Is it profitable?

Yes. Instacare provides a remarkable return on investment by eliminating patients leaving without being
seen, decreasing ambulance diversion and attracting patients far from the usual service area.

What about ED overcrowding?

Bed boarding of admitted patients is considered the main culprit of ED overcrowding due to loss of control
of ED patient flow. Instacare provides a "cushion" against this kind of operational breakdown by allowing
increased turnover of remaining beds even during high boarding census.

if so effective, why are there so few "30-Minute" EDs?

Most attempts to create a more efficient system in the emergency department are derailed by staff and
stakeholder resistance and the lack of an integrated and standardized approach. This prompts most institu-
tions to leave the current system in place. Instacare was developed to provide the supportive environment
and structure needed to accomplish system change in the shortest amount of time possible.

Can Instacare help to make ED care more cost-effective?

Absolutely. By allowing the medical clinical decision to happen at the beginning of the patient care process,
providers essentially function as "gatekeepers" that prevent the unnecessary X-ray and lab ordering common
in systems in which advanced nursing triage protocols have to be utilized due to prolonged waits.

Does this involve "Provider Triage"?

Maybe. There are different variations. Some systems use "Provider Triage", others involve "Rapid Screening"
and others utilize "Immediate Bedding". Regardless, the end result must significantly increase bed turnover
and decrease turnaround times and not all methodologies will be compatible with a particular institution.
Instacare was developed to objectively design, implement and monitor the right system for your ED.

Why do you license the program rather than just "consulting"?

Because continuous monitoring, improvement and quality control is necessary to prevent degradation of
performance. We approach clients as "Licensees" that must operate under supervision. This allows us
to continue to provide support and monitor the performance of any ED that bears the Instacare servicemark.