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Text
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URL Address
<a href="http://doi.org/10.1111/acem.12654" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/acem.12654</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
542-553
Issue
5
Volume
22
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Title
A name given to the resource
Emergency Department Performance Measures Updates: Proceedings of the 2014 Emergency Department Benchmarking Alliance Consensus Summit
Publisher
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Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-05
Subject
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care; costs; Emergency Medicine; operations; outcomes; patient satisfaction; project; publication guidelines; quality improvement; risk; stay
Creator
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Wiler J L; Welch S; Pines J; Schuur J; Jouriles N; Stone-Griffith S
Description
An account of the resource
ObjectivesThe objective was to review and update key definitions and metrics for emergency department (ED) performance and operations. MethodsForty-five emergency medicine leaders convened for the Third Performance Measures and Benchmarking Summit held in Las Vegas, February 21-22, 2014. Prior to arrival, attendees were assigned to workgroups to review, revise, and update the definitions and vocabulary being used to communicate about ED performance and operations. They were provided with the prior definitions of those consensus summits that were published in 2006 and 2010. Other published definitions from key stakeholders in emergency medicine and health care were also reviewed and circulated. At the summit, key terminology and metrics were discussed and debated. Workgroups communicated online, via teleconference, and finally in a face-to-face meeting to reach consensus regarding their recommendations. Recommendations were then posted and open to a 30-day comment period. Participants then reanalyzed the recommendations, and modifications were made based on consensus. ResultsA comprehensive dictionary of ED terminology related to ED performance and operation was developed. This article includes definitions of operating characteristics and internal and external factors relevant to the stratification and categorization of EDs. Time stamps, time intervals, and measures of utilization were defined. Definitions of processes and staffing measures are also presented. Definitions were harmonized with performance measures put forth by the Centers for Medicare and Medicaid Services (CMS) for consistency. ConclusionsStandardized definitions are necessary to improve the comparability of EDs nationally for operations research and practice. More importantly, clear precise definitions describing ED operations are needed for incentive-based pay-for-performance models like those developed by CMS. This document provides a common language for front-line practitioners, managers, health policymakers, and researchers. (C) 2015 by the Society for Academic Emergency Medicine
Identifier
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<a href="http://doi.org/10.1111/acem.12654" target="_blank" rel="noreferrer noopener">10.1111/acem.12654</a>
Format
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Journal Article
2015
Academic Emergency Medicine
care
costs
Emergency Medicine
Jouriles N
Journal Article
operations
outcomes
Patient Satisfaction
Pines J
project
publication guidelines
Quality Improvement
Risk
Schuur J
stay
Stone-Griffith S
Welch S
Wiler J L