title: Re-engineering regional poison control center services.
abstract: In summary, I propose a model of poison control service delivery to replace poison control centers. A handful of financially self-sustaining poison consult centers would remain. All other services would be provided by health plans to their members, including those covered under State-funded managed care. The need for continued fundraising efforts would be eliminated. Rather than devoting large sums of money to consolidate the State's 6 centers into 1 large center, I encourage Blue Cross of California to fund the protocol development process that will drive a true restructuring effort for poison control services. In our hearts, if our goal is to ensure continued service provision, then let's take the initiative to re-engineer the way we do business. The risks of doing nothing more than seek continued funding for the existing service delivery model should be painfully obvious by now. If your individual goals include survival for your center, then there's great news. The demand for call centers providing a wide range of advice services is approaching a critical level. Most health and hospital systems are moving to a managed care environment. Health care delivery is quickly moving out of the hospital to ambulatory services. Telemedicine is here--and growing very quickly. Distance learning technology is knocking at the door. There is plenty to do. With sound strategic development, your center will survive--it just won't look or feel the same as its does today. Survival the way it used to be ...uh, except for the computers and stuff.
authors.affiliation: Clinical Teleservices, Santa Clara Valley Regional Poison Center, Santa Clara Valley Health and Hospital Systems, San Jose, CA 95128, USA. wielamic@wpgate.hhs.co.santa-clara.ca.us
authors.forename: M J
authors.initials: MJ
authors.lastname: Wieland
mesh_terms: D002140:California; D003625:Data Collection; D004501:Education, Medical; D015277:Hotlines / Q000592:standards; D011039:Poison Control Centers / Q000191:economics / Q000592:standards*; D011041:Poisoning / Q000517:prevention & control