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Nursing Diagnosis & Midwifery 2018
S e p t e m b e r 1 0 - 1 1 , 2 0 1 8
P r a g u e , C z e c h R e p u b l i c
Page 29
Journal of Nursing and Health Studies
ISSN: 2574-2825
E u r o S c i C o n E v e n t o n
Nursing Diagnosis &
Midwifery
According to research, an estimated five percent of the population uses
approximately 50 percent of the healthcare resources in the United States.
They present to the emergency department (ED) point of entry with comorbid
medical, behavioral, and psychosocial concerns. The ED individualized care
plan (ICP) addresses the unique needs of this medically complex, high-risk, and
often vulnerable patient population. The ICP improves the quality of healthcare
delivery and hospital reimbursement, while mitigating the costs associated
with ED recidivism, and unnecessary hospital readmissions. In the past, this
population received very fragmented medical services and episodic care in the
ED. The ICP is essential to combat the “silo” approach to healthcare, which often
results in higher healthcare costs and creates duplication of services. The ICP
was subsequently recognized as a best practice and the program successfully
implemented across 13 hospital sites in the Advocate Health System. The ICP
aligns with the Integrated and Population Health Care models, acknowledging
the link between medical and behavioral health concerns. The ED case
manager-social work dyad serves as the operational driver of the program. The
ICPs are fluid and expected to evolve over time with the specific needs of the
patient. The current program at Advocate Good Shepherd Hospital consists of
over 900 individualized, adult and pediatric plans of care. The organizational
cost savings have exceeded over 6 million dollars, with a reduction of ED
recidivism of 60 percent, and an overall reduction of unnecessary admissions
of 50 percent. The ICP serves as a microcosm of the larger Population Health
Care Models, demonstrating an innovative approach to delivering high quality
and patient-centric heath care, in a cost-effective manner. This program can
easily be adapted in any healthcare setting, and presents an exciting way
forward in successfully shifting our current healthcare paradigm.
Biography
Lisa A Hall is responsible for the coordination and
implementation of strategies to ensure quality, cost effective,
and patient centered health care delivery. Equip patients and
families with the necessary tools and resources to make
informed healthcare decisions, and provide assistance to
effectively navigate through the healthcare system. Emphasis
on enhanced clinical outcomes by implementation of
safe patient transitions of care (TOC) from the Emergency
Department (ED) to a more appropriate healthcare setting.
Integrative Care Management: Optimizing High Quality and
Value-Based Care Delivery in the Emergency Department
Lisa A Hall
Advocate Good Shepherd Hospital, USA
Lisa A Hall, J Nurs Health Stud 2018 Volume: 3
DOI: 10.21767/2574-2825-C4-011