A Brief Note On The Canadian Association Of Emergency Physicians

A huge effect of boarding patients/overcrowding emergency departments is ambulance diversion. It occurs when a hospital ED cannot accommodate any more emergency patients so

A visit to the emergency department (ED) is usually associated with negative thoughts by most people. It creates preconceived images of overcrowded waiting rooms and routine long waits for treatment (Jarousse, 2011). From 1996 to 2006, ED visits increased annually from 90.3 million to 119.2 million (32% increase). During this same time period, the number of EDs has declined by 186 facilities creating the age old lower supply and greater demand concept (Crane & Noon, 2011). There are many contributing factors that have led to an increase in ED visits. A few of these key drivers include lack of primary care access, rising of the uninsured population, dwindling mental health services, and the growing elderly

When focusing on the Centers for Medicare and Medicaid Systems strategies for improvement with unnecessary emergency room visits, a major key area is accessibility to health care at the appropriate health care setting. For many years, there has been the perception that the emergency department is the only place for someone who is uninsured or underinsured can go to receive the needed and appropriate health care, and in some situations that may be the case. (Rhodes et al, 2013, p.394) Due to the decreases in reimbursements for the publicly funded, more and more physicians are opting out to treating these patients, thus leading to an increase in emergency department utilization. According to a study conducted by Rhodes, Bisgaier, Lawson, Soglen, Krug, and Haitsma, this is becoming a greater concern for the

The implications and effects on patients waiting long hours to be seen in the ED are immense. In a recent study done over five years in Ontario hospitals showed the risk of adverse events and even deaths increased with the length of stay in the ED (Science Daily, 2011). When EDs become overcrowded the quality of care changes and declines; which is extremely dangerous. Authors of the study calculated that if ED length of stay was cut by only an hour that 150 fewer Ontarians would die each year (Science Daily, 2011). Wait times can also negatively affect patients financially, untreated medical conditions can lead to reduced productivity and inability to work leading to increased financial strains (Fraser Institute, 2014). As well as delayed access to care can result in more complex interventions needed. Therefore an initiative is needed to provide patients with timely, efficient care when accessing

One of the primary goals of the Affordable Care Act (ACA) was to provide affordable health care coverage and increase access to affordable health care to the community. Unfortunately, since the passage of the ACA, while there has been an increase in the number of people with health care coverage, those same people do not necessarily have access to affordable health care. Currently, the public views the Emergency Department (ED) as a safety net by the community it serves; as demonstrated by the increasing number of people who continue to seek treatment in the ED for non-urgent problems. Utilization of the ED for non-urgent care contributes to the rising costs of healthcare as treatment in this setting can be upwards of three times the cost

Implications on Healthcare System: The general misuse of the Emergency Rooms as a replacement for patient’s primary care can be considered one reason why hospitals on Marcus Island represent the biggest hurdle with regards to healthcare cost containment. Patients are likely to use the ER for primary care because they know they will be seen on the same day at the ER, versus the potential wait time of 2-4 weeks to get an appointment to see their primary care provider. Inappropriate ER use is expensive for hospitals, and prohibits continuity of care for patients.

Every patients main concern when going to a hospital is to get a surgery to fix a problem that they have, or to receive prescriptions for illnesses and diseases. But a factor most probably are not worried about when they go to a hospital is how they are being treated. Doctors already have a difficult task to perform, but overcrowding the hospitals will cause them to be busy and possibly conduct their job with out the amount of care that is required. Giving out prescriptions in a hospital could also be effected. Patients vital medicine could be mixed up with someone else’s and cause even more harm.

Once you arrive at the emergency room, you experience more waiting depending on your current condition. Some of these waits depend on: length of stay, time waiting for assessment, condition, waiting for inpatient bed, and lack of resources. Finally, when you’re ready to leave the emergency department waits can occur, like waiting for an inpatient bed or a ride home (CIHI, 2012). All of these reasons impact the growing wait times, with older adults becoming more frequent in emergency departments and the increasing population of older adults these wait times are going to continue to grow causing more harm than good, if older adults are unable to receive the appropriate care in a timely matter (Cooke, Oliver, & Burns, 2012).

Emergency departments are considered an important aspect of the health care system. For many years, wait times have been an area of concern for many Canadians and remain a significant issue. One of the major concerns within the Canadian health care system is the amount of time spent as waiting time in the healthcare services. Wait times are the length of time from when the patient is triaged and registered, to when the patient leaves from the emergency room (Affleck, Parks, Drummond, Rowe, & Ovens, 2013). Whether waiting for a doctor, waiting for prescription medication, or even waiting to get tested, the reasons for wait time in Canada are caused by many factors (Cole, Hopman, & Kawakami, 2011). This paper will seek to examine the factors contributing to longer wait times in the emergency department, examine the ways in which wait times impact society, and conclude by presenting possible solutions to reduce wait times.

Emergency Department crowding is a cause for great concern. It is costly and responsible for compromising quality of care and community trust (McHugh, VanDyke, McClelland, & Moss, 2011). According to McHugh et al. (2011), improving patient flow can mitigate ED crowding. This paper will describe a plan to implement an ED fast-track area (FTA) as one solution to improve patient flow and reduce ED crowding. The author will describe the approval process, review the problem, discuss the proposal, explain the rationale behind the proposal, examine the evidence, describe the implementation logistics, and determine the necessary resources required for implementation.

Doctors are busy giving family members updates on their loved ones. Traumas are coming in with families in complete fear. Admitting staff trying to get information from the families to get patients registered while trying explain to patients why they must stay, and why some procedures aren’t covered by insurance. The thousands of questions the admitting staff get from patients about their stay all the while being invisible to majority of the staff. That is the Emergency room, that is what an ordinary person walking in does not see. The clicks and the social norms and the hierchy involved in hospital care. The disconnect of clinical staff from non-clinical staff. This same disconnect that contributes to low emergency room patient satisfaction scores, the reason why people leave the ER unhappy. People who work in the ER come in all shapes and sizes. Most of the nurses are females with just a few male nurses, all of which are between 20 to 60 years of age. Admitting staff is made up of males and females from different social backgrounds. The ER is a melting pot, which sometimes can be difficult to

(CITE) Despite its success the Canadian health care system has some concerns associated with it and It is important for policy makers, and the health management sector to address these issues and provide solutions for them. Health management is a complex social goal, and a major initiative in Canada, which is heavily relied on the public sector. One of the major issues the health care system is currently facing the over crowded emergency departments and extremely long waiting times. . In this paper I will discuss the issue of overcrowded hospitals as a results of the rising population of the elderly. Many of our hospitals are over crowned, there are long waiting time, and the elderly are not provided with sufficient care. Overcrowding will place an increasing amount of burden on the hospital by delaying testing and diagnosis times, creating a shortage of nurses and doctors, and it may also have a negative impact on the financial state of the hospital.

Emergency departments repeatedly face overcrowding due to increased public demand and decreased hospital resources (Rooney & Schilling, 2014). Finding a way to combat the over-crowding is challenging, because all patients feel that their issue for being at the emergency room is a true emergency and do not want to wait for services. Emergency healthcare professionals are faced daily with the burden of overcrowding and long wait times for their patients. Health promotion programs in the ED allow for better care of patients and in turn decrease the need to return as often and ultimately

Hospitals are experiencing patient congested emergency departments. At Baptist Memorial Hospital, the increase in patient volume and limited capacity contributes to long length of stays and patients leaving without being seen. As a result of overcrowded emergency rooms, patient length of stay becomes more important. Throughput times in the emergency department (ED) play a substantial role in patient and staff satisfaction. Length of stay in the ED is directly related to patient volume, patient acuity, lab turnaround times, and time to treatment, which is all connected to patient satisfaction. Long wait time

In many dramatic medical television shows you never see the struggle to fit everyone into the hospital. The lack of beds in The Waiting Room results in patients being put into the hallways. This leads to congestion in the ER, and makes all of the employees’ lives just a little bit harder. The lack of beds is also being influenced by the influx of people coming into the ER. The more people coming into the ER, for things that someone with insurance would go to a doctor for, takes up beds. Not that that is the sole reason for there being a lack of beds but it is certainly one of them.