Chapter 7

Care Should Take Place in Different Settings for Comfort and Value

One morning in 2013, Ted Carroll (not his real name), a man in his mid-sixties, was awakened from a sound sleep by a sharp, burning pain in his chest that radiated down his left arm. Ted suspected that he was having a heart attack, so he went to the nearest emergency room. At 6:02 a.m., he arrived at the Twinsburg Family Health and Surgery Center in Twinsburg, Ohio, a suburban clinic and outpatient surgery center operated by Cleveland Clinic.

The treatment team moved fast. When someone is having a heart attack, every minute counts. The longer the wait before intervention, the more lasting damage the heart muscle sustains. By 6:06, a nurse had seen and triaged Ted. ...

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