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There's no doubt that when the Bon Secours system in the Hampton Roads area of Virginia launched a new "no wait" policy for its EDs, it was hoping to improve its brand and attract more patients.
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Computer systems might be costly, but they can also save you a good deal of money in a short time. For example, the computer system installed at Beaufort (SC) Memorial Hospital and implemented in December 2009 recouped its costs of about $500,000 in just three months.
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The Wisconsin Health Information Exchange (WHIE), which has enabled EDs in the Milwaukee area to electronically access patient data for about three years, has helped the participants save time and make better-informed patient care decisions, according a recent study from the Medical College of Wisconsin in Milwaukee.
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HealthGrades, a Golden, CO-based health care ratings organization that provides the public with ratings on more than 750,000 physicians and 5,000 hospitals, has just released a study it claims "evaluates hospital emergency medicine for the first time."
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[Editor's note: This is the third in a three-part series on reducing violence in the ED. In the first article, our experts discussed the importance of a "zero tolerance" policy. In last month's article, we outlined key steps recommended by government agencies for reducing violence and discussed the importance of having clear procedures when it comes to dealing with patients and their families. This month we examine the Sentinel Event Alert recently published by The Joint Commission, which discusses why the ED is particularly susceptible to episodes of violence, outlines leading causal factors, and provides additional guidance for violence prevention.]
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Your ED patient's bad outcome might have nothing to do with the fact that he or she was held in the hallway while awaiting an inpatient bed. However, it could impact the outcome of subsequent litigation against the ED.
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[This quarterly column on coding in the ED is written by Caral Edelberg, CPC, CCS-P, CHC, president of Edelberg Compliance Associates, Baton Rouge, LA. If there are coding issues you would like to see addressed in this column, contact Edelberg at phone: (225) 454-0154. E-fax: (225) 612-6904. E-mail:
[email protected].]
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Representatives at Emerus Emergency Hospitals, a licensed emergency specialty hospital company based in The Woodlands, TX, have been telling patients at several of its "24-hour EDs" for months now that if they are not seen by a physician within 15 minutes, the hospital will pay for their $1,000 visit. So far, the new policy is working quite well, say Emerus representatives.
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[Editor's note: This is the second in a two-part series on placing pharmacists in the ED. In our last installation, we examined the performance improvements that the University of Rochester (NY) Medical Center achieved as the result of placing a pharmacist inside the ED. In addition, we discuss how a pharmacist's recommendations to dispense a medication orally instead of using an IV enabled the ED to save a considerable amount of money while at the same time improving patient safety. In this issue, we look at additional benefits these pharmacists offer, from the perspective of ED nurses and physicians.]
