• Analyzing Unspecified Chest Pain Diagnoses and the Impact of Physician Staffing at the PVAHCS ED

      Lodgek, Erica; The University of Arizona College of Medicine - Phoenix; Abbaszadegan, Hamed (The University of Arizona., 2018-04-05)
      Emergency department overcrowding is a reality that exists within the healthcare system. To standardize monitoring performance, the VHA Directive establishes ED performance metric goals (targets) and minimum standards (thresholds) on a fiscal year basis. In line with these pre-determined metrics, the outcomes examined within this study include the number of patients diagnosed with unspecified chest pain and the respective Door to Doc, Admission Decision, Admission Delay, ED LOS, and Inpatient LOS times. The reasoning behind specifically examining patients with unspecified chest pain was because it was one of the top 10 diagnoses made at the PVAHCS ED for the year of 2016 and is an acuity level only assigned to physician providers. The reason for this study is to determine the impact increased physician staffing has on the flow of the Phoenix VA ED with regard to the described outcome measures. Therefore, examining if unspecified chest pain patients solely seen by physicians have improved flow within the ED.