2012 Benchmarks in Reducing Avoidable Emergency Room Visits

  • ID: 2075730
  • Report
  • 50 Pages
  • Healthcare Intelligence Network
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In today's value-based healthcare sphere, there are many motivators to reduce avoidable emergency room visits: quality improvement, core measure metrics, reimbursement and incentives, cost trend, accreditation and recognition of accountable care organizations (ACOs) and medical homes, to name just a few.

But what are the most effective tactics to reduce avoidable ER use, and who are the key influencers and players in these programs?

2012 Benchmarks in Reducing Avoidable ER Visits delivers actionable information from 134 healthcare organizations on their efforts to reduce inappropriate ED visits.

This 50-page report, now in its second year, is designed to meet business and planning needs of hospitals, health plans, physician practices and others by providing critical benchmarks that show how the industry is working to reduce avoidable hospital emergency department visits.

In addition, this second annual collection of data points on this aspect of ER utilization management presents year-over-year trends and suggests how to engage the primary care physician, urgent care centers and patient education tools in these efforts.

This report provides a wealth of statistics to help identify organizational strengths, weaknesses and opportunities:

- Percentage of respondents with programs to more efficiently manage ER use;
- Top populations contributing to avoidable ER use;
- High utilizers or 'frequent flyers' of ER services and the conditions most frequently presented by high utilizers;
- Dozens of successful strategies healthcare organizations are using to engage primary care physicians in ER utilization efforts;
- Tactics employed at the hospital discharge to reduce the risk of ER visits by recently discharged patients;
- The most effective staffing solutions to discourage inappropriate ER visits;
- Program promotion and patient education ideas;
- Sector-specific results from health plans and physician organizations that responded to this survey;
- The complete October 2011 Reducing Avoidable ER Visits survey tool and much more.

New in the 2012 Edition: This all-new follow-up to the best-selling 2010 edition contains comparative 2010-over-2011 data on key activities, as well as new metrics on:

- The use of hospitalists, health educators/coaches, case managers and social workers in ER UM programs;
- Prevalence of predictive modeling, open access scheduling, narcotics contracts, telemonitoring and risk-stratified telephonic outreach among respondents;
- The use of medication reviews as UM management strategy;
- Presentation of upper respiratory infections (URI) in ERs;
- Use of incentives, report cards and notifications of ER visits to engage primary care physicians in efforts.

This exclusive report analyzes the responses of 134 healthcare organizations to HIN's October 2011 Industry Survey on Reducing Avoidable ER Visits, presenting the data in more than 40 easy-to-follow graphs and tables. Besides an analysis of overall responses, this report drills down to health plan and physician perspectives from survey respondents.

The 50-page 2012 Benchmarks in Reducing Avoidable ER Visits is part of the HIN Healthcare Benchmarking series, which provides continuous qualitative data on industry trends to empower healthcare companies to assess strengths, weaknesses and opportunities to improve by comparing organizational performance to reported metrics.
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About the Healthcare Intelligence Network

Executive Summary
Survey Highlights

Key Findings
Role of Primary Care Physician (PCP)
Promoting Alternative Health Services

Comparison of Year-Over-Year Data

Methodology

Respondent Demographics

Analysis of Responses
Overview of Survey Results

Comparing All Responses to Top 2 Sectors
The Health Plan Perspective
The Physician Organization Perspective

Respondents in Their Own Words
Most Successful Strategy for Reducing Avoidable ER Visits
Targeted Populations and Scope of Program
Additional Comments

Conclusion

Responses to Questions

Part I: Overall Survey Responses
1:01: All - Program to Reduce Avoidable ED Usage
1:02: All - Future Program to Reduce Avoidable ER Visits
1:03: All - Population Generating Avoidable ED Visits
1:04: All - Condition Generating Avoidable ER Visits
1:05: All - Frequently Presented Problems in High Utilizers
1:06: All - Strategies to Discourage Avoidable ER Visits
1:07: All - Staffing Solutions to Discourage Avoidable ED Usage
1:08: All - Engaging PCPs to Reduce ED Visits
1:09: All - All Tactics to Reduce Avoidable ER Visits by the Recently Discharged
1:10: All - Most Effective Tactic to Curb Avoidable ER Visits by the Recently Discharged
1:11: All - Promoting Proxy and Alternate Health Services
1:12: All - Challenge of Reducing Avoidable ER Visits
1:13: All - Percentage of Reduced Avoidable ER Visits
1:14: All - Reducing Avoidable ER Visits Program ROI
1:15: All - Barriers to Launching Program
1:16: All - Penalizing Hospitals for Excessive ER Visits?
1:17: All - Offering Financial Incentives for Controlling ER Utilization
1:18: All - Organization Type

Part II: Responses from Health Plans
1:19: Health Plans - Program to Reduce Avoidable ED Usage
1:20: Health Plans - Future Program to Reduce Avoidable ER Visits
1:21: Health Plans - Population Generating Avoidable ED Visits
1:22: Health Plans - Condition Generating Avoidable ER Visits
1:23: Health Plans - Frequently Presented Problems in High Utilizers
1:24: Health Plans - Strategies to Discourage Avoidable ER Visits
1:25: Health Plans - Staffing Solutions to Discourage Avoidable ED Usage
1:26: Health Plans - Engaging PCPs to Reduce ED Visits
1:27: Health Plans - All Tactics to Reduce Avoidable ER Visits by the Recently Discharged
1:28: Health Plans - Most Effective Tactic to Curb Avoidable ER Visits by the Recently Discharged
1:29: Health Plans - Promoting Proxy and Alternate Health Services
1:30: Health Plans - Challenge of Reducing Avoidable ER Visits
1:31: Health Plans - Percentage of Reduced Avoidable ER Visits
1:32: Health Plans - Reducing Avoidable ER Visits Program ROI
1:33: Health Plans - Barriers to Launching Program
1:34: Health Plans - Penalizing Hospitals for Excessive ER Visits?
1:35: Health Plans - Offering Financial Incentives for Controlling ER Utilization

Part III: Responses from Physician Organizations
1:36: Physician Organizations - Program to Reduce Avoidable ED Usage
1:37: Physician Organizations - Future Program to Reduce Avoidable ER Visits
1:38: Physician Organizations - Population Generating Avoidable ED Visits
1:39: Physician Organizations - Condition Generating Avoidable ER Visits
1:40: Physician Organizations - Frequently Presented Problems in High Utilizers
1:41: Physician Organizations - Strategies to Discourage Avoidable ER Visits
1:42: Physician Organizations - Staffing Solutions to Discourage Avoidable ED Usage
1:43: Physician Organizations - Engaging PCPs to Reduce ED Visits
1:44: Physician Organizations - All Tactics to Reduce Avoidable ER Visits by the Recently Discharged
1:45: Physician Organizations - Most Effective Tactic to Curb Avoidable ER Visits by the Recently Discharged
1:46: Physician Organizations - Promoting Proxy and Alternate Health Services
1:47: Physician Organizations - Challenge of Reducing Avoidable ER Visits
1:48: Physician Organizations - Percentage of Reduced Avoidable ER Visits
1:49: Physician Organizations - Reducing Avoidable ER Visits Program ROI
1:50: Physician Organizations - Barriers to Launching Program
1:51: Physician Organizations - Penalizing Hospitals for Excessive ER Visits?
1:52: Physician Organizations - Offering Financial Incentives for Controlling ER Utilization

Glossary

Appendix A: Reducing Avoidable ER Visits in 2011 Survey Tool
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