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Mid-level Providers Working in a Low-acuity Area are More Productive than in a High-acuity Area

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-volum...

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Autores principales: Silberman, Michael, Jeanmonod, Donald, Hamden, Khalief, Reiter, Mark, Jeanmonod, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3876302/
https://www.ncbi.nlm.nih.gov/pubmed/24381679
http://dx.doi.org/10.5811/westjem.2012.12.12848
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author Silberman, Michael
Jeanmonod, Donald
Hamden, Khalief
Reiter, Mark
Jeanmonod, Rebecca
author_facet Silberman, Michael
Jeanmonod, Donald
Hamden, Khalief
Reiter, Mark
Jeanmonod, Rebecca
author_sort Silberman, Michael
collection PubMed
description 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.
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spelling pubmed-38763022013-12-31 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 West J Emerg Med Provider Workforce 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. Department of Emergency Medicine, University of California, Irvine School of Medicine 2013-11 /pmc/articles/PMC3876302/ /pubmed/24381679 http://dx.doi.org/10.5811/westjem.2012.12.12848 Text en Copyright © 2013 the authors. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Provider Workforce
Silberman, Michael
Jeanmonod, Donald
Hamden, Khalief
Reiter, Mark
Jeanmonod, Rebecca
Mid-level Providers Working in a Low-acuity Area are More Productive than in a High-acuity Area
title Mid-level Providers Working in a Low-acuity Area are More Productive than in a High-acuity Area
title_full Mid-level Providers Working in a Low-acuity Area are More Productive than in a High-acuity Area
title_fullStr Mid-level Providers Working in a Low-acuity Area are More Productive than in a High-acuity Area
title_full_unstemmed Mid-level Providers Working in a Low-acuity Area are More Productive than in a High-acuity Area
title_short Mid-level Providers Working in a Low-acuity Area are More Productive than in a High-acuity Area
title_sort mid-level providers working in a low-acuity area are more productive than in a high-acuity area
topic Provider Workforce
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3876302/
https://www.ncbi.nlm.nih.gov/pubmed/24381679
http://dx.doi.org/10.5811/westjem.2012.12.12848
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