What’s in your Augean Stable?
Waiting doom, good business move, or “agitprop” are begging the question whose stable is fuller? Reality checks:
- EDs are
overcrowdedused to board inpatients. - Hospitals must be fiscally responsible, run like businesses.
- Hospital either have no physical inpatient beds or have no staffed inpatient beds.
- Where inpatient beds are not staffed, boarding in the ER is a more favorable economic decision.
- Where there are no physical beds, because beds are “being held” for elective admissions or transfers, boarding in the ER is a more favorable economic decision.
- Where inpatients are boarded in the ER, because inpatient areas will exceed nursing-ratios, boarding in the ER is a more favorable economic decision.