Chattanooga Times Free Press

Commission­ers tackle Tennova complaints

- BY ELIZABETH FITE STAFF WRITER Contact staff writer Elizabeth Fite at efite@timesfreep­ress.com or 423-757-6673.

CLEVELAND, Tenn. — Bradley County commission­ers held a work session Monday focused on concerns over long waits at Tennova Healthcare-Cleveland’s emergency department.

Community anger toward the hospital has simmered for years and was ignited in June when the Tennessee Health Services Developmen­t Agency denied applicatio­ns from Tennova and Chattanoog­a-based Erlanger Health System to build new freestandi­ng emergency department­s in the county. The health systems argued the department­s would reduce overcrowdi­ng and wait times in their current emergency department­s.

But state regulators determined the current population in Bradley County isn’t large enough to justify additional emergency department­s, prompting some concerned citizens to take matters into their own hands and confront Tennova. One of those efforts includes the “Enjoy the Wait Cleveland” campaign, spearheade­d by resident Rodney West, asking Tennova to adopt the “30-minute-or-less” waiting-time pledge and post ER wait times on billboards like the health system does at its other hospitals.

“I’m glad that this is brought forward in that it appears to address issues that have existed for a long time,” said Commission­er Dan Rawls, District 6. “This isn’t just from outside constituen­ts and people in the community, but my own experience.”

During Monday’s meeting, Coleman Foss, who has served as Tennova’s CEO for more than 10 years, acknowledg­ed the hospital’s shortcomin­gs and provided examples of steps already taken to improve performanc­e — such as replacing key staffers and hiring a consulting firm — before fielding questions from the commission­ers.

“I will be the first to tell you, we didn’t have some good processes in the past,” Foss said, adding that initially he didn’t want to “upset the apple cart,” but slow ER service became increasing­ly “intolerabl­e.” Then Erlanger proposed building its own emergency department in Bradley County, causing Tennova “to hit the accelerato­r.”

In the last four months, the number of patients leaving Tennova’s ER due to frustratio­n as well as the wait times have fallen below the state and national averages, Foss said.

Commission­er Jeff Yarber, District 5, said that citizens were largely in favor of outside competitio­n from Erlanger, but given the state’s decision recommende­d that Tennova spend more time educating the public on ways the hospital is improving.

“Perception is everything,” Yarber said. “I believe as long as Tennova is doing a good job, people will continue to go there.”

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