The use of APPs allows a reduction in time to provider and allows the staff to implement programs that reduce patient walkaway rates.
It is critical that emergency physicians and APPs be able to see patients, place orders in their electronic medical record, and provide documentation of patient care. The technologies must be simplified to improve the work capabilities of all providers and, in particular, must facilitate the work of physicians, who serve at the highest level of decision making. Emergency physicians must fill the important role of overseeing patient care and the work of APPs for certain patients.
The EDBA data have followed the trend toward increasing use of APPs in the ED. This has been correlated with improved intake processing of patients and reduced walkaway rates.
James J. Augustine, MD, FACEP, is director of clinical operations at EMP in Canton, Ohio; clinical associate professor of Emergency Medicine at Wright State University in Dayton, Ohio; vice president of the Emergency Department Benchmarking Alliance; and on the ACEP Board of Directors.
- Wiler JL, Welch S, Pines J, et al. Emergency department performance measures update. Acad Emerg Med. 2015;22(5):542-553.