Please confirm your hospital/ED name :
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Please confirm your hospital/ED address :
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This number can be found on the cover of the paper version of the survey.
Please answer questions with estimates for the year 2018 (unless otherwise indicated)
In 2018, was your ED open 24 hours/day, 7 days/week?(A1a)
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Yes
No
In 2018, was your ED open 365 days per year?(A1b)
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Yes
No
If NOT open 24/7 all year in 2018, please explain:
Although every ED would evaluate an emergent patient of any age, some EDs predominantly see older patients (e.g., age 12+ years). Other EDs, often in children's hospitals, may predominantly see younger patients (e.g., age < 18 years).(A2)
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Yes
No, all ages seen
Specify age range:
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Number of ED Beds (exclude hallway and ED-based OBS unit, if applicable):(A3a)
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# ED BEDS
Number of ED-based OBS unit beds:(A3b)
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# OBS BEDS
Approximate percent of patients that arrived to the ED by ambulance(A4)
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% BY AMBULANCE
Approximate percent of ED patients that were uninsured or 'self-pay'(A5)
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% UNINSURED
Approximate percent of all ED visits that led to admission, including ICU and OBS admissions (A6)
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% ADMITTED
Approximate number of critical care transfers to other facilities (i.e., transfers requiring a level of care beyond ALS - Advanced Life Support)(A7)
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# PATIENTS/YR
For 2018, please indicate the average total number of clinicians , after accounting for departures and new hires. Totals are expressed as full-time employees (FTE) - e.g., 2 half-time = 1 FTE.(B1)
Number of FTE ED attending physicians:(B1a)
* must provide value
Number of FTE ED nurses:(B1b)
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Number of FTE ED physician assistants:(B1c)
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Number of FTE ED nurse practitioners:(B1d)
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Is at least one attending physician (not resident) on duty in the ED 24 hours/day, 7 days/week? (exclude on-call physicians) (B2)
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Yes
No
When a physician is not on duty in the ED , is any physician available to the ED by two-way voice communication 24 hours/day, 7 days/week:(B2a)
From within your hospital?(B2ai)
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Yes
No
From outside of your hospital?(B2aii)
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Yes
No
In 2018, percent of attending emergency physicians board-certified or board-eligible (BC/BE) by ABEM, AOBEM or ABP/Peds EM:(B3)
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% BC/BE
Is at least one Certified Emergency Nurse (CEN) on duty in the ED 24 hours/day, 7 days/week?(B4)
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Yes
No
Don't know
Is a computer system used to collect real-time clinical data in the ED?(C1)
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Yes
Partial/In Progress
No
Does your hospital provide telemedicine services for the evaluation of patients in other EDs?(C4)
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Yes
No
Not sure
Does your ED receive telemedicine services for patient evaluation from an outside entity(C5)
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Yes
No
If your ED receives (check all that apply) (C5a)
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Other: (please specify) (C5a)
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Is point-of-care (PoC) ultrasound available immediately in the ED? (PoC ultrasound is also known as "bedside" or "emergency" ultrasound.)(C6)
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Yes
No
In your ED, do the emergency physicians (not radiologists, cardiologists, etc.) use PoC ultrasound for clinical care?(C7)
* must provide value
Yes
No
Approximately what percentage of your emergency physicians use PoC ultrasound as part of their clinical practice?(C8)
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1-20%
21-40%
41-60%
61-80%
81-100%
Are the following consultants available in-person to the ED?(D1)
a. Anesthesiologist(D1a)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
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Yes
No
b. Cardiologist(D1b)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
c. General Surgeon(D1c)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
d. Neurologist(D1d)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
e. Neurosurgeon(D1e)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
f. Obstetrician-Gynecologist(D1f)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
g. Orthopedic Surgeon(D1g)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
h. Pediatrician(D1h)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
i. Plastic Surgeon(D1i)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
i. Psychiatrist(D1j)
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Yes
No
On average, how long does the
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0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
i. Hand Surgeon(D1k)
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Yes
No
On average, how long does the
* must provide value
0-29 min
30-59 min
> 60 min
Is the consultant available 24 hours/day, 7 days/week?
* must provide value
Yes
No
h. Time elapsed between request for patient transfer and departure from ED to an intensive care unit (e.g. on a mechanical ventilator)(D2h)
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< 30 min
30-59 min
> 60 min
NA
i. Time elapsed between request for patient transfer and departure from ED to the Operating Room (e.g. for emergent condition)(D2i)
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< 30 min
30-59 min
> 60 min
NA
j. Time elapsed between request for patient transfer and departure from ED to a psychiatric inpatient bed (D2j)
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< 3 hrs
3-6 hrs
> 6 hrs
NA
On a typical day at 6 pm : Are there any ED patients being cared for primarily in the hallway?(E1a)
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Yes
No
On a typical day at 6 pm : Are there patients that "board" in the ED for >2 hours until an inpatient bed becomes available?(E1b)
* must provide value
Yes
No
While patients are boarding in the ED please(E2)
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Inpatient attending
ED attending
Other
Specify:
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Approximate percent of ED patients that left before being seen (LBBS)(E3)
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% LBBS
In 2018, was your hospital ever on ambulance diversion?(E4)
* must provide value
Yes
No
On average, over the entire year,(E4a)
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DIVERSION HRS/MO
In 2018, how would you describe your hospital's ED?(E5)
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Under capacity
Good balance
At capacity
Over capacity
Please select the one response that best describes the availability of Social Work Services in your ED:(F2)
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ED-based Social Worker(s)
Hospital Social Worker(s) based outside the ED but can respond to the ED
Mixture of ED-based and Hospital Social Worker(s)
Other
None
Specify:
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Are Social Work Services available in your ED 24 hours/day, 7 days/week?(F3)
* must provide value
Yes
No
Is there a policy to promote the following actions in your ED?(G1)
a. Use a specific screening tool (1 or more questions) for targeted screening of patients with suspected prescription opioid abuse potential(G1a)
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Yes
No
b. Access your state's Prescription Drug Monitoring Program (statewide database of patients' controlled substance prescription histories) before writing a prescription for opioids(G1b)
* must provide value
Yes
No
c. Notify primary opioid prescriber or primary care provider when prescribing opioids for ED patients with chronic pain(G1c)
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Yes
No
d. Refer patients with opioid use disorder to treatment and recovery resources(G1d)
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Yes
No
Is the patient typically referred to any of the following?
1. Detox or rehabilitation facility(G1d1)
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Yes
No
2. Social worker / case manager(G1d2)
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Yes
No
3. Other(G1d3)
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Yes
No
Specify:
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e. Prescribe or dispense naloxone to patients at risk of opioid overdose after ED discharge(G1e)
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Yes
No
→ What percentage of patients at risk of opioid overdose are offered naloxone ?
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< 10%
10-19%
20-49%
50-79%
> 80%
f. Prescribe or dispense buprenorphine (including buprenorphine-naloxone ) as "medication-assisted treatment" to patients with opioid use disorder(G1d)
* must provide value
Yes
No
→ What percentage of patients with opioid use disorder are offered buprenorphine ?
* must provide value
< 10%
10-19%
20-49%
50-79%
> 80%
Do you have identified coordinators for pediatric emergency care in your ED? (check all that apply) (H1)
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A pediatric emergency care coordinator (PECC) is someone who manages pediatric care in the ED and who helps educate other ED staff on pediatric emergency care. PECC roles can vary, and some EDs refer to these individuals with different titles (e.g., Pediatric Champion).
Please review question H1.
If "other" pediatric coordinator, please specify:
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Please indicate the total number of patient visits at your ED and the 12-month reporting period to which they apply.
Number of ED visits:(H2)
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# ED VISITS
12-month reporting period (from MM/YY to MM/YY)
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MM/YY to MM/YY
For EDs that regularly treat adults: Does your ED have a dedicated area for children only (e.g., dedicated beds)? (H3)
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Yes
No
Not applicable (e.g. children's hospital)
Approximate number of ED visits by children (e.g., age < 18 years):(H4)
* must provide value
# CHILD ED VISITS
If your ED uses another age to distinguish between children and adults (e.g., age 21 years), and it's difficult to obtain data for age < 18, please respond above according to your ED's cut-off. (H4a)
age < ___ years
Position (e.g., ED Director):
