Do we really want to continue to define ourselves via the metric of
"patient satisfaction" scores? There is good data that the current surveys
that are used to measure this are not associated with positive outcomes and
are actually associated with worse care (over prescribing of drugs and
imaging) and poorer patient outcomes.
Just my two cents.
On Sat, Jul 9, 2016 at 1:32 PM, Jay Fisher <[log in to unmask]> wrote:
> 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
> funding sources.
> 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
> Medical Director
> Pediatric EM
> Children's Hospital of NV
> On Thu, Jul 7, 2016 at 9:43 AM, Dennis Hernandez <
> [log in to unmask]> wrote:
> > All,
> > 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
> > 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...
> > Respectfully,
> > DH
> > 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:
> > http://listserv.brown.edu/ped-em-l.html
> 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:
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: