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Chapter 1 - Observation Medicine – Key Concepts: How to Start (and Maintain) an Observation Unit: What You Need to Know

Clinical Issues

from Part I - Administration: Key Concepts of Observation Medicine, and Developing and Maintaining an Observation Unit

Published online by Cambridge University Press:  31 March 2017

By
Sharon E. Mace
Edited by
Sharon E. Mace
Sharon E. Mace
Affiliation:
Department of Emergency Medicine, Cleveland Clinic, Ohio
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Type
Chapter
Information
Observation Medicine
Principles and Protocols
 , pp. 2 - 10
Publisher: Cambridge University Press
Print publication year: 2017

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References

Centers for Medicare and Medicaid Services (CMS). Medicare benefit policy manual, Chapter 6: Hospital services covered under Part B. Baltimore, MD: CMS; [revised Mar 1, 2013]. www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R42BP.pdf and www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/bp102c06.pdf (Accessed March 2016)Google Scholar
Ross, MA, Hockenberry, JM, Mutter, R, et al. Protocol-driven emergency department observation units offer savings, shorter stays and reduced admissions. Health Affairs 2013; 32(12): 2149–2156.CrossRefGoogle ScholarPubMed
Baugh, CW, Venkatesh, AK, Hilton, JA, et al. Making greater use of dedicated hospital observation units for many short-stay patients could save $3.1 billion a year. Health Affairs 2012; 31(10): 2314–2323.CrossRefGoogle ScholarPubMed
Macy, ML, Hall, M, Shah, SS, et al. Differences in designations of observation care in US freestanding Children’s Hospitals: are they virtual or real? J Hosp Medicine 2012; 7(4): 287–293.CrossRefGoogle ScholarPubMed
Mace, SE, Graff, L, Mikhail, M, et al. A national survey of observation units in the United States. Am J Emerg Med 2003 21:529–533.CrossRefGoogle ScholarPubMed
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Mace, SE, Shah, J. Observation medicine in emergency medicine residency programs. Acad Emerg Med 2002; 9: 169–171.CrossRefGoogle ScholarPubMed
Barsuk, J, Casey, D, Graff, L, et al. The Observation Unit: an operational overview for the hospitalist. Society of Hospital Medicine White Paper. May 21, 2009. www.hospitalmedicine.org/Content/NavigationMenu/Publications/WhitePapers/White_Papers.htm (Accessed March 2015)Google Scholar
Mace, SE. Pediatric observation medicine. Emerg Med Clinics North Am 2001: 19(1): 239–254.CrossRefGoogle ScholarPubMed
Ross, MA, Naylor, S, Compton, S, et al. Maximizing use of the emergency department observation unit: a novel hybrid design. Ann Emerg Med 2001; 37: 267–274.CrossRefGoogle ScholarPubMed
Zebrack, M, Kadish, H, Nelson, D. The pediatric hybrid observation unit: an analysis of 6477 consecutive patient encounters. Pediatrics 2005; 115(5): e535–e542.CrossRefGoogle ScholarPubMed
Mace, SE. Resuscitations in an observation unit. J Quality in Clinical Practice 1999; 19(3):155–163.CrossRefGoogle Scholar
Mace, SE. Patient complaints in an observation unit. J Quality Clinical Practice 1998; 18(2): 151–158.Google Scholar
Graff, LG, Wolf, S, Dinwoodie, R, et al. Emergency physician workload: a time study. Ann Emerg Med 1993: 22(7): 1156–1163.CrossRefGoogle ScholarPubMed
Maguire, P. What’s the ideal number of patients to see? Today’s Hospitalist, July 2009. Available on-line at: www.todayshospitalist.com/index.php?b=articles_read&cnt+824 (Accessed March 2016)Google Scholar
Sheehy, AM, Graf, B, Gangireddy, S, et al. Hospitalized but not admitted. Characteristics of patients with “Observation Status” at an academic medical center. JAMA Intern Med 2013; 173(2): 1991–1998.CrossRefGoogle Scholar

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