Effects of Maryland's global budget revenue model on emergency department utilization and revisits.
Jessica E GalarragaDerek DeLiaJim HuangCynthia WoodcockRollin J FairbanksJesse M PinesPublished in: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2021)
GBR adoption was associated with lower ED utilization and admissions. ED returns and admissions among returns also decreased, while mortality and ICU stays among returns remained stable, suggesting that GBR has not led to adverse patient outcomes from fewer admissions. However, changes in ED return disparities varied by subgroup, indicating that improvements in care transitions may be uneven across patient populations.
Keyphrases
- emergency department
- case report
- healthcare
- intensive care unit
- palliative care
- adverse drug
- affordable care act
- cardiovascular events
- type diabetes
- electronic health record
- quality improvement
- mechanical ventilation
- coronary artery disease
- chronic pain
- health insurance
- study protocol
- extracorporeal membrane oxygenation