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Booking a Trip to the ER on Your Smartphone? It’s a Breeze

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In this Sept. 17, 2014 photo, Lauren Wesolowski Toth demonstrates the InQuicker online service she used to schedule an emergency room appointment, in New York. Online services such as ZocDoc and InQuicker are enabling patients with non-life-threatening conditions to schedule everything from doctor’s office visits to emergency room trips on their laptops and smartphones, much like OpenTable users do with restaurant reservations. (AP Photo/Bebeto Matthews)

In this Sept. 17, 2014 photo, Lauren Wesolowski Toth demonstrates the InQuicker online service she used to schedule an emergency room appointment, in New York. Online services such as ZocDoc and InQuicker are enabling patients with non-life-threatening conditions to schedule everything from doctor’s office visits to emergency room trips on their laptops and smartphones, much like OpenTable users do with restaurant reservations. (AP Photo/Bebeto Matthews)

LINDA A. JOHNSON, AP Business Writer

TRENTON, N.J. (AP) — It’s like OpenTable for medical appointments.

No waiting weeks to see a dermatologist. No sitting for hours in the emergency room. No frantic calls to find a family doctor with openings.

Online services such as ZocDoc and InQuicker are enabling patients with non-life-threatening conditions to schedule everything from doctor’s office visits to emergency room trips on their laptops and smartphones — much like OpenTable users do with restaurant reservations.

Hospitals and doctors increasingly are subscribing to the services to simplify appointment scheduling for patients who dislike waiting on hold and are comfortable doing everything from shopping to banking online.

With most of the services, booking is as simple as going to a website, entering a zip code and the kind of care needed, and checking available times. Patients can get a doctor appointment within a couple days, even if they’re a new patient. And the services say most patients are seen within 15 to 20 minutes of their appointment, and when an ER backs up, patients with reservations are texted to come later.

“I truly believe talking to people on the phone to schedule doctors’ appointments will be something of the past very soon,” says Natan Edelsburg, a New York resident who has made 10 doctor appointments through one of the biggest online medical appointment booking services, ZocDoc.

Doctors and hospitals are using such services to attract and retain patients as the health care landscape keeps getting more competitive. With the nationwide proliferation of urgent care centers and pharmacy clinics open on nights and weekends, patients have more convenient options than ever before.

The booking websites also are a way for hospitals and doctors to try to please patients at a time when they face new financial incentives to do so. Starting this year, the Affordable Care Act, which requires most Americans to have health insurance, increases or reduces the Medicare payments hospitals receive each year based on patient satisfaction and quality. That can have a significant impact: Medicare, which covers Americans 65 and older and others with disabilities, pays for 43 percent of hospital patients’ care. A similar program for doctors starts next year.

“I don’t think you can compete in our medical practice marketplace without being a ZocDoc participant,” says Dr. Bobby Buka, a New York dermatologist who gets about 15 patients a week from ZocDoc.

EASY BOOKING

The services, which are free for patients but usually charge $200 to $300 per doctor a month, are benefiting from the focus on making scheduling easier for patients.

ER Express, an Atlanta startup, books reservations for more than 150 ERs and urgent care centers in nearly 30 states. It served more than 40,000 patients in 2014, up 300 percent from 2013.

Meanwhile, ZocDoc, which is based in New York, has more than 6 million patients per month making appointments for dentists, family doctors and 40-plus types of specialists in more than 2,000 cities. ZocDoc was started in 2007 by Cyrus Massoumi, who was frustrated trying to get care after his eardrum ruptured during a long flight and he had to wait four days to see an ear specialist.

“We think everyone in America will be booking online eventually,” Massoumi says.

InQuicker had a similar origin. It also was founded by someone who had some experience with the hassles of scheduling medical appointments. Tyler Kiley, who’d spent lots of time in ERs growing up because his mom was an ER nurse and his dad a hospital administrator, started it in 2006. He says he’d seen lots of unnecessary waiting, so he created software for online check-ins.

Growth surged after current CEO Mike Brody-Waite joined in 2010, bringing his marketing expertise: InQuicker now serves 224 hospital ERs, 517 doctor practices, 126 urgent care centers, and some other medical providers. The Nashville company scheduled 302,000 appointments in 2014, up more than 80 percent from 2013, and its revenue was $7 million. Revenue is projected to reach $15 million this year, says marketing chief Stacie Pawlicki.

WIN-WIN-WIN

Doctors and hospitals say the services help attract new patients.

At Northwestern Lake Forest Hospital outside Chicago, assistant ER director Dr. Steve Edelstein says ER Express sends about 40 patients a month to his ER and the hospital’s nearby Grayslake Emergency Center. A quarter are new patients, and he says those tech-savvy customers “are generally more likely to have credit cards and good insurance” than others.

“It’s been nothing but a benefit,” Edelstein says.

Jersey City Medical Center and its two urgent care centers rolled out InQuicker two years ago and use grew quickly. Together, they draw roughly 300 patients a month — 70 percent of them new patients — through InQuicker and their own healthstops.com site.

“It’s helped a lot with patient satisfaction,” says operations chief Kirat Kharode. His ER’s average wait to see a doctor is 35 minutes, versus 15 or less with a reservation.

Some patients also like the benefits of booking online. Lauren Toth, 29, made an ER reservation last spring at Jersey City Medical Center when her foot swelled up and red spots covered her leg.

“When I got there, the waiting room was packed. There must have been 50 people there, and they took me in 10 minutes,” recalls the Manhattan public relations representative.

Doctors advised rest and ice packs and sent her home for follow-up. Later, a dermatologist diagnosed inflamed blood vessels and prescribed medication.

“This could revolutionize the way emergency care is delivered,” Toth says.

___

Follow Linda A. Johnson at http://twitter.com/LindaJ_onPharma

Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Commentary

Doctors Seeing More Cases of Preventable Childhood Illnesses

OAKLAND POST — Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

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By Stacy M. Brown

Doctors across the United States say they are treating children for illnesses that routine vaccinations once made increasingly uncommon, raising concerns that years of declining immunization rates are beginning to reverse decades of public health progress.

Pediatricians have described seeing more cases of whooping cough, rotavirus infections, bacterial pneumonia and other potentially life-threatening illnesses that vaccines have long helped suppress. Some physicians reported treating conditions they had rarely encountered during their careers, while others said that growing vaccine hesitancy is changing how emergency rooms and hospitals care for children.

The reports come as measles outbreaks continue to spread across multiple states and vaccination coverage remains below federal public health targets.

Johns Hopkins University’s International Vaccine Access Center reported 2,077 confirmed measles cases nationwide as of May 29. Researchers warned that outbreaks reported across the country have raised concerns about continued transmission, additional hospitalizations and deaths, and the possible loss of the nation’s measles elimination status.

Public health experts have long viewed measles as a warning sign because of its ability to spread rapidly through communities with lower vaccination coverage. The New York Times reported that physicians increasingly fear the resurgence of measles may be followed by the return of other vaccine-preventable diseases.

Doctors say that is already happening.

Dr. Meghan Hofto, a pediatric hospitalist at the University of Alabama at Birmingham, said she has already treated roughly as many children with rotavirus this year as she saw during the previous decade. Rotavirus once caused tens of thousands of hospitalizations annually before vaccines sharply reduced its spread. None of the children she treated this year had been vaccinated.

Hofto also described caring for infants with pertussis, commonly known as whooping cough.

“It’s hard to know when they’re safe to go home,” Hofto told The Times.

The rise in whooping cough cases has been particularly striking. More than 28,000 cases were reported nationwide last year, compared with approximately 7,000 in 2023, according to figures cited by The Times. Many of the affected infants were too young to receive vaccinations themselves and relied on broader community protection to reduce their exposure.

Other doctors described similarly troubling cases.

Dr. Jessica Kirk, a pediatric hospitalist in Alabama, recently treated an unvaccinated toddler hospitalized with pneumonia caused by simultaneous infections of Haemophilus influenzae and Streptococcus pneumoniae. Vaccines exist to protect against both illnesses. The child required oxygen and antibiotics to recover.

Researchers at Johns Hopkins have been tracking vaccination trends nationwide and found continuing signs of vulnerability.

At the same time, vaccine policy has become increasingly contentious in state legislatures.

Johns Hopkins researchers reported that lawmakers across the country continue to introduce bills affecting childhood vaccination requirements, vaccine access and non-medical exemptions. Researchers also noted that state policies governing exemptions remain a significant factor in vaccination coverage and disease transmission risks.

Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

For doctors confronting the return of illnesses that vaccines once pushed to the margins of American medicine, the challenge is becoming increasingly personal.

“It just feels like you’re a tiny little boat with a giant tidal wave coming at you,” Dr. Erin Charles, a regional pediatric hospitalist at Seattle Children’s Hospital, told reporters. “And you might convince one family here and there.”

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Bay Area

How Is AI Affecting California? The State Wants You to Share Your Story

The program marks the first time the state has opened the platform to all Californians. State officials said the effort is designed to give residents a direct role in discussions about how AI should be regulated and used as the technology rapidly expands across industries.

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By Bo Tefu, California Black Media  

Gov. Gavin Newsom announced May 7 that California is expanding its Engaged California digital democracy initiative statewide, inviting residents to help shape future state policies on artificial intelligence (AI) and its impact on jobs and the economy.

The program marks the first time the state has opened the platform to all Californians. State officials said the effort is designed to give residents a direct role in discussions about how AI should be regulated and used as the technology rapidly expands across industries.

“We’ve got to be clear-eyed about this moment: AI is moving fast, bringing enormous opportunity, but also real risks,” Newsom said in a statement. “Californians deserve a seat at the table as we shape what’s to come.”

The initiative will roll out in two phases. Beginning immediately, Californians can sign up online to share how AI is affecting their work and communities and provide ideas for possible government action. Later this summer, a smaller group reflecting the state’s workforce demographics will participate in live discussions focused on developing policy recommendations.

State officials said the goal is to identify areas of agreement among Californians and provide policymakers with public feedback as the state develops future AI regulations and workforce strategies.

Engaged California is modeled after digital democracy programs used in Taiwan and is intended to encourage structured public discussion rather than social media-style debate. Officials described the effort as a form of “deliberative democracy” aimed at helping residents engage directly in state decision-making.

“The more Californians are engaged in the democratic process, the better able we’ll be to confront the challenges we face together,” said Nick Maduros, California Secretary of Government Operations, in a statement.

The statewide launch builds on two earlier pilot programs. One pilot gathered public input following the Los Angeles firestorms to help guide recovery efforts, while another collected ideas from state employees about improving government operations.

California has positioned itself as a national leader in AI policy and development. Since 2023, the Newsom administration has introduced initiatives focused on responsible AI use in government, cybersecurity protections, workforce training and regulations targeting risks such as deepfakes and AI-generated robocalls.

The state has also partnered with companies in Silicon Valley — including NVIDIA, Google, Adobe, IBM and Microsoft — to expand AI education and workforce training programs across California schools and universities.

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Activism

OP-ED: AB 1349 Puts Corporate Power Over Community

Since Ticketmaster and Live Nation merged in 2010, ticket prices have jumped more than 150 percent. Activities that once fit a family’s budget now take significant disposable income that most working families simply don’t have. The problem is compounded by a system that has tilted access toward the wealthy and white-collar workers. If you have a fancy credit card, you get “presale access,” and if you work in an office instead of a warehouse, you might be able to wait in an online queue to buy a ticket. Access now means privilege.

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Bishop Joseph Simmons, Senior Pastor, Greater St. Paul Baptist Church, Oakland
Bishop Joseph Simmons, Senior Pastor, Greater St. Paul Baptist Church, Oakland

By Bishop Joseph Simmons, Senior Pastor, Greater St. Paul Baptist Church, Oakland

As a pastor, I believe in the power that a sense of community can have on improving people’s lives. Live events are one of the few places where people from different backgrounds and ages can share the same space and experience – where construction workers sit next to lawyers at a concert, and teenagers enjoy a basketball game with their grandparents. Yet, over the past decade, I’ve witnessed these experiences – the concerts, games, and cultural events where we gather – become increasingly unaffordable, and it is a shame.

These moments of connection matter as they form part of the fabric that holds communities together. But that fabric is fraying because of Ticketmaster/Live Nation’s unchecked control over access to live events. Unfortunately, AB 1349 would only further entrench their corporate power over our spaces.

Since Ticketmaster and Live Nation merged in 2010, ticket prices have jumped more than 150 percent. Activities that once fit a family’s budget now take significant disposable income that most working families simply don’t have. The problem is compounded by a system that has tilted access toward the wealthy and white-collar workers. If you have a fancy credit card, you get “presale access,” and if you work in an office instead of a warehouse, you might be able to wait in an online queue to buy a ticket. Access now means privilege.

Power over live events is concentrated in a single corporate entity, and this regime operates without transparency or accountability – much like a dictator. Ticketmaster controls 80 percent of first-sale tickets and nearly a third of resale tickets, but they still want more. More power, more control for Ticketmaster means higher prices and less access for consumers. It’s the agenda they are pushing nationally, with the help of former Trump political operatives, who are quietly trying to undo the antitrust lawsuit launched against Ticketmaster/Live Nation under President Biden’s DOJ.

That’s why I’m deeply concerned about AB 1349 in its current form. Rather than reining in Ticketmaster’s power, the bill risks strengthening it, aligning with Trump. AB 1349 gives Ticketmaster the ability to control a consumer’s ticket forever by granting Ticketmaster’s regime new powers in state law to prevent consumers from reselling or giving away their tickets. It also creates new pathways for Ticketmaster to discriminate and retaliate against consumers who choose to shop around for the best service and fees on resale platforms that aren’t yet controlled by Ticketmaster. These provisions are anti-consumer and anti-democratic.

California has an opportunity to stand with consumers, to demand transparency, and to restore genuine competition in this industry. But that requires legislation developed with input from the community and faith leaders, not proposals backed by the very company causing the harm.

Will our laws reflect fairness, inclusion, and accountability? Or will we let corporate interests tighten their grip on spaces that should belong to everyone? I, for one, support the former and encourage the California Legislature to reject AB 1349 outright or amend it to remove any provisions that expand Ticketmaster’s control. I also urge community members to contact their representatives and advocate for accessible, inclusive live events for all Californians. Let’s work together to ensure these gathering spaces remain open and welcoming to everyone, regardless of income or background.

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