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{
    "pk": 8175,
    "title": "Effect of an Emergency Department Fast Track  on Press-Ganey Patient Satisfaction Scores",
    "subtitle": null,
    "abstract": "Introduction: \nMandated patient surveys have become an integral part of Medicare remuneration, putting hundreds of millions of dollars in funding at risk. The Centers for Medicare & Medicaid Services (CMS) recently announced a patient experience survey for the emergency department (ED). Development of an ED Fast Track, where lower acuity patients are rapidly seen, has been shown to improve many of the metrics that CMS examines. This is the first study examining if ED Fast Track implementation affects Press-Ganey scores of patient satisfaction.\nMethods: \nWe analyzed returned Press-Ganey questionnaires from all ESI 4 and 5 patients seen 11AM - 11PM, August-December 2011 (pre-fast track), and during the identical hours of fast track, August-December 2012. Raw ordinal scores were converted to continuous scores for paired student t-test analysis. We calculated an odds ratio with 100% satisfaction considered a positive response.\nResults: \nAn academic ED with 52,000 annual visits had 140 pre-fast track and 85 fast track respondents. Implementation of a fast track significantly increased patient satisfaction with the following: wait times (68% satisfaction to 88%, OR 4.13, 95% CI [2.32-7.33]), doctor courtesy (90% to 95%, OR 1.97, 95% CI [1.04-3.73]), nurse courtesy (87% to 95%, OR 2.75, 95% CI [1.46-5.15]), pain control (79% to 87%, OR 2.13, 95% CI [1.16-3.92]), likelihood to recommend (81% to 90%, OR 2.62, 95% CI [1.42-4.83]), staff caring (82% to 91%, OR 2.82, 95% CI [1.54-5.19]), and staying informed about delays (66% to 83%, OR 3.00, 95% CI [1.65-5.44]).\nConclusion: \nImplementation of an ED Fast Track more than doubled the odds of significant improvements in Press-Ganey patient satisfaction metrics and may play an important role in improving ED performance on CMS benchmarks.[West J Emerg Med. 2015;16(1):–0.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Fast Track"
        },
        {
            "word": "patient satisfaction"
        },
        {
            "word": "emergency care systems, efficiency"
        },
        {
            "word": "Emergency Department Management"
        },
        {
            "word": "management, quality assurance"
        }
    ],
    "section": "Emergency Department Operations",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0zw7297z",
    "frozenauthors": [
        {
            "first_name": "Calvin",
            "middle_name": "E.",
            "last_name": "Hwang",
            "name_suffix": "",
            "institution": "Stanford University School of Medicine, Stanford/Kaiser Emergency Medicine Residency, Stanford, California",
            "department": "None"
        },
        {
            "first_name": "Grant",
            "middle_name": "S.",
            "last_name": "Lipman",
            "name_suffix": "",
            "institution": "Stanford University School of Medicine, Division of Emergency Medicine, Department of Surgery, Stanford, California",
            "department": "None"
        },
        {
            "first_name": "Marlena",
            "middle_name": "",
            "last_name": "Kane",
            "name_suffix": "",
            "institution": "Stanford Hospital and Clinics, Department of Patient Care Services, Stanford, California",
            "department": "None"
        }
    ],
    "date_submitted": "2014-03-17T10:17:19-07:00",
    "date_accepted": "2014-03-17T10:17:19-07:00",
    "date_published": "2014-12-05T11:53:12-08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8175/galley/4702/download/"
        }
    ]
}