Dennis - As you can see from the brisk response this is a very difficult
question, and largely defined by your setting, your volume, and your
One of the problems that I have seen is that the better you are at this
business, the more problems you attract. We are the 'backstop' for all the
problems in the system.
Having said that - here is how I would arbitrarily define a great Peds ED -
recognizing that many of the things you mentioned aren't measurable.
- Metrics - LWOT/AMA less than 1%, unscheduled return to admission less
than 0.5%, throughput to discharge less than 100 minutes, throughput to
admit less than 240 minutes.
- Patient complaints (non-financial) less than 0.1%
- Percentage of PEMs with 10 years in department > 50%
- Percentage of RNs with 10 years in department > 30%
- Academic/Hospital/Community involvement of PEM staff > 75%.
- Patient satisfaction - top quartile (ugh)
- After succeeding at all of the above you all don't hate each other!! Good
Jay Fisher MD
Children's Hospital of NV
On Thu, Jul 7, 2016 at 9:43 AM, Dennis Hernandez <
[log in to unmask]> wrote:
> This is more of a philosophical question so chime in with any thoughts.
> What makes a Pediatric ER a "World-Class" department?
> Is it Peds EM providers? Dedicated Peds nursing staff? Child life, Peds
> pharmacy and respiratory therapy in department?
> Is it your pediatric subspecialty services? Administration commitment? Is
> it your metrics and patient satisfaction scores? Patient-centered approach?
> Academics? Research? All of the above? What else?
> How would you define it? Or how would you answer the above question?
> Thank you and look forward to seeing how everyone's definition or
> perspective on this question is...
> Sent from my iPhone
> Dennis A. Hernandez, Md
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
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