Emergency Department Staffing
Optimal Emergency Department scheduling requires careful evaluation of arrival patterns by hour and day, acuity, and seasonal variation. In most circumstances, schedules should be different on different days to avoid volume-capacity mismatches and to ensure patient flow is optimized. The role of APPs in the Emergency Department is evolving over time and their importance in providing value-driven healthcare going forward cannot be overstated. One factor when deciding on the utilization of APPs in the ED is the current medical staff culture but, in general, we select and train APPs to practice at the top of their license. In busy EDs, APPs may see half of the patient population or more. Core uses predictive analytics and demand-capacity modeling to ensure that our capacity to see patients will match or exceed the expected volume demands across all hours at all facilities.
Providing quality care is the foundation of our company. Whether that means designing the optimal process, designing the most effective staffing model, or hiring the right clinicians, quality patient care is always our focus and end goal. We believe in transparency amongst our clinicians and that metric scorecards should be both individualized and created at macro levels for the group. Core works with hospital leadership to identify areas for improvement and then sets short- and long-term goals, benchmarking Emergency Department performance against peers and similar hospitals. Using the mindset of a High-Reliability Organization, accountability at the individual and group levels helps provide a framework for continuous improvement. Core has identified the greatest possibilities for failures in the Emergency Department so that we can proactively work to reduce errors. In emergency medicine, for example, we know the most common malpractices cases and have designed training modules and educational programs to prepare for and treat those cases in a uniform way.