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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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Will the new Obama administration successfully address emergency medicine's most pressing problems? Some are not hopeful.
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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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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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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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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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Despite the challenges of overcrowding, underfunding, and staff shortages, experts say emergency medicine has made great progress in the last 20 years.
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Experts in emergency medicine often have correctly identified key challenges over the past 20 years; unfortunately, they have not been as adept at addressing them, say observers. However, the lessons learned at least point the way to future improvement, they add.
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Among the key challenges that have developed in the past 20 years and have not yet been addressed is the failure of the community's mental health system, according to James J. Augustine, MD, FACEP, director of clinical operations at Emergency Medicine Physicians, an emergency physician partnership group in Canton, OH.
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The current economic crisis is creating "strenuous times for ED leaders because all prudence will be necessary," notes Steven J. Davidson, MD, MBA, FACEP, chairman, Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY. "They are going to be challenged to be creative in finding ways to do things," he says.
