-
Faced with a growing uninsured population, The MetroHealth System in Cleveland created an HMO-like system in 2010 to provide care for uninsured patients and embedded case managers in the health system's 11 clinics to ensure that uninsured patients get the care they need to avoid emergency department visits and hospitalization.
-
The emergency department is evolving from being the gate of the hospital to being a front porch for the community, a central location where people with healthcare concerns can come and be triaged to the proper venue for care, says Karen Zander, RN, MS, CCMAC, FAAN, principal and co-owner of The Center for Case Management in Wellesley, MA.
-
Coding patterns for emergency services have been scrutinized in the press recently.
-
In an effort to drive down health care expenditures, a key target of state legislatures and health care policy makers in recent years has been frequent users of the ED.
-
While studies show that most people come to the ED because of an urgent or emergent medical concern, some people wind up in an emergency setting because they are not plugged in to the kind of social or medical resources that could more appropriately meet their needs.
-
The Joint Commission (TJC) is in the process of developing new tools, solutions, and performance measures aimed at improving the processes used to transition patients from one health care setting to another.
-
You know there is a problem when the average wait time to see a provider is in the four-to-five-hour range, and 3% to 7% of incoming patients are routinely leaving the ED without being seen (LWBS).
-
-
By collaborating on a case management program for uninsured and underinsured patients who overuse the emergency department, two hospitals in Lincoln, NE, have reduced the number of emergency department visits by patients in the program by 56% and cut emergency department costs related to non-emergent care by 67%. In 2011, the initiative saved the two hospitals about $700,000 in uncompensated care costs.
-
A Centers for Medicare & Medicaid Services draft infection control survey expected to be finalized for use in hospitals next year could lead to increased support and appreciation for the challenges faced by central services departments, says Rose Seavey, RN, BS, MBA, CNOR, CRCST, CSPDT, President/CEO of Seavey Healthcare Consulting, Inc., in Arvada, CO.