2.50
Hdl Handle:
http://hdl.handle.net/10755/162955
Type:
Presentation
Title:
Dedicated Communication Nurses: A Cost-Effective Strategy
Abstract:
Dedicated Communication Nurses: A Cost-Effective Strategy
Conference Sponsor:Emergency Nurses Association
Conference Year:2001
Author:Wilson, Mary Ellen, RN, MSN, FNP, CEN
Contact Address:2607 Constitution Blvd., Wilmington, NC, 28412, USA
Purpose: Emergency department physicians spend a large amount of time on telephone calls to primary care providers (PCP), ambulance companies, and insurance companies. In response to an increase in both physician clinical workload and calls, an ED communication nurse position was developed to more cost effectively manage telephone communications. The purpose of the study was to determine the number and length of calls that were handled by physicians and communications nurses, and to estimate the cost-effectiveness of each for handling these calls. Design/Setting/Sample: A prospective descriptive study was conducted in an urban teaching hospital with 72,000 ED annual visits. Detailed ED telephone logs for each shift were reviewed over an 11-month period from May 1991 through March 2000. Methodology: A dedicated communication nurse collected data from the telephone log daily. The following information was collected: (a) number of calls to and from PCPs, (b) number of charts screened, (c) number of charts faxed, and (d) number of ambulance calls completed. The amount of time spent on each activity was estimated for a one-year period. The salary costs for the total time spent in these activities was estimated for both physicians ($90 per hour) and a communications nurse ($20 per hour). Results: The average time to complete various communication tasks were: (a) calls to and from PCPs - 3 minutes; (b) ambulance calls - 30 seconds; (c) 1.3 preauthorization calls made per day estimated at 25 minutes each; and (d) all other tasks - 1 minute. A physician spent an average of 154 minutes per day at a cost of $231 per day or $84,315 per year. In comparison, the communications nurse spent 162 minutes per day at a cost of $54 per day, or $19,710 per year. Conclusions: A dedicated communication nurse can reduce the financial costs associated with PCP, ambulance, and insurance related communication in the emergency department. Further, a dedicated communication nurse relieves physicians from 2.6 hours of calls per day or 937 hours per year that could be used for other clinical activities. In a busy emergency department with an active PCP program, communication nurses are a cost-effective solution for managing increasing telephone communications. [Research 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.titleDedicated Communication Nurses: A Cost-Effective Strategyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162955-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Dedicated Communication Nurses: A Cost-Effective Strategy</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">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wilson, Mary Ellen, RN, MSN, FNP, CEN</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2607 Constitution Blvd., Wilmington, NC, 28412, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mewilson@hotmail.com</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Emergency department physicians spend a large amount of time on telephone calls to primary care providers (PCP), ambulance companies, and insurance companies. In response to an increase in both physician clinical workload and calls, an ED communication nurse position was developed to more cost effectively manage telephone communications. The purpose of the study was to determine the number and length of calls that were handled by physicians and communications nurses, and to estimate the cost-effectiveness of each for handling these calls. Design/Setting/Sample: A prospective descriptive study was conducted in an urban teaching hospital with 72,000 ED annual visits. Detailed ED telephone logs for each shift were reviewed over an 11-month period from May 1991 through March 2000. Methodology: A dedicated communication nurse collected data from the telephone log daily. The following information was collected: (a) number of calls to and from PCPs, (b) number of charts screened, (c) number of charts faxed, and (d) number of ambulance calls completed. The amount of time spent on each activity was estimated for a one-year period. The salary costs for the total time spent in these activities was estimated for both physicians ($90 per hour) and a communications nurse ($20 per hour). Results: The average time to complete various communication tasks were: (a) calls to and from PCPs - 3 minutes; (b) ambulance calls - 30 seconds; (c) 1.3 preauthorization calls made per day estimated at 25 minutes each; and (d) all other tasks - 1 minute. A physician spent an average of 154 minutes per day at a cost of $231 per day or $84,315 per year. In comparison, the communications nurse spent 162 minutes per day at a cost of $54 per day, or $19,710 per year. Conclusions: A dedicated communication nurse can reduce the financial costs associated with PCP, ambulance, and insurance related communication in the emergency department. Further, a dedicated communication nurse relieves physicians from 2.6 hours of calls per day or 937 hours per year that could be used for other clinical activities. In a busy emergency department with an active PCP program, communication nurses are a cost-effective solution for managing increasing telephone communications. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:02Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:02Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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