Vivek Parwani, MD, FACEP
Associate Professor of Emergency MedicineCards
About
Research
Publications
2025
Who is coming in? Evaluation of physician performance within multi-physician emergency departments
Sangal R, Teresi R, Dashevsky M, Ulrich A, Tarabar A, Parwani V, Van Tonder R, King M, Venkatesh A. Who is coming in? Evaluation of physician performance within multi-physician emergency departments. The American Journal Of Emergency Medicine 2025 DOI: 10.1016/j.ajem.2025.01.003.Peer-Reviewed Original ResearchPhysician performancePhysician behaviorAdmission ratesEvaluation of physician performanceED operational efficiencyAttending teamPhysician ordersED throughputStaffing modelsED visitsED revisitsCo-attendanceLinear regression modelsAverage attendancePatient LOSEmergency departmentPatient lengthPhysician workPatients treated per hourPhysiciansAttendanceImaging testsImaging utilizationRegression modelsPatient data
2024
Quality improvement interventions to reduce coagulation testing overuse in the emergency department
Venkatesh A, Duke J, Wong S, Shah A, Rothenberg C, Patel A, Sun W, Shapiro M, Ulrich A, Parwani V. Quality improvement interventions to reduce coagulation testing overuse in the emergency department. The American Journal Of Emergency Medicine 2024, 87: 206-208. PMID: 39490322, DOI: 10.1016/j.ajem.2024.10.037.Peer-Reviewed Original Research
2023
Inequities among patient placement in emergency department hallway treatment spaces
Tuffuor K, Su H, Meng L, Pinker E, Tarabar A, Van Tonder R, Chmura C, Parwani V, Venkatesh A, Sangal R. Inequities among patient placement in emergency department hallway treatment spaces. The American Journal Of Emergency Medicine 2023, 76: 70-74. PMID: 38006634, DOI: 10.1016/j.ajem.2023.11.013.Peer-Reviewed Original ResearchEscalation of careAdjusted odds ratioED revisitsHallway bedsEmergency departmentHigher oddsPatient placementPatient insurance coverageSocial risk factorsPatient social factorsDischarge AMAED visitsSecondary outcomesPatient agePatient demographicsPrimary outcomeMale sexPatient sexTreatment spaceED censusFemale sexRisk factorsOdds ratioED staffingObservational studySevere acute respiratory coronavirus virus 2 (SARS-CoV-2) RNA and viable virus contamination of hospital emergency department surfaces and association with patient coronavirus disease 2019 (COVID-19) status and aerosol-generating procedures
Roberts S, Barbell E, Barber D, Dahlberg S, Heimer R, Jubanyik K, Parwani V, Pettigrew M, Tanner J, Ulrich A, Wade M, Wyllie A, Yolda-Carr D, Martinello R, Tanner W. Severe acute respiratory coronavirus virus 2 (SARS-CoV-2) RNA and viable virus contamination of hospital emergency department surfaces and association with patient coronavirus disease 2019 (COVID-19) status and aerosol-generating procedures. Infection Control And Hospital Epidemiology 2023, 45: 244-246. PMID: 37767709, PMCID: PMC10877528, DOI: 10.1017/ice.2023.183.Peer-Reviewed Original ResearchCorrelations among common emergency medicine physician performance measures: Mixed messages or balancing forces?
Scofi J, Underriner E, Sangal R, Rothenberg C, Patel A, Pickens A, Sather J, Parwani V, Ulrich A, Venkatesh A. Correlations among common emergency medicine physician performance measures: Mixed messages or balancing forces? The American Journal Of Emergency Medicine 2023, 72: 58-63. PMID: 37481955, DOI: 10.1016/j.ajem.2023.07.021.Peer-Reviewed Original ResearchSociodemographic Disparities in Queue Jumping for Emergency Department Care
Sangal R, Su H, Khidir H, Parwani V, Liebhardt B, Pinker E, Meng L, Venkatesh A, Ulrich A. Sociodemographic Disparities in Queue Jumping for Emergency Department Care. JAMA Network Open 2023, 6: e2326338. PMID: 37505495, PMCID: PMC10383013, DOI: 10.1001/jamanetworkopen.2023.26338.Peer-Reviewed Original ResearchConceptsCross-sectional studyHigh acuityPatient demographicsSame acuityLatino ethnicityNon-Hispanic raceEmergency department careBed placementTime of triageNon-Hispanic blacksNon-Hispanic whitesED visitsPrimary outcomeED arrivalED patientsMedicaid insuranceMean ageTriage acuityStudy visitAcuity patientsSociodemographic disparitiesED outcomesHigher oddsMAIN OUTCOMECare accessManaging opioid waste, cost, and opportunity for drug diversion in the emergency department
Coleska A, Oh A, Rothenberg C, Dinh D, Parwani V, Venkatesh A. Managing opioid waste, cost, and opportunity for drug diversion in the emergency department. The American Journal Of Emergency Medicine 2023, 69: 195-199. PMID: 37172559, DOI: 10.1016/j.ajem.2023.05.001.Peer-Reviewed Original ResearchConceptsDrug diversionContext of opioidEmergency department visitsManagement of painSingle health systemLogistic regression modelsHealth care systemOpioid ordersIntravenous opioidsSevere painDepartment visitsOpioid diversionEmergency departmentIncorrect doseOpioid epidemicOpioidsPrimary analysisMorphineDose orderHealth systemDoseHydromorphoneCare systemDrug shortagesPainEstimated 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
9 Nationwide Reimbursement Impact of COVID-19 to Emergency Physicians: $6.6 Billion Loss in 2020
Venkatesh A, Janke A, Koski-Vacirca R, Rothenberg C, Parwani V, Granovsky M, Burke L, Li S, Pines J. 9 Nationwide Reimbursement Impact of COVID-19 to Emergency Physicians: $6.6 Billion Loss in 2020. Annals Of Emergency Medicine 2022, 80: s4-s5. PMCID: PMC9519215, DOI: 10.1016/j.annemergmed.2022.08.031.Peer-Reviewed Original ResearchPatient cost consciousness in the emergency department
Gaylor JM, Chan E, Parwani V, Ulrich A, Rothenberg C, Venkatesh A. Patient cost consciousness in the emergency department. The American Journal Of Emergency Medicine 2022, 61: 61-63. PMID: 36054987, DOI: 10.1016/j.ajem.2022.08.039.Peer-Reviewed Original ResearchConceptsEmergency departmentPocket costsED patientsLarge academic hospital systemAcademic hospital systemCertain patient demographicsEmergency department settingPerceptions of patientsCost of careMedicare/MedicaidPatient demographicsED careUnscheduled careUninsured patientsDepartment settingPatients' estimatesPatient's abilityEmergency careHigh school educationPatientsPrivate insuranceFinal analysisHospital systemCareConvenience sample
Clinical Care
Overview
Vivek Parwani, MD, MHA, is a specialist in emergency medicine, currently serving as the medical director of the Yale New Haven Hospital Adult Emergency Department and as section chief of administration for the Department of Emergency Medicine. His leadership ensures efficient and high-quality care within one of the busiest emergency departments in the country.
In addition to his administrative and clinical roles, Dr. Parwani is an associate professor of emergency medicine at Yale School of Medicine, where his research focuses on emergency department throughput and quality measures. His work aims to improve operational efficiency and patient outcomes in high-pressure environments.
Dr. Parwani has spearheaded key initiatives such as the Yale New Haven Hospital Emergency Department’s operational redesign, enhancing patient flow and care delivery. His efforts in healthcare quality improvement, particularly in emergency department operations, have earned him recognition at local, regional, and national levels. He has been instrumental in several quality and safety initiatives, including the management of sepsis protocols.
Committed to fostering the next generation of emergency medicine leaders, Dr. Parwani actively engages in mentorship and teaching, guiding residents and faculty toward greater achievements in patient care, research, and professional development.
Dr. Parwani earned his medical degree from the Icahn School of Medicine at Mount Sinai and completed his residency in emergency medicine at Beth Israel Medical Center.
Clinical Specialties
Emergency Medicine
Fact Sheets
Abdominal Pain
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Board Certifications
Emergency Medicine
- Certification Organization
- AB of Emergency Medicine
- Latest Certification Date
- 2016
- Original Certification Date
- 2005
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