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

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Summary

Objectives

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

Methods
Results
Conclusion

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