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

1 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

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

3 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

4 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

5 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

6 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

7 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

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

9 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

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

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

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

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

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

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

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

17 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

18 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

19 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

20 VETERANS HEALTH ADMINISTRATION

21 Questions Dr. Lisa Nocera Emergency Medicine VA New York Harbor Healthcare System Senior Women’s Health Consultant Women's Health Services Lisa.Nocera@va.gov Ileana V. Galvan Management Analyst, Reproductive Health Women’s Health Services Ileana.Galvan2@va.gov 21

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