Table 3.
ED-ALTO Alternative Procedure Utilization in the Pre- and Post-implementation Periods by Diagnoses Treated.
| Pre- Period N |
Pre-Implementation Diagnoses Treated |
Post- Period N |
Post-Implementation Diagnoses Treated * |
|
|---|---|---|---|---|
| Total Procedures | 98 | 167 | ||
| Nerve Block, N | 86 | 82 | ||
| Endocrine, Nutritional, Metabolic | 1 | Type 2 Diabetes | 0 | |
| Mental and Behavioral Disorders | 1 | Alcohol Related Disorders | 0 | |
| Diseases of the Nervous System | 0 | 1 | Headache | |
| Circulatory System | 1 | Cerebrovascular aneurysm | 0 | |
| Digestive System | 31 | Diseases of the mouth, teeth, and jaw | 36 | Diseases of the mouth, teeth, and jaw; Other chronic pain |
| Skin and Subcutaneous Tissue | 3 | Cellulitis and acute lymphangitis; Nail Disorders | 0 | |
| Musculoskeletal and Connective Tissue | 6 | Chronic lower back pain; Soft tissue disorders | 2 | Chronic low back pain |
| Genitourinary System | 1 | Priapism | 0 | |
| Symptoms, Signs and Abnormal Clinical and Lab Findings |
2 | Headache; Syncope and collapse | 4 | Headache; Jaw Pain |
| Injury, Poisoning, Certain Other Consequences of External Causes |
35 | Injury of the lower arm; Injury of the hand, wrist, or finger(s); Injury of the knee; Injury of the foot, ankle, or toe(s); Injury (unspecified) | 36 | Injury of the skull and facial bones; Fracture of rib(s); Injury of the shoulder or upper arm; Fracture of femur; Injury of the hand, wrist, or fingers; Injury of the foot, ankle, or toe(s); Poisoning |
| External Causes of Morbidity | 4 | Pedestrian conveyance accident; Sprain of thoracic spinal ligament(s); Fall; Assault; Perpetrator of assault | 2 | Fall; Contact with rodent |
| Factors Influencing Health Status and Contact with Health Services | 1 | Orthopedic aftercare | 1 | Other specified health status |
| Trigger Point Injection, N | 12 | 46 | ||
| Diseases of the Nervous System | 1 | Carpal tunnel syndrome | 1 | Headache |
| Circulatory System | 0 | 1 | Deep vein thrombosis | |
| Diseases of the Respiratory System | 0 | 1 | Asthma | |
| Skin and Subcutaneous Tissue | 0 | 1 | Disorders of skin | |
| Musculoskeletal and Connective Tissue |
11 |
Chronic low back pain; Disorders of muscle; Disorders of bone |
32 | Disorders of joints; Chronic Low back pain; Disorders of muscle; Soft tissue disorders |
| Symptoms, Signs and Abnormal Clinical and Lab Findings |
0 | 6 | Headache; Abdominal pain | |
| Injury, Poisoning, Certain Other Consequences of External Causes |
0 | 4 | Injury of thorax; Injury of shoulder or upper arm | |
| Acupuncture, N | 0 | 17 | ||
| Diseases of the Nervous System | 0 | 1 | Polyneuropathy | |
| Digestive System | 0 | 2 | Abdominal Pain | |
| Musculoskeletal and Connective Tissue |
0 | 7 | Hip pain; Chronic low back pain; Soft tissue disorders | |
| Symptoms, Signs and Abnormal Clinical and Lab Findings |
0 | 3 | Abdominal Pain; Headache | |
| Injury, Poisoning, Certain Other Consequences of External Causes |
0 | 2 | Injury of neck; Injury of shoulder or upper arm | |
| External Causes of Morbidity | 0 | 2 | Traffic accident; Fall | |
| Acupuncture and Electrostimulation, N | 0 | 21 | ||
| Certain Infectious and Parasitic Diseases |
0 | 1 | Trichomoniasis | |
| Musculoskeletal and Connective Tissue |
0 | 18 | Disorders of joints; Chronic low back pain | |
| Symptoms, Signs and Abnormal Clinical and Lab Findings |
0 | 1 | Abdominal Pain | |
| External Causes of Morbidity | 0 | 1 | Fall | |
| Acupuncture and Nerve Block, N | 0 | 1 | ||
| Diseases of the Nervous System | 0 | 1 | Disorders of autonomic nervous system |
|
|
Trigger Point Injection and
Electrostimulation, N |
0 | 2 | ||
| Musculoskeletal and Connective Tissue |
0 | 2 |
Chronic low back pain; Disorders of muscle |
* Bolded diagnoses indicate conditions specifically targeted with ED-ALTO education and bedside training.