• Hazar Khidir, Rama Salhi, Amber K Sabbatini, Nicole M Franks, Andrea Green, Lynne D Richardson, Aisha Terry, Nicholas Vasquez, Pawan Goyal, Keith Kocher, Arjun K Venkatesh, and Michelle P Lin.
• National Clinician Scholars Program, Yale University School of Medicine, New Haven, CT; Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
• Ann Emerg Med. 2023 Jan 1; 81 (1): 475647-56.

AbstractThe emergency department serves as a vital source of health care for residents in the United States, including as a safety net. However, patients from minoritized racial and ethnic groups have historically experienced disproportionate barriers to accessing health care services and lower quality of services than White patients. Quality measures and their application to quality improvement initiatives represent a critical opportunity to incentivize health care systems to advance health equity and reduce health disparities. Currently, there are no nationally recognized quality measures that track the quality of emergency care delivery by race and ethnicity and no published frameworks to guide the development and prioritization of quality measures to reduce health disparities in emergency care. To address these gaps, the American College of Emergency Physicians (ACEP) convened a working group of experts in quality measurement, health disparities, and health equity to develop guidance on establishing quality measures to address racial and ethnic disparities in the provision of emergency care. Based on iterative discussion over 3 working group meetings, we present a summary of existing emergency medicine quality measures that should be adapted to track racial and ethnic disparities, as well as a framework for developing new measures that focus on disparities in access to emergency care, care delivery, and transitions of care.Copyright © 2022 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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