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Low acuity calls

911 Emergency Communication Nurse Triage Reduces EMS Patient Costs and Directs Patients to High-Satisfaction Alternative Point of Care

Isabel Gardett, PhD, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD, Kristen Miller, JD, Neal Richmond, MD, FACEP, Comilla Sasson, MD, Matt Zavadsky, MS, Mark Rector, Andrew Wilcox, Christopher Olola, PhD

Mar 22, 2015|AEDR 2015 Vol. 3 Issue 1|Original Research

Recent estimates indicate that more than half of all Emergency Department (ED) visits could be avoided, reducing patient costs and increasing satisfaction with care. Since 911 is increasingly the first point of contact for many patients entering the health care system—even those with non-emergency conditions—one potential approach to decreasing emergency costs and ED overcrowding is to reinvent the 911 dispatch center as a clearinghouse for directing patients to alternative care providers. This study presents a cost avoidance analysis of two 911 dispatch centers that...

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The Distribution of Recommended Care Levels by Age, Gender, and Trauma vs Medical Classification within the Emergency Communication Nurse System

Mark Conrad Fivaz, MD, Jennie McQueen, RN, Tracey Barron, BS, Jeff J. Clawson, MD, Greg Scott, MBA, EMD-QI, Isabel Gardett, PhD, Brett Patterson, Matt Zavadsky, MS, Neal Richmond, MD, FACEP, Christopher Olola, PhD

Mar 22, 2015|AEDR 2015 Vol. 3 Issue 1|Original Research

An examination of the Emergency Communications Nurse-determined Recommended Care Levels (RCLs), for calls transferred for secondary nurse-triage has not been performed. The outcome of such an investigation would help to gain a more complete picture of the type of care ultimately recommended for these patients. The Emergency Communications Nurse System (ECNS) studied contained 22 RCLs, ranging from urgent levels, including a country-specific 3-digit number Emergency response (911), and Emergency care as soon as possible to less time-dependent, low priority levels, such...

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The Distribution of 911 Triaged Call Incident Types within the Emergency Communication Nurse System™

Greg Scott, MBA, EMD-QI, Jennie McQueen, RN, Mark Conrad Fivaz, MD, Isabel Gardett, PhD, Matt Zavadsky, MS, Neal Richmond, MD, FACEP, Jeff J. Clawson, MD, Christopher Olola, PhD

Aug 07, 2014|AEDR 2014 Vol. 2 Issue 2|Original Research

This study examined the distribution of the MPDS® Chief Complaint protocols and determinant codes assigned by the EMD as eligible for nurse triage, as well as the distribution of the Chief Complaint protocols contained in the Emergency Communications Nurse System™ (ECNS™) secondary nurse triage process, as determined by the emergency communications nurse (ECN). Protocol distribution was also examined by patient gender. This study characterized protocol and gender distributions to provide a better understanding of the types of patients and their associated...

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