| Popis: |
Better preventative care and access to physicians and nurse practitioners in an emergency may reduce rates of unnecessary emergency department (ED) visits. Public reporting of ED visit rates is important for informing nursing home placement and incentivizing providers to reduce these rates. We developed a risk-adjusted, claims-based measure of outpatient ED visits that CMS incorporated into the Five Star Quality Rating System in 2016. This measure addresses a gap in the current measures, increasing the number of short-stay measures and adding a measure that does not rely on self-reported data. Overall, 9.5% of residents had an ED visit within 30 days of the start of their stay. Average risk-adjusted rates were lower at homes with better Five-Star ratings. They were higher among smaller, for-profit nursing homes not located in a hospital. We will present trends on the measure’s performance during its first year of public reporting on Nursing Home Compare. |
