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High-Quality and Accessible Care in Community Hospitals
Jeffrey L. Williams, Division of Cardiac Electrophysiology, Good Samaritan Health System
Contrary to current perceptions, these data suggest that community centers may subselect an elderly, ill patient population and provide high quality, cost-effective, and more accessible care. This report is not an attempt to show that community hospitals should perform EP device implants. Rather, we have described our system and objectively analyzed our outcomes to demonstrate that a focused community hospital electrophysiology team can develop an EP program with exceptional outcomes. There are reports that community hospitals have lower-risk, less ill patients compared to non-community centers. It is suggested that non-community centers have better outcomes for a variety of conditions; our data contradict this perception. Finally, in an era where community hospitals provide over 95% of the care in the U.S. and they are increasingly under both performance and financial pressures, this report sheds some valuable light onto the high-quality and accessible care that can be afforded in the community.
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