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Is it an extremely creative solution to one of emergency medicines most nagging problems, or a violation of the Emergency Medical Treatment and Labor Act (EMTALA)?
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In the third quarter of 2001, the ED at Methodist Medical Center of Illinois, Peoria, ranked in the 17th percentile in patient satisfaction surveys by Press Ganey Associates in South Bend, IN. By the end of 2003, that number had risen incredibly to the 95th percentile.
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David C. Seaberg, MD, a board member of the American College of Emergency Physicians (ACEP), has proposed a 10-point plan to increase capacity, alleviate overcrowding, and improve surge capacity in the nations emergency departments (ED).
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In an unsavory distinction, the lead author of the Rockville, MD-based Agency for Healthcare Research and Quality (AHRQ) has singled out the nations EDs as the worst performers in its 2005 National Healthcare Quality Report.
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At Southern Regional Medical Center in Riverdale, GA, the credit cards of one of the emergency nurses was stolen while she was at work, and the thieves used them all day.
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Question: Imagine the following situation: John Smith presents to the ED of Community Hospital. Hugo Brown, MD, in the ED performs a medical screening examination and determines that Smith has an emergency medical condition.
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While addressing the new accreditation standard for overcrowding (LD.3.11), one hospital has managed to decrease its treatment times, drop its walkout rate, improve its patient satisfaction scores, and improve its revenue capture, despite increasing patient volumes.
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The ED at Tahlequah (OK) City Hospital has been on diversion for just one hour in the past two years, says Brian Hail, RN, director of the department. According to Hail, his department has combined the good fortune of close proximity to another hospital with an array of targeted strategies to achieve such an impressive statistic.
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Numerous emergency medicine experts have noted that a number of ED overcrowding and flow problems really are hospitalwide problems; few, however, have recommended running a hospital "like" an ED to solve those problems.
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There has been a significant amount of confusion among ED managers and others regarding a new national patient safety goal on patient suicides, according to the Joint Commission on Accreditation of Healthcare Organizations.
