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<br />9/20/83 <br /> <br />Page - 6 - <br /> <br />Louisville Medical Center should do things <br />differenty, they would happy to comply. <br />Dr. Axelrod thanked council for letting him <br />speak this evening. <br /> <br />Councilman Cussen <br /> <br />Commented it was not the intent of council- <br />members to become embroiled with Dr. Axelrod <br />or Boulder Community Hospital, but only to be <br />certain that the needs of the Louisville resi- <br />dents are being taken care of and are looking <br />forward to having 24 hour service. Requested <br />that Dr. Axelrod summarize the reason the <br />Louisville Fire District would not transport <br />patients to his facility. <br />Axelrod replied that the policy of the <br />Louisville Fire Dept. is that they will only <br />bring patients to a 24 hour facility, manned <br />by a physician at all times; also that it <br />needs inpatient capabilities. According to <br />State regulations you must have 2-way communi- <br />cations with the ambulances; if something <br />should go wrong with the patient enroute they <br />need to talk with the physician to whom the <br />patient is being delivered. A lot of patients <br />are transported out of their facility and they <br />have called the Flight For Life. They are <br />capable of handling these patients; but it <br />was his personal feeling that unless he was <br />prepared to be there 24 hours and longer then <br />he would not be capable of handling such calls. <br />Advised that because of the amount of personnel <br />required to handle, i.e. 3 emergencies at <br />the same time is the reason hospital emer- <br />gencies cost 3 times what his type of facility <br />costs. <br />Councilman Cussen inquired what was a minor <br />versus a major care facility. <br />Dr. Axelrod advised the word minor detracts <br />from the connotation of strictly being an <br />emergency facility. According to the State <br />they are an ambulatory emergency care center; <br />but they do not wish to mislead people that <br />they are there 24 hours. Their facility is <br />to offer an alternative by being open 84 hours <br />a week; therefore offering service after <br />physician's hours, weekends and nights. Most <br />of these patients are ambulatory care at 1/3rd <br />the cost which is $20.00 per average visit. <br />Boulder Community Hospital's care is $57.00 <br />compared to their $28.00. Part of the reason <br />they can keep their costs low is by maximizing <br />hours and assessing the demand. Did not feel <br />there was a demand for a 24 hour facility. <br /> <br />Minor Facility <br /> <br />Costs <br />