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Just One Malpractice Payout Means Far Higher Risk for Future Claims
Of 841,961 physicians with zero paid claims in the 2009-2013 period, only 3.3% were the subject of one or more claims in the next five years (2018-2023). Of 34,512 physicians with one paid claim in the prior period, 12% were the subject of one or more claims in the next five years. Of 4,189 physicians with two paid claims in the prior period, 22.4% were the subject of one or more claims in the next five years. Of 1,214 physicians with three paid claims in the prior period, 37% were the subject of one or more claims in the next five years.
Tennessee Develops EMS Response Program for Low-Acuity Medicaid Patients
The program, modeled after ET3, once implemented statewide, is estimated to reduce unnecessary visits to the ED, ease crowding of emergency medical services, and generate more than $8 million annually in Tennessee Medicaid program savings.
ET3 Pilot Hailed as Big Step Toward Fully Leveraging EMS
In January 2021, the Centers for Medicare & Medicaid Services launched a five-year pilot program called Emergency Triage, Treat, and Transport (ET3), an approach that enables participating EMS programs to connect some patients with lower-acuity problems to emergency providers via telemedicine at the scene. Most participants are excited about leveraging the approach to accelerate needed care to patients, decompress EDs, and maximize the skills of the EMS workforce.
Why Navigators Are Essential to CA Bridge
While not all participating EDs in California have a Bridge clinic on their campus, the essence of the model is to make it easy for patients to receive the care they need. To do this, each ED should designate a champion to drive the program and a navigator to facilitate treatment access.
Health Systems Look to Duplicate California Substance Use Disorder Treatment Model
Administrators in several states want to leverage their EDs as a critical point of access to identify and treat substance use disorder.
California Lawmaker Pushes for More Mental Health Professionals in Hospitals
Employing trained mental health providers on site is important, but are there enough resources to meet the need?
Emergency, Radiology Groups Suggest Best Practices for Incidental Findings
Better reporting, communication needed when troubling lesions appear on images.
Facilities Require ‘Medical Clearance,’ But Evidence Suggests It Is Unnecessary
A patient may present with new delusions, but an otherwise normal physical exam. Why keep that person in a regular ED treatment space or hallway for hours while waiting for a CT scan? Instead, this patient can avoid exposure to radiation, be “cleared” for evaluation by an acute care psychiatrist or social worker, and receive access to treatment hours earlier.
Challenges in Accessing Resources Lead to ED Psychiatry Consults
Difficulty identifying the “right” level of care for patients, understanding how insurance plays a major role in post-ED care options, and needing help with the operational process of making referrals to outside treatment facilities all are administrative and bureaucratic headaches with which clinicians could use assistance.
Emergency Clinicians’ Emotional Reactions to Psychiatric Patients Affect Care, Well-Being
Survey participants painted a picture of negative healthcare experiences, for both patients and clinicians, that are adversely affecting the quality of care and staff well-being. Change is badly needed to ensure these vulnerable patient populations receive care — and to support ED providers.