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Free-standing emergency clinics: community development guidelines

A S Kaplan, W Larson, R J Fitzsimmons

    Annals of Emergency Medicine
    |June 1, 1981
    PubMed
    Summary
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    A new free-standing emergency clinic (FEC) prompted the development of standards for emergency medical services (EMS). The study recommends FECs operate 24 hours with EMS-level standards.

    Area of Science:

    • Emergency Medicine
    • Healthcare Administration
    • Public Health Policy

    Background:

    • A free-standing emergency clinic (FEC) opened in Montgomery County, Maryland, raising concerns among the local emergency medical services (EMS) council.
    • The FEC's operational plan was perceived as conflicting with the established community concept of EMS.
    • Lack of agreed-upon factual guidelines hindered the council's ability to evaluate the FEC.

    Purpose of the Study:

    • To address the conflict between a new FEC and existing EMS.
    • To develop standards and guidelines for evaluating free-standing emergency facilities.
    • To establish clear criteria for facilities using the term "emergency" in their services.

    Main Methods:

    • Formation of a task force by the local EMS council.

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  • Study of the FEC's operational plan and its implications for community EMS.
  • Development of recommended standards based on the task force's findings.

    • Main Results:

    • The task force identified a need for clear operational standards for FECs.
    • The study established a benchmark for facilities offering emergency services.
    • A recommendation was formulated to ensure consistent quality of care.

    Conclusions:

    • Facilities separate from hospitals using the term "emergency" should operate at least 24 hours.
    • These facilities must adhere to standards at least equal to the local EMS system.
    • Clear guidelines are essential for integrating new emergency care models into existing systems.