Any Ambulatory Care–Sensitive (ACS) ED Visit
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
1-year prevalence of ambulatory care–sensitive (ACS) ED use by nursing home (NH) residents
Numerator
Number of residents with any ED visit (with or without hospitalisation) for an ambulatory care–sensitive (ACS) condition. Commonly used ACS conditions were defined by the International Classification of Diseases, Clinical Modification (ICD-9-CM) diagnostic codes developed by Agency for Healthcare Research and Quality (AHRQ) (2001) from the inpatient and outpatient claims files.
Denominator
Number of residents
Exclusions
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
CMS Beneficiary Summary File, Minimum Data Set (MDS), Medical Provider Analysis and Review File and Outpatient Standard Analytic Files,
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
Stephens, C. E., Newcomer, R., Blegen, M., Miller, B., & Harrington, C. (2012). Emergency department use by nursing home residents: effect of severity of cognitive impairment. The Gerontologist, 52(3), 383-393.