Date of Award

12-13-2023

Embargo Period

12-13-2023

Document Type

Dissertation

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Jami Jones

Second Advisor

Jim Zoller

Third Advisor

Zahi Jurdi

Abstract

Emergency Department (ED) care is provided to patients for urgent and life-threatening emergencies. Inefficiency and overcrowding of ED continues to be a problem for the U.S. Health systems threaten the ability to provide care for the most vulnerable patients. The inefficiency of ED and hospital throughput creates challenges in being able to provide timely and effective care for ED patients. Prolonged ED wait times can be related to the availability of ED and hospital beds, inefficiencies in the emergency department, staffing, and other factors. Timely and effective care is important to providing high-quality care and decreases the risk of serious injury or illness. When a patient leaves without being seen (LWBS), the ED physician does not have an opportunity to provide a medical screening exam to evaluate the patient’s condition and assess the reason for seeking emergency care. Limited research has been conducted to understand if there is a positive relationship between hospital characteristics and LWBS rates in CMS patients using national-level data.The goal of the current project is to examine the potential impact of hospital characteristics on ED efficiency as measured by LWBS rates using currently available Medicare data from the data source of Timely and Effective Care National from emergency department visits. The limited dataset from the survey period of 2019 and 2022 was used to extract all records for Medicare beneficiaries.

Rights

Copyright is held by the author. All rights reserved.

Download

Share

COinS