Should freestanding emergency departments be considered in Australia?

de Alwis, Waruna

doi:10.1111/1742-6723.13175

Cited by 4 publications

(9 citation statements)

References 27 publications

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“…47 Freestanding EDs may provide a reprieve for staff from the workload and stress associated with hospital-based EDs. 1 There is still room for improvement, however.…”

Section: Discussionmentioning

confidence: 99%

“…Freestanding emergency departments (EDs) are changing the landscape of emergency care in the United States and are being considered around the world. 1 These facilities provide emergency care to patients while remaining physically distinct from a hospital, unlike a traditional hospital-based ED. Because they continue to expand, freestanding EDs have begun to receive more research interest and regulatory evaluation.…”

Section: Introductionmentioning

confidence: 99%

“…4 By siphoning lower-acuity patients, freestanding EDs may increase the efficiency of hospital-based EDs. 1 Work by Pines 5 suggested that freestanding EDs can also play a role in providing emergency care during natural disasters such as hurricanes. 5 They may be able to improve access to care for trauma patients in rural areas, 6 as well as maintain access to all types of emergency care in areas where critical access hospitals are closing because of financial problems.…”

Section: Introductionmentioning

confidence: 99%

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Freestanding Emergency Departments: What Is Their Role in Emergency Care?

Alexander

Dark

2019

Annals of Emergency Medicine

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Freestanding emergency departments (EDs), health care facilities that offer emergency care without being physically attached to a hospital, are becoming more common throughout the United States. Many individuals propose that these facilities can help alleviate the stress our current emergency care system faces and provide care to people with limited access to traditional hospital-based EDs. We reviewed the current literature on freestanding EDs to investigate whether these facilities are meeting those goals. We found that although they provide care that is generally similar in quality and cost to that of hospital-based EDs, freestanding EDs tend to cater to a more affluent patient population that already has access to health care instead of expanding care to underserved areas. This, coupled with a fragmented system of state-by-state regulation, leads us to recommend implementing more uniform licensing criteria from state to state, encouraging freestanding EDs to operate in more rural and underserved areas, and increasing price transparency.

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“…47 Freestanding EDs may provide a reprieve for staff from the workload and stress associated with hospital-based EDs. 1 There is still room for improvement, however.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Freestanding Emergency Departments: What Is Their Role in Emergency Care?

Alexander

Dark

2019

Annals of Emergency Medicine

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“…Among numerous endeavors to find possible solutions to these problems, a new infrastructural model defined as Free Standing Emergency Department (FSED) emerged demonstrating effectiveness in some context. This model has emerged as a promising alternative to the traditional HBED, especially in some regions of the United States (US) (i.e., Texas) and by the Australian healthcare system [10]. The model includes the development of a network of detached centers for emergency care from the main hospital campus for the delivery of emergency services to varied locations with the objective to reduce HBED overcrowding along with ensuring smoother accessibility of these services for the population.…”

Section: Introduction 1background Of the Study: Eds And Introduction ...mentioning

confidence: 99%

“…Satellite facilities are generally affiliated with a parent/referral hospital and usually accept Medicaid/public insurance coverage plans while Autonomous FSEDs are privately owned by healthcare professionals [12]. Reports highlight the rapid and accelerating growth of both FSED typologies in the US [13,14] as well as interest from other countries [10], however, limited information is available on its actual structure, layout and functionality; therefore further research is needed to shed light in this direction.…”

Section: Introduction 1background Of the Study: Eds And Introduction ...mentioning

confidence: 99%

Analysis of Functional Layout in Emergency Departments (ED). Shedding Light on the Free Standing Emergency Department (FSED) Model

et al. 2022

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The ever-increasing number of hospital Emergency Department (ED) visits pose a challenge to the effective running of health systems in many countries globally and multiple strategies have been adopted over the years to tackle the plight. According to a systematic review of the available literature, of the numerous models of healthcare systems used to address the issue in western countries, the FSED Model has the greatest potential for reducing hospital ED overcrowding as it can reduce the additional load by diverting minor cases, freeing up space for more urgent cases. The aim of the study is to shed light on the Free Standing Emergency Department (FSED) model and compare it with the traditional Hospital Based Emergency Department (HBED) in international contexts. In this study, 23 papers have been collected in a literature review and the main features have been highlighted; 12 case studies have been analyzed from a layout point of view and data have been collected in terms of surfaces, functions, and flow patterns. The percentages of floor areas devoted to each function have been compared to define evolution strategies in the development of emergency healthcare models and analyses. The use of FSED models is an interesting way to face the overcrowding problem and a specific range for functional area layout has been identified. Further studies on its application in different contexts are encouraged.

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On the creation of free‐standing emergency departments by hospitals—Some insights

et al. 2022

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Emergency departments (EDs) are an integral part of many acute care hospitals. Recently, however, hospitals have been increasingly experimenting with a new type of ED, for example, freestanding emergency departments (FSEDs). These are EDs that are physically separate from acute care hospitals but provide many of the same services provided by traditional EDs. Because of this geographic decoupling between the parent hospital and the FSED, hospitals can potentially reach out and provide services to user groups that may otherwise have been located too far away to serve. While this sounds good in theory, some have argued that FSEDs often get located in geographically proximate markets, rather than truly underserved areas, thereby exacerbating health care inequities. The current study investigates hospitals setting up FSEDs and examines their accrued business impacts to the parent hospital. By gathering a panel dataset covering several years of FSED openings and hospital performance, we examine how market share and operating margins of parent hospitals are impacted when they set up FSEDs. Results indicate that while there are some positive performance implications for hospitals who create FSEDs, a majority of these benefits are seen only for the first FSED created. We contend that this finding is driven by the fact that FSEDs are unlikely to be able to truly reach out to untapped populations, on account of their inherent nature. In conclusion, we question whether FSEDs are indeed a scalable approach to increasing health care access and reach.

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Should freestanding emergency departments be considered in Australia?

Cited by 4 publications

References 27 publications

Freestanding Emergency Departments: What Is Their Role in Emergency Care?

Freestanding Emergency Departments: What Is Their Role in Emergency Care?

Analysis of Functional Layout in Emergency Departments (ED). Shedding Light on the Free Standing Emergency Department (FSED) Model

On the creation of free‐standing emergency departments by hospitals—Some insights

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