Strauss & Mayer’ s Emergency Department Management Latest Edition Ebook PDF
Strauss & Mayer’ s Emergency Department Management Latest Edition Ebook PDF The healthcare sector is undergoing dramatic and disruptive change. N ational leaders and the pressures of the marketplace are mandating the provision of higher quality, lower cost care to an aging population. Like the quote from Shakespeare, survival and success during these uncertain times require strong leadership and collaboration among all healthcare providers. Emergency department (ED) leaders must approach these transformative changes with a steady nerve, sustained ingenuity, and a willingness to creatively embrace a new landscape while casting aside
what is more familiar and comfortable-the status quo.
ED leadership and management must continuously assess, adapt, and
redesign their approach to patient care and management. One constant
is that EDs continue to grow in importance to their patients, commu-
nities, hospitals, and the entire healthcare system. While the ED does serve as a public “safety net,” it also is “the front door of the hospital” and healthcare system. More than 125 million patients are seen in EDs annually, with 38 million injury-related visits.’
A 2013 RAND corporation research report considered the value of the ED in the healthcare system.’ Though ED care is sometimes referred to pejoratively as “the most expensive care there is,” this overly simplistic view “ignores the many roles that EDs ftll, and the statutory obligation of hospital EDs to provide care to all in need without regard to their ability to pay.” The ED has become the most frequent point of entry into Inpatient care. There are fewer patients directly admitted from primary care physician (PCP) practices as PCPs increasingly rely on EDs to perrm “complex diagnostic workups and [handle] overflow, after-hours,
and weekend demand for care.” The report goes on to recognize that the
physicians and nurses staffing the EDs “are increasingly serving as the
major decision-maker[s] forapproximately half of all hospital admissions in the United States.
” With approximately one-third of US health care dollars currently spent on patients admitted to hospitals,’·’ it is no surprise (and appropriate) that emergency care providers, and the care they administer, are increasingly scrutinized. Their decisions have substantial financial implications for bulging healthcare expenditures.
On the current growth path, some would argue that healthcare costs might “bankrupt America.”‘ All ED leaders are obligated to actively engage in the healthcare debate, and in so doing analyze their services, ensure increasing value, institute evidence-based best practices, provide a considerate and caring environment, build transparent and meaningful information systems, and inspire teams of caregivers to provide excellence. ED leaders must go beyond meeting critical metrics; rather, they must create a team that consistently delivers “acts of kindness … the highest level of
compassion … one patient at a time.”