Prem Reddys maverick ideas have been implemented by successful hospitals for the past decade (Feature, April 16).
That ambulances are turned away from a hospital grasping for admissions due to emergency room saturation is a symptom of poor ER management. Bloated hospital stays are symptomatic of inefficient patient management by admitting physicians and lack of early coordination with discharge planning. Both of these inefficiencies are produced by physicians lack of management skill, something, to their defense, they were never taught in medical school.
It is appropriate that a physician with such skills has demonstrated the ability to turn around foundering hospitals by bringing such skills to bear at the interface between the hospital and the medical staff. Had the current medical staff had any such ability, Paradise Valley would not have needed rescuing in the first place. Had the medical staff succeeded in their buyout attempt, the hospital would have had no chance of achieving solvency since nothing substantive would have changed.
The community is fortunate to have someone with Reddys track record put himself on the line to save its safety net.
Michael Berger, M.D.Emergency room directorPioneers Memorial Hospital Brawley, Calif.