LO Exclusive - First Peek Inside Family Health Center

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Jim O'Bryan
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LO Exclusive - First Peek Inside Family Health Center

Postby Jim O'Bryan » Wed May 30, 2018 9:45 am

A couple weeks ago I was invited for a first walk-through of the new Lakewood Family Health Care Center by Dr. Jim Hekman, the Doctor heading up the new Health Center.

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The walk-through was a bit premature, as there is probably no worse time to walk through a new building than a month or two before opening, but I was glad at the chance to speak with Dr. Hekman and other folks from the Cleveland Clinic Foundation on site. I have kept in touch over the past two years, and have had many offers to walk through other Family Health Centers but chose to wait until Lakewood was open. Why compare when we can see and be in the real thing?

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From the inside top floor you can look out onto DowntowN Lakewood, and for now Lakewood Hospital. That's Dr. Hekman against the wall.

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One of the X-Ray machines being moved in and calibrated.

As I mentioned it was premature, and it was nearing the end of construction and the chaos that follows it, but I had a list of questions to ask, and they were more than willing to answer each and every one of them. If you have any questions please post, or send to me. If there is one thing I know, CCF wants Lakewoodites to understand the new facility and what we are getting and how it will serve all of us.

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The second floor after getting off the elevators.

Upon walking in you have a corner area designed to help people not just navigate the building but the medical industry. Issues with funding? Issues with health care? They will be able to direct you to programs, doctors, specialists and places to get help in any way that can benefit you and the community. Again having worked with CCF for over a decade and personally knowing many of their Ombudsmen they are very aware of the fears, the problems, and the confusion that comes from walking into a hospital.

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On each floor there is a place for primary care doctors to interact all day with nurses, technicians, and assistants, not just bringing them into the same rooms but into community environments to share ideas, information and assist patients.

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More parts of the lab are on the second floor. You will still be able to come to the Family Health Center for all your testing needs.

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A peek at a nearly finished examining room. Gone are those uncomfortable bench beds, now comfortable recliners that can lay flat if needed. Everything is now computerized as it was before the building, but it's amazing just how much, and how much smaller things have gotten.

Again, there is much work to do before the grand opening, and the crews are working around the clock, and the Cleveland Clinic is still working out many concepts from integrating the new medical school facility to the interns, from waiting areas to doctor lounges, from paint on the wall to art on the wall from Lakewood Artist Liz Maughans. So much to do in so little time!

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One look at the Emergency Receiving Room, currently a construction headquarters, see the plans all over the desks point out how much there is left to do.

It is possibly the worse time to go through a new building but the Clinic was more than welcoming allowing me in, answering my questions and promising that by the time it opens, it will be able to handle all of Lakewood's Emergency and Family Health Care needs.

Here is a schedule and a list of services that are being offered, watch for the upcoming story in the print version of the Lakewood Observer.

The Lakewood Family Health Center will open in three phases.
◦ July 11 — Third floor will open
◦ July 16 — Second floor will open
◦ July 24 and 25 — First floor and Emergency Department* will open (Note: the Emergency Department in its current location will remain open until this new location opens.)
 
Services on each floor of the Lakewood Family Health Center:
• First Floor
◦ 24/7 full-service Emergency Department
▪ 20 Treatment Rooms
▪ Bariatric Treatment Room
▪ Behavioral Health
▪ EMS Room
▪ Ambulance Entrance
▪ Decontamination Room
◦ Art Wall
◦ Imaging
▪ Ultrasound
▪ Mammogram
▪ X-Ray
▪ CT
◦ Patient Navigator
 
• Second Floor
◦ Stat Lab
◦ Center for Family Medicine
▪  24 Exam Rooms (including bariatric and alternative medicine rooms)
▪ Family Consult Room
▪ Shared Medical Appointment Room
▪ Conference Room
 
• Third Floor
◦ Draw Lab (Phlebotomy)
◦ 36 Internal Medicine and Multi-Specialty Exam Rooms for
▪ Geriatrics
▪ Dermatology
▪ Diabetes Education
▪ Diabetic Eye Exams
▪ Endocrinology
▪ Endocrinology Surgery
▪ Pulmonary
▪ Pulmonary Function Testing
▪ Allergy
▪ Allergy / Skin Testing
▪ Neurology
▪ Cardiology
▪ Urology
▪ Nephrology
▪ General Surgery
▪ Pediatric Surgery
▪ Colorectal Surgery
▪ Gastroenterology
▪ Adult Psychiatry
▪ Pediatric Psychiatry
▪ Adult Psychology
◦ Group Education and Shared Medical Appointment Room
◦ LGBT (lesbian, gay, bisexual and transgender) Center
▪ The LGBT Center  will have providers who understand the health needs of LGBT patients, and access to specialists with expertise in their care
 
The new Lakewood Family Health Center:
• Cleveland Clinic is proud to be the healthcare provider for the Lakewood community and we are looking forward to providing ongoing care in this new era of healthcare.
 
• It is our commitment to break down barriers to access for patients at this family health center and to enhance the wellness of Lakewood's neighborhoods. 
 
• The Lakewood Family Health Center is a $34 million facility that will have 62,000 square feet of space.
 
• The Lakewood Family Health Center will host a variety of services, including a 24/7 emergency department, imaging, blood draw lab, STAT lab, internal medicine, LGBT care, diabetes education, endocrinology, behavioral health and chronic care.
◦ These services are a vital part in taking care of the health and wellness needs specific to Lakewood and surrounding communities as evidenced in our Community Health Needs Assessment.
◦ These primary care and specialty services also collaborate well in support of team based care.  These teams working together in one space will promote a high level of communication between providers, patients and all Caregivers to ensure these health needs are met. 
▪ Example: Lakewood has a higher rate of smoking; diabetes is an issue in Lakewood – diabetic eye exams, diabetic educator and greater communication reinforce the skills that are needed to manage diabetes.
 
• The Cleveland Clinic Fairview Hospital Family Medicine Residency Program with the Ohio University Heritage College of Osteopathic Medicine will also be present at the facility. The medical students will be part of the healthcare team and will serve the community through graduation, residency and board certification. The goal through this is to train physicians in Northeast Ohio and keep them here to practice.
 
• The Lakewood Family Health Center will have patient-centered exam rooms. These rooms put the patient in the center of the room in a comfortable chair with the ability to recline completely flat into a table if needed. 
◦ This position with the patient in the center of the room and the provider facing the patient allows for a more engaged interaction between the two and fosters the undeniably important relationship between the patient and their provider. 
◦ A great deal of research was conducted on this exam room to choose the most patient friendly and efficient option.
 
• The current Lakewood emergency department is consistently above the 90th percentile for patient satisfaction and has an average door-to-doctor time (from the time someone comes into the emergency department until seen by a physician) of well under 12 minutes.
 
• Through the new Emergency Department, we will continue to provide 24/7 emergency care for all ages, 365 days a year. Some of the types of care the emergency department will treat include:
◦ Abdominal pain
◦ Adult and pediatric conditions (fever, stomach flu, bronchiolitis, dehydration, asthma, etc.)
◦ Behavioral health and chemical dependency evaluations/referrals
◦ Chest pain
◦ Diabetes complications
◦ Broken bones, strains and sprains
◦ Minor trauma (laceration repair)
◦ Severe headache
◦ Stroke symptoms
◦ Other medical emergencies
 
• The new emergency department will continue to offer board-certified emergency medicine physicians and physician assistants advanced practice providers, registered nurses certified in adult and pediatric advanced cardiac life support, paramedics, respiratory therapists and technicians.
 
• Cleveland Clinic will continue to provide Medical Control for the Lakewood Fire Department and ongoing education to the paramedics. EMS supplies will be located next to the EMS entrance of the new Emergency Department. 
 
• New additions to the Lakewood Family Health Center’s Emergency Department include imaging equipment (X-ray, CAT scanner), computers, IV pumps and a decontamination room.
 
• Patient care will finish up in the current Cleveland Clinic Lakewood Emergency Department the evening of July 24.  Any patient that comes in at midnight or afterwards on July 25 will be seen in the new Lakewood Family Health Center Emergency Department.
 
Other Cleveland Clinic services available in Lakewood:
• Lakewood Professional Building (14601 Detroit Ave., Lakewood)
◦ Diabetes Center
◦ Teen Health Center
 
• Community Health Center (1450 Belle Ave., Lakewood)
◦ Senior Assessment Center
◦ Women’s Health Center
 
• YMCA (16915 Detroit Ave., Lakewood)
◦ Physical Therapy
 
• Access to the Cleveland Clinic Mobile Stroke Treatment Unit (an ambulance equipped for on-site stroke diagnosis and treatment):
◦ In 2017, the Mobile Stroke Unit dispatched to Lakewood 37 times – 15 of which resulted in a transport to the nearest stroke centers.
◦ Providing safe, efficient care with a seamless hand-off from emergency personnel is our top focus. The Mobile Stroke Unit, which is integrated into the municipal 911 dispatch system, boasts a critical care team with extensive experience working in and with local rescue squads. The team includes a critical care nurse, an CT technologist, a paramedic and an emergency medical technician who assists with stroke care and drives the unit.
◦ The team uses the unit’s specialized equipment, which includes the following:
▪ A portable CT scanner to wirelessly transmit brain images in real time to Cleveland Clinic neuroradiologists reviewing the case.
▪ A two-way videoconferencing consult system connected 24/7 with Cleveland Clinic stroke neurologists.
▪ Point-of-care lab equipment that allows the team to test blood samples.
▪ The clot-busting drug tPA, which the team administers intravenously if the stroke physicians determine that he patient is having an ischemic stroke.

Once again thank you to the Cleveland Clinic and Dr. Hekman.

.


Jim O'Bryan
Lakewood Resident

"The very act of observing disturbs the system."
Werner Heisenberg

"If anything I've said seems useful to you, I'm glad.
If not, don't worry. Just forget about it."
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Bill Call
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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Bill Call » Wed May 30, 2018 12:31 pm

Thanks for the update.

I see a whole list of surgeries listed. Are these surgeries that will be performed in the building?

Treatment at a stand alone ER is much more expensive than treatment at an urgent care facility. Metro and University offer urgent care options next to their stand alone ER's. Will the Clinic be offering an urgent care option at this facility?


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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Stan Austin » Wed May 30, 2018 1:24 pm

And because of the shrewd bargaining by our elected officials all of these services are free to us in 44107?


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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Jim O'Bryan » Wed May 30, 2018 2:05 pm

Bill Call wrote:Thanks for the update.

I see a whole list of surgeries listed. Are these surgeries that will be performed in the building?

Treatment at a stand alone ER is much more expensive than treatment at an urgent care facility. Metro and University offer urgent care options next to their stand alone ER's. Will the Clinic be offering an urgent care option at this facility?



Bill

I see no list of surgeries listed, maybe we are seeing different things.

I saw no operating room, but did see areas where broken bones could be set, etc.

As I have mentioned, I am more than willing to take any questions to the Cleveland Clinic, who unlike City Hall have always been honest with me in their answers.

Stan

Perhaps we should start another thread on how City Hall has sold us out and sold us short and if they have any plans to help us make up the difference?

I am concerned over the cost of taking an ambulance to Lakewood Family Health Care Center then needing another ambulance ride to another Clinic Facility.

Three weeks ago a friend needed his girlfriend taken to a hospital not Lakewood, he was told he she had to go there. Four hours later she was taken to Fairview then Lutheran.

Both Mark Kindt and Bill Call have asked if "Healthy Lakewood" will help cover these costs, and I have not seen nor heard an answer.

As for parking all CCF facilities I have been to validate parking, not sure that will continue but am willing to ask.


All

At the end of the day this is what we are getting from the Clinic because City Hall and Mayor Summers asked them to answer an RFP and end their current contract, that they were more than willing to honor through 2026.

The purpose of this is not to crucify CCF but to help residents learn what is available, what isn't available, what can be added, and where is it best to go. As always emergencies should start with a call to 911, and not driving oneself to any hospital.

I think we have learned time and time again, City Hall, Mayor Summers, Law Director Butler, Finance Director Jen Pae and members of Council have repeatedly lied and misrepresented the truth, and they continue to fight in court to release key documents to the public which certainly makes one believe the worst is still being covered-up. I would say all council members are slowly becoming complicit in the entire debacle as Lakewood's largest asset has been sold off for some magic beans and given to friends and supporters of the Mayor.


.


Jim O'Bryan
Lakewood Resident

"The very act of observing disturbs the system."
Werner Heisenberg

"If anything I've said seems useful to you, I'm glad.
If not, don't worry. Just forget about it."
His Holiness The Dalai Lama
bentleymike
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Re: LO Exclusive - First Peek Inside Family Health Center

Postby bentleymike » Wed May 30, 2018 2:16 pm

Jim O'Bryan wrote:I am concerned over the cost of taking an ambulance to Lakewood Family Health Care Center then needing another ambulance ride to another Clinic Facility.

Three weeks ago a friend needed his girlfriend taken to a hospital not Lakewood, he was told he she had to go there. Four hours later she was taken to Fairview then Lutheran.

Both Mark Kindt and Bill Call have asked if "Healthy Lakewood" will help cover these costs, and I have not seen nor heard an answer.


Jim,

I can't speak for any boards that I don't sit on, but I believe Three Arches is focusing on access to healthcare. Healthy Lakewood is focused on wellness. Ultimately, what that looks like will be determined by the new board of HLF


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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Stan Austin » Wed May 30, 2018 2:18 pm

More specifically-- is the cost of demolition of that THING included in the proposals for the upscale pet food store?


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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Stan Austin » Wed May 30, 2018 2:48 pm

And remember-- all that fancy equipment can be snuck out and decanted in 24 hours just like before. Where was the LPD when the theft occurred?


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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Jim O'Bryan » Wed May 30, 2018 2:56 pm

Stan Austin wrote:And remember-- all that fancy equipment can be snuck out and decanted in 24 hours just like before. Where was the LPD when the theft occurred?


Stan

I might move these discussion pieces elsewhere into another thread.

The Clinic snuck nothing out. They were given the right to take them out by LHA and our elected officials who merely acted like they were not complicit.

I have a question for you. You go to the Art Museum, and the director and staff say, we can put this picasso in your car, it is worth millions, and you will never be charged and be given a bill of sale. Do you say no?

That is exactly what our elected officials and LHA did, not the Clinic. And now they are covering that up by destroying and hiding documents.

Do not fall for the lies and the smoke screen.

.


Jim O'Bryan
Lakewood Resident

"The very act of observing disturbs the system."
Werner Heisenberg

"If anything I've said seems useful to you, I'm glad.
If not, don't worry. Just forget about it."
His Holiness The Dalai Lama
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Jim O'Bryan
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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Jim O'Bryan » Wed May 30, 2018 2:58 pm

bentleymike wrote:
Jim O'Bryan wrote:I am concerned over the cost of taking an ambulance to Lakewood Family Health Care Center then needing another ambulance ride to another Clinic Facility.

Three weeks ago a friend needed his girlfriend taken to a hospital not Lakewood, he was told he she had to go there. Four hours later she was taken to Fairview then Lutheran.

Both Mark Kindt and Bill Call have asked if "Healthy Lakewood" will help cover these costs, and I have not seen nor heard an answer.


Jim,

I can't speak for any boards that I don't sit on, but I believe Three Arches is focusing on access to healthcare. Healthy Lakewood is focused on wellness. Ultimately, what that looks like will be determined by the new board of HLF



MB

Thank you for the clarification.

From what I have heard most of the interest of Three Arches is in new office equipment and helping surrounding areas.

.


Jim O'Bryan
Lakewood Resident

"The very act of observing disturbs the system."
Werner Heisenberg

"If anything I've said seems useful to you, I'm glad.
If not, don't worry. Just forget about it."
His Holiness The Dalai Lama
bentleymike
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Re: LO Exclusive - First Peek Inside Family Health Center

Postby bentleymike » Wed May 30, 2018 3:04 pm

Jim O'Bryan wrote:
bentleymike wrote:
Jim O'Bryan wrote:I am concerned over the cost of taking an ambulance to Lakewood Family Health Care Center then needing another ambulance ride to another Clinic Facility.

Three weeks ago a friend needed his girlfriend taken to a hospital not Lakewood, he was told he she had to go there. Four hours later she was taken to Fairview then Lutheran.

Both Mark Kindt and Bill Call have asked if "Healthy Lakewood" will help cover these costs, and I have not seen nor heard an answer.


Jim,

I can't speak for any boards that I don't sit on, but I believe Three Arches is focusing on access to healthcare. Healthy Lakewood is focused on wellness. Ultimately, what that looks like will be determined by the new board of HLF



MB

Thank you for the clarification.

From what I have heard most of the interest of Three Arches is in new office equipment and helping surrounding areas.

.


For reference:

https://www.threearchesfoundation.org/f ... rity-areas


Mike Bentley
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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Bridget Conant » Wed May 30, 2018 3:23 pm

They promised to provide transportation for Lakewood seniors who had doctors move west. There’s no bus service from here to the Jacobs facility in Avon.

From what I understand, that promise has not been kept.

Seems a rather simple promise and one that would increase both ACCESS to healthcare and increase wellness.

I suspect it’s just another if the broken promises we’ve been fed


Richard Baker
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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Richard Baker » Wed May 30, 2018 5:15 pm

Family health care and all the bullshit does not replace EMERGENCY CARE for a city of 56,000 souls. Never in the history of Lakewood has so few, screwed so many. Incidentally, Jim;, if I recall you were on the advisory board of Cleveland Clinic Lakewood, were you not? When I attempt to publish data from the City of Lakewood about the the contract between Cleveland Clinic and the City of Lakewood it was not published. Jim, would you care to enlightening us on the fact that you were used?
Cleveland Clinic strategy has been and always was to rid themselves of the Lakewood hospital competition using mayors with vested interest and dumber than a box of rocks councilmen. Now a city of 56,000 people are without local valid emergency care hospital or doctors care. Incidentally, when I took my eleven year old son to the Lakewood Hospital emergency care system because he had a compound fracture of his left wrist, they gave us a number 76 in line waiting for examination. I took him to Saint Johns where children are a priority and he was seen immediately and treated.
Do I care if your a Lakewood citizen that dies on the ambulance ride to another Cleveland Clinic hospital that is out of town, no. However, God forbid those if my grandchildren don't receive the immediate care required to save their lives.


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Re: LO Exclusive - First Peek Inside Family Health Center

Postby Jim O'Bryan » Wed May 30, 2018 5:32 pm

Bridget Conant wrote:They promised to provide transportation for Lakewood seniors who had doctors move west. There’s no bus service from here to the Jacobs facility in Avon.

From what I understand, that promise has not been kept.

Seems a rather simple promise and one that would increase both ACCESS to healthcare and increase wellness.

I suspect it’s just another if the broken promises we’ve been fed



Bridget

The Cleveland Clinic runs a shuttle between all of their hospitals. I am not sure how they are routed, scheduled or run. Years ago in a discussion over a Bill Call comment I was made aware and I am sure you have seen the Cleveland Clinic shuttles around town.

I have a sneaking suspicion they are not FREE, but they could be.

I will add that to my next round of questions.

.


Jim O'Bryan
Lakewood Resident

"The very act of observing disturbs the system."
Werner Heisenberg

"If anything I've said seems useful to you, I'm glad.
If not, don't worry. Just forget about it."
His Holiness The Dalai Lama

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