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CONTACT INFORMATION:

Patricia Donovan
Voice: 732.449.4468
Fax: 732.449.4463
E-mail: pdonovan@hin.com
Web site: www.hin.com

Kaiser Permanente, WellPoint Share 27 Interventions to Reduce Avoidable ER Visits

27 Interventions to Reduce Avoidable ER Use

Kaiser Permanente and WellPoint share successful strategies for directing ER patients to the most appropriate healthcare settings in "27 Interventions to Reduce Avoidable ER Use," a new resource from the Healthcare Intelligence Network.

November 9, 2010

SEA GIRT, NJ, USA — Multi-pronged educational programs, enforcement of narcotics contracts and support of primary care providers are just a few approaches healthcare organizations can use to reduce avoidable visits to hospital emergency rooms. These recommendations and more are contained in the just-published 27 Interventions to Reduce Avoidable ER Use, a new resource from the Healthcare Intelligence Network.

Learn more ways to reduce avoidable ER use.

NEWS FACTS:

Specifically designed to help healthcare organizations reduce costly and avoidable emergency room utilization, 27 Interventions to Reduce Avoidable ER Use describes 27 separate initiatives launched by Kaiser Permanente and WellPoint around the country that are effectively reducing avoidable ED use and redirecting patients to more cost-effective care venues.

This essential 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 — including individuals with chemical dependency issues, nursing home residents and dual eligibles.

Content Overview: Kaiser Permanente and WellPoint are aggressively targeting avoidable visits, frequent flyers and more, with impressive results. Get the details from 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 at WellPoint on the programs they've launched to reduce avoidable ER use in hospitals around the country.
This report provides details on the following:
- Tracking the 15 diagnoses associated with avoidable visits — targeting conditions that may be better handled in a primary care setting;
- Sample questions for patient and health plan member surveys to gauge satisfaction and access and provide a framework for interventions;
- Upstream interventions and 'pre-patriation' processes designed to reach potential high utilizers before they arrive in the ER;
- Data on savings associated with specific interventions;
- Tactics to identify and manage members who have known chemical dependencies;
- Aggressive case management tactics for high ER users;
PLUS 23 additional ideas from respondents to HIN's 2010 Reducing Avoidable ER Use e-survey, 22 suggestions for successfully engaging providers in these efforts, and answers to more than 35 questions on this topic.
Target Audience: CEOs, medical directors, wellness professionals, human resources professionals, disease management directors, managers and coordinators, health plan executives, care management nurses, business development executives and strategic planning directors, and any individuals or organizations charged with reducing avoidable ER use.
Report Formats: PDF instant download, Print or Print/PDF combination.

Learn more about how to reduce avoidable ER use.

QUOTE ATTRIBUTABLE TO MELANIE MATTHEWS, HIN EXECUTIVE VP AND COO:

Click here for Melanie Matthews's profile.

"To remain lean and profitable at a time when reimbursements are shrinking, healthcare organizations must focus on eliminating unnecessary utilization and pooling resources to accomplish this. The efforts proposed by Kaiser Permanente and WellPoint are simple to implement and are bound to trigger some new approaches on the part of healthcare providers and payors large and small."

Please contact Patricia Donovan to arrange an interview or to obtain additional quotes.

About the Healthcare Intelligence Network — HIN is the premier advisory service for executives seeking high-quality strategic information on the business of healthcare. For more information, contact the Healthcare Intelligence Network, PO Box 1442, Wall Township, NJ 07719-1442, (888) 446-3530, fax (732) 449-4463, e-mail info@hin.com, or visit http://www.hin.com.

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