We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Research Priorities for Administrative Challenges of Integrated Networks of Care.
- Authors
Pilgrim, Randy; Hilton, Joshua A.; Carrier, Emily; Pines, Jesse M.; Hufstetler, Greg; Thorby, Suzette; Milling, T. J.; Cesta, Beth; Hsia, Renee Y.
- Abstract
In 2006, the Institute of Medicine (IOM) advanced the concept of 'coordinated, regionalized, and accountable emergency care systems' to address significant problems with the delivery of emergency medical care in the United States. Achieving this vision requires the thoughtful implementation of well-aligned, system-level structures and processes that enhance access to emergency care and improve patient outcomes at a sustainable cost. Currently, the delivery of emergency medical care is supported by numerous administrative systems, including economic; reimbursement; legal and regulatory structures; licensure, credentialing, and accreditation processes; medicolegal systems; and quality reporting mechanisms. In addition, many regionalized systems may not optimize patient outcomes because of current administrative barriers that make it difficult for providers to deliver the best care. However, certain administrative barriers may also threaten the sustainability of integration efforts or prevent them altogether. This article identifies significant administrative challenges to integrating networks of emergency care in four specific areas: reimbursement, medical-legal, quality reporting mechanisms, and regulatory aspects. The authors propose a research agenda for indentifying optimal approaches that support consistent access to quality emergency care with improved outcomes for patients, at a sustainable cost. Researching administrative challenges will involve careful examination of the numerous natural experiments in the recent past and will be crucial to understand the impact as we embark on a new era of health reform. ACADEMIC EMERGENCY MEDICINE 2010; 17:1330-1336 © 2010 by the Society for Academic Emergency Medicine
- Subjects
UNITED States; EMERGENCY medical services; EMERGENCY medicine; HEALTH care rationing; HEALTH services accessibility; HOSPITAL emergency services; LEGAL liability; MALPRACTICE; MEDICAL care; MEDICAL care research; PRIORITY (Philosophy); QUALITY assurance; RESEARCH evaluation; JOB qualifications
- Publication
Academic Emergency Medicine, 2010, Vol 17, Issue 12, p1330
- ISSN
1069-6563
- Publication type
Article
- DOI
10.1111/j.1553-2712.2010.00934.x