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Published on: January 15, 2017
Rethinking emergency department visits
Roger K Resar1, Frances A Griffin
1Institute for Healthcare Improvement, Cambridge, Massachusetts 02138, USA.
The Journal of Ambulatory Care Management
|September 15, 2010
Summary
Local coalitions can reduce emergency department visits by integrating community resources and nonmedical solutions for targeted patient populations. This framework aims to decrease avoidable emergency department utilization through collaborative, community-based strategies.
Area of Science:
- Healthcare Management
- Public Health Policy
- Community Health
Background:
- Emergency department (ED) utilization is increasing, with current efforts failing to reverse this trend.
- Avoidable ED visits represent a significant burden on healthcare systems.
- The Institute for Healthcare Improvement (IHI) proposes a novel framework to address this issue.
Purpose of the Study:
- To introduce and describe a framework developed by the IHI for reducing avoidable emergency department visits.
- To outline the process of testing this community-based coalition framework.
- To explore the potential policy implications if the approach is validated.
Main Methods:
- Formation of local coalitions comprising diverse interested partners.
- Integration of community resources and nonmedical solutions alongside traditional medical strategies.
- Identification of targeted patient populations based on homogeneous characteristics.
- Utilization of open-ended interview questions to uncover community and nonmedical solutions.
Main Results:
- The article details the framework and the methodology used for its testing.
- Preliminary findings suggest the potential for this approach to impact ED utilization trends.
- The process emphasizes collaboration and the leveraging of community assets.
Conclusions:
- The described framework offers a structured approach to reducing avoidable emergency department visits.
- Successful validation of this model could lead to significant policy changes in healthcare delivery.
- Community engagement and nonmedical interventions are key components for sustainable improvement.
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