Emergency setting

Innovations

Community Paramedic Works Onsite in Homeless Shelter, Significantly Reducing Unnecessary 911 Calls and Connecting Residents to Primary Care 04/27/16

A community paramedic works onsite at Harbor Light Shelter, a homeless shelter, during afternoon and evening hours 4 days a week during periods when an onsite primary care clinic is not open. The...

On-the-Scene Video Consultations With Emergency Physicians Reduce Unnecessary Ambulance Transports and Emergency Department Visits, Connect People to Medical Homes 11/05/15

Through a program known as ETHAN (“Emergency Telehealth and Navigation”), the City of Houston Fire Department Emergency Medical Services program uses video and other technology to allow emergency...

Specially Trained Paramedics Respond to Nonemergency 911 Calls and Proactively Care for Frequent Callers, Reducing Inappropriate Use of Emergency Services 12/19/14

Developed by Christian Hospital and Northwest HealthCare (a two-hospital system that is part of the BJC HealthCare System), Community Health Access Program is a mobile program that...

Emergency Department–Based Asthma Clinic Improves Self-Management Behaviors and Reduces Acute Episodes for Low-Income, Inner-City Children and Teenagers 09/17/14

Through a program known as IMPACT DC (Improving Pediatric Asthma Care in the District of Columbia), Children's National Health System has an emergency department–based clinic that serves low-...

California Law Enhances Access to Affordable Care by Limiting Amount Hospitals Can Collect From Low-Income Uninsured and Underinsured Patients 01/30/14

Enacted by the California State legislature, the Hospital Fair Pricing Act limits the amount all licensed, general acute-care hospitals (including nonprofit, for-profit, and public hospitals) can...

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QualityTools

Mobile Integrated Healthcare and Community Paramedicine Program Toolkit 07/14/16

This toolkit can help emergency medical services (EMS) agencies develop and operate Mobile Integrated Healthcare and Community Paramedicine (MIH-CP) programs. The toolkit contains samples of forms, documents, and questionnaires that EMS agencies...

Quality Field Notes: Reducing Inappropriate Emergency Department Use 07/29/15

This toolkit provides resources and recommendations for reducing inappropriate emergency department (ED) use. It includes key lessons to begin the process of reducing ED use, information on how data can help to identify avoidable ED use, and...

Prehospital Medical Information System 05/21/14

The Prehospital Medical Information System (PreMIS) is a State-mandated, Internet-based emergency medical services (EMS) information system that collects data on each EMS call report made within the States of Mississippi, North Carolina, South...

Ask Suicide-Screening Questions 11/05/13

This screening tool, called the Ask Suicide-Screening Questions (ASQ), is a set of four questions that emergency department nurses or physicians can administer to help identify youth at risk for attempting suicide.

Eating Disorders in the Emergency Department: Critical Points for the Recognition and Medical Management of Individuals With Eating Disorders in the Acute Care Setting 11/05/13

This guide for emergency department staff and clinicians is intended as a resource to promote recognition and prevention of medical morbidity and mortality associated with eating disorders.

The guide covers the following topics:...

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