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Required format:

6PBIuJ9SLm9TVcRud2bKEwq5ekg3hpPegPZ4WcTdQN

2021 NEDI-USA Survey

The Emergency Medicine Network (EMNet), based at the Massachusetts General Hospital in Boston, coordinates multicenter studies on many topics in emergency medicine, including the delivery and quality of emergency care. EMNet performs an annual, national survey to better understand the nature of U.S. emergency departments (EDs). Briefly, we are contacting EDs to obtain some basic information.

Please find below questions that apply to the year 2021 (either fiscal or calendar year is acceptable). If you are unable to quickly find the precise answer, we welcome your best estimate.

The results from this national survey will be used to perform health services research on U.S. emergency care and to upgrade our existing app, findERnow. We hope that you can help us with this short/simple survey as we work to bring accurate, beneficial ED information directly to those in need.

If you have any questions, please do not hesitate to contact us at 617-724-4069 or emnet@partners.org.

Site number (if known):

What is the name of your hospital/ED?
(1)

* must provide value

What is the mailing address of your hospital/ED?
(2)

* must provide value

In 2021, was your ED open 24 hours/day, 7 days/week?
(3a)

* must provide value

Yes

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In 2021, was your ED open 365 days per year?
(3b)

* must provide value

Yes

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If NOT open 24/7 all year in 2021, please explain:

Please indicate the total number of patient visits at your ED and the 12-month reporting period to which they apply.

Number of ED visits:
(4)

12-month reporting period (from MM/YY to MM/YY)

Please indicate the approximate number of ED visits by children (e.g., age < 18).

Number of Child ED visits (e.g., age < 18).
(5)

If your ED uses another age to distinguish between children and adults (e.g., age < 21 years), and it's difficult to obtain data for age < 18, please respond above according to your ED's cut-off.

Specify age cut-off if not < 18 years:
(5a)

For EDs that regularly treat adults: Does your ED have a dedicated area for children only (e.g., dedicated beds)?
(6)

Yes

Not applicable (e.g., children's hospital)

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Do you have an identified coordinator(s) for pediatric emergency care in your ED?
(7)

Yes

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How many identified coordinators does your ED have?
(7a)

> 3

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Please specify the type of coordinator(s): (check all that apply)
(7b)

Physician coordinator(s)

Nurse coordinator(s)

Other (e.g. PA, administrator)

If "other" pediatric coordinator, please specify:

How many total hours (weekly) do/does your identified coordinator(s) devote to the role?
(7c)

< 5 hours

5 - 9.99 hours

10 - 20.99 hours

21 - 39.99 hours

> 40 hours

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How many total hours (weekly) do/does your identified coordinator(s) devote to the role?
(7c)

< 5 hours

5 - 9.99 hours

10 - 19.99 hours

20 - 39.99 hours

> 40 hours

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Does your ED utilize telehealth services to evaluate patients in your ED?
(8)

Yes

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Does your ED utilize telehealth for: (check all that apply)
(8a)

Pediatrics

Stroke/Neuro

Psychiatry

Trauma

Dermatology

Radiology

Transfer coordination

Disaster preparedness

COVID-19

Other

If "other", please specify:
(8a)

Does your ED receive telehealth services from another facility in your health system or from an outside organization?
(8b)

Yes

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Do clinicians within your ED evaluate patients within your ED using telehealth (e.g., using telehealth as electronic PPE)?
(8c)

Yes

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Does your ED utilize telehealth services to evaluate your own patients who are remote (e.g., in their homes or at a skilled nursing facility)?
(9)

Yes

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Does your total visit volume reported in 4) include these virtual ED visits?
(9a)

Yes

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Were these visits typically done with video?
(9b)

Yes, 2-way video connection

Yes, 1-way video connection

No, phone connection only

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Does your hospital/ED provide telehealth services out for the evaluation of patients in other EDs?
(10)

Yes

Not sure

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We may want to reach out to you to learn more about your ED. Please complete the fields that you feel comfortable sharing. We will not share your individual contact information.

Name:

Position (e.g., ED Director)

Email:

Phone:

Please share any comments or suggestions:

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