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A major deadline looms for hospitals and our partners. On Sept. 1, hospitals are required to submit their Ambulance Patient Offload Time (APOT) reduction protocol under Assembly Bill (AB) 40. The standard is 30 minutes, 90% of the time for general, acute care hospitals with emergency departments (EDs).
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Eric McDonald, MD, is retiring this Friday from San Diego County. He will be missed. Dr. McDonald’s career is a testament to compassionate leadership and a sincere commitment to public health.
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Public Health Officer Wilma Wooten, MD, MPH, is retiring this month after more than two decades of service with San Diego County. She is a true barrier-breaker, visionary, and the definition of a public servant. I want to recognize and celebrate her extraordinary career and thank her for everything she has done for the health of our community.
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In her poem “Lady Geraldine’s Courtship,” Elizabeth Barrett Browning poignantly captures the essence of hospitals in society:
“How many desolate creatures on the earth
Have learnt the simple dues of fellowship
And social comfort, in a hospital”
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Today marks the first day of 2024’s Mental Health Awareness Month, a time when all who are committed to helping those living with mental health conditions can pause to reflect on the meaning of their work, and foster greater empathy and understanding for those in need of care.
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Hospitals are facing extraordinary challenges, so being thoughtful about how we tackle the big issues is more important than ever. The pace of what is coming at us every day is relentless. It’s not easy to have meaningful conversations with the right stakeholders at the right time. To truly take on the big issues we need to slow down and create space for deeper insights. That’s a key takeaway for me after attending the American College of Healthcare Executives (ACHE) Congress late last month in Chicago, where I joined 5,000 health care professionals from around the country to discuss the leadership that’s needed for the challenges ahead.
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In January, over 1,000 volunteers conducted the annual Point-in-Time Count to assess homelessness in San Diego and Imperial counties. Part of a nationwide effort from the U.S. Department of Housing and Urban Development, the count surveys those who are unsheltered, on the streets, or in shelters the morning of the count. While the 2024 numbers will be released this spring, we are likely to see the continuation of a trend that started in 2023. Last year, San Diego County saw a 35% increase to approximately 6,500 unhoused individuals, while Imperial County experienced a 23% increase to more than 1,300 individuals.
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People talk about the rural-urban divide, but the reality for health care and hospitals is that we are interconnected. And California’s rural hospitals are at a fiscal crossroad. Right now, 56% percent of rural hospitals are losing money on patient care — up 16% in just five years. Health care access for more than 2 million Californians is shrinking.
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Recently I reflected on the start of the year with a colleague and shared that January felt like it was 16 weeks long. We came barreling out of the gate in 2024 with far-reaching issues to grapple with. The list includes matters that touch almost every part of hospital operations, including preparing for the upcoming hospital minimum wage hike, advocating for reconsideration of health care spending targets proposed by the new Office of Health Care Affordability, strategizing with firefighters and emergency medical services in preparation for the implementation of Assembly Bill 40, advocating for resources to reduce migrant street releases, seeking solutions to the growing behavioral health crisis in our communities, and more.
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My mom has Atrial fibrillation. I remember one morning a few years ago when her heart was racing. We didn’t know what was happening. I sat with her in the living room and her heart wasn’t slowing down. We were scared and rushed her to the emergency room where she was diagnosed. Now she’s on medication and the AFib is under control.
