Texas has addressed concierge emergency rooms in a different way. The state allows free-standing emergency rooms, many of which act as concierge providers. The advantage is the greater attention and the quicker passage through the emergency room. Like Priority, though, if you’ve been shot or need surgery, the staff members will get you to a hospital emergency room.
The Texas Freestanding Emergency Medical Care Facility (FEC) Licensing Act was first enacted in 2009 by the 81st Legislature. A freestanding emergency medical care facility is a facility that is structurally separate and distinct from a hospital and which receives an individual and provides emergency care. Emergency care is defined as health care services provided in a freestanding emergency medical care facility to evaluate and stabilize a medical condition of a recent onset and severity, including severe pain, psychiatric disturbances, or symptoms of substance abuse, that would lead a prudent layperson possessing an average knowledge of medicine and health to believe that the person’s condition, sickness, or injury is of such a nature that failure to get immediate medical care could result in:
- placing the person’s health in serious jeopardy
- serious impairment to bodily functions
- serious dysfunction of a bodily organ or part
- serious disfigurement
- or in the case of a pregnant woman, serious jeopardy to the health of the woman or fetus
The Department develops rules that establish minimum standards for licensing procedures; for granting, denying, suspending, and revoking a license; for licensing fees; for operation; and for requirements concerning design, construction.
At 3 a.m. on a recent Sunday, Herb Wilson’s wife fell backward in the bathroom of their New York apartment and hit her head. It was not her first fall. She has Parkinson’s disease and has fallen many times, causing him worry. The previous time his wife had fallen, Mr. Wilson, 79, had taken her to a hospital emergency room, where they spent five hours waiting for her to be examined and discharged. This time, they went to a concierge emergency room for faster service. “I called up at 3:15, and they said come over,” Mr. Wilson said. “I walked in there at 3:30 in the morning, and a physician, a technician and a physician’s assistant were waiting for me, literally, at the door.” The facility, Priority Private Care, administered a CT scan and read the results on the spot. Mr. Wilson’s wife was fine, and they went home. “I was out of there in 40 minutes,” he said.
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