Perspectives on the Acute Care Continuum

The Acute Care Continuum is the integration of urgent, emergent, inpatient and post-discharge care of patients with acute medical conditions. 

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Much has been said and written about the challenges facing America's emergency departments (EDs). Experts (and not-so-experts) attribute crowding, delays and wait times to the unique quirks of our healthcare system. Common culprits include the primary care shortage, lack of universal coverage and nonemergency utilization by patients. All of these explanations hold water to some degree. But in summer 2015, I had an experience in Santiago, Chile, that suggests the issues facing American EDs may be more universal than we think.  Read More...
2/11/2016 5:30:01 PM | 0 comments

What are the cultural prerequisites for "meaningful" integration? And as leaders, what can we do to ensure these take root in our hospitals and health systems? In today's post, Dr. Imamu Tomlinson shares his thoughts, plus some real-life examples from the Adventist Health – Central Valley Network. Read More...
2/9/2016 10:12:02 AM | 0 comments

Adventist Health Central Valley Network (CVN) set out to achieve meaningful integration among its clinical services. The quickest benefits came from within the hospitals, as emergency physicians and hospitalists began collaborating at their respective sites. However, integration soon spread across the network as providers from all three hospitals came together to improve patient care.
2/4/2016 1:11:30 PM | 1 comments

Healthcare leaders of the past could rely on traditional management theory to serve a relatively homogenous workforce and consumer base. However, evidence suggests that many of the current shortcomings of our healthcare system result from the lack of what’s termed “global intelligence," also known as “cultural competency."
Leadership in today's healthcare environment requires going beyond the status quo. We have to think bigger and be more mindful of the complex environments in which we operate. Read More...
2/2/2016 5:18:45 PM | 5 comments

In his previous post, Dr. Joshua Bobko discussed how action by First Care Providers (FCPs, medical laypeople trained in basic trauma care) can greatly increase the odds of survival following an injury. 

In today's post, Perspectives looks at an evidence-based training program for FCPs and its impact.  Read More...
1/28/2016 10:16:40 AM | 0 comments
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