The impact of two freestanding emergency departments on a tertiary care center

The Journal of Emergency Medicine
Erin L SimonNicholas J Jouriles

Abstract

Freestanding emergency departments (FEDs) have become increasingly popular as the need for emergency care continues to grow. To analyze the impact of two FEDs on a local tertiary care center's patient volume and admission rates. A retrospective analysis examined monthly volume and admission rates for the main ED and two FEDs located 9.6 and 12 miles away. Main ED census records were divided into three distinct time frames: period A (control) was January 2007 through June 2007. Period B was July 2007 through July 2009 when one FED was open. Period C was August 2009 through June 2010 when both FEDs were open. A two-factor analysis of variance was used to analyze admission rates while adjusting for monthly variation. The mean monthly patient volume for the main ED was 4709 for period A, but dropped significantly (p<0.01) to 4447 for period B, and again dropped significantly (p<0.01) to 4242 during period C. The volume for all facilities increased throughout the study period. A combined monthly volume increase to 5642 occurred in Period B, and increased to 6808 in Period C. The adjusted mean admission rate at the main ED for period A was 0.221, which dropped somewhat, though not significantly (p=0.3505) to 0.213 for period B, and t...Continue Reading

References

Dec 1, 1983·Annals of Emergency Medicine·T J Kinney, L Gerson
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Citations

Apr 10, 2014·Disaster Medicine and Public Health Preparedness·David C LeeNirav R Shah
Feb 24, 2015·The American Journal of Emergency Medicine·Erin L SimonNicholas Jouriles
Dec 3, 2014·The Journal of Emergency Medicine·Erin L SimonKseniya Orlik
Aug 28, 2016·The American Journal of Emergency Medicine·Erin L SimonNicholas Jouriles
Sep 7, 2016·The Journal of Emergency Medicine·Erin L SimonNicholas Jouriles
Feb 9, 2017·Pediatric Emergency Care·Katherine M NicholsIn K Kim
Aug 31, 2017·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Nitish PatidarCarlos A Camargo
Oct 23, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Vivian HoMurtaza Akhter
Oct 18, 2016·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Robert L KernerJohn Galbraith Simmons
Sep 21, 2020·Annals of Emergency Medicine·Rain E FreemanCarlos A Camargo
Apr 4, 2021·The American Journal of Emergency Medicine·Frederick Q LuMichael K Paasche-Orlow
Jul 16, 2017·The American Journal of Emergency Medicine·Daniel B Gingold, Robert M Brown

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