Patterns of psychiatric emergency department utilization among community-dwelling Medicare beneficiaries under 65.

2017 ◽  
Vol 14 (3) ◽  
pp. 387-396
Author(s):  
Jingjing Qian ◽  
Saranrat Wittayanukorn ◽  
Richard A. Hansen
Keyword(s):  
Emergency Department ◽  
Community Dwelling ◽  
Psychiatric Emergency ◽  
Emergency Department Utilization ◽  
Medicare Beneficiaries

Assessment of a multi-center tele-urgent care program to decrease emergency department referral rates in the Veterans Health Administration

2021 ◽  
pp. 1357633X2110248
Author(s):  
Charlie M Wray ◽  
Myla Junge ◽  
Salomeh Keyhani ◽  
Janeen E Smith
Keyword(s):  
Emergency Department ◽  
Emergency Department Visit ◽  
Care Program ◽  
Urgent Care ◽  
Emergency Department Utilization ◽  
Emergency Department Care ◽  
Referral Rates ◽  
Care Assessment ◽  
The Impact ◽  
Care Evaluation

The use of emergency departments for non-emergent issues has led to overcrowding and decreased the quality of care. Telemedicine may be a mechanism to decrease overutilization of this expensive resource. From April to September 2020, we assessed (a) the impact of a multi-center tele-urgent care program on emergency department referral rates and (b) the proportion of individuals who had a subsequent emergency department visit within 72 h of tele-urgent care evaluation when they were not referred to the emergency department. We then performed a chart review to assess whether patients presented to the emergency department for the same reason as was stated for their tele-urgent care evaluation, whether subsequent hospitalization was needed during that emergency department visit, and whether death occurred. Among the 2510 patients who would have been referred to in-person emergency department care, but instead received tele-urgent care assessment, one in five (21%; n = 533) were subsequently referred to the emergency department. Among those not referred following tele-urgent care, 1 in 10 (11%; n = 162) visited the emergency department within 72 h. Among these 162 individuals, most (91%) returned with the same or similar complaint as what was assessed during their tele-urgent care visit, with one in five requiring hospitalization (19%, n = 31) with one individual (0.01%) dying. In conclusion, tele-urgent care may safely decrease emergency department utilization.

scholarly journals Emergency Department Utilization for Emergency Conditions During COVID-19

2021 ◽  
Author(s):  
Arjun K. Venkatesh ◽  
Alexander T. Janke ◽  
Li Shu-Xia ◽  
Craig Rothenberg ◽  
Pawan Goyal ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Department Utilization
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