Short-stay admissions via emergency departments: Potential observation unit cases?
Methods: This study examines the 2.4 million admissions in 2007 to 201 acute care general, medical-surgical hospitals located in Florida, of which 35 percent were short-stay admissions. The data come from all-payer discharge information from Intellimed. Short-stay admissions from the ED (regardless of insurance coverage) were examined as a percentage of all ED admissions with the second analysis stratifying by payment category. Standard least squares analyses were used to determine associations.
Results: Medicaid patients were more likely to be admitted via the ED as short-stay admissions. For-profit ownership was positively associated with both commercial and Medicaid short-stay admissions.
Conclusions: This study highlights the significant flow of ED admissions into short-stays and the importance of assessing the role ED observation units could play in minimizing admissions to inpatient beds that could otherwise be used for higher acuity patients.
Learning Areas:Administration, management, leadership
Systems thinking models (conceptual and theoretical models), applications related to public health
Assess the association of payment source and hospital ownership with the percentage of short-stay admissions (2 days or less) via emergency departments (EDs).
Keyword(s): Emergency Department/Room, Health Care Access
Qualified on the content I am responsible for because: I have conducted several studies and published extensively in the area of emergency medicine and observation units.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.