2.50
Hdl Handle:
http://hdl.handle.net/10755/306605
Category:
Abstract
Type:
Poster
Title:
Emergency Department Consistent Care Plan
Author(s):
Hotz, Kathy; Lunsford, Bonnie; Wilson, Jill
Lead Author STTI Affiliation:
Non-member
Author Details:
Kathy Hotz, MSN, RN, hotzka@crstlukes.com; Bonnie Lunsford, RN; Jill Wilson, RN
Abstract:

Evidence-based Practice Abstract

Purpose: Patients utilize Emergency Departments frequently for non-emergent issues causing increased costs for patients, hospital organizations and insurers. A plan was identified to address and try to manage these visits through the use of education, individual case management and a care plan in the Emergency Department.

Design: This was a quasi-experimental project with emphasis of decreasing non-emergent Emergency Department visits through the use of case management and consistent care plans in the Emergency Department.

Setting: Community-based, Level III Trauma Center facility located in Midwest United States with annual visits of 55,000.

Study Participants: The subjects in this study were all patients presenting to the Emergency Department who had twelve or more visits between October 2011 and November 2012. All ages and genders were included.

Methods: The program needed a case manager to facilitate this study and funds were secured from the hospital and a grant. The population identified was 103 subjects that met visit criteria. They were given written notice of their enrollment in the program. As patients presented to the Emergency Department the case manager was notified and visited with patient during the visit or after the visit if they were not available to assess their needs. Exploration of assistance included financial planning, community resources, transportation, phone call reminders for appointments, follow-up and discharge planning. Measurements were based on patient and visit counts to analyze the data. Other analysis included review of the payer mix of the insurers and visit costs. The variable limitation identified was the unknown of those patients who did not return to the Emergency Department after becoming enrolled in the program.

Outcome Results: Findings for the study patients in 2012 showed a decrease in visits from 1679 in 2011 to 537 visits in 2012. The average visits for this study group in 2011 was 16.3 yearly and in 2012 the average yearly visits were 6.1. The 103 patients in this study decreased 1142 visits annually with average visits decreasing by 10 yearly per patient. This also reflected a total cost savings of $1,168,974 for visits of a non-emergent need to an Emergency Department. Even with the decrease of 1142 visits in 2012 for this population the Emergency Department still showed an overall increase in their total visits of 388 going from 55,079 in 2011 to 55,467 in 2012.

Implications: By having a consistent care plan for the identified patients who utilize an emergency department for non-emergent needs greater than 12 visits, progress is made to find appropriate services for these patients so they do not need to present to the Emergency Department when they do not need emergent care. The use of a case manager is needed to consistently track and coordinate care for these patients for success. The program gives nursing and physician staff a plan of care to refer to that the patient is aware of and accountable to. This provides continuity and quality care of these patients.

Presenter, non-author: Jaime Townsend, BSN, RN

Keywords:
ED Care Plan
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.titleEmergency Department Consistent Care Planen_GB
dc.contributor.authorHotz, Kathyen_GB
dc.contributor.authorLunsford, Bonnieen_GB
dc.contributor.authorWilson, Jillen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsKathy Hotz, MSN, RN, hotzka@crstlukes.com; Bonnie Lunsford, RN; Jill Wilson, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306605-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: Patients utilize Emergency Departments frequently for non-emergent issues causing increased costs for patients, hospital organizations and insurers. A plan was identified to address and try to manage these visits through the use of education, individual case management and a care plan in the Emergency Department.</p><p>Design: This was a quasi-experimental project with emphasis of decreasing non-emergent Emergency Department visits through the use of case management and consistent care plans in the Emergency Department.</p><p>Setting: Community-based, Level III Trauma Center facility located in Midwest United States with annual visits of 55,000.</p><p>Study Participants: The subjects in this study were all patients presenting to the Emergency Department who had twelve or more visits between October 2011 and November 2012. All ages and genders were included.</p><p>Methods: The program needed a case manager to facilitate this study and funds were secured from the hospital and a grant. The population identified was 103 subjects that met visit criteria. They were given written notice of their enrollment in the program. As patients presented to the Emergency Department the case manager was notified and visited with patient during the visit or after the visit if they were not available to assess their needs. Exploration of assistance included financial planning, community resources, transportation, phone call reminders for appointments, follow-up and discharge planning. Measurements were based on patient and visit counts to analyze the data. Other analysis included review of the payer mix of the insurers and visit costs. The variable limitation identified was the unknown of those patients who did not return to the Emergency Department after becoming enrolled in the program.</p><p>Outcome Results: Findings for the study patients in 2012 showed a decrease in visits from 1679 in 2011 to 537 visits in 2012. The average visits for this study group in 2011 was 16.3 yearly and in 2012 the average yearly visits were 6.1. The 103 patients in this study decreased 1142 visits annually with average visits decreasing by 10 yearly per patient. This also reflected a total cost savings of $1,168,974 for visits of a non-emergent need to an Emergency Department. Even with the decrease of 1142 visits in 2012 for this population the Emergency Department still showed an overall increase in their total visits of 388 going from 55,079 in 2011 to 55,467 in 2012.</p><p>Implications: By having a consistent care plan for the identified patients who utilize an emergency department for non-emergent needs greater than 12 visits, progress is made to find appropriate services for these patients so they do not need to present to the Emergency Department when they do not need emergent care. The use of a case manager is needed to consistently track and coordinate care for these patients for success. The program gives nursing and physician staff a plan of care to refer to that the patient is aware of and accountable to. This provides continuity and quality care of these patients.</p><p>Presenter, non-author: Jaime Townsend, BSN, RN</p>en_GB
dc.subjectED Care Planen_GB
dc.date.available2013-12-09T17:00:38Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:38Z-
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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