Research Interests
Dr. Asplin is interested in the organization, financing, and delivery of health care services, particularly for vulnerable populations. He is currently studying the problem of emergency department overcrowding, including its implications for access to care and
patient safety.

Contact Information
Department of Emergency Medicine
Regions Hospital
640 Jackson Street
St. Paul, MN 55105-2595

_____
Office: 651-254-4788
FAX: 651-254-5216
E-mail: Brent.R.Asplin@HealthPartners.com

LECTURES AND SCIENTIFIC PRESENTATIONS:

NATIONAL

LECTURES/COURSES:

2003 "Surviving the Collision of Health Policy and Academic Medicine"
"The Emergency Department and Crowding: research agenda and recent solutions"
SAEM, Boston, MA

2003 "The Quality Chasm in Emergency Medicine: What It Means to the Everyday Practitioner"
"Overcrowding and Staff Shortages in the ED:What Can Be Done?"
The 10th Annual Hot Topics in Emergency Medicine, Duck Key, Fl

2003 "The Crowding Dilemma:Survival Tactics for the Overwhelmed ED"
Leadership/Legislative Conference, American College of Emergency
Physicians (ACEP), Washington D.C.

2003 "Emergency Department Crowding: Measuring and Managing Capacity"
Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Boston, MA

2003 "Measures and Strategies to Alleviate Emergency Department Crowding""
American Academy of Emergency Medicine Scientific Assembly, New Orleans, LA

2002 "Under stress: inside the emergency department, Challenges facing the ED." HealthLeaders 2003 March;RT3-RT19. Health Leaders Roundtable Discussion, Nashville, TN

2002 "The Effects of Overcrowding on Resident and Medical Student Education"
Association of American Medical Colleges, San Francisco, CA

2002 "Why Vote? How This Election Will Affect the Way You Care for Your Patients"
"Saving the Safety Net: Dealing with Uncompensated Care and Emergency Department Access" "Tackling Emergency Department "Over" Crowding - From the Inside Out"
American College of Emergency Physicians, Scientific Assembly, Seattle, WA

2002 "Crowding and Diversion: Strategies and Resources for Chapters"
ACEP Leadership and Legislative Issues Conference, Washington D.C.

2002 "Crossing the Quality Chasm: Building the 21st Century Emergency Care System"
"Life After Residency" (Panel Discussion)
Society for Academic Emergency Medicine Annual Meeting, St. Louis, MO

2002 "ED Overcrowding: Is Volume Undermining Quality?"
HMO Research Network, Long Beach, CA.

2000 National Congress on Preserving America's Health Care Safety Net
Defining the Safety Net (moderator)
National Press Club, Washington, D.C., September 2000

2000 Emergency Medicine and the Uninsured: Dilemmas of the Past and Challenges for the Future (moderator)
Society for Academic Emergency Medicine, San Francisco

1999 Reforming Medicare: Pitfalls and Politics
Robert Wood Johnson Clinical Scholars Annual Meeting (Ft. Lauderdale, FL)

1997 Chief Residents' Forum (moderator)
Scientific Assembly, American College of Emergency Physicians
San Francisco, CA

SCIENTIFIC PRESENTATIONS:

2003 "Surviving the Collision of Health Policy and Academic Medicine"
Society for Academic Emergency Medicine Annual Meeting, Boston MA

2003 "Insurance Without Care"
Society for Academic Emergency Medicine Annual Meeting, Boston MA

2003 "Developing Measurement Sets to Monitor Emergency Department Crowding"
9th Annual HMO Research Network Conference, Denver, CO

2003 "Developing Data to Monitor and Reduce Emergency Department
Overcrowding"
Second Annual Meeting of the IDSRN (Integrated Delivery System Research Network), Rockville, MD

2002 "Emergencies Passing By: A National Study of Ambulance Diversion Trends"
ACEP Research Forum, Seattle, WA

2002 "Measuring Emergency Department Crowding and Hospital Capacity"
Society for Academic Emergency Medicine Annual Meeting, St. Louis, MO

2001 Convenience or Medical Severity? Understanding Disparities in Layperson and Physician Opinions about Appropriate Emergency Department Use (Poster)
Academy for Health Services Research and Health Policy Meeting, Atlanta, GA

2001 Appropriateness and Payment Decisions about Emergency Department Use: Who Decides? (Poster presentation)
Society for Academic Emergency Medicine Annual Meeting, Atlanta, GA
HMO Research Network Conference, Seattle, WA

2000 Layperson Disagreement about Appropriate use of the Emergency Department
Robert Wood Johnson Clinical Scholars Annual Meeting, Ft. Lauderdale, FL

2000 Layperson Attitudes about using the Emergency Department: Who is a "Prudent Layperson"?
American College of Emergency Physicians Research Forum. Philadelphia, PA

2000 Layperson Perceptions of the Appropriateness of Emergency Department Utilization (oral presentation)
Society for Academic Emergency Medicine, San Francisco

1998 Evaluation of Layperson Competency and Skill Retention in the Use of Automated External Defibrillators (oral presentation)
Society for Academic Emergency Medicine, Chicago, IL

1994 Prognostic Value of End-Tidal Carbon Dioxide Pressure During Out-of-Hospital Cardiac Arrest
Society for Academic Emergency Medicine, Washington DC

STATE/REGIONAL/LOCAL

LECTURES/COURSES:

2003 "The Impact of State Budget Cuts on Healthcare"
Ramsey Medical Society Council, St. Paul, MN

2002 "Emergency Department Crowding: Measuring and Managing Capacity"
Grand Rounds, St. John's Hospital, St. Paul, MN

2003 "Can you find a bed for your patient? A national perspective on
hospital capacity"
Ramsey Medical Society Council, St. Paul, MN

2002 "Is the Health Care System Failing the Community?"
A Celebration Honoring Dr. John F. Perry, Jr., Regions Hospital, St. Paul, MN

2002 "Ambulance Diversions and Crowded Hospitals: A National Perspective"
Minnesota EMS Medical Directors Retreat

2002 "Emergency and Acute Care System Dialogue: Opening Address"
National Institute of Health Policy, Minneapolis, MN

2002 "Why Can't I Just See Patients? Health Care Policy and the Future of Emergency Medicine"
Illinois College of Emergency Physician's 2002 Annual Meeting, Oak Brook, IL

2002 "Can You Find a Bed for Your Patient? Update on Hospital Capacity, 2002"
"HIPAA & Your Practice"
Ramsey Medical Society/Hennepin Medical Society Winter Medical Conference

2001 Guest Speaker, "A Celebration of Research"
HealthPartners Research Foundation, Minneapolis, MN

2001 "Why Can't I Just See Patients? Emergency Medicine and the Health Care Safety Net"
Guest Speaker, Minnesota Emergency Medicine Forum

2001 Ambulance Diversions Panel, Minnesota EMS Medical Directors Retreat

2001 Emergency Department Crowding and Patient Safety: Mission Impossible?
Guest Speaker, Hot Topics in Emergency Medicine
Minnesota Chapter, American College of Emergency Physicians

2001 Visiting Professor, University of Pittsburgh Affiliated Residency in Emergency Medicine

1999 Decision-Making and the Emergency Department: So What's a Prudent Layperson, Anyway?
University of Michigan Emergency Medicine Residency

1996 - 1998 Altered Mental Status: Evaluation and Management
Defibrillation Technology
Blunt Great Vessel Trauma
University of Pittsburgh Affiliated Residency in Emergency Medicine

SCIENTIFIC PRESENTATIONS:

2002 "Convenience or Medical Severity? Understanding Disparities in Layperson and Physician Opinions about Appropriate Emergency Department Use"
Minnesota Health Services Research Conference, Minneapolis, MN

1998 Evaluation of Layperson Competency and Skill Retention in the Use of Automated External Defibrillators
Pennsylvania Chapter, American College of Emergency Physicians

ORIGINAL ARTICLES:

Asplin BR, Rhodes KV, Crain L, Kellermann AL, Lurie N. Insurance without Care:
Unreliable Access to Emergency Department Follow-Up Care. Acad Emerg Med 2003 May;10(5):546-7.

Asplin BR, Magid DJ, Rhodes KV, Solberg LI, Lurie N, Camargo CA. A Conceptual
Model of Emergency Department Crowding. Annals of Emergency Medicine. In Press.

Schafermeyer RW, Asplin BR. Hospital and emergency department crowding in the
United States. Emerg Med. 2003 Feb;15(1):22-27.

Magid DJ, Rhodes KV, Asplin BR, Steiner JF, Rumsfeld JS. Designing a research
agenda to improve the quality of emergency care. Acad Emerg Med. 2002
Nov;9(11):1124-1130.

Richardson LD; Asplin BR, Lowe R A. Emergency department crowding as
a health policy issue: past development, future directions. Ann Emerg Med. 2002 Oct;40(4):388-93.

Gordon JA, Billings J, Asplin BR, Rhodes KV. Safety net research in emergency
medicine: Proceedings of the SAEM Consensus Conference on "The Unraveling Safety Net." Acad Emerg Med. 2001 Nov;8(11):1024-9.

Asplin BR: Tying a knot in the unraveling health care safety net. Acad Emerg.
Med. 2001 Nov;8(11):1075-9.

Fields WW, Asplin BR, Larkin GL, Marco CA, Johnson LA, Yeh CS, Ghezzi KT,
Rapp M. The emergency medical treatment and labor act as a federal health care safety net program. Acad Emerg Med. 2001 Nov;8(11):1064-9.

Cetta MG, Asplin BR, Fields WW, Yeh CS. Emergency medicine and the
debate over the uninsured: a report from the Task Force on Health Care and the Uninsured. Ann Emerg Med. 2000;36:243-246/

Asplin BR. Controversial Company: The prudent layperson standard and the
patients' bill of rights. Ann Emerg Med. 2000;35:304-307.

Moorhead JC, Asplin BR. Distribution of emergency medicine residency
graduates. Ann Emerg Med. 1998;32:509-510.

Asplin BR, Schafermeyer RW: Graduate medical education reform.
implications for emergency medicine residency training. Ann Emerg Med. 1998;32:253-255.

White RD, Asplin BR, Bugliosi TF, Hankins DG: High discharge survival rate after out-of-hospital ventricular fibrillation with rapid defibrillation by police and paramedics. Ann Emerg Med. 1996;28:480-485.

Asplin BR, White RD: Prognostic value of end-tidal carbon dioxide pressures during out-of-hospital cardiac arrest. Ann Emerg Med. 1995;25:756-761.

White RD, Asplin BR. Out-of-hospital quantitative monitoring of end-tidal
carbon dioxide pressure during CPR. Ann Emerg Med. 1994;23:25-30.

INVITED ARTICLES, EDITORIALS, and CASE REPORTS:

Asplin BR. Does ambulance diversion matter? Ann Emerg Med. 2003;41:477-
480.

Asplin BR, Delaney-Moroney S. Emergency care at the crossroads, The
growing challenge of hospital capacity. Minnesota Physicians. 2003;March; 16(12):1,10-11,34.

Asplin BR. Colleague interview: hospital capacity. MetroDoctors. 2003;
March/April: 4(2):8-12.

Asplin BR. E/M coding and the OIG: Not so reliable after all. Ann Emerg Med.
2002 Sep; 40(3):275-9.

Asplin BR:. Undertriage, overtriage, or no triage? In search of the
unnecessary emergency department visit. Ann Emerg Med. 2001 Sep;38(3):282-5.

Asplin BR, Yeh CS. Emergency medicine on the stage of healthcare policy. Emedicine.home Newsletter. 2001;September 10.

Asplin BR, Knopp RK. A room with a view: on-call: specialist panels and
other health policy challenges in the emergency department. Ann
Emerg Med. 2001 May;37:500-503.

Asplin BR, Knopp RK, Tintinalli JE, Waeckerle JF. Health policy report
introduction. Ann Emerg Med. 2000;36:57-60.

Asplin BR. Cardiac arrest: sudden cardiac death. Conn's Current Therapy
2000. Saunders, Philadelphia; 2000:250-256.

Asplin BR, Sosnow PL, Yeh CS. The safety net and current Federal health
care policy. Defending America's Safety Net, American College of Emergency Physicians Safety Net Task Force. 1999.

Hicks SD, Wolfson AB, Asplin BR, Lipinski CA, Callaway CW. Anticholinergic
syndrome precipitated by opioid reversal. Prehospital Emerg Care. 1998;2:328-329.

Asplin BR. Access, quality, and cost control in emergency medicine: Can we
have all three? A resident's perspective on the future of emergency medicine. Ann Emerg Med. 1997;30:779-781.

Asplin BR, White RD: Subarachnoid hemorrhage: Atypical presentation
associated with rapidly changing cardiac arrhythmias. Am J Emerg Med. 1994; 12:370-373.

TEXTBOOK CHAPTERS:

Asplin BR, White RD. A expansao do papel dos desfibriladores externos
automaticos no tratamento da morte cardiaca subita (The expanding role of automated external defibrillators in the treatment of sudden cardiac death). In Filho FES, Maia IG, eds: Morte Subita (Sudden Cardiac Death). Livraria e Editora Revinter Ltda; 2003.

Asplin BR. Supraventricular tachycardia. In Frank LR, Jobe KA, eds.
Admission and Discharge Decisions in Emergency Medicine, Philadelphia: Hanley and Belfus; 2001.

Asplin BR. Cardiovascular emergencies. In McSwain NE, White RD, Paturas
JL, Metcalf WR, eds. The Basic EMT: Comprehensive Prehospital Patient Care. St. Louis: Mosby Lifeline; 1997.

Asplin BR. Advanced airway management skills. In McSwain NE, White RD, Paturas JL, Metcalf WR, eds: The Basic EMT: Comprehensive
Prehospital Patient Care, St. Louis: Mosby Lifeline; 1997.

Asplin BR. Airway management and ventilation. In McSwain NE, White RD, Paturas JL, Metcalf WR eds. The Basic EMT: Comprehensive
Prehospital Patient Care, St. Louis: Mosby Lifeline; 1997.

Asplin BR, McLaughlin SA. Respiratory emergencies. In McSwain NE, White RD, Paturas JL, Metcalf WR, eds: The Basic EMT: Comprehensive Prehospital Patient Care. St. Louis: Mosby Lifeline; 1997.

ABSTRACTS and LETTERS:

Asplin BR, Rhodes KV, Crain L, Kellermann AL, Lurie N. Insurance without care:
unreliable access to emergency department follow-up care. Acad Emerg Med. (In Press).

Chung WG, Magid DJ, Maciosek MV, Brumbaugh JE, Colwell CB, Bass RW, Myers L,
Frascone RJ, Friedman FD, Tifany B, Asplin BA. Emergencies passing by: a national study of ambulance diversion trends. Ann Emerg Med 2002 Oct Part 2;40(4):336.

Barnhart SW, Brumbaugh JE, Smith JR, Baker TJ, Fillbrandt KM, Asplin BR. A brief
telephone intervention fails to improve follow-up after emergency department
discharge. Acad Emerg Med. 2002;9:509. (Abstract)

Asplin BR, Rhodes KV, Crain AL, and Camargo CA. Measuring emergency
department crowding and hospital capacity. Acad Emerg Med. 2002;9:366-
367. (Abstract)

Asplin BR, Copps SC, DeFor TA, Hayward RA, Goold SD. Appropriateness and payment decisions about emergency department use: who decides?
Acad Emerg Med. 2001;8(5):480-481. (Abstract)

Asplin BR, Goold SD, Leung T, Hayward R. Layperson attitudes about using
the emergency department: who is a "Prudent Layperson"? Ann Emerg Med. October 2000 (part 2);36(4):A113. (Abstract)

Asplin BR, Goold SD, Leung T, Bernstein SJ, Hayward RA: Layperson
Perceptions of the appropriateness of emergency department utilization. Acad Emerg Med. 2000;7(5):555-556. (Abstract)

Asplin BR: Reforming medicare: pitfalls and politics. Robert Wood Johnson
Clinical Scholars Program Annual Meeting. 1999. (Special Report)

Asplin BR, Yealy DM, White RD. Improving survival following out-of-hospital cardiac arrest. JAMA. 1999;282:1033-1034. (Letter)

Asplin BR, Mosesso VN, Lejeune DA. Evaluation of lay person competency
and skill retention in the use of automated external defibrillators. Acad
Emerg Med. 1998;5:414.

White RD, Asplin BR, Bugliosi TF, Hankins DG. High release survival from out- of-hospital ventricular fibrillation with rapid defibrillation by both police and paramedics. Acad Emerg Med. 1996;3:422.

Asplin BR, White RD: Prognostic value of end-tidal carbon dioxide pressures during out-of-hospital cardiac arrest. Acad Emerg Med. 1994;1:A14-15.

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