240 Hotspots of Triple Aim Opportunity: Identifying Geographic Clusters of Potentially Preventable Emergency Department Visits and Costs

Identifying Potentially Preventable Emergency Department Visits by Nursing Home Residents in the United States.

OBJECTIVES To identify and describe potentially preventable emergency department (ED) visits by nursing home (NH) residents in the United States. These visits are important because they are common, frequently lead to hospitalization, and can be associated with significant cost to the patient and the health care system. DESIGN Retrospective analysis of the 2005-2010 National Hospital Ambulator...

Sources of Potentially Avoidable Emergency Department Visits.

Is this really an emergency? Reducing potentially preventable emergency department visits among nursing home residents.

Mrs Smith, a 92-year-old woman with moderately advanced Alzheimer disease is found in her NH room on the floor by a certified nursing assistant. The registered nurse is called and finds her vital signs to be normal, her mental status to be at her baseline, and no evidence of injury. Based on the NH’s policy, the nurse calls 911 and Mrs Smith is transported to the local hospital’s Emergency Depa...

Potentially preventable emergency department visits by nursing home residents: United States, 2004.

KEY FINDINGS Data from the National Nursing Home Survey, 2004. In 2004, 8 percent of U.S. nursing home residents had an emergency department (ED) visit in the past 90 days. Among nursing home residents with an ED visit in the past 90 days, 40 percent had a potentially preventable ED visit. Injuries from falls were the most common conditions accounting for potentially preventable ED visits by nu...

Identifying Potentially Preventable Readmissions

The potentially preventable readmission (PPR) method uses administrative data to identify hospital readmissions that may indicate problems with quality of care. The PPR logic determines whether the reason for readmission is clinically related to a prior admission, and therefore potentially preventable. The likelihood of a PPR was found to be dependent on severity of illness, extremes of age, an...