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Northwest Reno Freestanding Emergency

DepartmentNeighborhood Advisory Board Meeting

July 10, 2018

Freestanding ER At-A-Glance

• Located in Northwest Reno

• 24/7 Operations

• Eight (8) treatment rooms

• Advanced imaging services

• Board-certified emergency medicine physicians

• Emergency-trained nurses, imaging and laboratory staff

• One-story, low-profile facility

• Not a trauma facility

Bringing Emergency Care Closer to Home

• Population growth continues to impact community emergency rooms

• Ensure patients are utilizing the correct facility for their individual needs

• Reduce ER wait-times and congestion

• Expand access to care and provide choice in the region

The Scope of the FED

• A Freestanding Emergency Department differs from an Urgent Care in that it provides a higher level of care. The FED is comparable in size to an urgent care, and on average will see similar volumes of patients.

• The FED treats common medical emergencies.

• Patients who do not require a full-service hospital, can access emergency services at an FED on an expedited basis closer to home.

• The FED has the ability to diagnose and treat patients with common and emergent conditions. As needed, the FED can work with local EMS to transport patients to a regional hospital.

Our Guiding Pillars

•Quality Care

•Access to Care

• Convenience that is Unparalleled

• Costs Similarities to Hospital ER

• Satisfaction will Rank High

A Tradition of Quality Care

• Advanced Primary Stroke Center

• 2018 Gold Plus Stroke Honor Roll

• Accredited Chest Pain Center

• ACTION Registry Platinum Award by the American College of Cardiology

• 2018 Mission Lifeline Silver Quality Award for Heart Attack treatment

Excellence in Safety Safety Across the Board

Increasing Access to Care for the Neighborhood

• The FED is a unique model that provides quality emergency care 24/7 through physicians, nurses and other staff.

• For those not requiring a regional hospital, the FED provides emergency services close to home and quickly.

• Our goal is to direct patients to utilize the most appropriate health care facility.

Convenience that is Unparalleled

• Reduced community ER wait-times

• Ease of use by seeing wait-times online before arriving at the facility

• There are no 24-hour stays, allowing the patient to go home quickly

• Located in a major shopping corridor, the FED is open 24/7 similar to neighboring businesses including: Flowing Tide, Safeway, McDonalds, 7/11 and Jack-in-the-Box.

• The presence of this 24-hour operation will bring additional security to the corridor.

A Focus on the Surroundings

• Through conscious design choice, the development will not impact the adjacent drainageway.

•An eastern portion of the parcel is in the drainageway, but no additional development is planned for the area.

A Focus on the Surroundings:Safety & Traffic Addressed• Most patients access FEDs via personal vehicles.

• Traffic estimates show much lower usage of the FED than other facilities in the shopping center.• Per the Institute of Transportation Engineers’

Trip Generation Manual, there is an estimated 16 trips during peak afternoon hours, which is well below the City of Reno requirements for a Traffic Impact Study.

• There is anticipated to be a total of 20 visits per day to the FED.

• Access to the facility is provided through two convenient entry points.

A Focus on the Surroundings:Emergency Response

• REMSA crews participate in Emergency Vehicle Operations Course training upon hire, and every two years thereafter to learn about the use of lights and sirens.

• Lights and sirens are required on all priority 1 and 2 calls.

• REMSA shuts down lights and sirens upon entering neighborhoods, and crews are instructed to reduce unnecessary noise and disruption near neighborhoods.

• Less than 4% of transports resulted in the use of lights and sirens in the first six months of 2018. All were to a regional hospital. The impact to any one hospital is minimal.

• Similar FEDs have seen 2-5% of their total volume arriving by ambulance. Models predict, the Reno FED to have 3.15% of its volume arriving by ambulance, which is less than one per day.

Photo credit REMSA.

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