During the past few days, there has been no wait at Texas Health Presbyterian’s emergency room in Dallas. Usually, it takes about 45 minutes to see a doctor. But a week after a patient confirmed to have Ebola came through the ER, it’s not the most popular place.
“If I lived in Dallas and became ill, I would head straight for the Texas Health ER knowing that the waiting lines are so short,” Dr. Albert Wu says. Wu is professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health. “I would bet that Texas Health is a safer hospital,” Wu says, “and their ED is safer than the other hospitals they would otherwise compete with.”
Wu says even if fear about catching Ebola is not always rational, the panic will have a short-term effect on business. “Emergency departments are certainly one of the main routes to getting hospital admissions,” Wu says. “So for almost every big hospital, the emergency room is a crucial way to get patients.”
There are more than 80,000 visits to the ER at Texas Health Presbyterian each year. On average, an ER visit brings in anywhere from $150 to $1,000 in revenue, according to Dr. Angelo Falcone. That might not sound like a lot, but Falcone says if you multiply that by the number of patients that are not coming, it “dramatically affects both the hospital’s and the group’s bottom line.”
Falcone is CEO of Medical Emergency Professionals, which staffs emergency departments in Maryland and Connecticut. He says the real financial loss isn’t from not treating a broken arm or prescribing pills. It’s from not admitting a patient. Nearly half of hospital patients come through the ER. When you lose one of those customers, Falcone says it could be a loss of tens of thousands of dollars in revenue. Falcone says patients probably won’t avoid the hospital permanently, and fluctuations in patient numbers come with the territory. “It’s the nature of the beast,” he says. “In emergency medicine, you’ll have some days where all of a sudden all the patients show up and other days where it’s not quite as crazy.”
In the long run, Alex Wu at Johns Hopkins says Texas Health Presbyterian could actually benefit. “I’m not sure they’re going to make their reputation on ‘We do the best job curing Ebola cases, send them to us!’ but they are getting their name mentioned and that might not be a terrible thing,” he says.
Right now, we just have the hospital’s symptoms; the prognosis is uncertain.