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Enhancing the medical practice: consorting with the emergency department.
1Department of Emergency Medicine, Loma Linda University Medical Center, Loma Linda University Schools of Public Health & Medicine, CA 92354, USA. Bfisher@ahs.llumc.edu
The Journal of Medical Practice Management : MPM
|August 1, 2000
Summary
Loma Linda University Medical Center implemented a comprehensive emergency department (ED) model, increasing services and acuity-based triage. This patient-focused approach proved effective, improving ED utilization and enhancing outpatient care.
Area of Science:
- Emergency Medicine
- Healthcare Management
Background:
- Traditional emergency department (ED) models often focus on limiting patient access.
- Loma Linda University Medical Center (LLUMC) sought an alternative to
Purpose of the Study:
- To evaluate the effectiveness of a comprehensive ED model implemented at LLUMC.
- To assess the impact of this model on patient care, resource utilization, and outpatient services.
Main Methods:
- Implementation of a comprehensive ED model in 1994.
- Increased service offerings within the ED.
- Acuity-based triage to cost-effective care areas.
- Facilitated direct escalation to higher care levels when needed.
Main Results:
- Three years of data indicate the comprehensive ED model is effective.
- Low-acuity patients are treated in less expensive areas.
- A 25% increase in complex patients led to better utilization of the main ED.
- The model enhances outpatient medical practice.
Conclusions:
- The comprehensive ED model is a successful, patient-focused alternative to demand management strategies.
- This model optimizes resource allocation and improves overall healthcare delivery.
- Enhanced ED services positively impact outpatient medical practice.