Crowding Case Study Information Form

* Required field

* Name:
* Email Contact:
* Phone Number:
  Facility Name:
* Type of Facility:
* Number of ED Visits Per Year:
 (numeric value only, no commas)
* Number of ED Beds :
 (numeric value only, no commas)
 * Number Hospital Beds:
 (numeric value only, no commas)
* Avg Door to MD Time (minutes):
* Avg Door to Discharge Time (minutes):
* Psych Volume %:
 * Fast Track Volume %:
* Peds Volume %:
* LWBS %:
* Residents/Medical Students:

* Mid Level Providers:

Please provide as much detail about your effort as is available, including
pre-implementation conditions, such as ED size, number inhouse psych beds,
average in-hospital census and % occupancy, and availability of specialists;
rationale for specific intervention; replicable details of the intervention including
implementation plan; evaluation methods; results; and lessons learned.
Category of crowding/boarding
project that was successful:

* Can your case study* info be posted on the ACEP Website?

* Can your email address be posted with the case study?
* Case studies will be posted to members only area of Website.


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