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The nation's first senior emergency center, opened by Holy Cross Hospital in Silver Spring, MD, is specifically tailored to meet the needs of a growing population of adults and provides care that goes beyond the typical emergency department assessment and treatment.
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In the face of steadily increasing volumes (13,000 between 2008 and 2009), the emergency department (ED) at Peninsula Regional Medical Center in Salisbury, MD, has improved all of its operating statistics, achieving a door-to-bed time of three minutes and a door-to-doc time of 21 minutes.
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Recognizing that ED wait times and throughput are affected by the entire hospital, the leaders at King's Daughters Medical Center in Ashland, KY, engaged all the departments that interface with the ED and slashed the rate at which ED patients leave before treatment from 5% to 0.5%.
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The decrease in the rate of ED patients leaving before treatment at King's Daughters Medical Center in Ashland, KY, from 5% to 0.5% was not achieved by the ED alone. It took a concerted effort on the part of all of the major departments that interface with the ED.
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Patients are at highest risk for readmissions during the first week after discharge, Donna Zazworsky, RN, MS, CCM, FAAN, points out.
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After St. Luke's Hospital in Cedar Rapids, IA, launched a cross-continuum heart failure program, the rate of readmissions for heart failure patients dropped from nearly 30% to just 17%.
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By developing and following a comprehensive plan to improve care and transition to the community for patients with chronic obstructive pulmonary disease (COPD), UPMC St. Margaret Hospital has reduced the readmission rate by 16% for patients with a primary diagnosis of COPD and by 27% for patients with pneumonia and a secondary diagnosis of COPD.
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The Current Procedural Terminology (CPT) code changes in place in the 2008 Physician Fee Schedule improve the ability of physicians and other providers to document their telephone evaluations and management services, but they don't go far enough, according to the Case Management Society of America (CMSA).
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Lack of the right technology to automate time-consuming, error-prone processes can put patient access departments at a big disadvantage.
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"A number of exciting collection technologies have evolved over the last few years.
