Emergency Department & Critical Care Services
Outpatient Hospital Services
Did you know?
- The ED remains a critical access point into the U.S. healthcare system and presents an opportunity to serve.
- Historically, a significant percentage (18 to 20%, source: MedLearn) of all ED visits were seen and admitted to the attached hospital. Medicare beneficiaries are 3.4 times more likely to be admitted.
- ED services provide a unique opportunity for acute care hospitals to distinguish themselves from other providers.
Why should I care?
- Changes in utilization of ED services reflect a significant shift in your delivery of care. To avoid market share erosion, hospitals must adjust to these shifts.
- Recently, the National Institutes of Health estimated that 13-27% of all ED visits could have been treated at a retail clinic or urgent care center. This underscores the growing concern that the majority of patients seen in the ED are actually non-emergent.
- Many of these patients could be served in lower cost settings such as urgent care centers, extended hour and retail clinics, and physician offices.
What should I do?
- Review the most current utilization data by volume and severity of patients treated.
- Promote access to lower cost centers.
- Educate your community about the appropriate use of the ED.
Let us show you how we can help you make more informed decisions with our RealTime Medicare FFS claims data.