Median Time From Emergency Department Arrival to Emergency Department Departure for Discharged Emergency Department Patients

Identifying Attributes

Care Settings
Rural and Remote Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Rural Emergency Hospital Quality Reporting Program
Type of Quality Indicator
Process
IOM Quality Dimension
Timeliness
Domain
Access

Defining Attributes

Definition

Median time from emergency department (ED) arrival to time of departure from the ED for patients discharged from the ED. The measure is calculated using chart abstracted data, on a rolling quarterly basis, and is publicly reported in aggregate for one calendar year. The measure has been publicly reported since 2013 as part of the ED Throughput measure set of the CMS Hospital Outpatient Quality Reporting (HOQR) Program.

Numerator

Continuous Variable measure: Time (in minutes) from ED arrival to ED departure for patients discharged from the ED.

Denominator

This is a continuous variable measure. The target population is all patients discharged from the ED.

Exclusions

Denominator Exclusions: Patients who expired in the ED, left against medical advice (AMA), or whose discharge was not documented or unable to be determined (UTD) are excluded from the target population.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Facility, Hospital, Agency.

Data Attributes

Type of Data Collection
Administrative data, Electronic/paper chart records
Data Collection Methods
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Median time from Emergency Department (ED) Arrival to ED Departure for Discharged ED patients. Last updated 28.12.2023. Accessed 8.04.2024. cmit.cms.gov/cmit/#/MeasureView?variantId=12915&sectionNumber=1

Technical Specifications

Centers for Medicare and Medicaid Services Measures Inventory Tool (cms.gov)Also in:

Casey et al 2012, Are the CMS hospital outpatient quality measures relevant for rural hospitals? Journal of Rural Health 28(3):248-259

Casey et al 2013 Rural relevant quality measures for critical access hospitals 29(2): 159-171

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025