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Emergency center categorization standards.

L Goldfrank1, P L Henneman, L J Ling

  • 1Department of Emergency Medicine, Bellevue Hospital Center, New York, NY, USA.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|July 1, 1999
PubMed
Summary
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The Society for Academic Emergency Medicine (SAEM) established criteria for Level 1 emergency centers (ECs) to enhance patient care quality. This voluntary review process assesses emergency departments based on objective standards for care, administration, research, and education.

Area of Science:

  • Emergency Medicine
  • Healthcare Quality Improvement
  • Medical Administration

Background:

  • The Macy Foundation recommended revising emergency department (ED) classification in 1994.
  • Existing classifications did not adequately reflect the level of care, facility adequacy, or physician availability.
  • Emergency Medicine (EM) organizations sought to improve patient care through standardized assessments.

Purpose of the Study:

  • To establish objective standards for Level 1 emergency centers (ECs).
  • To create a voluntary review process for ECs providing comprehensive emergency care.
  • To designate regional resources for EM education, research, and administration.

Main Methods:

  • Development of critical and relative criteria for Level 1 EC designation.

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  • Review process initiated by voluntary application from any institution.
  • Assessment based on quality of care, administrative, research, and educational efforts.

    • Main Results:

    • A standards document outlining criteria for Level 1 EC designation has been created.
    • The SAEM EC Categorization Task Force is commencing the review process.
    • Designation requires meeting all critical criteria and substantial compliance with relative criteria.

    Conclusions:

    • The SAEM EC Categorization Task Force aims to improve patient care by standardizing Level 1 ECs.
    • The voluntary review process encourages institutions to meet high standards in emergency medicine.
    • This initiative provides a framework for recognizing centers of excellence in emergency care, education, and research.