scholarly journals Spreading a Medical Home Redesign: Effects on Emergency Department Use and Hospital Admissions

2013 ◽  
Vol 11 (Suppl_1) ◽  
pp. S19-S26 ◽  
Author(s):  
R. J. Reid ◽  
E. A. Johnson ◽  
C. Hsu ◽  
K. Ehrlich ◽  
K. Coleman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Medical Home ◽  
Hospital Admissions ◽  
Emergency Department Use

Patient-Centered Medical Home Membership Is Associated with Decreased Hospital Admissions for Emergency Department Behavioral Health Patients

2018 ◽  
Vol 21 (3) ◽  
pp. 172-179 ◽  
Author(s):  
Akuh Adaji ◽  
Gabrielle J. Melin ◽  
Ronna L. Campbell ◽  
Christine M. Lohse ◽  
Jessica J. Westphal ◽  
...  
Keyword(s):  
Emergency Department ◽  
Behavioral Health ◽  
Medical Home ◽  
Hospital Admissions ◽  
Patient Centered Medical Home ◽  
Patient Centered

Relationship Between Presence of a Reported Medical Home and Emergency Department Use Among Children With Asthma

2010 ◽  
Vol 67 (4) ◽  
pp. 450-475 ◽  
Author(s):  
Abdoulaye Diedhiou ◽  
Janice C. Probst ◽  
James W. Hardin ◽  
Amy B. Martin ◽  
Sudha Xirasagar
Keyword(s):  
Emergency Department ◽  
Medical Home ◽  
Emergency Department Use ◽  
Children With Asthma

scholarly journals Emergency Department Use and Hospital Admissions Among Patients With End-Stage Renal Disease in the United States

2016 ◽  
Vol 176 (10) ◽  
pp. 1563 ◽  
Author(s):  
Brendan P. Lovasik ◽  
Rebecca Zhang ◽  
Jason M. Hockenberry ◽  
Justin D. Schrager ◽  
Stephen O. Pastan ◽  
...  
Keyword(s):  
United States ◽  
Emergency Department ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Hospital Admissions ◽  
The United States ◽  
Emergency Department Use ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Emergency Department Use and Enrollment in a Medical Home Providing After-Hours Care

2018 ◽  
Vol 16 (5) ◽  
pp. 419-427 ◽  
Author(s):  
Tara Kiran ◽  
Rahim Moineddin ◽  
Alexander Kopp ◽  
Eliot Frymire ◽  
Richard H. Glazier
Keyword(s):  
Emergency Department ◽  
Medical Home ◽  
Emergency Department Use ◽  
After Hours Care ◽  
After Hours

scholarly journals Hospitalizations and Emergency Department Use in Mayo Clinic Biobank Participants Within the Employee and Community Health Medical Home

2013 ◽  
Vol 88 (9) ◽  
pp. 963-969 ◽  
Author(s):  
Paul Y. Takahashi ◽  
Euijung Ryu ◽  
Janet E. Olson ◽  
Kari S. Anderson ◽  
Matthew A. Hathcock ◽  
...  
Keyword(s):  
Emergency Department ◽  
Community Health ◽  
Mayo Clinic ◽  
Medical Home ◽  
Emergency Department Use

scholarly journals Global & Community Health: Brief in-hospital cognitive screening anticipates complex admissions and may detect dementia

Neurology ◽  
2019 ◽  
Vol 92 (13) ◽  
pp. 631-634 ◽  
Author(s):  
David Bissig ◽  
Charles S. DeCarli
Keyword(s):  
Emergency Department ◽  
Cognitive Impairment ◽  
Community Health ◽  
Hospital Admissions ◽  
Poor Performance ◽  
Cognitive Screening ◽  
Cross Sectional ◽  
Emergency Department Use ◽  
History Of ◽  
English Speaking

ObjectiveWith the long-term goal of improving community health by screening for dementia, we tested the utility of integrating the Six-Item Screener (SIS) into our emergency department neurology consultations.MethodsIn this cross-sectional observational study, we measured SIS performance within 24 hours of hospital arrival in 100 consecutive English-speaking patients aged ≥45 years. Performance was compared to patient age, previously charted cognitive impairment, and proxies for in-hospital complexity: whether or not a patient was admitted to the hospital and the number of medical studies ordered.ResultsThose with poor SIS performance were older (p = 0.02) and more likely to have previously charted cognitive impairment (p < 0.01; sensitivity 86%, specificity 77%). Poor performers were more likely to be admitted to the hospital (p = 0.04; odds ratio 3.6) and were subjected to more tests once admitted (p < 0.01), relationships that persisted after accounting for age and history of cognitive impairment.ConclusionsPoor performance on the SIS was associated with previously charted cognitive impairment, justifying future study of its ability to detect unrecognized dementia cases. Until then, its ability to inexpensively anticipate medically complex hospital admissions motivates broader emergency department use of the SIS.

scholarly journals Medicare Expenditures Associated With Hospital and Emergency Department Use Among Beneficiaries With Dementia

2017 ◽  
Vol 54 ◽  
pp. 004695801769675 ◽  
Author(s):  
Laura Coots Daras ◽  
Zhanlian Feng ◽  
Joshua M. Wiener ◽  
Yevgeniya Kaganova
Keyword(s):  
Emergency Department ◽  
Hospital Admissions ◽  
Nursing Home Residents ◽  
Study Data ◽  
Fee For Service ◽  
Residential Setting ◽  
Emergency Department Use ◽  
Avoidable Hospitalizations ◽  
People With Dementia ◽  
Proximity To Death

Understanding expenditure patterns for hospital and emergency department (ED) use among individuals with dementia is crucial to controlling Medicare spending. We analyzed Health and Retirement Study data and Medicare claims, stratified by beneficiaries’ residence and proximity to death, to estimate Medicare expenditures for all-cause and potentially avoidable hospitalizations and ED visits. Analysis was limited to the Medicare fee-for-service population age 65 and older. Compared with people without dementia, community residents with dementia had higher average expenditures for hospital and ED services; nursing home residents with dementia had lower average expenditures for all-cause hospitalizations. Decedents with dementia had lower expenditures than those without dementia in the last year of life. Medicare expenditures for individuals with and without dementia vary by residential setting and proximity to death. Results highlight the importance of addressing the needs specific to the population with dementia. There are many initiatives to reduce hospital admissions, but few focus on people with dementia.

How Multidimensional Health Locus of Control predicts utilization of emergency and inpatient hospital services

2016 ◽  
Vol 22 (3) ◽  
pp. 314-323 ◽  
Author(s):  
Dawn Mautner ◽  
Bridget Peterson ◽  
Amy Cunningham ◽  
Bon Ku ◽  
Kevin Scott ◽  
...  
Keyword(s):  
Emergency Department ◽  
Locus Of Control ◽  
Hospital Admissions ◽  
Health Locus Of Control ◽  
Emergency Department Visits ◽  
Care Utilization ◽  
Emergency Department Use ◽  
Self Rated Health ◽  
Control Instrument ◽  
Multidimensional Health

Health locus of control may be an important predictor of health care utilization. We analyzed associations between health locus of control and frequency of emergency department visits and hospital admissions, and investigated self-rated health as a potential mediator. Overall, 863 patients in an urban emergency department completed the Multidimensional Health Locus of Control instrument, and self-reported emergency department use and hospital admissions in the last year. We found small but significant associations between Multidimensional Health Locus of Control and utilization, all of which were mediated by self-rated health. We conclude that interventions to shift health locus of control may change patients’ perceptions of their own health, thereby impacting utilization.

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