Table 4.
Key Findings - SCDIC ED Provider Needs Assessment
| Penetration of NHLBI SCD and local SCD Guidelines | ||
|---|---|---|
| Yes (%) | No (%) | |
| Does your ED have protocol for treating sickle cell pain? | 54.6% | 35.9% |
| Does your ED use individualized dosing protocols to treat sickle cell pain? | 55.6% | 31.6% |
| Are you aware of the NHLBI recommendations for the treatment of VOC? | 23.6% | 75.1% |
| Knowledge to treat SCD VOC | ||
| Strongly Agree / Agree (%) | Strongly Disagree / Disagree (%) | |
| I have the knowledge to provide care to persons with SCD | 98.1% | 1.9% |
| I have the training to deliver care to persons with SCD | 95.2% | 4.3% |
| I have the administrative support I need to treat patients with SCD. | 86.3% | 7.1% |
| I have access to medications I need to treat pain in individuals with SCD. | 96.2% | 1.9% |
| ED staffing, workflow and resources | ||
| Strongly Agree / Agree (%) | Strongly Disagree / Disagree (%) | |
| I work in an ED with sufficient nurse staffing to provide good pain management to persons with SCD | 72.2% | 26.9% |
| I work in an ED with sufficient physician/provider staffing to provide good pain management to persons with SCD. | 88.2% | 11.3% |
| Nursing staff ratios allow our ED to provide safe care | 70.3% | 27.8% |
| Nursing staffing allows our ED to provide high-quality care | 70.4% | 28.2% |
| A lack of insurance, or being under insured does not affect my ability to provide good care | 87.3% | 7.0% |
| The workflow in our ED is conducive to providing high quality care for sickle cell pain crises | 59.5% | 37.6% |
| Accessibility of Post-ED visit resources | ||
| Strongly Agree / Agree (%) | Strongly Disagree / Disagree (%) | |
| I am able to make a follow-up appointment with a sickle cell specialist following discharge | 31.5% | 54.0% |
| I am able to make a follow-up appointment with a primary care provider following discharge. | 34.7% | 53.1% |
| I am able to refer patients to a case management program upon discharge | 47.4% | 35.2% |
Percentages may not add up to 100% as some providers elected “Don’t know/Prefer not to respond”