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2010 Performance Benchmarks in Reducing Avoidable ER Visits

Healthcare Intelligence Network, Oct 2010, Pages: 50


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With consensus widespread that much of emergency room use is avoidable and preventable, healthcare organizations like Kaiser Foundation Health Plan of Colorado, WellPoint and many others are working to staunch the flow of avoidable ER use and point patients in the direction of appropriate care.

How prevalent are programs to reduce avoidable ER use, and what kind of results do they net? Which populations and conditions are responsible for most preventable ER visits, and what are the most effective strategies for redirecting these patients to more cost-effective and appropriate healthcare settings? How are organizations promoting these programs and educating patients about proper use healthcare services?

“2010 Performance Benchmarks in Reducing Avoidable ER Visits” addresses these concerns and others by providing actionable information from 90 healthcare organizations on their efforts to reduce inappropriate use of the ED. This 50-page resource documents trends and metrics from emergency departments across the country that are successfully managing ER utilization.

This report provides expanded data on:
- The percentage of respondents faced with avoidable ER use;
- Percentage of respondents with programs in place to more efficiently manage ER use;
- Top populations responsible for avoidable ER use;
- High utilizers of ER services and the conditions most frequently presented by high utilizers;
- 25 successful strategies healthcare organizations are using to reduce preventable ER use;
- Reducing avoidable ER visits by patients recently discharged from the hospital;
- The most effective staffing assignments to discourage inappropriate ER visits;
- Program promotion and patient education ideas;
- Ideas for engaging primary care providers in ER management efforts;
- Sector-specific results from hospitals and health plans that responded to this survey;
- The complete July 2010 Reducing Avoidable ER Visits survey tool;
and much more.

This exclusive report analyzes the responses of 90 healthcare organizations to HIN's July 2010 Industry Survey on Reducing Avoidable ER Visits, presenting the data in more than 30 easy-to-follow graphs and tables. Besides an analysis of overall responses, this report drills down to the health plan and hospital perspectives presented by survey respondents.

This industry snapshot is enhanced with advice and lessons learned from Kaiser Foundation Health Plan of Colorado, WellPoint and others, whose innovative initiatives have successfully reduced avoidable ER use.

From 1997 to 2007, ER visit rates increased at twice the rate of growth of the U.S. population, and the number of EDs decreased by about 15 percent, according to data from the American College of Emergency Physicians (ACEP).


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