Percentage of emergency department (ED) visits for members 18 years and older who have multiple high-risk chronic conditions who had a follow-up service within 7 days of the ED visit. Eligible members must have two or more of the following chronic conditions: COPD; Alzheimer's disease and related disorders; chronic kidney disease; depression; heart failure; acute myocardial infarction; atrial fibrillation; and stroke and transient ischaemic attack.

A follow-up service within 7 days after the ED visit (8 total days).

ED visits for Medicare beneficiaries ages 18 and older with multiple high-risk chronic conditions.

Exclude ED visits followed by admission to an acute or non-acute inpatient care setting on the date of the ED visit or within 7 days after the ED visit, regardless of the principal diagnosis for admission. To identify admissions to an acute or non-acute inpatient care setting: 1. Identify all acute and non-acute inpatient stays (Inpatient Stay Value Set). 2. Identify the admission date for the stay. An ED visit billed on the same claim as an inpatient stay is considered a visit that resulted in an inpatient stay. These events are excluded from the measure because admission to an acute or non-acute setting may prevent an outpatient follow-up visit from taking place.

None

Health plan.

Medicare Advantage Quality Improvement Program (CMS and Providers).

cmit.cms.gov/cmit/#/MeasureView/?variantId=5196&sectionNumber=1