Roberta Capp

Journal Article West J Emerg Med · February 22, 2021 INTRODUCTION: Patient navigation programs can help people overcome barriers to outpatient care. Patient experiences with these programs are not well understood. The goal of this study was to understand patient experiences and satisfaction with an emergency ... Full text Link to item Cite

Description and Yield of Current Quality and Safety Review in Selected US Academic Emergency Departments.

Journal Article J Patient Saf · December 2020 OBJECTIVES: Quality and safety review for performance improvement is important for systems of care and is required for US academic emergency departments (EDs). Assessment of the impact of patient safety initiatives in the context of increasing burdens of q ... Full text Link to item Cite

Patient Navigation to Reduce Emergency Department (ED) Utilization Among Medicaid Insured, Frequent ED Users: A Randomized Controlled Trial.

Journal Article J Emerg Med · June 2020 BACKGROUND: Some Medicaid enrollees frequently utilize the emergency department (ED) due to barriers accessing health care services in other settings. OBJECTIVES: To determine whether an ED-initiated Patient Navigation program (ED-PN) designed to improve h ... Full text Link to item Cite

Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process.

Journal Article J Patient Saf · March 2020 OBJECTIVE: This study aimed to develop an emergency department (ED) trigger tool to improve the identification of adverse events in the ED and that can be used to direct patient safety and quality improvement. This work describes the first step toward the ... Full text Link to item Cite

Commentary: Addressing the Challenges of the Homeless Patient.

Journal Article Ann Emerg Med · November 2019 Full text Link to item Cite

Challenges and Opportunities for Emergency Department Sepsis Screening at Triage.

Journal Article Sci Rep · July 23, 2018 Feasibility of ED triage sepsis screening, before diagnostic testing has been performed, has not been established. In a retrospective, outcome-blinded chart review of a one-year cohort of ED adult septic shock patients ("derivation cohort") and three addit ... Full text Link to item Cite

Community Health Workers: Addressing Client Objectives Among Frequent Emergency Department Users.

Journal Article J Public Health Manag Pract · 2018 OBJECTIVES: To evaluate effectiveness of a community health worker (CHW) program designed to address client objectives among frequent emergency department (ED) users. DESIGN: Program evaluation using secondary analysis of client objectives from program rec ... Full text Link to item Cite

Emergency Department Attending Physician Variation in Opioid Prescribing in Low Acuity Back Pain.

Journal Article West J Emerg Med · October 2017 INTRODUCTION: Despite treatment guidelines suggesting alternatives, as well as evidence of a lack of benefit and evidence of poor long-term outcomes, opioid analgesics are commonly prescribed for back pain from the emergency department (ED). Variability in ... Full text Link to item Cite

Coordination Program Reduced Acute Care Use And Increased Primary Care Visits Among Frequent Emergency Care Users.

Journal Article Health Aff (Millwood) · October 1, 2017 Many high utilizers of the emergency department (ED) have public insurance, especially through Medicaid. We evaluated how participation in Bridges to Care (B2C)-an ED-initiated, multidisciplinary, community-based program-affected subsequent ED use, hospita ... Full text Link to item Cite

Factors Associated With Early Readmission Among Patients Discharged to Post-Acute Care Facilities.

Journal Article J Am Geriatr Soc · June 2017 BACKGROUND: Over a quarter of Medicare patients admitted to the hospital are discharged to post-acute care (PAC) facilities, but face high rates of readmission. Timing of readmission may be an important factor in identifying both risk for and preventabilit ... Full text Link to item Cite

Characteristics Associated with Home Health Care Referrals at Hospital Discharge: Results from the 2012 National Inpatient Sample.

Journal Article Health Serv Res · April 2017 OBJECTIVE: To assess patient- and hospital-level factors associated with home health care (HHC) referrals following nonelective U.S. patient hospitalizations in 2012. DATA SOURCE: The 2012 National Inpatient Sample (NIS). STUDY DESIGN: Retrospective, cross ... Full text Link to item Cite

Using emergency department community health workers as a bridge to ongoing care for frequent ED users

Chapter · January 1, 2017 Introduction Frequent emergency department (ED) utilizers are common, accounting for about 28–50 percent of all ED visits. Decreasing ED utilization is mentioned as a goal in nearly every healthcare cost reduction initiative. Of particular scrutiny in the ... Full text Cite

Transforming health care education to address social determinants of health: The 2014 hot spotters student program

Journal Article Journal of Interprofessional Education and Practice · December 1, 2016 Purpose We describe an interdisciplinary community-academic program that teaches students how to assess and address social determinants of health (SDH) and population health for patients using the emergency department (ED). Method Twelve students from mult ... Full text Cite

National Trends in Emergency Department Visits by Adults With Mental Health Disorders.

Journal Article J Emerg Med · August 2016 BACKGROUND: Although mental health disorders (MHDs) affect as many as 1 in 4 adults in the U.S., the national trends in emergency department (ED) use for adults who have MHD comorbidities are unknown. OBJECTIVE: To evaluate the role of mental health disord ... Full text Link to item Cite

Undertriage of Trauma-Related Deaths in U.S. Emergency Departments.

Journal Article West J Emerg Med · May 2016 INTRODUCTION: Accurate field triage of critically injured patients to trauma centers is vital for improving survival. We sought to estimate the national degree of undertriage of trauma patients who die in emergency departments (EDs) by evaluating the frequ ... Full text Link to item Cite

Association of mental health disorders and Medicaid with ED admissions for ambulatory care-sensitive condition conditions.

Conference Am J Emerg Med · May 2016 INTRODUCTION: Adult Medicaid enrollees are more likely to have mental health disorders (MHDs) than privately insured patients and also have high rates of emergency department (ED) visits for ambulatory care-sensitive conditions (ACSCs). We aimed to evaluat ... Full text Link to item Cite

Reasons for Frequent Emergency Department Use by Medicaid Enrollees: A Qualitative Study.

Journal Article Acad Emerg Med · April 2016 BACKGROUND: The Affordable Care Act initiated several care coordination programs tailored to reduce emergency department (ED) use for Medicaid-enrolled frequent ED users. It is important to clarify from the patient's perspective why Medicaid enrollees who ... Full text Link to item Cite

Characteristics of Medicaid-Covered Emergency Department Visits Made by Nonelderly Adults: A National Study.

Journal Article J Emerg Med · December 2015 BACKGROUND: The Affordable Care Act has added millions of new Medicaid enrollees to the health care system. These patients account for a large proportion of emergency department (ED) utilization. OBJECTIVE: Our aim was to characterize this population and t ... Full text Link to item Cite

The impact of emergency department observation units on United States emergency department admission rates.

Journal Article J Hosp Med · November 2015 OBJECTIVE: Prior studies suggesting that the presence of emergency department (ED) observation units decrease overall ED hospital admissions have been either single-center studies or based on model simulations. The objective of this preliminary national st ... Full text Link to item Cite

Understanding predictors of prolonged hospitalizations among general medicine patients: A guide and preliminary analysis.

Journal Article J Hosp Med · September 2015 Targeting patients with prolonged hospitalizations may represent an effective strategy for reducing average hospital length of stay (LOS). We sought to characterize predictors of prolonged hospitalizations among general medicine patients to guide future im ... Full text Link to item Cite

Do Adult Medicaid Enrollees Prefer Going to Their Primary Care Provider's Clinic Rather Than Emergency Department (ED) for Low Acuity Conditions?

Journal Article Med Care · June 2015 BACKGROUND: The rates of annual visits for adult Medicaid enrollees to the emergency department (ED) are increasing. Many programs throughout the country are focused on engaging patients in the use of their primary care providers (PCP) rather than the ED f ... Full text Link to item Cite

Predictors of patients who present to the emergency department with sepsis and progress to septic shock between 4 and 48 hours of emergency department arrival.

Journal Article Crit Care Med · May 2015 OBJECTIVES: Approximately one in every four patients who present to the emergency department with sepsis progresses to septic shock within 72 hours of arrival. In this study, we describe key patient characteristics present within 4 hours of emergency depar ... Full text Link to item Cite

Variation in US hospital emergency department admission rates by clinical condition.

Conference Med Care · March 2015 BACKGROUND: Variation in hospitalization rates have been described for decades, yet little is known about variation in emergency department (ED) admission rates across clinical conditions. We sought to describe variation in ED risk-standardized admission r ... Full text Link to item Cite

Hospital variation in risk-standardized hospital admission rates from US EDs among adults.

Journal Article Am J Emerg Med · August 2014 BACKGROUND: Variation in hospital admission rates of patients presenting to the emergency department (ED) may represent an opportunity to improve practice. We seek to describe national variation in hospital admission rates from the ED and to determine the ... Full text Link to item Cite

Frequent users of US emergency departments: characteristics and opportunities for intervention.

Journal Article Emerg Med J · July 2014 OBJECTIVE: To compare the characteristics of US adults by frequency of emergency department (ED) utilisation, specifically the prevalence of chronic diseases and outpatient primary care and mental health utilisation. METHODS: We analysed 157 818 adult part ... Full text Link to item Cite

National study of health insurance type and reasons for emergency department use.

Journal Article J Gen Intern Med · April 2014 BACKGROUND: The rates of emergency department (ED) utilization vary substantially by type of health insurance, but the association between health insurance type and patient-reported reasons for seeking ED care is unknown. OBJECTIVE: We evaluated the associ ... Full text Link to item Cite

Characteristics of Medicaid enrollees with frequent ED use.

Journal Article Am J Emerg Med · September 2013 BACKGROUND: Medicaid enrollees are disproportionately represented among patients with frequent Emergency Department (ED) visits, yet prior studies investigating frequent ED users have focused on patients with all insurance types. METHODS: This was a single ... Full text Link to item Cite

Impact of physician-assisted triage on timing of antibiotic delivery in patients admitted to the hospital with community-acquired pneumonia (CAP).

Journal Article J Emerg Med · September 2012 BACKGROUND: Time to antibiotic delivery in patients with diagnosis of pneumonia is a publicly reported quality measure. OBJECTIVE: We aim to describe the impact of emergency department (ED) physician-assisted triage (PAT) on The Joint Commission (TJC) and ... Full text Link to item Cite

Impact of physician screening in the emergency department on patient flow.

Journal Article J Emerg Med · September 2012 BACKGROUND: Physician triage is one of many front-end interventions being implemented to improve emergency department (ED) efficiency. STUDY OBJECTIVE: We aim to determine the impact of this intervention on some key components of ED patient flow, including ... Full text Link to item Cite

Accuracy of microscopic urine analysis and chest radiography in patients with severe sepsis and septic shock.

Journal Article J Emerg Med · January 2012 BACKGROUND: Diagnosis of source of infection in patients with septic shock and severe sepsis needs to be done rapidly and accurately to guide appropriate antibiotic therapy. OBJECTIVE: The purpose of this study is to evaluate the accuracy of two diagnostic ... Full text Link to item Cite

Effective antibiotic treatment prescribed by emergency physicians in patients admitted to the intensive care unit with severe sepsis or septic shock: where is the gap?

Journal Article J Emerg Med · December 2011 BACKGROUND: Antibiotic selection made within the first hour of recognition of severe sepsis and septic shock has been shown to decrease mortality. OBJECTIVE: The purpose of this study was to determine what antibiotics are being prescribed and to identify f ... Full text Link to item Cite

Ultrasound assessment for extravascular lung water in patients undergoing hemodialysis. Time course for resolution.

Journal Article Chest · June 2009 BACKGROUND: Sonographic B-lines, also known as lung comets, have been shown to correlate with the presence of extravascular lung water (EVLW). Absent in normal lungs, these sonographic findings become prominent as interstitia and alveoli fill with fluid. C ... Full text Link to item Cite

Emergency thoracic ultrasound in the differentiation of the etiology of shortness of breath (ETUDES): sonographic B-lines and N-terminal pro-brain-type natriuretic peptide in diagnosing congestive heart failure.

Journal Article Acad Emerg Med · March 2009 OBJECTIVES: Sonographic thoracic B-lines and N-terminal pro-brain-type natriuretic peptide (NT-ProBNP) have been shown to help differentiate between congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD). The authors hypothesized t ... Full text Link to item Cite

Evaluation of a thoracic ultrasound training module for the detection of pneumothorax and pulmonary edema by prehospital physician care providers.

Journal Article BMC Med Educ · January 12, 2009 BACKGROUND: While ultrasound (US) has continued to expedite diagnosis and therapy for critical care physicians inside the hospital system, the technology has been slow to diffuse into the pre-hospital system. Given the diagnostic benefits of thoracic ultra ... Full text Link to item Cite

Developing seeds of Arabidopsis store different minerals in two types of vacuoles and in the endoplasmic reticulum.

Journal Article Plant Cell · June 2002 Mineral-accumulating compartments in developing seeds of Arabidopsis were studied using high-pressure-frozen/freeze-substituted samples. Developing seeds store minerals in three locations: in the protein storage vacuoles of the embryo, and transiently in t ... Full text Link to item Cite