Arjun
@arjunvenkatesh
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Chair and Chief of EM @yale_EM and @YNHH, Health Services Researcher • opinions my own • retweet ≠ endorsement
new haven, ct
Joined May 2009
I recognized 42/52 people in the Times Faces Quiz (using 15 hints). How many can you guess?
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RT @Yale_EM: Emergency departments are America's 24/7 safety net, but they're fraying under systemic pressures. @DoreenAgbohMD sheds light….
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RT @EdGainesIII: New @AnnalsofEM study shows that ED boarding cost per Pt are nearly 2X of IPs + average boarding time for large EDs 80K+ i….
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RT @Yale_EM: PGY-4 Chief Resident Reba Gillis, MD, MBS, presents “Environmental Scan for Quality Indicators for Tube Thoracostomies Perform….
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RT @Yale_Ventures: ���I don’t think there’s any limit on how big the life sciences and more broadly, the innovation ecosystem in New Haven ca….
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RT @NEJM: In the latest episode of the Intention to Treat podcast, 56-year-old Tiffany Brown describes the financial hardships she has face….
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RT @DrMarthaGulati: For this reason we need to get all South Asians living in the the USA enrolled in @ourhealthstudy . If you haven’t sign….
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RT @SAEMonline: Help us fill NIH study sections with #EmergencyMedicine investigators by nominating yourself or another expert by September….
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Certificate of Need (CON) regulations are an outdated, blunt and unnecessary regulatory lever In a world with alternative payment models, hospital at home, growth of post acute care options and many other ways to reduce hospitalization costs.
Possible that regulators loosened restrictions on creating real beds during the early days of the Covid emergency when the surge of cases made it necessary? Made sense then, not now! You alternate theories/insights welcome? 🙏 9/9.
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This is the problem - even hotels don’t run at 100% - kills any flow. Also data-based see fig 1: @AlexJankeMD @Ted_Melnick
Observation: hospitals endeavor to run at 100 percent capacity, like hotels. Better for profit but they should leave some beds vacant for an uptick in demand. They are overbooking like airlines. Patient can’t get a $500 coupon to take a later flight. 6/9.
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See figure 2
What’s going on? Observation: the ER is now 4 or 5 times the size than when I worked there. But the number of true inpatient beds hasn’t increased proportionately. Hospitals can charge you for an inpatient room in the overflow unit. 5/9.
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RT @RosenthalHealth: Healthcare rant of the week: My husband has recently spent 7 days (2 admissions) in a kind of new invention of US heal….
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RT @YaleMed: In a recent @PLOSONE study, a team including @Yale_EM's @arjunvenkatesh and @YaleIMed's @SpatzErica finds patients reporting m….
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As a workforce health services researcher I would love that PECOS specialty designation! No other way to measure the current capacity of specialty healthcare teams or primary care across the nation @CameronGettel @cleebennett.
5/ Interestingly, the independence and autonomy of their advanced practice providers works against them in MSSP attribution☹️. The rule change for a 48-month MD visit lookback (starting 2025) will help, but surely there's a better way (optional NP/PA PECOS specialty designation?).
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RT @lisabari: I recently had a VERY COMMON annual cancer screening at @UCSFHospitals. My primary care provider is @onemedical. Some people….
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RT @JAMANetworkOpen: In this cross-sectional study of emergency department physicians' EHR use, EHR time per clinical encounter varied subs….
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Emergency Physician spend just 6 mins in the EHR per visit and the majority of time documenting and not reviewing critical data and history - we need to support emergency physician workload better @Ted_Melnick @hmkyale @KarenSheares.
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