A Field Test of Time-Based Emergency Department Quality Measures

McClelland, Mark; Jones, Karen C.; Siegel, B. Z.; Pines, Jesse M.

doi:10.1016/j.annemergmed.2011.06.013

Cited by 26 publications

(15 citation statements)

References 9 publications

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“…Urgent Matters performed a first‐of‐its‐kind field test to generate information on the clarity of the measures and the benefits and burdens of the ED performance measures (Table 4). 20 The CMS cited this study in the Federal Register 21…”

Section: The Urgent Matters Toolkit: Strategies That Workmentioning

confidence: 99%

The Past, Present, and Future of Urgent Matters: Lessons Learned from a Decade of Emergency Department Flow Improvement

McClelland

Lazar²,

Sears³

et al. 2011

Academic Emergency Medicine

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Over the past decade, emergency departments (ED) have encountered major challenges due to increased crowding and a greater public focus on quality measurement and quality improvement. Responding to these challenges, many EDs have worked to improve their processes and develop new and innovative models of care delivery. Urgent Matters has contributed to ED quality and patient flow improvement by working with hospitals throughout the United States. Recognizing that EDs across the country are struggling with many of the same issues, Urgent Matters-a program funded by the Robert Wood Johnson Foundation (RWJF)-has sought to identify, develop, and disseminate innovative approaches, interventions, and models to improve ED flow and quality. Using a variety of techniques, such as learning networks (collaboratives), national conferences, e-newsletters, webinars, best practices toolkits, and social media, Urgent Matters has served as a thought leader and innovator in ED quality improvement initiatives. The Urgent Matters Seven Success Factors were drawn from the early work done by program participants and propose practical guidelines for implementing and sustaining ED improvement activities. This article chronicles the history, activities, lessons learned, and future of the Urgent Matters program.

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Section: The Urgent Matters Toolkit: Strategies That Workmentioning

confidence: 99%

The Past, Present, and Future of Urgent Matters: Lessons Learned from a Decade of Emergency Department Flow Improvement

McClelland

Lazar²,

Sears³

et al. 2011

Academic Emergency Medicine

Self Cite

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show abstract

“…5 Timeliness and effective care are core attributes of emergency care delivery and have been used to describe ED performance. 43,44 They have also been critical measures used to facilitate notable changes in ED operations and quality improvement research. [45][46][47][48][49] Time metrics (the time it takes for certain processes and subcycles of care to be performed) and proportion metrics (percent defects) have become de facto markers for quality in the literature.…”

Section: Subcycle Intervalsmentioning

confidence: 99%

Emergency Department Performance Measures Updates: Proceedings of the 2014 Emergency Department Benchmarking Alliance Consensus Summit

Wiler

Welch

Pines

et al. 2015

Academic Emergency Medicine

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Objectives: The objective was to review and update key definitions and metrics for emergency department (ED) performance and operations.Methods: Forty-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.Results: A 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.Conclusions: Standardized 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.ACADEMIC EMERGENCY MEDICINE 2015;22:542-553

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“…Instead, there is wider agreement about process indicators showing the timeliness and efficiency of EDs; the most frequently used ones are waiting times (sometimes adjusted for triage category), time seeing the physician, appropriateness of care and hospital admission (NHS Executive, ; Lindsay et al , ; Cameron et al , ). It is also increasingly necessary to measure the rising numbers of ED patients, which cause overcrowding and impact negatively on times, patient care quality and safety (Bernstein et al , ; McClelland et al , ).…”

Section: Performance In Emergency Departmentsmentioning

confidence: 83%

The impact of regional policies on emergency department management and performance: the case of the regional government of Sicily

Fanelli

Ferretti

Zangrandi

2015

Int J Health Plann Mgmt

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A Field Test of Time-Based Emergency Department Quality Measures

Cited by 26 publications

References 9 publications

The Past, Present, and Future of Urgent Matters: Lessons Learned from a Decade of Emergency Department Flow Improvement

The Past, Present, and Future of Urgent Matters: Lessons Learned from a Decade of Emergency Department Flow Improvement

Emergency Department Performance Measures Updates: Proceedings of the 2014 Emergency Department Benchmarking Alliance Consensus Summit

The impact of regional policies on emergency department management and performance: the case of the regional government of Sicily

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