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Given the findings of a recent study in the Annals of Emergency Medicine,1 ED managers should take immediate steps to improve communications with patients, says Bruce Janiak, MD, FACEP, FAAP, professor of emergency medicine, Medical College of Georgia, and vice chair of the ED at MCG Health Medical Center, both in Augusta.
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Under a new policy instituted in May 2008, patients in the ED at Metro Health Medical Center in Cleveland who have minor ailments must now pay part of their bill before being treated or be referred to one of MetroHealth's 16 clinics in the area. They are guaranteed an appointment within 72 hours.
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The ED at Metro Health Medical Center in Cleveland began considering a new policy for patients with minor ailments about two years ago, recalls Charles L.
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(Editor's note: With this issue, ED Management begins a series on innovative approaches to documentation that can significantly enhance your department's revenues, without making any changes in patient flow and throughput processes. In this month's issue, we address the most effective documentation tools, proper staffing to optimize their use, and how to convince administration to make the required investment. In subsequent issues, we'll cover electronic tracking and chart monitoring, productivity incentives, and excellence in coding and billing practices.)
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ED managers who don't currently use a documentation tool that prompts you to take actions that will ensure optimal reimbursement are missing an opportunity to significantly enhance revenues, says Robert B. Takla, MD, FACEP, vice chief emergency services at St. John Hospital and Medical Center, Detroit.
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Documentation templates can require a significant investment, especially when you also are planning to hire additional staff to further enhance your documentation process. Showing supreme confidence in your plan, say the experts, can go a long way toward convincing management the investment makes sense.
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The recent death of a 49-year-old woman in the psychiatric ED of Kings County Hospital in Brooklyn, NY, after more than a 24-hour wait, dramatically illustrates the challenge of EDs trying to serve these patients.
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A psychiatric ED can relieve the overcrowding pressure in the main ED, but it doesn't guarantee a solution to the boarding problem, says Steve Sterner, MD, chief clinical officer and an emergency physician at Hennepin County Medical Center in Minneapolis, and chair of a joint American College of Emergency Physicians (ACEP)/Minnesota Medical Association task force evaluating psychiatric bed availability and the boarding of psychiatric patients.
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If it is not practical to create a psychiatric ED at your facility, you can create a separate area within your department for psychiatric patients, says Steve Sterner, MD, chief clinical officer and an emergency physician at Hennepin County Medical Center in Minneapolis and chair of a joint American College of Emergency Physicians (ACEP)/Minnesota Medical Association task force evaluating psychiatric bed availability and the boarding of psychiatric patients.
