Research and Markets: Emergency Care Management 2011

DUBLIN--(BUSINESS WIRE)-- Research and Markets ( has announced the addition of the "Emergency Care Management 2011" report to their offering.

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. 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. Also included is psychiatric care in the ER, trauma center checklists. References and resources include links to emergency care protocols and guidelines and other web resources.

This single topic medical guideline and review criteria has been developed to provide a representative model for common, acceptable, customary, reasonable and necessary managed care contract benefit interpretations and objective evidence-based review for authorization (or denial) of services. Each guideline must be reviewed by the medical policy committee of the HMO or contracted/delegated medical group, modified and adapted, as appropriate. It is strongly recommended that all applicable documents that will be used to manage medical care in the organization be sent to relevant providers for review and comment prior to implementation. This will always promote an understanding of the guideline, avoid compliance issues, and frequently improve the document by additional input. Cost effective health care is quality driven (true quality, that is; not excessive care) and attention must always be focused on the issues that will result in optimal medical/surgical outcomes in a specific local medical environment.

Key Topics Covered:

  • 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
  • Observation unit management
  • 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
  • Psychiatric care in the ER
  • Chest Pain/Chest Pain Units
  • Diagnostic X-ray, Post-trauma: Cervical spine, Knee, Ankle and Foot
  • Guidelines for CT following minor head trauma;
  • Patient Satisfaction with ER Services
  • ED Case Management Intervention Services
  • ACEP Fact Sheet Patient Waiting Times
  • Advanced Directives


  • Court definition of emergency for Medicaid services
  • Payments for Emergency Services to Non-contracted Providers California Law
  • Hospital Payments to Physicians for Emergency Services - Legal Issues
  • Trauma center checklist
  • Trauma Center Performance Improvement Medical Director
  • Stroke - immediate care management
  • Transition to ambulatory care

References - emergency Care Management

  • Emergency Medicine web sites
  • Apollos publication list
  • Famous Last Words

For more information visit


Research and Markets
Laura Wood, Senior Manager
U.S. Fax: 646-607-1907
Fax (outside U.S.): +353-1-481-1716
[email protected]

KEYWORDS:   United States  North America

INDUSTRY KEYWORDS:   Practice Management  Health  Hospitals  Mental Health  Nursing  General Health