Impact of the Closure of a Large, Urban Safety-Net Hospital on a Neighboring Academic Center: A Philadelphia Case Study
| Autor: | Vijay M. Rao, Vishal Desai, Adam C. Zoga, Sarah I. Kamel, F.T. Randolph |
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| Rok vydání: | 2020 |
| Předmět: |
Philadelphia
Practice patterns business.industry Safety net Radiology workflow Emergency department medicine.disease University hospital 030218 nuclear medicine & medical imaging Health Facility Closure Workflow Radiology report Radiography 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Medicine Humans Radiology Nuclear Medicine and imaging Medical emergency Closure (psychology) business Emergency Service Hospital Imaging order Safety-net Providers |
| Zdroj: | Journal of the American College of Radiology : JACR. 17(9) |
| ISSN: | 1558-349X |
| Popis: | Objectives We examined how the closure of 496-bed Hahnemann University Hospital (HUH), a level I trauma and stroke center and safety-net hospital in Philadelphia, Pennsylvania, impacted the emergency department (ED) and radiology workflow in our neighboring hospital (Thomas Jefferson University Hospital) located Methods On June 30, 2019, HUH announced its imminent closure and began diverting trauma patients, with its ED officially closing in mid-August. Trends of our ED and radiology workflow were analyzed using QlikView analytics software for 3 months before and after the closure. Data were compared to workflow from the same time period in 2018. Results The average monthly number of patients presenting to our ED after the closure increased 20.2% with a corresponding 16% increase in ED imaging studies, primarily in radiographs (+16%) and CT (+20%). Radiology orders by advanced practice providers increased 74%. Turnaround time from imaging order placed to final diagnostic radiology report did not change substantially after the closure. Conclusion Workflow in our ED and radiology department was significantly impacted by the closure of HUH. This study provides insight into how our practice patterns changed and compensated after the closure of a neighboring, large, urban safety-net hospital; it is important for radiologists to be aware of citywide practice patterns to adapt to acute change. |
| Databáze: | OpenAIRE |
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