Monday, November 21, 2011
wasting away again in frequent flyerville
Here's the thing, they are not getting the help they need when they come to the emergency room. They are handled in one of two ways:
1) They are quickly discharged. Its a been there, done that situation for the doc.
2) They are worked up by the OCD/CYA docs, wasting everyones time.
I would venture to guess that the vast majority of these people are on medicaid or have no insurance at all. The reimbursement for their bills are nonexistent or very low. They cost the hospital money.
If you added up all the frequent flyers in our ER, I think it would come to at least 10-15%. Lots of people. Lets say we have 60,000 visits a year - thats 6-9,000 unnecessary, money wasting visits. In this day and age of hospitals just trying to make ends meet, its really ridiculous.
It seems like most ERs just ignore the problem. Like mine does. We let it go on and on. Some ERs hire case managers who work with these people. They try to hook them up with community resources, direct them somewhere else, try to figure out what they really need so they can stop coming to the ER. Does it work? I have seen articles saying that it does.
Does your ER use them? What do you think about how well they work?
Case management in any area of medicine has a huge future. It has been proven to save money. Its an alternative for nurses who don't want to do bedside nursing anymore
Posted by girlvet at 3:42 PM