Abstract
48 A Novel Approach to Addressing an Unintended Consequence of Direct to Room: The Delay of Initial Vital Signs
Highlights
The goal of this study was to quantify the impact of a concierge physician on patient flow dynamics in the emergency department (ED) setting
Patients evaluated by a Concierge Physician (CP) were seen 36 min faster (40% reduction in door-to-doctor time), but stayed 28 min longer in the ED on average, because the medical decisionmaking process took 63 min longer when initially evaluated by a CP. (Table 1)
Study Objectives: Emergency department (ED) outcome measures depend in large part on the quality of the emergency physicians and patient flow strategies
Summary
The goal of this study was to quantify the impact of a concierge physician on patient flow dynamics in the ED setting. Our goal was to determine the impact on quality metrics in transitioning to a 24/7/ 365 American Board of Emergency Medicine (ABEM) staffed ED and enhanced front end patient flow strategies in a rural critical access hospital ED in central Minnesota
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