ED Throughput Measures May Unfairly Penalize High-Volume Urban Hospitals

Research published in the Annals of Emergency Medicine suggests certain factors, including a hospital’s location, may unfairly penalize organizations that do not meet emergency department throughput measures approved by the National Quality Forum.

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The four ED throughput measures quantify average ED length of visit for admitted and discharged patients; median waiting time; and rate of left without being seen. A study of 424 hospitals that reported data to the National Hospital Ambulatory Care Survey in 2008 to 2009 reveals a number of factors “outside of a hospital’s control” impact performance on these ED throughput measures:

•    ED volume
•    Metropolitan Statistical Area
•    Teaching hospital status
•    Patient age
•    Case mix

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