The Michigan Emergency Department Improvement Collaborative (MEDIC) collects and analyzes data on adult and pediatric patients receiving common and costly procedures during emergency department visits. This work includes three broad categories, all with potential cost savings available:
- Diagnostic testing. For example, decision-making around advanced imaging such as computed tomography (CT) scans, magnetic resonance imaging (MRI) and ultrasound.
- Treatment and processes of care. For example, ensuring prompt door-to-balloon time in ST-elevation myocardial infarction, timely initiation of appropriate antibiotics in septic shock, and provision of thrombolytics in acute ischemic stroke.
- Transitions of care. For example, choosing appropriate patients for hospitalization and ensuring quality transitions for those patients discharged for follow up with outpatient providers.