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Physicians on Call: California's Patchwork Approach to Emergency Department Coverage

February 2011

The state's system for securing on-call emergency department specialist coverage remains costly, complex, and on the edge, due to a shortage of specialists, payment concerns, and liability questions.

Many Emergency Department Visits Could Be Managed at Urgent Care Centers and Retail Clinics

September 2010

This Health Affairs article by Weinick, Burns, and Mehrotra finds that up to 27% of hospital ED visits are not emergencies and could take place at less expensive urgent care centers and retail clinics.

California Hospital Facts and Figures

April 2010

California's 512 acute care hospitals cared for 3 million inpatients and 42 million outpatients in 2007. This report examines these hospitals in terms of their bed supply and capacity, geographic distribution, ownership type, utilization, and financial health.

In a Heartbeat: New Resuscitation Protocol Expands EMS Options

April 2010

When paramedics encounter a patient in cardiac arrest, they must decide whether to attempt resuscitation. This issue brief looks at the results of a change in EMS policy in Los Angeles County that clarifies decisionmaking for paramedics and allows for family input.

Telepsychiatry in the Emergency Department: Overview and Case Studies

December 2009

Telepsychiatry is used in some emergency departments to make the process of evaluating and treating patients with mental health issues more efficient. This paper examines seven ED telepsychiatry programs in terms of structure, financing, and challenges.

Freestanding Emergency Departments: Do They Have a Role in California?

July 2009

This issue brief tallies freestanding emergency departments (FEDs), inventories their practices, summarizes their regulation by federal and state governments, and discusses California's FED environment.

Reducing Ambulance Diversion in California: Strategies and Best Practices

July 2009

This issue brief provides an overview of the extent and impact of ambulance diversion in California, and offers strategies for communities that want to reduce or eliminate it.

Is California's Hospital-Based ED System Eroding?

July 2009

Although there are fewer emergency departments (EDs) in California hospitals, some hospitals have expanded their EDs. This issue brief analyzes trends in the use and capacity of the state's hospital-based EDs.

Emergency Department Visits for Preventable Dental Conditions in California

March 2009

This snapshot documents the extent to which uninsured and insured Californians use the ED for preventable dental conditions such as untreated cavities, dental abscesses, and periodontal disease.

Briefing — Emergency Department Visits and Access to Dental Care in California

March 12, 2009

This briefing examined ED use in California for preventable dental conditions, and looked at other states' efforts to help young children, pregnant women, and people with developmental disabilities obtain access to dental care.

Briefing — Retail Clinics: Six State Approaches to Regulation and Licensing

February 13, 2009

This briefing discussed how six states — California, Florida, Illinois, Massachusetts, New Jersey, and Texas — are using regulatory, licensing, and legal tools to promote, structure, or limit retail clinics.

Facts and Findings for Policymakers: Hospital Seismic Safety

January 2009

Meeting upcoming earthquake safety deadlines may be problematic for as much as half of California's at-risk health care infrastructure. Background and options are discussed in this publication, the first in a series for policymakers.

2007 San Diego Fires: Situation Assessment Executive Summary

September 2008

In October 2007, five major fires raged in San Diego County, causing evacuation of more than 500,000 people, millions of dollars in damage, and significant disruption to the county's health care system. This report assesses how well the local hospitals responded to the crisis.

Adoption of Patient Tracking Systems among Hospital Emergency Rooms in California

July 2008

This issue brief presents the results of a survey that finds that most California hospitals are using emergency department tracking systems, but with varying levels of satisfaction and success.

Worry and Neglect: Californians Respond to the Rising Cost of Care

July 2008

This snapshot suggests that increasingly, Californians are trying to control medical costs by neglecting care and asking for cheaper medications, leading to more hospitalizations and emergency department use.

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