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If not the Lake Placid ER, then what?

April 19, 2013

Understandably, many people are upset about the recommendation by doctors and administrators that Adirondack Health convert the 24-hour emergency room at its Lake Placid hospital to a 12-hour urgent......

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Apr-24-13 7:38 PM

The "new" Urgent Care center will receive at least 1000 less patients each year since our local medical protocols state that ambulances can transport patients to an emergency department. The patients that do go to the Lake Placid location will be paying significantly less due to the rate difference between an Urgi-Care and an Emergency room. The numbers simply do NOT add up to closing a $500,000 shortfall.

Lake Placid already has an Urgent Care Center. One that is closer down the road to the "real" hospital in Saranac Lake and also that is more modern unlike the curreny Lake Placid location, which AMC has told us is outdated.

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Apr-23-13 7:48 AM

The "Parasite" always feeds on the lesser "Host". It's natural law.

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Apr-20-13 6:49 PM

IT IS TIME (not only for AMC, but every other non profit healthcare organization in the Northcountry) to TAKE A STAND and DEMAND ADMINISTRATORS to cut their own salaries so solvency is an option!!! Throwout board members who don't also DEMAND this!!!!!!!!

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Apr-20-13 9:13 AM

It wouldn't be a bit surprising that Ralph won't release her salary because she has received raises while AMC has sunk further into debt. I don't know if new leadership would solve the problems but it's pretty obvious that she has no clue.

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Apr-19-13 2:49 PM

You state Tupper Lake is further away than Lake Placid, but Wilmington and Keene are the same distance away and Tupper Lake has better, wider, straighter roads to travel as opposed to the notch and cascade lakes which would make the trip much longer for wilmington and keene putting the pateints in more jeopardy. Where to cut expenses? You would think in a $100 million budget,a 1% cut that doesn't affect pateint care could be found. AMC is top heavy in administration, maybe a cut there? Take a look at Guide Star and see what it pays out in salaries to those at the top. You can see what it pays the management company that Ralph works for and maybe figure out how much of that is for Ralph's salary. It has lost millions to the nursing homes much more so than the ER, are they more cuts there to be had? If the patient is the priority as stated, cuts in non-patient services makes more sense and is better for the community.

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Apr-19-13 2:34 PM

If we are just looking at numbers, part of the reasons AMC has lost patients is that Keene Valley ambulances no longer come to Lake Placid so they've lost those patients. Then they handed over their Wilmington clinic to Elizabethtown so they've lost both inpatients and outpatients to them. Now Keene and Wilmington says they will no longer go to AMC but to E'town - loss of more patients and money. Does that make good business sense let alone as Ralph states "the right thing for the patient". You state that "Lake Placid's residents and tourists simply don't use the emergency department all that much". Lake Placid sees 4500 patients a year. That's a pretty big number and I'm sure made a huge difference for many who were treated there. Contrary to what you say critical patients are brought into Lake Placid and stabilized before going onto Saranac Lake. Tell them the ER isn't necessary.

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Apr-19-13 1:30 PM

But you're right, concerned, that Chandler Ralph won't disclose her salary. I asked her, and she said no. She also said no to the Press-Republican a couple of months ago.

-Peter Crowley

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Apr-19-13 12:09 PM

Actually, here's what we wrote in that editorial: "If, for instance, it's spending outlandish amounts of money on things like administrative pay, this nonprofit corporation's board should correct that injustice, on behalf of the communities they serve.

"If, however, things are as they seem, it's better to make these cuts than risk the financial health of the whole company, which is one of our area's most important resources."

We stand by that.

-Peter Crowley, managing editor

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Apr-19-13 10:59 AM

how can amc even consider constructing a new building across the st with the financial crunch they claim they are in???it seems that everything they touch turns to stated in an earlier editorial that there was no evidence that the ceo was paid an extravagant could you state that when unlike other area hospital ceo's she refused to release her salary...we need to know how much her salary is INCLUDING bonuses and other perks

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