scholarly journals Stakeholder perspectives on transitions of nursing home residents to hospital emergency departments and back in two Canadian provinces

2012 ◽  
Vol 26 (4) ◽  
pp. 419-427 ◽  
Author(s):  
C.A. Robinson ◽  
J.L. Bottorff ◽  
M.B. Lilly ◽  
C. Reid ◽  
S. Abel ◽  
...  
Keyword(s):  
Nursing Home ◽  
Emergency Departments ◽  
Nursing Home Residents ◽  
Hospital Emergency ◽  
Stakeholder Perspectives ◽  
Canadian Provinces ◽  
Hospital Emergency Departments

scholarly journals Stakeholder Perspectives on Reducing Hospitalizations Among Nursing Home Residents

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 85-85
Author(s):  
Denise Tyler ◽  
Cleanthe Kordomenos ◽  
Melvin Ingber
Keyword(s):  
New York ◽  
Nursing Home ◽  
Nurse Practitioners ◽  
Hospital Readmissions ◽  
Nursing Home Residents ◽  
Health State ◽  
Frontline Staff ◽  
Avoidable Hospitalizations ◽  
Stakeholder Perspectives ◽  
Advance Care

Abstract Organizations in seven states have been participating in the Center for Medicare and Medicaid Innovation (CMMI) initiative aimed at reducing potentially avoidable hospitalizations among long-stay nursing home (NH) residents. The purpose of this study was to identify market and policy factors that may have affected the initiative in those states. Forty-seven interviews were conducted with key stakeholders in the seven states (e.g., representatives from state departments of health, state Medicaid offices, and nursing, hospital and nursing home associations) and qualitatively analyzed to identify themes across states. Few policies or programs were found that may have affected the initiative; only New York (NY) was found to have state policies or programs specifically aimed at reducing hospitalizations. Market pressures reported in most states were similar. For example, stakeholders reported that the increased availability of home and community-based services and the growing presence of managed care are contributing to higher acuity among both long and short stay residents and that reimbursement rates and staffing have not kept up. Stakeholders suggested greater presence of physicians and nurse practitioners in NHs, better training around behavioral health issues for frontline staff, and more advance care planning and education of families about end of life may help further reduce NH hospitalizations. We also found that all states, except NY, had regional coalitions of health care related organizations focused on improving some aspect of care, such as reducing hospital readmissions. These coalitions may suggest ways that organizations can work together to reduce hospitalizations among NH residents.

The Model of Hospital Emergency Departments in 2,000 Bed Hospital in Hungary

1986 ◽  
Vol 2 (1-4) ◽  
pp. 116-117
Author(s):  
Attila Csepanyi ◽  
Mihaly Sebestyen
Keyword(s):  
Emergency Department ◽  
Research Program ◽  
Emergency Departments ◽  
County Hospital ◽  
Hospital Emergency ◽  
Ministry Of Health ◽  
Ground Floor ◽  
Hospital Emergency Departments

The first emergency department in Hungary was established in Hetenyi Geza County Hospital in 1976. It was organized as part of a research program commissioned by the Ministry of Health. Initially, the hospital had 1400 beds which have now increased to 2,000.The Emergency Department is located on the ground floor of a new building and occupies 1,100 square meters of surface. The operation of the department is divided into three main areas.

scholarly journals Out-of-Hours Care Collaboration between General Practitioners and Hospital Emergency Departments in the Netherlands

2015 ◽  
Vol 28 (6) ◽  
pp. 807-815 ◽  
Author(s):  
E. S. J. van Gils-van Rooij ◽  
C. J. Yzermans ◽  
S. M. Broekman ◽  
B. R. Meijboom ◽  
G. P. Welling ◽  
...  
Keyword(s):  
The Netherlands ◽  
General Practitioners ◽  
Emergency Departments ◽  
Hospital Emergency ◽  
Out Of Hours ◽  
Out Of Hours Care ◽  
Hospital Emergency Departments

scholarly journals The Most Crowded US Hospital Emergency Departments Did Not Adopt Effective Interventions To Improve Flow, 2007–10

2015 ◽  
Vol 34 (12) ◽  
pp. 2151-2159 ◽  
Author(s):  
Leah S. Honigman Warner ◽  
Jesse M. Pines ◽  
Jennifer Gibson Chambers ◽  
Jeremiah D. Schuur
Keyword(s):  
Emergency Departments ◽  
Hospital Emergency ◽  
Effective Interventions ◽  
Hospital Emergency Departments
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