Alexis C Lawrence1, Caroline Burke2, John Brister3, Dennis Ferrante4, Francesca L Beaudoin5. 1. Assistant Professor of Emergency Medicine, Director of Quality and Patient Safety, Department of Emergency Medicine, The Alpert Medical School of Brown University, Rhode Island Hospital and The Miriam Hospital. 2. The Warren Alpert Medical School of Brown University. 3. Data Analyst, Brown Emergency Medicine. 4. Director, Business Intelligence, Brown Emergency Medicine. 5. Associate Professor of Emergency Medicine & Health Services, Policy, and Practice, Director of Clinical Research, Dept. of Emergency Medicine, The Alpert Medical School of Brown University, Rhode Island Hospital and The Miriam Hospital.
Abstract
BACKGROUND: The January 1, 2018 closure of Memorial Hospital of RI (MHRI) has anecdotally resulted in operational strain for the area's remaining EDs. This study seeks to evaluate the impact on neighboring facilities. METHODS: An interrupted time-series analysis was conducted to compare operational outcomes and demographics pre- and post-MHRI closure. Three hospitals were selected from the same health system: Miriam Hospital, Rhode Island Hospital, and Newport Hospital. RESULTS: In the first 12 months following MHRI's closure, there were significant increases in monthly ED volume, length of stay, and left without being seen rates at two area hospitals. There was also a significant diversification of the patient population at these sites. The most substantial impact was noted at Miriam Hospital, the closest remaining facility. CONCLUSION: This study demonstrates operational strain and an evolving patient population at neighboring EDs following MHRI's closure. These findings suggest the need for additional resource allocation to support clinical care and logistics.
BACKGROUND: The January 1, 2018 closure of Memorial Hospital of RI (MHRI) has anecdotally resulted in operational strain for the area's remaining EDs. This study seeks to evaluate the impact on neighboring facilities. METHODS: An interrupted time-series analysis was conducted to compare operational outcomes and demographics pre- and post-MHRI closure. Three hospitals were selected from the same health system: Miriam Hospital, Rhode Island Hospital, and Newport Hospital. RESULTS: In the first 12 months following MHRI's closure, there were significant increases in monthly ED volume, length of stay, and left without being seen rates at two area hospitals. There was also a significant diversification of the patient population at these sites. The most substantial impact was noted at Miriam Hospital, the closest remaining facility. CONCLUSION: This study demonstrates operational strain and an evolving patient population at neighboring EDs following MHRI's closure. These findings suggest the need for additional resource allocation to support clinical care and logistics.
Authors: Jamil N Kanji; Y L Elaine Chan; Lesia R Boychuk; Curtiss Boyington; Sebora Turay; Melissa Kobelsky; Carolyn Doroshuk; Philana Choo; Susan Jacka; Erin Roberts; Karen Leighton; Stephanie W Smith; Christopher Sikora; Robert Black Journal: CMAJ Open Date: 2022-02-22