So I’ve gotten some questions about @ClevelandClinic Urgent dispatch. (A thread)
We have a team of 6 APPs who are specially trained and have backgrounds in home care, hospital medicine and emergency medicine. They’re brilliant.
We get consults from a lot of places - cardiology, pulm, primary care. Neuro. One of our EDs refers “soft admits” that would’ve maybe been an obs.
Consult order, including plan of care, is entered into Epic. We have a team of virtualist physicians who triage these 18 hours a day and facilitate dispatch. They also supervise care remotely.
The APP goes to the home and administers IV antibiotics, diuretics, orders labs (stat in-home or lab draw) XR or ultrasound. My community paramedics assist when needed.
We’re developing skills in US-guided lines and wound closure too.
I’m proud of the team and what we’re building at-scale. They’re committed to excellence and safe, high-value care. Now that we’re mid-surge again, staying outside of the hospital when you can is in everyone’s best interest.
Oh and did I tell you? We see patients every day of the week and on holidays. This is what #value looks like.
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