Identification of Emergency Care-Sensitive Conditions and Characteristics of Emergency Department Utilization

JAMA Network Open
Anita A VashiSteven M Asch

Abstract

Monitoring emergency care quality requires understanding which conditions benefit most from timely, quality emergency care. To identify a set of emergency care-sensitive conditions (ECSCs) that are treated in most emergency departments (EDs), are associated with a spectrum of adult age groups, and represent common reasons for seeking emergency care and to provide benchmark national estimates of ECSC acute care utilization. A modified Delphi method was used to identify ECSCs. In a cross-sectional analysis, ECSC-associated visits by adults (aged ≥18 years) were identified based on International Statistical Classification of Diseases, Tenth Revision, Clinical Modification diagnosis codes and analyzed with nationally representative data from the 2016 US Nationwide Emergency Department Sample. Data analysis was conducted from January 2018 to December 2018. Identification of ECSCs and ECSC-associated ED utilization patterns, length of stay, and charges. An expert panel rated 51 condition groups as emergency care sensitive. Emergency care-sensitive conditions represented 16 033 359 of 114 323 044 ED visits (14.0%) in 2016. On average, 8 535 261 of 17 886 220 ED admissions (47.7%) were attributed to ECSCs. The most common ECSC ED visit...Continue Reading

References

Jan 1, 1993·Health Affairs·J BillingsL Newman
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Sep 26, 2002·The British Journal of Surgery·D DemetriadesW Shoemaker
Jul 10, 2004·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·C SouvignetL Baril
Sep 28, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Julius Cuong PhamPeter J Pronovost
Jan 5, 2010·Annals of Emergency Medicine·Brendan G CarrCarolyn Clancy
May 2, 2012·JAMA : the Journal of the American Medical Association·Stephen W PatrickMatthew M Davis
Mar 21, 2013·JAMA : the Journal of the American Medical Association·James G Adams
Oct 29, 2013·Annals of Emergency Medicine·Simon BerthelotUNKNOWN Panel on Emergency-Sensitive Conditions (PESC)
Aug 16, 2014·Computer Methods and Programs in Biomedicine·Yi PanKathleen L Caldwell

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