Quote:1) I actually agree with this somewhat. Thats why you see the proliferation of stand alone ER's (cause no certificate of need required). 

 

Stand alone ERs are designed to do one critical thing: capture geography. You place SAERs into the parts of town where Rescue would not otherwise be able to select your hospital as a primary destination when the call requires the closest available facility. Once the patient is there and you stabilize him/her then you transport them to your hospital to capture the admission. Yes, they are easier to license, but they have a very specific strategic purpose.

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