Improving the Quality and Efficiency of Emergency Care Across the Continuum: A Sy

描述（由申请人提供）：提高整个连续体的紧急护理的质量和效率：美国急诊医师学会的系统方法摘要2006年6月，医学研究所（IOM）美国卫生系统紧急护理未来委员会发布了三份报告，概述了改善美国公民紧急医疗护理的途径。报告中的一个重点领域是需要改善我们的紧急护理研究基础设施和生产力。为响应IOM的建议，美国急诊医师学会（ACEP）提议召开一次为期一天的会议，题为“提高整个连续体的急诊护理质量和效率：一种系统方法”，该会议将于2009年10月4日在马萨诸塞州波士顿举行为期一天的共识会议，汇集各种医疗保健利益相关者。本次会议的目标是确定如何在紧急护理系统的护理提供过程可以设计和更有效地使用，以提供解决方案，目前在美国医疗保健系统的质量和效率问题。与会者将聚集在一起，严格审查急诊科（艾德）和医疗保健提供系统的其他核心组成部分之间的接口，探索艾德在改善病人护理中的作用，并在整个医疗保健连续体中寻找“下游”提高护理质量，安全性，效率和有效性的方法。研究的优先顺序将被设置，以便艾德，医院和门诊设置之间的相互作用得到优化，特别是在增值和浪费最小化。在广泛和创造性的视野中，本次会议将有助于阐明如何以有利于患者、护理人员和支付者的方式改善患者流程、信息管理、沟通和过渡。会议将寻求更好地了解当前紧急护理系统的核心能力，以确定如何利用这些能力来改善总体医疗保健，并优先考虑需要进一步研究和干预的研究问题。这次会议的时机是正确的，因为新技术正在医疗保健系统中实施，优化价值的必要性是一个优先事项。在考虑整个护理的连续性时，而不仅仅是孤立地关注艾德治疗，存在很多机会来确定高影响力，创造性地解决国家的医疗保健问题。一份描述会议建议的白色文件将分发给AHRQ，并提交给一份同行评审期刊，以帮助设计和优先考虑最终将改善该国患者护理的研究资助计划。美国急诊医师学会

DESCRIPTION (provided by applicant): Improving the Quality and Efficiency of Emergency Care Across the Continuum: A Systems Approach American College of Emergency Physicians Abstract In June 2006, the Institute of Medicine (IOM) Committee on the Future of Emergency Care in the United States Health System released three reports that outline a pathway to improved emergency medical care for U.S. citizens. A key area of focus in the reports is the need to improve our emergency care research infrastructure and productivity. In response to the IOM recommendations, the American College of Emergency Physicians (ACEP) proposes a one-day conference titled Improving the Quality and Efficiency of Emergency Care Across the Continuum: A Systems Approach that will bring together a diverse group of healthcare stakeholders for a one-day consensus conference to be held in Boston, MA on October 4, 2009. The goal of this conference is to determine how the processes of care delivery in the emergency care system can be designed and used more effectively to provide solutions to quality and efficiency problems present in the United States healthcare system. Conference participants will come together to critically examine the interface between the emergency department (ED) and other core components of the health care delivery system, to explore the role of the ED in improving patient care, and to look 'downstream' at ways to improve the quality, safety, efficiency and effectiveness of care across the healthcare continuum. Research priorities will be set so that interactions between the ED, hospital, and outpatient settings are optimized, especially where value is added and waste is minimized. In looking expansively and creatively, this conference will help clarify how patient flow, information management, communication and transitions can be improved in ways that will be beneficial to patients, caregivers, and payers. The conference will seek to better understand the core competencies of the current emergency care system, to identify how these can be leveraged to improve healthcare in general, and to prioritize research questions that require further study and intervention. The timing is right for this conference, as new technology is being implemented in the healthcare system and imperatives to optimize value are a priority. In considering the entire continuum of care, and not just focusing on ED treatment in isolation, much opportunity exists to identify high impact, creative solutions to the nation's healthcare problems. A white paper delineating the conference recommendations will be issued to AHRQ and submitted to a peer-review journal to help design and prioritize research funding programs that will ultimately improve patient care in this country. American College of Emergency Physicians