2024
Total and Out-of-Pocket Costs Surrounding Emergency Department Care Among Older Adults Enrolled in Traditional Medicare and Medicare Advantage
Gettel C, Salah W, Rothenberg C, Liang Y, Schwartz H, Scott K, Hwang U, Hastings S, Venkatesh A. Total and Out-of-Pocket Costs Surrounding Emergency Department Care Among Older Adults Enrolled in Traditional Medicare and Medicare Advantage. Annals Of Emergency Medicine 2024 PMID: 38864783, DOI: 10.1016/j.annemergmed.2024.04.023.Peer-Reviewed Original ResearchOut-of-pocketED visitsTraditional MedicareOlder adultsEmergency departmentMedicare AdvantageMedicare Advantage plan enrolleesMedicare Current Beneficiary SurveyEmergency department careTreat-and-releaseOut-of-pocket expensesOut-of-pocket health care spendingHealth care spendingCross-sectional analysisProportion of costsMedian totalEmergency careTreat-and-release emergency departmentBeneficiary SurveyMedian total costProportion of expensesCare spendingPlan enrolleesMedicareVisits
2023
Leveraging a Learning Collaborative Model to Develop and Pilot Quality Measures to Improve Opioid Prescribing in the Emergency Department
Hawk K, Weiner S, Rothenberg C, Bernstein E, D'Onofrio G, Herring A, Hoppe J, Ketcham E, LaPietra A, Nelson L, Perrone J, Ranney M, Samuels E, Strayer R, Sharma D, Goyal P, Schuur J, Venkatesh A. Leveraging a Learning Collaborative Model to Develop and Pilot Quality Measures to Improve Opioid Prescribing in the Emergency Department. Annals Of Emergency Medicine 2023, 83: 225-234. PMID: 37831040, DOI: 10.1016/j.annemergmed.2023.08.490.Peer-Reviewed Original ResearchAtraumatic back painCommunity EDED visitsBack painOpioid prescribing practicesFirst-line treatmentEmergency department patientsOpioid use disorderQuality improvement projectEvidence-based resourcesOpioid administrationOpioid prescriptionsDental painSafe analgesiaDepartment patientsOpioid pillsPrescribing practicesEmergency departmentAmerican CollegeUse disordersMedication safety educationPainOpioidsImprovement projectVisitsThe Cost Shifting Economics of United States Emergency Department Professional Services (2016–2019)
Pines J, Zocchi M, Black B, Carr B, Celedon P, Janke A, Moghtaderi A, Oskvarek J, Venkatesh A, Venkat A, Group A. The Cost Shifting Economics of United States Emergency Department Professional Services (2016–2019). Annals Of Emergency Medicine 2023, 82: 637-646. PMID: 37330720, DOI: 10.1016/j.annemergmed.2023.04.026.Peer-Reviewed Original ResearchConceptsNationwide Emergency Department SampleED visitsCommercial insuranceUninsured ED visitsEmergency Department SampleHealth Care Cost InstituteUnreimbursed careED cliniciansMedicaid visitsPatientsInsurance sourceMedicare visitsVisitsMedicaidHealth insuranceLongstanding effectsMedicareCliniciansProfessional servicesInsuranceTelehealth Clinical Appropriateness and Quality
Wang L, Fabiano A, Venkatesh A, Patel N, Hollander J. Telehealth Clinical Appropriateness and Quality. Telemedicine Reports 2023, 4: 87-92. PMID: 37283853, PMCID: PMC10240320, DOI: 10.1089/tmr.2023.0019.Peer-Reviewed Original ResearchEstimated reimbursement impact of COVID‐19 on emergency physicians
Venkatesh A, Janke A, Koski‐Vacirca R, Rothenberg C, Parwani V, Granovsky M, Burke L, Li S, Pines J. Estimated reimbursement impact of COVID‐19 on emergency physicians. Academic Emergency Medicine 2023, 30: 636-643. PMID: 36820470, DOI: 10.1111/acem.14700.Peer-Reviewed Original ResearchConceptsNationwide Emergency Department SampleED visitsEmergency physiciansSecondary analysisCOVID-19Acute care utilizationEmergency Department SampleEmergency Department registryCOVID-19 pandemicHealth care servicesEmergency department sitesReimbursement impactCare utilizationBilling codesInsurance payerDepartment registryPrimary analysisCare servicesPhysiciansReimbursement lossHealth careStudy sampleVisitsPandemic-related lossReimbursementReal-World Observational Evaluation of Common Interventions to Reduce Emergency Department Prescribing of Opioid Medications
Sangal R, Rothenberg C, Hawk K, D'Onofrio G, Hsiao A, Solad Y, Venkatesh A. Real-World Observational Evaluation of Common Interventions to Reduce Emergency Department Prescribing of Opioid Medications. The Joint Commission Journal On Quality And Patient Safety 2023, 49: 239-246. PMID: 36914528, DOI: 10.1016/j.jcjq.2023.01.013.Peer-Reviewed Original ResearchConceptsOpioid prescribingED visitsElectronic health recordsOpioid prescriptionsEmergency department opioid prescriptionsAnalgesia prescriptionOpioid stewardshipOpioid medicationsSecondary outcomesPrimary outcomePreintervention periodInterruptive alertsCommon interventionPrescribingAlert fatigueElectronic prescribingPrevious interventionsHospital systemObservational evaluationHealth recordsVisitsStewardship policiesInterventionOutcomesPrescriptionChoice Architecture to Assist Clinicians with Appropriate COVID-19 Test Ordering
Sangal R, Venkatesh A, Cahill J, Pettker C, Peaper D. Choice Architecture to Assist Clinicians with Appropriate COVID-19 Test Ordering. The Journal Of Applied Laboratory Medicine 2023, 8: 98-105. PMID: 36610419, DOI: 10.1093/jalm/jfac104.Peer-Reviewed Original ResearchConceptsRSV testingSymptomatic visitsED visitsSARS-CoV-2 nucleic acid amplification testsCOVID-19Respiratory syncytial virus testingNucleic acid amplification testsElectronic health record ordersSystems-based interventionsSARS-CoV-2Symptomatic patientsPrimary outcomeInfluenza testingClinical guidelinesClinician educationClinician practiceVirus testingAmplification testsPatientsTest orderingInstitutional guidelinesClinical needHospital systemVisitsTesting patterns
2022
Pediatric mental health visits with prolonged length of stay in community emergency departments during COVID‐19
Janke A, Nash K, Goyal P, Auerbach M, Venkatesh A. Pediatric mental health visits with prolonged length of stay in community emergency departments during COVID‐19. Journal Of The American College Of Emergency Physicians Open 2022, 3: e12869. PMID: 36570374, PMCID: PMC9767857, DOI: 10.1002/emp2.12869.Peer-Reviewed Original ResearchPediatric mental health visitsLength of stayMental health visitsED LOSCommon diagnostic categoriesEmergency departmentHealth visitsIncident rate ratiosCOVID-19Diagnostic categoriesCommunity emergency departmentsVisit countsMental health syndromesMental health systemAvailable complete dataDepressive disorderData registrySecondary analysisHealth systemVisitsRate ratioComplete dataStayCountHoursPsychotropic Medication Use in United States Pediatric Emergency Department Visits
Nash K, Olfson M, Rothenberg C, Anderson B, Pincus H, Venkatesh A. Psychotropic Medication Use in United States Pediatric Emergency Department Visits. Academic Pediatrics 2022, 23: 971-979. PMID: 36494030, PMCID: PMC10241984, DOI: 10.1016/j.acap.2022.11.016.Peer-Reviewed Original ResearchConceptsPsychotropic medication useNon-Hispanic patientsMedication useED visitsEmergency departmentPsychotropic medicationsMedication administrationBlack non-Hispanic patientsWhite non-Hispanic patientsSurvey-weighted logistic regressionBehavioral health visitsAppropriate medication usePediatric emergency departmentProportion of visitsCross-sectional analysisBehavioral health carePsychotropic polypharmacyHealth visitsMedication typeEquitable careMedicationsLogistic regressionPrivate insuranceAnxiety disordersVisitsTrends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19
Janke A, Gettel C, Koski-Vacirca R, Lin M, Kocher K, Venkatesh A. Trends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19. Health Affairs 2022, 41: 1772-1780. PMID: 36469824, DOI: 10.1377/hlthaff.2022.00484.Peer-Reviewed Original ResearchConceptsRelease ED visitsEmergency departmentED visitsNationwide Emergency Department SampleEmergency care visitsEmergency Department SampleProportion of visitsHealth care systemMore comorbiditiesCare visitsOlder patientsED careBilling practicesSerious diagnosisObservational studyUndifferentiated patientsPatient complexityCare servicesHealth statusCare systemVisitsPatientsEvolving roleReimbursement reformTreatYield of Head Computed Tomography Examinations for Common Psychiatric Presentations and Implications for Medical Clearance From a 6-Year Analysis of Acute Hospital Visits
Tu LH, Malhotra A, Sheth KN, Yaesoubi R, Forman HP, Venkatesh AK. Yield of Head Computed Tomography Examinations for Common Psychiatric Presentations and Implications for Medical Clearance From a 6-Year Analysis of Acute Hospital Visits. JAMA Internal Medicine 2022, 182: 879-881. PMID: 35727595, PMCID: PMC9214629, DOI: 10.1001/jamainternmed.2022.2198.Peer-Reviewed Original Research
2021
Head and Neck CTA Utilization: Analysis of Ordering Frequency and Nonroutine Results Communication, With Focus on the 50 Most Common Emergency Department Clinical Presentations.
Tu LH, Malhotra A, Venkatesh AK, Taylor RA, Sheth KN, Forman HP, Yaesoubi R. Head and Neck CTA Utilization: Analysis of Ordering Frequency and Nonroutine Results Communication, With Focus on the 50 Most Common Emergency Department Clinical Presentations. American Journal Of Roentgenology 2021, 218: 544-551. PMID: 34585611, DOI: 10.2214/ajr.21.26543.Peer-Reviewed Original ResearchConceptsNeck CTAED visitsEmergency departmentNonroutine communicationSingle health care systemAdult ED visitsSubset of reportsRadiologist communicationResult communicationPatient's chief concernHealth care systemFrequency of headCTA utilizationAcute findingsClinical presentationED settingPatient selectionIncidental findingClinical impactCTA examinationsCare systemCTAVisitsHigher numberNegative resultsNational trends in emergency department closures, mergers, and utilization, 2005-2015
Venkatesh AK, Janke A, Rothenberg C, Chan E, Becher RD. National trends in emergency department closures, mergers, and utilization, 2005-2015. PLOS ONE 2021, 16: e0251729. PMID: 34015007, PMCID: PMC8136839, DOI: 10.1371/journal.pone.0251729.Peer-Reviewed Original ResearchConceptsHospital-based EDsEmergency department closureED visitsHospital admissionHospital bedsED closureYearly ED visitsLarge health systemAmerican Hospital Association Annual SurveyInpatient bed capacityPrimary outcomeSecondary outcomesMore patientsEmergency departmentRelative increaseInpatient bedsPatient volumeRural areasHealth systemAdmissionVisitsNational trendsBed capacityEDObservational analysisFair Play: Application of Normalized Scoring to Emergency Department Throughput Quality Measures in a National Registry
Venkatesh A, Ravi S, Rothenberg C, Kinsman J, Sun J, Goyal P, Augustine J, Epstein SK. Fair Play: Application of Normalized Scoring to Emergency Department Throughput Quality Measures in a National Registry. Annals Of Emergency Medicine 2021, 77: 501-510. PMID: 33455841, PMCID: PMC9103009, DOI: 10.1016/j.annemergmed.2020.10.021.Peer-Reviewed Original ResearchConceptsED groupMultiple EDsNational registryPatient-centered quality measuresED visit volumeHigh-volume EDsEmergency department throughputRegistry data setsSingle EDAmerican CollegeVisit volumeED typeRegistryStandardized approachPerformance scoresIdentification numberVisitsEDAcceptable methodStandardized scoresGroup-level analysisQuality measuresGroupScoresPerformance programs
2020
Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home?
Venkatesh AK, Gettel CJ, Mei H, Chou SC, Rothenberg C, Liu SL, D’Onofrio G, Lin Z, Krumholz HM. Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home? Journal Of Applied Gerontology 2020, 40: 828-836. PMID: 32842827, PMCID: PMC7904961, DOI: 10.1177/0733464820950125.Peer-Reviewed Original ResearchConceptsAcute care visitsCare visitsEmergency departmentMedicare beneficiariesSNF staySNF servicesSkilled nursing facility residentsNursing facility residentsSkilled nursing facility servicesAcute care capabilitiesCross-sectional analysisNursing facility servicesHigher proportionAcute careMedical homeFacility residentsCare capabilitiesVisitsNumber of daysStayCareDepartmentFacility servicesBeneficiariesProportionMedicaid expansion and resource utilization in the emergency department
Janke AT, Danagoulian S, Venkatesh AK, Levy PD. Medicaid expansion and resource utilization in the emergency department. The American Journal Of Emergency Medicine 2020, 38: 2586-2590. PMID: 31982222, DOI: 10.1016/j.ajem.2019.12.050.Peer-Reviewed Original ResearchMeSH KeywordsAdultChest PainComputed Tomography AngiographyCoronary AngiographyDiagnostic Techniques, CardiovascularDisease ManagementEchocardiography, StressEligibility DeterminationEmergency Service, HospitalExercise TestFemaleHealth PolicyHospitalizationHumansMaleMedicaidMedically UninsuredMiddle AgedMyocardial Perfusion ImagingOdds RatioPatient Protection and Affordable Care ActUnited StatesConceptsChest pain visitsOdds of admissionAdvanced cardiac imagingPain visitsAffordable Care ActChest painED visitsMedicaid expansionED visit dataCardiac imagingEmergency department visitsEligibility expansionsSubgroup of patientsExpansion statesLikelihood of admissionProportion of visitsNon-expansion statesMedicaid eligibility expansionsDepartment visitsClinician's discretionEmergency departmentMedicaid patientsAdmissionProvider behaviorVisits
2016
1EMF Availability of Primary Care Follow-up in Greater New Haven after Emergency Department Visit in the Era of the Affordable Care Act
Chou S, Deng Y, Parwani V, Smart J, Bernstein S, Venkatesh A. 1EMF Availability of Primary Care Follow-up in Greater New Haven after Emergency Department Visit in the Era of the Affordable Care Act. Annals Of Emergency Medicine 2016, 68: s149. DOI: 10.1016/j.annemergmed.2016.08.407.Peer-Reviewed Original Research