Characteristics of the Frontier Extended Stay Clinic: a new facility model
Purpose. In 2004, 5 remote clinics – 4 in rural frontier communities in Alaska and 1 in Washington – were funded to pilot and examine the effectiveness and appropriateness of a new facility model. Transporting patients from these locations to higher levels of care is not always...
Published in: | International Journal of Circumpolar Health |
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Taylor & Francis Group
2013
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ftdoajarticles:oai:doaj.org/article:48dbd28ae98342aea151588c8940a552 2023-05-15T15:16:23+02:00 Characteristics of the Frontier Extended Stay Clinic: a new facility model Rosyland Frazier Sanna Doucette 2013-08-01T00:00:00Z https://doi.org/10.3402/ijch.v72i0.21344 https://doaj.org/article/48dbd28ae98342aea151588c8940a552 EN eng Taylor & Francis Group http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/21344/pdf_1 https://doaj.org/toc/2242-3982 doi:10.3402/ijch.v72i0.21344 2242-3982 https://doaj.org/article/48dbd28ae98342aea151588c8940a552 International Journal of Circumpolar Health, Vol 72, Iss 0, Pp 1-7 (2013) access emergency care extended-stay encounter Frontier Extended Stay Clinic health services delivery rural health Arctic medicine. Tropical medicine RC955-962 article 2013 ftdoajarticles https://doi.org/10.3402/ijch.v72i0.21344 2022-12-31T14:04:16Z Purpose. In 2004, 5 remote clinics – 4 in rural frontier communities in Alaska and 1 in Washington – were funded to pilot and examine the effectiveness and appropriateness of a new facility model. Transporting patients from these locations to higher levels of care is not always possible requiring these facilities to expand their scope of services and provide care for extended periods. The Frontier Extended Stay Clinic (FESC) model is staffed and equipped to provide the combined services usually found in the separate settings of an outpatient primary-care clinic, inpatient acute care hospital and emergency room. This is a descriptive study of the characteristics of these pilot facilities and an analysis of patient utilization and outcomes. Methods . The 5 clinics collected outcome data for 2,226 extended-stay encounters of 4 hours or longer from 15 September 2005 to 14 September 2010. Data from these extended-stay encounters were summarized, and descriptive statistics were used to describe: number and duration of encounters, when the encounters started, chief compliant, discharge diagnoses, transfer destination, Medicare and Medicaid eligibility, and type of encounter. Findings . From 2005 to 2010, the mean duration of an extended-stay encounter was 9.1 hours. All of the clinics experienced many extended-stay encounters that were initiated or continued after normal business hours. The 5 most frequent diagnoses at discharge for extended encounters were cardiovascular, gastrointestinal, injury, substance abuse and pneumonia/bronchitis. Almost half, 47.6%, of extended-stay encounters resulted in discharge of the patient without a need for either non-urgent follow-up referral or transport. Extended-stay encounters that ended in a patient being transported to another medical facility were 43.7% of the total. More than a quarter (26.9%) of extended-stay encounters were eligible for Medicare payment. Conclusion . While many of communities can support a facility for primary care, there is an ... Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Alaska Directory of Open Access Journals: DOAJ Articles Arctic International Journal of Circumpolar Health 72 1 21344 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
access emergency care extended-stay encounter Frontier Extended Stay Clinic health services delivery rural health Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
access emergency care extended-stay encounter Frontier Extended Stay Clinic health services delivery rural health Arctic medicine. Tropical medicine RC955-962 Rosyland Frazier Sanna Doucette Characteristics of the Frontier Extended Stay Clinic: a new facility model |
topic_facet |
access emergency care extended-stay encounter Frontier Extended Stay Clinic health services delivery rural health Arctic medicine. Tropical medicine RC955-962 |
description |
Purpose. In 2004, 5 remote clinics – 4 in rural frontier communities in Alaska and 1 in Washington – were funded to pilot and examine the effectiveness and appropriateness of a new facility model. Transporting patients from these locations to higher levels of care is not always possible requiring these facilities to expand their scope of services and provide care for extended periods. The Frontier Extended Stay Clinic (FESC) model is staffed and equipped to provide the combined services usually found in the separate settings of an outpatient primary-care clinic, inpatient acute care hospital and emergency room. This is a descriptive study of the characteristics of these pilot facilities and an analysis of patient utilization and outcomes. Methods . The 5 clinics collected outcome data for 2,226 extended-stay encounters of 4 hours or longer from 15 September 2005 to 14 September 2010. Data from these extended-stay encounters were summarized, and descriptive statistics were used to describe: number and duration of encounters, when the encounters started, chief compliant, discharge diagnoses, transfer destination, Medicare and Medicaid eligibility, and type of encounter. Findings . From 2005 to 2010, the mean duration of an extended-stay encounter was 9.1 hours. All of the clinics experienced many extended-stay encounters that were initiated or continued after normal business hours. The 5 most frequent diagnoses at discharge for extended encounters were cardiovascular, gastrointestinal, injury, substance abuse and pneumonia/bronchitis. Almost half, 47.6%, of extended-stay encounters resulted in discharge of the patient without a need for either non-urgent follow-up referral or transport. Extended-stay encounters that ended in a patient being transported to another medical facility were 43.7% of the total. More than a quarter (26.9%) of extended-stay encounters were eligible for Medicare payment. Conclusion . While many of communities can support a facility for primary care, there is an ... |
format |
Article in Journal/Newspaper |
author |
Rosyland Frazier Sanna Doucette |
author_facet |
Rosyland Frazier Sanna Doucette |
author_sort |
Rosyland Frazier |
title |
Characteristics of the Frontier Extended Stay Clinic: a new facility model |
title_short |
Characteristics of the Frontier Extended Stay Clinic: a new facility model |
title_full |
Characteristics of the Frontier Extended Stay Clinic: a new facility model |
title_fullStr |
Characteristics of the Frontier Extended Stay Clinic: a new facility model |
title_full_unstemmed |
Characteristics of the Frontier Extended Stay Clinic: a new facility model |
title_sort |
characteristics of the frontier extended stay clinic: a new facility model |
publisher |
Taylor & Francis Group |
publishDate |
2013 |
url |
https://doi.org/10.3402/ijch.v72i0.21344 https://doaj.org/article/48dbd28ae98342aea151588c8940a552 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
op_source |
International Journal of Circumpolar Health, Vol 72, Iss 0, Pp 1-7 (2013) |
op_relation |
http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/21344/pdf_1 https://doaj.org/toc/2242-3982 doi:10.3402/ijch.v72i0.21344 2242-3982 https://doaj.org/article/48dbd28ae98342aea151588c8940a552 |
op_doi |
https://doi.org/10.3402/ijch.v72i0.21344 |
container_title |
International Journal of Circumpolar Health |
container_volume |
72 |
container_issue |
1 |
container_start_page |
21344 |
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1766346667263524864 |