Speed of ED Care Goes Under Quality Microscope
Recently, I asked an emergency room physician a question that got a chuckle.
What, exactly, is "the door" -- as in "door-to-decision," "door-to-bed," "door-to-balloon," "door-to-scan" or "door-to-departure"?
How do you know when the patient actually came in "the door," to measure the speed of care, which of course closely relates to quality of care?
And while we're at it, what is really meant by "departure" from the ED, given the vagaries of the time so many patients spend on gurneys parked along hospital hallways?
The physician laughed, but in a good way, as if I had posed a question many other providers have also been asking. "Good question" was the response.
Now coalitions of emergency physicians and emergency nurses have taken the first steps to find some answers and define words or phrases commonly used in ED care, but which have meant different things in different settings – and resolve what has been a long-standing battleground over terminology.
"There's been a problem with people in EDs measuring different metrics, and there's been a problem with different definitions of metrics," says Sandra Schneider, president of the American College of Emergency Physicians, which participated in both coalitions.
- CEO Exchange: Preparing for Population Health
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Better HCAHPS Scores Protect Revenue
- Narrow Networks Cut Costs, Not Quality, Economists Say
- 3 Strategies for Retaining Millennial Employees
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- Hospital mergers may lead to higher prices
- 'Early Offer' Malpractice Programs May Spur Reform
- EHR Systems 'Immature, Costly,' AMA Says