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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Thanksgiving, after all, is a word of action.
~W.J. Cameron
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. Read More...
11/25/2015 8:57:56 PM | 0 comments

During a recent ED shift, a colleague and I began to discuss provider wellness when the topic of the "Quadruple Aim" emerged. 
For many healthcare organizations, achieving the Institute for Healthcare Improvement’s Triple Aim — improving population health, enhancing the patient experience and reducing cost — has become a core strategic goal for achieving success in the modern healthcare environment.
Yet without healthy and engaged medical providers, this achievement will remain elusive and challenging to attain.
In a 2014 article in the Annals of Family Practice, Thomas Bodheimer, MD, and Christine Sinsky, MD, set out to expand this paradigm. Our current epidemic of provider and staff burnout, they state, is "associated with lower patient satisfaction, reduced health outcomes and it may increase costs."
They propose a fourth aim be added — one that calls for optimizing the work-life balance of our healthcare workforce.  Read More...
11/24/2015 1:21:29 PM | 3 comments

As our healthcare system shifts toward value-based payments, more hospitals are entering into risk-sharing arrangements with payers. As a result, emergency departments (EDs) are increasingly expected to engage in population health management (PHM) efforts. In this post, I'll describe an innovative PHM process followed at two CEP America EDs, plus some considerations for implementation. Read More...
11/19/2015 1:23:14 PM | 2 comments

Improving productivity, quality and safety are some of the key motivating factors driving the need to change the work environment. This post will deal with how computational models can augment techniques to improve the ED environment. Read More...
11/17/2015 2:24:33 PM | 0 comments

Across the country, teams staffing crowded EDs are longing for more space. But the experience of St. Louise Regional Hospital in Gilroy, Calif., proves that the quality of an ED's care need not be limited by its size. The following is adapted from a poster presented at CEP America's 2015 conference. Read More...
11/12/2015 12:30:16 PM | 3 comments
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