As the number of admissions continues to grow, and considering that some of these inpatient stays are short, it follows that many of these short inpatient admissions are subject to recovery audit contractors and payor denials. Additionally, EDs cared for approximately 158M people as of 2018 (EMNet/NEDI-USA), up 32% over a 10 year period. The percentage of all hospital admissions that start in the ED continues to grow - 67% in 2019, up from 58% in 2004 according to the ED Benchmarking Alliance. ![]() The utility and value of ED CDUs will continue to expand. The function and utility of CDUs have since grown to demonstrate clinical benefits well-established across a variety of conditions as Dr’s Blenden and Wessling have mentioned, including not only chest pain (rule out acute coronary syndrome) but also TIA, CHF, asthma, COPD, cellulitis, pyelonephritis, pneumonia, etc. The background of the utility of CDUs mostly stems from their early function as rapid diagnostic and treatment centers (RDTCs) for chest pain. Several points to highlight and elaborate upon include the following: When you are discharged, your GP will be informed of all the relevant information.Thank you to Dr’s Blenden and Wessling for the excellent overview of ED CDUs including some background and indications for their use. ![]() The situation is then reviewed by a consultant who will discuss the diagnosis, treatment plan, and any follow up that is needed. Most patients are first seen by a junior doctor or nurse practitioner who will take a history, perform a clinical examination, request any initial tests, and prescribe any urgent treatment that is required. Patients require a referral from their GP or the Emergency Department.īecause this is an emergency service, patients are assessed in the order of clinical need. ![]() We see patients with a wide range of problems, but common examples include: new chest pain or breathlessness, pneumonia and other infections, blackouts, severe headaches and suspected deep vein thrombosis. This service is for patients who need to be seen as an emergency regarding an acute medical illness. Patients who do not require admission can be given an appointment to be seen rapidly on the Ambulatory Emergency Care Unit (Royal Glamorgan Hospital) or Medical Day Unit (Prince Charles Hospital). Patients who need to stay in hospital are admitted to the Acute Medical Unit (Royal Glamorgan Hospital) or Clinical Decisions Unit (Prince Charles Hospital). The Acute Medicine department is responsible for the initial assessment and treatment of the majority of patients who are referred from general practice or an emergency department with non-surgical emergency problems. Acute physicians specialise in looking after adults referred to hospital with an acute medical illness.
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