by Mordechai Raskas (EM) and Elena Aragona (HM), Children’s National

Direct Admission take home points:
Direct Admissions
· Nationally: Direct admissions account for ~1 in 4 pediatric hospitalizations. There is wide variation in direct admission processes
· Direct admissions can decrease ED volumes and decrease healthcare costs
· ~1 in 4 admissions at CNMC are direct; these include clinic admissions. Direct admissions can decrease ED burden

Accepting Direct Admissions
· Use objective data (ie presentation and post-intervention vitals) to determine disposition
· Consider where the patient is coming from and how they will be transported to CNMC

Future steps
· Consider ED for patients transported by non-CNMC teams
o Room for improvement and standardization of direct admission ‘eyeball’ in ED
· Integration of telemedicine into direct admission process