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Urgent Care Policy Structuring: Urgent Care Inclusion and Exclusion Policy - Essay Example

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The lack of urgent care service inclusion/exclusion policy in Alberta health facilities, coupled with the trend of increasing numbers of urgent care visitors indicates that this is a severe problem for healthcare…
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Urgent Care Policy Structuring: Urgent Care Inclusion and Exclusion Policy
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Download file to see previous pages After research, expert brainstorming and objective mapping, two policy alternatives are generated; the Urgent Care Services and the Emergency Severity Index. The former is recommended as it fulfills the effectiveness, efficiency, equity, and responsiveness needs. Procedures for implementation and evaluation are detailed, before arriving at the possible limitations of the policy. Scope and Severity of the Policy Problem The number of patients arriving at emergency care departments has been continuously rising, resulting in overcrowding and undesirably poor health outcomes in these departments (Derlet, Nishio, Cole and Silva, 1992; Bernstein et al., 2008). The numbers of ED visits have increased by 3.9% annually between 1996 and 2006, from 90.3 million to 113.2 million individuals. Meanwhile, the number of hospital EDs has decreased from 4019 to 3883 over the same period (Pitts, Niska, Xu and Burt, 2008). The situation is worsened by absence of planning and policies for urgent care inclusion. This problem is replicated in Alberta, where analysis indicates that among the 6 urgent care facilities present in Alberta, none had a formal policy to clearly define urgent care service inclusions and exclusions. ...
The problem addressed in this paper is how to best satisfy the need for clear definitions of urgent care inclusion and exclusions to prevent confusion to staff and patients. This policy statement is refined from a clear analysis of the ED issues facing Alberta Healthcare Services. An environmental scan of all 6 urgent care service sites is undertaken to determine the informal inclusions and exclusions in place. A brainstorming session by expert site stakeholders identifies the missing inclusions and exclusions for the urgent care services in Alberta. Further, there is use of object mapping to validate inclusions and exclusions so as to validate outcomes. Based on this clear analysis, the issues addressed in this paper is whether a provincial urgent care inclusion/exclusion policy will meet needs of the various urgent care sites throughout the province. The expert brainstorming and objective mapping undertaken in analysis provides a number of insights on the urgent care services in Alberta. First, the main stakeholders in the issue are discerned as including; the Emergency Clinical Network, Health Link Alberta, the physicians, the Triage RNS, hospital managers and clinical educators, legal units and the clinical policy unit. In terms of prioritisation, the Triage nurses and the clinical policy unit have very crucial roles to play, since the nurses will be the first line of contact with urgent care visitors while the policy formulation process largely derives drive from the clinical policy unit. The physicians and legal unit constitute the next level of prioritisation since they play important roles in urgent patient care and policy formulation respectively. The remaining ...Download file to see next pagesRead More
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