Is your ER using the EDIE system?

It would be nice at my job. But I'm finding a huge surge in fake names/fake info.

Sounds like potentially a beautiful thing. We try to make do with at least integrated EMR within our hospital system, and often helpful hints from EMS partners. "Hey, I see Mr. X there in room 14 -- we just took him to XYZ hospital earlier this morning."

It would be nice at my job. But I'm finding a huge surge in fake names/fake info.

We cut down on that problem hugely several years ago -- ss# are run through a credit bureau.

I'm in Washington as well and love the EDIE system. It automatically triggers a consult from one of our care managers to investigate why they aren't using a PCP.

The EDIE system in Washington was implemented hand and hand with a new law designed to get a handle on the opiate problem created by the past 20 years of very liberal narcotic prescribing. I'm sure all nurses, especially ER nurses, know close up the problems those policies created in people's lives.

http://washingtonacep.org/Postings/edopioidabuseguidelinesfinal.pdf

I think it's so great that the State decided to work as a whole to tackle this problem.

Sounds like potentially a beautiful thing. We try to make do with at least integrated EMR within our hospital system and often helpful hints from EMS partners. "Hey, I see Mr. X there in room 14 -- we just took him to XYZ hospital earlier this morning." We cut down on that problem hugely several years ago -- ss# are run through a credit bureau.[/quote']

C'mon. Of course they don't know their socials lol or have id's

Out hospital system is so focused on pt satisfaction scores that I really don't think they care about narcotic abuse, lying about anything, visiting 4 ER's in 1 day ect ect.

Not giving them all they want leads to poor scores/lower reimbursement

I've been in 3 hospital systems in WA that use EDIE (employed at 2 different ones, an interview at another). For those that don't know (maybe from out of state), the hospital can choose to either get a phone call and a fax report or just a fax report. It's triggered automatically when the patient is checked in with registration staff.

My experience has been that its impact is somewhat minimal on the treatment the patient receives. There have been a few cases where we discovered a patient was seen xx-number of times on the west side of the state and all of a sudden is showing up in our ED, but those are rare cases. More often than not, it simply prompts the providers to check out the patient's prescription history before writing anything narcotic. The narcotic prescription database is much more valuable, in my opinion.

Out hospital system is so focused on pt satisfaction scores that I really don't think they care about narcotic abuse, lying about anything, visiting 4 ER's in 1 day ect ect.

Not giving them all they want leads to poor scores/lower reimbursement

Unfortunately, this is the same with my hospital as well

This EDIE thing sounds wonderful, though.

hmm, what if the patient refuses to give a SS#? which would be their right to do. I would have to wonder about HIPAA and that EMS person looking in rooms he/she shouldn't be.

Sounds like potentially a beautiful thing. We try to make do with at least integrated EMR within our hospital system, and often helpful hints from EMS partners. "Hey, I see Mr. X there in room 14 -- we just took him to XYZ hospital earlier this morning."

We cut down on that problem hugely several years ago -- ss# are run through a credit bureau.

Sounds like a good system! My hospital so far has the palm readers for everyone that comes through the Emergency room. They are very efficient before we had all kinds of problems with family members using the same persons chart with very different results which made it difficult to treat for the right thing.

How does that work with emtala?

You could say you're jumbo smith, don 01/01/1929. We can't refuse you treatment just cuz you like to lie.

What do the palm readers do? You get no treatment unless you're honest?

I also like the twin situation.. Lots of twins come to my ER

How does that work with emtala?

You could say you're jumbo smith, don 01/01/1929. We can't refuse you treatment just cuz you like to lie.

What do the palm readers do? You get no treatment unless you're honest?

I also like the twin situation.. Lots of twins come to my ER

Hahaha... you are funny...smh

Palm readers save us money and time! They automatically pull the patient chart saving me and docs a whole lot! Most patients with no insurance come in using someone elses name and address and when we pulled the chart the treatment and history would be completely different sending mds on a wild goose chase and wasting valuable resources, time and money.

We a level 1 trauma and huge system time is precious to us and the many waiting and this is way better especially for trauma pts since their emergency contact is part of the chart...beats the police department coming in to fingerprint pts days later to find next of kin...:-) and yes if it's your first visit we initiate the process for future visits....