Hospitals team up to tackle frequent ED visitors
Case Management Monthly, July 1, 2010
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Case Management Monthly.
Unlike politicians who only give lip service to working with rivals, BryanLGH and Saint Elizabeth Regional Medical Center have joined forces to create Lincoln ED Connections, which helps patients who use the ED for primary care.
The program saved the hospitals more than $2 million in its first three years, and 90% of the program participants kept appointments with their new PCPs.
Prior to Lincoln ED Connections, BryanLGH had an ED case manager, but her role was limited and her caseload was small—only about 10 patients, says Tom Hoover, RN, MBA-HCM, the Lincoln ED Connections program director. Saint Elizabeth did not have a dedicated ED case manager.
“We knew there were a lot of patients going to both hospitals, but being separate and not collaborating, we couldn’t do anything,” Hoover says.
When George Washington University’s Urgent Matters program evaluated both EDs, it found that 38% of the visits could have been better served in a primary care setting. It recommended that the two hospitals partner up and tackle the problem together—a novel idea.
“To have a competing hospital collaborate with you and share office space is pretty rare,” Hoover says.
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Case Management Monthly.
Related Products
Most Popular
- Articles
-
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Acute respiratory failure diagnosis does not require intubation
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: TPO disclosures to a business associate
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- Topic: CMS, OESS post new security compliance review information, checklist
- Identify potential Medicaid RAC target areas
- Q/A: Coding infusions to correct low potassium levels
- OB services: Coding inside and outside of the package
- E-mailed
-
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Acute respiratory failure diagnosis does not require intubation
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Coding infusions to correct low potassium levels
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Hospitals are not bound by InterQual criteria for determining patient status
- Q/A: New code for image-guided minimally invasive lumbar decompression
- Understand the spine to code back procedures correctly
- Searched
