Emergency Services for Women (ESW): National Toolkit Overview Lisa Nocera, MD Emergency Medicine New York Harbor Healthcare System Senior Women’s Health.

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Presentation transcript:

Emergency Services for Women (ESW): National Toolkit Overview Lisa Nocera, MD Emergency Medicine New York Harbor Healthcare System Senior Women’s Health Consultant Women's Health Services (WHS) August 2014 Department of Veterans Affairs

VETERANS HEALTH ADMINISTRATION Our Women Veterans: they served, they deserve, the best care anywhere

VETERANS HEALTH ADMINISTRATION Women Veterans Seeking Care Emergency Services - many women Veterans initial VA health system point of contact Over 20% of women using VHA had ≥1 ED visit High-quality gender-specific acute care is essential

VETERANS HEALTH ADMINISTRATION Women’s Health Service & VA National Emergency Medicine Partner to support Emergency Departments (ED) and Urgent Care Clinics (UCC) in ensuring delivery of quality acute care to all women Veterans

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW) Initiative Multidisciplinary panel of VA experts Workgroup All 120 VA EDs & UCCs National Survey ESW Survey results addressed Stakeholder Panel

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW) Initiative 16 awards to support field-based local innovation Innovation Grants Online toolkit of searchable tools for EM providers and nurses National Toolkit Guidance on priority policy areas Emergency Medical Services for Women Information Letter

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Best practice standards Common & high acuity presentations Help guide and streamline emergency care of women

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Key Clinical Presentations – Vaginal Bleeding – Pelvic/Abdominal Pain – Vaginal Discharge – Acute Sexual Assault

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Key Clinical Tools – Clinical Pathways – Decision Support – Recommended Equipment and Supplies – Practice Redesign and Service Agreements

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Interactive Clinical Pathways

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Clinical Decision Support – Algorithms – Checklists – Order Sets – Note Templates

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Clinical Decision Support – Algorithms – Checklists – Order Sets – Note Templates

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Clinical Decision Support – Algorithms – Checklists – Order Sets – Note Templates

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Clinical Decision Support – Algorithms – Checklists – Order Sets – Note Templates

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Recommended Equipment & Supplies Sample ED Gynecologic Cart, Atlanta VA ED

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Practice Redesign & Service Agreements

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit VA Policy Guides – Under Secretary for Health EMSW Information Letter – VA Emergency Services Directives Other Resources – Prescribing support for pregnancy and breastfeeding

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Educational Resources – MyVeHU: Women’s Health Core Topics in Emergency Care – Talent Management System (TMS): Emergency Care Series – Breast and Pelvic Exam Independent Study

VETERANS HEALTH ADMINISTRATION Emergency Services for Women (ESW): National Toolkit Best practice standards Common & high acuity presentations Help guide and streamline emergency care of women

VETERANS HEALTH ADMINISTRATION

Questions Dr. Lisa Nocera Emergency Medicine VA New York Harbor Healthcare System Senior Women’s Health Consultant Women's Health Services Ileana V. Galvan Management Analyst, Reproductive Health Women’s Health Services 21