Bay Area Hospital in Coos Bay, OR, had an ED struggling to keep up with demand for years. The ED had so many patients that its left without being seen statistics were about 8%, well over the industry average of 2%. The ED overcame this problem with the strategic use of physician assistants and nurse practitioners.
Having the right set of ED physicians will reduce the need for specialist coverage, says Pascal Crosley, DO, vice president of CEP America and medical director at St. Agnes Hospital in Baltimore, MD. The more experienced and skilled that the ED physicians are, the less often they will need to call in specialists, he says.
To get process completed quickly, timing is everything
April 13, 2016
Emergency department registrars cut average registration times from 30 minutes to 15 minutes at Irvine, CA-based St. Joseph Health. In addition, the admission financial clearance process is completed, on average, in just 15 minutes.
You come to work Monday morning and hear this tale from your emergency department: A patient presented in the ED over the weekend with compartment syndrome and needed a fasciotomy, but no specialist was available. None of the available physicians had done one since medical school, so the physician who drew the short straw studied the procedure on YouTube before proceeding.
Is your emergency department waiting room filled with patients who could be better served at a primary care physician’s office? In May 2015, registrars at Inova Fairfax Hospital in Falls Church, VA, took on a new role of connecting some ED patients with primary care physicians.
To comply with the Emergency Medical Treatment and Labor Act, patient access leaders at Wall Township, NJ-based Meridian Health keep the emergency department registration process “clear and simple,” says access services trainer Donna J. Roettger, CHAA.
Here are some practices in emergency department registration areas that Gina Greenwood, JD, an attorney at Atlanta-based Baker Donelson, has seen come up in alleged violations of the Emergency Medical Treatment and Labor Act: