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A Study Of Non Urgent Utilization Of The Emergency Room And Its Relationship To Access To Care At Kimbrough Army Community Hospital Fort George G Meade Maryland
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Book Synopsis A Study of Non-urgent Utilization of the Emergency Room and Its Relationship to Access to Care at Kimbrough Army Community Hospital, Fort George G. Meade, Maryland by : Derick B. Ziegler
Download or read book A Study of Non-urgent Utilization of the Emergency Room and Its Relationship to Access to Care at Kimbrough Army Community Hospital, Fort George G. Meade, Maryland written by Derick B. Ziegler and published by . This book was released on 1994 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Study of Non-urgent Utilization of the Emergency Room and Its Relationship to Access to Care at Kimbrough Army Community Hospital, Fort George G. Meade, Maryland by : Derick B. Ziegler
Download or read book A Study of Non-urgent Utilization of the Emergency Room and Its Relationship to Access to Care at Kimbrough Army Community Hospital, Fort George G. Meade, Maryland written by Derick B. Ziegler and published by . This book was released on 1994 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Government Reports Announcements & Index by :
Download or read book Government Reports Announcements & Index written by and published by . This book was released on 1995 with total page 1774 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Reasons for Utilization of the Emergency Room at Irwin Army Community Hospital by Patients Classified as Non-urgent by : Jeffrey S. Hillard
Download or read book Reasons for Utilization of the Emergency Room at Irwin Army Community Hospital by Patients Classified as Non-urgent written by Jeffrey S. Hillard and published by . This book was released on 1999 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Study to Determine the Utilization Demographics of the Emergency Room at Martin Army Community Hospital, Fort Benning, Georgia by :
Download or read book A Study to Determine the Utilization Demographics of the Emergency Room at Martin Army Community Hospital, Fort Benning, Georgia written by and published by . This book was released on 1991 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today's military hospital is challenged to increase its efficiency while improving access. The challenge is to provide care to more people and do it in the most efficient manner possible. Several military health care initiatives are planned, or in some cases have been recently implemented, to meet this challenge. According to the Patient Administration Division, Martin Army Community Hospital (MACH) in FY 1986 there was a total of 85,318 outpatient visits to the MACH Outpatient Clinic (OPC) and Emergency room (ER). ER visits accounted for 54,792 or 64% of the total ER and OPC outpatient visits counted. Through July FY 87, there were 68,501 OPC and ER visits counted. During this time, ER visits accounted for 44,996 or 66% of the total visits counted. According to these figures, the reported FY 87 ER utilization was higher than the FY 86 utilization even though the FY 87 utilization data represented only nine months. Higher ER utilization rates' translate to greater consumption of costly ER resources. Are these increases consistent with a true ER need? In an environment of ever increasing resource constraints, health care planners must examine their organizations to determine how resources are being consumed. Outpatient clinic, Demographics of emergency rooms, Space utilization.
Book Synopsis A Descriptive Analysis of Nonurgent Emergency Room Utilization at William Beaumont Army Medical Center by : Patrick A. Kuntz
Download or read book A Descriptive Analysis of Nonurgent Emergency Room Utilization at William Beaumont Army Medical Center written by Patrick A. Kuntz and published by . This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The object of this study was to determine the percentage of patients seen in the WBAMCER for conditions triaged as nonurgent during a seven-month period from June to December in 1998. Additionally, the study, utilizing pre-recorded data, desired to determine if 12 independent variables were associated with nonurgent utilization of the ER. The registered nurses on duty triaged a total of 2,173 patients that met inclusion criteria. A large number (n=1260, 58% of sample) were triage to level 4 (nonurgent). Patients triaged to level 3 (treat within 24 hours) accounted for 37.8% (n=821). The remaining level two (urgent) and level one (emergent) accounted for nearly equal percentages of the population at 2.3% (n=49) and 2.0% (n=43) respectively. The typical profile of ER utilization by frequency showed the greatest usage by female active duty dependents between the ages of 18-35 who are CHAMPUS eligible and enrolled in TRICARE Prime. This profile also depicts the typical user as someone who presents with a sprain or strain on a weekday during the hours of 0700-1500. This profile is further typified by a person or sponsor between the rank of E5 and E9 with no third party insurance, lived in zip code 79924 (6 miles from WBAMC) and released without limitation after being treated in the ER. This study strengthens and quantifies the long-standing belief among practitioners and administrators regarding the prevalence of nonurgent use in the ER at WBAMC. These nonurgent patients may be candidates for referral to a more appropriate level of care, typically primary care, without a significant risk for deterioration of their condition. Identifying and quantifying this population is the first step in shaping important organizational initiative aimed at self-care education, utilization of telephone advice and triage, and other out patient medical management programs.
Book Synopsis A Descriptive Analysis of Non-urgent Emergency Department Utilization by : Carla B. Brim
Download or read book A Descriptive Analysis of Non-urgent Emergency Department Utilization written by Carla B. Brim and published by . This book was released on 2006 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis For Emergency Use Only by : Anthony Spinelli
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
Book Synopsis Patient Reasons for Non-urgent Utilization of the Dwight David Eisenhower Army Medical Center Emergency Department by : Charles J. Sizemore
Download or read book Patient Reasons for Non-urgent Utilization of the Dwight David Eisenhower Army Medical Center Emergency Department written by Charles J. Sizemore and published by . This book was released on 2004 with total page 93 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Descriptive Analysis of Nonurgent Emergency Room Utilization at William Beaumont Army Medical Center by : Patrick A. Kuntz
Download or read book A Descriptive Analysis of Nonurgent Emergency Room Utilization at William Beaumont Army Medical Center written by Patrick A. Kuntz and published by . This book was released on 1999 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Non-urgent Use of the Emergency Department by : Shana Stewart
Download or read book Non-urgent Use of the Emergency Department written by Shana Stewart and published by . This book was released on 2009 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency department (ED) use is on the rise as availability of operational EDs has decreased. EDs in urban areas are overcrowded and contend with large amounts of patients with non-urgent complaints. To identify reasons for seeking care, a convenience sample of 100 non-urgent patients (ESI triage acuity 4 and 5) presenting to one Midwestern, urban ED was used. This quantitative, descriptive study utilized a 14 item self-administered questionnaire to collect demographic data and to ask a series of closed and open-ended questions about ED use. Specifically, the questions inquired about a patient's usual sources of care, decision-making, and perceived urgency of illness. The Andersen framework of health services utilization was employed to analyze patients' predisposing factors, enabling/impeding factors, and needs for care. Understanding reasons for non-urgent ED use is important to future hospital planning for optimal patient outcomes and effective resource utilization. The results of this study showed patient's seeking care in the ED for non-urgent complaints did so because of a perceived sense of urgency about their condition, a desire for the best care, and the convenience/accessibility of the facility. While a large portion of the sample did not have a primary care provider (PCP), insurance/PCP status were not found to be a significant factor.
Book Synopsis A Four Month Analysis of Emergency Room Usage for Non-urgent Care by Carolina ACCESS Recipients by : Grant Liles Campbell
Download or read book A Four Month Analysis of Emergency Room Usage for Non-urgent Care by Carolina ACCESS Recipients written by Grant Liles Campbell and published by . This book was released on 1993 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Study to Determine the Most Resource Efficient Method to Provide Initial Treatment of Adult Nonurgent Patients who Access Darnall Army Community Hospital Via the Emergency Room by : Julie M. Martin
Download or read book A Study to Determine the Most Resource Efficient Method to Provide Initial Treatment of Adult Nonurgent Patients who Access Darnall Army Community Hospital Via the Emergency Room written by Julie M. Martin and published by . This book was released on 1990 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis An Analysis of High Frequency Users of the Martin Army Community Hospital Emergency Room by : John D. Fairey
Download or read book An Analysis of High Frequency Users of the Martin Army Community Hospital Emergency Room written by John D. Fairey and published by . This book was released on 1997 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A study of the Martin Army Community Hospital emergency room population was undertaken to: (1) identify the frequent users, and (2) determine which variables were statistically significant determinants of high frequency emergency room use. Patients were categorized by number of visits made (1, 2, 3, 4) to the emergency room in a six month period, and data collected retrospectively from the CHCS database for two consecutive time periods. Patients appearing in identical visit categories in both time periods were further categorized as frequent users and sampled; patients with only one visit were used as a comparison group representing normal use. A survey was prepared based upon the significant variables reported in the literature.
Book Synopsis Optomizing Resource Utilization in the Keller Army Community Hospital Emergency Room Through Simulation by :
Download or read book Optomizing Resource Utilization in the Keller Army Community Hospital Emergency Room Through Simulation written by and published by . This book was released on 1997 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this project was to simulate the significant operational aspects of the Keller Army Community Hospital Emergency Room. Concerns existed among the senior leadership that services in the Emergency Room were not being delivered as efficiently as possible. Freed resources could then be applied toward primary care. The Status Quo model represented a valid model of the KACH ER with simulation patient service times statistically no different than the empirical data (t = - 0.38, df(13369), p=.70). The results show that the KACH ER may be appropriately staffed with one nurse on duty without significantly increasing patient services times. While qualitative arguments must still be considered by the hospital executives in their decision to further transform the KACH ER, the quantitative information gathered from this study will provide a solid foundation for future decisions.
Book Synopsis A Comparative Analysis of Emergency Room Utilization Before and After Tricare Implementation at Reynolds Army Community Hospital Fort Sill, Oklahoma by : James M. Gamerl
Download or read book A Comparative Analysis of Emergency Room Utilization Before and After Tricare Implementation at Reynolds Army Community Hospital Fort Sill, Oklahoma written by James M. Gamerl and published by . This book was released on 1996 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis An Analysis of High Frequency Users of the Martin Army Community Hospital Emergency Room by : John D. Fairey
Download or read book An Analysis of High Frequency Users of the Martin Army Community Hospital Emergency Room written by John D. Fairey and published by . This book was released on 1997 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
