Your input was much appreciated. You said, "...The hospital administration has asked us to come up with criteria and
track the usage to insure that if attending's are to be paid extra, it
is for the right reasons."

I assume you are boarding patients during these periods of surge and the score is > 1.3. Has your  administration created a contingency plan to decrease downstream pressure on the ED? If so, could you share some details. 

Thanks again,
Le Bonheur

 Jay Pershad, MD, FAAP, FACEP


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