“You’re More Likely to Die from a Serious Heart Attack if You Have It in the Hospital”

From Healthline News:

If you had to have a heart attack, you’d probably choose to have it in the hospital, where you would have immediate access to a surgeon, just in case.

But it turns out that among those who have a type of heart attack called a STEMI, or ST-elevation myocardial infarction, patients already in the hospital are three times more likely to die, according to a paper published today in the Journal of the American Medical Association.

Avera eCare: Revolutionizing rural health care

From KSFY:

“We have two or three nurses working at any one time, an emergency physician that’s here 24/7, 365 days and we are physically separated from the hospital, so this is the only thing that I am doing, the staff and myself this is our only job while we are here: to take care of our virtual patients.” said Dr. Don Kosiak, an emergency physician at Avera eCare.

Avera Health’s mission is to take care of patients in their home communities, Avera eCare allows staff to live-out that mission. This isn’t just an e-emergency room, it’s pretty much a virtual hospital.

Medicaid Expansion Helps Iowa Hospitals and Patients

From Iowa Public Radio:

Since the passage of the Affordable Care Act, 110,000 Iowans have enrolled in Medicaid through the Iowa Health and Wellness Plan.  The income threshold for those eligible went from 100 percent of the poverty level, to 138 percent.

CEO of the Iowa Hospital Association Kirk Norris talks with Morning Edition about how Medicaid expansion has affected Iowan hospitals.