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Reducing Non Urgent Utilization Of The Emergency Department By Self Pay Patients
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Book Synopsis Reducing Non-urgent Utilization of the Emergency Department by Self-pay Patients by : Karen van Caulil
Download or read book Reducing Non-urgent Utilization of the Emergency Department by Self-pay Patients written by Karen van Caulil and published by . This book was released on 2005 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: The utilization data from the emergency departments and health centers were compared. The analysis revealed a significant change in the number of non-urgent visits by self-pay patients at the emergency departments when the health centers expanded. A 32.2 percent decrease in utilization of the emergency departments by self-pay patients was found.
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 For Emergency Use Only by : Healthcare Intelligence Network
Download or read book For Emergency Use Only written by Healthcare Intelligence Network and published by . 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 physicians 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
Author :Saskatchewan. Health Services Utilization and Research Commission Publisher : ISBN 13 : Total Pages :12 pages Book Rating :4.:/5 (462 download)
Book Synopsis Reducing Non-urgent Use of the Emergency Department by : Saskatchewan. Health Services Utilization and Research Commission
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:
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :030946921X Total Pages :161 pages Book Rating :4.3/5 (94 download)
Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine
Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Book Synopsis Hospital-Based Emergency Care by : Institute of Medicine
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.
Book Synopsis Factors Associated with Non-urgent Utilization of the Emergency Department by : Mary Scott
Download or read book Factors Associated with Non-urgent Utilization of the Emergency Department written by Mary Scott and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Utilization of the emergency department (ED) for non-urgent visits has become an important topic among healthcare providers and administrators. Non-urgent visits to the ED result in financial and health related problems for those who utilize the ED in this manner, as well as managed care organizations. There are many influences included in patients' decisions to utilize the ED for non-urgent reasons. The purpose of this research was three fold. The first purpose was to identify reasons for utilizing a southwest Florida Emergency Department rather than other healthcare services for non-urgent care. The second purpose was to identify common factors among patients seeking non-urgent care in the emergency department in a southwest Florida rural emergency department. The third purpose was to determine if patients who visit a southwest Florida Emergency Department for non-urgent reasons receive less preventative care than national standards.
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 Non-urgent Visits and Emergency Department Congestion by : Shrutivandana Sharma
Download or read book Non-urgent Visits and Emergency Department Congestion written by Shrutivandana Sharma and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A major reason behind crowding in emergency departments (ED) is non-urgent patients' visits to ED. In this paper we investigate how non-urgent ED visits are influenced by patients' imperfect perception of their urgency and their self-interested choice, and we explore interventions that can reduce non-urgent ED visits and social cost. We consider a healthcare setting where heterogeneous patients with imperfect perceptions choose between an expensive/congested ED and less expensive general practitioners (GP) who refer urgent patients to the ED. We model patients' choice problem as a network queueing game, and analytically characterize equilibrium patient flows and their variation with patients' perception errors. We find that non-urgent ED visits and social cost may increase by reducing perception errors. We also characterize socially optimum flows and show that, if optimum flow can be induced at equilibrium then reducing perception errors can guarantee to reduce the social cost. We further explore how to align equilibrium patient flows with optimum flows, and identify scenarios under which perception-improvement measures can achieve this alignment. For other scenarios we design incentive mechanisms to achieve the alignment, which include a novel differential pricing mechanism that leverages the special referral feature of the ED-GP network.
Book Synopsis Optimizing Emergency Department Throughput by : John M. Shiver
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
Book Synopsis Emergency Department Utilization by : Veronica Putnam
Download or read book Emergency Department Utilization written by Veronica Putnam and published by . This book was released on 2010 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency departments (ED) are overcrowded with both urgent and non-urgent patients. Overcrowding puts strain on EDs and can compromise quality of care. The ED is the safety net for access to care and is often used for basic primary care services instead of emergency healthcare. Insurance and the ability to pay for healthcare are major determining factors in where people seek care. The demographics of patients who utilize the ED are complex and not well understood. The purpose of this study was to investigate the acuity levels of patients in the ED as it relates to insurance status. This study explored ED usage patterns of the uninsured, privately insured, Medicaid insured, and Medicare insured patients. Data were collected through chart reviews from a hospital in Southwest Missouri. The results found that Medicare patients had the largest proportion of ED visits. The uninsured also had more ED visits when compared to those with private insurance. The majority of patients that were seen in the ED did have a primary care provider (PCP) and the uninsured represented the largest group without a PCP. Acuity level did not have a significant relationship to insurance status. There was no statistically significant relationship between acuity level and insurance status.
Book Synopsis Care Without Coverage by : Institute of Medicine
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Book Synopsis Patient Utilization of an Emergency Department for Non-urgent Conditions by : Jill Marie Frazee
Download or read book Patient Utilization of an Emergency Department for Non-urgent Conditions written by Jill Marie Frazee and published by . This book was released on 2005 with total page 96 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 Dispelling Myths about Emergency Department Use by : Anna S. Sommers
Download or read book Dispelling Myths about Emergency Department Use written by Anna S. Sommers and published by . This book was released on 2012 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contrary to conventional wisdom that Medicaid patients often use hospital emergency departments (EDs) for routine care, the majority of ED visits by nonelderly Medicaid patients are for symptoms suggesting urgent or more serious medical problems, according to a new national study by the Center for Studying Health System Change (HSC). About 10 percent of nonelderly Medicaid patient ED visits are for nonurgent symptoms, compared with about 7 percent for privately insured nonelderly people. Nonetheless, there are clearly opportunities to develop less-costly care options than emergency departments for both nonelderly Medicaid and privately insured patients. To reduce ED use, policy makers might consider how to encourage development of care settings that can quickly handle a high volume of potentially urgent medical problems. Policy makers may want to focus initially on conditions that account for high ED volume that could likely be treated in less resource-intensive settings. For example, diagnoses of acute respiratory and other common infections in children and injuries together account for about 53 percent of ED visits by children aged 0 to 12 covered by Medicaid and almost 60 percent of ED visits by privately insured children aged 0 to 12. While some infections and injuries will be too serious to treat elsewhere, lower-cost settings that can provide a moderate intensity of care and urgent response time likely could reduce emergency department use.
Book Synopsis Non-urgent Utilization of Emergency Departments 2000-2010, and the Affordable Care Act's Aim to Reduce Emergency Department Visits by : Sandeep Kumar Sharma
Download or read book Non-urgent Utilization of Emergency Departments 2000-2010, and the Affordable Care Act's Aim to Reduce Emergency Department Visits written by Sandeep Kumar Sharma and published by . This book was released on 2014 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Emergencies in Primary Care by : Chantal Simon
Download or read book Emergencies in Primary Care written by Chantal Simon and published by OUP Oxford. This book was released on 2007-09-27 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed for the busy GP, Emergencies in Primary Care covers the range of emergencies GPs might expect to encounter in the primary care setting, from the immediately life-threatening to the smaller but urgent problems that can and do arise. Written in a concise and didactic style, it incorporates useful algorithms to make complex management straightforward. Government guidelines are incorporated along with links to further information sources. Each clinical topic is succinctly addressed with all the information needed to make an accurate diagnosis, other diagnoses to consider and a clear management strategy.
