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One new study suggests that crowding in the ED does not necessarily prevent patients who are having ST-segment-elevation myocardial infarction (STEMI) heart attacks from receiving needed treatment quickly.
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Faster throughput can clear waiting rooms and boost patient satisfaction, but there are also instances where time-to-treatment can make a critical difference in outcomes.
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The ED at Shands Critical Care Center at the University of Florida in Gainesville, FL, sees about 9,000 patients every year who present with chest pain, and until recently, a high percentage of the low- to moderate-risk patients were being admitted to the hospital for further observation.
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When it comes to ensuring that patients are receiving high-value, cost-effective care, case managers are where the rubber hits the road, says Michael Taylor, MD, vice president of operations at Executive Health Resources, a Newton Square, PA, healthcare consulting firm.
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After Bassett Medical Center in Cooperstown, NY, began a multidisciplinary program to reduce readmissions, the 30-day readmission rate for high-risk patient diagnoses dropped 70% from 13.4% in 2009 to 0.7% 2010. The initiative earned the medical center a Pinnacle Award for Quality and Patient Safety from the Hospital Association of New York State.
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A pilot program in which parents or caregivers of patients were screened for health literacy reduced healthcare costs and emergency department use for patients at Cook Children's Medical Center in Fort Worth, TX.
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Systems will need to be remediated if they will be used to check medical necessity for ICD-10 standards when they are implemented in October 2013, says Jeffrey Smith, RN, MBA, CPC, a New York City-based manager at Accenture Insight Driven Health, a management and technology consulting company.
