Community Providers Response to an Enhanced Emergency Department Follow-Up Program

2.50
Hdl Handle:
http://hdl.handle.net/10755/162674
Type:
Presentation
Title:
Community Providers Response to an Enhanced Emergency Department Follow-Up Program
Abstract:
Community Providers Response to an Enhanced Emergency Department Follow-Up Program
Conference Sponsor:Emergency Nurses Association
Conference Year:2007
Author:Specht, Judith, RN, BSN
P.I. Institution Name:University Hospital and Medical Center at Stony Brook, NY
Title:Clinician ED Follow Up Program
Contact Address:43 Barker Dr., Stony Brook, NY, 11790, USA
Contact Telephone:(631) 444-2397
[Clinical Poster] Clinical Topic: Many community primary care providers (PCPs) identified a need to develop an alternative method for obtaining Emergency Department (ED) records in a timely fashion. The mechanism for obtaining records from Health Information Management (HIM) was reported to delay both PCP intervention and patient follow-up care. The goal of this project was to implement a new method for obtaining ED records and, subsequently, compare PCP satisfaction with this new method.

Implementation: This East Coast, Level I trauma center is located in a seasonal resort area and is part of a university system servicing patients who often follow up with a provider in another county or state. All primary care providers who may have previously attempted to access records via HIM or by contacting the ED staff are now recipients of a faxed-record program. ED patients are asked to provide the triage nurse with the name of their primary care provider. If a patient is unable or unwilling to provide the information at triage, they receive a follow up call post-discharge in an attempt to obtain the information. All patients have the opportunity to have records forwarded to their provider, regardless of the location of the provider. Physician offices are no longer required to request records or results as all documents related to the ED encounter are faxed within 24 hours of the ED visit. In February 2006, approximately 18 months after implementation of the faxed-record program, a multiple-choice questionnaire was developed and mailed to 75 primary care providers who have admitting privileges (representing a variety of specialties). Only physicians who have admitting privileges were chosen to receive a survey in attempt to increase the probability of multiple experiences with the fax system, rather than a single or infrequent use. Survey responses were returned without identifying information.

Outcomes: 61% (n = 46) completed the questionnaire. The specialties represented in this sample were: family medicine (22%), pediatrics (39%), internal medicine (30%), cardiology (2.2%), neurology (2.2%), and obstetrics/gynecology (4.4%). Years in practice were evenly divided into 3 groups: <10 years in practice, 10-20 years and >20 years. 50% of respondents reported the inability and/or difficulty obtaining records from other local hospitals. 98% reported the enhanced program as beneficial to their practice and the same number reported that the faxed data is incorporated into their patients' permanent medical records. Many respondents added very positive comments and expressed a desire for other emergency departments to adopt a similar service. All but one PCP stated that a faxed format was the preferred method of communication. This program has received local recognition and praise which has led to two additional hospitals in this county to request site visits and, subsequently, have adopted similar programs in their emergency departments

Recommendations: The encounter, treatment, and diagnostic testing performed during an ED visit must be made available to the primary care provider as soon as possible to prevent interruption of the patient?s care. Primary care providers, like most in health care, have neither the time nor the resources to use in an attempt to access information. In this small sample, they have clearly expressed satisfaction with the process now in place in this emergency department. The multiple health information requests of ED nurses that utilized precious time have been eliminated; all such inquiries are now directed to the follow up program. ED nurses are able to discharge their patients with the assurance that a primary care provider will receive the results necessary to provide continuity of care. Patients do not experience frustration attempting to direct their results, nurses in the field have prompt access to patients? ED encounters, duplicate testing is eliminated, and the process acts to promote customer satisfaction. Findings that used to be addressed by the ED staff can now be more appropriately handled in the outpatient setting.
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.titleCommunity Providers Response to an Enhanced Emergency Department Follow-Up Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162674-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Community Providers Response to an Enhanced Emergency Department Follow-Up Program</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">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Specht, Judith, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University Hospital and Medical Center at Stony Brook, NY</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinician ED Follow Up Program</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">43 Barker Dr., Stony Brook, NY, 11790, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(631) 444-2397</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Jspecht@notes.cc.sunysb.edu</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Poster] Clinical Topic: Many community primary care providers (PCPs) identified a need to develop an alternative method for obtaining Emergency Department (ED) records in a timely fashion. The mechanism for obtaining records from Health Information Management (HIM) was reported to delay both PCP intervention and patient follow-up care. The goal of this project was to implement a new method for obtaining ED records and, subsequently, compare PCP satisfaction with this new method.<br/><br/>Implementation: This East Coast, Level I trauma center is located in a seasonal resort area and is part of a university system servicing patients who often follow up with a provider in another county or state. All primary care providers who may have previously attempted to access records via HIM or by contacting the ED staff are now recipients of a faxed-record program. ED patients are asked to provide the triage nurse with the name of their primary care provider. If a patient is unable or unwilling to provide the information at triage, they receive a follow up call post-discharge in an attempt to obtain the information. All patients have the opportunity to have records forwarded to their provider, regardless of the location of the provider. Physician offices are no longer required to request records or results as all documents related to the ED encounter are faxed within 24 hours of the ED visit. In February 2006, approximately 18 months after implementation of the faxed-record program, a multiple-choice questionnaire was developed and mailed to 75 primary care providers who have admitting privileges (representing a variety of specialties). Only physicians who have admitting privileges were chosen to receive a survey in attempt to increase the probability of multiple experiences with the fax system, rather than a single or infrequent use. Survey responses were returned without identifying information. <br/><br/>Outcomes: 61% (n = 46) completed the questionnaire. The specialties represented in this sample were: family medicine (22%), pediatrics (39%), internal medicine (30%), cardiology (2.2%), neurology (2.2%), and obstetrics/gynecology (4.4%). Years in practice were evenly divided into 3 groups: &lt;10 years in practice, 10-20 years and &gt;20 years. 50% of respondents reported the inability and/or difficulty obtaining records from other local hospitals. 98% reported the enhanced program as beneficial to their practice and the same number reported that the faxed data is incorporated into their patients' permanent medical records. Many respondents added very positive comments and expressed a desire for other emergency departments to adopt a similar service. All but one PCP stated that a faxed format was the preferred method of communication. This program has received local recognition and praise which has led to two additional hospitals in this county to request site visits and, subsequently, have adopted similar programs in their emergency departments<br/><br/>Recommendations: The encounter, treatment, and diagnostic testing performed during an ED visit must be made available to the primary care provider as soon as possible to prevent interruption of the patient?s care. Primary care providers, like most in health care, have neither the time nor the resources to use in an attempt to access information. In this small sample, they have clearly expressed satisfaction with the process now in place in this emergency department. The multiple health information requests of ED nurses that utilized precious time have been eliminated; all such inquiries are now directed to the follow up program. ED nurses are able to discharge their patients with the assurance that a primary care provider will receive the results necessary to provide continuity of care. Patients do not experience frustration attempting to direct their results, nurses in the field have prompt access to patients? ED encounters, duplicate testing is eliminated, and the process acts to promote customer satisfaction. Findings that used to be addressed by the ED staff can now be more appropriately handled in the outpatient setting.</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:13Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:13Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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