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Providers Call for Standardized ED Metrics

John Commins, for HealthLeaders Media, July 14, 2011

The ENA statement includes six agreed-upon definitions for:

  1. What an emergency department is;
  2. ED arrival time;
  3. ED offload time;
  4. ED transfer of care from pre-hospital providers' time;
  5. ED triage time; and
  6. ED treatment space time.

Robi Hellman, clinical practice manager, American Association of Critical-Care Nurses, said common metrics are needed because the sickest patients enter the nation's healthcare system through the ED. "Universally defined time stamps and intervals will ensure accurate patient hand-offs and consistency in health records," Hellman said.

The other organizations that signed onto the final statement are: the American Academy of Emergency Medicine; American Academy of Pediatrics; American College of Emergency Physicians; American Nurses Association; Association of periOperative Registered Nurses; Emergency Department Practice Management Association; and National Association of EMS Physicians.

The defined terms may be viewed here.

See Also:
How Boosting ED Efficiency Turbo-charges Metrics
Report: The Coordinated ED
The New ED: Keep Patients Out (but Happy)
ACEP Chief Rails Against ED Diversions, Scheduling


John Commins is a senior editor with HealthLeaders Media.

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2 comments on "Providers Call for Standardized ED Metrics"


carolyn ambrose (7/21/2011 at 10:55 AM)
I think it is very narrow minded to think that the hospitals/ED can solve this issue. The wider issue is access to care. We have to provide alternate access points to patients who perceive the ED as "free care". They walk in, are seen quicker than they can be seen anywhere else and walk out without spending a dime. This is especially true of welfare patients who are not even ask for a co-pay. Everyone else just says "NO" to a co-pay request. In addition primary care providers must step up and take care of their patients - time and time again I hear my doctor sent me here because I could not get an appointment. How about walk in hours at the office. Access to care is the issue not ED over crowding which is a symptom.

Lindsay (7/20/2011 at 12:12 PM)
ED over crowding is a hospitalwide problem. Untill the rest of the hospital gets on board not much can be done. ED's only have so much room, we need to be able to move our patients to there room more efficently. The hospital needs to have a plan of action. It really helped allot at Florida Hospital Orlando when our director started pushing hard for the whole hospital to get involved.