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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...

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Updated: Jun 25, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

A Novel Pilot Program Using Patient Incentives to Address Emergency Department Boarding and Overcrowding: A

Nancy Glober1, Diane Kuhn1,2, Lisa Martin1

  • 1Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|June 24, 2026
PubMed
Summary
This summary is machine-generated.

Financial incentives for low-acuity patients can safely reduce emergency department (ED) overcrowding. This pilot study shows patient-approved transfers to alternate sites are feasible, easing ED burdens and improving hospital resource use.

Keywords:
emergency department overcrowdinghealth system managementinterfacility transferpatient experience

Related Experiment Videos

Last Updated: Jun 25, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

  • Healthcare Management
  • Emergency Medicine
  • Health Economics

Background:

  • Emergency department (ED) overcrowding is a persistent challenge in most hospitals.
  • Over 90% of ED medical directors report frequent overcrowding.
  • The Emergency Medical Treatment and Labor Act (EMTALA) permits alternate care sites with patient consent after screening and stabilization.

Purpose of the Study:

  • To explore the feasibility and patient acceptability of financial incentives for low-acuity ED patients.
  • To assess the potential of these incentives to facilitate transfers to critical access hospitals.

Main Methods:

  • A pilot study involving low-acuity patients in an overcrowded ED.
  • Offering financial compensation (travel vouchers of $300-$500) for voluntary interfacility transfers.
  • Tracking transfer safety, complications, and patient satisfaction.

Main Results:

  • Four eligible patients requiring medical-surgical admission participated in the transfers.
  • All transfers were completed safely, with no retransfers or complications.
  • Patients were discharged home, and the aggregate Net Promoter Score was +75, indicating high satisfaction.

Conclusions:

  • Modest financial incentives can support patient-approved interfacility transfers.
  • This model shows promise for alleviating ED overcrowding.
  • It may also enhance the utilization of underused critical access hospitals while adhering to EMTALA regulations.