2024
Reliability of a Measure of Admission Intensity for Emergency Physicians
Janke A, Oskvarek J, Zocchi M, Cai A, Litvak O, Pines J, Venkatesh A. Reliability of a Measure of Admission Intensity for Emergency Physicians. Annals Of Emergency Medicine 2024, 84: 295-304. PMID: 38430082, DOI: 10.1016/j.annemergmed.2024.02.002.Peer-Reviewed Original ResearchED admission ratesIntraclass correlation coefficientAdmission ratesEmergency departmentAverage admission rateMeasures of emergency departmentValue-based care programsInternational Classification of DiseasesClassification of DiseasesLinear probability modelsMultilevel linear probability modelsCare programED visitsInternational ClassificationEmergency physiciansDiagnosis codesCorrelation coefficientPhysiciansIdentifying high-Reduce variationIntraclassStandard deviationAdmissionClinical conditionsAssess stability
2021
Improving Emergency Department Throughput Using Audit-and-Feedback With Peer Comparison Among Emergency Department Physicians
Scofi J, Parwani V, Rothenberg C, Patel A, Ravi S, Sevilla M, D'Onofrio G, Ulrich A, Venkatesh AK. Improving Emergency Department Throughput Using Audit-and-Feedback With Peer Comparison Among Emergency Department Physicians. Journal For Healthcare Quality 2021, 44: 69-77. PMID: 34570029, DOI: 10.1097/jhq.0000000000000329.Peer-Reviewed Original ResearchConceptsAdmission ratesEmergency department throughputEmergency physiciansMean timeUrban academic EDEmergency department physiciansMean admission rateLower admission ratesFirst study periodED physiciansAcademic EDDepartment physiciansPatient visitsPractice variationAdmissionPeer comparisonPhysiciansPhysician performanceStudy periodPatientsAcademic emergency physiciansReportAuditMinutesHoursUniversal SARS-CoV-2 Testing of Emergency Department Admissions Increases Emergency Department Length of Stay
Sangal RB, Peaper DR, Rothenberg C, Landry ML, Sussman LS, Martinello RA, Ulrich A, Venkatesh AK. Universal SARS-CoV-2 Testing of Emergency Department Admissions Increases Emergency Department Length of Stay. Annals Of Emergency Medicine 2021, 79: 182-186. PMID: 34756452, PMCID: PMC8424016, DOI: 10.1016/j.annemergmed.2021.09.005.Peer-Reviewed Original ResearchConceptsSARS-CoV-2 testingUniversal SARS-CoV-2 testingEmergency department lengthAdmission lengthED admissionPositivity rateSARS-CoV-2 testAcademic health systemCOVID-19 prevalenceSecondary outcomesED lengthPrevention needsED boardingPatientsStayPositive casesClinical costsHealth systemAdmissionTesting policiesContainment effortsTestingPrevalenceTesting changesPositivityA Longitudinal Analysis of Functional Disability, Recovery, and Nursing Home Utilization After Hospitalization for Ambulatory Care Sensitive Conditions Among Community‐Living Older Persons
Gettel CJ, Venkatesh AK, Leo‐Summers L, Murphy TE, Gahbauer EA, Hwang U, Gill TM. A Longitudinal Analysis of Functional Disability, Recovery, and Nursing Home Utilization After Hospitalization for Ambulatory Care Sensitive Conditions Among Community‐Living Older Persons. Journal Of Hospital Medicine 2021, 16: 469-475. PMID: 34328835, PMCID: PMC8340961, DOI: 10.12788/jhm.3669.Peer-Reviewed Original ResearchConceptsAmbulatory care sensitive conditionsTotal disability scoreDisability scoresFunctional recoveryOlder personsNH admissionFunctional disabilityAdverse patient-reported outcomesPatient-reported disability scoresCommunity-living older personsSensitive conditionsMean disability scoreCommunity-living personsMonths of dischargePatient-reported outcomesNursing home utilizationMonthly probabilityFunctional outcomeMean ageMonths 1HospitalizationHome utilizationAdmissionAnalytic sampleMonthsNational 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 analysis
2020
Medicaid 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
2012
The Growing Role of Emergency Departments in Hospital Admissions
Schuur JD, Venkatesh AK. The Growing Role of Emergency Departments in Hospital Admissions. New England Journal Of Medicine 2012, 367: 391-393. PMID: 22784039, DOI: 10.1056/nejmp1204431.Peer-Reviewed Original Research