Reduction of Emergency Department Visits through Multidisciplinary Medical Management Plan

2.50
Hdl Handle:
http://hdl.handle.net/10755/306572
Category:
Abstract
Type:
Poster
Title:
Reduction of Emergency Department Visits through Multidisciplinary Medical Management Plan
Author(s):
Carter, Pam; Novotny, April; Leckie, Maureen; Pazanese, Anthony
Lead Author STTI Affiliation:
Non-member
Author Details:
Pam Carter, BSN, RN, Pam.Carter@lrmc.com; April Novotny, MSN, RN, CEN, Maureen Leckie, BSN, RN; Anthony Pazanese, Pharm D
Abstract:

Research Abstract

Purpose: Pain is a primary cause of disability in the United States. Patients that utilize emergency departments for their chronic pain issues are contributing to the already overcrowded state of emergency departments in the nation. The objective of the study was to research whether developing an individualized care plan for chronic pain would reduce the number of annual ED visits for the chronic pain patient. This medical center utilized an interdisciplinary team approach to develop these individualized plans of care.

Design: Single site, IRB-approved, retrospective study. Inclusion criteria were those patients identified as frequent visitors to the ED for chronic pain management issues based on the number of ED visits within a three month period.

Setting: The setting is an urban level 2 trauma center with over 167,000 annual visits located in central Florida.

Participants: Patients are identified by the ED physicians for their multiple visits and/or frequent requests for management of chronic pain issues. Inclusion criteria: Patients over the age of 18 with a pattern of multiple ED visits for requests for chronic pain management in the preceding three month period.

Methods: The multidisciplinary team is made up of the ED Medical Director, ED manager, Hospitalist, Pain Management Pharmacist, and the Palliative Care Pharmacist that meet each quarter to review the identified patient’s records for type and severity of pain, medical history, and success of previous treatments. An individual medical management plan of care is developed, and entered into the electronic health record. An icon automatically appears at time of registration to signify that the patient has a medical management plan. This allows the provider to access the plan during their assessment and treatment of the patient with chronic pain issues. The medical management plan ensures that these patients are treated in a professional and consistent manner when seeking treatment for their chronic pain management issues.

Results: Thirty three patients were included in the initial data collection. Preliminary findings include over a 50% reduction in number of visits among the patients included in the database. An additional 26 patients have been added to the program and data abstraction for this population continues.

Implications: Individualized plans of care developed by a multidisciplinary team standardize care. Clear, concise expectations between providers and patients result in a decrease of ED visits, reduce the number of diagnostic tests, and reduce recurrent hospitalizations. Decreasing these visits help decrease costs of healthcare and increase the quality of care provided to these patients.

Keywords:
Pain Management and the ED
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Nashville, Tennessee, USA
Description:
2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Center
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleReduction of Emergency Department Visits through Multidisciplinary Medical Management Planen_GB
dc.contributor.authorCarter, Pamen_GB
dc.contributor.authorNovotny, Aprilen_GB
dc.contributor.authorLeckie, Maureenen_GB
dc.contributor.authorPazanese, Anthonyen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsPam Carter, BSN, RN, Pam.Carter@lrmc.com; April Novotny, MSN, RN, CEN, Maureen Leckie, BSN, RN; Anthony Pazanese, Pharm Den_GB
dc.identifier.urihttp://hdl.handle.net/10755/306572-
dc.description.abstract<p>Research Abstract</p><p>Purpose: Pain is a primary cause of disability in the United States. Patients that utilize emergency departments for their chronic pain issues are contributing to the already overcrowded state of emergency departments in the nation. The objective of the study was to research whether developing an individualized care plan for chronic pain would reduce the number of annual ED visits for the chronic pain patient. This medical center utilized an interdisciplinary team approach to develop these individualized plans of care.</p><p>Design: Single site, IRB-approved, retrospective study. Inclusion criteria were those patients identified as frequent visitors to the ED for chronic pain management issues based on the number of ED visits within a three month period.</p><p>Setting: The setting is an urban level 2 trauma center with over 167,000 annual visits located in central Florida.</p><p>Participants: Patients are identified by the ED physicians for their multiple visits and/or frequent requests for management of chronic pain issues. Inclusion criteria: Patients over the age of 18 with a pattern of multiple ED visits for requests for chronic pain management in the preceding three month period.</p><p>Methods: The multidisciplinary team is made up of the ED Medical Director, ED manager, Hospitalist, Pain Management Pharmacist, and the Palliative Care Pharmacist that meet each quarter to review the identified patient’s records for type and severity of pain, medical history, and success of previous treatments. An individual medical management plan of care is developed, and entered into the electronic health record. An icon automatically appears at time of registration to signify that the patient has a medical management plan. This allows the provider to access the plan during their assessment and treatment of the patient with chronic pain issues. The medical management plan ensures that these patients are treated in a professional and consistent manner when seeking treatment for their chronic pain management issues.</p><p>Results: Thirty three patients were included in the initial data collection. Preliminary findings include over a 50% reduction in number of visits among the patients included in the database. An additional 26 patients have been added to the program and data abstraction for this population continues.</p><p>Implications: Individualized plans of care developed by a multidisciplinary team standardize care. Clear, concise expectations between providers and patients result in a decrease of ED visits, reduce the number of diagnostic tests, and reduce recurrent hospitalizations. Decreasing these visits help decrease costs of healthcare and increase the quality of care provided to these patients.</p>en_GB
dc.subjectPain Management and the EDen_GB
dc.date.available2013-12-09T17:00:01Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:01Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationNashville, Tennessee, USAen_GB
dc.description2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Centeren_GB
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.en_GB
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