The hospital emergency room is the de facto primary care provider for 28 percent of Americans seeking acute care, according to a study published in the September 2010 edition of Health Affairs.
To reduce avoidable ER visits, Kaiser Foundation Health Plan and WellPoint have implemented tactics driven by technology, patient education and community collaborations. 27 Interventions to Reduce Avoidable ER Use describes 27 separate initiatives launched by Kaiser and WellPoint in eight states around the country that are effectively reducing avoidable emergency department use and redirecting patients to more cost-effective care venues.
This 45-page resource details provider- and patient-focused interventions that target the high numbers of avoidable visits, high and ultra-high utilizers and the sub-populations noted for frequent ER use. Five interventions target these sub-populations: asthma patients, those recently discharged from the hospital, non-network patients, nursing home and assisted living residents and dual-eligibles (Medicare and Medicaid).
Reporting on their organizations' initiatives to curtail wasteful healthcare utilization in the ER are Sara A. Tracy, senior manager of emergency services at Kaiser Foundation Health Plan of Colorado, Dr. Karen Amstutz, vice president and medical director of Medicaid and Senior Markets, WellPoint, and Dr. Barsam Kasravi, managing medical director for state-sponsored programs, WellPoint. Drs. Amstutz and Kasravi also share trends in ER use by Medicaid beneficiaries.
In presenting the 27 specific interventions, this report provides details on:
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P.S. 27 Interventions to Reduce Avoidable ER Use describes initiatives in use by Kaiser Permanente and WellPoint in eight states that are effectively reducing avoidable ER visits and redirecting patients to more cost-effective care venues. Order your copy today to learn how you can make an impact on avoidable ER visits.