Value and Quality Innovations in Acute and Emergency Care

doi:10.1017/9781316779965

Access to acute and emergency care is essential when we are ill or injured, but the costs are significant. How can we make services more efficient and effective? This thought-provoking text provides twenty case studies detailing successful innovations to enhance value, including telehealth, observation medicine, high utilizer programs, and the use of informatics to improve clinical decision support. A detailed history of system developments over the last fifty years in the US and internationally is provided, and subjects including measurement and quality improvement, volume versus value based care, and emergency department crowding are discussed. This book is an ideal way for emergency physicians and healthcare managers to explore new ideas and enhance the quality of care in their area.

'In summary, this is an excellent work that should be read by every physician responsible for operating an ED.'

Edward J. Otten Source: The Journal of Emergency Medicine

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Contents

Value and Quality Innovations in Acute and Emergency Care
pp i-i
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Value and Quality Innovations in Acute and Emergency Care - Title page
pp ii-iii
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Copyright page
pp iv-iv
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Dedication
pp v-vi
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Contents
pp vii-viii
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Contributors
pp ix-xii
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Foreword: Delivery System Reform – License to Innovate
pp xiii-xvi
- By Brendan G. Carr
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Preface
pp xvii-xviii
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Chapter 1 - Fifty Years of Transformation of Acute and Emergency Care
pp 1-10
- By Benjamin Easter
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Chapter 2 - Fragmentation in Acute and Emergency Care
pp 11-17
Causes, Consequences, and Solutions
- By Jesse M. Pines, Mark S. Zocchi, C. Noelle Dietrich, Molly Benoit
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Chapter 3 - Measuring and Improving Quality of Care
pp 18-26
- By Benjamin Easter, Arjun Venkatesh
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Chapter 4 - Alternative Payment Models in Acute, Episodic Care
pp 27-37
Moving from Volume to Value
- By Nir J. Harish, Jesse M. Pines
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Chapter 5 - Improving Timeliness and Access of Acute and Emergency Care
pp 38-45
The Science of Improving Emergency Department Crowding
- By Olan A. Soremekun
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Chapter 6 - Bringing the Patient Voice into Emergency Care
pp 46-56
- By Marc A. Probst, Erik P. Hess
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Case 1 - Expanding the Role of Observation Care
pp 57-67
- By Christopher W. Baugh, Christopher G. Caspers, Anthony M. Napoli
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Case 2 - An Innovative Strategy to Streamline Care for Behavioral Health in the Emergency Department
pp 68-81
- By Michael Turturro, Leslie Zun, Jack Rozel
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Case 3 - The Geriatric Emergency Department
pp 82-90
- By Ula Hwang, Christopher R. Carpenter
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Case 4 - How the United Kingdom Responded to the 4-Hour Rule
pp 91-99
- By Suzanne Mason, Michael J. Schull
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Case 5 - High-Cost Users
pp 100-109
Using Information Technology to Streamline Care Plans
- By Dawn Williamson, Jody A. Vogel
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Case 6 - Emergency Care in an Integrated Healthcare Delivery System
pp 110-117
The Kaiser Experience
- By Dana R. Sax, Jeffrey S. Selevan, Wm. Wesley Fields
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Case 7 - Urgent Care Centers
pp 118-122
An Alternative to Unscheduled Primary Care and Emergency Department Care
- By Judd E. Hollander, Jesse M. Pines
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Case 8 - The “No-Wait” Emergency Department
pp 123-130
- By Christopher McStay, Jody Crane
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Case 9 - Transforming Care Delivery through Telemedicine
pp 131-138
- By Judd E. Hollander, Brendan G. Carr
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Case 10 - Coordinating Emergency Care through Telemedicine
pp 139-147
- By Sarah A. Sterling, Kristi Henderson, Alan E. Jones
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Case 11 - Bringing Diagnostic Testing to the Bedside
pp 148-153
Point of Care Testing
- By Benjamin Easter, Kelly Bookman
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Case 12 - Regionalization of Care
pp 154-163
- By M. Kit Delgado, Fred Lin, Brendan G. Carr
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Case 13 - Clinical Decision Support Tools
pp 164-169
- By Kelly Bookman, Ali S. Raja
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Case 14 - Automated Patient Follow-Up Program
pp 170-177
- By Tom Scaletta, Kristin L. Rising, Megan Ranney
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Case 15 - Using Data on Patient Experience to Improve Clinical Care
pp 178-185
- By Seth Glickman, Abhi Mehrotra
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Case 16 - Community Paramedicine
pp 186-194
The Geisinger Experience
- By Manish N. Shah, David J. Schoenwetter
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