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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
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Every measurement provides three kinds of information: the size or magnitude of the measurement (a number), a standard of comparison for the measurement (a unit), and an indication of the uncertainty of the measurement. While the number and unit are explicitly represented when a quantity is written, the uncertainty is an aspect of the errors in the measurement results.
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Assessment of Ventilation I: Respiratory Rate

Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

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Published on: September 30, 2020

Measuring value for low-acuity care across settings.

Sofie Rahman Morgan1, Meaghan A Smith, Stephen R Pitts

  • 1Department of Emergency Medicine, Georgetown University Hospital/Washington Hospital Center, Washington, DC, USA. sofie.r.morgan@emory.edu

The American Journal of Managed Care
|September 27, 2012
PubMed
Summary
This summary is machine-generated.

This study introduces a framework to evaluate the value of emergency department (ED) visits for low-acuity conditions. It analyzes costs and benefits from patient, insurer, and societal perspectives to guide healthcare delivery.

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Area of Science:

  • Health Economics
  • Healthcare Management
  • Public Health Policy

Background:

  • Rising healthcare expenditures necessitate a focus on value, defined as health improvement relative to resources invested.
  • The specific value contribution of emergency departments (EDs) within value-based healthcare systems remains unclear.
  • The utility of ED visits for low-acuity conditions, treatable in alternative settings, is frequently debated.

Purpose of the Study:

  • To present a conceptual model for assessing the value of emergency department (ED) visits for low-acuity conditions.
  • To adapt an existing analytic framework to evaluate ED care value compared to alternative care settings.
  • To identify key factors influencing stakeholder perceptions of ED care value.

Main Methods:

  • Adaptation of an existing analytic model to assess the value of low-acuity ED visits.
  • Development of three stakeholder-specific equations (patients, insurers, society) to quantify value.
  • Analysis of tangible/intangible benefits against direct/indirect costs from multiple perspectives.

Main Results:

  • The model highlights how diverse stakeholder perspectives shape the perceived value of ED care.
  • Tangible and intangible benefits are weighed against direct and indirect costs in value assessments.
  • The study provides a structured approach to compare ED care with alternative treatment settings for low-acuity issues.

Conclusions:

  • Aligning stakeholder value perceptions can foster mutual influence and drive rational changes in acute care delivery.
  • The conceptual framework offers a method to guide decision-making regarding the appropriate use of EDs for low-acuity conditions.
  • This approach supports a more efficient and value-driven allocation of resources in acute medical care.