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Emergency Department Management

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A Comprehensive, Practical Text on Effectively Running an Emergency Department

Emergency Department Management is a real-world, pragmatic guide designed to help emergency department managers efficiently handle the many complex issues that arise in this challenging clinical environment. Written by professionals who have spent their entire careers in the service of emergency department patients, this unique text delivers practical solutions to virtually any problem that may arise in running an emergency department or acute care center.

Table of Contents and Authors

Section 1 - Leadership Principles

  Chapter Name Authors
1 Leadership, Management, and Motivation Thom Mayer, MD, FACEP; AnnMarie Papa, DNP, RN, CEN, NE-BC, FAEN, FAAN
2 Vision, Mission, Values, Strategy, and Tactics Thom Mayer, MD, FACEP; Robert Strauss, MD, FACEP
3 Change and Project Management: A Practical Approach Kirk Jensen, MD, MBA, FACEP
4 Power vs Influence Thom Mayer, MD, FACEP; Robert Strauss, MD, FACEP
5 Interaction with Hospital Governance Thom Mayer, MD, FACEP; Rhonda Morgan, Robert Strauss, MD, FACEP; Kirk Jensen, MD, MBA, FACEP; Michael Born, MD, MBA, FACHE, CPE; Chuck Stokes, FACHE; John Brennan, MD, FAAP, FACEP; Tim Attebery, DSc, MBA, FACHE; Karla Perez
6 The Role of Physician and Nurse Leaders Thom Mayer, MD, FACEP; Robert Strauss, MD, FACEP; Theresa Tavernero, RN, PhD, MBA
7 Mentoring and Coaching Brian Zink, MD
8 Conflict Management Robert Strauss, MD, FACEP; Gus Garmel, MD
9 Conducting High-Impact Meetings Robert Strauss, MD, FACEP
10 Patient Safety: Error Elimination Kirk Jensen, MD, MBA, FACEP; Robert Strauss, MD, FACEP
11 Defining Patient Experience and Leading Change Thom Mayer, MD, FACEP; Joan Kyes, Robert Cates, MD
12 The Discipline of Teams and Teamwork Thom Mayer, MD, FACEP; Theresa Tavernero, RN, PhD, MBA; Mary Kaye Silverman, DNP, RN, CEN, NEA-BC; Robert Strauss, MD, FACEP; Kirk Jensen, MD, MBA, FACEP
13 Maintaining Personal and Professional Balance Robert Strauss, MD, FACEP; Jay Kaplan, MD, FACEP; Alexander Rosenau, DO, FACEP; Thom Mayer, MD, FACEP
14 Ethical Issues Catherine Marco, MD
15 The Role of the Site Medical Director Mike Silverman, MD
16 Women in Emergency Medicine Leadership Andrea Austin, MD; Valerie Dobiesz, MD, MPH; Resa E. Lewiss, MD; Rebecca Bollinger Parker, MD, FACEP; Tracy Sanson, MD, FACEP; Aisha T. Terry, MD, MPH, FACEP
17 Leadership in Times of Crisis Thom Mayer, MD, FACEP

Section 2 - Operations: General

  Chapter Name Authors
18 Leadership, Medical Director Thom Mayer, MD, FACEP; Robert Strauss, MD, FACEP; AnnMarie Papa, DNP, RN, CEN, NE-BC, FAEN, FAAN
19 Leadership, Nursing Director Pam Turner, RN, MBA; Suzanne Stone-Griffith, RN, MSN; Kathy Kopka, MHSA, RN
20 The Medical Director - Nurse Director Relationships India Taylor Owens, MSN, RN, CEN, NE-BC; William Rutherford, MD Robert Strauss, MD, FACEP
21 Emergency Department Provider Staffing Jody Crane, MD, MBA; Chuck Noon, PhD
22 Emergency Department Nurse Staffing Denise Bayer, Donna Mason, Nancy Bonalumi, DNP. RN, CEN, FAEN
23 Emergency Physician and Nurse Productivity Assessment Robert Strauss, MD, FACEP; Aviva Amaranto
24 Physician Assistants and Nurse Practitioners Jeremy Tucker, Robert Strauss, MD, FACEP; Cary Stratford, PA-C, DFAAPA; Cyndy Flores, PA-C; Killian, DNP, RN, FNP-BC, CEN; Randall Dabbs, MD
25 Scribes Clay Alexander, Chelsey Geiger
26 Violence in the Emergency Department Chris Ziebell, MD, FACEP; Jonathan Apfelbaum, MD; William Scheuler
27 Facility Design Frank Zilm, FAIA, FACHA; James Augustine, MD, FACEP; Nancy Bonalumi, DNP, RN, CEN, FAEN
28 Effective Marketing of the Emergency Department Janet Carr, John Proctor, MD, MBA
29 Multicultural Approach to ED Patients Lynne Richardson, MD; Gallane Abraham, MD; Theresa Tavernero, RN, PhD, MBA
30 ED Management Essentials Jay Kaplan, MD, FACEP; Robert Strauss, MD, FACEP; Jeffrey Eye
31 The View From the C-Suite Thom Mayer, MD, FACEP; Robert Strauss, MD, FACEP; Chuck Stokes, FACHE; Mike Born, MD, MBA, FACHE, CPE; Steve Narang, MD, MHCM; John Brennan, MD, FAAP, FACEP
32 Emergency Management of Drug and Supply Shortages James Augustine, MD, FACEP; John Proctor, MD, MBA

Section 3 - Operations: Flow

  Chapter Name Authors
33 Patient Throughput: An Introduction Kirk Jensen, MD, MBA, FACEP; Thom Mayer, MD, FACEP; Jay Kaplan, MD, FACEP; Stephanie Baker, MBA, RN, CEN
34 Patient Flow Principles Charles Noon, PhD; Jody Crane, MD, MBA; Mark Kauffman, MD
35 Triage: Improving the Front-End Process to Add Value Jody Crane, MD, MBA; Kirk Jensen, MD, MBA, FACEP; Sally Sulfaro
36 Front-Loading Flow Thom Mayer, MD, FACEP; John Howell, Kirk Jensen, MD, MBA, FACEP; Robert Strauss, MD, FACEP; Alan Lo, MD
37 The Role of ED Fast Tracks  Kirk Jensen, MD, MBA, FACEP; Thom Mayer, MD, FACEP
38 Optimizing Patient Throughput Joseph Twanmoh, MD, MBA; Kirk Jensen, MD, MBA, FACEP; Robert Strauss, MD, FACEP; PK Howard, PhD, RN, CEN, CPEN, TCRN, NE-BC, FAEN, FAAN
39 Role of Observation Units/Rapid Treatment in the Emergency Department Michael Ross, MD, MHA; Louis Graff, MD, FACEP; Stephen Bohan, MD, MS, FACP, FACEP; Keith DellaGrotta, MD
40 Expediting Admissions Francisco Andrade, MD; Robert Strauss, MD, FACEP; Stephen Colucciello, MD
41 Decision to Discharge - Finishing Strong Jody Crane, PhD; Robert Strauss, MD,FACEP; Suzanne Stone-Griffith, RN, MSN; Thom Mayer, MD, FACEP
42 Managing Waits: The Psychology of Waiting Kirk Jensen, MD, MBA, FACEP
43 Hospital-Wide Patient Flow Jody Crane, PhD; Christina Dempsey, Kirk Jensen, MD, MBA, FACEP; Barbara Weintraub, Robert Strauss, MD, FACEP; Thom Mayer, MD, FACEP
44 Effective Response to Full Capacity Eric Morley, MD; Sandy Schneider, MD, FACEP; Peter Viccellio, MD
45 Defeating Bounce Backs: Managing High-Utilizer Patients Blaine Hannafin, MD, MBA, RDMS; Kimberly Anderson, Gigi Baniqued, Karen Murrell, MD, MBA, FACEP
46 Innovative Strategies to Enhance Flow Thom Mayer, MD, FACEP; Kirk Jensen, MD, MBA, FACEP

Section 4 - Operations: Emergency Department Diversification

  Chapter Name Authors
47 Poison Centers Lewis Nelson, MD, FACEP, FACMT; Diane Calello, MD, FAAP, FACMT, FAACT
48 Pediatric Emergency Medicine: Improving Quality and Readiness Sujit Iyer, MD; Winnie Whitaker, MD, FAAP; Katherine Remick, MD
49 Undersea and Hyperbaric Medicine Thom Mayer, MD, FACEP; Joseph Dervay, MD; Norma Cooney, MD, FACEP
50 Behavioral Health in Emergency Care Abhi Mehrotra, MD, MBA, FACEP
51 Hospital Medicine Hammad Rizvi, DO, MBA, CPE, FHM; Michael Corvini, MD; Robert Strauss, MD, FACEP; Thom Mayer, MD, FACEP
52 Disaster Planning and Response Knox Andress, RN, FAEN; Dan Hanfling, MD
53 Military Emergency Medicine Vikhyat Bebarta, MD; Linda Lawrence, MD, FACEP, CPE
54 Free-standing Emergency Departments Frank Zilm, FAIA, FACHA; Thom Mayer, MD, FACEP, Gillian Schmitz, MD, FACEP; James Augustine, MD, FACEP
55 Sports Medicine  Jim Ellis, Stephanie Bailey
56 Geriatric Emergency Departments Kelly Ko, MS, PhD; Adriane Lesser, MS; Vaishal Tolia, MD, MPH, FACEP; Kevin Biese, MD, MAT; Mark Rosenberg, DO, MBA, FACEP 
57 Practice Diversification in EMS Thomas Blackwell, MD; Thom Mayer, MD, FACEP; James Augustine, MD, FACEP; Ed Racht, MD
58 The Role of the Air Medical Services and Inter-Facility Ground Transport Thom A. Mayer, MD, FACEP; James Augustine, MD, FACEP; Luis F. Eljaiek, Jr., MD, FACEP, FAAEM; Thomas Judge, Renee Holleran, PhD, FNP
59 Palliative and End-of-Life Care Kenneth Isersen, MD, MBA, FACEP
60 Opioid – Substance - Pain Management Alexis LaPietra, DO; Don Stader, MD; Sergey Motov, MD; Lewis Nelson, MD, FACEP, FACMT; Renee Holleran, PhD, FNP
61 Developing and Implementing Ultrasound in the ED Thompson Kehrl, MD, RDMS; Robert Jones, Mark Collin, MD
62 Rural Emergency Departments Autumn M. Brogan, MD, MPH; Stephen J. Jameson, MD; Alex J.Beuning, MD; Scott W. Rodi, MD

Section 5 - Informatics

  Chapter Name Authors
63 Introduction to Clinical Informatics Ali Raja, MD, MBA, MPH
64 Electronic Health Records Todd Taylor, MD, FACEP; James McClay, MD, FACEP
65 Electronic Health Record Tracking Systems Zach Jarou, MD, MBA; Thomas Speigel, MD, MBA, MS
66 Electronic Health Record - Documentation Systems John Brown, Zach Jarou, MD, MBA
67 Computerized Provider Order Entry and Clinical Decision Support Brian Fengler, MD; Ali Raja, MD, MBA, MPH; Nicholas Genes, MD, PhD
68 Data Acquisition and Analysis Sean Michael, MBA-HCM, CPHQ; Jennifer Wiler, MD, MBA, FACEP
69 Essential Support Tools and Technologies Sujal Mandavia, MD; Phil Gruber, MD
70 Social Media in Medicine Matthew Klein, Ryan Stanton, MD, FACEP; Michael Gottlieb, MD
71 New Technologies and Applications Timothy Boardman, MD; Gita Pensa, MD, FAAEM
72 Telemedicine in Emergency Medicine Judd Hollader, MD; Rahul Sharma, MBBS, FRACP

Section 6 - Quality and Service

  Chapter Name Authors
73 Leadership for Great Patient Experience-The Survival Skills Approach Thom Mayer, MD, FACEP
74 Using Evidence-Based Language to Improve Service Robert Strauss, MD, FACEP; Thom Mayer, MD, FACEP
75 The A-Team Toolkit Thom Mayer, MD, FACEP; Robert Cates
76 Complaint Management Robert Strauss, MD, FACEP
77 Effective Medical Staff Relationships: A Case-Based Discussion Robert Strauss, MD, FACEP
78 Improving Performance Through Mutual Accountability Thom Mayer, MD, FACEP; Robert Strauss, MD, FACEP; Chris Kelly, Jay Kaplan, MD, FACEP; Kirk Jensen, MD, MBA, FACEP
79 Patient Safety and Error Reduction: A Tactical Approach Kirk Jensen, MD, MBA, FACEP; John Howell, Leslie Flament, APRN-NP; Thom Mayer, MD, FACEP; Pat Croskerry, MD, PhD
80 Promoting Rational Thinking: An Ethical Imperative Pat Croskerry, MD, PhD; Thom Mayer, MD, FACEP
81 Cognitive Debiasing Strategies Thom Mayer, MD, FACEP; Pat Croskerry, MD, PhD; Kirk Jensen, MD, MBA, FACEP; Robert Strauss, MD, FACEP
82 The Revolving Door of Readmissions Arjun Venkatesh, MD, MBA, MHS; Jean Scofi, MD, MBA

Section 7 - Finance

  Chapter Name Authors
83 Developing a Business Plan Brooks Babcock; Robert W. Strauss, MD, FACEP; Thom A. Mayer, MD, FACEP
84 Resource Utilization John Sverta
85 The Financially Successful Emergency Department Callie Barber; Michael Granovsky, MD, CPC, FACEP
86 Optimizing Physician Performance Through Incentives Robert Strauss, MD, FACEP; Mark Rosenberg, DO, MBA, FACEP; Erik Barton, MD, FACEP; Thom Mayer, MD, FACEP; Michael Granovsky, MD, CPC, FACEP
87 Optimizing Nursing Performance Through Incentives Jeff Solheim, MSN, RN, CEN; Fred Neis
88 Financially Successful Private Physician Groups Mark Reiter, MD; Kevin Beier, MD
89 Financial Success in an Academic Group ED Jim Scheulen, PA; Gabor Kelen, MD, FACEP
90 Financial Planning for Individuals Gabor Kelen, MD, FACEP; Michael B. Kelen

Section 8 - Reimbursement

  Chapter Name Authors
91 Reimbursement Issues Michael Granovsky, MD, CPC, FACEP; David McKenzie, CAE
92 Introduction to Coding Sarah Todt
93 Advanced Billing and Coding  Michael Granovsky, MD, CPC, FACEP
94 Facility Revenue Considerations Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC
95 Billing and Collecting Jeff Bettinger, MD, FACEP; Elijah Berg, MD, FACEP
96 Creating the Culture of Compliance Ed Gaines III, JD, CCP
97 ED Quality and Reporting in Era of Payment Reform Zach Jarou, MD, MBA; Adam Rodos, MD, FACEP; Pawan Goyal, MD, MHA, CBA, PMP, FHIMSS, MS, CPHIMS
98 Alternative Payment Models Susan Nedza, MD, MBA, FACEP

Section 9 - Contracts

  Chapter Name Authors
99 Negotiation Skills Robert Strauss, MD, FACEP
100 Contracts with Physicians Robert Strauss, MD, FACEP; Leslie Zun, MD, FACEP
101 Contracting with Hospitals Robert Strauss, MD, FACEP, Thom Mayer, MD, FACEP; David Singley
102 Employees vs Independent Contractors Robert Strauss, MD, FACEP
103 Equity, Parity, and Group Structure Thom Mayer, MD, FACEP; Robert Strauss, MD, FACEP, Jay Kaplan, MD; Mark Reiter, MD; Joel Stettner, MD

Section 10 - Legal and Regulatory Issues

  Chapter Name Authors
104 EMTALA for Emergency Department Leaders Robert Bitterman, MD, FACEP
105 Consent to and Refusal of Medical Treatment Matthew Rice, MD, JD, FACEP; James George
106 Emergency Department Documentation Diane Nordlund, DO, JD, FACEP; Charles Grassie, MD, JD, FACEP; Joanne Navarroli; Kay Bleecher; Robert Strauss, MD, FACEP
107 Reporting Requirements Confidentiality, Data Breaches, and HIPAA Howard Peth, Jr., MD, FACEP
108 Disposition, Discharge, and Follow Up William Sullivan; Paul Allegretti, DO; Joanne Navarroli

Section 11 - Malpractice

  Chapter Name Authors
109 Risk Management: Challenges and Opportunities Sue Dill
110 Risk Management in Practice  Greg Henry,MD, FACEP; Diana Nordlund, DO, JD, FACEP
111 Medical Malpractice Insurance Ed Boudreau, Jr., DO, FACEP; William Montei
112 Malpractice, The Personal Toll Louise Andrew, MD, JD
113 Medical Malpractice William Sullivan
114 Anatomy of a Lawsuit Jennifer L’Hommedieu Stankus, MD, FACEP
115 Expert Witness: Telling "The Story of the Case" Thom Mayer, MD, FACEP
116 Medical Defense Experts: A Defense Attorney's Perspective Mark Jones

Section 12 - Human Resources

  Chapter Name Authors
117 General Principles of Human Resources India Owens; Kevin Klauer, DO, EJD, FACEP
118 Physician Recruitment, Credentialing and Orientation Kevin Klauer, DO, EJD, FACEP
119 Physician Retention, Feedback, and Professional Development Randy Pilgrim, MD, FACEP; Ricardo Martinez, MD
120 Nurse Recruitment, Credentialing, and Orientation Colleen Desai, Robert Strauss, MD, FACEP
121 Nurse Retention Michael D. Moon, RN, CNS, MSN
122 Managing Impaired Professionals Dennis Whitehead, MD, FACEP
123 Generational Differences in Emergency Medicine Nicholas M. Mohr, MD, FACEP; Lisa Moreno-Walton, MD, FACEP; Rebecca Smith-Coggins, MD; Angela M. Mills, MD, FACEP; Hollynn Larrabee, MD; Pamela Dyne, DO, FACEP; Kathleen J. Clem, MD, FACEP; Marie-Laure Romney, MD; Susan B. Promes, MD, MBA, FACEP
124 Gender Balance Andrea Austin, MD, FACEP; Valerie Dobiesz, MD, FACEP; Resa E. Lewiss, MD, FACEP; Rebecca B. Parker, MD, FACEP; Tracy Sanson, MD, FACEP; Aisha T. Terry, MD, MPH, FACEP
125 Burnout: Diagnosis, Treatment, and Prevention    Susan B. Promes, MD, MBA, FACEP
126 The Nursing Perspective on Burnout: Compassion Fatigue Resiliency Kathleen Flarity, J. Eric Gentry, Jeffrey Dietz, MD, FACEP; Vikhyat S. Bebarta, MD, FACEP
127 Late Career Toolkit Robert Bramante, MD, FACEP; Kathleen J. Clem, MD, FACEP

Section 13 - Health Care Policy

  Chapter Name Authors
128 Value of Advocacy Nathan Schlicher, MD, JD, MBA, FACEP; Steven Stack, MD, MBA, FACEP; Fred Neis
129 Mechanics of Advocacy L. Anthony Cirillo, MD, FACEP; John Proctor, MD, MBA, FACEP
130 Federal Advocacy Taylor DesRosiers, MD; Aaron George, MD; Steven Stack, MD, MBA, FACEP
131 State Advocacy Alison Haddock, MD, FACEP; Bradley Uren, MD, FACEP
132 Private Sector Advocacy Ashley Booth Norse, MD, FACEP

Section 14 - Education

  Chapter Name Authors
133 Private Sector Engagement Ashley Booth Norse, MD, FACEP
134 Resident Management Training Ali Raja, MD, MBA, MPH
135 Simulation Ernie Wang, MD, FACEP; Lisa Jacobson, MD, FACEP; Teresa Wu, MD, FACEP
136 Leadership and Management Training: Residency and Beyond Robert Strauss, MD, FACEP; Thom Mayer, MD, FACEP
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