2023
Correlations 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 ResearchEmergency medicine physician workforce attrition differences by age and gender
Gettel C, Courtney D, Agrawal P, Madsen T, Rothenberg C, Mills A, Lall M, Keim S, Kraus C, Ranney M, Venkatesh A. Emergency medicine physician workforce attrition differences by age and gender. Academic Emergency Medicine 2023, 30: 1092-1100. PMID: 37313983, PMCID: PMC10973949, DOI: 10.1111/acem.14764.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedChildCross-Sectional StudiesEmergency MedicineFemaleHumansMaleMedicareMiddle AgedPhysiciansUnited StatesWorkforceConceptsFemale emergency physiciansEmergency physiciansMedian ageMultivariate logistic regression modelMale emergency physiciansResidency graduationRepeated cross-sectional analysisCharacteristics of physiciansWorkforce attritionCross-sectional analysisLogistic regression modelsStudy time frameDate of birthPrimary outcomeFemale genderMale physiciansClinical practiceFemale physiciansClinical servicesPhysiciansEmergency medicineAgeNumber of yearsRecent dataWorkforce concerns
2022
Improving Sepsis Management Through the Emergency Quality Network Sepsis Initiative
Rodos A, Aaronson E, Rothenberg C, Goyal P, Sharma D, Slesinger T, Schuur J, Venkatesh A. Improving Sepsis Management Through the Emergency Quality Network Sepsis Initiative. The Joint Commission Journal On Quality And Patient Safety 2022, 48: 572-580. PMID: 36137885, DOI: 10.1016/j.jcjq.2022.08.002.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency Service, HospitalHospitalsHumansMedicareSepsisUnited StatesConceptsSepsis casesQI activitiesSEP-1 performanceEmergency department patientsQI effortsTime-sensitive conditionsSignificant correlationCross-sectional analysisSepsis careDepartment patientsSepsis managementAmerican CollegeED sitesScoresPublic reportingReal-time quality improvementHospital performanceEDQuality improvementImplementation dataOverall hospital performanceQI dataPatientsInpatientsED performanceThe 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography
Gettel CJ, Courtney DM, Janke AT, Rothenberg C, Mills AM, Sun W, Venkatesh AK. The 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography. Annals Of Emergency Medicine 2022, 80: 260-271. PMID: 35717274, PMCID: PMC9398978, DOI: 10.1016/j.annemergmed.2022.04.031.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency MedicineGeographyHumansMedicareUnited StatesWorkforceConceptsAdvanced practice providersEmergency physiciansPractice providersNonemergency physiciansEmergency cliniciansRural designationUrban emergency physiciansRepeated cross-sectional analysisEmergency medicine workforceCross-sectional analysisUnique cliniciansMedicare Part BStudy yearsCliniciansPhysiciansProvider UtilizationPhysician attritionSubstantial state-level variationResidency trainingLongitudinal trendsManagement servicesAttrition ratesState-level changesState-level variationTotal proportion
2020
Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home?
Venkatesh AK, Gettel CJ, Mei H, Chou SC, Rothenberg C, Liu SL, D’Onofrio G, Lin Z, Krumholz HM. Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home? Journal Of Applied Gerontology 2020, 40: 828-836. PMID: 32842827, PMCID: PMC7904961, DOI: 10.1177/0733464820950125.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency Service, HospitalHumansMedicarePatient DischargePatient-Centered CareSkilled Nursing FacilitiesUnited StatesConceptsAcute care visitsCare visitsEmergency departmentMedicare beneficiariesSNF staySNF servicesSkilled nursing facility residentsNursing facility residentsSkilled nursing facility servicesAcute care capabilitiesCross-sectional analysisNursing facility servicesHigher proportionAcute careMedical homeFacility residentsCare capabilitiesVisitsNumber of daysStayCareDepartmentFacility servicesBeneficiariesProportionAssociation between emergency department chief complaint and adverse hospitalization outcomes: A simple early warning system?
Lord K, Rothenberg C, Parwani V, Finn E, Khan A, Sather J, Ulrich A, Chaudhry S, Venkatesh A. Association between emergency department chief complaint and adverse hospitalization outcomes: A simple early warning system? The American Journal Of Emergency Medicine 2020, 45: 548-550. PMID: 32839053, DOI: 10.1016/j.ajem.2020.07.040.Peer-Reviewed Original ResearchCross‐sectional Analysis of Emergency Department and Acute Care Utilization Among Medicare Beneficiaries
Venkatesh AK, Mei H, Shuling L, D’Onofrio G, Rothenberg C, Lin Z, Krumholz HM. Cross‐sectional Analysis of Emergency Department and Acute Care Utilization Among Medicare Beneficiaries. Academic Emergency Medicine 2020, 27: 570-579. PMID: 32302034, DOI: 10.1111/acem.13971.Peer-Reviewed Original ResearchConceptsMultiple chronic conditionsEmergency departmentUnscheduled careMedicare beneficiariesCross-sectional analysisVisit ratesCare servicesHighest ED visit ratesNumber of EDVulnerable subpopulationsSkilled nursing facility useAmbulatory office settingNon-ED settingsUnscheduled care servicesAcute care utilizationED visit ratesOffice-based visitsAcute care servicesClaims-based definitionNursing facility useMedicare beneficiaries age 65Dual-eligible beneficiariesOlder adult populationBeneficiaries age 65Care visitsNational 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
Emergency physician empathy does not explain variation in admission rates
Parwani V, Ashkenasi D, Rothenberg C, Ulrich A, Chekijian S, Shapiro M, Melnick E, Venkatesh A. Emergency physician empathy does not explain variation in admission rates. The American Journal Of Emergency Medicine 2018, 37: 767-768. PMID: 30220643, DOI: 10.1016/j.ajem.2018.08.025.Peer-Reviewed Original ResearchEmergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service
Lord K, Parwani V, Ulrich A, Finn EB, Rothenberg C, Emerson B, Rosenberg A, Venkatesh AK. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. The American Journal Of Emergency Medicine 2018, 36: 1246-1248. PMID: 29605480, DOI: 10.1016/j.ajem.2018.03.043.Peer-Reviewed Original ResearchConceptsAdverse hospitalization outcomesRapid response team activationGeneral medical servicesHospitalization outcomesEmergency departmentED boardingComposite outcomeCare escalationPrimary outcomeAdverse outcomesRRT activationPatient encountersConsecutive patient encountersGeneral medicine serviceInpatient hospital stayMedical servicesEmergency department boardingED departureHospital mortalityHospital deathHospital stayED admissionPatient demographicsHospital admissionIntensive care
2017
Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E-QUAL)
Venkatesh AK, Slesinger T, Whittle J, Osborn T, Aaronson E, Rothenberg C, Tarrant N, Goyal P, Yealy DM, Schuur JD. Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E-QUAL). Annals Of Emergency Medicine 2017, 71: 10-15.e1. PMID: 28789803, DOI: 10.1016/j.annemergmed.2017.06.032.Peer-Reviewed Original ResearchConceptsBundle complianceBundle elementsSEP-1 performanceSeptic shock casesIntravenous fluid resuscitationHospital-level variationChart review dataHospital-based EDsNational quality measuresQuality improvement dataBest practice implementationHospital-level performanceMedicaid Services definitionsSevere sepsisSecondary outcomesFluid resuscitationPrimary outcomeAcademic centersED implementationBundle componentsPractice implementationPreliminary dataImprovement dataFiscal year 2016Modest improvementQuality of Septic Shock Care in the Emergency Department: Perceptions Versus Reality
Roh J, Rothenberg C, Patel A, Sather J, Venkatesh AK. Quality of Septic Shock Care in the Emergency Department: Perceptions Versus Reality. The Joint Commission Journal On Quality And Patient Safety 2017, 43: 548-549. PMID: 28942780, DOI: 10.1016/j.jcjq.2017.05.005.Peer-Reviewed Original ResearchAcademic Medical CentersCross-Sectional StudiesEmergency Service, HospitalGuideline AdherenceHospitals, UrbanHumansOutcome and Process Assessment, Health CarePersonnel, HospitalPractice Guidelines as TopicQuality Indicators, Health CareQuality of Health CareSelf-AssessmentShock, SepticTime FactorsUnited States
2016
Overuse targets for Choosing Wisely: Do emergency physicians and nurses agree?
Venkatesh AK, Anderson A, Rothenberg C, Parwani V, Schwartz I, Haggan J, Sevilla M, Shapiro MJ. Overuse targets for Choosing Wisely: Do emergency physicians and nurses agree? The American Journal Of Emergency Medicine 2016, 35: 306-310. PMID: 27856139, DOI: 10.1016/j.ajem.2016.11.016.Peer-Reviewed Original Research