Staffing the Emergency Department

Terrence Mulligan DO, MPHFACEP, FAAEM, FACOEP, FIFEM, FNVSHA, HPF

Clinical Associate Professor, Department of Emergency Medicine

University of Maryland School of Medicine, Baltimore, Maryland USA

Extraordinary Senior Lecturer, Stellenbosch University, South Africa

Board Member, International Federation for Emergency Medicine

Board Member, African Federation for Emergency Medicine

Board Member, AAEMI and GAEM

Past Chair, ACEP Section for International Emergency Medicine

Chair, AAEM International Emergency Medicine Committee

Emergency Department StaffingEmergency Department StaffingMediterranean Emergency Medicine Congress

September 2015

Brian Browne, MD, FACEP, FAAEM

Professor and ChairmanDepartment of Emergency Medicine

University of Maryland School of Medicine

THE PROBLEM:• How do we approach, measure and fix a

system this complicated?

5© 2010 The Chartis Group, LLCCONFIDENTIAL DRAFT – FOR DISCUSSION ONLY

Why is Staffing Important?

6© 2010 The Chartis Group, LLCCONFIDENTIAL DRAFT – FOR DISCUSSION ONLY

Why is Staffing Important?Thermostat concepts in EM

What really controls the ED?

Thermostat concepts in EM

• People• Place• Performance

Thermostat concepts in EM

• People– Training– Staffing– Faculty Development and support– Administration & management

• Place• Performance

Thermostat concepts in EM

• People• Place

– Design• Designed for function• Environment

– Facilities and quipment– Health care system investment and resources

• Performance

Thermostat concepts in EM

• People• Place• Performance

– Operations– Outcomes– Value– Improvement