crisis Room Care at Home

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Hospital emergency departments (Eds) were initially designed to supply immediate care for patients experiencing acute medical conditions and serious trauma victims. Once patients were stabilized they were either discharged home or transferred to other location for more industrialized and specialized care. Now, Eds are experiencing increased use by people who do not have a former care supplier and use the Ed for habit medical care. The increased inappropriate usage of the Ed places an increased stress on already strained healthcare resources.

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Eds have responded to the increased usage for non-emergent services by gift many more resources than the former emergency room. Now the Ed has more diagnostic and medicine options than were previously intended. The Ed now is a self-sufficient unit within the larger medical center, and has become integrated into the patients' continuum of care. In-house specialty consultations are usually immediately ready as are industrialized diagnostic studies. This has possibly led to a perpetuation of the misuse of the modern day emergency department.

An increasing qoute is the misuse of emergency services by patients who do not have a former care supplier and use the Ed for habit and non-urgent care. Less than 10% of emergency room visits are honestly emergencies. More than half of the patients that present to the Ed could be great served by being treated in place (home, skilled nursing facility, occupational health office, or added on to a Pcp schedule). One-third of Ed visits could be treated in a former Care supplier office. It has been well established medicine in emergency Departments is more costly than in any of the above mentioned inherent care settings.

Despite the high cost of Ed services non-emergent use of emergency services continues to grow. Many non-urgent Ed visits could have been avoided if patients had a pre-existing connection with an accessible former care provider. In increasing to the financial cost, crowded waiting areas, long wait times, actual and inherent delays in receiving medical care patients are subjected to increased risk for medical errors, exacerbation of pre-existing conditions, and nosocomial infections. Ers will be swamped in the middle of the flu season with a compound of sick person types some with actual flu or swine flu while others have minor sprains. Now the someone with the sprain has been exposed to the very contagious flu.

The medical house call has started to make resurgence in many parts of the country to help address many of the former preventative non-urgent care needs of patients. The mean Ed visit in Nyc can cost upwards of 0 and brings with it the risks of medical errors due to many separate health care providers, loss of work and wages due to continued wait times, and infectious disease risk due to the gathering of people with airborne illness (Influenza, H1N1, staph and strep infections).

The mean cost of a medical house call in Nyc ranges from 0- 0 and greatly reduces the risk of nosocomial infections, saves time and reduces lost wages because the sick person is able to wait in the relieve of their own home. Often times being able to see the patients normal environment can supply many clues for diagnosing a health at a fraction of the cost of the Er visit. One hospital in Connecticut has even gone to posting wait times on line for their Ers so patients can log on and see how long it will take to be seen. As much as policymakers say they would like to reign in cost of health care clearly some have decided if you can't fix the qoute you may as well feature the problem.

The modern day medical house call can now offer many of the same services that were once only ready in the emergency room. In the modern day medical house call patients can have ample bodily exams that contain blood work, Ekgs, x-rays, and ultrasounds (cardiac echo, carotid Doppler studies etc). These tests are often adequate to supply the needed data to make a diagnosis and institute a medicine plan. other advantage of the medical house call is the clinicians that are finding you are able to give you their undivided attention. Also you will be able to see the same health care supplier as opposed to the physician of the day or medical resident. other advantage of the medical house call is the increased privacy that you are afforded by the nature of staying in your home. If sick person use the medical house call for their former care needs as well as their sick day needs they may be able to spare themselves the stress and risks of a trip to the emergency room.

Some coarse conditions that can be treated in the home contain coarse pulmonary infections (pneumonia & bronchitis), gastrointestinal conditions (stomach flu & abdominal pain), dermatological conditions (2nd degree burns, acne, rashes), chronic conditions (diabetes, Copd, hypothyroid, obesity, congestive heart failure, high blood pressure), urological problems (urinary tract infections, prostate inflammation, kidney stones), and dehydration. One preventative care portion that can be done in the home that is not typically done in an Er or even a former doctor's office is health behavior counseling for lifestyle modifications. Typically this is done in doctor's offices and emergency rooms by giving you a generic handout. The guess for this is because the former care environment is focused doing the least number of care inherent to meet the needs of the masses that are waiting to be seen.

Emergency rooms were initially designed to treat acute medical conditions and to stabilize trauma patients before they are transfer to the standard medicine location. Unfortunately, Eds have also become a place to seek medicine for many people who do not have a former care provider. As a result, the numbers of emergency visits has increased, although the reasons for the visits are often not emergencies. Non-emergent visits are causing a huge backlog of real emergency patients and increasing the number of money spent on healthcare.

A new medical house calls firm in Nyc has recently opened which allows patients to delineate with their Pcp online via a acquire sick person portal. Patients can ask appointments online. The Nurse Practitioner arrives at the patient's home, office or hotel usually the same or next day. The Np can diagnose the problem, order tests (most of which can be done at the patients home) and electronically submit a prescribe to the local pharmacy that can typically deliver the medication. The firm also offers established patients the convenience of web-cam follow-up appointments and email consultations, which allows patients to take their former care supplier with them when they travel. All of this costs a fraction of what the starting price of an Er visit would be. Patients can use their flex spending and health savings accounts or major prestige card to pay for this service. As the moot over health care continues more and more innovative and store solutions will talk the call to solve the nations health crisis. The qoute will be if course is made to stifle innovation.

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