ERs need to focus on integration into new payment models

ERs need to focus on integration into new payment models
Emergency care systems need to focus on integrating into new payment models by promoting efficiency and coordinated care, according to an article published online Jan. 2 in the Annals of Emergency Medicine.

(HealthDay)—Emergency care systems need to focus on integrating into new payment models by promoting efficiency and coordinated care, according to an article published online Jan. 2 in the Annals of Emergency Medicine.

Shantanu Agrawal, M.D., M.Phil., and Patrick H. Conway, M.D., from the Centers for & Medicaid Services (CMS) in Baltimore, analyzed how care and utilization will be affected by shifts away from a fee-for-service health care model toward one that rewards higher value in terms of quality and costs.

The researchers say that, while maintaining their ability to respond to unpredictable emergency situations, emergency departments must be integrated into an outcome-centered system that improves the health of populations. Diverting minor injuries and illnesses from emergency departments to reduce utilization would reduce a substantial portion of emergency care, but with inconsequential savings. Instead, emergency departments should focus on reducing admissions from intermediate/complex visits and improving overall efficiency in emergency department care, which corresponds with the CMS initiatives and focus areas. Emergency department care should be integrated with newer care and payment models focusing on development of coordinated systems. To promote emergency care integration, emergency physicians should communicate with the broader care team, incorporate foundational technologies such as electronic medical records which will be essential, and understand that a cultural change will be needed to integrate care between the emergency department and broader clinical practice.

"The narrative of diverting patients from emergency department care would damage our role and place us on the margins of health innovation," Agrawal and Conway conclude. "The goal must certainly be focusing on complex and emergency cases to improve outcomes while stabilizing or decreasing costs."

More information: Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Themes identified for improving end-of-life care in ER

Sep 05, 2012

(HealthDay)—Major and minor themes have been identified by emergency nurses who often provide end-of-life (EOL) care in the emergency department setting, according to a study published in the September ...

Better ways to monitor quality of care for newborns

Nov 13, 2012

In this week's PLOS Medicine, Sabine Gabrysch from the University of Heidelberg, Germany and colleagues draw upon a literature review, expert survey, and consensus method to recommend new signal functions to monitor and tr ...

India's emergency care system in tatters

Sep 05, 2012

(AP)—After a motorbike accident, Bharat Singh rushed to get his brother the emergency care he needed. It would end up taking five hours—three of them spent in a van posing as an ambulance, with an empty ...

Recommended for you

Abandoned asbestos mines still a hazard in India

6 minutes ago

Asbestos waste spills in a gray gash down the flank of a lush green hill above tribal villages in eastern India. Three decades after the mines were abandoned, nothing has been done to remove the enormous, ...

Evidence plays limited role in OTC decision making

13 hours ago

(HealthDay)—For pharmacy graduates and tutors, evidence seems to play a limited role in over-the-counter decision making, according to a study published online Dec. 11 in the Journal of Evaluation in Cl ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.