Download or read book Hospital Emergency Departments Health Center Strategies That May Help Reduce Their Use written by and published by DIANE Publishing. This book was released on with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hospital Emergency Departments written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-05-18 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospital Emergency Departments: Health Center Strategies That May Help Reduce Their Use
Download or read book Hospital Based Emergency Care written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-03 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Download or read book Emergency Department On Call Strategies Second Edition written by Jonathan H. Burroughs and published by HC Pro, Inc.. This book was released on 2009-08-21 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency Department On-Call Strategies Solutions for Physician-Hospital Alignment, Second Edition Jonathan H. Burroughs, MD, MBA, FACPE; Martin B. Buser; Roger Heroux, MHA, PhD, FACHE; Richard A. Sheff, MD Move from reactive "deals" to shared costs and sustainable physician-hospital alignment. Emergency Department On-Call Strategies: Solutions for Physician-Hospital Alignment, Second Edition, provides fully updated strategies, tools, and step-by-step approaches from multiple ED call panel experts. This resource will help you: Reduce on-call burden Improve physician coverage Avoid EMTALA violations Reduce the cost of ED call Establish fair market value compensation Negotiate with staff to secure acceptance of call obligations Implement mandatory call programs Use hospitalists and other specialties to meet call needs The table of contents covers: Section 1: ED Call: Defining the Problem A Healthcare System in Crisis: The context of today's ED call challenges Legal and Regulatory Obligations ED Call and the Organized Medical Staff Section 2: Thinking Strategically: ED Call and Physician-Hospital Alignment Framing the Problem ED Call as a Negotiation: What rules will we follow? How to Make ED Call Part of Your Strategic Medical Staff Development Plan Creating a Work Plan for ED on Call Section 3: ED Call Solutions That Work Step 1: Engage Physicians Where They Are Step 2: Reduce the Burden of Call Step 3: Establish a Task Force Step 4: Measure the Burden of Call Step 5: Establish Principles of Fairness Step 6: Establish Mandatory Call Responsibilities Step 7: Identify and Evaluate Call Compensation Models Step 8: Establish Fair Market Value Step 9: Moving from the Model to the Contract The "Ist" Movement ED Call: Driver of new medical staff models Who will benefit? Directors and medical directors of emergency departments, emergency medicine chiefs, medical staff coordinators, medical directors, CEOs, COOs, CMOs, VPMAs, quality directors and managers, directors of physician relations and physician recruitment
Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.
Download or read book Transforming Health Care Scheduling and Access written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-24 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource-highly trained personnel-inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
Download or read book Reducing Non urgent Use of the Emergency Department written by Saskatchewan. Health Services Utilization and Research Commission and published by . This book was released on 1997 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book For Emergency Use Only written by Anthony Spinelli and published by Healthcare Intelligence Net. This book was released on 2006-12 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: Just teaching patients not to call their doctor at 4:30 on a Friday afternoon can reduce unnecessary emergency department (ED) utilization, a trend that is sapping the resources of EDs around the nation. According to the National Center for Health Statistics, 55 percent of the 90 million visits to EDs in the United States in 1996 were unnecessary. In healthcare dollars, that means that 40.5 million people paid up to three times as much for routine care at the ED as they would have paid at a physician?s office. Teaching timely access to outpatient care is just one tactic covered in this special report, which is based on an October 2006 audio conference sponsored by the Healthcare Intelligence Network (HIN). For Emergency Use Only: Curbing Unnecessary Emergency Room Use Through Education, Accountability and Physician Engagement provides a blueprint for health plans, hospitals and providers desiring to address and reduce unnecessary ED utilization in their populations. In this 35-page special report, Roberta Burgess, clinical case manager, Community Care Plan of Eastern Carolina, and Gerald Kiplinger, vice president and executive director of the Georgia Enhanced Care program for APS Healthcare, detail how to target and reduce unnecessary and inappropriate ED use. You'll get details on initiatives and interventions for decreasing non-urgent ED use, mining data to target high-utilization, high-cost individuals, implementing an ED case management program, communicating proper ED use to targeted populations and enlisting physicians' support in care redirection and appropriate ED use. Table of Contents Redirecting Care to Appropriate Settings -Types of Care and the Costs of Chronic Illness -Opportunities to Redirect Care to Appropriate Settings -The Role of Referral Agencies and Support Services -Increasing PCP Access To Reduce Emergency Care Visits -Call Centers Serve Multiple Purposes -ED Reductions a Side Effect of Healthy Together! DM Program Goodbye Emergency Room, Hello Primary Medical Care -Defining an Emergency -Profiles of Serial Users and Frequent Fliers -Benefits of Partnerships with Community Organizations, Providers -Communication Via Toolkits, Outreach and Self-Management -Mining Reports to Target High-Utilization, High-Cost Individuals -Case Management That Meets the Client in Their Environment -Motivating Physicians to Help -Removing the Stigma of Case Management -Making All Players Accountable Q&A: Ask the Experts -Determining When Screenings are Billable -ED vs. Urgent Care Facilities -The Advent of ?Minute Clinics? in Retail Space -Case Manager Work Schedules and Case Loads -Models for ED ?At-the-Door? Screening -Making the Case for Urgent Care Centers -Redirecting Patients to Lower Levels of Care -Costs for Running the ?Healthy Together? Program -Dissecting Diabetes Results in ?Healthy Together? Effort -Enlisting Providers? Support for ED Redirection Efforts -Referral Turnaround Times -Responsibilities of the ED Case Manager -Monitoring ED Visits Related to Drug Interactions -Statewide DM and CM Efforts -Future ED Redirection Initiatives -Benchmarks for ED Utilization by Population -Analyzing ED Visits by Type of Coverage -Investigating FQHC-Hospital ED Partnerships Glossary For More Information About the Author
Download or read book Hospital Based Emergency Departments Background and Policy Considerations written by Congressional Research Congressional Research Service and published by CreateSpace. This book was released on 2014-12-08 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospital-based Emergency Departments (EDs) are required to stabilize patients with emergent conditions regardless of the patients' ability to pay as a requirement of the Emergency Medical Treatment and Active Labor Act (EMTALA). Given this requirement, EDs play an important part in the health care safety net by serving the uninsured, the underserved, and those enrolled in Medicaid. Open 24 hours a day, EDs provide emergency care, urgent care, primary care, and behavioral health care services in communities where these services are unavailable or unavailable after hours. EDs also play a key role during emergencies, such as natural disasters. Some EDs are challenged to provide effective care. For example, EDs provide a disproportionate amount of health care to the U.S. population, in general, and to the safety net population, in particular. Specifically, while 4% of all U.S. physicians are ED physicians, they are the treating physicians in 28% of all acute care visits. Some EDs face financial challenges. ED services are costly both to payers, because services provided in an ED are more costly than those provided in community-based settings, and to hospitals, because operating an ED has high fixed costs and because if patients enter with an emergent condition, hospitals are required by EMTALA to stabilize the patient regardless of the patientâe(tm)s ability to pay. As providers of uncompensated safety net care, some EDs are crowded, in part because hospitals lack staff or inpatient beds to transfer patients from the ED, and in part because of the large number of patients who seek care in the ED because care is unavailable or inaccessible in the community. Crowded conditions have resulted in some patients experiencing long wait times, which, at times, delays access to care and results in worse health outcomes. In addition, hospitals, particularly those in urban areas, are regularly diverting ambulances because they are too crowded to accept new patients. This report describes EDs and the role they play in the health care delivery system. It also discusses the federal role and interest in supporting emergency care. The federal government is the largest payer for overall health care, through the Medicare and Medicaid programs. Also, the federal government has made investments in emergency preparedness, programs and efforts that support the health care safety net, and health care access in general. Given these investments, Congress may be interested in EDs because a well-functioning ED system is necessary to provide surge capacity in an emergency. The function of the ED system, in turn, reflects its surrounding community's access to health care services; therefore, understanding the use of EDs, evaluating whether such use is appropriate, and examining strategies employed to reduce inappropriate use may all be of policy interest. This report discusses three commonly identified and interrelated challenges that EDs face: (1) crowding in EDs, (2) providing repeat care to a subset of patients who are frequent users, and (3) providing care to a large population who have behavioral health conditions when an ED lacks the appropriate resources to provide such treatment. Finally, this report concludes with some policy options that Congress might consider to improve ED functioning and reduce payer costs. This report focuses on EDs that are available to the general population; as such, it does not include EDs operated by the Departments of Defense or Veterans Affairs or those operated by the Indian Health Service.
Download or read book Disease Control Priorities in Developing Countries written by Dean T. Jamison and published by World Bank Publications. This book was released on 2006-04-02 with total page 1449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
Download or read book Optimizing Emergency Department Throughput written by John M. Shiver and published by CRC Press. This book was released on 2017-07-26 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Across the country ambulances are turned away from emergency departments (EDs) and patients are waiting hours and sometimes days to be admitted to a hospital room. Hospitals are finding it hard to get specialist physicians to come to treat emergency patients. Our EDs demand a new way of thinking. They are not at a tipping point; they are at a break
Download or read book Hospital Emergency Departments written by Marcia Crosse and published by DIANE Publishing. This book was released on 2010 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Of the estimated 119 million visits to U.S. emergency depts. (ED) in 2006, over 40% were paid for by federally-supported programs -- Medicare, Medicaid, and the State Children's Health Insur. Program. There have been reports of crowded conditions in ED often associated with adverse effects on patient quality of care. In 2003, it was reported that most ED in metropolitan areas experienced some degree of crowding. For ex., two out of every three metropolitan hospitals reported going on ambulance diversion -- asking ambulances to bypass their ED and instead transport patients to other facilities. This report examined three indicators of ED crowding - -ambulance diversion, wait times, and patient boarding -- and factors that contribute to crowding. Illus.
Download or read book Strategies to Reduce Emergency Department Overcrowding written by and published by . This book was released on 2006 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Download or read book Aging Well written by JEAN. HASELTINE GALIANA (WILLIAM.) and published by Springer. This book was released on 2019-01-01 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.
Download or read book Emergency Department Compliance Manual 2018 Edition written by McNew and published by Wolters Kluwer. This book was released on 2018-04-20 with total page 1262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency Department Compliance Manual provides everything you need to stay in compliance with complex emergency department regulations, including such topics as legal compliance questions and answers--find the legal answers you need in seconds; Joint Commission survey questions and answers--get inside guidance from colleagues who have been there; hospital accreditation standard analysis--learn about the latest Joint Commission standards as they apply to the emergency department; and reference materials for emergency department compliance. The Manual offers practical tools that will help you and your department comply with emergency department-related laws, regulations, and accreditation standards. Because of the Joint Commission's hospital-wide, function-based approach to evaluating compliance, it's difficult to know specifically what's expected of you in the ED. Emergency Department Compliance Manual includes a concise grid outlining the most recent Joint Commission standards, which will help you learn understand your compliance responsibilities. Plus, Emergency Department Compliance Manual includes sample documentation and forms that hospitals across the country have used to show compliance with legal requirements and Joint Commission standards. Previous Edition: Emergency Department Compliance Manual, 2017 Edition, ISBN: 9781454886693
Download or read book Patient Flow written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2013-12-11 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.
