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- Title
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.
- Authors
Davies, Sheryl; Schultz, Ellen; Raven, Maria; Wang, Nancy Ewen; Stocks, Carol L.; Delgado, Mucio Kit; McDonald, Kathryn M.
- Abstract
<bold>Objective: </bold>To develop and validate rates of potentially preventable emergency department (ED) visits as indicators of community health.<bold>Data Sources: </bold>Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project 2008-2010 State Inpatient Databases and State Emergency Department Databases.<bold>Study Design: </bold>Empirical analyses and structured panel reviews.<bold>Methods: </bold>Panels of 14-17 clinicians and end users evaluated a set of ED Prevention Quality Indicators (PQIs) using a Modified Delphi process. Empirical analyses included assessing variation in ED PQI rates across counties and sensitivity of those rates to county-level poverty, uninsurance, and density of primary care physicians (PCPs).<bold>Principal Findings: </bold>ED PQI rates varied widely across U.S. communities. Indicator rates were significantly associated with county-level poverty, median income, Medicaid insurance, and levels of uninsurance. A few indicators were significantly associated with PCP density, with higher rates in areas with greater density. A clinical and an end-user panel separately rated the indicators as having strong face validity for most uses evaluated.<bold>Conclusions: </bold>The ED PQIs have undergone initial validation as indicators of community health with potential for use in public reporting, population health improvement, and research.
- Subjects
UNITED States; UTILIZATION of emergency medical services; UTILIZATION of hospital emergency service; MEDICAL emergency management; PUBLIC health; EMERGENCY management; ASTHMA treatment; ASTHMA diagnosis; BACKACHE diagnosis; TREATMENT of backaches; STOMATOGNATHIC system diseases; AGE distribution; CHRONIC diseases; CLINICAL medicine; HOSPITAL emergency services; MEDICAID; MEDICAL care research; MEDICALLY uninsured persons; POVERTY; RESEARCH funding; SEX distribution; UNITED States. Agency for Healthcare Research &; Quality; KEY performance indicators (Management); ACUTE diseases; DIAGNOSIS; THERAPEUTICS
- Publication
Health Services Research, 2017, Vol 52, Issue 5, p1667
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12687