2024
Calculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step
Gettel C, Bagshaw K, Qin L, Lin Z, Rothenberg E, Omotosho P, Goutos D, Herrin J, Suter L, Schreiber M, Fleisher L, Myers R, Spivack S, Venkatesh A. Calculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step. JAMA Network Open 2024, 7: e2411933. PMID: 38753326, PMCID: PMC11099678, DOI: 10.1001/jamanetworkopen.2024.11933.Peer-Reviewed Original ResearchConceptsCenters for Medicare & Medicaid ServicesCross-sectional studyHospital characteristicsHigher star ratingsStar ratingsOverall hospital qualityLowest-performing hospitalsOverall star ratingQuality star ratingsHospital star ratingsStar Ratings scoresHospital qualityHospital performanceStratified hospitalsMedicaid ServicesMain OutcomesFace validityPeer groupPeer group approachPrimary outcomePeer comparisonHospitalRating scoresPeerMeasurement group
2023
Emergency medicine physician workforce attrition differences by age and gender
Gettel C, Courtney D, Agrawal P, Madsen T, Rothenberg C, Mills A, Lall M, Keim S, Kraus C, Ranney M, Venkatesh A. Emergency medicine physician workforce attrition differences by age and gender. Academic Emergency Medicine 2023, 30: 1092-1100. PMID: 37313983, PMCID: PMC10973949, DOI: 10.1111/acem.14764.Peer-Reviewed Original ResearchConceptsFemale emergency physiciansEmergency physiciansMedian ageMultivariate logistic regression modelMale emergency physiciansResidency graduationRepeated cross-sectional analysisCharacteristics of physiciansWorkforce attritionCross-sectional analysisLogistic regression modelsStudy time frameDate of birthPrimary outcomeFemale genderMale physiciansClinical practiceFemale physiciansClinical servicesPhysiciansEmergency medicineAgeNumber of yearsRecent dataWorkforce concerns
2022
Rising high‐acuity emergency care services independently billed by advanced practice providers, 2013 to 2019
Gettel C, Schuur J, Mullen J, Venkatesh A. Rising high‐acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Academic Emergency Medicine 2022, 30: 89-98. PMID: 36334276, PMCID: PMC10973948, DOI: 10.1111/acem.14625.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency Medical ServicesEmergency Service, HospitalHumansMedicareUnited StatesWorkforceConceptsAdvanced practice providersEmergency care servicesCare servicesClinician typeED encountersClinician levelPractice providersHigh acuityEM physiciansHigh-acuity visitsRepeated cross-sectional analysisHigh-acuity servicesEmergency medicine workforceCross-sectional analysisEmergency cliniciansPractice patternsLow acuityRelative increaseEmergency careAcuity levelsMedicare Part BAcuityOutcome proportionsPhysiciansOne-thirdTrends 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 ResearchMeSH KeywordsEmergency Medical ServicesEmergency Service, HospitalEmergency TreatmentHealth StatusHumansUnited StatesConceptsRelease 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 reformTreatThe 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography
Gettel CJ, Courtney DM, Janke AT, Rothenberg C, Mills AM, Sun W, Venkatesh AK. The 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography. Annals Of Emergency Medicine 2022, 80: 260-271. PMID: 35717274, PMCID: PMC9398978, DOI: 10.1016/j.annemergmed.2022.04.031.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency MedicineGeographyHumansMedicareUnited StatesWorkforceConceptsAdvanced practice providersEmergency physiciansPractice providersNonemergency physiciansEmergency cliniciansRural designationUrban emergency physiciansRepeated cross-sectional analysisEmergency medicine workforceCross-sectional analysisUnique cliniciansMedicare Part BStudy yearsCliniciansPhysiciansProvider UtilizationPhysician attritionSubstantial state-level variationResidency trainingLongitudinal trendsManagement servicesAttrition ratesState-level changesState-level variationTotal proportion
2021
The 2018 Merit-based Incentive Payment System
Gettel CJ, Han CR, Canavan ME, Bernheim SM, Drye EE, Duseja R, Venkatesh AK. The 2018 Merit-based Incentive Payment System. Medical Care 2021, 60: 156-163. PMID: 35030565, PMCID: PMC8820355, DOI: 10.1097/mlr.0000000000001674.Peer-Reviewed Original ResearchEmergency clinician participation and performance in the Centers for Medicare & Medicaid Services Merit‐based Incentive Payment System
Gettel CJ, Han CR, Granovsky MA, Berdahl CT, Kocher KE, Mehrotra A, Schuur JD, Aldeen AZ, Griffey RT, Venkatesh AK. Emergency clinician participation and performance in the Centers for Medicare & Medicaid Services Merit‐based Incentive Payment System. Academic Emergency Medicine 2021, 29: 64-72. PMID: 34375479, PMCID: PMC8766873, DOI: 10.1111/acem.14373.Peer-Reviewed Original ResearchCenters for Medicare and Medicaid Services Merit-Based Incentive Payment System Value Pathways: Opportunities for Emergency Clinicians to Turn Policy Into Practice
Gettel CJ, Ling SM, Wild RE, Venkatesh AK, Duseja R. Centers for Medicare and Medicaid Services Merit-Based Incentive Payment System Value Pathways: Opportunities for Emergency Clinicians to Turn Policy Into Practice. Annals Of Emergency Medicine 2021, 78: 599-603. PMID: 34304917, PMCID: PMC8545831, DOI: 10.1016/j.annemergmed.2021.05.017.Peer-Reviewed Original ResearchA Cross-Sectional Analysis of High-Acuity Professional Services Performed by Urban and Rural Emergency Care Physicians Across the United States
Gettel CJ, Canavan ME, Greenwood-Ericksen MB, Parwani VL, Ulrich AS, Pilgrim RL, Venkatesh AK. A Cross-Sectional Analysis of High-Acuity Professional Services Performed by Urban and Rural Emergency Care Physicians Across the United States. Annals Of Emergency Medicine 2021, 78: 140-149. PMID: 33771412, PMCID: PMC8238845, DOI: 10.1016/j.annemergmed.2020.11.019.Peer-Reviewed Original ResearchConceptsCross-sectional analysisCare EvaluationRural physiciansMedicare feeEmergency careUrban physiciansMedicare Public Use FilesManagement service codesEmergency care physiciansLogistic regression analysisPrimary outcomeCare physiciansPhysician levelService beneficiariesPublic Use FilePhysiciansIndividual physiciansUse FileRegression analysisQuintileCareProportion of servicesReimbursementPart B.Urban settingsCareer Development Considerations for Academic Physician Mentees and Mentors in the Time of COVID-19: Jump in or Just Dip a Toe?
Gettel CJ, Venkatesh AK. Career Development Considerations for Academic Physician Mentees and Mentors in the Time of COVID-19: Jump in or Just Dip a Toe? Academic Medicine 2021, 96: 974-978. PMID: 33769338, PMCID: PMC8243790, DOI: 10.1097/acm.0000000000004076.Peer-Reviewed Original Research
2020
Who provides what care? An analysis of clinical focus among the national emergency care workforce
Gettel CJ, Canavan ME, D'Onofrio G, Carr BG, Venkatesh AK. Who provides what care? An analysis of clinical focus among the national emergency care workforce. The American Journal Of Emergency Medicine 2020, 42: 228-232. PMID: 33298349, PMCID: PMC8005412, DOI: 10.1016/j.ajem.2020.11.069.Peer-Reviewed Original ResearchConceptsAdvanced practice providersEmergency care workforceMedicare feeClinical focusEM physiciansED cliniciansED settingPublic Use FileService beneficiariesMedicare Public Use FilesCare workforceImproved patient outcomesCross-sectional analysisUnique cliniciansPrimary outcomePatient outcomesCare EvaluationClinician expertisePractice providersEmergency careIndividual cliniciansClinical settingPractice settingsCliniciansPhysiciansWhere 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 servicesBeneficiariesProportionCare Transition Decisions After a Fall‐related Emergency Department Visit: A Qualitative Study of Patients’ and Caregivers’ Experiences
Gettel CJ, Hayes K, Shield RR, Guthrie KM, Goldberg EM. Care Transition Decisions After a Fall‐related Emergency Department Visit: A Qualitative Study of Patients’ and Caregivers’ Experiences. Academic Emergency Medicine 2020, 27: 876-886. PMID: 32053283, PMCID: PMC7423638, DOI: 10.1111/acem.13938.Peer-Reviewed Original ResearchConceptsEmergency department visitsPatient-caregiver dyadsCognitive impairmentED visitsDepartment visitsOlder adultsFall-related emergency department visitsInjury-related emergency department (ED) visitsInitial ED visitPrevention intervention trialTransitions of careSemistructured interview guideGeriatric AcuteED careOutpatient visitsIntervention trialsCare transitionsPatientsSentinel eventsVisitsCaregiversRecovery periodAdultsInjuryInterview guide