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" Mid-level Providers Working in a Low-acuity Area are More Productive than in a High-acuity Area "
Silberman, Michael; Jeanmonod, Donald; Hamden, Khalief; Reiter, Mark; Jeanmonod, Rebecca K
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AL
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| Record Number
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933887
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LA9dv1d950
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| Language of Document
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English
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| Main Entry
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Silberman, Michael; Jeanmonod, Donald; Hamden, Khalief; Reiter, Mark; Jeanmonod, Rebecca K
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| Title & Author
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Mid-level Providers Working in a Low-acuity Area are More Productive than in a High-acuity Area [Article]\ Silberman, Michael; Jeanmonod, Donald; Hamden, Khalief; Reiter, Mark; Jeanmonod, Rebecca K
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| Title of Periodical
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Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
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| Volume/ Issue Number
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14/6
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| Date
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2013
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| Abstract
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Introduction: Mid-level providers (MLP) are extensively used in staffing emergency departments (ED). We sought to compare the productivity of MLPs staffing a low-acuity and high-acuity area of a community ED.Methods: This is a retrospective review of MLP productivity at a single center 42,000-volume community ED from July 2009 to September 2010. MLPs staffed day shifts (8AM-6PM or 10AM-10PM) in high- and low-acuity sections of the ED. We used two-tailed T-test to compare patients/hour, relative value units (RVUs)/hour, and RVUs/patient between the 2 MLP groups. Results: We included 49 low-acuity and 55 high-acuity shifts in this study. During the study period, MLPs staffing low-acuity shifts treated a mean of 2.7 patients/hour (confidence interval [CI] +/- 0.23), while those staffing high-acuity shifts treated a mean of 1.56 patients/hour (CI +/- 0.14, P < 0.0001). MLPs staffing low-acuity shifts generated a mean of 4.45 RVUs/hour (CI +/- 0.34) compared to 3.19 RVUs/hour (CI +/-0.29) for those staffing high-acuity shifts (P < 0.0001). MLPs staffing low-acuity shifts generated a mean of 1.68 RVUs/patient (CI +/- 0.06) while those staffing high-acuity shifts generated a mean RVUs/patient of 2.05 (CI +/- 0.09, P < 0.0001). Conclusion: MLPs staffing a low-acuity area treated more patients/hour and generated more RVUs/hour than when staffing a high-acuity area. [West J Emerg Med.2013;14(6):598–601.]
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