Emergency medicine insights

Emergency Medicine AI & Operations Blog

Physician-led articles on emergency medicine, AI implementation, simulation, and operational leadership.

ED Observation Units: Fix Boarding Before It Breaks You

ED Management

ED Observation Units: Fix Boarding Before It Breaks You

July 15, 2026 · Chester Shermer, MD, FACEP

A meaningful share of the patients you admit never needed an inpatient bed — they needed 15 hours of protocolized care. A 25-year EM physician's playbook for building an ED observation unit that actually fixes boarding.

The Cost of AI in the ED: Who Actually Pays?

AI in Emergency Medicine

The Cost of AI in the ED: Who Actually Pays?

May 24, 2026 · Chester "Chet" Shermer, MD, FACEP

AI scribes run $99-299 per provider per month. Enterprise licenses hit $20K-$100K+. NTAP is narrow. The ED is paying. Who is actually buying.

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