Bronx Emergency Clinic For Non Life Threatening Sickness Or Injuries

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 fact that there are broad spectrums of services available within the Kaiser Permanente network makes it easier to coordinate patient care. For example the Northern California site has implemented programs that focus on five “imperatives of personal care”, which are: patients have to have a primary care doctor, they need to be able to see that physician, patients that call have a short telephone wait, patients should receive timely appointments and have a great care experience (Commonwealth fund June 2009). Care management definitely plays a crucial role in health care. When the patients needs are met and quality care is received the result is patient satisfaction and potentially cost saving for the organization. Patients not only have to deal with health issues, many experience challenges within their environment and certain limitations depending on socioeconomic status. Therefore , coordination of patient care is key to the success of any health care delivery system.

Additionally, urgent care centers have been able to offer patients an alternative to the significantly higher cost of emergency room visits. Following an emergency room visit, patients are charged according to the level of care they are receiving which is rated from minor to major injuries and illnesses. Insurance companies may reject coverage of patients who sought care for a low level injury or illness in an emergency room setting leaving the patient with a large bill for a moderate condition. In addition to the cost of the treatment, insurance companies charge patients an additional fee just for utilizing an emergency room. Furthermore, the cost of seeing an urgent care provider versus an emergency department provider is significantly cheaper.

Urgent care centers are positioned as two on the grounds that in a growing trend, buyers progressively turning to stroll in centers and urgent care centers to treatment of minor afflictions and wounds as opposed to attempting to press in a meeting with an essential

General Hospital - offers various services like emergency, general, critical and intensive care to various

One of the contributors to the rising cost of Healthcare can be attributed to the over use of emergency departments (EDs) for non-emergency needs. In the greater Capitol/First/Beacon Hill area there are three major hospitals (Virginia Mason, Harborview, and Swedish) with emergency rooms and no urgent care centers with the exception of Group Health which is restricted to Group Health insurance members.

Chang, Burke, & Chokshi (2015), Urgent care centers began appearing in the U.S during the 1970s but the industry did not begin growing steadily until the mid-1990s, a trend that continues (Convenient Care in New York, 2015). There has been a growing trend in healthcare facilities to help limit unnecessary emergency room visit and these are ambulatory healthcare facilities, also known as urgent Care center. Urgent Care Center is the delivery of Ambulatory Care in a facility dedicated to the

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.

Since it was perceived as a need region in 2004, hold up times has been at the bleeding edge of medicinal services arranging. Huge ventures have been made to expand assets and enhance learning—all with a definitive objective of diminishing sits tight experienced by patients for human services administrations. Advance has been made in the five need regions distinguished in 2004, however much work stays to be done, both here and in different parts of the human services framework. This report can help framework chiefs by encouraging a superior comprehension of the present scene and illuminating prioritization for what's to come.

Excellent health care is a major concern for families and individuals across the country. Finding knowledgeable and experienced practitioners is not always easy. If you live in the Bronx, you may have already discovered Boulevard Medical Healthcare, the Bronx’s top primary care provider. Boulevard Medical Healthcare provides comprehensive medical services to families and individuals, as well as offering both employment and immigration physicals. Boulevard is unique, in that it is able to provide an exceptional treatment environment. Not only does it have more diagnostic equipment than most other healthcare environments, it is staffed by highly trained specialists in both family and internal medicine. Doctors who focus on internal medicine, are called internists. They concentrate on the diagnosis, medical treatment, and care of adults.

Urgent care clinics are for individuals seeking non-life threatening treatment. These clinics provide another level of care to the community and the intentions of urgent care are not to replace emergency

The acute care facility in my area has an operating room, emergency room, blood bank, radiology department, pathology department, pharmacy and clinical laboratory. Acute care facility is usually meant for older people or any person in emergency situation who require acute services, or serious life threatening medical conditions .The facility is managed by medical and nursing personnel’s to helps administer the critical care necessary to assist a patient to gain back his/her health.

Avoidable emergency department (ED) encounters places a significant burden on the health care system. Seniors 65 years or older have the highest rate of hospital encounters of any other age group (Bulut, Yazici, Demircan, Keles & Demir, 2015). The Center for Medicare and Medicaid (CMS) have placed stiff penalties on hospitals that are not able to reduce repeat encounters (“Coordinating better care & lowering costs”, 2017). These penalties result in the loss of guaranteed funding if the hospitals are not able to reduce readmission rates. Therefore, hospitals are seeking solutions to solving this challenge (“Coordinating better care & lowering costs”, 2017). Care transition teams are in place to help mitigate repeat encounters,

Sacred Heart Medical Center at RiverBend (SHRB) is a 388 bed regional medical center with a level II Trauma designation, located in Springfield, Oregon. The emergency department (ED) consists of 42 beds with four designated trauma resuscitation bays. In 2014 the ED volume was approximately 58,000 patients, of which an average of 70% were ambulatory and non-ambulance access. Emergency department overcrowding has been identified as a national issue and it is effecting SHRB ED. Emergency department congestion effects patient arrival to provider time and this delay has been associated with suboptimal patient outcomes. Emergency departments must address patient length of stay and throughput for a multitude of reasons; the most acute concern being patient safety.

The emergency room has become the new primary care facility for the millions of uninsured in the United States. Thanks to an “unfunded mandate passed into law in 1986,” hospitals that participate in the Medicare program must “screen and treat anyone with an emergency medical condition” (Stephens & Ledlow, 2010). This unfortunately leads to emergency rooms full of people who may have something as simple as a sinus infection which then makes it really difficult for someone with a real emergency that did not require ambulatory transport to be seen in a timely manner. Another unfortunate result of this is that “over 1,100 emergency departments closed over the past decade” (Stephens & Ledlow, 2010).