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| Name | ER Imaging Overutilization: CT Scans in 36% of Visits!! |
| Video Uploader | Video From AHealthcareZ - Healthcare Finance Explained |
| Upload Date | This Video Uploaded At 14-07-2024 22:43:49 |
| Video Discription | ER Imaging Overutilization... Causes and Solutions. There are 150 Million ER visits every year in America and 50% of them have some form of imaging. More specifically, 36% of adult ER visits involve a CT Scan and 2.5% of adult ER visits involve an MRI... both of which are up over 300% over 10 years. Why? Why is there so much imaging in the Emergency Room? Factors associated in increased ER imaging: 1. Middle-Age or Older Patients 2. Drug Use 3. Non-English Speaking 4. Patient Anxiety/Expectations 5. Doctor Avoiding Malpractice Lawsuit 6. Request of Non-ER Doctor 7. Not in California 8. Not in a Group HMO Appropriate Use Criteria were attempted by CMS to decrease overutilization of imaging as mandated by law. However, 10 years after the law was passed, CMS was unable to implement the law and has decided to pause all future implementation or enforcement. Solution: Employers and Medicare Advantage Plans have decreased ER utilization and associated overutilization of imaging upwards of 30% by giving patients access to 24/7 primary care via On-Site, Near Site or Direct Primary Care Clinics and Virtual Visits. Sources: https://radiologybusiness.com/topics/patient-care/radiology-emergency-guidance-incidental-findings?utm_source=related_content&utm_medium=related_content&utm_campaign=related_content https://ajronline.org/doi/full/10.2214/AJR.19.21386#:~:text=Total%20and%20radiologist%20utilization%20curves,Fig. https://www.acepnow.com/article/statistical-trends-of-diagnostic-testing-in-the-emergency-department/2/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815889/ https://www.acr.org/Advocacy-and-Economics/Advocacy-News/Advocacy-News-Issues/In-the-Nov-18-2023-Issue/CMS-Finalizes-Pause-to-Imaging-Appropriate-Use-Criteria-Program https://viewpoints.reedsmith.com/post/102j0h8/cms-puts-final-nail-in-the-coffin-of-medicare-advanced-diagnostic-imaging-auc-pro#:~:text=The%20AUC%20program%20required%20ordering,able%20to%20fully%20implement%20AUC. https://hcup-us.ahrq.gov/reports/statbriefs/sb286-ED-Frequent-Conditions-2018.pdf AHealthcareZ is 400+ Healthcare Finance Educational Videos. 💥 BOOK: Check out Dr. Bricker’s Book 16 Lessons in the Business of Healing here: https://www.ahealthcarez.com/healthcare-money-campfire-stories-book AHealthcareZ Viewers Include: Employee Benefits Professionals, HR, CFOs, Insurance Brokers, Benefits Consultants, Doctors and Nurses in Leadership Roles, Hospital and Health System Administrators, Health Insurance Carrier and PBM Professionals, Pharma and Med Device Professionals, Academic Professors and Students in Healthcare Administration and Public Health. 90,000+ Views Per Month Across All Platforms. Visit AHealthcareZ.com to Subscribe to the Healthcare Finance Video Newsletter. |
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