2023
Race and Ethnicity and Emergency Department Discharge Against Medical Advice
Tsai J, Janke A, Krumholz H, Khidir H, Venkatesh A. Race and Ethnicity and Emergency Department Discharge Against Medical Advice. JAMA Network Open 2023, 6: e2345437. PMID: 38015503, PMCID: PMC10685883, DOI: 10.1001/jamanetworkopen.2023.45437.Peer-Reviewed Original ResearchConceptsWhite patientsHispanic patientsEmergency departmentCross-sectional studyED visitsBlack patientsDAMA rateMedical adviceMAIN OUTCOMEEthnic disparitiesNationwide Emergency Department SampleNational cross-sectional studyHospital ED visitsEmergency department dischargeHospital-level variationEmergency Department SampleMetropolitan teaching hospitalHealth care resourcesMedian ageGreater morbidityHospital variationUnadjusted analysesTeaching hospitalAdditional adjustmentLower oddsThe 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 servicesInsuranceEstimated 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 lossReimbursement
2022
Trends 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 reformTreatDevelopment of a Novel Emergency Department Quality Measure to Reduce Very Low-Risk Syncope Hospitalizations
Probst MA, Janke AT, Haimovich AD, Venkatesh AK, Lin MP, Kocher KE, Nemnom MJ, Thiruganasambandamoorthy V. Development of a Novel Emergency Department Quality Measure to Reduce Very Low-Risk Syncope Hospitalizations. Annals Of Emergency Medicine 2022, 79: 509-517. PMID: 35487840, PMCID: PMC9117517, DOI: 10.1016/j.annemergmed.2022.03.008.Peer-Reviewed Original ResearchConceptsNationwide Emergency Department SampleLow-risk cohortHospitalization ratesUnexplained syncopeHeart diseaseED patient dataEmergency department evaluationHospital-level factorsSerious adverse eventsAdult ED patientsEmergency Department SampleSyncope hospitalizationsOutpatient managementAdult patientsAdverse eventsProspective cohortDepartment evaluationED patientsRelated hospitalizationsRisk stratificationED volumeSyncopePatientsHospitalizationMedian rate