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Home > Emergency Medicine
Emergency Care Management
Emergency Care Management
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Description

Emergency Care Management is a 104-page toolbox of guidelines, benefit interpretations, policies and procedures for the effective management of appropriate and medically necessary emergency and urgent care services.

Emergency Care Management 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, 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 and 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, Guidelines and Links
  • Mandatory Reports for 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
  • 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 and California Law
  • References for Emergency Medical Services
  • Emergency Medicine Web Sites
  • Famous Last Words

Publication Date: January 2013
Number of Pages: 113
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