Proportion of follow up services [i.e., service within 7 days after emergency department (ED) visit] in Medicare beneficiaries with multiple high risk chronic conditions.

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.

Denominator Exclusions: Exclude ED visits followed by admission to an acute or non-acute inpatient care setting on 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 & 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 inpatient stay.

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Follow-Up After Emergency Department Visit for People With High-Risk Multiple Chronic Conditions. Last updated 14.03.2023. Accessed 08.04.2024 cmit.cms.gov/cmit/#/MeasureView?variantId=12655&sectionNumber=1

Centers for Medicare and Medicaid Services Measures Inventory Tool (cms.gov)