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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.
quality improvement, emergency department, telehealth
Emergency Medicine | Medicine and Health Sciences | Telemedicine
Fuega, R.; Maloney, K.; Band, R. A.; Slovis, B. H.; London, K. S.; and White, J. L., "Implementation of a ‘Flow’ Attending Reduces Overall ED Length of Stay in Telehealth Intake Model" (2019). House Staff Quality Improvement and Patient Safety Conference (2016-2019). Poster 134.