King/Habor to Close

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damn. i hope that area gets a new hospital quick. a lot of people are going to suffer
 
damn. i hope that area gets a new hospital quick. a lot of people are going to suffer

Downtown LA has more than a few other hospitals, but MLK was the second biggest in volume to USC/LAC. Nobody is going to be rushing to open a hospital in Willowbrook, because the payer mix is so miserable. Anybody here interested in working for free?
 
You mean more than now?

I know you work in Vegas, but this is South Central LA where the only kind of "insurance" you're likely to receive is Medicaid (and probably not enough of that to even pay your malpractice). So, yes, way more than you do work for free already.
 
Downtown LA has more than a few other hospitals, but MLK was the second biggest in volume to USC/LAC. Nobody is going to be rushing to open a hospital in Willowbrook, because the payer mix is so miserable. Anybody here interested in working for free?

They will overwhelm the other hospitals. USC has a 24 hour wait or did about 18 months ago when I interviewed. I doubt this will make it any easier on them.
 
I know you work in Vegas, but this is South Central LA where the only kind of "insurance" you're likely to receive is Medicaid (and probably not enough of that to even pay your malpractice). So, yes, way more than you do work for free already.
Anyone know how much the EM attendings at MLK made? I doubt they were working for little scraps of money. i know in chicago at one of the inner city places not too far from Cook county they were making pretty good money and will can attest the payor mix was awful.
 
Anyone know how much the EM attendings at MLK made? I doubt they were working for little scraps of money. i know in chicago at one of the inner city places not too far from Cook county they were making pretty good money and will can attest the payor mix was awful.
The attendings were well paid because the county subsidized the contract there very heavily. Without the subsidy, it would have been for little scraps of money. And before CEP took the contract, the attendings were all subsidized by the medical school and the county. I doubt the county will be willing (or able) to similarly subsidize a private hospital.
 
The MLK attendings were divided into two groups:

LA County employes (not well paid but good benefits)

Contract physicians who were making $120/hour with no benefits.

Most of our attendings worked at other hospitals as well.
 
How will Bush's health care plan ever survive with all these ER closings?
 
I know you work in Vegas, but this is South Central LA where the only kind of "insurance" you're likely to receive is Medicaid (and probably not enough of that to even pay your malpractice). So, yes, way more than you do work for free already.
I can tell you are unfamiliar with the population of downtown Las Vegas. No one here has medicaid because you have to be a legal resident to get medicaid.
 
I can tell you are unfamiliar with the population of downtown Las Vegas. No one here has medicaid because you have to be a legal resident to get medicaid.

And you think downtown Los Angeles is significantly different from Las Vegas? I'm guessing that 40% or so of MLK's ED census was Hispanic, with an overwhelming majority of those either legal residents and uninsured or illegal.
 
And you think downtown Los Angeles is significantly different from Las Vegas? I'm guessing that 40% or so of MLK's ED census was Hispanic, with an overwhelming majority of those either legal residents and uninsured or illegal.
Hang on. I'm not saying we have it worse up here than it is in LA. I suspect my payor mix is a little better in fact. My joke about working for free was just a free form gripe about the drunks and hookers and junkies (Oh my)!.
 
how is this going to affect LA area ERs?

Harbor UCLA is obviously gonna get slammed, what about USC, what about UCLA-Olive View?
 
how is this going to affect LA area ERs?

Harbor UCLA is obviously gonna get slammed, what about USC, what about UCLA-Olive View?

MLK is about the same distance to California Hospital downtown (also a level I trauma center, and also in some financial difficult as I recall hearing) as it is to Harbor, and since MLK hasn't been receiving trauma for months now, those EDs will be accustomed to the increase in trauma volume by now. Olive View is not particularly close to MLK, and being on the opposite site of downtown make it infeasible to transport patients there from MLK's region due to traffic.

Those two hospitals will also likely take a big chunk of the rest of the ED population that used to go to MLK, but there are several hospitals closer than those two. Both the Gardena hospitals (Gardena Memorial and Gardena Community) are closer. RFK in Hawthorne would have been pretty close but it closed 2 years ago. Centinela in Inglewood is also pretty close, but they're already operating under the burden of RFK and its sister hospital Daniel Freeman closing this year. ED wait times there were pretty bad even before those two closures, but I hear that their wait times are approaching county levels now (up to 18 hours for low level triaged cases). St. Francis in Lynwood is probably the closest hospital to MLK. Suburban Medical Center in Paramount would have been pretty close too, but that closed a little more than a year ago.

There are others nearby, but really nothing that can absorb the volume that MLK used to serve. In case you haven't already guessed, all these hospital closures are in the poorest parts of LA. Meanwhile, UCLA is building a brand-spanking new unbelievably expensive pediatric orthopedic hospital in Santa Monica, where ****loads of rich people live. Just the land alone on which the new Orthopedic Hospital is being built must be worth many tens of millions of dollars, and perhaps over a 100 million. Personally, I think the state legislature should stop allowing the medical schools to continue building in communities that can afford private care. I just looked it up. The projected build cost for the Orthopaedic Hospital is 300 million as of a year or two ago, so it's actually probably going to cost nearly twice that.

The fallout from MLK closing will mean somewhat increased volume for surrounding hospitals, but in large part it'll just mean that those patients won't get medical care at all. A lot of them don't have decent transportation to get to the hospitals further away.
 
How many residents will be displaced from the closing?
 
How many residents will be displaced from the closing?

250 of us all got fired on July 1st. Those of us with any sense, and the ability to leave did so before then.

California Hospital is a Level II trauma center, and they opened their trauma center at the same time MLK closed theirs. As a result, they now get the bulk of the trauma that MLK used to get. We rotated there between December-July of this year, and it was the second busiest trauma center in LA County (just barely under USC). It was a great place to do a rotation. There had been plans to move the entire residency to California, and both administration and surgery were on board. JJ&R and the EM administration killed the deal though.

As far as Emergency services go, MLK was actually more efficient than USC or Harbor-UCLA. Our wait times were significantly less (on average 6 hours) than both other facilities. The surrounding EDs have no capacity to absorb the displaced patients. St. Francis, Centinela, Downey, and Harbor are all at capacity. Additionally the wait time for elective surgery at L.A. County facilities was measured in months before the closure of MLK, and is going to get worse.

All in all, L.A. is pretty much screwed.
 
California Hospital got their Level I accreditation shortly after MLK lost theirs.

So JJ&R took over that contract at California Hospital? Interesting. CEP walked away from that one because the payer mix wasn't good enough.
 
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