TY - JOUR
T1 - A Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care
AU - Khidir, Hazar
AU - Salhi, Rama
AU - Sabbatini, Amber K.
AU - Franks, Nicole M.
AU - Green, Andrea
AU - Richardson, Lynne D.
AU - Terry, Aisha
AU - Vasquez, Nicholas
AU - Goyal, Pawan
AU - Kocher, Keith
AU - Venkatesh, Arjun K.
AU - Lin, Michelle P.
N1 - Publisher Copyright:
© 2022 American College of Emergency Physicians
PY - 2023/1
Y1 - 2023/1
N2 - The emergency department serves as a vital source of health care for residents in the United States, including as a safety net. However, patients from minoritized racial and ethnic groups have historically experienced disproportionate barriers to accessing health care services and lower quality of services than White patients. Quality measures and their application to quality improvement initiatives represent a critical opportunity to incentivize health care systems to advance health equity and reduce health disparities. Currently, there are no nationally recognized quality measures that track the quality of emergency care delivery by race and ethnicity and no published frameworks to guide the development and prioritization of quality measures to reduce health disparities in emergency care. To address these gaps, the American College of Emergency Physicians (ACEP) convened a working group of experts in quality measurement, health disparities, and health equity to develop guidance on establishing quality measures to address racial and ethnic disparities in the provision of emergency care. Based on iterative discussion over 3 working group meetings, we present a summary of existing emergency medicine quality measures that should be adapted to track racial and ethnic disparities, as well as a framework for developing new measures that focus on disparities in access to emergency care, care delivery, and transitions of care.
AB - The emergency department serves as a vital source of health care for residents in the United States, including as a safety net. However, patients from minoritized racial and ethnic groups have historically experienced disproportionate barriers to accessing health care services and lower quality of services than White patients. Quality measures and their application to quality improvement initiatives represent a critical opportunity to incentivize health care systems to advance health equity and reduce health disparities. Currently, there are no nationally recognized quality measures that track the quality of emergency care delivery by race and ethnicity and no published frameworks to guide the development and prioritization of quality measures to reduce health disparities in emergency care. To address these gaps, the American College of Emergency Physicians (ACEP) convened a working group of experts in quality measurement, health disparities, and health equity to develop guidance on establishing quality measures to address racial and ethnic disparities in the provision of emergency care. Based on iterative discussion over 3 working group meetings, we present a summary of existing emergency medicine quality measures that should be adapted to track racial and ethnic disparities, as well as a framework for developing new measures that focus on disparities in access to emergency care, care delivery, and transitions of care.
UR - http://www.scopus.com/inward/record.url?scp=85144484514&partnerID=8YFLogxK
U2 - 10.1016/j.annemergmed.2022.08.010
DO - 10.1016/j.annemergmed.2022.08.010
M3 - Article
C2 - 36257864
AN - SCOPUS:85144484514
SN - 0196-0644
VL - 81
SP - 47
EP - 56
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
IS - 1
ER -