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EMERGENCY DEPARTMENT: Hybrid pediatric inpatient/ED model for lower volume hospitals

Hospitals that do not have enough volume to support 24/7 availability of a pediatric emergency department might consider a hybrid or combination pediatric inpatient/ED unit.  Howard County General Hospital (Columbia, Md.), credited with being the pioneer of this concept nearly 20 years ago, has 6 inpatient beds and 12 emergency beds.  The annual utilization is 18,000 pediatric ED patients.  The recommended minimum volume to make this type of program successful is 10,000 to 12,000 pediatric ED visits per year.

Other hospitals that have established, or are in the process of setting up, a similar unit include Anne Arundel Medical Center (Annapolis, Md.) and Nash General Hospital (Rocky Mount, N.C.).

Why I like this article: It is based on interviews with practitioners and contains pragmatic details about their programs.  Also provided is contact information for each of the interviewees.


Combined pediatric ED/inpatient unit concept catches on with Maryland community hospitals. (2017, January). ED Management, 29(1), 6-11.  Click here https://www.ahcmedia.com/articles/139700-combined-pediatric-edinpatient-unit-concept-catches-on-with-maryland-community-hospitals

See also these hospital websites:

From the Howard County General Hospital website: http://www.hopkinsmedicine.org/howard_county_general_hospital/services/pediatrics/the_childrens_care_center.html

From the Anne Arundel Medical Center website: http://www.aahs.org/peds/er.php

Posted by AHA Resource Center (312) 422-2050 rc@aha.org

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