Document Detail


A model for demand management in a managed care environment.
MedLine Citation:
PMID:  10803007     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Downsizing of personnel and budgets demands effective means of managing patients' demand for care to ensure that care assets are appropriately utilized. Preliminary data indicate that the Central Triage concept of demand management is effective, efficient, and satisfactory to patients. As a centralized portal to care for individuals presenting without appointments, registered nurses screen and triage via protocol. The nurses send patients to the Emergency Center, make same-day appointments, or provide self-care education as indicated. During the first 9 months of operation, Central Triage inprocessed 35,231 patients. Twenty-three percent were determined to have self-care deficits and received education to assist them in meeting their current self-care demands. Follow-up of 10% of the patients receiving self-care education revealed that 88% improved without further intervention and 95% were satisfied with the care they received. Central Triage has demonstrated an annual cost avoidance exceeding $2,500,000.
Authors:
E McGraw; H Barthel; M Arrington
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  165     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-05-25     Completed Date:  2000-05-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  305-8     Citation Subset:  IM    
Affiliation:
Blanchfield Army Community Hospital, Fort Campbell, KY 42223, USA.
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MeSH Terms
Descriptor/Qualifier:
Emergency Service, Hospital / organization & administration*
Health Services Research
Hospitals, Community / organization & administration*
Hospitals, Military / organization & administration*
Humans
Kentucky
Managed Care Programs / organization & administration*
Models, Organizational*
Needs Assessment / organization & administration*
Primary Health Care / organization & administration*
Program Evaluation
Triage / organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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