Although palliative care is integral to providing quality care, in the ED the focus tends to be on aggressive and life-saving measures. More education and training is needed to make ED providers more comfortable with integrating palliative care there.
Hospitals are trying to shorten door-to-provider times. Lower-acuity patients are treated as “fast-track,” and discharged quickly. Registration teams might struggle to keep up, to the point that some patients may miss the official registration process. Without proper contact information, collection becomes exponentially more difficult.
University of Michigan Health in Grand Rapids has dramatically improved metrics for stroke treatment, using communication tools to connect EMS teams with specialists in neurology, radiology, nursing, laboratory, and pharmacy. The improved communication makes it possible for the hospital to activate the appropriate personnel in the ED before stroke patients arrive.