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

The eastern Texas town of Lufkin is located over 50 miles from the nearest FedEx delivery point. In the past, area residents in psychiatric crisis endured long waits in the emergency department (ED), hospital or even jail to access specialized behavioral healthcare — often at facilities far from home. But that's all changing, thanks to an innovative new delivery model.  Read More...
4/30/2015 3:12:11 PM | 4 comments

Recently, mindfulness expert Dawa Tarchin Phillips posted about the importance of resilience in healthcare settings. Today I'd like to share how CEP America conceptualizes resilience and how our organization equips providers to thrive in challenging environments. Read More...
4/28/2015 12:37:48 PM | 5 comments

In 2013, one of our emergency department (ED) teams found itself in the challenging position of training five new physician assistants (PAs) at once.
Following our practice's internship model, recent graduates and PAs transitioning from another specialty were paired with an experienced colleague for 12 to 15 shifts. This arrangement was intended to provide extra support as the new hires sharpened their skills and practiced managing multiple patients. Read More...
4/27/2015 4:25:21 PM | 4 comments

Palomar Health is the largest public health care district in California by area. The system includes three hospitals, two hospital-based emergency departments (EDs) and a stand-by ED; and CEP America currently staffs Palomar Health's EDs and inpatient departments.
As the Palomar Health system grew, patient flow across facilities became increasingly complex, and ED throughput and internal transfer times rose. To tackle the problem, Palomar Health and CEP America teamed up to create a centralized patient placement system capable of coordinating care across facilities. Read More...
4/21/2015 4:01:23 PM | 3 comments

When I was a resident, chest pain was all about the story.
During one history, I learned that my elderly patient was a ballroom dancer. "How long did you dance for?" I remember asking. "Was it a vigorous type of ballroom dancing?"
Today, I look back on those encounters with a certain nostalgia. Back then, the clock never seemed to be ticking. I had time to weigh the evidence and consider "zebras" (unusual diagnoses). Best of all, I really got to know my patients and hear their stories.
Sometimes during case discussions, an attending physician would describe "what we’d do in the real world." This always confused me. As the last stop in our training, shouldn't residency be as close to real-world practice as possible? Read More...
4/16/2015 2:23:40 PM | 4 comments
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