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Urgent Care Vs. Emergency Room: Deciding What Is Right For
URGENT CARE CENTERS Walk-in medical centers, such as Lee Convenient Care, are designed to provide quality, cost-efficient care in a short time frame for children and adults requiring prompt and/or minor emergency care. An appointment or referral is not required. Walk-in centers are open during the day and also have extended evening and weekend hours. The full-time staff comprises physicians, registered nurses, technicians and support personnel. Lab and x-ray services are available on-site. Walk-in care is appropriate when: Your primary doctor is unavailable You do not have a regular doctor You have an illness or injury that is not life-threatening and needs prompt care You have routine health issues In addition, some services are available that are generally not available through a primary care setting. For example: Digital x-rays that allow for quick treatment of minor fractures and foreign bodies Procedure rooms to facilitate repair of minor to moderate-severity lacerations School, sports, DOT, or pre-employment physicals on a walk-in basis Collection, review, and reporting for blood tests performed by an outside lab To help you decide what type of care is best for you or your family member, go to http://www.leememorial.org/convenient-care/index.asp and review the information there. Value Compared to hospital emergency room visits, urgent care provides significant savings to patients and insurers for episodic care that can’t wait for an appointment at a physician’s office. Convenience According to the most recent data from the Centers for Disease Control and Prevention (CDC), patient visits to hospital emergency rooms averaged approximately 3.3 hours in 2005. -
The Essential Role of the Urgent Care Center in Population Health
URGENT CARE INDUSTRY WHITE PAPER 2018 (Unabridged) The Essential Role of the Urgent Care Center in Population Health Authored by: Laurel Stoimenoff, PT, CHC, CEO, Urgent Care Association Nate Newman, MD, FAAFP, Chair, Health & Public Policy Committee Special thanks to: Taylor Dunn, MBA; Dr. Robert Graw; Theresa Noe; and the UCA Document Oversight Committee Table of Contents INTRODUCTION ....................................................................................................................................................................... 2 THE URGENT CARE ASSOCIATION ........................................................................................................................................... 3 THE URGENT CARE INDUSTRY ................................................................................................................................................. 3 NUMBER OF URGENT CARE CENTERS ................................................................................................................................. 3 GEOGRAPHIC DISTRIBUTION OF URGENT CARE CENTERS IN THE U.S. ............................................................................... 5 PATIENT VOLUME & MIX .................................................................................................................................................... 6 PAYER MIX/PAYER MODELS ................................................................................................................................................ 7 OWNERSHIP MIX -
URGENT CARE CENTER Understand the Value of an Urgent Care Center August 2014
MERCER CAPITAL Understand the Value of an URGENT CARE CENTER Understand the Value of an Urgent Care Center August 2014 Urgent Care Centers provide personal health care consultation and treatment outside of the traditional emergency room and primary care physician models. Per industry data, both the number of Urgent Care Centers and the volume of services provided by Urgent Care Centers have increased rapidly over the past decade. Current industry factors point to a continuation of this growth. Given this, if you own a Center, or an interest in one, now is an important time to understanding the key elements underlying the value of your investment. Introduction At Mercer Capital, we developed the “Ownership Transfer Matrix” (Figure One) to help describe different ownership transition scenarios. As shown in Figure One, the events The ownership of every closely held business entity changes that trigger ownership transfer can be categorized as either hands eventually. Whether you are selling out, buying in, voluntary or involuntary. Voluntary transfers occur in a or creating a new Center in partnership with others, an variety of ways. The business may be sold under favorable understanding of its value and the drivers of value for your circumstances, or perhaps pre-sold through a buy-sell business will temper the financial success of the entity, agreement. Involuntary transfers occur just as frequently enhance rapport among your business partners and provide and often under the most adverse circumstances. Death a reasonable basis for any transaction. is the ultimate involuntary transfer. Divorce may result in a valuation need for what could be a family’s largest marital It is important for owners to consider the universe of ownership asset. -
Spring/Summer 2015 | | Elliot Direct 603-663-1111 Yourwellnessmatters.Qxp YMW-Issue 1 2/14/15 4:41 PM Page 3
YourWellnessMatters.qxp_YMW-Issue 1 2/14/15 4:40 PM Page 1 OVER A CENTURY OF CARING Page 2 to 5 ELLIOT WELCOMES NEW SENIOR LEADERS Page 5 RAPID TRIAGE & TREATMENT Page 15 Spring 2015 • www.elliothospital.org Treat yourself to a healthier mind & body, see classes on pages 6 to 9 YourWellnessMatters.qxp_YMW-Issue 1 2/14/15 4:41 PM Page 2 COMMUNITY • Elliot Hospital opened as the first general hospital in Manchester, NH • Elliot Hospital Associates formed to help care for patients and raise funds to support the needs of the Elliot 1890 Hospital. This group continues, to this day, to carry out their mission. • Emily Smith Nurses’ Home opened (housed 30 nurses with quarters for a house mother) 1909 • Maternity Department was established 1918 • Children’s ward opened • The Elliot Regional Cancer Center opened as the 1966 first of its kind in New Hampshire 1980 • Elliot designated as the region’s Trauma Center 2 Spring/Summer 2015 | www.elliothospital.org | Elliot Direct 603-663-1111 YourWellnessMatters.qxp_YMW-Issue 1 2/14/15 4:41 PM Page 3 This year, Elliot Hospital celebrates a milestone – namely Elliot Hospital in her will. The 300 physicians and over 3,000 this is the 125th Anniversary of Elliot Hospital. It all started in staff of Elliot proudly serve the community in accordance with 1890 when Elliot Hospital first opened its doors becoming the the original intent of its founder and we are ever-proud of our first community hospital in Manchester. That 25 bed hospital healthcare services delivered to the fine people of New has grown exponentially to become a 296-bed hospital with a Hampshire. -
JOURNEY to HEALTH, a Hospital Discharge Data Brief for the NRPC
JOURNEY TO HEALTH An Analysis of Hospital-Discharged Medical Visits for the Greater Nashua and Milford, NH Region Data Brief BACKGROUND Figure 1: In-State Hospital Choice Among NRPC Residents All licensed hospitals in New Hampshire report patient-level discharge information to the New Hampshire Department of Health and Human Services (NH DHHS), who also collects data from select rehabilitation hospitals, rehabilitation and psychiatric units within acute care hospitals, and from free-standing ambulatory surgical treat- ment centers that are part of a hospital. These discharge data, known as the New Hampshire Uniform Healthcare Facility Discharge Data Set (UHFDDS), can be released to entities upon request for independent study and analysis. The following analyses are based on a custom report of aggregated UHFDD data for the NRPC region for the years 2016 and 2018. 2018 repre- sents the most current data available from NH DHHS, and 2016 is the latest year for which vis- its to out-of-state facilities is included. Trip types include Inpatient, Outpatient, Emergency Department, and Specialty, but do not distin- guish trips by more specific diagnostic code. For these category breakdowns that resulted in greater than 100 trips, the data could be further grouped into the following age cohorts: 0-19, 20 -40, 45-64, 65-74, and 75+. Table 1: Top 10 In-State Hospitals Among NRPC Residents For any Town/Hospital/Age category for which HOSPITAL VISITS HOSPITAL VISITS trips were between 1-4, NHDHHS reported this inexact range to protect patient confidentiality; in 1. Southern NH 246,377 6. Parkland 5,400 these cases, NPRC quantified these counts as 1 2. -
State of New Hampshire Patient Care Protocols Version
EMR EMT AEMT PARAMEDIC EXTENDED State of New Hampshire Patient Care Protocols Version 7.1 Effective April 2018 Approved by the NH Medical Control Board New Hampshire Department of Safety Division of Fire Standards and Training and Emergency Medical Services Patient Care Protocols – Version 7.1 Legend Definition EMR Emergency Medical Responder (EMR) E Emergency Medical Technician (EMT) A Advanced Emergency Medical Technician (AEMT) P Paramedic X Extended Care Protocol CAUTION – Red Flag topic Telephone Medical Control Pediatric Blue underline – text formatted as a hyperlink This document is the Patient Care Protocols for New Hampshire Prehospital Medical Providers – Version 7.1. These protocols are a “living document” developed and drafted by the Protocol Committee of the New Hampshire Emergency Medical Services Medical Control Board. At the option of the Bureau of EMS and the Medical Control Board, they can be edited and updated at any time. However, they are formally reviewed, edited, and released every two years. These NH EMS Patient Care Protocols, Version 7.1 were reviewed, edited, and unanimously approved of by the NH EMS Medical Control Board. These are New Hampshire State Patient Care Protocols; they have been written and approved of by the NH EMS Medical Control Board to establish the standard of EMS patient care. Any deviation from these protocols must be approved in writing by the NH EMS Medical Control Board and the NH Bureau of EMS. Please Note: For visual clarity, trademark and registered symbols have not been included with drug, product, or equipment names. Questions and comments should be directed to: Bureau of Emergency Medical Services 33 Hazen Drive Concord, NH 03305 603-223-4200 Copyright 2005, renewed 2007, 2009, 2011, 2013, 2015, 2018 New Hampshire Bureau of Emergency Medical Services. -
Improving Anaphylaxis Care: the Impact of a Clinical Pathway
Juhee Lee, MD, a Bonnie Rodio, BSN, RN, CEN, CPHQ, b Jane Lavelle, MD, b Megan Ott Lewis, MSN, CRNP, a Rachel English, MS, c ImprovingSarah Hadley, RN, c Jennifer Molnar, Anaphylaxis MSN, CRNP, b Cynthia Jacobstein, MD, b AntonellaCare: Cianferoni, MD, PhD, a a b b a TheJonathan Spergel, Impact MD, PhD, Lisa Zielinski, of RN,a Nicholas Clinical Tsarouhas, MD, TerriPathway Brown-Whitehorn, MD BACKGROUND: abstract Recommended durations of observation after anaphylaxis have been widely variable, with many ranging from 4 to 24 hours. Prolonged METHODS: durations often prompt admission for ongoing observation. Divisions of aAllergy/Immunology and bPediatric Emergency Medicine and cOffice of Clinical Quality Improvement, In a multidisciplinary quality improvement initiative, we revised Children’s Hospital of Philadelphia, Philadelphia, our emergency department (ED) anaphylaxis clinical pathway. Our primary Pennsylvania aim was to safely decrease the recommended length of observation from 8 Dr Lee conceptualized and designed the study, to 4 hours and thereby decrease unnecessary hospitalizations. Secondary conducted data analysis and interpretation, and aims included provider education on anaphylaxis diagnostic criteria, drafted the initial manuscript; Ms Rodio acquired data, supervised improvement interventions, and emphasizing epinephrine as first-line therapy, and implementing a practice reviewed and revised the manuscript; Drs Lavelle, of discharging ED patients with an epinephrine autoinjector in hand. The Tsarouhas, and Brown-Whitehorn -
Leveraging Orthopedic and Spine Urgent Care Centers
FAQS: PROGRAMS, TECHNOLOGIES, STRATEGIES LEVERAGING ORTHOPEDIC AND SPINE URGENT CARE CENTERS What are the key considerations in developing orthopedic and spine urgent care strategies? Overview Demand for orthopedic and spine care is anticipated to surge over the coming decade. However, current capacity is already ill-equipped to meet today’s demand. Many patients with an urgent orthopedic injury or spine condition currently fnd themselves in the ED or waiting days to get an appointment with an orthopedic surgeon. General urgent care facilities, meant to provide quicker access to lower-cost health care providers, often lack the expertise to quickly diagnose and treat orthopedic conditions. Leading orthopedic programs are developing orthopedic-specifc urgent care centers to: • Appropriately meet the rising demand for orthopedic care • Decant lower-acuity volumes from the ED • Offer convenient access at low cost • Offer the specialization necessary for high-quality outcomes • Capture lucrative downstream sports medicine volumes Development of these urgent care centers can occur as an extension of an existing orthopedic practice, an adjacency to existing urgent care offerings or through a partnership with third parties. Hospitals with ED backlogs caused by routine orthopedic injuries or hospitals simply looking to move orthopedic market share should fnd an orthopedic urgent care strategy successful. Most Orthopedic and Spine Emergency Department Visits Are Nonemergent Sg2 classifes emergency department visits as either emergent or urgent. Emergent visits are for potentially life threatening conditions and require immediate care. Contrarily, urgent visits are for non–life threatening conditions and typically can be treated without emergency department resources. Of US visits regarding an orthopedics injury or spine condition, 63% are classifed as “urgent,” indicating that these patients have the potential to be cared for in a lower-acuity, lower-cost setting. -
Member Guide | KP Sound Choice Plans
Member Guide Kaiser Permanente SoundChoice Plans kp.org/wa 1 Kaiser Permanente SoundChoice Plans | Important phone numbers Important phone numbers Member Services Mental Health Access Center 1-888-901-4636 1-888-287-2680 206-630-4636 206-901-6300 711 (TTY) Schedule first-time appointments for mental Get information about: health and addiction and recovery services. • Getting care. Choosing or switching doctors, Care Management services where to go for care, referrals for specialists, and on-the-job injuries. 1-866-656-4183 Get help managing chronic health conditions. • Coverage. What your health plan does and doesn’t cover, billing questions, and coverage Hospital Notification Line while traveling. 1-888-457-9516 • Billing. Statements, payments, and Call if you’ve been hospitalized for reimbursements. an emergency. • Language services. If your primary language is not English. Prescription refills • Evidence of Coverage. If you need a printed 1-800-245-7979 copy of this document. Sign in at kp.org/wa/pharmacy or call us to order refills or transfer prescriptions. New Member Welcome Team 1-888-844-4607 Resource Line 206-630-0029 1-800-992-2279 Get help transferring your care or prescriptions Get information on health topics, community to Kaiser Permanente. resources, services for seniors, and support groups in your area. Consulting Nurse Service 1-800-297-6877 Website and mobile app support 206-630-2244 1-888-874-1620 Get health care advice 24 hours a day, Monday through Friday, 8 a.m. to 5 p.m. 7 days a week. Get help with our online services. Find forms, health information, and providers in your plan online at kp.org/wa. -
History and Genealogy of the Elliot Family in America
.0-r. » r 1 ^^'=.' " r.. .^^'VN<^ \\)^ .^^"V A. , V <* -^ ^ ,' -v ^. o .^' ,*<" o > 0' ' Oi'< »0 -7*. VvT 4 o ^^-'^^ ^ ^ .' 0-oO .f ^0^ -> v^* .•-., '% ^-2v' "-^..«* .'.^¥4^% X.^^"" ;•" /h ^^^' v> ^ ^.-, • kg ^ » a.*.i> ^.^ ^^' ^^ ^::f¥y ^^ ^^ "-Mi<<.* < o .O-r. .V ,^^ c < o 1^ ° " " ^ '^O A.*^ • S o 0^ :<\^ v-^^ ""^^ ^o v^" :S^^ 0^ f ''^W; '^o v^' ^» ""' \/ -'J^'- ^•.^*•' °o >>-^ > -J^W^^^^ >. ^^ o^,'^^:^!)^'- ^>'_ .-^^ "^Ml^:^^^. ^^r, <^ ^"^o* .^- ^£^ -f ^^O^ ^ ,0' .<:k ••...« yO ^^ ".r^o* ^V Iltstnrij a«6 ^^n^Dlngg OF THE i£Ut0t iPamtlg tn Am^rtra. COMPILED BY JNO. D. ELLIOT, 1875. CONTINUED AND PUBLISHED BY JESSE C. VANSYOC, Boone, Iowa, i908. ^'! ^\°" N Prrfatnrg Nnt^s. To the readers I give some instructions in tlie perusal of this book. You will notice the figures following the names of the family record. The first figure stands for the generation, the second the number in the family. For instance: see the name of our Great Grandfather— Benjamin Elliott, 1-1; his oldest child, 2-1; second, 2-2 and so on, by that you will find the generation each belongs to. You will also notice the figures 1, 2, 3 and 4 in black type at the left of each para- graph indicates the generation down to the 4th that the paragraph starts with, except in a few cases. It was not thought best to insert much information in regard to the wealth or occupation of the different members of the family, or anything that would tend to a discrimination between them, socially or morally. I may here offer my thanks to the many who have assisted me by furnishing the records of their own and other families. -
Fall/Winter 2015/2016
SECONDS COUNT IN TRAUMA CARE Pages 2 & 3 HIGH RISK CLINIC FOR BREAST CANCER SCREENING Page 13 TREATING HEEL PAIN Page 14 EATING GLUTEN FREE Pages 4 & 5 Fall 2015/Winter 2016 • www.elliothospital.org Treat yourself to a healthier mind & body, see classes on pages 6 to 9 E R Seconds Count A C Y in Trauma Care! C by Miguel Gaeta, MD, Trauma Medical Director, General Surgeon in the Division of Trauma and Acute Care, N Instructor of Surgery, Harvard Medical School, Assistant in Surgery, Massachusetts General Hospital E G R E M E is well known that trauma 2009 to develop a mature ACS verified Level 2 Trauma It is the leading cause of Center to care for the population of southern New death in children and adults ages Hampshire. 1 to 44 years old. Regional data has also forced us to After joining in collaboration with the Division of acknowledge a disparity in the availability of American Trauma at Massachusetts General Hospital (MGH), Elliot College of Surgeons (ACS) certified Level 1 and Level 2 Hospital has developed and fostered a team of highly Trauma Centers in Northern New England. It has been specialized general surgeons with critical care experience to recognized that essentially half of New Hampshire’s citizens form the Division of Trauma and Acute Care Surgery were being placed at risk of not having access to a Level 1 (TRACS). or Level 2 trauma center within the critical first hour after Since the establishment of a formal trauma program, an injury. Despite the best efforts of our first responders, Elliot Hospital has seen the trauma volume increase by over harsh weather frequently grounds our air transport. -
Delaware Colonial Taverners
Delaware Colonial Taverners Surname Forename Life Dates Location License/Operation Alford Moses Kent Co. by 1756 Allet Thomas New Castle Co. bef 1721 Allison James Wilmington by 1755 Andries/Andrieson Justa New Castle by 1676 Battell French Dover 1769 Beatty Elizabeth New Castle Co. 1760 Bell John Dover bef 1729 Bell John Dover 1765 Blackiston/Blakiston William Dover Kent Co. by 1747 Boggs Ezekiel New Castle by 1751 Bowman John Sussex Co. bef 1736 Brewster John New Castle Co. by 1709 Broom Thomas Wilmington bef 1748 Brumfield Patrick New Castle bef 1719 Butler Andrew Dover bef 1776 Byrne James Kent Co., Dover 1757; 1765 Caldwell Joseph Canterbury 1782 Cann John New Castle bef 1694 Clay Slator New Castle 1759 Clay Slator New Castle by 1759 Clayton John Dover by 1765 Corbett Roger Lewes 1706 Crapper John Sussex Co. bef 1761 Crompton Watkins Wilmington 1758 Cummings Timothy Dover 1731- early 1740s Darby John New Castle 1679 Davis Alexander New Castle bef 1737 Delaware Colonial Taverners Surname Forename Life Dates Location License/Operation Davis Samuel Sussex Co. 1748 Davis William Sussex Co. 1759 Dill John Kent Co. 1774 Dixson Henry c1643-? New Castle Co. prob. 1680s Draper Charles Sussex Co. 1769 Draper George Slaughter Neck by 1769 Draper John Sussex Co. 1770 Earby Amos Wilmington 1755 Elliot(t) John Brandywine by 1774 Elliot(t) Thomas New Castle by 1724 Evans Robert New Castle 1688 Few Daniel New Castle 1756 Fisher Henry Sussex Co. by 1770 Frazier/Fraser Alexander Christiana bef 1717 Gray (John) Conrad Newport by 1770's Gray Thomas Sussex Co.