Intelligence Unit
Special Reports
Special Events
Subscribe
Sponsored
Departments
- Leadership
- Finance
- Technology
- Physicians
- Community Hospitals
- Health Plans
- Marketing
- Quality
- Nursing
- HR
Follow Us
Preview: The High-Performance Emergency Department
This article appears in the March 2012 issue of HealthLeaders magazine.
Editor's note: This piece is an excerpt of a fuller case study that is part of an upcoming Rounds event, Create Your High-Performance, Patient-Centered Emergency Department. To see the complete case study, which includes three additional lessons and more information, visit www.healthleadersmedia.com/rounds/.
The emergency department at Cambridge Health Alliance's three EDs used to be like Disney World, and not in a good way, says Assaad Sayah, MD, chief of emergency medicine and president of the medical staff. It went like this:
Wait. Wait. Wait.
Go for a short ride.
Wait. Wait. Wait.
Go for a short ride.
The herky-jerky flow of many, if not most, American hospital EDs is the natural by-product of their structure, Sayah says.
"Historically, when patients go to emergency departments, they walk in and they're confused," Sayah says. "There's nobody to talk to them. At some point somebody recognizes they're in the emergency department and then the patients go into triage. They spend time in the triage and then they go back to the waiting room. Then they go into registration after a while. Then they go back into the waiting room, and then at some point they make it inside the ED."
- Primary Care Docs Average More Hospital Revenue Than Specialists
- 69% of Employers Plan to Offer Healthcare Coverage After 2014
- How Chargemaster Data May Affect Hospital Revenue
- House Lawmakers Grill CMS Over Health Exchange Navigators
- ED Physicians Key to Half of Hospital Admissions
- Insurer's App Aims to Lower Healthcare Costs, Securely
- Building a Better Healthcare Board
- Don't Let Nurses Sink Your Bottom Line
- Q&A: Catholic Health Initiatives' New Senior VP for Capital Finance
- Hospital Pricing Irks Nurses; More Jobs, Less Pay
Comments are moderated. Please be patient.
Mary Guyot (3/26/2012 at 10:02 AM)
Great article and in total agreement with the process. But, there was no mention of point of service collection for patients who were at the ED for clinic level of care. How is that handled at these 3 hospitals? Unless we develop access to care at the appropriate site and expect payment when appropriate post medical screen, patients will continue to use their local ED for what could be seen in a clinic thus encouraging high cost of care and lack of accountability. I would love a response to this comment. Thank you.