Emergency Department Visit Classification Using the NYU Algorithm

From AJMC:

Objectives: Reliable measures of emergency department (ED) use are important for studying ED utilization and access to care. We assessed the association of emergent classification of an ED visit based on the New York University ED Algorithm (EDA) with hospital mortality and hospital admission. Study Design: Using diagnosis codes, we applied the EDA to classify ED visits into emergent, intermediate, and nonemergent categories and studied associations of emergent status with hospital mortality and hospital admissions.

Methods: We used a nationally representative sample of patients with visits to hospital-based EDs from repeated cross sections of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009. We performed survey-weighted logistic regression analyses, adjusting for year and patient demographic and socioeconomic characteristics, to estimate the association of emergent ED visits with the probability of hospital mortality or hospital admission.

Results: The EDA measure of emergent visits was significantly and positively associated with mortality (odds ratio [OR]: 3.79, 95% confidence interval [CI]: 2.50-5.75) and hospital admission (OR: 5.28, 95% CI, 4.93-5.66).

Conclusions: This analysis assessed the NYU algorithm in measuring emergent and nonemergent ED use in the general population. Emergent classification based on the algorithm was strongly and significantly positively associated with hospitalization and death in a nationally representative population. The algorithm can be useful in studying ED utilization and evaluating policies that aim to change it. – See more at: http://www.ajmc.com/publications/issue/2014/2014-vol20-n4/Emergency-Department-Visit-Classification-Using-the-NYU-Algorithm#sthash.n3i0K0ti.dpuf

New Program To Lessen ER Visits

From Bayshore Broadcasting:

Medical first responders in Huron County are buying into a new concept of front-line care that can sometimes prevent patient visits to area emergency rooms.

Emergency Medical Services Deputy-Chief Jeff Horseman tells Bayshore Broadcasting News that $6 million in funding for the Community Paramedicine Program was introduced by the province in January.

Insurance Status Affects Where Young Adults Seek Health Care

From the Center for Advancing Health:

KEY POINTS

  • Young adults age 18 to 25 have fewer office-based health care visits and higher rates of emergency room visits than children and adolescents.
  • Almost half of 3,800 young adults surveyed in 2009 had no health insurance or were insured for only part of the year.
  • Uninsured young adults had health care expenditures of less than half of those with insurance but spent about the same amount on out-of-pocket health expenses.

Here’s How Much Money Doctors Actually Make

From Neatorama:

ImageWhile many Americans complain about the costs of healthcare: insurance, hospital bills, paperwork, and medicine, relatively few begrudge doctors making a good living. After all, they study for years to achieve their degrees and usually graduate in deep debt. Then most of them work really hard to manage illness, improve our health, and save our lives. How much money do doctors actually make? It depends on their specialty and in what part of the country they work. According to Medscape’s annual Physicians Compensation Report, the doctors you actually see regularly make the least and specialists make quite a bit more.

Southern Illinois HIV cases at decade high

From the Washington Times:

HIV cases in southern Illinois reached the highest number in nearly a decade last year, with more than half the infections from the virus that causes AIDS reported in people 24 years old or younger, public health officials said.

Complacency in public education about the virus was cited as the main reason for the increase, according to officials.

The Southern Illinois HIV Care Connect office in Jackson County’s health department, which tracks the data in 19 counties, said the region stretching from Mount Vernon to Cairo has averaged 14 to 15 new HIV cases a year. But that number jumped to 21 in 2012 and to 23 last year.

Federal Judge OKs ‘Failure to Screen’ Claim

From the Legal Intelligencer:

A federal judge has allowed the estate of a woman who died of hemopericardium in Lankenau Medical Center’s emergency room to proceed with a claim against the hospital for failure to screen under the federal Emergency Medical Treatment and Active Labor Act, finding that the hospital could not adequately articulate its own screening procedure as a defense.

(Humor) The Cost Of The Average ER Visit

From the Onion:

  • $1,000: Video footage of cool camera shot looking down on your face as they wheel you in all fast
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