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Overview

Every source quoted in this study has clearly refuted the need for emergency transport and care of an uncomplicated grand mal seizure in a managed epileptic patient. This review of a large patient population has determined that 27% of emergency department seizures were uncomplicated and occurred in patients already under care. This represented 0.25% of all emergency department visits and nearly $200,000 in claims to this managed care entity per year. Taking some statistical liberties, a national health care expenditure of $270,000,000 is suggested for this single abuse. It is hoped that further education of the public, medical community, and epileptic patients will produce a comfort level that permits decisions about emergency transport and care of seizures. These savings could translate into basic health insurance for thousands of our medically deprived citizens.

01 Nov 1990·Quality Assurance and Utilization Review

A Two-Year Report

Article

Author: Trautlein, J. ; Pelberg, A. ; Casale, T. ; Wenner, W. ; Ziegenfuss, J.T.

This article reports on the progress of a fellowship program for physicians in quality assurance and uti lization review (QA/UR). The article begins with a description of the initial program concept and pre sents the "program-in-action" including: academic coursework, site rotations, learning experiences of the fellow/resident, funding, outcomes to date, strengths and weaknesses analysis, current require ments, and future research and development needs. By presenting design and operations this 2-year progress report is intended to assist other developing programs as QA/UR education increases nationally.

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