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1CONFIDENTIAL
“Measuring Quality and Value in the Emergency Department”
Alan Channing, President, CEO of Sinai Health System, ChicagoBrent Asplen, MD, President, CCO, Catholic Health Partners, Cincinnati
John G. Holstein, Director - Zotec Partners
May 16, 2014
5CONFIDENTIAL
How Do You Define Quality in Your EDs?
• What are the key metrics?• How are they obtained?
– Coding and billing services– HIM department– EMR
6CONFIDENTIAL
How Do You Define Value in Your EDs?
• What are the key metrics?• How are they obtained?
– Coding and billing services– HIM department– EMR
7CONFIDENTIAL
What is the Role and Responsibility of Your ED Physician Directors in Monitoring These
Indices?
7CONFIDENTIAL
8CONFIDENTIAL
The emergency department (ED) has been described as the “Nexus of Care” and the “Hub of the Enterprise” both portraying the ED as the center of the care continuum.
What are your thoughts on this description of the ED?
8CONFIDENTIAL
9CONFIDENTIAL
Doctor Asplin, last year at the ACEP conference you suggested the emerging ACO world presented a potential shared savings opportunity for Emergency Medicine. In a recent Becker’s Hospital Review article surveying hospital C-Suite executives the following data was reported:
• 59 percent of attendees indicated that physician groups have been the most important partner over the past three to five years, and 48 percent of attendees are confident this will remain the same in the next five years.
• 34 percent of attendees, however, indicated insurance companies will emerge as the most important partner.
This question is for both of you. What place does emergency medicine and the ED have in these developing arrangements and relationships?
10CONFIDENTIAL
Currently according to the Emergency Department Benchmarking Alliance the ED is responsible for 68% of
hospital admissions nationally. CMS is obviously clamping down on readmissions and there certainly appears to be a
decided industry push for more outpatient based care.
Since hospitals still have to make money to survive, how do each of you see this situation
and the role of the ED changing in the future?
10CONFIDENTIAL
11CONFIDENTIAL
Do you have programs outside the hospital to address patients who frequent your EDs with
non-emergent complaints?
11CONFIDENTIAL
13CONFIDENTIAL
Do you have now or are you considering the opening an urgent care center for your patients
with non-emergent complaints?
13CONFIDENTIAL
14CONFIDENTIAL
Is there such a thing as a poorly performing emergency department?
If “Yes” to the above question, how do you define it?
14CONFIDENTIAL
15CONFIDENTIAL
Concluding remarks on the future role of the ED in the evolving new world of health care.
What will the emergency department look like in 10 years?
15CONFIDENTIAL