
BOOK
Emergency Room Redirection Handbook
Gerald Kiplinger
$181.90
About this product:
The Emergency Room Redirection Handbook is a comprehensive two-volume set that illustrates innovative strategies to reduce unnecessary emergency room visits. Vol. I: For Emergency Use Only: Curbing Unnecessary Emergency Room Use Through Education, Accountability and Physician Engagement Teaching timely access to outpatient care is just one tactic covered in this special report, which 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. They provide 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.
Vol. II: Emergency Exits: Reducing Emergency Room Utilization by Retooling Care-Seeking and Care Access Options
According to the National Hospital Ambulatory Medical Care Survey (NHAMCS), there were 110.2 million ER visits in 2004, and more than 25 percent were for non-urgent or unknown causes.
Two health plans profiled in this report have discovered that by analyzing patient care-seeking behaviors and reducing barriers to primary care access, they can successfully divert a measurable number of potential ER visitors to more appropriate care venues.
In this 35-page special report, three physicians share the specifics of their health plans' ER diversion initiatives that have roots in patient self-care education, physician office adaptability and hospital-health plan partnerships. Their reframed approaches to emergency room utilization and primary care have netted them significant reductions in both ER visits and hospital admissions.
WellPoint and Neighborhood Health Plan employed low touch, broad-based strategies built around patient education rather than expending energy on low numbers of frequent flyers whose behaviors are unlikely to change, or significantly affect an organization's financial health.
This special report also contains a wealth of tactics from the more than 220 healthcare organizations that responded to HIN's e-survey on dealing with unnecessary ER visitors.
You'll hear from Karen Amstutz, M.D., regional vice president and medical director at WellPoint State Sponsored Business, Lakshmi Dhanvanthari, M.D., staff vice president and medical director at WellPoint State Sponsored Business, and Jim Glauber, M.D., medical director for Neighborhood Health Plan of Massachusetts, who provide details on: -Reducing unnecessary ER use via medical home promotion and assignment; -Empowering members and occasional ER users with self-care knowledge; -Recognizing and reporting potential drug-seeking behaviors among frequent flyers; -Beginning immediate outreach to ER users via real-time health plan-hospital data exchange; -Evaluating the effectiveness of a nurse triage line in diverting unnecessary ER visits; -Employing nine tactics to engage network hospitals
and much more.