ED targets satisfaction, care as well as costs
ED targets satisfaction, care as well as costs
While lower emergency department (ED) costs are the main goal of LA Health Care Plan’s auto-authorization pilot project, researchers at the Los Angeles network also will be measuring several other outcomes (for a breakdown of the survey report, see p. 53):
• unacceptable clinical outcomes;
• unacceptable clinical outcomes attributable to the model;
• utilization trends, including overall levels of utilization and global costs (little or no impact on costs would be quite acceptable, if other outcomes are favorable);
• member, ED, primary care physician, and plan satisfaction, based on specific survey tools;
• reductions in repeat visits for members and their families;
• an increased number of preventive services for members and their families;
• an increased percentage of completed post-ED follow-up visits with the member’s primary care physician (PCP);
• a reduced rate of PCP/Plan transfers;
• reduced ED use by LA Care members at the pilot site over time.
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