Mount Sinai Beth Israel staff recently gathered to celebrate the first anniversary of the hospital’s Rapid Evaluation and Treatment Unit (RETU), which cares for patients who cannot be safely discharged after their initial evaluation in the Emergency Department. The RETU provides additional testing and short-term treatment so decisions can be made to admit patients, release them safely, and/or arrange for follow-up care—all in an effort to avoid unnecessary hospital inpatient stays. During its first year, Mount Sinai Beth Israel’s RETU cared for more than 5,000 patients. Eighty percent of patients were discharged safely from the unit and did not require hospital admission. The first RETU opened at The Mount Sinai Hospital in 2014. There also are RETUs at Mount Sinai Roosevelt and Mount Sinai St. Luke’s.
Three Rapid Evaluation and Treatment Units (RETU) for Emergency Department (ED) patients were recently opened at Mount Sinai Beth Israel, Mount Sinai Roosevelt, and Mount Sinai St. Luke’s. These observation units are designed to care for patients who cannot be safely discharged after their initial evaluation and management in the ED, yet may not meet the criteria for inpatient admission. They follow a model of care set by The Mount Sinai Hospital in February when it opened the first RETU in New York City.
The Mount Sinai Hospital is the first in New York City to open an observation unit for Emergency Department (ED) patients who do not meet criteria for inpatient admission, yet require further short-term evaluation and treatment before they can be discharged safely. The 20-bed Rapid Evaluation and Treatment Unit (RETU) is adjacent to the ED and is staffed by physicians, physician assistants, nurse managers, nurses, case managers, and social workers who work as a team to better assess and coordinate patient care. Similar units will be rolled out at hospitals throughout the Mount Sinai Health System in the coming months.