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January 23, 2024
It is hard to believe that we’ve lived with the 2023 CPT revisions for ED and observation codes for nearly a year. Emergency medicine in general has harnessed our usual resilience in the face of inevi...
Emergency department observation units (EDOUs) help hospitals safely and efficiently manage patients.
Berger D, King S, Caldwell C, et al. Returns after discharge from the emergency department observation unit: who, what, when, and why? West J Emerg Med. 2023 May 3;24(3):390-395.
Recently, I had the pleasure of sitting down with Dr. Mike Ross, chief of observation medicine, director of emergency medicine virtual care and professor of emergency medicine at Emory University Scho...
As mentioned at the ACEP Observation Section meeting, ACEP has begun to create an observation unit accreditation process.
June 10, 2023
Just as with emergency department (ED) evaluation and management (E/M) codes, the current procedural terminology (CPT) codes covering observation care underwent a substantial revision beginning in 202...
June 9, 2023
2023 has brought with it a myriad of documentation, coding, and reimbursement changes impacting Observation services including:
June 8, 2023
Chaftari P, Lipe DN, Wattana MK, et al. Outcomes of Patients Placed in an Emergency Department Observation Unit of a Comprehensive Cancer Center. JCO Oncol Pract. 2022;18:e574-e585.
December 6, 2022
When discussing observation medicine, one generally thinks of the patients with chest pain, abdominal pain, musculoskeletal pain, and other such clinical presentations as the “standard” observation pa...
Emergency departments (EDs) have functioned as the clinical safety net for society since their inception.
An Interview with Dr. Louis Graff IV
Telemedicine is an exciting frontier for medicine, as well as an area targeted by ACEP for growth and training of its members.
October 16, 2020
I wanted to share a summary of observation related topics in the current literature for your review.
Observation units have become increasingly common in recent years. Observation units (OUs) can be staffed by emergency physicians (EP) or by internal medicine physicians (IMPs).
It’s unfortunate that we won’t be able to see each other in person at the section meeting this year. On September 17th and 18th, I participated in the Michigan chapter’s Observation Medicine Science a...
March 27, 2019
Greetings section members! Recently, our section voted for this year’s ACEP section grant topics, here are the results.
The practice of observation medicine by emergency medicine (EM) providers has spiked over recent years. An increasing number of emergency departments (EDs) across the country are adopting clinical mod...
In this series we will look articles and abstracts both inside and beyond the emergency medicine journals related to observation medicine. While these may or may not change care, I hope to provide inf...
This is a piece on observation medicine as the expansion of our specialty. My oh my, have things changed since my days of training where I learned to care for all comers irrespective of their money, b...
The ED Observation Unit at Highland Hospital (Rochester, NY) has been operating since 2011. In May of 2018, the University of Rochester Medical Center introduced global clinical use of a highly sensit...
Back in November, ACEP released its clinical policy on the care of patients with suspected NSTEMI. I strongly advise everyone to take a look at it if you haven’t already as there are some key recommen...
September 5, 2018
Medicare is the largest payer of healthcare in the United States (US) for adults 65 and older and is administered by the Centers for Medicare and Medicaid Services (CMS).
Emergency department observation units (EDOU) have increased efficiency and streamlined patient care. In addition to the “ED mentality” being applied in the units, the use of protocols linked to sympt...
CMS defines observation care as “a well-defined set of specific, clinically appropriate services, which include ongoing short-term treatment, assessment, and reassessment before a decision can be made...
Many of us started an observation unit under the directive of “let’s have a place where we can rule out MIs.”