2.50
Hdl Handle:
http://hdl.handle.net/10755/162392
Type:
Presentation
Title:
Patient Care Regimen for the ED Patient
Abstract:
Patient Care Regimen for the ED Patient
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Merritt, Gail, RN, BS, CEN
P.I. Institution Name:The Christ Hospital
Title:Clinical Educator
Contact Address:2139 Auburn Avenue, Cincinnati, OH, 45219, USA
Contact Telephone:513-585-1046
Co-Authors:Stephanie Herbert Smith, RN, BSN
[ENA Annual Conference - Evidence-based Practice Presentation]

Purpose: Multiple emergency department visits by patients with chronic conditions can result in fragmented care or unnecessary repeated diagnostics. In an effort to provide patient centered care, the Continum of Care Committee (CCC) devised a plan to provide a multidisciplinary tema approach resulting in optimal, coordinated and personalized care to patients who utilize ED services frequently and/or have specialty care requirements.

Design: This performance improvement project, implemented Jukly 2009, was developed to provide an individualized care regimen for a patient to ensure continuity of care. Existing internal and external resources were utilized to facilitate effective communication with other healthcare providers. The project had two aims. First: to identify the patients who had frequent ED visits and provide a grading system based on frequency. Second: patients who have been identified are referred to the CC and it is then decided if a patient care regimen is appropriate.
Setting: 550 bed tertiary care teaching hospital in a mid-weest city with 49,000 annual ED visits.

Participants/Subjects: Patients who have frequent utilization of emergency services. Criteria includes but is not limited to: non-emergent medical issues, medication refills, chronic medical and behavioral health issues. Utilization is determined using a grading system: Grade 1-4 or more ED visits in 1 month, Grade II - 4 ED visits in 2 months; Grade III - 4 ED visits 3 months or greater.

Methods: The patient care regimen is a written plan for those patients who have been identified. It provides a summary of data found in multiple places in the electronic medical record, summary of medications and a list of all specialists involved in the care of the patient. Once the committee develops a regimen, it is shared with the patient; necessary revisions are made and then sent to all care providers for that patient. A file is kept in the ED so they are accessible for the staff to be used during subsequent admissions. The care regimen provides a flexible approach to reach mutually agreed upon health care goals.

Results/Outcomes: The patient care regimen program is in the beginning phase of implementation. The outcomes that will be measured include: frequency of ED visits, length of stay if hospitalized and patient satisfaction with the program. We anticipate a decrease in the frequency of ED visits and a shorter lengt of stay with an individualized and coordinated approach to care starting with their ED visit.

Implications: We anticipate greater patient satisfaction from this individualized approach to patient centered care. Chronically ill patients are often frustrated by frequently repeating their needs to health care providers. The EMR will facilitate both identification of patients who will benefit from the CCC program and communication of the care regimen to all care providers.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePatient Care Regimen for the ED Patienten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162392-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Patient Care Regimen for the ED Patient</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Merritt, Gail, RN, BS, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Christ Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Educator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2139 Auburn Avenue, Cincinnati, OH, 45219, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">513-585-1046</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gail.merritt@thechristhospital.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Stephanie Herbert Smith, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation] <br/><br/>Purpose: Multiple emergency department visits by patients with chronic conditions can result in fragmented care or unnecessary repeated diagnostics. In an effort to provide patient centered care, the Continum of Care Committee (CCC) devised a plan to provide a multidisciplinary tema approach resulting in optimal, coordinated and personalized care to patients who utilize ED services frequently and/or have specialty care requirements.<br/><br/>Design: This performance improvement project, implemented Jukly 2009, was developed to provide an individualized care regimen for a patient to ensure continuity of care. Existing internal and external resources were utilized to facilitate effective communication with other healthcare providers. The project had two aims. First: to identify the patients who had frequent ED visits and provide a grading system based on frequency. Second: patients who have been identified are referred to the CC and it is then decided if a patient care regimen is appropriate.<br/>Setting: 550 bed tertiary care teaching hospital in a mid-weest city with 49,000 annual ED visits.<br/><br/>Participants/Subjects: Patients who have frequent utilization of emergency services. Criteria includes but is not limited to: non-emergent medical issues, medication refills, chronic medical and behavioral health issues. Utilization is determined using a grading system: Grade 1-4 or more ED visits in 1 month, Grade II - 4 ED visits in 2 months; Grade III - 4 ED visits 3 months or greater.<br/><br/>Methods: The patient care regimen is a written plan for those patients who have been identified. It provides a summary of data found in multiple places in the electronic medical record, summary of medications and a list of all specialists involved in the care of the patient. Once the committee develops a regimen, it is shared with the patient; necessary revisions are made and then sent to all care providers for that patient. A file is kept in the ED so they are accessible for the staff to be used during subsequent admissions. The care regimen provides a flexible approach to reach mutually agreed upon health care goals.<br/><br/>Results/Outcomes: The patient care regimen program is in the beginning phase of implementation. The outcomes that will be measured include: frequency of ED visits, length of stay if hospitalized and patient satisfaction with the program. We anticipate a decrease in the frequency of ED visits and a shorter lengt of stay with an individualized and coordinated approach to care starting with their ED visit.<br/><br/>Implications: We anticipate greater patient satisfaction from this individualized approach to patient centered care. Chronically ill patients are often frustrated by frequently repeating their needs to health care providers. The EMR will facilitate both identification of patients who will benefit from the CCC program and communication of the care regimen to all care providers.</td></tr></table>en_GB
dc.date.available2011-10-27T10:27:25Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:25Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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