Emergency Exits: Reducing Emergency Room Utilization
by Retooling Care-Seeking and Care Access Options


National emergency room (ER) utilization data tell us what hospitals and health
plans see daily: that ER visits continue to rise and show few signs of slowing.
According to the National Hospital Ambulatory Medical Care Survey (NHAMCS),
there were 110.2 million ER visits in 2004, and more than 25 percent were
for non-urgent or unknown causes.

Frequent ER visitors also referred to as "frequent flyers" are often targets of
ER redirection efforts. In reality, frequent flyers comprise a very small percentage
of ER visitors. Two health plans have discovered that by analyzing patient care-
seeking behaviors and reducing barriers to primary care access, they can
successfully divert a measurable number of potential ER visitors to more
appropriate care venues.

In "Emergency Exits: Reducing Emergency Room Utilization by Retooling
Care-Seeking and Care Access Options
," a 35-page special report, three
physicians share the specifics of their health plans' ER diversion initiatives
that have roots in patient self-care education, physician office adaptability
and hospital-health plan partnerships. Their reframed approaches to emergency
room utilization and primary care have netted them significant reductions in
both ER visits and hospital admissions.

Order your copy today at:
http://store.hin.com/product.asp?itemid=3757

Be sure to mention customer code: EER0108H

After analyzing internal and NHAMCS data, Wellpoint and Neighborhood Health Plan
employed low touch, broad-based strategies built around patient education rather
than expending energy on low numbers of frequent flyers whose behaviors are unlikely
to change, or significantly affect an organization's financial health.

This special report provides a blueprint for health plans, hospitals and providers desiring
to address and reduce unnecessary ED utilization in their populations. It also contains
a wealth of tactics from the more than 220 healthcare organizations that responded to
HIN's e-survey on dealing with unnecessary ED visitors.

You'll hear from Karen Amstutz, M.D., regional vice president and medical director at
WellPoint State Sponsored Business, Lakshmi Dhanvanthari, M.D., staff vice president
and medical director at WellPoint State Sponsored Business, and Jim Glauber, M.D.,
medical director for Neighborhood Health Plan of Massachusetts, who provide details
on:

To view the full table of contents, please visit:
http://store.hin.com/product.asp?itemid=3757

Please reference this customer code when ordering: EER0108H


Five Easy Ways To Order:

Emergency Exits: Reducing Emergency Room Utilization
by Retooling Care-Seeking and Care Access Options

  1. Order at:
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  2. Reply to this e-mail at: info@hin.com
  3. Contact the Healthcare Intelligence Network at: (888) 446-3530
  4. Fax your order to: (732) 292-3073
  5. Mail your order to: Healthcare Intelligence Network, PO Box 1442, Wall
    Township, NJ 07719

IMPORTANT: Please reference the following customer code when ordering: EER0108H



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Emergency Exits: Reducing Emergency Room Utilization
by Retooling Care-Seeking and Care Access Options


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," today
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