Chronic Disease Management in the Emergency Department
While the demand for emergency department (ED) care remains high, EDs continue to decline in number nationwide. Those that remain are overcrowded and at capacity, often having patients wait hours or even days to be admitted. Although many seek care in the ED for an acute injury or illness, others seek treatment for acute exacerbations of poorly managed chronic illness, such as diabetes, or management of a chronic illness in the absence of an acute problem, such as for blood pressure control and cardiac or asthma medication refills. The ED has become the largest provider of unscheduled primary care visits, seriously stressing the healthcare safety net. Patients in the ED are staying longer for prolonged observation and complex diagnostic workups. There is an increasing number of critically ill patients being treated and cared for in the ED rather than the critical and intensive care unit. Additionally, chronic mental and psychiatric patients often seek treatment in the ED rather than with individual providers. This has resulted in overcrowding in the ED, putting strain on its personnel.
This course has a maximum of 3 exam attempts.
While the demand for emergency department (ED) care remains high, EDs continue to decline in number nationwide. Those that remain are overcrowded and at capacity, often having patients wait hours or even days to be admitted. Although many seek care in the ED for an acute injury or illness, others seek treatment for acute exacerbations of poorly managed chronic illness, such as diabetes, or management of a chronic illness in the absence of an acute problem, such as for blood pressure control and cardiac or asthma medication refills. The ED has become the largest provider of unscheduled primary care visits, seriously stressing the healthcare safety net. Patients in the ED are staying longer for prolonged observation and complex diagnostic workups. There is an increasing number of critically ill patients being treated and cared for in the ED rather than the critical and intensive care unit. Additionally, chronic mental and psychiatric patients often seek treatment in the ED rather than with individual providers. This has resulted in overcrowding in the ED, putting strain on its personnel. This course has a maximum of 3 exam attempts.
Alabama State Board of Respiratory Therapy
Alabama State Board of Respiratory Therapy (CEBroker Provider #50-290)
This module is approved for 1.00 contact hours.
American Association for Respiratory Care
This program has been approved as non-traditional Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100 Irving TX 75063.
Approval #: 190901000
This activity is approved for 1.0000 contact hours.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.00 Nursing Contact Hours after successfully completing this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Certified Health Education Specialist
Sponsored by Relias LLC, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.0000 total Category I continuing education contact hours.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Florida Board of Respiratory Care
Florida Board of Respiratory Care (CEBroker Provider #50-290)
This module is approved for 1.0000 contact hours.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Georgia Composite Medical Board - Respiratory Care Professionals
Kansas Board Of Healing Arts - Radiologic Technology
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Louisiana State Board of Medical Examiners - Respiratory Therapy
Louisiana State Board of Medical Examiners - Respiratory Therapy (CEBroker Provider #50-290)
Respiratory Therapists will receive 1.0000 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Mississippi State Department of Health Bureau of Professional Licensure Medical Radiation Technologists
Mississippi State Department of Health Bureau of Professional Licensure Dietitians
Mississippi State Department of Health Bureau of Professional Licensure Medical Radiation Technologists (CEBroker Provider #50-290)
Radiation technologists will receive 1.0000 contact hours for participating in this course.
Mississippi State Department of Health Bureau of Professional Licensure Respiratory Care Practitioners
Mississippi State Department of Health Bureau of Professional Licensure Respiratory Care Practitioners (CEBroker Provider #50-290)
Respiratory Therapists will receive 1.0000 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Oklahoma Board of Medical Licensure and Supervision- Respiratory Therapy
Oklahoma Board of Medical Licensure and Supervision- Respiratory Therapy (CEBroker Provider #50-290)
This module is approved for 1.00 contact hours.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Identify the common chronic physical and mental health conditions for which patients seek care in the ED.
Determine the financial impact of patients seeking chronic care in the ED and measures to mitigate it.
Define how chronic care in the emergency setting differs from that in traditional primary care settings.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Chronic vs. Acute ED Care
Chronic Illness Cases in the ED
The Roots of the Problem
What’s the Difference?
Common and Chronic
Summary
Section 3: Reducing Nonurgent ED Visits
Cost Differences
ED vs. Primary Care
Refocusing the Focus
Triage
What Can Be Done?
Summary
Section 4: Clinical Vignette
Section 5: Conclusion
Course Summary
Course Contributors
Resources
References
He is a Certified Emergency Nurse (CEN) with extensive experience primarily in acute care settings. Mr. Tripathi has considerable experience in travel nursing, as well as more than decade of general nursing experience. He has conducted nursing research for the European governments and worked as a nursing lecturer for Glasgow Caledonian University (GCU) Scotland, affiliated colleges, and has practiced nursing in Asia, the UK, and the U.S.Writer: Kimberly Workman, MA
Ms. Workman is an Instructional Designer at Relias. She has a Master of Arts in Technology and Communication, as well as graduate certificates in Public Health, Epidemiology, and Digital Communications. Ms. Workman has a background in writing and designing online continuing medical education for physicians and other health professionals on multiple educational platforms, including web-based, game-based, and immersive learning environments. She has also used simulation training extensively to connect learning to real-world environments.
The target audience for this course is: Health Educators; Nurses; Radiologic Technologists; Respiratory Therapists; in the following settings: Acute Care Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
