Monday, April 4, 2016

Avoidable ER Visits Can Effectively Reduce The Cost of Treatment

Avoidable emergency room (ER) visits are a critical component of population health management. Frequent and avoidable ER visits are very costly, especially when the same care could be available in a less expensive and non-emergency setting.

Around 30% of ER visits fall into the category of “frequent fliers” and represent the patients with manageable chronic conditions. Such individuals may visit the hospitals more than 10 times a year. In fact about 80% of all healthcare costs merely spent on just one-fifth of the population. The improper use of ER services is a major source of waste in a healthcare system.

Solutions like Jvion’s RevEgis help hospitals predict ER visits and better administer ER costs based on:

30-day ER predictions
30-day inpatient predictions
High-utilizer/"frequent flier" predictions
Unreimbursed ER care predictions and forecasts

ER high utilizers : At a glance

ER high utilizers are typically the people of modest means and poor health who go in and out of emergency rooms day after day. The root of their health issues is rarely resolved incurring ever-growing cost to hospitals, municipalities and taxpayers.

Such people suffer immensely from chronic conditions and live an area with restricted access to outpatient care facilities. Emergency departments become the primary provider for many who are not able to access or lack the resources required to secure primary healthcare.  

Clinical Analytics : Need of the hour

In the present scenario, hospitals and other healthcare organizations understand the need of real time healthcare analytics. Real time predictive analytics use medical data to help healthcare providers make informed decisions; thus reducing patient suffering and loss of resources. 

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