Laura Burke

#UrgentCare use among Medicare beneficiaries more than doubled from 2012 to 2019, with slower growth among those in rural, older, or disadvantaged populations, and advanced practice practitioners managed over half of visits in 2019. ja.ma/4blNHtm

Geographic access, patterns of prior care, and demographic factors are associated with veterans’ ER use, highlighting opportunities to strengthen @VeteransHealth and community care coordination and improve equitable access to emergency services. ja.ma/48Hjwts

Veterans living farther from Veterans Health Administration facilities, or with prior community emergency department use, are more likely to seek care at community sites. ja.ma/4aCmGBk

Observation stays are becoming increasingly common among #Medicare beneficiaries visiting the ED, but trends in observation care use vary widely across hospitals. @LauraBurke20 Read in #JGIM: buff.ly/HX6zB7b

Among Medicare beneficiaries with emergent hospitalizations for selected high-risk emergency conditions, approximately 3% were potentially missed on an ED visit within the prior 9 days. ja.ma/4lfMSnz

Also, as a side note, the indicators for the legend in Figure 1 were misplaced and a corrected version will be published shortly. The attached picture has the correctly labeled trend lines.

This trend matters for all VA enrollees, not just those enrolled in Medicare. Shout-out to my favorite Medicare/VA enrollee, my Dad, and the Brockton VA that he raves about.

I’m delighted to share our recent work  ja.ma/4iNxoXl suggesting that much of the growth in VA spending on ED visits to non-VA (“community”) EDs is due a shift in payer from Medicare to the VA, rather than a large change in where veterans are seeking emergency care.

Interesting new @TheLancet study by H. Naci @LSEHealthPolicy & @IPapanicolas @Brown_SPH Study shows tradeoffs in England of covering costly new drugs at the expense of not covering existing drugs/services in NHS. Result: Less health gains for people thelancet.com/journals/lance…

Our hospital opened at the end of October 2018 Since day 1 of opening we have kept a detailed registry of all intubations in the emergency department We completed our sixth year of data collection this week 1/14

@AlexJankeMD @medic_qi Outstanding work, Alex!!

🧵 In 2015, @CameronGettel and I set out to improve the quality of information transfer from nursing homes to emergency departments. We found many forms lacked critical details, like patients' baseline functional and cognitive status, and had confusing or missing code status. 1/

Congratulations, Jose, on this very well-deserved promotion!!

New @JAMAInternalMed paper with @McGarryBE @ashdgandhi Jiamin Yin and Afroze Chughtai @HarvardHPM! We explored if COVID+ hospital admissions to nursing homes early in the pandemic led to COVID outbreaks. Much discussed but never studied! jamanetwork.com/journals/jamai… brief thread