Peachy the Magazine August September 2014

HEALTH + WELLNESS Hospital-based ERs typically have longer wait times due to more complex medical conditions being treated and to the onslaught of uninsured patients using the ER for minor care. Freestanding ERs generally have a shorter wait time because they usually see only quarter of the number of patients and, based on locations in the community, are seeing only insured, paying patients. Typically, ERs are fully staffed 24-7 by emergency room physicians and registered nurses who specialize in emergency care. Costs and wait times are increased to support this coverage and level of care. An ER visit may be four to five times the cost of an urgent care visit. Typically it is fully covered by insurance (after deductibles) when the care is warranted. Both types of ERs have full laboratory and radiology capabilities including CT and MRI and ultrasound in most cases. Free-standing ERs do not always have extensive on-site imaging, and referral to the hospital may be required for complete assessment. Hospital-based ERs also have specialist availability on-site or on-call for more complex situations or if conditions require surgery or a procedure, like a heart catheterization. Free-standing ERs do not have this option. If a higher level of care is needed at a freestanding ER, transfer to a hospital is required, often at the patient’s expense. This transfer for treatment only further delays care. Free-standing ERs are often found in affluent neighborhoods or rural areas and can be more attractive to patients because of location. Treatment cost at a free-standing ER is comparable to a hospital-based ER. They should not be used for treatment of conditions easily treated at an urgent care. Given the potential limitations of free-standing ERs, unless a hospital is a unsafe distance from the patient, the hospitalbased ER is preferred. In the event you or a loved one has a after-hours health need, know your options so you can make an informed decision. Remember that if possible, it’s always best to check with your primary care physician for a referral when unplanned medical needs arise. n AUGUST SEPTEMBER 2014 117

Peachy the Magazine August September 2014 | Page 119