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Evaluating the success of an inpatient PA and NP program through trends in ED consults.

JAAPA

January 2024

At Luminis Health Anne Arundel Medical Center in Annapolis, Md., Laura Stock is an orthopedic research fellow, Justin Turcotte is director of orthopedic and surgical research, and Andrea Johnson is an orthopedic research fellow and research analyst. Samuel E. Holbert is an orthopedic research fellow at Luminis Health Anne Arundel Medical Center and a general surgery resident at the Medical University of South Carolina in Charleston, S.C. Also at Luminis Health Anne Arundel Medical Center, Matthew Siska practices in orthopedics, Karen Pipkin is an orthopedic NP and lead advanced practice provider for Luminis Health orthopedics, and Chad Patton is an attending orthopedic surgeon and medical director for spine surgery. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Objective: We investigated the effect of an inpatient physician associate/assistant (PA) and NP program on consult volume, length of stay (LOS), and ED returns.

Methods: A retrospective observational study of 4,118 orthopedic ED consults was conducted from January 2017 to March 2022. Univariate statistics were used to evaluate outcomes between cohorts and multivariate regression to evaluate the odds of an LOS of less than 24 hours.

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