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ER Imaging Overutilization... Causes and Solutions.
There are 150 Million ER visits every year in America and 50% of them have some form of imaging. More specifically, 36% of adult ER visits involve a CT Scan and 2.5% of adult ER visits involve an MRI... both of which are up over 300% over 10 years.
Why? Why is there so much imaging in the Emergency Room?
Factors associated in increased ER imaging:
1. Middle-Age or Older Patients
2. Drug Use
3. Non-English Speaking
4. Patient Anxiety/Expectations
5. Doctor Avoiding Malpractice Lawsuit
6. Request of Non-ER Doctor
7. Not in California
8. Not in a Group HMO
Appropriate Use Criteria were attempted by CMS to decrease overutilization of imaging as mandated by law. However, 10 years after the law was passed, CMS was unable to implement the law and has decided to pause all future implementation or enforcement.
Solution: Employers and Medicare Advantage Plans have decreased ER utilization and associated overutilization of imaging upwards of 30% by giving patients access to 24/7 primary care via On-Site, Near Site or Direct Primary Care Clinics and Virtual Visits.
Sources:
radiologybusin...
ajronline.org/....
www.acepnow.co...
www.ncbi.nlm.n...
www.acr.org/Ad...
viewpoints.ree....
hcup-us.ahrq.g...
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