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Description

Background

In an effort to improve our efficiency, the Department of Emergency Medicine recently transitioned from an in person physician triage model to a telehealth intake model. With this change, many new gaps have been identified. By uncoupling triage from the in person intake provider, we lost the ability to manage “quick” discharges, to provide secondary oversight of the patients in the internal waiting room, and to directly supervise patients seen in the fast track area. In order to address these new concerns, and to mitigate the loss felt by removing the in person provider from intake, a ‘flow’ attending role was added. Our objective in this study was to determine if the addition of an attending physician for 30 hours per week significantly impacted our patient flow through the department, which we measured primarily using length of stay for discharged patients.

Publication Date

6-6-2019

City

Philadelphia

Keywords

quality improvement, emergency department, telehealth

Disciplines

Emergency Medicine | Medicine and Health Sciences | Telemedicine

Comments

Presented at the 2019 House Staff Quality Improvement and Patient Safety Conference

Implementation of a ‘Flow’ Attending Reduces Overall ED Length of Stay in Telehealth Intake Model

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