An 86-page toolbox of guidelines, benefit interpretations, policies and procedures for the effective management of appropriate and medically necessary emergency and urgent care services. This product includes strategies for after-hours, emergency care, plus review criteria guidelines to develop an effective after-hours and emergency care program that will provide quality-driven care and meet most coverage determinations. References and resources include links to emergency care protocols and guidelines and other web resources.

Table of Contents

• Emergency services
• Emergency Medical Treatment and Active Labor Act
• ER Authorization System
• Benefit coverage – example language
• Redirection
• Appeals
• Response time by providers for authorization
• ER treatment review criteria matrix
• Ambulance and other medical transportation, review policy/procedure
• Reducing Emergency Room Visits – improving care and access in physician offices
• Physicians Utilization Guide for ER Care
• ER utilization benchmarks
• Emergency Care Overview - Clinical
• Emergency Care Committee
• Emergency Medical Care Protocols and Guidelines - links
• Mandatory Reports – Domestic Violence
• ACLS Certification
• Reimbursement for courses
• Emergency treatment protocols and guidelines
• Emergency ‘On-site’ Triage Policy for Ambulance, ED, and Telephone Calls
• Case Management in the ED for High Utilizers
• Reducing ER Care Visits
• Reducing ER Wait Times
• Office Emergency/Code Blue Policy and Procedure
• Code Blue
• Evaluation of Code Blue Response
• Emergency Equipment
• Adult Crash Cart: Content List
• Crash Cart/Defibrillator Check Lists
• Hand-offs
• Algorithms: Specialty Referral by UCC Physician Algorithm; Priority Care Appointment following UCC Visit; UCC Patient Disposition Algorithm; Pre-Admission Function/ER Algorithm
• Reducing medication errors in the ER
• ‘Stat Nurse’ Call
• Provider Tips
• ER Staffing and Related Issues
• Chest Pain/Chest Pain Units
• Diagnostic X-ray, Post-trauma: Cervical spine, Knee, Ankle and Foot
• Patient Satisfaction with ER Services
• ED Case Management Intervention Services
• ACEP Fact Sheet Patient Waiting Times
• Advanced Directives
• Addendum – Court definition of emergency for Medicaid services
• Payments for Emergency Services to Non-contracted Providers – California Law
• References for emergency medical services
• Emergency Medicine web sites
• ‘Famous Last Words’