The GYN Emergent Care Center Model

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Our mission is to solve each woman’s health needs by immediately providing the highest quality medical care.

THE COMPLETE WOMEN CARE MODEL

Women healthcare issues are very common and not properly addressed in the current healthcare system. As of now, there are traditional OB-GYN offices that have limited access and scope of services. Hospitals and traditional ERs, on the other hand, are too complex and too slow to solve most of the simple OB/GYN problems. Patients with such problems often present an avoidable burden to crowded hospital emergency rooms. The current inadequate system delays patient care, increases patient risk, and medical care cost. Our vertically organized women’s healthcare model bridges the gap between traditional offices and community hospitals.

The Complete Women Care model includes multiple OB/GYN offices, the only GYN Emergent Care Center in California, and a specialized Surgical Center for advanced, minimally invasive GYN procedures. This model allows us to provide specialized and high-quality OB/GYN care for women on every level, whenever they need it.

  • OB/GYN Offices
  • GYN Emergent Care Center
  • Complete Care Surgical Center
  • Labaratory
  • Medication Dispensing
  • Imaging Center

GYN EMERGENT CARE CENTER | Open 24/7

The safest place to be in an OB/GYN emergency is a place where OB/GYN specialists are supported by the latest technology. Most OB/GYN offices and ERs are not equipped and staffed to handle GYN emergencies. At ERs, women encounter high cost, lack of OB/GYN specialists on staff, and long wait times. In OB/GYN offices, there’s a lack of proper equipment and testing technology on-site, no after hours or weekend availability, and long appointment wait times. This approach increases risks and delays appropriate patient care that women deserve in emergencies.

The GYN Emergent Care Center is designed to deliver faster, high-quality, more affordable, and easily accessible GYN and early pregnancy emergency care. Staffed with highly trained all-female OB/GYN specialists, it provides state of the art healthcare in a soothing and relaxing environment. It houses the latest technology necessary to provide on-site labs, imaging, diagnostics, medication dispensing and emergency surgery if needed, all in one location and in real-time.  Unlike other facilities that treat immediate symptoms only, the GYN Emergent Care Center stabilizes the condition, solves the problem and provides a plan of care, all of that with wait times of around 30 minutes.

JCAHO accredited

GYN EMERGENT CARE CENTER COMPARED TO OTHER FACILITIES

ACCESS TO GYN EMERGENCY CARE AND WAIT TIMES

The typical OB/GYN provider network has no ability to take care of a patient at 7 PM that has a partial miscarriage, an ovarian torsion, heavy bleeding, etc. Those patients’ ONLY option is to go to a hospital ER, where they wait 3-8 hours on average, see a non-specialist physician, pay an average of $4,200 for a GYN-related emergency and then incur more costs after the visit by being instructed to follow up with their specialist. We have had patients drive to us from 8 hours away (on many occasions!) after having gone to a local hospital ER and calling their local doctor because they were in such pain and nowhere else to turn to for help.

We, however, can genuinely treat these patients at our facility with minimal wait-times, much lower cost, and higher quality of outcomes. We have our own on-site lab, imaging, board-certified specialists, and operating rooms to take care of these patients. We put together this vertically-integrated model after seeing all the fragmentation, low accessibility, high cost, and pain that women were going through and set out to solve it.

 
HOSPITALCITYWAIT TIME
Lakewood Regional Medical CenterLakewood2h 52m
Huntington Beach HospitalHuntington Beach2h 24m
St. Mary’s Medical CenterLong Beach2h 45m
Coast Plaza HospitalNorwalk2h 56m
La Palma Intercommunity HospitalLa Palma2h 57m
Los Alamitos Medical CenterLos Alamitos3h 30m
Providence Little Co Of Mary Med Ctr San PedroSan Pedro3h 26m
Pacific Hospital Of Long BeachLong Beach3h 35m
Community Hospital Of Long BeachLong Beach3h 21m
Long Beach Memorial Medical CenterLong Beach4h 27m
Kaiser Foundation Hospital – DowneyDowney4h 37m
College Medical CenterLong Beach3h 59min
West Anaheim Medical CenterAnaheim3h 23min

URGENT CARE CENTERS AND ER REFERRALS TO THE GYN EMERGENT CARE CENTER IN 2019

Urgent Cares
Emergency Rooms
  • Del Rosario Medical Clinic
  • Long Beach Urgent Care Center
  • Urgent Care Plus
  • Memorial Care Medical Group
  • MedPost Urgent Care
  • Reliant Urgent Care LA
  • Culver City Urgent Care
  • A&C Urgent Care
  • Urgent Care 3D
  • Lawndale Urgent Care
  • Walk-In Medical Clinic
  • MedPost Lakewood
  • MedPost Anaheim Hills
  • MedPost Los Alamitos
  • Urgent Care Plus
  • OptumCare Urgent Care
  • Nail Urgent Care
  • Hoag Huntington Beach
  • Providence Urgent Care Carson
  • FPA Long Beach
  • West Coast Urgent Care
  • Advanced Urgent Care of Pasadena
  • Reddy Urgent Care
  • Providence Urgent Care Manhattan Beach
  • Healthcare Partners Urgent Care
  • US Coast Guard Medical Clinic
  • La Mirada Urgent Care
  • Urgent Care at Newport Center
  • Los Angeles Air Force Clinic
  • Reliant Urgent Care Santa Fe Springs
  • Planned Parenthood
  • Exer Urgent Care MBTorrance Urgent Care
  • Paul’s Immediate Care
  • Long Beach Memorial Medical Center
  • Adventist Health White Medical Memorial
  • Fountain Valley Regional Medical Center
  • Providence Little Company of Mary 
  • Martin Luther King Hospital
  • Lakewood Regional Hospital
  • Providence Little Company of Mary Medical Center

CASE STUDIES

Patient is MK 31-year-old female; never been pregnant; presented with acute pelvic pain to MD office. Patient sent to ER: full blood work done, U/S and CT of abdomen and pelvis. Patient diagnosed with pelvic mass of 23 cm. GYN consult obtained. Patient was told to schedule F/U with her PCP. Meanwhile, 5 injections of morphine were given to patient. After 17 hours in the ER, the patient was sent home late into the night. The next morning, the patient presented herself back to PCP office. At this time, no appointment with any OB-GYN is available. 

Patient found our GYN Emergent Care Center, where large cyst and free fluid were confirmed. Patient had symptoms of acute abdomen. Laparoscopic procedure was initiated within 60 minutes and performed over 90 min. About 1000 cc of bloody fluid is removed from the cyst and abdomen. Deflated cyst walls of about 23 cm were removed from 12 mm port. After the surgery, the patient was discharged in stable condition in 2 hours.

Patient is FV 35-year-old with profuse bleeding and pelvic pain for 3 days that was getting worse. That morning, she presented to Loma Linda ER, where she waited about 7 hours to be seen. Blood work was done, CT, and U/S of pelvis was performed. The patient was told that a GYN consult was obtained by ER physician over the phone and she was D/Ed with a prescription of narcotics and advised to F/U with her OB-GYN. The patient’s next appointment was available in 6 weeks.

The patient found our GYN Emergent Care Center on Google and drove to us. Severe anemia was confirmed, and a very thick endometrium was found. Patient was passing clots and had tachycardia and dehydration. Emergency HSC, D&C was performed within 30 minutes and bleeding was stopped. Complex hyperplasia and atypia were confirmed. A Mirena IUD was placed a week later and the patient is doing well.

Patient CT is 30-year-old female patient that had acute pelvic pain “10/10”; she was seen in ER of the nearby hospital. Blood work was done, CT and U/S performed and an ovarian cyst was found. Patient was given IV morphine and told to F/U with her OB/GYN. 

Patient could not get appointment for a week and started to vomit, had chills, and was unable to stand. Her family drove her to our GYN Emergent Care Center, where diagnosis of intermittent torsion was done. Patient was taken to our adjoining OR for laparoscopic surgery within 45 minutes of initial arrival. Right Fallopian tube was already necrotic and had to be removed, but the ovary was saved and cyst was removed. Patient was discharged home in 2 hours in stable condition with pain at “1-2 out of 10.”

We have also had patients showing up at our GYN Emergent Care Center with DIC having blood transfusions and being discharged without treatment of adenomyosis, a patient with a ruptured hemorrhagic cyst actively bleeding and critical low blood count, a patient with ruptured ovarian abscesses and sepsis, and a patient with a ruptured ectopic pregnancy. These were all initially seen in the hospital ER, where they racked up enormous costs, and discharged without treatment. If they had been initially properly channeled into our care at our GYN Emergent Care Center to begin with, they would have had safer, faster, better outcomes that would be much less costly than their ER visits.

Patient is a twenty 20-year-old female. She presented to the GYN ECC complaining of severe left-vulvar pain. The pain was as strong as a 9/10 and the patient was unable to sit or walk because of it. Over the last 12 weeks, the patient had 3 similar episodes of pain.

First, she presented to the ER at the hospital. She was diagnosed with a bartholini cyst abscess. The ER doctor cut and drained the abscess with no anesthesia. The abscess reoccurred after several weeks. The patient went to her OB/GYN doctor, who did the same thing in the office. On the 3rd occurrence of the problem, the patient was evaluated in our clinic and immediately sent to our GYN Emergent Care Center.

The patient was first given pain medication through injection and oral administration. A local anesthetic was injected over the abscess, and the abscess was drained and a Ward catheter was placed. The patient was discharged in stable condition with minimal pain. Two weeks later, the catheter was removed. Several months later, the patient was pain and symptom free.

By placing the Ward catheter, the patient developed a new drainage canal for the cyst preventing reoccurrence of the abscess. Neither the ER nor the other OB/GYN doctor had the proper equipment, supply, and treatment to resolve the patient’s medical issue like we did.

The patient is a 28-year-old female at 9 weeks of her first pregnancy. She came to our office complaining of severe nausea, vomiting, and was unable to keep any oral intake. We confirmed she had a viable pregnancy. We conducted a physical exam in our office and the urine analysis showed that the patient was dehydrated.

A traditional OB/GYN office would have sent the patient to the hospital for IV hydration. We sent the patient to our GYN Emergent Care Center, where immediately IV hydration was started and three medications for nausea were given. By the fourth hour, the patient was stable, symptom-free and was discharged home. She followed up in two weeks and her pregnancy continued without any further incident.

If she had gone to a hospital, she would first need to be admitted in the ER, and then a GYN consult would be requested in the hospital. The patient would have stayed longer, and the cost would be much higher.

The patient is a 36-year-old female, currently on her 2nd pregnancy with an estimated fetal age of 6 weeks. She started to have heavy bleeding and passing clots. She called several OB/GYN offices and they were unable to see her any sooner than a week’s time. The patient did not want to go to the hospital ER because of prior unsatisfactory experience.

The patient called our office, was triaged over the phone by our nurse, and came to our GYN Emergency Center. The patient was seen within 30 minutes of arrival. A physical exam and ultrasound were done, and it was found that the patient had a twin pregnancy with an active miscarriage of one fetus. The patient was advised about the findings. She was also given an injection of Rhogam because of Rh negative blood type. The patient was advised to come back in 7 days or immediately if her bleeding got worse.

7 days later, during her follow-up visit, her physical exam was normal. The ultrasound confirmed a single, viable pregnancy, and the patient continued pre-natal care with our group without any further complications.

If the patient had ended in the ER, she would have had an extensive work-up over many hours, a GYN consultant would have been involved, and the patient would need to go back to the community OB/GYN physician. The community OB/GYN physician would typically repeat the entire work-up from the beginning, resulting in duplicated costs and anxiety and worry for the patient. Coming to us, the patient felt safe and informed about her condition. 

PATIENT SATISFACTION

Quality healthcare and patient satisfaction are two of our top priorities. All of our patients are asked to fill out a patient satisfaction survey after their visit. The survey results are evaluated on a weekly basis and serve us as guide on where we need improvement. Here is a summary of answers for received in 2019 for the GYN Emergent Care Center.

CALLING US
 
Strongly Agree
Neutral
Disagree
Your phone calls are answered promptly
93%
6%
2%
Your hold time is minimal
92%
9%
1%
All your questions are resolved in one call
86%
6%
2%
CARE RECEIVED
 Very SatisfiedNeutralNot Satisfied
Care & attention provided at reception90%4%6%
Care provided by doctors and nurse practitioners89%2%9%
Care provided by other staff members90%5%5%
WAIT TIME
 Very SatisfiedNeutralNot Satisfied
How satisfied were you with your wait time81%16%7%
BILLING
 Very SatisfiedNeutralNot Satisfied
How satisfied were you with the billing process51%41%2%
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