that their Emergency Rooms are deluged with patients who do not have regular doctors or health coverage, and whose less-severe problems are more properly cared for by clinics than Emergency Rooms. So many patients come that ERs are often diverted from their intended purpose. This problem has remained unfixed for decades.

A solution is not medical, but a matter of design.

Set up clinics adjacent to ERs. Put the triage nurse in front of both the ER and the clinic. Patients who really do need the ER get ushered right in. Patients not ailing enough to earn ER admission also get ushered right in ... to the clinic that is also right there. They would neither know nor care that the Emergency Room experts think they're not unhealthy enough.

Staff the clinics with cheaper clinician-type professionals and equipment. Bill clinic patients as a clinic would. Let the ER just handle severe emergencies.

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