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June Book of the Month

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

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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.

10% Discount

You'll get details on:

  • Reducing unnecessary ER use via medical home promotion and assignment;
  • Empowering members and occasional ER users with self-care knowledge;
  • Recognizing and reporting potential drug-seeking behaviors among frequent flyers;
  • Beginning immediate outreach to ER users via real-time health plan-hospital data exchange;
  • Evaluating the effectiveness of a nurse triage line in diverting unnecessary ER visits;
  • Employing nine tactics to engage network hospitals and providers in ER diversion initiatives;
  • and much more!

Order online by June 30, 2008 and receive a 10% discount!

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