Sharing our new Health Affairs Forefront article that details why bad process measures can be dangerous for patients boarding in the Emergency Department. www.healthaffairs.org/content/fore... #HealthPolicySky #EmergencyMedicine #Boarding #QualityMetrics 🧵 1/3

Great, but also frustrating paper. Nearly every ED is drowning in the boarding crisis, but this is not an ED problem; it's a hospital crowding problem. Once inpatient occupancy crosses the threshold (~90%), flow slows and backs up into the ED (and the waiting room). 1/

Most days it felt like it would never end, but all of a sudden residency is over. Intern year feels like a lifetime ago, but I will never forget my first shift in the Hopkins ED. I arrived over an hour early. To do what exactly? I am still not sure.

Pleased to share our new paper on industry research payments in EM. Key findings: Funding is increasingly concentrated among a small number of PIs Payments are increasingly flowing through non-covered entities (NCEs) Read more here: www.jem-journal.com/article/S073...

There’s a lot of news stories about the new administration, but don’t miss this one by @ddiamond.bsky.social. IMO the Medicare PFS is most under-appreciated and overlooked item in the health policy toolkit. wapo.st/3Zix1fKout