Emergency department (ED) services are often provided for non-emergent care to individuals who lack the education and/or resources for appropriate primary care. Non-emergent care in the ED is expensive and ineffective for health plans, hospitals and consumers alike. Hospitals and health plans nationwide are developing strategies to reduce the reliance on EDs for non-emergent care.
Listen to pre-conference comments from Amstutz, Dhanvanthari and Glauber.
During Developing Effective Strategies to Reduce Non-Emergent Emergency Department Use, a 90-minute audio conference on CD-ROM, you'll hear from two healthcare organizations on the most effective strategies they’ve implemented to address non-emergent ED use.
Dr. Jim Glauber, medical director for Neighborhood Health Plan of Massachusetts, Dr. Lakshmi Dhanvanthari, staff vice president and medical
director at WellPoint State Sponsored Business, and Dr. Karen Amstutz, regional vice president and medical director at WellPoint State Sponsored Business, provided details on:
- Creating teachable moments for non-emergent ED users before, during and after they access the ED inappropriately;
- Engaging cross-stakeholder groups to develop effective ED utilization management programs;
- Examining how specific populations and diagnoses influence ED visits and how this information can help shape your program’s initiatives;
- Analyzing the likelihood that high ED utilizers will persist as high utilizers;
- Using member self-care resources to reduce non-emergent ED use.
WHO WILL BENEFIT FROM THIS AUDIO CONFERENCE?
CEOs, medical directors, disease management directors, managers and coordinators, health plan executives, care management nurses and business development and strategic planning directors.
Available in three formats
- CD-ROM for computer play
- CD-ROM for stereo play
- On Demand version accessible online
Please note the stereo version ships as two CD-ROMs, whereas the .mp3 version ships as one CD-ROM.
ABOUT OUR PANELISTS:
Dr. Karen Amstutz
||WellPoint has changed its definition of emergency room frequent flyer to capitalize on educational opportunities.
Karen Amstutz, M.D., M.B.A. is the regional vice president and medical director at WellPoint, Inc. State Sponsored Business. Her responsibilities include the medical management and state account medical director activities for health coverage for underserved and uninsured populations through government programs such as Medicaid, State Children’s Health Insurance Programs, and other publicly funded programs.
Dr. Amstutz began her career caring for underserved patients in Indianapolis as a faculty member of the Indiana University School of Medicine. She became involved in managed care in 1994, implemented a physician office based asthma disease management program and led the development of physician clinical performance measurement. She developed the quality management program and pay-for-performance program for a regional HMO before joining WellPoint.
Dr. Amstutz received her doctorate in medicine from Washington University, St. Louis and a Master of Business Administration from the University of Chicago.
Dr. Lakshmi Dhanvanthari
||Wellpoint uses a four-pronged approach to educate members about appropriate emergency department use.
Lakshmi Dhanvanthari, M.D., F.A.A.P., C.H.I.E. is the staff vice president medical director at Wellpoint State Sponsored Business. Dr. Dhanvanthari oversees the quality improvement department and provides medical oversight for health management programs. She has provided medical direction for many State Sponsored Business programs including Asthma Management, and Internal Quality Improvement of Adolescent Well Care.
Dr. Dhanvanthari champions Blue Cross of California’s (BCC) Childhood Obesity Initiative and has collaborated with the American Academy of Pediatrics, UCLA School of Medicine, American Heart Association, Parents Action for Children and the California Child Health and Disability Prevention Program to address the obesity epidemic in California. Her vision and dedication to addressing childhood obesity resulted in BCC’s Comprehensive Obesity Program that addresses the needs of physicians, members and the community.
Dr. Dhanvanthari has been honored by Wellpoint with an Individual Honor Award (WellPoint’s highest award) in recognition of her leadership in childhood immunization and childhood obesity initiatives. She has represented WellPoint State Sponsored Business on national and state initiatives, including the California Statewide Immunization Information System Leadership Committees.
Dr. Dhanvanthari’s previous experience includes serving as assistant clinical professor, Department of Pediatrics, and University of California at Irvine. At Children’s Hospital of Orange County, California, she served as medical director of outreach programs, faculty member of the residency program, and attending physician ambulatory care.
Dr. Dhanvanthari is a Diplomate of the American Board of Pediatrics, and a Fellow of the American Academy of Pediatrics. She received her medical school training at Madras University, India, and completed her Residency in Pediatrics at Cook County Hospital, Illinois.
Dr. Jim Glauber
||Medical homes play a big part
in reducing non-emergent ED usage.
James Glauber, M.D., M.P.H, currently serves as the medical director at Neighborhood Health Plan (NHP). In addition, he is the director and staff pediatrician of the Central Pediatric Asthma Program at Harvard Vanguard Medical Associates.
At NHP, Dr. Glauber oversees the plan's disease management and pharmacy programs, with particular emphasis on clinical reporting and profiling. Dr. Glauber served as a consultant to NHP from 1999-2001 in developing the plan's asthma management program. He has published and presented on many occasions on topics related to healthcare quality, particularly on asthma care.
Previously, Dr. Glauber was in private pediatric practice after completing his training, and later joined the Permanente Medical Group in Northern California.
Dr. Glauber received his medical degree from University of California and completed his pediatric residency at Children's Hospital of Philadelphia. He completed a Pediatric Health Services Research Fellowship at Harvard Medical School and received a Master’s Degree in Public Health from Harvard School of Public Health.