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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In 2012, the Centers for Medicare and Medicaid Services (CMS) rolled out its first emergency department (ED) core measure set. This was the start of a new era in which EDs played a key role in helping their organizations meet national quality goals. A high-performing ED was suddenly necessary in order to maintain accreditation, compete for patients and receive full annual update payments under CMS' Hospital Inpatient Quality Reporting (HIQR) program. New ED measures have been added to the program each year.

9/23/2014 5:28:22 AM | 0 comments

As of this week, Perspectives is moving to the CEP America website. In addition to an updated design and user-friendly layout, the new site will provide many benefits for our readers.

9/17/2014 6:08:18 PM | 0 comments

One of the toughest challenges facing any military is how a trained soldier will act when bullets start flying.

Some hunker down, claiming it’s common sense to avoid injury. Of course, this type of rationalizing can also be a way (subconscious or otherwise) to disguise fear. Nor does it accomplish the unit's goals, because inaction and self-preservation aren’t exactly keys to success in battle.

Other soldiers face fear head on. In a 2011 blog post for the Wall Street Journal, reporter Bing West shared his experiences while embedded with a highly effective platoon of Marines in Afghanistan. One of the officers told West about a radio conversation they’d recently interrupted between Taliban leaders and the local militia. The Taliban was chastising the guerillas for running from fights. The locals protested that victory was impossible because the Marines actually ran toward their bullets.

9/11/2014 4:34:10 PM | 1 comments


My pediatrician made house calls. I always knew when I heard the pan of water being placed on the stove that a needle was being sterilized and an injection was coming. He knew that I was a gymnast and that my brother was on the swim team, and frequently asked how we were doing in competition.

What I just described was commonplace in the 1950s and 1960s. To me, those were the "good old days" when the doctor actually knew me. And he was my doctor in the hospital, outside the hospital and even in the emergency room! He called the surgeon, orthopedist or urologist and facilitated the specialized care I needed.

9/9/2014 10:03:35 AM | 0 comments


While courts continue to hammer out the details, it's probably safe to say that the Affordable Care Act (ACA) is here to stay. Most significantly, the Supreme Court has opined that the individual insurance mandate is a de facto tax — and not an unconstitutional imposition of mandatory insurance.

This isn't necessarily bad news. While the ACA may be flawed, something needed to be done to contain rising costs and improve access to care in our country. However, as I've watched implementation play out, I've been concerned that the policy will have unintended consequences that could lead to even greater cost inflation.

9/4/2014 6:55:18 PM | 0 comments
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