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Related Concept Videos

Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Cardiopulmonary Resuscitation III: AED Use01:23

Cardiopulmonary Resuscitation III: AED Use

Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

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Related Experiment Video

Updated: Jul 11, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Payment by results: a guide for emergency physicians.

Ian Higginson1, Henry Guly

  • 1Emergency Department, Level 6, Derriford Hospital, Plymouth, PL6 8DH, UK. ian.higginson@phnt.swest.nhs.uk

Emergency Medicine Journal : EMJ
|September 29, 2007
PubMed
Summary

Payment by results is a new National Health Service funding model impacting emergency departments. This guide explains the system and how emergency physicians can adapt their practice to this healthcare reform.

Area of Science:

  • Health policy
  • Healthcare management
  • Emergency medicine

Background:

  • The National Health Service (NHS) is implementing a new funding mechanism called Payment by Results (PbR).
  • This reform significantly alters financial flows and operational dynamics within healthcare services, particularly emergency departments.
  • Understanding PbR is crucial for navigating current NHS reforms.

Purpose of the Study:

  • To elucidate the fundamental principles of Payment by Results.
  • To analyze the specific implications of PbR for emergency medicine.
  • To provide guidance for emergency physicians on integrating PbR into practice and strategic thinking.

Main Methods:

  • Descriptive analysis of the Payment by Results framework.
  • Examination of the relationship between PbR and emergency department operations.

Related Experiment Videos

Last Updated: Jul 11, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

  • Discussion of practical integration strategies for emergency physicians.

    • Main Results:

    • Payment by Results introduces a shift towards activity-based funding in the NHS.
    • Emergency departments face significant changes in financing and operational management due to PbR.
    • Adaptation requires a re-evaluation of current practices and strategic planning.

    Conclusions:

    • Emergency physicians must understand Payment by Results to effectively manage their departments.
    • Integrating PbR necessitates strategic adjustments in clinical and financial practices.
    • Successful adaptation to PbR is key for the future of emergency medicine within the NHS.