Emergency Department Treatment Protocol: A Plan to Decrease Inappropriate Use of Emergency Resources

2.50
Hdl Handle:
http://hdl.handle.net/10755/182358
Category:
Abstract
Type:
Presentation
Title:
Emergency Department Treatment Protocol: A Plan to Decrease Inappropriate Use of Emergency Resources
Author(s):
Barlow, Tonya
Author Details:
Tonya Barlow, RN, MSN, CNS-BC, CEN, Emergency Department Clinical Nurse Specialist, Porter Adventist Hospital, Denver, Colorado, USA, email: TonyaBarlow@centura.org
Abstract:
Podium presentation, ANCC National Magnet Conference: Background: Inappropriate utilization of emergency medical services is a long term problem. Increasing numbers of uninsured or underinsured exacerbate this problem. Electronic medical records provide enhanced ability for patient specific protocols and identification of inappropriate resource utilization. Purpose: This evidence-based practice project was designed to develop a template for electronically tracking at risk inappropriate emergency patients and the development of collaborative patient specific care plan protocols. Method: An electronic documentation trigger, Emergency Department Treatment Protocol (.EDTP), was established to identify at risk patients and establish treatment plans. An interdisciplinary team of staff nurses, nurse case manager and physicians developed a process for recognition, identification, care planning and follow-up for patients identified as inappropriately utilizing emergency resources. Processes were designed to provide patients information regarding alternative community resources to address their care needs. Data collection on number of patients identified for treatment protocols and subsequent costs associated with emergency visits were analyzed. Results: Sixteen patients were identified during Dec 2008 Jan 2009 as eligible for protocols. During the year prior to protocol implementation these patients had a combined 152 eligible ED visits equaling a gross cost of $551,440.39. At 1 year post protocol implementation these same 16 patients had a combined 48 visits with a gross cost of $213,789.74. Decreasing non-emergent visits resulted in improved nurse and physician satisfaction and greater resource availability for emergent patients. Implications: Patients are less likely to inappropriately utilize emergency resources thus ensuring that resources are available for the emergent patient population.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEmergency Department Treatment Protocol: A Plan to Decrease Inappropriate Use of Emergency Resourcesen_GB
dc.contributor.authorBarlow, Tonyaen_US
dc.author.detailsTonya Barlow, RN, MSN, CNS-BC, CEN, Emergency Department Clinical Nurse Specialist, Porter Adventist Hospital, Denver, Colorado, USA, email: TonyaBarlow@centura.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182358-
dc.description.abstractPodium presentation, ANCC National Magnet Conference: Background: Inappropriate utilization of emergency medical services is a long term problem. Increasing numbers of uninsured or underinsured exacerbate this problem. Electronic medical records provide enhanced ability for patient specific protocols and identification of inappropriate resource utilization. Purpose: This evidence-based practice project was designed to develop a template for electronically tracking at risk inappropriate emergency patients and the development of collaborative patient specific care plan protocols. Method: An electronic documentation trigger, Emergency Department Treatment Protocol (.EDTP), was established to identify at risk patients and establish treatment plans. An interdisciplinary team of staff nurses, nurse case manager and physicians developed a process for recognition, identification, care planning and follow-up for patients identified as inappropriately utilizing emergency resources. Processes were designed to provide patients information regarding alternative community resources to address their care needs. Data collection on number of patients identified for treatment protocols and subsequent costs associated with emergency visits were analyzed. Results: Sixteen patients were identified during Dec 2008 Jan 2009 as eligible for protocols. During the year prior to protocol implementation these patients had a combined 152 eligible ED visits equaling a gross cost of $551,440.39. At 1 year post protocol implementation these same 16 patients had a combined 48 visits with a gross cost of $213,789.74. Decreasing non-emergent visits resulted in improved nurse and physician satisfaction and greater resource availability for emergent patients. Implications: Patients are less likely to inappropriately utilize emergency resources thus ensuring that resources are available for the emergent patient population.en_GB
dc.date.available2011-10-28T15:20:44Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:20:44Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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