The emergency care model: A new paradigm for skilled nursing facilities
The emergency care model: A new paradigm for skilled nursing facilities
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DOI：
10.1016/j.gerinurse.2019.10.004
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发表时间：
2020-05-01
影响因子：
2.7
通讯作者：
Silvestri, Joseph A.
中科院分区：
文献类型：
--
作者：
Brickman, Kristopher R.;Silvestri, Joseph A.
美国 65 岁及以上人口数量正在增加。其中三分之一的人在去世前将接受疗养院护理。疗养院居民 (“NHR”) 平均每年前往急诊室就诊 1.8 次。提高养老院护理质量至关重要。该项目描述了管理影响 NHR 的急性紧急健康问题的新范例。该模型的特点是由急救人员协调的多学科团队，与熟练护理机构的区域数据相比，计划外入院率减少了 55%。此外，还观察到辅助实验室成本有所降低。在全国范围内实施这一模式预计每年可为医疗保险和医疗补助服务中心 (“CMS”) 节省超过 100 亿美元的成本。 (C) 2019 作者。由爱思唯尔公司出版
The population of individuals age 65 and older is increasing in the United States. One third of these individuals will utilize nursing home care before death. Nursing home residents ("NHR") average 1.8 emergency department visits annually. Improving the quality of nursing home care is of vital importance. This project describes a new paradigm for the management of acute emergent health issues affecting NHR. The model features a multidisciplinary team coordinated by emergency providers resulting in a 55% reduction in unplanned hospital admissions compared to skilled nursing facility regional data. Additionally, a reduction in ancillary lab costs was observed. Implementation of this paradigm on a national scale could result in a projected cost savings in excess of $10 billion per year for the Center for Medicare and Medicaid Services ("CMS"). (C) 2019 The Author(s). Published by Elsevier Inc.