Follow-Up Within 14-Days of Emergency Department (ED) Visit
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Dichotomous measure - A beneficiary was identified as having a follow-up outpatient visit if, within 14 days of the ED visit, the beneficiary had a claim from an office-based provider or hospital outpatient department with one or more specific procedure codes
Numerator
Denominator
Exclusions
Use of Risk Adjustment
Risk Adjustments
Case-mix adjusted to account for differences in beneficiary age, gender, dual eligibility, Part D low-income subsidy eligibility, disability, HCC score, rural-urban continuum code, and neighbourhood socioeconomic status index.
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Fee-for-service (FFS) claims for Medicare beneficiaries in the United States
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Kranz AM, DeYoreo M, Eshete-Roesler B, Damberg CL, Totten M, Escarce JJ, Timbie JW. Health system affiliation of physician organizations and quality of care for Medicare beneficiaries who have high needs. Health Serv Res. 2020 Dec;55 Suppl 3(Suppl 3):1118-1128. doi: 10.1111/1475-6773.13570. Epub 2020 Oct 6. PMID: 33020920; PMCID: PMC7720706.