2024
“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 enrolleesMedicareVisitsPayment Innovation in Emergency Care: A Case for Global Clinician Budgets
Pines J, Black B, Cirillo L, Kachman M, Nikolla D, Moghtahderi A, Oskvarek J, Rahman N, Venkatesh A, Venkat A. Payment Innovation in Emergency Care: A Case for Global Clinician Budgets. Annals Of Emergency Medicine 2024, 84: 305-312. PMID: 38691065, DOI: 10.1016/j.annemergmed.2024.04.002.Peer-Reviewed Original ResearchClinician groupsClinical workloadEmergency departmentPopulation health programsUS emergency departmentsClinician staffingPopulation healthWorkforce attritionEmergency careHealth programsGovernment payorsED capacityHospital incentivesHospital boardsImprove equityClinician servicesLow reimbursementImprove qualityFinancial incentivesReimbursement ratesFunding modelsReimbursementGlobal budgetState-level legislationFinancial pressuresPatient‐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 IndexThe Clinical Emergency Data Registry: Structure, Use, and Limitations for Research
Lin M, Sharma D, Venkatesh A, Epstein S, Janke A, Genes N, Mehrotra A, Augustine J, Malcolm B, Goyal P, Griffey R. The Clinical Emergency Data Registry: Structure, Use, and Limitations for Research. Annals Of Emergency Medicine 2024, 83: 467-476. PMID: 38276937, DOI: 10.1016/j.annemergmed.2023.12.014.Peer-Reviewed Original ResearchConceptsEmergency departmentData elementsAmerican College of Emergency PhysiciansData RegistryParticipating emergency departmentsElectronic health recordsClinical data registryEmergency careHealth recordsEmergency medicineEmergency physiciansDe-identifiedBilling dataAmerican CollegeImprove data qualityCompletion of data elementsRegistryMultiple data elementsDemographic dataResearch usePatient demographicsReporting purposesData collectionCentral databaseClinical characteristics
2023
National Institute on Drug Abuse Clinical Trials Network Meeting Report: Advancing Emergency Department Initiation of Buprenorphine for Opioid Use Disorder
Cowan E, Perrone J, Bernstein S, Coupet E, Fiellin D, Hawk K, Herring A, Huntley K, McCormack R, Venkatesh A, D'Onofrio G. National Institute on Drug Abuse Clinical Trials Network Meeting Report: Advancing Emergency Department Initiation of Buprenorphine for Opioid Use Disorder. Annals Of Emergency Medicine 2023, 82: 326-335. PMID: 37178101, PMCID: PMC10524880, DOI: 10.1016/j.annemergmed.2023.03.025.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsOpioid use disorderEmergency departmentUse disordersDrug Abuse Clinical Trials NetworkEffective evidence-based treatmentsEmergency department initiationStandard emergency careMajor public health crisisClinical Trials NetworkEvidence of efficacyNational InstituteEvidence-based treatmentsOpioid overdose deathsTechnology-based interventionsBuprenorphine dosingBuprenorphine initiationPeer-based interventionsPublic health crisisPatient outcomesED staffOverdose deathsEmergency careBuprenorphineTrials NetworkUniversal uptakeCare 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-thirdA Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care
Khidir H, Salhi R, Sabbatini AK, Franks NM, Green A, Richardson LD, Terry A, Vasquez N, Goyal P, Kocher K, Venkatesh AK, Lin MP. A Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care. Annals Of Emergency Medicine 2022, 81: 47-56. PMID: 36257864, PMCID: PMC9780164, DOI: 10.1016/j.annemergmed.2022.08.010.Peer-Reviewed Original ResearchConceptsEmergency careEthnic disparitiesHealth disparitiesCare deliveryHealth equityEmergency department careTransitions of careQuality improvement initiativesHealth care servicesEmergency care deliveryHealth care systemWhite patientsEmergency departmentEmergency physiciansAmerican CollegeCare servicesCare systemCareDisproportionate barriersHealth careImprovement initiativesQuality measuresPatientsEthnic groupsIterative discussionsPatient 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
2021
Group Practice Size Consolidation in Emergency Medicine
Pollock JR, Hogan JS, Venkatesh AK, Sandefur BJ, Weyand JA, Harrington MT, Pisac AM, Lindor RA. Group Practice Size Consolidation in Emergency Medicine. Annals Of Emergency Medicine 2021, 79: 2-6. PMID: 34417071, DOI: 10.1016/j.annemergmed.2021.07.122.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 settingsEmergency Department Utilization for Emergency Conditions During COVID-19
Venkatesh AK, Janke AT, Shu-Xia L, Rothenberg C, Goyal P, Terry A, Lin M. Emergency Department Utilization for Emergency Conditions During COVID-19. Annals Of Emergency Medicine 2021, 78: 84-91. PMID: 33840512, PMCID: PMC7805390, DOI: 10.1016/j.annemergmed.2021.01.011.Peer-Reviewed Original ResearchConceptsED visitsED visit countsVisit countsClinical Modification codesEmergency department utilizationAcute myocardial infarctionEmergency Department registryCoronavirus disease 2019 (COVID-19) outbreakCoronavirus disease 2019Emergency department (ED) visitationEmergency medical conditionsClinical quality registryTotal visit countsDisease 2019 outbreakCerebrovascular diseaseMyocardial infarctionQuality registryTenth RevisionDisease 2019Medical conditionsEmergency conditionsInternational ClassificationEmergency carePrepandemic levelsDepartment registry
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 settingsCliniciansPhysiciansAssociation between patient-physician gender concordance and patient experience scores. Is there gender bias?
Chekijian S, Kinsman J, Taylor RA, Ravi S, Parwani V, Ulrich A, Venkatesh A, Agrawal P. Association between patient-physician gender concordance and patient experience scores. Is there gender bias? The American Journal Of Emergency Medicine 2020, 45: 476-482. PMID: 33069544, DOI: 10.1016/j.ajem.2020.09.090.Peer-Reviewed Original ResearchConceptsPatient satisfaction surveyFemale patientsProvider scoresOverall assessment scoreEmergency departmentPatient satisfactionPhysician genderPatient-physician gender concordanceFemale physiciansAssessment scoresGender concordancePatient satisfaction survey dataSatisfaction surveyEffect of patientFemale emergency physiciansPatient experience scoresLogistic regression modelsCross-sectional analysisElectronic health recordsPatients' oddsAdult patientsPatient genderEmergency physiciansLower oddsEmergency careNational Assessment of Surprise Coverage Gaps Provided to Simulated Patients Seeking Emergency Care
Parwani V, Ulrich A, Rothenberg C, Kinsman J, Duhaime M, Thomas M, Venkatesh A. National Assessment of Surprise Coverage Gaps Provided to Simulated Patients Seeking Emergency Care. JAMA Network Open 2020, 3: e206868. PMID: 32412634, PMCID: PMC7229522, DOI: 10.1001/jamanetworkopen.2020.6868.Peer-Reviewed Original Research
2018
An appraisal of emergency medicine clinical practice guidelines: Do we agree?
Zupon A, Rothenberg C, Couturier K, Tan T, Siddiqui G, James M, Savage D, Melnick ER, Venkatesh AK. An appraisal of emergency medicine clinical practice guidelines: Do we agree? International Journal Of Clinical Practice 2018, 73: e13289. PMID: 30372798, PMCID: PMC6351191, DOI: 10.1111/ijcp.13289.Peer-Reviewed Original ResearchConceptsACEP clinical policyClinical practice guidelinesStrength of recommendationsClinical policyPractice guidelinesEvidence-based emergency careAGREE II instrumentAppraisal of GuidelinesRigor of developmentAGREE II criteriaOverall qualityPrimary outcomeOverall assessmentEmergency physiciansAmerican CollegeEmergency carePublication dateClarity of presentationSecondary analysisAppraisal instrumentsMean scorePositive associationGuidelinesAppraisal itemsScores
2014
A Top-Five List for Emergency Medicine: A Pilot Project to Improve the Value of Emergency Care
Schuur JD, Carney DP, Lyn ET, Raja AS, Michael JA, Ross NG, Venkatesh AK. A Top-Five List for Emergency Medicine: A Pilot Project to Improve the Value of Emergency Care. JAMA Internal Medicine 2014, 174: 509-515. PMID: 24534899, DOI: 10.1001/jamainternmed.2013.12688.Peer-Reviewed Original ResearchConceptsTechnical expert panelEmergency medicine cliniciansMedicine cliniciansEmergency medicineED health care providersDisposition decisionsModified Delphi consensus processEmergency department visitsHealth care providersDelphi consensus processResults Phase 1Phase 2Phase 1Department visitsEmergency cliniciansMAIN OUTCOMECare providersMean costEmergency careClinical actionsActionable targetsMedical careClinical decisionImaging studiesClinicians
2013
A “Top Five” list for emergency medicine: a policy and research agenda for stewardship to improve the value of emergency care
Venkatesh AK, Schuur JD. A “Top Five” list for emergency medicine: a policy and research agenda for stewardship to improve the value of emergency care. The American Journal Of Emergency Medicine 2013, 31: 1520-1524. PMID: 23993868, DOI: 10.1016/j.ajem.2013.07.019.Peer-Reviewed Original ResearchConceptsHealth care costsEmergency careEmergency medicineCare costsPost-discharge careHigh-cost imagingLow-value careMedico-legal concernsFront-line providersHealth system improvementHospital admissionIntravenous fluidsMedication administrationProvider knowledgeClinical actionsStewardship effortsHealth servicesClinical decisionValue carePotential interventionsCareExamples of interventionsEmergency MedicalPatientsOverused services