Open AccessComparison of Presenting Complaint vs Discharge Diagnosis for Identifying “ Nonemergency” Emergency Department Visits
Author(s) -
Maria C. Raven,
Robert A. Lowe,
Judith H. Maselli,
Renee Y. Hsia
Publication year - 2013
Publication title -
jama
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.688
H-Index - 680
eISSN - 1538-3598
pISSN - 0098-7484
DOI - 10.1001/jama.2013.1948
Subject(s) - emergency department , medicine , medical diagnosis , complaint , ambulatory , medical record , medical emergency , primary care , emergency medicine , pediatrics , family medicine , surgery , pathology , psychiatry , political science , law
Reduction in emergency department (ED) use is frequently viewed as a potential source for cost savings. One consideration has been to deny payment if the patient's diagnosis upon ED discharge appears to reflect a "nonemergency" condition. This approach does not incorporate other clinical factors such as chief complaint that may inform necessity for ED care.
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