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Integrative Services

Right care, right now

Integrative Emergency Services (IES) has developed a unique solution to right-size emergency care for each patient, while dramatically decreasing the door-to-provider time. In addition to greater efficiency, this intuitive process significantly increases patient satisfaction. Emergency departments using this process see both a decrease in unnecessary inpatient admissions and an increase in the quality of patient care.

How do we do it? With our dedicated partnerships, physician leadership, and proprietary Resource Matching Emergency Department Integration (ReMEDI) software.

Key Process Innovations

Our cutting edge solution provides these key process innovations:

Physician in Triage (PIT)

Physician-level decision-making up front in the patient experience ensures appropriate testing and disposition while meeting federal and state regulatory requirements.

This dramatically decreases the door-to-provider time, helping to ensure the optimum patient experience. It improves patient safety as validated by proprietary tools, and provides inpatient disposition alternatives with a tether to non-inpatient resources.

Emergency Department

Ordering tests, medications, and care paths before a patient reaches the ED promotes a highly efficient process resulting in dramatic increases in ED bed turnover and reductions in LWBS (left without being seen).

Not only does it improve patient and staff satisfaction, but it increases treated patient volume with no change in the number of available beds. It also results in a decrease in CT scan utilization and an increase in compliance with system care initiatives.

Observation

Operating as an outpatient unit with the appropriate protocol-driven care creates a significant cost savings with an increase in integrated communication between the hospital and non-inpatient resources such as community health programs and skilled nursing facilities.

We see not only a decrease in average length of stay (LOS), but a recovery of hospital bed days and a cost savings per hospital bed day.

Urgent Care ED (UCED)

When appropriate, non-emergent patients are placed into the UCED, where a mid-level provider in triage drives the patient care. Within this system, IES has developed and piloted processes to identify patients with chronic disease and begin the transition to a primary care setting, while recognizing and providing bridge care.

This solution significantly improves throughput time, reduces LWBS rate, and increases patient satisfaction through:

  • Acute Episodic Care—providing minor acute care at a lower facility cost than the ED.
  • Clinical Decision Unit—integrating care with system navigators to matriculate the patient into a patient-centered medical home (PCMH) model of care, while addressing primary care needs during the transition.