Volume-Based Care And Reimbursement Model

It is important to move from volume-based to value-based care and reimbursement models requires a different approach to manage patient care and minimise ED visits and staff load. Health systems can reduce the volume of ED patient visits overall by a population health-based approach. Some other strategies for managing patient populations include up-right and fast-track areas; dedicated behavioural health beds; universal and standard care pods; and clinical decision units. It is important to visualize and hear the ED environment using your patients’ eyes and ears. Patients’ and families’ stress levels are runs during a care episode (as are the staff’s during peak times). By ensuring privacy and dignity in a quiet, healing environment, you are sure to make the experience as pleasant as possible, improve overall patient care outcomes, ensure high satisfaction scores, and which help in improving the overall patient experience.
Operational and facility improvements, which can be implemented, include:
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These stable patients as per Emergency Severity Index i.e. ESI level 4 or 5 require minimal, if any, diagnostic or path-lab tests. Patients can be seen in an upright bed either within a ward of upright curtained cubicles without ever going back into the more acute “lay down” or a private environment of the ED environment. Being able to staff this fast-track type zone with dedicated staffs led by a physician or physician extender as appropriate for the situations is the key to the efficiency. Sufficient of 10,000 – 15,000 annual low acuity visits is required to ensure efficient utilisation of