Development and Implementation of an Emergency Department Based Transfer-Referral Center

2.50
Hdl Handle:
http://hdl.handle.net/10755/162827
Type:
Presentation
Title:
Development and Implementation of an Emergency Department Based Transfer-Referral Center
Abstract:
Development and Implementation of an Emergency Department Based Transfer-Referral Center
Conference Sponsor:Emergency Nurses Association
Conference Year:1996
Author:Dickson, Cheryl L., RN, CEN
Co-Authors:Rebecca Steinmann, RN, MS, CEN, CCRN
The intent of this clinical project was to design and implement a Transfer-Referral Center within the ED to centralize communications regarding incoming patients with a designated, trained group of personnel. The aim was to provide improved ease of access to the institution by referring providers while affording the ED staff fewer interruptions in their direct patient care activities.

Planning and implementation included the following steps: (1) development of the proposal for an ED based Transfer-Referral Center; (2) obtaining administrative approval, support, and funding; (3) developing protocols for operation of the Transfer-Referral Center; (4) developing job descriptions, hiring and orientation of staff; (5) developing mechanisms to communicate information regarding incoming patients to the appropriate caregivers; (6) education/marketing of service to hospital providers, referring physicians, EMS, and outlying institutions. During nine months of operation the Transfer-Referral Center has processed 3,885 referring physician calls, 4,173 EMS calls, and has arranged for the direct admission of 959 patients from referring providers.

Effects that the Transfer-Referral Center has had on the emergency department and institution as a whole include: (1) increased user-friendliness of the institution to referring providers; (2) decreased time spent by ED nurses/physicians processing calls regarding incoming patients; (3) decreased use of ED resources by increasing the number of direct admits from referring providers; (4) increased appropriateness of referrals into the institution based on patientsÆ insurance; (5) improved mechanisms of communicating information regarding incoming patients among accepting and referring physicians, admitting, and ED staff.

Recommendations for Transfer-Referral Centers based on this experience include: (1) centralizing communications regarding incoming patients with a designed, trained staff; (2) screening referrals on the basis of insurance; (3) conducting research to investigate the effects a Transfer-Referral Center has on ED staff satisfaction and productivity, referring provider satisfaction and referring patterns, and financial impact. [Clinical Poster Presentation]
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.titleDevelopment and Implementation of an Emergency Department Based Transfer-Referral Centeren_GB
dc.identifier.urihttp://hdl.handle.net/10755/162827-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of an Emergency Department Based Transfer-Referral Center</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">1996</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dickson, Cheryl L., RN, CEN</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Rebecca Steinmann, RN, MS, CEN, CCRN</td></tr><tr><td colspan="2" class="item-abstract">The intent of this clinical project was to design and implement a Transfer-Referral Center within the ED to centralize communications regarding incoming patients with a designated, trained group of personnel. The aim was to provide improved ease of access to the institution by referring providers while affording the ED staff fewer interruptions in their direct patient care activities.<br/><br/>Planning and implementation included the following steps: (1) development of the proposal for an ED based Transfer-Referral Center; (2) obtaining administrative approval, support, and funding; (3) developing protocols for operation of the Transfer-Referral Center; (4) developing job descriptions, hiring and orientation of staff; (5) developing mechanisms to communicate information regarding incoming patients to the appropriate caregivers; (6) education/marketing of service to hospital providers, referring physicians, EMS, and outlying institutions. During nine months of operation the Transfer-Referral Center has processed 3,885 referring physician calls, 4,173 EMS calls, and has arranged for the direct admission of 959 patients from referring providers.<br/><br/>Effects that the Transfer-Referral Center has had on the emergency department and institution as a whole include: (1) increased user-friendliness of the institution to referring providers; (2) decreased time spent by ED nurses/physicians processing calls regarding incoming patients; (3) decreased use of ED resources by increasing the number of direct admits from referring providers; (4) increased appropriateness of referrals into the institution based on patients&AElig; insurance; (5) improved mechanisms of communicating information regarding incoming patients among accepting and referring physicians, admitting, and ED staff.<br/><br/>Recommendations for Transfer-Referral Centers based on this experience include: (1) centralizing communications regarding incoming patients with a designed, trained staff; (2) screening referrals on the basis of insurance; (3) conducting research to investigate the effects a Transfer-Referral Center has on ED staff satisfaction and productivity, referring provider satisfaction and referring patterns, and financial impact. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:50Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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