Nick Rizer, MD

ED crowding is ultimately hospital crowding. This impacts all our patients, so if you have a good idea to alleviate crowding, share it! 4/4

But waiting for the "silver bullet" (health care financing reform, in case you were curious) that will solve crowding is dangerous. We need multiple solutions that each help move the needle a little bit. Inpatient hallway beds, discharge lounges, surgical smoothing, boarding quality measures...3/

We need whole health system buy-in for solutions to improve occupancy and inpatient flow. And inpatient boarding can help! We know patients prefer boarding in inpatient hallways over the ED. I fully admit, inpatient hallways are an incremental solution. 2/

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.

"Whatever the exact reasons behind this shift, the lack of reporting requirements for individual physician payments within NCEs has the potential to obscure potential conflicts of interest which may have implications for patient care. "

Trends in Industry-Sponsored Research Payments to Emergency Medicine Principal Investigators Industry-sponsored research payments (ISRPs) to physicians through non-covered entities (NCEs) are a widespread practice in the United States. However, there has been limited literature examining this...

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...

RFK Jr. weighs major changes to how Medicare pays physicians Kennedy and advisers say the system drives doctors to perform costly surgeries rather than combating chronic disease.

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