Seminars and Publications

SEMINARS and PUBLICATIONS
Table of Contents
1. BASIC Equipping for Disasters, Sheltering at Home
2. New Seminar: Take Home Version of Practicing Medicine by Physician House Calls Seminar

BASIC Equipping for Disasters, Sheltering at Home
(Revision Date: September 12, 2022)
The Seminar, BASIC Equipping for Disasters, Sheltering at Home, is a hands-on skills Seminar offered 6:30 P.M.-8:00 P.M. It is a pre-arranged Seminar hosted at someone's home or work place for groups of at least three households (5-10 people). For details, please Email your request to me, 'Dr. John', at PhysicianHouseCalls@roadrunner.com.

Rest assured. All names are kept strictly confidential of everyone who has taken our past Seminars, BASIC and ADVANCED Equipping for Disasters, Sheltering at Home. Also, there’s no list of anybody’s names.

This encouraging and fun hands-on training, BASIC Equipping for Disasters, Sheltering at Home, allows us to remain faithful Good Neighbors. We obediently follow the two most important Commandments from God spoken by Jesus in the Word of God, The Holy Bible.

This happened when an expert in the Law of Moses, a ‘religious attorney’, confronted and questioned Jesus whether or not He knew the most important Commandment of God. This expert in the Law did not believe Jesus was the Son of God, the Messiah, the Savior,
"Jesus replied: “ ‘Love the Lord your God with all your heart and with all your soul and with all your mind. This is the first and greatest commandment. And the second is just like it: ‘Love your neighbor as yourself.’ All the Law and the Prophets hang on these two commandments.” (Matthew Chapter 22: verses 37-39)

In your Seminar, BASIC Equipping for Disasters. Sheltering at Home, we will all have fun practicing the hands-on skills together as Good Neighbors. This includes how to wisely and economically prepare our homes, families and neighbors based on the Bible’s Six Basic Necessities, which were spoken by Jesus, whose Name is “Word of God” in the Holy Bible,
“For when I was hungry, you gave me something to eat, I was thirsty and you gave me something to drink, I was a stranger and you invited me in, I needed clothes and you clothed me, I was sick and you looked after me, I was in prison and you came to visit me.” (Matthew Chapter 25: verses 35-36)

Let us wisely prepare and be ready with:
1.Food that is inexpensively purchased and wisely stored long-term.
2.Water that has been reliably filtered and chlorine-treated at-home to be safe-to-drink.
3.Home or Shelter that is safe, secure and warm with safe heat. In addition, we discuss long-term daily safe use of home-generators, and practice the hands-on skills of how to properly preserve and store gasoline (two-years) and how to maintain and refuel a generator, even at night or in the worst of weather.
4.Clothing that could also be shared with “those in greater need” during a disaster or in time of need (hats, clothing, coats, shoes/boots, baby clothing, and diapers).
5.Medicine and Surgery to “care for those in greater need” during a disaster who are sick or injured using tested and evaluated 45 home-care instructions by me, an emergency physician, missionary, former special operations medical officer, and inventor of the Federally-Registered PORTABLE ER® and Trademarked Emergency Physician House Calls™.
6.Visitation to safely travel using preserved gasoline to “care for those in greater need” often imprisoned at-home alone, unprepared, with little family to help during a disaster.

In your Seminar, BASIC Equipping for Disasters. Sheltering at Home, it is required that every person, couple, or household must have first purchased and studied their own copy of the Fifth Revised Edition (© March 27, 2020), Textbook of Equipping for Disasters. Sheltering at Home.

The required Textbook of Equipping for Disasters. Sheltering at Home is purchased by first making a tax-deductible donation of $60.00 by check payable to “Saved by Grace Ministry, Inc.” and mailing your Textbook request and check to Dr. and Mrs. John and Janice Sterba, 226 Center Rd., East Aurora, NY 14052. The Textbook of Equipping for Disasters. Sheltering at Home will be mailed, or personally dropped off, with your tax-deductible Receipt and Thank You letter.

This way, everyone can study and become informed. Everyone must write down their three most important questions or concerns in advance.  Pre-reading the Textbook of Equipping for Disasters. Sheltering at Home and coming up with three questions is required for all before I will agree to schedule your Seminar. This is not an entertaining lecture; it's hands-on training.

People can also purchase their Textbook of Equipping on-line by PayPal or credit card making their tax-deductible electronic donation to “Saved by Grace Ministry, Inc.” using our Donate Button found on website, www.PhysicianHouseCalls.org on the Home Page and down below on this Seminars and Publications page.

Also, please call us (716) 655-6854 or Email (PhysicianHouseCalls@roadrunner.com) how many Textbooks of Equipping you want mailed out and please confirm your mailing address.

At this Seminar, BASIC Equipping for Disasters. Sheltering at Home, everyone learns fast and efficiently by first turning to that particular section of their Textbook of Equipping.

Supervised hands-on skills training is overseen by me, John A. Sterba, M.D., Ph.D., FACEP, FACCWS. I’m an emergency physician, missionary, and former special operations medical officer (Commander, Medical Corps, USNR). All skills were done overseas during disasters.

Your hands-on skills include:
1.How to inexpensively buy and safely store food long-term using double-freezer bags and evacuating air from the bags. How to set up an inexpensive Food Pantry with labeling system, inexpensive see-through bins, and inexpensive five-level shelving units fully Tested and Evaluated and published in Chapter Five of the Textbook of Equipping.
2.How to safely use water filters and Clorox™ (regular and extra strength bleach) to purify any water, labeling safe-to-drink water jugs, plus how to remove chlorine smell and taste prior to drinking purified water.
3.How to select the smallest possible, least expensive, and most efficient home generator adding up the running and start-up (surge) Watts for only essential items at home (e.g., furnace blower, refrigerator/freezer, sump pump, key lights, washer, kitchen outlets, etc.)
4.How to correctly use proven gasoline additives to preserve gasoline for up to two-years.
5.How to mark and safely store plastic gasoline cans and rotate gasoline to keep your gasoline fresh.
6.How one small person can safely maintain and refuel a home gasoline generator using a gasoline-funnel and gasoline-approved hose for refueling at night, in the rain, using a headlamp.
7.How to set up a Disaster Plan of families and neighbors caring for each other, especially “caring for those in greater need” in your neighborhood. This is done overseas, daily.
Being prepared takes commitment to first study at-home, then practice together.

Costs: Every household signing up to attend the Seminar is encouraged to make two tax-deductible donations. The first is the Seminar donation of $200.00 per household (a family, or couple, or an individual). The second is their Textbook of Equipping... donation of $60.00 per household (a family, or couple, or an individual).

The Total donation is $260.00 donation per household.

These are payable by check to “Saved by Grace Ministry, Inc.”, or by cash, or on-line by PayPal or credit card making their tax-deductible donation to “Saved by Grace Ministry, Inc.” using our website, www.PhysicianHouseCalls.org. Please use the Donate button found on the Home page or on this Seminars and Publications page, below.

For more information or if you have any questions about your hands-on Seminar, “BASIC Equipping for Disasters. Sheltering at Home”, please call (716) 655-6854, Monday-Friday, 9:00 A.M.-5:00 P.M., or Email (PhysicianHouseCalls@roadrunner.com)

New Seminar:

"Take Home Version of

Practicing Medicine by

Physician House Calls Seminar"

Fifth Revision Date: March 27, 2020, Updated with COVID-19

Due to COVID-19, we suspended just our

In-Office, Hands-on Seminars and our

Hands-on Advanced Skills Training Seminars

From a Grant (Margaret L. Wendt Foundation of Buffalo, NY), we began teaching others how to successfully start-up their own Physician House Calls. Well-received teaching first began with enthusiastic University at Buffalo medical students. Now, local, out-of-state and Canadian physicians, nurse practitioners, and physician assistants request us to teach how to start-up or improve their private practices of Physician House Calls.

Please know that I am not recruiting or hiring. I teach others all about Physician House Calls from 18 years of treating 9,800 emergency patients with the PORTABLE ER®; 4,300+ emergency patients overseas (Sierra Leone post-Civil War, Honduras post-hurricane and the Dominican Republic's Haitian Refugee healthcare crisis), and from treating 5,500 emergency patients here in the Greater East Aurora Area: www.PhysicianHouseCalls.org.

Due to public demand expressed to us, I have been equipping others to “care for those in greater need, at-home” with the Joy of Practicing Medicine. We teach how to code, bill and chase-down your hard-earned income, plus reduce overhead, reduce your medical malpractice risk and premiums, and reduce nearly all other costs. It works.

Before COVID-19, these “Practicing Medicine by Physician House Calls” Seminars were hands-on in a two-hour In-Service Seminar privately taught at-home and in the office.

Now, it can be conveniently taught digitally in a Take-Home Version with excellent feedback.

Please request by Email (PhysicianHouseCalls@roadrunner.com) our two-page PowerPoint Seminar Outline.

Now, physicians and mid-level providers taking the Seminar by Take-Home Version receive by Email the updated 11-page, highly-referenced Seminar Notes covering everything in our new 180+-slide PowerPoint Presentation with COVID-19 plus many practical hand-outs and our research article (Sterba, JA. Wound Care on the Go. ‘Portable ER’ Allows Physician to Reinvent House Calls. Today’s Wound Clinic. 2012, September: 18-21.).

The required updated reference book, Textbook of Equipping for Disasters, Sheltering at Home, is used especially the 101-page Chapter Ten, a full inventory of “The Community-Based Portable ER”, plus other key Chapters and COVID-19 methods.

It is all found in: Sterba, JA and JE Sterba. Textbook of Equipping for Disasters, Sheltering at Home. Revised & Expanded, Fifth Edition. Saved by Grace Ministry, Inc., 226 Center Rd., East Aurora, NY 14052, March 27, 2020; 250 pages.

To preview the Textbook of Equipping for Disasters, Sheltering at Home, please go to www.PhysicianHouseCalls.org and scroll down to the Tab, “Seminars and Publications”.

Those taking the Seminar by Take-Home Version can study the full written inventory of the (e.g. General Medical/Surgical Kit “G”, Exam Room with Minor Wound Care) plus pharmaceuticals and medical/surgical supplies with ordering information we have used the past 13 years locally for 5,500+ Physician House Calls here in WNY.

Our Physician House Calls (Emergency Physician House Calls™) use America’s first community-based and federally-registered PORTABLE ER®.

The Seminar, "Practicing Medicine by Physician House Calls” is only by the very convenient Take-Home Version of the updated 180-slide PowerPoint Presentation with Tested & Evaluated (T&E) COVID-19 methods. As above, all updated handouts are provided and the Textbook is also required.

In the Take-Home Version of the Seminar, “Practicing Medicine by Physician House Calls”, current literature, accelerating national trends and local research on Physician House Calls in WNY are reviewed.

Our research documented what may seem obvious that Physician House Calls are “faster, better, and cheaper” than hospital-based emergency departments (ED). Well known by the public and replicated in peer-reviewed medical literature, hospital EDs are too expensive, under-staffed, over-crowded, most-stressful with burn-out, and the confirmed major source of nosocomial I.D. infections especially COVID-19.

Surgical and Medical Care with Full Insurance Payment by Physician House Calls

Our first research study documented that in 45 patients treated by Physician House Calls in WNY, all of whom surgically-required advanced wound care (e.g. pressure injury surgical selective debridement, closure plus medical care), nine-out-of-ten of these 45 patients never neededto go to the hospital ED. All 45 Physician House Calls were done at only 25% of the average patient-care allowable insurance-charge of the hospital ED.

In this study, I first had to appeal Corporate Medical Directors of National Government Services (NGS), administrators of Medicare Part B. They reviewed our initial patient’s charts and preliminary research results in this novel research study investigating surgical advanced wound care provided at-home on Physician House Calls. The NGS favorably ruled adding over 300 highly-reimbursed Integumentary CPT codes (e.g. surgical advanced wound care) for physician reimbursement when done at-home for all U.S. practicing physicians conducting their own Physician House Calls.

In this 2011-2012 study patient-care, allowable insurance-reimbursement for surgical advanced wound care (e.g. pressure injury debridement) plus other necessary medical care was a range of $600-$800 per Physician House Call. This was after the usual first lengthy comprehensive surgical and medical visit ranging from $1,100-$1,300. These payments were dependent on the depth, surface area and severity of the pressure injuries being debrided and other medical care.

In our follow-up research study we investigated 100 successive patients who medically required Point of Care (POC) Labs immediately done and interpreted real-time, at-home.

In this study, as in wound care, nine-out-of-ten of these 100 patients treated on medical Physician House Calls safely stayed at-home never needing to go to the ED, or needing to be admitted over the next three days as confirmed by close follow-up. There were no adverse events or complaints. Everyone was happy from patients, family members, and care-givers to patients’ 22 Primary Care Physicians/Providers (PCPs), medical/surgical specialists and Emergency Medicine emergency physicians working at regional hospital ED’s and Urgent Care Centers in Western New York State (WNY) near Buffalo, NY.

In this study, we documented that in 100 patients who medically required immediate POC labs with bedside explanation at-home, the average patient-care allowable insurance-charge was $375.53 per patient. These 100 medical Physician House Calls were done at 1/10 (9.8%) of the patient-care allowable insurance-charge vs. the hospital ED using nationally-reported ED statewide statistics ($3,808/single ED visit, FL, 2012).

Burn Out

Physicians and mid-level healthcare providers are burned-out! This is well-known, reported for all private medical practices in Primary Care (Family Medicine, Internal Medicine, Pediatrics and OB/GYN), Medical and Surgical Specialties, and in Emergency Medicine at today’s high-stress, fast-paced hospital EDs and Urgent Care Centers.

Our Seminar, “Practicing Medicine by Physician House Calls” has treated burn-out. For example, you can conduct your own Physician House Calls conveniently on your own time. You can also leave the clinic early and see someone in greater need, at-home, and still make it home for supper, on-time, adding hundreds of extra dollars into your private medical practice. This Joy of Practicing Medicine prevents burn-out. Patients are grateful knowing that a physician, NP or PA takes time to come, listen and care. You can likewise aim to keep nine-out-ten of your patients from being sent to the ED, avoiding the ED waiting room, a 6.1-hr. wait in NY State, before being treated by somebody.

Cost of the Seminar, “Practicing Medicine by Physician House Calls”

Due to COVID-19, our In-Service Seminars in doctor’s offices or at their homes are suspended until further notice

However, this most convenient, well-received Take Home Version of “Practicing Medicine by Physician House Calls” is working very well and it's been updated with valuable feedback and suggestions from other providers. TheTake-Home Version has been recently requested by physicians on the frontlines in NYC, NJ, FL, TX and even Ontario. The Seminar’s PowerPoint (36.8 MB, updated 180-slides with COVID-19) go out same-day by Google Drive or U.S. Mailed as a CD or thumb drive.

The Take-Home Version of “Practicing Medicine by Physician House Calls” with all referenced-handouts (see list below) is a tax-deductible donation to the Public Charity, “Saved by Grace Ministry, Inc.” of $200.00 per each physician, NP, PA or staff member. Included are the 11-page Seminar’s highly-referenced Lecture Notes, many handouts (below) including easy-to-learn coding and billing (e.g. all common CPTs) and the research article

The required reference book, Textbook of Equipping for Disasters, Sheltering at Home suggested tax-deductible donation to the Public Charity, “Saved by Grace Ministry, Inc.” is an additional $60.00 per each physician, NP, PA or other staff members.

Therefore, the Take-Home Version with required Textbook of Equipping for Disasters, Sheltering at Home and all handouts is a total tax-deductible donation of $260.00 per each physician, NP, PA, or other staff member.

Your tax-deductible donation of $260.00 can be mailed (check/money order), but everybody is using our website’s Donate Buttons (Credit or Debit Cards, or PayPal, but PayPal keeps 2.2%) at www.PhysicianHouseCalls.org, found under three Tabs, “Home Page”, “Contact Us”, and “Seminars and Publications”.

We will gratefully Email or U.S. Mail your tax-deductible donation receipt with our Thank You Note for your taxes.

Handouts

Your Take-Home Version of “Practicing Medicine by Physician House Calls” will include the following updated Handouts and useful items to get you started:

1. Seminar's Lecture Notes with References (11-pages), so no need to take notes.

2. Take-Home Version of the 180-slide PowerPoint Presentation (Rev. #14, 03/27/2020), "Practicing Medicine by Physician House Calls" same day by Google Drive or U.S. Mailed CD/thumb drive

3. VistaPrint Brochure of our Physician House Calls as your guide. It works.

4. Research Article: Sterba, JA. Wound Care on the Go. ‘Portable ER’ Allows Physician to Reinvent House Calls. Today’s Wound Clinic. 2012, September: 18-21.

5. Sterba, JA and JE Sterba. “The Textbook of Equipping for Disasters, Sheltering at Home” Revised & Expanded, Fifth Edition (with COVID-19). Saved by Grace Ministry, Inc., 226 Center Rd., East Aurora, NY 14052, March 27, 2020; 250 pages. See Chapter Ten, the 101-page Inventory of “The Community-Based Portable Emergency Room, The PORTABLE ER”

6. Medical/Surgical Basic Kit G Inventory to get you started for your first Physician House Call immediately with your own medical/surgical basic supplies

7. Information Updated Letters:

a. “Common Procedure Codes (CPTs) and Medical Insurances on Surgical and Medical Physician House Calls”.

b. “Coding by Procedures (CPTs). Suggested CPTs (Highlighted in Yellow) For Physician House Calls Depending On Training and Clinical Experience” in an easy-to-modify, 43-page Spread Sheet in Microsoft Word easily updated by you with your own current Fee Schedule and any CPT and current Modifier changes.

c. “Insurance Reimbursement for Medical and Surgical Physician House Calls.”

d. “Billing Extra Time, CPT Codes 99354 and 99355 On Physician House Calls”

e. “FOUR SEMINARS. Practicing Medicine by Physician House Calls, In-Service & Take-Home Seminars. Advanced Skills Training Seminars, Two Follow-up In-Service Seminars. Revision Date: March 27, 2020, Updated with COVID-19” to be shared with other interested providers.

Currently Suspended Hands-on Advanced Skills Training Seminars, Two Parts

After COVID-19, I’ll restart my local hands-on, in-office/at-home Seminar, “Practicing Medicine by Physician House Calls”. Likewise, for those that have taken our Take-Home Version, I’ll again locally teach this very well-received, hands-on, follow-up Advanced Skills Training Seminars in two parts, each lasting about two-hours. I’m planning to make these two Advanced Skills Training Seminars into Training Videos.

Advanced Skills Training Seminars, Part One: Hands-on Skills Training (two-hours) includes the following:

1. Phlebotomy setting up all bedside supplies and methods;

2. Bedside Blood Testing using our BMP, CMP disks and actual blood in our portable Point of Care (POC) Abaxis Piccolo Xpress Blood Chemistry Laboratory, or learning how to drop off patient’s vacutainers to local Labs;

3. Intravenous/Intraosseous (IV/IO) Fluid Therapy teaching Tricks-of-the-Trade;

4. Rapid Diagnostic Testing (RDTs) using our nine (expired) common RDT's;

5. Clinical Laboratory Improvement Amendments of 1988 (CLIA) and CLIA-Waived Tests. Upon passing training, you’ll receive your Letter of Proficiency;

6. How to Apply to New York State (NYS) Department of Health (DOH) for Limited Service Laboratory Registration and Certificate of Qualification to be authorized to run your own POC Laboratory or conduct bedside RDTs;

7. Using the Hand-Carried Advanced Surgical & Medical Wound Care Kit (H5). You will use the full printed inventory and learn how to build your own Kit H5 for pressure injuries (‘bed-sores’), lacerations and burns with surgical advanced wound care (AWC) methods, charting, coding and billing.

8. Advanced Wound Care. You will review wound photographs, comprehensive documentation, and CMS-required charting, coding and billing using an actual patient’s chart (with permission) with name, address, member I.D., etc. redacted. Our hand-carried surgical advanced wound care Kit H5 method is demonstrated hands-on with a full written inventory is given and discussed.

Advanced Skills Training Seminars, Part Two: Administration Training (two-hours) includes the following (See Outline, attached):

1. Actual Charting of a Typical Patient. Includes common procedures done.

2. Quality Assurance (QA) CMS Audit Tool. Checking off all your work actually done (history, physical exam and other categories) to honestly determine the appropriate, justifiable Physician House Call procedure code using the Common Procedural Terminology Code (CPT Code) with the current insurance fees.

3. Coding Books for All Procedures (CPTs) and Diagnoses (ICD-10). Using the Optum360 CPT and ICD-10 two spiral-bound coding books, which are excellent (very intuitive, easy-to-use and most helpful).

4. Populating and Printing off an Actual CMS-1500 Pink Medical Insurance Claim Form. Hands-on practice using the templated, computerized system (~$99) downloaded on our computer, populating & printing-off an actual CMS-1500 pink medical insurance claim form (CMS-1500 Form) for a typical advanced wound care patient for an insurance reimbursement check to be mailed to you or your bank.

5. Health Insurances: Key contacts and phone numbers are provided. How to transfer or get new insurance credentials, get fee schedules and use PaySpan Health.

6. Western New York HealtheLink, HealtheCommunity Portal and WNYHealtheNet: On-line to check patient eligibility and when you’ll be paid.

7. National Provider Identifier (NPI): How to get your NPI & Tax I.D. #’s.

8. Contracting with a Group Purchasing Organization (GPO): Reduced prices (e.g. Provista Corporation).

9. National Distributor: On-line GPO ordering with next-day delivery to you (e.g. Henry Schein).

10. e-Prescribing Waiver (NYS Health Commerce System-HCS): Forms needed to become exempt from prescribing electronically.

Cost, Advanced Skills Training Seminars, Part One and Part Two

The currently suspended Advanced Skills Training Seminars, Part One and Part Two (each two-hours) suggested tax-deductible donation to the Public Charity, “Saved by Grace Ministry, Inc.” was $200.00 for either Part One or Part Two, per each physician, NP, PA or other staff members. I’ll announce on www.PhysicianHouseCalls.org, Tab, “Seminars and Publications” when these Advanced Skills Training Seminars, Part One and Part Two are available as Videos.

Included in those currently suspended Advanced Skills Training Seminars Part One and Part Two were the following skills: phlebotomy, IV/IO and POC Lab and RDT supplies with Personal Protective Equipment-PPE (gloves, goggles, masks, COVID-19 methods), the seven-page highly-referenced Advanced Skills Training Notes, four-page highly-referenced Health Insurance Information Sheets, six-page Surgical Kit H5 Inventory, plus many practical handouts.

Those currently suspended Advanced Skills Training Seminars, Part One or Part Two, were each tax-deductible donations of $200.00 per each physician, NP, PA or other staff members.

Please check at www.PhysicianHouseCalls.org, Tab, “Seminars and Publications” when these Advanced Skills Training Seminars, Part One and Part Two will be made available as Videos.

Presently, all tax-deductible donations can be mailed (check/money order), but everybody is using our website’s Donate Buttons (Credit or Debit Cards, or PayPal, but PayPal keeps 2.2%) at www.PhysicianHouseCalls.org, found under three Tabs, “Home Page”, “Contact Us”, and “Seminars and Publications”. We will gratefully Email or U.S. Mail your tax-deductible donation receipt with our Thank You Note for your taxes.

Please know that 100% of all donations and all medical insurance money go to our Public Charity mission, “caring for those in greater need”, and not any salary for anybody or me.

I look forward to speaking with you and helping any way I can.

My office is 655-6854, (9:00 A.M. – 5:00 P.M., Monday – Friday) and my cell is (716) 998-7474.

Sincerely,

John A. Sterba, M.D., Ph.D., FACEP, FACCWS

President & CEO; Medical & Scientific Director; NYS DOH Clinical Laboratory Director, Saved by Grace Ministry, Inc. Emergency Physician House Calls™ using the PORTABLE ER®

Member, American College of Emergency Physicians, American College of Clinical Wound Specialists, American Academy of Family Physicians

Commander, Medical Corps, U.S. Navy-Reserves (Hon Disch), Undersea & Arctic Warfare, Operational Medicine

PUBLICATIONS

Peer-Reviewed Institutional Review Board (IRB)-Approved Clinical Study

Sterba, JA. Wound Care on the Go. ‘Portable ER’ Allows Physician to Reinvent House Calls. Today’s Wound Clinic. 2012, September: 18-21.

Author

John A. Sterba, M.D., Ph.D., FACEP, FACCWS

President & CEO, Medical & Scientific Director,

New York State Department of Health Clinical Laboratory Director

Saved by Grace Ministry, Inc.

Some conclusions we published include:

“From our ongoing Institutional Review Board-approved clinical study that measures patient convenience of house calls, the time from ordering a blood chemistry test until lab results are explained is 13.8 minutes, (+ 5.2 minutes, SD, n = 45 patients).” (pg. 20)

“Our insurance billing is approximately 25% percent of the cost for similar services from the hospital-based ED (Emergency Department). Of all patients seen during house calls, 91 percent are not clinically indicated to be sent to the ED. The remaining nine percent require to be transported to the ED for further lab/radiology studies, but are rarely admitted”. (pp. 20-21)

“In conclusion, Physician House Calls using the Community-Based Portable ER provides faster, better and cheaper care – including advanced wound care - when compared to the hospital-based ED or urgent care facility.” (pg. 21)

If interested in receiving a free copy, please Email me at PhysicianHouseCalls@roadrunner.com

Our Office Phone Number is (716) 655-6854

John A. Sterba, M.D., Ph.D., FACEP, FACCWS

RESEARCH STUDY

WHITE PAPER

Emergency Physician House Calls™:

Point of Care (POC) Laboratories Used

Saved by Grace Ministry, Inc., East Aurora, NY

Author

John A. Sterba, M.D., Ph.D., FACEP, FACCWS

President & CEO, Medical & Scientific Director,

New York State Department of Health Clinical Laboratory Director

Saved by Grace Ministry, Inc.

We are happy to Email a color .pdf file or U.S. Mail you a printed and bound color copy of this WHITE PAPER each for a suggested tax-deductible donation of $40.00 to "Saved by Grace Ministry, Inc.", which we will gratefully receipt. Please note that 100% of all donations are used to "care for those in greater need".

For ON-LINE PURCHASING the "WHITE PAPER. Emergency Physician House Calls™: Time, Outcome Benefits and Cost of Point of Care (POC) Laboratories Used with Community-based PORTABLE ER®", please make your tax-deductible donation to "Saved by Grace Ministry, Inc." with PayPal or Credit Card, here:

Conclusions. Private practice EM by EPHCs™ using the PORTABLE ER® provided very fast EP Response-Time and faster Triage and Seen-Times vs. PCP, UCF or ED. Emergency Physician POC-Labs were conducted, received and explained much faster (< 14 min) vs. labs by PCP, UCF, or ED. After 100-EPHCs™, 89% of patients remained safely at-home never needing admission with no problems, complaints or adverse events. Patient-care insurance-charge (cost) for 100 EPHCs™ with POC-labs using PORTABLE ER® was ten-fold-less ($375.53, 9.8%) vs. 7.4 million Florida hospital-ED patient-care insurance-charges ($3,808.00) during 2012-2013.

Therefore, these medical Emergency Physician House Calls (EPHCs™) using the PORTABLE ER®, which required POC portable labs, saved Medicare B and all other medical insurances $3,432.47 per patient for those patients that never had to go to the hospital ED.

RESEARCH STUDY

WHITE PAPER

Two-Way UHF Business Radios during

Transporting the PORTABLE ER®

Saved by Grace Ministry, Inc., East Aurora, NY

Authors

John A. Sterba, M.D., Ph.D., FACEP

President & CEO, Medical & Scientific Director,

New York State, Department of Health Clinical Laboratory Director,

and

Janice E. Sterba

Vice President; Secretary/Treasurer; Medical Transcriptionist/Editor

For ON-LINE PURCHASING the "WHITE PAPER. Test and Evaluation of Two-Way UHF Business Radios during Emergency Physician House Calls™ Transporting the PORTABLE ER® in a Hilly, Rural Environment", please make your tax-deductible donation to "Saved by Grace Ministry, Inc." with PayPal or Credit Card, here:

Background: Relying on a cell phone to receive patient requests for Emergency Physician House Calls™ was discovered to be unreliable. Missed cell phone calls, messages and texts were due to three reasons: 1. Very weak or even no cell phone service in hilly, rural areas of Western New York (WNY), 2. In-coming cell phone calls, recorded messages and texts were blocked when inside certain insulated homes later found to have metal-foil insulation or with heavy brick-masonry construction, and 3. In-coming cell phone calls, messages and texts were occasionally blocked inside Saved by Grace Ministry’s Emergency Medicine emergency vehicle due to heavy-gauge ballistic steel in this armored (B6) Tactical Chevrolet Suburban.

Therefore, we hypothesized these occasional cell-phone reception problems could be avoided using powerful two-way business radios, thus allowing Dr. Sterba to remain in reliable communication with the office, whether in or out of the armored emergency vehicle, or inside certain insulated homes using two-way UHF (403-512 mHz) radios.

Conclusions and Recommendations: There were seven conclusions with recommendations from this 30-day T&E Trial using two-way radios for actual patient-care on Emergency Physician House Calls™ using the PORTABLE ER® and while traveling throughout the hilly, rural medical service area.

Summary. Two-way radio communications equipped an emergency physician to reliably and securely communicate while conducting Emergency Physician House Calls™ transporting the PORTABLE ER® caring for those in greater need in a hilly, rural environment.

REFERENCE TEXTBOOK

"TEXTBOOK of EQUIPPING FOR DISASTERS. SHELTERING AT HOME"

Revised & Expanded, Fourth Edition.

Authors

John A. Sterba, M.D., Ph.D., FACEP and

Janice E. Sterba

TEXTBOOK of EQUIPPING FOR DISASTERS,

Fifth Edition, Copyrighted 2020

“This 252-page Reference Book has been expanded & fully field-tested to teach us how to best care

for each other

Since 1998,‘Dr. John’ and Mrs. Janice E. Sterba have told people about Jesus Christ, while caring for people’s needs through Saved by Grace Ministry, Inc., East Aurora, NY. They encourage us to remain obedient to the LORD’s commands, “Love your neighbor as yourself.” (Leviticus 19:18) and “This is my command: Love each other.” (John 15:17).

“This 252-page Reference Book has been expanded & fully tested to teach us how to best care for each other as Good Neighbors, during and recovering from all disasters.”

Prayer and Community Based Home-Care Ministry: TheSafe Haven Home; Determining needs in your neighborhood; Medically-trained people as our neighbors; Volunteers; Planning ahead & Using the Emergency Information Sheet

Food Pantry for the Home and Community-Based Disaster Shelters: Economical shopping; Balanced-diet; Long-term safe storage of food

Home Preparation Guide and Mini-Guide: 25 Home Systems (heating, electrical systems, etc.); Making & storing drinking water; Safety & well-being.

Emergency Physician-written, Home Care Instructions for 45 Common Illnesses & Injuries: East-to-understand teaching by a doctor.

Community-Based, DISASTER SHELTERS: Loss of power; Complete care.

Community-Based, PORTABLE ER: “The Portable ER” in 101-pages; 92 Medical & Surgical Kits and Cases with full inventory including ordering I.D. numbers and Portable Dispensary Cabinets-PDCs for all medications from all drug categories; Inventories of economical, essential antibiotics & pain meds.

Community-Based, MOBILE ER: Motor homes; Staffing; Disaster care

Since 1998, Saved by Grace Ministry, Inc. faithfully provides for those in greater need. Its Corporation’s Purposes include: “To relieve poverty, hunger, illness, homelessness and other forms of suffering in the world; to assist underprivileged people to improve their living conditions; to offer hope, comfort and aid those in need, particularly widows and orphans; to respond to natural and man-made disasters; to testify to the good news of the Gospel of Jesus Christ;”

Dr. John A. Sterba is a missionary doctor and former operational Medical Officer (Navy Commander). He clinically practices and teaches Emergency Medicine in NY State. He is Board-certified in Emergency Medicine, Wound Medicine and Surgery and Urgent Care Medicine for children and adults. Dr. Sterba is a Fellow of the American College of Emergency Physicians (FACEP) and Fellow of the American College of Clinical Wound Specialists (FACCWS). He has academic appointments from the University of Sierra Leone, West Africa and the Women & Children's Hospital of Buffalo (recently renamed to the John R. Oishei Children's Hospital), University of Buffalo, NY School of Medicine.

Please make your tax-deductible donation to "Saved by Grace Ministry, Inc." with PayPal or Credit Card, here:

Previous Research Articles

Sterba, JA, BT Rogers, AP France, DA Vokes. Horseback riding in children with cerebral palsy: effects on gross motor function. Developmental Medicine & Child Neurology 2002, 44: 301-308.

Sterba, JA. Adaptive downhill skiing therapy in children with cerebral palsy: effect on gross motor function. Pediatric Physical Therapy. 2006 Winter; 18(4):289-96.

Sterba, JA. A Review: Does Horseback Riding Therapy or Therapist-Directed Hippotherapy Rehabilitate Children with Cerebral Palsy? Developmental Medicine & Child Neurology 2007, 49: 68-73.

Sterba, JA, D Safar-Riessen, M DeForest. Effect of aquatic therapy on Gross Motor Function Measure in children with cerebral palsy. Developmental Medicine & Child Neurology 2004: No. 99 (suppl), Vol. 46, page 47-48.

Mission Guide

Sterba, JA. Mission Guide: Caribbean and Central America. Saved by Grace Ministry, Inc., East Aurora, NY, 2009.

Please contact us and we will happily Email or U.S. Mail you a copy of this Instructional Missionary Booklet for free, no donations requested.

Our Email is PhysicianHouseCalls@roadrunner.com and our Office Phone Number is (716) 655-6854.

May the LORD Jesus bless, protect and provide for you and your family. Amen!

Dr. and Mrs. John and Janice Sterba

(Ephesians 2: 8-10)