Differences in designations of observation care in US freestanding children's hospitals: Are they virtual or real?

Journal of Hospital Medicine

Volumn 7, Issue 4, 2012, Pages 287-293

  Macy, Michelle L ^a   Hall, Matthew ^b   Shah, Samir S ^c   Hronek, Carla ^b   Del Beccaro, Mark A ^d   Hain, Paul D ^e   Alpern, Elizabeth R ^c  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b Child Health Corporation of America   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^e VANDERBILT UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHILD CARE; DATA BASE; DESCRIPTIVE RESEARCH; EMERGENCY CARE; HEALTH STATUS; HEALTH SURVEY; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; OBSERVATION CARE; PATIENT CARE; PRIORITY JOURNAL; UNITED STATES;

DATA COLLECTION; EMERGENCY SERVICE, HOSPITAL; FOLLOW-UP STUDIES; HOSPITALIZATION; HOSPITALS, PEDIATRIC; HUMANS; PATIENT CARE; UNITED STATES;

EID: 84859401663     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.949     Document Type: Article

References (28)

1. Graff LG. Observation medicine: the healthcare system's tincture of time. In: Graff LG, ed. Principles of Observation Medicine. Dallas, TX: American College of Emergency Physicians; 2010. Available at. Accessed February 18, 2011.
2. Hoholik S. Hospital 'observation' status a matter of billing. The Columbus Dispatch. February 14, 2011.
3. George J. Hospital payments downgraded. Philadelphia Business Journal. February 18, 2011.
4. Jaffe S. Medicare rules give full hospital benefits only to those with 'inpatient' status. The Washington Post. September 7, 2010.
5. Clark C. Hospitals caught between a rock and a hard place over observation. Health Leaders Media. September 15, 2010.
6. Clark C. AHA: observation status fears on the rise. Health Leaders Media. October 29, 2010.
7. Brody JE. Put your hospital bill under a microscope. The New York Times. September 13, 2010.
8. Medicare Hospital Manual Section 455. Washington, DC: Department of Health and Human Services, Centers for Medicare and Medicaid Services; 2001.
9. Barsuk J, Casey D, Graff L, Green A, Mace S. The Observation Unit: An Operational Overview for the Hospitalist. Society of Hospital Medicine White Paper. May 21, 2009. Available at. Accessed May 21, 2009.
10. Alpern ER, Calello DP, Windreich R, Osterhoudt K, Shaw KN. Utilization and unexpected hospitalization rates of a pediatric emergency department 23-hour observation unit. Pediatr Emerg Care. 2008; 24(9): 589-594.
11. Zebrack M, Kadish H, Nelson D. The pediatric hybrid observation unit: an analysis of 6477 consecutive patient encounters. Pediatrics. 2005; 115(5): e535-e542.
12. Macy ML, Kim CS, Sasson C, Lozon MM, Davis MM. Pediatric observation units in the United States: a systematic review. J Hosp Med. 2010; 5(3): 172-182.
13. Shaw KN, Ruddy RM, Gorelick MH. Pediatric emergency department directors' benchmarking survey: fiscal year 2001. Pediatr Emerg Care. 2003; 19(3): 143-147.
14. Crocetti MT, Barone MA, Amin DD, Walker AR. Pediatric observation status beds on an inpatient unit: an integrated care model. Pediatr Emerg Care. 2004; 20(1): 17-21.
15. Marks MK, Lovejoy FH Jr, Rutherford PA, Baskin MN. Impact of a short stay unit on asthma patients admitted to a tertiary pediatric hospital. Qual Manag Health Care. 1997; 6(1): 14-22.
16. Mace SE, Graff L, Mikhail M, Ross M. A national survey of observation units in the United States. Am J Emerg Med. 2003; 21(7): 529-533.
17. Yealy DM, De Hart DA, Ellis G, Wolfson AB. A survey of observation units in the United States. Am J Emerg Med. 1989; 7(6): 576-580.
18. Balik B, Seitz CH, Gilliam T. When the patient requires observation not hospitalization. J Nurs Admin. 1988; 18(10): 20-23.
19. Greenberg RA, Dudley NC, Rittichier KK. A reduction in hospitalization, length of stay, and hospital charges for croup with the institution of a pediatric observation unit. Am J Emerg Med. 2006; 24(7): 818-821.
20. Listernick R, Zieserl E, Davis AT. Outpatient oral rehydration in the United States. Am J Dis Child. 1986; 140(3): 211-215.
21. Holsti M, Kadish HA, Sill BL, Firth SD, Nelson DS. Pediatric closed head injuries treated in an observation unit. Pediatr Emerg Care. 2005; 21(10): 639-644.
22. Mallory MD, Kadish H, Zebrack M, Nelson D. Use of pediatric observation unit for treatment of children with dehydration caused by gastroenteritis. Pediatr Emerg Care. 2006; 22(1): 1-6.
23. Miescier MJ, Nelson DS, Firth SD, Kadish HA. Children with asthma admitted to a pediatric observation unit. Pediatr Emerg Care. 2005; 21(10): 645-649.
24. Krugman SD, Suggs A, Photowala HY, Beck A. Redefining the community pediatric hospitalist: the combined pediatric ED/inpatient unit. Pediatr Emerg Care. 2007; 23(1): 33-37.
25. Abenhaim HA, Kahn SR, Raffoul J, Becker MR. Program description: a hospitalist-run, medical short-stay unit in a teaching hospital. Can Med Assoc J. 2000; 163(11): 1477-1480.
26. Hung GR, Kissoon N. Impact of an observation unit and an emergency department-admitted patient transfer mandate in decreasing overcrowding in a pediatric emergency department: a discrete event simulation exercise. Pediatr Emerg Care. 2009; 25(3): 160-163.
27. Fieldston ES, Hall M, Sills MR, et al. Children's hospitals do not acutely respond to high occupancy. Pediatrics. 125(5): 974-981.
28. Macy ML, Stanley RM, Lozon MM, Sasson C, Gebremariam A, Davis MM. Trends in high-turnover stays among children hospitalized in the United States, 1993-2003. Pediatrics. 2009; 123(3): 996-1002.