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Chapter 2 - Fragmentation in Acute and Emergency Care

Causes, Consequences, and Solutions

Published online by Cambridge University Press:  04 July 2017

Jennifer L. Wiler
Affiliation:
University of Colorado School of Medicine
Jesse M. Pines
Affiliation:
George Washington University, Washington DC
Michael J. Ward
Affiliation:
Vanderbilt University Medical Center, Tennessee
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Publisher: Cambridge University Press
Print publication year: 2017

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References

The Patient Protection and Affordable Care Act, P.L. 111–148, March 23, 2010.Google Scholar
NPR/Robert Wood Johnson Foundation/Harvard School of Public Health. Poll: Sick in America. May 2012. Available at www.npr.org/documents/2012/may/poll/summary.pdf.Google Scholar
Elhauge, E, ed. The Fragmentation of U.S. Health Care: Causes and Solutions. New York: Oxford University Press, USA, 2010.CrossRefGoogle Scholar
Schrag, D, Xu, F, Hanger, M, Elkin, E, Bickell, NA, Bach, PB. Fragmentation of care for frequently hospitalized urban residents. Medical Care. 2006;44:560567.Google Scholar
Bourgeois, FC, Olson, KL, Mandl, KD. Patients treated at multiple acute health care facilities: quantifying information fragmentation. Archives of Internal Medicine. 2010;170:19891995.Google Scholar
Institute of Medicine. Hospital-Based Emergency Care: At the Breaking Point. Washington, DC: National Academies Press, 2007.Google Scholar
Bodenheimer, T, Pham, HH. Primary care: current problems and proposed solutions. Health Affairs. 2010;29:799805.Google Scholar
Colla, CH, Morden, NE, Sequist, TD, Schpero, WL, Rosenthal, MB. Wisely, Choosing: Prevalence and Correlates of Low-Value Health Care Services in the United States. Springer. Journal of General Internal Medicine. 2015;30(2):221228.Google Scholar
Pines, J, George, M, McStay, F, McClellan, M. Successful Acute Care Payment Reform Requires Working with the Emergency Department. Health Affairs blog, May 5, 2015. Available at http://healthaffairs.org/blog/2015/05/05/successful-acute-care-payment-reform-requires-working-with-the-emergency-department/.Google Scholar
Mate, KS, Compton-Phillips, AL. The antidote to fragmented health care. Harvard Business Review. December 15, 2014.Google Scholar
Care Coordination. Agency for Healthcare Research and Quality. May 2015. Available at www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/index.html.Google Scholar
Fromer, L. Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for improved outcomes. International Journal of COPD. 2011;6:605614.CrossRefGoogle ScholarPubMed
Scruggs, B. Chronic health care: it is so much different than acute health care – or it should be. Home Health Care Management and Practice. 2009;22:4348.Google Scholar
Boult, C, Green, AF, Boult, LB, Pacala, JT, Snyder, C, Leff, B. Successful models of comprehensive care for older adults with chronic conditions: evidence for the institute of medicine’s “retooling for an Aging America” report. Journal of the American Geriatrics Society. 2009;57:23282337.Google Scholar
Elhauge, E, ed. The Fragmentation of U.S. Health Care: Causes and Solutions. New York: Oxford University Press USA, 2010.Google Scholar
Duseja, R, Bardach, NS, Lin, GA, Yazdany, J, Dean, ML, Clay, TH, et al. Revisit rates and associated costs after an emergency department encounter: a multistate analysis. Annals of Internal Medicine. 2015;162:750756.Google Scholar
Walker, J, Pan, E, Johnston, D, Adler-Milstein, J, Bates, DW, Middleton, B. The Value of Health Care Information Exchange and Interoperability. Health Affairs. January 19, 2005. Available at http://content.healthaffairs.org/content/early/2005/01/19/hlthaff.w5.10.Google Scholar
Alberti, TL, Nannini, A. Patient comprehension of discharge instructions from the emergency department: a literature review. Journal of the American Academy of Nurse Practitioners. 2013;25:186194.CrossRefGoogle ScholarPubMed
Forster, AJ, Murff, HJ, Peterson, JF, Gandhi, TK, Bates, DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Annals of Internal Medicine. 2003;138:161167.Google Scholar
“Health Policy Brief: Care Transitions.” Health Affairs. September 13, 2012. Available at www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=76.Google Scholar
Steiner, CA, Friedman, B. Hospital utilization, costs, and mortality for adults with multiple chronic conditions, Nationwide Inpatient Sample, 2009. Preventing Chronic Disease. 2013;10:E62.Google Scholar
Sambamoorthi, U, Tan, X, Deb, A. Multiple chronic conditions and healthcare costs among adults. Expert Review of Pharmacoeconomics & Outcomes Research. 2015;15:823832.CrossRefGoogle ScholarPubMed
Bayliss, EA, Ellis, JL, Shoup, JA, Zeng, C, McQuillan, DB, Steiner, JF. Effect of continuity of care on hospital utilization for seniors with multiple medical conditions in an integrated health care system. Annals of Family Medicine. 2015;13:123129.Google Scholar
Katz, EB, Carrier, ER, Umscheid, CA, Pines, JM. Comparative effectiveness of care coordination interventions in the emergency department: a systematic review. Annals of Emergency Medicine. 2012;60:1223.CrossRefGoogle ScholarPubMed
Ragin, DF, Hwang, U, Cydulka, RK, et al. Reasons for using the emergency department: results of the EMPATH Study (Emergency Medicine Patients’ Access to Healthcare (EMPATH) Study Investigators). Annals of Emergency Medicine. 2005;12:11581166.Google Scholar
Telephone consultation and triage: effects on health care use and patient satisfaction. Available at www.cochrane.org/CD004180/EPOC_telephone-consultation-and-triage-effects-on-health-care-use-and-patient-satisfaction.Google Scholar
Mowry, JB, Spyker, DA, Cantilena, LR, McMillan, N, Ford, M. 2013 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 31st Annual Report. Clinical Toxicology (Phila). 2014;52:10321283.CrossRefGoogle Scholar
Pines, JM, Seleven, J, McStay, F, George, M, McClellan, M. Kaiser Permanente – California: A Model for Integrated Care for the Ill and Injured. Washington, DC: Center for Health Policy at Brookings; May 4, 2015. Available at www.brookings.edu/~/media/Research/Files/Papers/2015/05/04-emergency-medicine/KaiserFormatted_150504RH-with-image.pdf?la=en.Google Scholar
Improving the emergency department discharge process: environmental scan report. Johns Hopkins University, Armstrong Institute for Patient Safety and Quality. (Prepared by Johns Hopkins University, Baltimore, MD, under Contract No. HHSA 2902010000271.) Rockville, MD: Agency for Healthcare Research and Quality; December 2014 . AHRQ. Publication No. 14(15)-0067-EF. Available at www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf.Google Scholar
Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap (executive summary). Washington, DC: The Office of the National Coordinator for Health Information Technology. Available at www.healthit.gov/sites/default/files/hie-interoperability/Roadmap-Executive%20Summary-100115–4pm.pdf.Google Scholar
Katz, EB, Carrier, ER, Umscheid, CA, Pines, JM. Comparative effectiveness of care coordination interventions in the emergency department: a systematic review. Annals of Emergency Medicine. 2012;60:1223.Google Scholar

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