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While the long-term future for emergency medicine is bright, ED managers and their staffs will see some tough times in the short term, predicts Thom Mayer, MD, FACEP, president and CEO of Best Practices, an emergency medicine, pediatric emergency medicine, and physician leadership management firm based in Fairfax, VA.
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The EDs of the futures will look "far more like critical care centers," predicts Thom A. Mayer, MD, FACEP, president and CEO of Best Practices an emergency medicine, pediatric emergency medicine, and physician leadership management firm based in Fairfax, VA.
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Peering accurately years into the future requires a crystal ball that no one possesses, so how do you prepare? Observers of emergency medicine share common visions in several key areas.
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With the likelihood that the Centers for Medicare & Medicaid Services (CMS) will adopt some or all of the 10 national voluntary consensus standards for hospital-based ED care recently endorsed by the National Quality Forum (NQF), experts advise ED managers to begin preparing now to be in compliance. Besides, they argue, the new measures will help them improve the efficiency and quality of their departments.
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Will the new Obama administration successfully address emergency medicine's most pressing problems? Some are not hopeful.
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The natural excitement and optimism that normally accompany the transition to a new administration are not universally shared by ED experts, judging by their comments to ED Management.
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Emergency medicine experts say the lagging economy is putting additional pressure on EDs that are already stretched to the limit, and that ED managers can look forward to even greater demand from patients while financial woes will lead to staff cuts, further exacerbating the situation.
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A lot can happen in 20 years, and certainly a lot has happened in the practice of emergency medicine both good and bad. But experts seem to agree that no single event has had more impact on the field than the passage of the Emergency Medical Treatment and Labor Act (EMTALA).
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Patient flow is an issue that continues to plague ED managers as patient demand outstrips capacity. However, several creative managers and their staffs have developed successful strategies for improving flow. In this ED Management special issue, you'll hear from many of them:
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(Editor's note: This is the first part of a two-part series on posting wait times online. In this story, we tell you how two EDs prepared to add this service. In next month's issue, we'll tell you how the EDs used a test web site to help the staff become acclimated to the new system.)
