Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Non-emergent ED use

Hello all! I'd love to hear everyone's thoughts on non-emergent use of the ED, including some of the ways you've attempted to reduce usage.

It seems that most of my repeat ED users are Medicaid. On the EHR/documentation from the various EDs, the time of the visit isn't always listed (why???), so if they're going in the middle of the night, when UC/AH are not available, it is difficult to steer pts. in that direction. Except, reminding them of what types of issues are considered an emergency vs. what could wait until the morning to get a same-day appt. or be seen in the UC/AH. It is so frustrating, especially when I have the same pts. over and over on my monthly logs.

Pt. education regarding urgent care and after-hours clinics during ED f/u PCs, plus letters mailed out to repeat ED users are two interventions I utilize.

  • Quote

    • Featured Replies

    I live in Louisiana and the Medicaid system has various "plans" I usually notify the responsible plan and request they assign a social worker/care manager or someone to these patients. Most times the pt. doesn't know resources or the fact they are risking denial of payment of their ER visit. I think a lot of times as Case Managers we forget that these are not just our patients there other people responsible for proper utilization of resources, and we should tap into that.

  • Quote
    • Author

    Yes! Similar here in Ohio, but we only accept one of the Medicaid plans. I am going to be contacting them next. I've got several patients that I've done as much as I can. These pts. have been to the ED multiple times over last two months and have not responded to multiple phone calls, ever.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.