Too Much, Too Little, or Just Right: A New Perspective on Variation in Emergency Care

Authors

  • Peter Smulowitz, MD, MPH

  • Elizabeth Schoenfeld, MD, MS

    Assistant Professor

    University of Massachusetts Medical School - Baystate

    Elizabeth M. Schoenfeld, MD, MS is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School - Baystate Medical Center and a Fellow at the Institute for Healthcare Delivery and Population Science, also at the University of Massachusetts Medical School- Baystate. Dr. Schoenfeld completed an Emergency Ultrasound Fellowship received a Masters in Clinical and Translational Science at the graduate School of Biomedical Sciences at Tufts University. Dr. Schoenfeld’s research focuses on the use of Shared Decision-Making in the Emergency Department. She received an R03 from AHRQ in 2015 to study Emergency Physicians’ perspectives of Shared Decision-Making and has published extensively regarding SDM in the ED. Dr. Schoenfeld is currently funded by a Career Development Award (K08) from AHRQ to study and promote Shared Decision-Making in the context of diagnostic decision-making. Her other areas of interest include improving the ability of Emergency Departments to address patients’ social needs, decreasing unnecessary advanced imaging, and improving the patient experience.

  • Michelle P. Lin, MD, MPH, MS

    Assistant Professor of Emergency Medicine

    Icahn School of Medicine at Mount Sinai

    Michelle Lin, MD, MPH, MS, FACEP is an emergency physician and health services researcher whose goal is to improve the value, equity and patient-centeredness of emergency care. Dr. Lin is the recipient of a five-year grant from the National Heart Lung and Blood Institute (NHLBI/ NIH) to validate a novel instrument to assess patient-reported outcomes after adult ED asthma visits and evaluate the association with subsequent acute care utilization, after adjusting for geospatially coded environmental & social risk factors. Her prior work has been funded by the Emergency Medicine Foundation and American Board of Medical Specialties and examines variation in ED outcomes and the influence of alternative payment models on acute care delivery and payment. Dr. Lin is engaged in research and implementation projects on career development to enhance diversity and equity; actively mentors several fellows, residents, and medical students. She holds leadership roles on multiple national committees, including the National Quality Forum, the American College of Emergency Physicians Quality Committee, and Academy of Women in Academic Emergency Medicine. Dr. Lin completed a fellowship in Health Policy Research at Brigham and Women’s Hospital and a Masters in Clinical Epidemiology at the Harvard T.H. Chan School of Public Health. She is a graduate of Northwestern University and completed residency at Bellevue Hospital and NYU Medical Center.

  • Jeremiah (Jay) Schuur, MD, MHS

    Jeremiah (Jay) Schuur, MD, MHS, is Chair of the Department of Emergency Medicine at the Alpert Medical School of Brown University; Physician-in-Chief of Emergency Medicine at Rhode Island, Hasbro Children’s, The Miriam and Newport Hospitals; and President of Brown Emergency Medicine.

    Previously, he served as the Vice Chair of Clinical Affairs and founding Chief of the Division of Health Policy Translation for the Department of Emergency Medicine of the Brigham and Women’s Hospital and an Associate Professor of Emergency Medicine at Harvard Medical School. Dr. Schuur received his MD from the New York University (NYU), and did his Emergency Medicine residency at Brown/Rhode Island Hospital, where he was a Chief Resident. He was then a Robert Wood Johnson Clinical Scholar at Yale.

    Dr. Schuur’s scholarly interests focus on quality of care and patient safety in emergency medicine and the intersection of emergency care and health policy. He has been funded by governmental agencies and foundations including the Agency for Healthcare Research and Quality, the Patient Centered Outcomes Research Institute, the Robert Wood Johnson Foundation, and the Centers for Medicare and Medicaid Services. He is currently co-leading ACEP’s 4-year $4 million E-QUAL network, a national quality network funded by the Centers for Medicare and Medicaid Innovation.
  • Arjun Venkatesh cropped

    Arjun Venkatesh, MD, MBA, MHS

    Chair, Emergency Medicine

    Yale University

    Dr. Arjun Venkatesh is the Chair of the Yale Department of Emergency Medicine. Dr. Venkatesh is also an Associate Professor, Chief of the Section of Administration in the Department of Emergency Medicine at Yale University, and Scientist at the Yale Center for Outcomes Research and Evaluation. He has been funded by the NIH, AHRQ, and the Emergency Medicine Foundation to study health system outcomes and efficiency, and he is supported by the Centers for Medicare and Medicaid Services as co-Principal Investigator of the Emergency Quality Network (E-QUAL) and for the development of the Overall Hospital Quality Star Ratings. He has received over $6 million in grant funding, published over 80 peer-reviewed papers, and is senior editor of The Evidence book series. He is a national leader within ACEP and SAEM and he serves on expert panels for the National Quality Forum (NQF), AHRQ, and CMS. His work is also funded by the National Institute of Drug Abuse and the Addiction Policy Forum to advance the quality and delivery of emergency and acute care for opioid use disorder.

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