Exhibit 2. Annualized Emergency Department (ED) Visits In Prior, Index, And Subsequent Years.
Number of ED visits in index year (2007) | ||||||||
---|---|---|---|---|---|---|---|---|
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1 | 2 | 3-4 | 5-6 | 7-9 | 10-14 | 15+ | All | |
Number of annualized ED visits | ||||||||
2 years prior | 0.59 | 0.90 | 1.34 | 1.98 | 2.74 | 4.33 | 11.84 | 1.06 |
1 year prior | 0.39 | 0.63 | 1.03 | 1.68 | 2.58 | 4.49 | 13.78 | 0.83 |
Index year | 1.15 | 2.16 | 3.52 | 5.55 | 7.90 | 11.69 | 27.30 | 2.62 |
1 year after | 0.65 | 1.04 | 1.65 | 2.63 | 3.99 | 6.47 | 18.47 | 1.36 |
2 years after | 0.71 | 1.07 | 1.64 | 2.46 | 3.58 | 5.57 | 15.98 | 1.34 |
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Number of EDs visited, index year | 1.00 | 1.38 | 1.74 | 2.14 | 2.57 | 3.15 | 5.00 | 1.39 |
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Primary diagnosis, visits in index year | ||||||||
Injury | 18.0% | 14.8% | 12.2% | 10.0% | 8.6% | 8.1% | 5.9% | 12.6% |
Chronic condition | 5.0 | 5.7 | 6.7 | 7.6 | 8.9 | 10.3 | 12.4 | 7.0 |
Substance use | 1.6 | 1.7 | 2.2 | 3.2 | 4.6 | 7.6 | 20.0 | 3.8 |
Mental illness | 2.7 | 3.0 | 3.4 | 4.2 | 5.1 | 6.2 | 5.9 | 3.8 |
Nonemergenta | 27.3 | 27.9 | 28.1 | 27.7 | 26.5 | 24.4 | 19.4 | 26.9 |
Emergent, primary care treatablea | 22.6 | 22.9 | 22.9 | 21.9 | 20.9 | 19.5 | 17.0 | 21.9 |
Emergent, preventable or avoidablea | 5.8 | 6.7 | 7.8 | 8.6 | 9.7 | 11.0 | 11.2 | 7.9 |
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Diagnoses 1–3, visits in index yearb | ||||||||
Substance use | 2.3% | 2.6% | 3.3% | 4.6% | 6.3% | 10.0% | 24.1% | 5.2% |
Mental illness | 3.4 | 3.9 | 4.5 | 5.6 | 6.7 | 8.2 | 8.1 | 4.9 |
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Frequent users, index year and 2 years after | ||||||||
3+ visits each year | 0.0% | 0.0% | 7.0% | 16.0% | 27.0% | 42.0% | 63.0% | 4.0% |
5+ visits each year | 0.0 | 0.0 | 0.0 | 5.0 | 12.0 | 25.0 | 51.0 | 1.0 |
Source Authors' analysis of New York City Medicaid claims and encounter data. Note Visit rates are annualized based on the number of months a patient was eligible for Medicaid in a given year.
According to the New York University ED profiling algorithm (see Note 24 in text).
Includes principal diagnosis and two secondary diagnosis fields.