分诊中的虚拟提供者：转变急诊到达工作流程提高效率、质量和成本效益.pdf

1、VPITVIRTUAL PROVIDER IN TRIAGE3ED CROWDING 4The need for emergency services exceeds available resources for patient care in the ED,hospital,or bothCauses are multifactorial and span the entire health care delivery system.Continued growth in ED visits,outpacing population growth Advanced population a

2、ge Increasing patient acuity requiring more complex evaluation and treatment plans that increase the ED and inpatient lengths of stay Decreased number of hospitals and available inpatient beds EMERGENCY DEPARTMENTHOSPITAL1975 7,156 Hospitals 1.5 M Inpatient Beds20246,120 Hospitals916,752 Inpatient B

3、eds51992 89.8 M visits2023140+M visits ED CROWDING BOARDINGThe strain on hospital inpatient bed capacity creates downstream pressure to board admitted patients in the EDBoarders utilize ED space and resources Beds Nursing care Ancillary and support services 6ED CROWDING Significant delay in evaluati

4、on and treatment of emergency patients Patients leaving prior to completion of medical workup Increased morbidity and mortality for ALL ED patients Decreased patient satisfaction Reputation damage for the entire institution 789LWBS Patients that leave the ED before a MSE(medical screening exam)Natio

5、nal average 3%4.2 million visits/year South Carolina average 3%CMSTHE EMERGENCY MEDICAL TREATMENT AND LABOR ACTRequires hospitals with emergency departments to provide a medical screening examination to any individual who comes to the emergency department and requests such an examination and prohibi

6、ts hospitals with emergency departments from refusing to examine or treat individuals with an emergency medical condition.The term“hospital”includes critical access hospitals.CMS QUALITY INDICATORS/TIMELY AND EFFECTIVE CARE Timely and effective care in hospital emergency departments is essential for