Prof V. Anantharaman - MCI

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Barriers precluding preventive care in ED • Incorporating such activities into busy ED setting difficult and for emergency care providers these services not a priority • EPs more likely to perform critical resuscitation and diagnose or exclude life-threatening medical conditions. • Essential activities are already part of the care EDs provide. • Numerous resources needed in preventive services delivery. Availability of local resources will dictate local practice. • Waiting areas can be stocked with literature addressing prevention and health education measures • SBIRT activities are not reimbursable • Lack of formal training
Stages and Providers of Preventive Service Interventions Public Health, Prevention, and Emergency Medicine: A Critical Juxtaposition. Steven L Bernstein MD, Jason S. Haukoos MD, MSc. Academic Emergency Medicine. 2008; 15(2):190–3 . Stage of ED Visit Interve ntion Triage S X Triage Officer Nu rse Physician/ Provider Ancillary Provider* Waiting area S, RT X History and physical examination Post-examination waiting period S, BI, RT S, BI, RT Discharge BI, RT X X X X X X X Supple mental† BI = brief intervention; ED = emergency department; S = screening; RT = referral to treatment. *May include respiratory therapists, phlebotomists, social workers, or others. †May include brochures and other literature, posters, computerized information, or screening kiosks. ROUTINE vs EXCEPTION
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Page 5 and 6: The Community’s Safety Net ?? •
Page 7: Roles of EDs ???? EDs manage acute
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Prof V. Anantharaman - MCI

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