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The glaring omission in hospital ranking and quality grading programs: emergency department boarding
Scott G Weiner1, Hojjat Salmasian2, Mallika L Mendu3
1Department of Emergency Medicine, Division of Health Policy and Public Health, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Abstract:
Hospitals in the United States are assessed and ranked by several agencies and services, including U.S. News & World Report. Frequently, though, the key hospital throughput metric of inpatient boarding time in the emergency department (ED) is not considered when ranking hospitals. As a result, there is a discordance in which highly ranking hospitals may be poor performers in boarding of patients, a practice with known adverse safety effects. This article outlines the rationale for considering ED boarding in hospital ranking and quality assessments.
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