![]() Given we analyzed only ED discharges which comprise about 25 of ED visits for patients with cancer. Future research is needed to understand the complex landscape of potentially preventable ED visits and measures to improve value in cancer care delivery. We rated 44 of 100 ED discharges as potentially preventable. The prevalence of potentially preventable ED visits was generally high, but varied depending on the diagnosis code fields and the group of codes considered. The potentially preventable diagnoses included dehydration, diarrhea, emesis, nausea, pain, and several others. The median reimbursement per visit was $735 (interquartile ratio, $194 to $1,549). Of 7,053 eligible cancer patients, 2,543 (36) visited an ED within 1 year of treatment initiation-2,839 total ED visits. Considering all diagnosis fields, 45.0%, 9.4%, and 18.5% included a PpCancer only, a PpChronic only, and both a PpCancer and a PpChronic diagnosis, respectively. ![]() Using primary diagnosis coding, 49.8% of ED visits had a PpCancer diagnosis, whereas 3.2% had a PpChronic diagnosis. Of 5,853 eligible patients, 27% had at least one ED visit, which yielded 2,400 total visits. We reported the primary diagnosis, all diagnosis field coding (1 to 10), and 2016 adjusted reimbursements. Prevention Quality Indicators of the Agency for Healthcare Research and Quality were labeled potentially preventable-chronic disease (PpChronic). Using a list of symptoms that federal health authorities identified as preventable, combined with symptoms targeted by patient-reported outcome tools, the researchers found that slightly more than half of these ED visits 53 percent were related to symptoms that could be managed with timely care in an outpatient setting. Additionally, avoidable ED visits may be indicative of lack in care coordination or management, lack of access and information on where to receive care in the. Cancer symptoms from the Centers for Medicare & Medicaid Services metric and a patient-reported outcome intervention were labeled potentially preventable (PpCancer). The study included patients who were diagnosed with a solid tumor and tracked ED utilization for 1 year after the start of chemotherapy or radiation. Avoidable emergency department visits can cause clinical risk, stress, and anxiety for older, more vulnerable patients. We linked SEER records in western Washington from 2011 to 2016 with claims from two commercial insurers. As new quality metrics and interventions for potentially preventable emergency department (ED) visits are implemented, we sought to compare methods for evaluating the prevalence and costs of potentially preventable ED visits that were related to cancer and chronic disease among a commercially insured oncology population in the year after treatment initiation.
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