Affiliation:
1. Texas A&M University, Department of Health Policy and Management College Station Texas USA
2. The School of Medicine Texas A&M University School of Medicine Bryan Texas USA
Abstract
AbstractObjectiveThe objective was to describe characteristics of emergency department visits to Texas satellite and independent freestanding emergency departments (FrEDs) relative to hospital emergency departments (EDs).Data Sources and Study SettingThe study used all 2021–2022 hospital and FrED discharges from the publicly available Texas Emergency Department Public Use Data Files (PUDF).Study DesignWe conducted a descriptive analysis, comparing patient and visit characteristics at satellite and independent FrEDs and hospital EDs using chi‐square tests. We characterized the top 20 diagnoses and procedures ranked by volume, treatment intensity, and potentially avoidable ED use.Data Collection/Extraction MethodsDischarge data from 2021 to 2022 were combined for the analysis, and ED data at critical access hospitals were excluded.Principal FindingsOur sample consisted of 21,605,421 ED visits, 76% occurring at hospitals, 12% at satellite FrEDs, and 12% at independent FrEDs. Compared with hospitals and satellite FrEDs, patients to independent FrEDs were younger, healthier, more likely covered by private insurance, and less likely to be identified as non‐Hispanic Black or Hispanic. Visits at satellite and independent FrEDs were more likely to be of moderate and low intensity and potentially avoidable.ConclusionsOur results underscore the need to address potentially avoidable utilization of emergency services.
Reference26 articles.
1. Texas Department of State Health Services (DSHS).Emergency Department Data Reporting Requirements. Published 2023. Accessed August 13 2023.https://www.dshs.texas.gov/texas‐health‐care‐information‐collection/facility‐reporting‐requirements/emergency‐department‐data‐reporting
2. Texas Administrative Code.Title 25 § 131.46.2020Accessed August 13 2023.https://texreg.sos.state.tx.us/public/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=25&pt=1&ch=131&rl=46
3. Centers for Medicare and Medicaid Services.Guidance for Licensed Independent Freestanding Emergency Departments (EDs) to Participate in Medicare and Medicaid during the COVID‐19 Public Health Emergency. Published online April 21 2020. Accessed August 13 2023.https://www.cms.gov/files/document/qso-20-27-hospital.pdf
4. State Regulation Of Freestanding Emergency Departments Varies Widely, Affecting Location, Growth, And Services Provided
5. Freestanding Emergency Departments Preferentially Locate In Areas With Higher Household Income
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