Single Coverage ED Stats

[BirdDogPA]

Curious about the size and volume of the single coverage EDs. 
 

I’ll go first … 10 beds and about 12k volume a year. 

[ohiovolffemtp]

One of my hospitals: 8 beds with 3 physician office rooms available for flex expansion, approx 8,500 visit/year.

Another: 12 beds, volume about 9K

Another: (has a 10 hour mid-shift PA/NP shift as well as a 12 hour day doc and 12 hour night PA/NP shift): 10 beds, + 3 hallway beds and a triage room: about 19K visits

[LT_Oneal_PAC]

5 beds with 3 clinic exam rooms available for expansion, 5k volume per year last I checked, though I think that has gone up exponentially after COVID. Hitting new record numbers every other month

[EMEDPA]

4 jobs, all rural CAH, 2 are solo coverage.

The solo jobs:

1. 6 beds plus a triage room for quick stuff. 3500-5000 pts/yr.

2. 7 beds. 5000-7500 pts/yr

Both sites seeing record #s this year. 

 

[BirdDogPA]

Thank you guys for the stats. 
 

Hopefully more PAs will practice in these settings. 

[EMEDPA]

8 minutes ago, BirdDogPA said:

Thank you guys for the stats. 
 

Hopefully more PAs will practice in these settings. 

Folks drawn to these setting tend to be either former paramedics or residency grads or both. Typical grads today are no longer paramedics, but the number of residency grads is increasing, so it will be interesting to see how many EM PAs practice solo a decade from now. Last time SEMPA did a survey, I believe the number nationwide was around 250 PAs. (2.5% of all EMPAs when there were 10,000 of us). 

[BirdDogPA]

17 hours ago, EMEDPA said:

Folks drawn to these setting tend to be either former paramedics or residency grads or both. Typical grads today are no longer paramedics, but the number of residency grads is increasing, so it will be interesting to see how many EM PAs practice solo a decade from now. Last time SEMPA did a survey, I believe the number nationwide was around 250 PAs. (2.5% of all EMPAs when there were 10,000 of us). 

Residencies do seem to be gaining traction. Hopefully the majority of these will be high quality. There is one in my state now but quality seems very lacking. 
 

My dream Is to see some of your larger facilities staffed solo at night by a PA. When I worked at a level 3 trauma center that only had single physician coverage from 2am-7am I tried to make the case during Covid peak that a qualified PA could provide coverage.  Of course that was promptly shot down. 

[ohiovolffemtp]

State laws may come into play.  Ohio has a requirement that every ED must have a physician.

[BirdDogPA]

12 hours ago, ohiovolffemtp said:

State laws may come into play.  Ohio has a requirement that every ED must have a physician.

The state I’m in ( Southeast) the law does not go into that much detail to specify for an ED. Falls under the general mileage rule which is pretty generous (50+ miles). 

[EMEDPA]

5 minutes ago, BirdDogPA said:

The state I’m in ( Southeast) the law does not go into that much detail to specify for an ED. Falls under the general mileage rule which is pretty generous (50+ miles). 

I know SW GA has multiple EDs with solo coverage done by PAs.