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Development and Validation of the Agency for Healthcare Research and Quality Measures of Potentially Preventable Emergency Department (ED) Visits: The ED Prevention Quality Indicators for General Health Conditions

Development and Validation of the Agency for Healthcare Research and Quality Measures of... Hospital emergency departments (EDs) can be viewed as a window into aspects of local community health and the resources in place to meet community health needs (Institute of Medicine ). Local EDs are an important gateway into the health care system for many patients. As the rate of potentially preventable adult inpatient stays decreased 19 percent between 2005 and 2012, the rate of potentially preventable treat‐and‐release ED visits rose 11 percent during the same time period (Fingar et al. ). In this paper, we report the development and validation of the Agency for Healthcare Research and Quality (AHRQ) Emergency Department Prevention Quality Indicators (ED PQIs). The ED PQIs are measures that build on the concept of ambulatory care sensitive conditions (ACSC), or conditions for which hospitalization may have been avoidable through access to high‐quality community‐based care. Recently the concept has been expanded to potentially preventable ED visits (Johnson et al. ; Brownell et al. ; Galarraga, Mutter, and Pines ).This study builds on previously developed AHRQ measure sets, namely the Prevention Quality Indicators (PQIs) that use readily available hospital administrative data to identify community rates of potentially preventable hospitalizations (Davies et al. ; Agency for Healthcare Research and Quality ). We sought to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Health Services Research Wiley

Development and Validation of the Agency for Healthcare Research and Quality Measures of Potentially Preventable Emergency Department (ED) Visits: The ED Prevention Quality Indicators for General Health Conditions

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References (20)

Publisher
Wiley
Copyright
© Health Research and Educational Trust
ISSN
0017-9124
eISSN
1475-6773
DOI
10.1111/1475-6773.12687
pmid
28369814
Publisher site
See Article on Publisher Site

Abstract

Hospital emergency departments (EDs) can be viewed as a window into aspects of local community health and the resources in place to meet community health needs (Institute of Medicine ). Local EDs are an important gateway into the health care system for many patients. As the rate of potentially preventable adult inpatient stays decreased 19 percent between 2005 and 2012, the rate of potentially preventable treat‐and‐release ED visits rose 11 percent during the same time period (Fingar et al. ). In this paper, we report the development and validation of the Agency for Healthcare Research and Quality (AHRQ) Emergency Department Prevention Quality Indicators (ED PQIs). The ED PQIs are measures that build on the concept of ambulatory care sensitive conditions (ACSC), or conditions for which hospitalization may have been avoidable through access to high‐quality community‐based care. Recently the concept has been expanded to potentially preventable ED visits (Johnson et al. ; Brownell et al. ; Galarraga, Mutter, and Pines ).This study builds on previously developed AHRQ measure sets, namely the Prevention Quality Indicators (PQIs) that use readily available hospital administrative data to identify community rates of potentially preventable hospitalizations (Davies et al. ; Agency for Healthcare Research and Quality ). We sought to

Journal

Health Services ResearchWiley

Published: Oct 1, 2017

Keywords: ; ; ;

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