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Regionalizing Emergency Care - Workshop Summary (Paperback)
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Regionalizing Emergency Care - Workshop Summary (Paperback)
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During medical emergencies, hospital staff and emergency medical
services (EMS) providers, can face barriers in delivering the
fastest and best possible care. Overcrowded emergency rooms cannot
care for patients as quickly as necessary, and some may divert
ambulances and turn away new patients outright. In many states,
ambulance staff lacks the means to determine which hospitals can
provide the best care to a patient. Given this absence of
knowledge, they bring patients to the closest hospital. In
addition, because emergency service providers from different
companies compete with each other for patients, and emergency care
legislation varies from state to state, it is difficult to
establish the necessary local, interstate, and national
communication and collaboration to create a more efficient system.
In 2006, the IOM recommended that the federal government implement
a regionalized emergency care system to improve cooperation and
overcome these challenges. In a regionalized system, local
hospitals and EMS providers would coordinate their efforts so that
patients would be brought to hospitals based on the hospitals'
capacity and expertise to best meet patients' needs. In September
2009, three years after making these recommendations, the IOM held
a workshop sponsored by the federal Emergency Care Coordination
Center to assess the nation's progress toward regionalizing
emergency care. The workshop brought together policymakers and
stakeholders, including nurses, EMS personnel, hospital
administrators, and others involved in emergency care. Participants
identified successes and shortcomings in previous regionalization
efforts; examined the many factors involved in successfully
implementing regionalization; and discussed future challenges to
regionalizing emergency care. This document summarizes the
workshop. Table of Contents Front Matter Overview Workshop
Introduction 1 Regionalized Trauma Care: Past, Present, and Future
2 Emerging Models of Regionalization 3 Lessons from Other Systems 4
Regionalization: Potential and Pitfalls 5 Governance and
Accountability 6 Financing 7 Data and Communications 8 Preparedness
9 Wrap-Up Discussion with Federal Partners Appendix A: Workshop
Agenda Appendix B: Workshop Presenters and Participants Appendix C:
The Future of Emergency Care: Key Findings and Recommendations from
2006 Study
General
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