Value and Quality Innovations in Acute and Emergency Care

This text analyses how acute and emergency care can be more efficient, featuring twenty case studies of successful innovations.

Jennifer L. Wiler (Edited by), Jesse M. Pines (Edited by), Michael J. Ward (Edited by)

9781316625637, Cambridge University Press

Paperback / softback, published 21 March 2017

246 pages, 22 b/w illus. 15 tables
23.4 x 15.6 x 1.4 cm, 0.43 kg

'In summary, this is an excellent work that should be read by every physician responsible for operating an ED.' Edward J. Otten, The Journal of Emergency Medicine

Access to acute and emergency care is essential when we are ill or injured, but the costs are significant. How can we make services more efficient and effective? This thought-provoking text provides twenty case studies detailing successful innovations to enhance value, including telehealth, observation medicine, high utilizer programs, and the use of informatics to improve clinical decision support. A detailed history of system developments over the last fifty years in the US and internationally is provided, and subjects including measurement and quality improvement, volume versus value based care, and emergency department crowding are discussed. This book is an ideal way for emergency physicians and healthcare managers to explore new ideas and enhance the quality of care in their area.

1. Fifty years of transformation of acute and emergency care Benjamin Easter
2. Measuring and improving quality of care Jesse M. Pines, Mark S. Zocchi, C. Noelle Dietrich and Molly Benoit
3. Fragmentation in acute and emergency care: causes, consequences and solutions Benjamin Easter and Arjun Venkatesh
4. Alternative payment models in acute, episodic care: moving from volume to value Nir J. Harish and Jesse M. Pines
5. Improving timeliness and access of acute and emergency care: the science of improving emergency department crowding Olan A. Soremekun
6. Bringing the patient-voice into emergency care Marc A. Probst and Erik P. Hess
Case study 1. Expanding the role of observation care Christopher W. Baugh, Christopher Caspers and Anthony M. Napoli
Case study 2. An innovative strategy to streamline care for behavioral health in the emergency department Michael Turturro, Leslie Zun and Jack Rozel
Case study 3. The geriatric emergency department Ula Hwang and Christopher R. Carpenter
Case study 4. How the UK responded to the 4-hour rule Suzanne Mason and Michael J. Schull
Case study 5. High-cost users: using information technology to streamline care plans Dawn Williamson and Jody A. Vogel
Case study 6. Emergency care in an integrated healthcare delivery system: the Kaiser experience Dana R. Sax, Jeffrey S. Selevan and Wm. Wesley Fields
Case study 7. Urgent care centers: an alternative to unscheduled primary care and emergency department care Judd E. Hollander and Jesse M. Pines
Case study 8. The 'no-wait' emergency department Chris McStay and Jody Crane
Case study 9. Transforming care delivery through telemedicine Judd E. Hollander and Brendan G. Carr
Case study 10. Coordinating emergency care through telemedicine Sarah A. Sterling, Kristi Henderson and Alan E. Jones
Case study 11. Bringing diagnostic testing to the bedside: point of care testing Benjamin Easter and Kelly Bookman
Case study 12. Regionalization of care M. Kit Delgado, Fred Lin and Brendan G. Carr
Case study 13. Clinical decision support tools Kelly Bookman and Ali S. Raja
Case study 14. Automated patient follow-up program Tom Scaletta, Kristin L. Rising and Megan Ranney
Case study 15. Using data on patient experience to improve clinical care Seth Glickman and Abhi Mehrotra
Case study 16. Community paramedicine: the Geisinger experience Manish N. Shah and David J. Schoenwetter
Case study 17. Initiating palliative care in the emergency department Christian Jacobus and Tammie E. Quest
Case study 18. Streamlining patient flow in the emergency department with discrete event simulation Eric J. Goldlust, T. Eugene Day and Nathan R. Hoot
Case study 19. Using emergency department community health workers as a bridge to ongoing care for frequent ED users Roberta Capp and Richard Zane
Case study 20. Big data: use of analytics for operations management Joe Guarisco and James Langabeer II.

Subject Areas: Accident & emergency medicine [MMK], Anaesthetics [MMB]