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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As healthcare organizations work toward greater integration, one key player has rarely been mentioned. I really believe that by leaving EMS out of the conversation, we're missing a golden opportunity to further the goals of healthcare reform. Lately, I've been pleased to see growing interest in the concept of community paramedicine.

3/28/2017 7:42:17 PM | 6 comments

By Fred Wu, MHS, PA-C, and Lauren Sheeley, BS

Outside large urban areas, it's not easy for healthcare professionals to find top-notch continuing education close to home. But the experience of the innovative CME program at Kaweah Delta Medical Center (KDMC) in Visalia, Calif., shows that with a little innovation, it can be done.

7/31/2014 11:15:04 PM | 0 comments

"They haven't gotten rid of you yet?" one of the nurses asked five years ago in my third month as a scribe.

To respond five years later, "No, they haven't gotten rid of us yet." In fact, as EMR technology matures, we're finding new to contribute to our departments.

7/29/2014 2:28:11 PM | 0 comments

By Nicholas Metzger, MBA, BSN, RN; Michelle Gunnett, MSN, RN, CEN; Catherine Prante, MSN, RN, NE-BC; Kevin Daly, MD, FACEP; Bruce Friedberg, MD, FAAEM; and Jaime Rivas, MD, FACEP

When the Palomar Medical Center emergency department relocated to a new, state-of-the-art facility in August 2012, the team anticipated an increase in patient volume. However, patient numbers soon rocketed beyond their predictions, resulting in increased wait times for patients.

To meet this new demand, the team decided to redesign its input system. The initiative has resulted in significant increases in throughput and patient satisfaction. The following report is adapted from a poster presented at CEP America's annual conference in September 2013.

7/24/2014 9:56:19 PM | 1 comments

Welcome to my third and last article in this series on change management for healthcare leaders. Now it is time to take flight and embark on making your change. This flight can be a bit tumultuous at times. But fortunately we have a map: namely, Quint Studer's 5 Stages of Change, to guide us.

7/22/2014 3:23:04 PM | 0 comments
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