Emergency Department & Critical Care Services

Outpatient Hospital Services

Did you know?

  • The ED remains a critical access point into the U.S. healthcare system and presents an opportunity to serve.
  • Historically, a significant percentage (18 to 20%, source: MedLearn) of all ED visits were seen and admitted to the attached hospital. Medicare beneficiaries are 3.4 times more likely to be admitted.
  • ED services provide a unique opportunity for acute care hospitals to distinguish themselves from other providers.

Why should I care?

  • Changes in utilization of ED services reflect a significant shift in your delivery of care. To avoid market share erosion, hospitals must adjust to these shifts.
  • Recently, the National Institutes of Health estimated that 13-27% of all ED visits could have been treated at a retail clinic or urgent care center. This underscores the growing concern that the majority of patients seen in the ED are actually non-emergent.
  • Many of these patients could be served in lower cost settings such as urgent care centers, extended hour and retail clinics, and physician offices.

What should I do?

  • Review the most current utilization data by volume and severity of patients treated.
  • Promote access to lower cost centers.
  • Educate your community about the appropriate use of the ED.

Let us show you how we can help you make more informed decisions with our RealTime Medicare FFS claims data.

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