메뉴 건너뛰기




Volumn 32, Issue 12, 2013, Pages 2149-2156

Protocol-driven emergency department observation units offer savings, shorter stays, and reduced admissions

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY CARE; EMERGENCY WARD; FEMALE; HEALTH CARE POLICY; HOSPITAL ADMISSION; HOSPITAL COST; HOSPITAL SERVICE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICARE; UNITED STATES; COMPARATIVE STUDY; COST CONTROL; ECONOMICS; EMERGENCY HEALTH SERVICE; FACTUAL DATABASE; GEORGIA; HEALTH CARE SURVEY; HEALTH SERVICES RESEARCH; HOSPITAL SUBDIVISIONS AND COMPONENTS; ORGANIZATION AND MANAGEMENT; PATIENT ACUITY; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; WATCHFUL WAITING;

EID: 84890185199     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2013.0662     Document Type: Article
Times cited : (123)

References (27)
  • 1
    • 77955402746 scopus 로고    scopus 로고
    • Trends and characteristics of US emergency department visits, 1997-2007
    • Tang N, Stein J, Hsia RY, Maselli JH, Gonzales R. Trends and characteristics of US emergency department visits, 1997-2007. JAMA. 2010; 304(6):664-70.
    • (2010) JAMA. , vol.304 , Issue.6 , pp. 664-670
    • Tang, N.1    Stein, J.2    Hsia, R.Y.3    Maselli, J.H.4    Gonzales, R.5
  • 2
    • 84870236666 scopus 로고    scopus 로고
    • National trends in emergency department occupancy, 2001 to 2008: effect of inpatient admissions versus emergency department practice intensity
    • Pitts SR, Pines JM, Hadrigan MT, Kellerman AL. National trends in emergency department occupancy, 2001 to 2008: effect of inpatient admissions versus emergency department practice intensity. Ann Emerg Med. 2012;60(6):679-86.
    • (2012) Ann Emerg Med. , vol.60 , Issue.6 , pp. 679-686
    • Pitts, S.R.1    Pines, J.M.2    Hadrigan, M.T.3    Kellerman, A.L.4
  • 3
    • 84875587986 scopus 로고    scopus 로고
    • Affordable Care Act update: implementing Medicare cost savings [Internet]
    • Centers for Medicare and Medicaid Services. Baltimore (MD): CMS; [cited 2013 Oct 23]. Available from:
    • Centers for Medicare and Medicaid Services. Affordable Care Act update: implementing Medicare cost savings [Internet]. Baltimore (MD): CMS; [cited 2013 Oct 23]. Available from: http://www.cms.gov/apps/docs/aca-update-implementing-medicarecosts- savings.pdf
  • 4
    • 84890205477 scopus 로고    scopus 로고
    • Implementation of recovery auditing at the Centers for Medicare and Medicaid Services: FY 2010 report to Congress as required by section 6411 of Affordable Care Act [Internet]
    • Centers for Medicare and Medicaid Services. Baltimore (MD): CMS; [cited 2013 Oct 23]. Available from:
    • Centers for Medicare and Medicaid Services. Implementation of recovery auditing at the Centers for Medicare and Medicaid Services: FY 2010 report to Congress as required by section 6411 of Affordable Care Act [Internet]. Baltimore (MD): CMS; [cited 2013 Oct 23]. Available from: http://www.cms.gov/Research-Statistics-Data-and- Systems/Monitoring-Programs/Recovery-Audit-Program/Downloads/FY2010Report Congress.pdf
  • 5
    • 84890220063 scopus 로고    scopus 로고
    • Memorandum report: hospitals' use of observation stays and short inpatient stays for Medicare beneficiaries, OEI-02-12-00040 [Internet]
    • Washington (DC): Department of Health and Human Services, Office of Inspector General; [cited 2013 Oct 23]. Available from:
    • Wright S. Memorandum report: hospitals' use of observation stays and short inpatient stays for Medicare beneficiaries, OEI-02-12-00040 [Internet]. Washington (DC): Department of Health and Human Services, Office of Inspector General; [cited 2013 Oct 23]. Available from: http://oig.hhs.gov/oei/reports/oei-02-12-00040.pdf
    • Wright, S.1
  • 6
    • 70349506352 scopus 로고    scopus 로고
    • Medicare benefit policy manual: Chapter 6-hospital services covered under Part B [Internet]
    • Centers for Medicare and Medicaid Services. Baltimore (MD): CMS; [revised 2013 Mar 1; cited 2013 Oct 23]. Available from:
    • Centers for Medicare and Medicaid Services. Medicare benefit policy manual: Chapter 6-hospital services covered under Part B [Internet]. Baltimore (MD): CMS; [revised 2013 Mar 1; cited 2013 Oct 23]. Available from: http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/bp102c06.pdf
  • 7
    • 80052703871 scopus 로고    scopus 로고
    • National study of emergency department observation services
    • Wiler JL, Ross MA, Ginde AA. National study of emergency department observation services. Acad Emerg Med. 2011;18(9):959-65.
    • (2011) Acad Emerg Med. , vol.18 , Issue.9 , pp. 959-965
    • Wiler, J.L.1    Ross, M.A.2    Ginde, A.A.3
  • 9
    • 84890224751 scopus 로고    scopus 로고
    • To access the Appendix, click on the Appendix link in the box to the right of the article online.
    • To access the Appendix, click on the Appendix link in the box to the right of the article online.
  • 11
    • 84890071671 scopus 로고    scopus 로고
    • Hospitalized but not admitted: characteristics of patients with "observation status" at an academic medical center
    • Jul 8. [Epub ahead of print].
    • Sheehy AM, Graf B, Gangireddy S, Hoffman R, Ehlenbach M, Heidke C, et al. Hospitalized but not admitted: characteristics of patients with "observation status" at an academic medical center. JAMA Intern Med. 2013 Jul 8. [Epub ahead of print].
    • (2013) JAMA Intern Med.
    • Sheehy, A.M.1    Graf, B.2    Gangireddy, S.3    Hoffman, R.4    Ehlenbach, M.5    Heidke, C.6
  • 12
    • 84901005001 scopus 로고    scopus 로고
    • Factors as- sociated with prolonged observation services stays and the impact of long stays on patient cost
    • Forthcoming.
    • Hockenberry JM, Mutter R, Barrett M, Parlato J, Ross MA. Factors as- sociated with prolonged observation services stays and the impact of long stays on patient cost. Health Serv Res. 2013. Forthcoming.
    • (2013) Health Serv Res.
    • Hockenberry, J.M.1    Mutter, R.2    Barrett, M.3    Parlato, J.4    Ross, M.A.5
  • 13
    • 84890210595 scopus 로고    scopus 로고
    • Special study on the meaning of the first-listed diagnosis on emergency department and ambulatory surgery records [Internet]
    • Rockville (MD): Agency for Healthcare Research and Quality; 2011 [cited 2013 Oct 23]. (HCUP Methods Series Report No. 2011-03). Available from:
    • Senathirajah M, Owens P, Mutter R, Nagamine M. Special study on the meaning of the first-listed diagnosis on emergency department and ambulatory surgery records [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2011 [cited 2013 Oct 23]. (HCUP Methods Series Report No. 2011-03). Available from: http://www.hcup-us.ahrq.gov/reports/methods/2011_ 03.pdf
    • Senathirajah, M.1    Owens, P.2    Mutter, R.3    Nagamine, M.4
  • 14
    • 84890139466 scopus 로고    scopus 로고
    • 2010 NHAMCS micro-data file documentation [Internet]
    • National Center for Health Statistics. Hyattsville (MD): NCHS; 2010 [cited 2013 Oct 24]. Available from:
    • National Center for Health Statistics. 2010 NHAMCS micro-data file documentation [Internet]. Hyattsville (MD): NCHS; 2010 [cited 2013 Oct 24]. Available from: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHAMCS/doc2010.pdf
  • 16
    • 0037407763 scopus 로고    scopus 로고
    • The use and effectiveness of an emergency department observation unit for elderly patients
    • Ross MA, Compton S, Richardson D, Jones R, Nittis T, Wilson A. The use and effectiveness of an emergency department observation unit for elderly patients. Ann Emerg Med. 2003;41(5):668-77.
    • (2003) Ann Emerg Med. , vol.41 , Issue.5 , pp. 668-677
    • Ross, M.A.1    Compton, S.2    Richardson, D.3    Jones, R.4    Nittis, T.5    Wilson, A.6
  • 17
    • 0344737779 scopus 로고    scopus 로고
    • A national survey of observation units in the United States
    • Mace SE, GraffL, Mikhail M, Ross M. A national survey of observation units in the United States. Am J Emerg Med. 2003;21(7):529-33.
    • (2003) Am J Emerg Med. , vol.21 , Issue.7 , pp. 529-533
    • Mace, S.E.1    Graff, L.2    Mikhail, M.3    Ross, M.4
  • 18
    • 0035119674 scopus 로고    scopus 로고
    • The observation unit: a new interface between inpatient and outpatient care
    • Martinez E, Reilly BM, Evans AT, Roberts RR. The observation unit: a new interface between inpatient and outpatient care. Am J Med. 2001; 110(4):274-7.
    • (2001) Am J Med. , vol.110 , Issue.4 , pp. 274-277
    • Martinez, E.1    Reilly, B.M.2    Evans, A.T.3    Roberts, R.R.4
  • 19
    • 84880250170 scopus 로고    scopus 로고
    • Characteristics of hospital observation services: a Society of Cardiovascular Patient Care survey
    • Osborne A, Weston J, Wheatley M, O'Malley R, Leach G, Pitts S, et al. Characteristics of hospital observation services: a Society of Cardiovascular Patient Care survey. Crit Pathw Cardiol. 2013;12(2):45-8.
    • (2013) Crit Pathw Cardiol. , vol.12 , Issue.2 , pp. 45-48
    • Osborne, A.1    Weston, J.2    Wheatley, M.3    O'Malley, R.4    Leach, G.5    Pitts, S.6
  • 21
    • 34447579020 scopus 로고    scopus 로고
    • An emergency department diagnostic protocol for patients with transient ischemic attack: a randomized controlled trial
    • Ross MA, Compton S, Medado P, Fitzgerald M, Kilanowski P, O'Neil BJ. An emergency department diagnostic protocol for patients with transient ischemic attack: a randomized controlled trial. Ann Emerg Med. 2007;50(2)109-19.
    • (2007) Ann Emerg Med. , vol.50 , Issue.2 , pp. 09-19
    • Ross, M.A.1    Compton, S.2    Medado, P.3    Fitzgerald, M.4    Kilanowski, P.5    O'Neil, B.J.6
  • 22
    • 0030710223 scopus 로고    scopus 로고
    • Costs of an emergency department-based accelerated diagnostic protocol vs hospitalization in patients with chest pain: a randomized controlled trial
    • Roberts RR, Zalenski RJ, Mensah EK, Rydman RJ, Ciavarella G, Gussow L, et al. Costs of an emergency department-based accelerated diagnostic protocol vs hospitalization in patients with chest pain: a randomized controlled trial. JAMA. 1997;278(20):1670-6.
    • (1997) JAMA. , vol.278 , Issue.20 , pp. 1670-1676
    • Roberts, R.R.1    Zalenski, R.J.2    Mensah, E.K.3    Rydman, R.J.4    Ciavarella, G.5    Gussow, L.6
  • 23
    • 0009564141 scopus 로고    scopus 로고
    • An emergency department- based protocol for rapidly ruling out myocardial ischemia reduces hospital time and expense: results of a randomized study (ROMIO)
    • Gomez MA, Anderson JL, Karagounis LA, Muhlestein JB, Mooers FB. An emergency department- based protocol for rapidly ruling out myocardial ischemia reduces hospital time and expense: results of a randomized study (ROMIO). J Am Coll Cardiol. 1996;28(1):25-33.
    • (1996) J Am Coll Cardiol. , vol.28 , Issue.1 , pp. 25-33
    • Gomez, M.A.1    Anderson, J.L.2    Karagounis, L.A.3    Muhlestein, J.B.4    Mooers, F.B.5
  • 24
    • 0006873196 scopus 로고    scopus 로고
    • Healthcare Cost and Utilization Project. Clinical Classifications Software (CCS) for ICD-9-CM [Internet]
    • Rockville (MD): Agency for Healthcare Research and Quality; [last modified 2013 Sep 23; cited 2013 Oct 23]. Available from:
    • Healthcare Cost and Utilization Project. Clinical Classifications Software (CCS) for ICD-9-CM [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; [last modified 2013 Sep 23; cited 2013 Oct 23]. Available from: http://www.hcup-us.ahrq.gov/tools software/ccs/ccs.jsp
  • 25
    • 84879377748 scopus 로고    scopus 로고
    • Contribution of preventable acute care spending to total spending for high-cost Medicare patients
    • Joynt KE, Gawande AA, Orav EJ, Jha AK. Contribution of preventable acute care spending to total spending for high-cost Medicare patients. JAMA. 2013;309(24):2572-8.
    • (2013) JAMA. , vol.309 , Issue.24 , pp. 2572-2578
    • Joynt, K.E.1    Gawande, A.A.2    Orav, E.J.3    Jha, A.K.4
  • 26
    • 84876687956 scopus 로고    scopus 로고
    • A novel approach to identifying targets for cost reduction in the emergency department
    • Smulowitz PB, Honigman L, Landon BE. A novel approach to identifying targets for cost reduction in the emergency department. Ann Emerg Med. 2013;61(3):292-300.
    • (2013) Ann Emerg Med. , vol.61 , Issue.3 , pp. 292-300
    • Smulowitz, P.B.1    Honigman, L.2    Landon, B.E.3
  • 27
    • 84890185734 scopus 로고    scopus 로고
    • January 2007 update of the hospital Outpatient Prospective Payment System (OPPS): summary of payment policy changes and OPPS PRICER logic changes and instructions for updating the Outpatient Provider Specific File (OPSF)
    • Centers for Medicare and Medicaid Services. MLN Matters [serial on the Internet] [updated 2012 Oct 31; cited 2013 Oct 24]. (No. MM5438). Available from:
    • Centers for Medicare and Medicaid Services. January 2007 update of the hospital Outpatient Prospective Payment System (OPPS): summary of payment policy changes and OPPS PRICER logic changes and instructions for updating the Outpatient Provider Specific File (OPSF). MLN Matters [serial on the Internet] [updated 2012 Oct 31; cited 2013 Oct 24]. (No. MM5438). Available from: http://www.cms.gov/Out reach-and-Education/Medicare- Learning-Network-MLN/MLN MattersArticles/downloads/mm5438.pdf


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.