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FSED Research

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23 papers 0 to 25 followers
By Cedric Dark MD, MPH, FACEP
Vivian Ho, Leanne Metcalfe, Cedric Dark, Lan Vu, Ellerie Weber, George Shelton, Howard R Underwood
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at
February 15, 2017: Annals of Emergency Medicine
Mark E A Escott
No abstract text is available yet for this article.
December 2015: JEMS: a Journal of Emergency Medical Services
Erin L Simon, Gregory Griffin, Kseniya Orlik, Zhenyu Jia, Dave Hayslip, Daniel Kobe, Nicholas Jouriles
BACKGROUND: It has been speculated that freestanding emergency departments (FEDs) draw more affluent, better-insured patients away from urban hospital EDs. It is believed that this leaves urban hospital-based EDs less financially secure. OBJECTIVE: We examined whether the distribution of patients with four types of insurance (self-pay, Medicaid, Medicare, and private) at the main ED changed after opening three affiliated FEDs, and whether the insurance type distribution was different between main ED and FEDs and between individual FEDs...
October 2016: Journal of Emergency Medicine
Robert L Kerner, Kathleen Gallo, Michael Cassara, John D ľAngelo, Anthony Egan, John Galbraith Simmons
Simulation in multiple contexts over the course of a 10-week period served as a core learning strategy to orient experienced clinicians before opening a large new urban freestanding emergency department. To ensure technical and procedural skills of all team members, who would provide care without on-site recourse to specialty backup, we designed a comprehensive interprofessional curriculum to verify and regularize a wide range of competencies and best practices for all clinicians. Formulated under the rubric of systems integration, simulation activities aimed to instill a shared culture of patient safety among the entire cohort of 43 experienced emergency physicians, physician assistants, nurses, and patient technicians, most newly hired to the health system, who had never before worked together...
October 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Catherine Gutierrez, Rachel A Lindor, Olesya Baker, David Cutler, Jeremiah D Schuur
Freestanding emergency departments (EDs), which offer emergency medical care at sites separate from hospitals, are a rapidly growing alternative to traditional hospital-based EDs. We evaluated state regulations of freestanding EDs and describe their effect on the EDs' location, staffing, and services. As of December 2015, thirty-two states collectively had 400 freestanding EDs. Twenty-one states had regulations that allowed freestanding EDs, and twenty-nine states did not have regulations that applied specifically to such EDs (one state had hospital regulations that precluded them)...
October 1, 2016: Health Affairs
Jeremiah D Schuur, Olesya Baker, Jaclyn Freshman, Michael Wilson, David M Cutler
STUDY OBJECTIVE: We determine the number and location of freestanding emergency departments (EDs) across the United States and determine the population characteristics of areas where freestanding EDs are located. METHODS: We conducted a systematic inventory of US freestanding EDs. For the 3 states with the highest number of freestanding EDs, we linked demographic, insurance, and health services data, using the 5-digit ZIP code corresponding to the freestanding ED's location...
April 2017: Annals of Emergency Medicine
Nitish Patidar, Robert Weech-Maldonado, Stephen J O'Connor, Bisakha Sen, J M Mickey Trimm, Carlos A Camargo
BACKGROUND: Freestanding emergency departments (FSEDs) are fast growing entities in health care, delivering emergency care outside of hospitals. Hospitals may benefit in several ways by opening FSEDs. PURPOSE: The study used the resource dependence theory as a means to analyze the relationship between market and organizational factors and the likelihood of hospitals to operate FSEDs. METHODOLOGY: All acute care hospitals in 14 states with FSEDs present during the study period from 2002 to 2011...
July 2017: Health Care Management Review
Philip Libassi
No abstract text is available yet for this article.
June 2013: Health Facilities Management
Benjamin J Lawner, Jon Mark Hirshon, Angela C Comer, Jose V Nable, Jeffrey Kelly, Richard L Alcorta, Laura Pimentel, Christina L Tupe, Mary Alice Vanhoy, Brian J Browne
OBJECTIVE: The objective of the study is to examine the effect of the opening of a freestanding emergency department (FED) on the surrounding emergency medical services (EMS) system through an examination of EMS system metrics such as ambulance call volume, ambulance response times, and turnaround times. METHODS: This study is based on data from the county's computer-aided dispatch center, the FED, and the Maryland Health Services Cost Review Commission. The analysis involved a pre/post design, with a 6-month washout period...
August 2016: American Journal of Emergency Medicine
Kseniya Orlik, Christina M Campana, Michael S Beeson, Erin L Simon
No abstract text is available yet for this article.
August 2015: American Journal of Emergency Medicine
Austin S Kilaru, Douglas J Wiebe, David N Karp, Jennifer Love, Michael J Kallan, Brendan G Carr
BACKGROUND: Effective measurement of health care quality, access, and cost for populations requires an accountable geographic unit. Although Hospital Service Areas (HSAs) and Hospital Referral Regions (HRRs) have been extensively used in health services research, it is unknown whether these units accurately describe patterns of hospital use for patients living within them. OBJECTIVES: To evaluate the ability of HSAs, HRRs, and counties to define discrete health care populations...
June 2015: Medical Care
Erin L Simon, Mitch Kovacs, Zhenyu Jia, Dave Hayslip, Kseniya Orlik, Nicholas Jouriles
INTRODUCTION: Freestanding emergency departments (FEDs) have grown in popularity. They often provide emergent care in areas distant from other EDs. Investigations and research to characterize the operation and dynamics of FEDs are needed. This study characterizes the severity of illness seen at FEDs and compares it with a hospital-based urban tertiary care ED using the emergency severity index (ESI), a quantification of patient acuity. METHODS: Patient ESI levels were analyzed retrospectively over 1 year for a single hospital system with 1 main urban hospital-based ED and 3 FEDs...
April 2015: American Journal of Emergency Medicine
(no author information available yet)
No abstract text is available yet for this article.
November 2014: Annals of Emergency Medicine
Erin L Simon, Kantha Medepalli, Carolyn J Williams, Andrew Yocum, Eric Abrams, Gregory Griffin, Kseniya Orlik
BACKGROUND: Freestanding emergency departments (FEDs) continue to grow in number and more research is needed on these facilities. OBJECTIVE: We sought to characterize the types of injuries and patients who initially presented to two FEDs and were transferred to the main tertiary care ED for trauma team consult and admission. METHODS: This retrospective cohort descriptive study examined medical records of adult trauma patients who were initially seen at an FED and then transferred to the main ED...
February 2015: Journal of Emergency Medicine
David C Lee, Silas W Smith, Christopher M McStay, Ian Portelli, Lewis R Goldfrank, Gregg Husk, Nirav R Shah
A freestanding, 911-receiving emergency department was implemented at Bellevue Hospital Center during the recovery efforts after Hurricane Sandy to compensate for the increased volume experienced at nearby hospitals. Because inpatient services at several hospitals remained closed for months, emergency volume increased significantly. Thus, in collaboration with the New York State Department of Health and other partners, the Health and Hospitals Corporation and Bellevue Hospital Center opened a freestanding emergency department without on-site inpatient care...
April 9, 2014: Disaster Medicine and Public Health Preparedness
Erin L Simon, Peter Griffin, Kantha Medepalli, Gregory Griffin, Carolyn J Williams, Michael Hewit, Thomas S Lloyd
BACKGROUND: Freestanding emergency departments (FEDs) introduce a challenge to physicians who care for the patient with an ST-segment elevation myocardial infarction (STEMI) because treatment is highly time dependent. FEDs have no percutaneous coronary intervention (PCI) capabilities, which necessitates transfer to a PCI-capable facility or fibrinolysis. STUDY OBJECTIVE: Our aim was to determine the proportion of STEMI patients who arrived to an FED and were subsequently transferred for PCI and met the door-to-balloon reperfusion guidelines of 90 min...
May 2014: Journal of Emergency Medicine
Janet Scott
No abstract text is available yet for this article.
September 2012: Radiology Management
Ashley F Sullivan, Chethan Bachireddy, Anne P Steptoe, Justin Oldfield, Taneisha Wilson, Carlos A Camargo
BACKGROUND: Freestanding Emergency Departments (FSEDs) have emerged as an alternative to traditional hospital-based emergency care. STUDY OBJECTIVE: We sought to determine the number, basic types, distribution, and characteristics of United States (US) FSEDs in 2007. METHODS: Combining data from the 2007 National Emergency Department Inventory-USA database, the 2007 American Hospital Association Annual Survey of Hospitals, Internet searches, and telephone calls, we established an inventory of FSEDs...
December 2012: Journal of Emergency Medicine
Erin L Simon, Peter L Griffin, Nicholas J Jouriles
BACKGROUND: Freestanding emergency departments (FEDs) have become increasingly popular as the need for emergency care continues to grow. OBJECTIVE: To analyze the impact of two FEDs on a local tertiary care center's patient volume and admission rates. METHODS: A retrospective analysis examined monthly volume and admission rates for the main ED and two FEDs located 9.6 and 12 miles away. Main ED census records were divided into three distinct time frames: period A (control) was January 2007 through June 2007...
December 2012: Journal of Emergency Medicine
Alan M Zuckerman
No abstract text is available yet for this article.
August 2007: Healthcare Financial Management: Journal of the Healthcare Financial Management Association
2015-11-17 22:09:18
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