Key Points From NHMACS and EDBA Data
- The CDC NHAMCS study, which started in 1992, documents that American EDs are seeing about 2.4 percent more visits per year.
- More patients arrive with medical illnesses rather than injuries.
- More patients are elderly and arrive by EMS.
- Despite increasing volumes and acuity, ED flow improvement has occurred.
- There is a continued increase in the application of ECGs, MRI scans, and ultrasound in the diagnostic workup of ED patients.
- Admission rates are stable over the last decade at about 16 percent to 18 percent, and those patients represent about two-thirds of inpatient admissions to American hospitals.
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.
Explore This IssueACEP Now: Vol 35 – No 04 – April 2016
- National Hospital Ambulatory Medical Care Survey: 2011 Emergency Department Summary Tables. CDC Web site. Accessed March 17, 2016.
- Wiler, JL, Welch S, Pines J, et al. Emergency department performance measures updates: proceedings of the 2014 Emergency Department Benchmarking Alliance consensus summit. Acad Emerg Med. 2015;22(5):542-553.