2024
Screening for cognitive impairment in the emergency department: agreement between older adult patient- and informant-completed Ascertain Dementia 8 tool.
Galske J, Sather A, Chera T, Hwang U, Carpenter C, Babcock M, Gettel C. Screening for cognitive impairment in the emergency department: agreement between older adult patient- and informant-completed Ascertain Dementia 8 tool. Dementia And Geriatric Cognitive Disorders 2024, 1-13. PMID: 39616991, DOI: 10.1159/000542895.Peer-Reviewed Original ResearchAscertain Dementia 8Intraclass correlation coefficientEmergency departmentCognitive impairmentTrained research assistantsDiagnosis of dementiaClinicians providing careModerate agreementSuspected CIEmergency careOlder adultsAnalytic sampleResearch assistantsED patientsCareScreening protocolSelf-identifyEarly interventionDementiaScoresCorrelation coefficientDepartmentDyadsPatientsImpairment“What Matters” in the Emergency Department
Chera T, Tinetti M, Travers J, Galske J, Venkatesh A, Southerland L, Dresden S, McQuown C, Gettel C. “What Matters” in the Emergency Department. Medical Care 2024, 62: s50-s56. PMID: 39514495, PMCID: PMC11548826, DOI: 10.1097/mlr.0000000000002053.Peer-Reviewed Original ResearchConceptsOlder adultsEmergency departmentEmergency careED visitsAssociated with meetingAssociated with older adultsEnd-of-lifeFollow-upPatient characteristicsMultivariate logistic regression modelCare of oneselfLogistic regression modelsFollow-up interviewsMulticenter prospective observational studyHealthcare settingsED encountersFunctional independenceProspective observational studySecondary analysisSymptom identificationAssess concernsSecondary outcomesPrimary outcomeCareObservational studyTotal 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, 84: 285-294. PMID: 38864783, PMCID: PMC11343654, 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 enrolleesMedicareVisitsPatient‐reported outcome measure use among older adults after emergency department care: A systematic review
Gettel C, Galske J, Sather A, Haidous A, Hwang U, Brackett A, Venkatesh A, Rising K, Goldberg E, van Oppen J, Conroy S, Carpenter C. Patient‐reported outcome measure use among older adults after emergency department care: A systematic review. Academic Emergency Medicine 2024, 31: 273-287. PMID: 38366698, DOI: 10.1111/acem.14850.Peer-Reviewed Original ResearchPatient-reported outcome measuresActivities of daily livingED visitsOlder adultsPhysical functionPatient-reported outcome measure useInstrumental activities of daily livingKatz activities of daily livingOlder adult ED patientsPatient-reported outcome measure assessmentSystematic reviewOutcome measure useEmergency department carePatient symptom burdenFull-text screeningAdult ED patientsRisk of biasQuality of lifeStudy inclusion criteriaWeb of Science-Core CollectionKatz ActivitiesEmergency careDaily livingPROM assessmentBarthel Index
2023
Care transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree?
Gettel C, Hwang U, Rising K, Goldberg E, Feder S, Uzamere I, Venkatesh A. Care transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree? Academic Emergency Medicine 2023, 30: 1061-1064. PMID: 37014286, PMCID: PMC10548356, DOI: 10.1111/acem.14732.Peer-Reviewed Original Research
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 ResearchConceptsAdvanced 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-third
2021
A 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 settings
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 settingsCliniciansPhysicians