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.

Latest Posts

As we express our gratitude, we must never forget that the highest appreciation is not to utter words, but to live by them. — John Fitzgerald Kennedy 

Perspectives on the Acute Care Continuum wishes a very Happy Thanksgiving to our readers and contributors! Thank you for all you do to care for patients in their time of need.

11/27/2014 1:06:19 PM | 0 comments
​By Tom Sugarman, MD, FACEP, FAAEM; Kendrick Johnson, MD, FACEP; and Seth Thomas, MD, FACEP
 
In the past several years, many hospital emergency departments (EDs) have focused on improving throughput — often with positive results. But one group of vulnerable patients is still waiting for change. And waiting.
 
Due to funding cuts and the closure of inpatient psychiatric facilities, patients experiencing a mental health crisis often end up boarded in EDs for days. In some underserved areas, stays of over a week aren't unusual.
11/25/2014 2:43:46 PM | 0 comments
Do you find yourself wondering how you can find more enjoyment in your life and work as a high-performing medical professional? Do you sometimes feel held back by circumstances beyond your control or stuck in an antiquated system of unrealistic demands and expectations on your time and human capacity?
 
If so, the techniques of Mental Contrasting and Implementation Intentions may help you bring about the change you need to thrive. In this post, we'll discuss how healthcare professionals can use these research-tested methods to bring their current work lives more in line with their ideals.
11/20/2014 12:25:11 PM | 0 comments
​Engaging patients in their own health management is a perennial problem for healthcare providers — and for society as a whole. Preventable chronic illnesses like obesity and heart disease cost our country a trillion dollars per year in medical costs and lost productivity.
 
Study after study demonstrates that even modest lifestyle changes can slash the mortality and morbidity associated with these conditions — and curb the crippling costs of caring for these patients. However, providers can only do so much when an estimated 50 percent of patients don't adhere to their recommendations.
11/18/2014 5:31:50 AM | 0 comments

In a recent post, Gregg Miller, MD, CEP America’s director of performance and quality, discussed best practices for responding to potential cases of Ebola virus disease (EVD). In today’s post, James Kim, MD, describes how his hospital is putting these principals into practice. Dr. Kim is emergency department (ED) medical director at Pomona Valley Hospital Medical Center (PVHMC) in Pomona, Calif.

Perspectives: Thanks for joining us, Dr. Kim. Can you tell us a little about your department’s experience with EVD?

Dr. Kim: Sure. PVHMC is a 65-bed emergency department located in East Los Angeles County. Because Los Angeles is a port of entry with a large international population, EVD preparation has been a huge priority for us. So far, we’ve had two ambulatory patients present to the ED who screened "high-risk" at triage. While both of them were ruled out, they provided us with the opportunity for a "trial run" to test the protocols we’ve been developing. So it was a very valuable experience.

11/13/2014 4:49:30 PM | 0 comments
Displaying results 1-5 (of 284)
 |<  < 1 2 3 4 5 6 7 8 9 10  >  >|