Risk stratification for return emergency department visits among high-risk patients

Katherine E M Miller, Wei Duan-Porter, Karen M. Stechuchak, Elizabeth P. Mahanna, Cynthia J. Coffman, Morris Weinberger, Courtney Harold Van Houtven, Eugene Z Oddone, Katina Morris, Kenneth E. Schmader, Cristina C Hendrix, Chad Kessler, Susan Nicole Hastings

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

OBJECTIVES To compare 2 methods of identifying patients at high-risk of repeat emergency department (ED) use: high Care Assessment Need (CAN) score (≥90), derived from a model using Veterans Health Administration (VHA) data, and "Super User" status, defined as more than 3 ED visits within 6 months of the index ED visit. STUDY DESIGN Retrospective cohort study. METHODS Using McNemar's test, we compared rates of high-risk classification between CAN score and Super User status. We examined differences in patient characteristics and healthcare utilization across 4 levels of risk classification: high CAN and Super User status (n = 198), CAN
Original languageEnglish (US)
Pages (from-to)e275-e279
JournalThe American journal of managed care
Volume23
Issue number8
StatePublished - 2017

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