Value and Quality Innovations in Acute and Emergency Care

Jennifer L. Wiler, Jesse M. Pines, Michael J. Ward

• Publisher: Cambridge University Press
• Year: 2017
• Print ISBN:
  9781316625637
• eBook ISBN:
  9781108216753
• Topic: Medicine
• Subtopic: Emergency Medicine & Critical Care

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.

Table of contents

• Cover
• Half-title
• Title page
• Copyright information
• Dedication
• Table of contents
• List of Contributors
• Foreword: Delivery System Reform – License to Innovate
• Preface
• Chapter 1 Fifty Years of Transformation of Acute and Emergency Care
• Chapter 2 Fragmentation in Acute and Emergency Care: Causes, Consequences, and Solutions
• Chapter 3 Measuring and Improving Quality of Care
• Chapter 4 Alternative Payment Models in Acute, Episodic Care: Moving from Volume to Value
• Chapter 5 Improving Timeliness and Access of Acute and Emergency Care: The Science of Improving Emergency Department Crowding
• Chapter 6 Bringing the Patient Voice into Emergency Care
• Case 1 Expanding the Role of Observation Care
• Case 2 An Innovative Strategy to Streamline Care for Behavioral Health in the Emergency Department
• Case 3 The Geriatric Emergency Department
• Case 4 How the United Kingdom Responded to the 4-Hour Rule
• Case 5 High-Cost Users
• Case 6 Emergency Care in an Integrated Healthcare Delivery System
• Case 7 Urgent Care Centers
• Case 8 The ‘‘No-Wait’’ Emergency Department
• Case 9 Transforming Care Delivery through Telemedicine
• Case 10 Coordinating Emergency Care through Telemedicine
• Case 11 Bringing Diagnostic Testing to the Bedside
• Case 12 Regionalization of Care
• Case 13 Clinical Decision Support Tools
• Case 14 Automated Patient Follow-Up Program
• Case 15 Using Data on Patient Experience to Improve Clinical Care
• Case 16 Community Paramedicine
• Case 17 Initiating Palliative Care in the Emergency Department
• Case 18 Streamlining Patient Flow in the Emergency Department with Discrete Event Simulation
• Case 19 Using Emergency Department Community Health Workers as a Bridge to Ongoing Care for Frequent ED Users
• Case 20 Big Data
• Index