9/12/2023 0 Comments Preventable ed visitsHardwire a standard process to identify frequent emergency department utilizersand create accountability for this task.Develop Patient Care Plans for Frequent ER Users.Utilize a care management team to assess the drivers of utilization, both clinical and social, to develop unique care plans with patients, re-visit plans with hospital team members. Hospitals should identify emergency department visit history upon arrival and coordinate case management for patients that have 5 or more visits to the same emergency room within the last 12 months. ![]() Identify Frequent Users of the Emergency Department and EMS.Additionally, provide these educational materials in a format that supports your community’s language and cultural preferences. Ensure that this information illustrates community-based care sites such as clinics, urgent care and non-acute care sites that provide off-hour services. Develop and disseminate patient education materials that support access and utilization of appropriate care resources.This electronic communication tool is the common space for hospital-based care teams, primary care providers, mental health teams and clinics supporting unique patient -centric care. Adoption of an electronic health information exchange system on a statewide basis to create and act on a common, integrated plan of care related to patients with potentially avoidable visits to the emergency department.Ensure that these strategies have been implemented at your facility. Getting Started:īe familiar with the WA State Legislative language: Third Engrossed Substitute House Bill 2127 and the ER is for Emergencies 7 Best Practices. Identifying patient-centric care needs, such as poorly managed chronic medical conditions, substance use, lack of primary care access, health-related social needs and assessing the ability to link to appropriate care and community resources for patients in our respective communities will be important for reducing avoidable ER use. Now, a decade later, WSHA continues to support hospitals in sustaining patient-centric care, leveraging the 7 Best Practices to identify patients with 5 or more emergency department visits to the same facility per calendar year. This program was developed to redirect clinical care or low acuity illness to the most appropriate setting and reduce preventable Medicaid emergency room visits. ![]() In 2012, The Washington State Hospital Association (WSHA), in a collaborative partnership with the Washington State Medical Association (WSMA) and the WA State Chapter of the American College of Emergency Physicians developed a program: ER is for Emergencies-The 7 Best Practices. ER is for Emergencies and the 7 Best Practices Program While emergent care necessitates a visit to an Emergency Department, there are some circumstances that could be avoidable and appropriately managed in urgent care centers, physician offices and clinics.Īdditionally, avoidable ED visits may be indicative of lack in care coordination or management, lack of access and information on where to receive care in the community. Over the last decade, data on ED visits grew exponentially, yielding more than 137 million visits, and while cost estimates vary across the nation, an estimated 39 billion/annually can be associated with these visits. Reducing Avoidable Emergency Department Visits ER UtilizationĮmergency rooms are an integral department in our health care systems, providing immediate access for acute illness, accidents, and trauma.
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