Page Two

THE MICHIGAN DAILY

Friday, December 6, 1974

Page Two THE MICHIGAN DAILY Friday, December 6, 1974

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549 E. UNIVERSITY AVE.
CENuTICOBIE
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DEC. 6 to DEC. 13 ONLY
Any posters purchased before Dec. 13 C
can be framed by us before Christmas. Q
HUNDREDS OF POSTER BARGAINS 49
Centicore Bookshops on May- 4
e nrd Street has one of the Hicks *
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posters in the United States. Klimt C.
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Lindner are difficult to find anyplace in Matisse
thi Vaaecountry. Leger
y These posters are created and
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selves, to commemorate exhibi- Warhol
iro tions of their works. Most of
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- PooloZzi and lithoqrophs; they are not Bragque40
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FUND ABUSE CHARGED:
Dr. Kambly arrested

Local hospitals plagued with
emergency room overloads

(Continued from Page1)
official said, "We have no re-
cord of the facility, and accord-
ing to the master file, they have
never sent us a letter."
KAMBLY refused to com-
ment on the charges against
him. "I've never been in court
in my life and I just don't know
what the correct procedures
are," he said, "but my attorney
advised me that perhaps it
would be unwise" to make a
statement.
The facility was catapulted
into the public spotlight when
the Senate subcommittee charg-
now in stock
. C
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$134.95
UNIVERSITY CELLAR
769-7940

ed that patients there received
substandard and often abusive
care, trafficking in illegal
drugs was rampant at the cen-
ter, and certain billing proce-
dures appeared fraudulent.
During the subcommittee
hearings, Kambly denied all the
allegations and said the ques-
tionable billings were the result
of a complex book-keeping sys-
tem.
KELLEY yesterday said his
department's criminal investi-
gation of Kambly and the cen-
ter is closed. The attorney gen-
eral's investigation began sev-
eral weeks before the Senate
probe, but focused only on the
billing procedures.
"Our investigation did not
cover anything related to pa-
tient care," Kelley said.
The University Center is cur-
rently operating on a proba-
tionary basis. The facility was
issued a six-month provisionary
license by the state department
of Social Services rather than
the normal two-year authoriza-
tion because of "four areas of
non-compliance with certain
regulations."
THE ALLEGED deficiencies
at the center involve violations
of the city's fire and building
codes - not problems in the
area of patient care.
The only aspect of patient
treatment found to be substand-
ard was the use of isolation
units for patients who were not
making adequate progress.

(Continued from Page 1)
who can't get into the health
care system," explained Spen-
cer Maidlow, Assistant Adminis-
trator at St. Joseph Hospital.
THE UNIVERSITY Hospital
clinic serves the same purpose.
"We treat 80 and 90 people a
day, and it's been doubling,
tripling, since we opened it,"
said Linda Applegate, head
nurse in the hospital emergency
room. "What we are trying to
do is serve the needs of the
community."
But even with the clinics, the
local emergency rooms must
still deal with increasing over-
utilization, which can only hurt
the people who come to the hos-
pital for help.
A visit to an emergency r xm
is never a pleasant experience.
It may include nurses who seem
more interested in Blue Cross
numbers than illnesses, long
painful waits, and quick exam-
inations by harried ,loctors.
"BUT THE worst thing about
it," said one recent emergency
room patient, "is that you know
any minute you could see the
victims of a five-car crash come
rolling through those double
doors."
One of the commonest com-
plaints is the impersonal atti-
tude of emergency staffs, but
hospital workers say ths can't
be helped.
"It's not their (the staff's)
fault, it's the system," says
Judy Block, a one time nursing

assistant in University Hlj pital. stituted a new fee system.
"There are too many patiets, "The hospital charge is based
too many c o m p 1 a i n t s rot on time and supply," says Maid-
enough doctors, not enough low. "Time is based cin any
time. Nurses don't often take amont of time the patient is
time to explain. People don't attended by any emergency
understand." room staff."
PPLEGATE agrees w It h in the new plan, for the first
her. "The cold attitude is 30 minutes, the patient is
a common misinterpreta:ion. charged $7; for -an hour the
Other patients feel neglected. charge is $15; for one to two
Their sickness is an emergency hours, $35: 2-3 hours $65; 3-4
to them, but we may have to hours, $100.
deal with worse ones." MEDICATION, supplies and
The University Hospital emer-aMeIaTiNysppies and
gency room officials plan o i any other auxiliary servics are
geny rom ffiias pan o sn-not included in the hourly fee.
plement some changes to alle- Smock blames the emergency
viate some of these problems. care set-up for the high rates,
They are establishing a new and suggests that a more effic-
staff position, nurse practi- ient system is needed to main-
tioner, to aid physicians with taro good quality primary care
patient care. eu in emergency situations.
This will relieve the pressure "Efficiency in health care
on the rest of the staff, and re- must be pursued to its utmost,"
duce the strain on the sysaem, he emphasized. "Emergency
explained Appegate. rooms should be run like a
ASA NURSE will be bsns
assigned to quickly assess each busine as efficiently as a
patient's condition before they busIss.
register. "HOSPITALS are competitive,
But the most distressing as- and this is just ego support,"
pect of emergency careis the Smock maintains. "For exam-
cost-on the average; far high- ple, Health Service and the Uni-
er than ordinary medical treat- versity Hospital Emergency
ment. Room should not be separate.
"If someone came in here at They would both work better if
mid-day with a sore th cat," they cooperated. Otherwise it's
says Smock, "it would cost not good business."
them $10. This is generally high- Ultimately, the low - income
er than a physician's office be- groups are hardest hit by the
cause of service and overhead." high cost of staying healthy -
Emergency care fees t Uni- these people make the most use
versity Hospital range between of the readily available medical
$10 and $35, with all supply and care in emergency rooms. But
service costs added to the pa- they can least afford it.
tient's final bill. Tomorrow: Alternatives to
ST. JOSEPH'S recently in- high-cost health care.

AELMiAI
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