American Journal of Health Economics, 4(4), 454–478.įarid, M. The impact of partial-year enrollment on the accuracy of risk-adjustment systems: A framework and evidence. Comorbidity measures for use with administrative data. The volume–quality relationship of mental health care: Does practice make perfect? The American Journal of Psychiatry, 161(12), 2282–2286.Įlixhauser, A., Steiner, C., Harris, D. Community Mental Health Journal, 35, 451–458.ĭruss, B. Adherence with referrals for outpatient follow-up from a VA psychiatric emergency room. Follow-up care after emergency department visits for mental and substance use disorders among medicaid beneficiaries. Acute crisis care for patients with mental health crises: Initial assessment of an innovative prehospital alternative destination program in North Carolina.

Psychiatric Services.Ĭenter for Health Information and Analysis. Effects of ACA expansion of dependent coverage on hospital-based care of young adults with early psychosis. Psychological well-being and mental health recovery in the NIMH RAISE early treatment program.

Social Psychiatry and Psychiatric Epidemiology, 40(10), 829–834.īrowne, J., Penn, D. Predicting aftercare in psychiatric emergencies. General Hospital Psychiatry, 27(4), 269–274.īruffaerts, R., Sabbe, M., & Demyttenaere, K. Predicting community tenure in patients with recurrent utilization of a psychiatric emergency service. JAMA Network Open, 1(7), e184273.īruffaerts, R., Sabbe, M., & Demyttenaere, K. Association of a care coordination model with health care costs and utilization: The Johns Hopkins community health partnership (J-CHiP). First outpatient follow-up after psychiatric hospitalization: Does one size fit all? Psychiatric Services, 66(4), 364–372.īelotti, F., Deb, P., Manning, W. It is not known whether increased rates of utilization improve patient outcomes, potentially by receiving appropriate more intensive care.īeadles, C., Ellis, A., Lichstein, J., et al. Overall follow-up rates are low follow-up within 30 days of an ED visit for mental illness is associated with increased costs and increased probability of hospitalization in the follow-up period. Adjusted regression analyses show timely follow-up is associated with increased costs in the 180 days after (average marginal effect = $1622 95% confidence interval 1459, 1786), an increased probability of inpatient hospitalization (2.7 percentage points 95% CI 0.021, 0.032), and a small reduction in the probability of at least one additional ED visit (− 1.7 percentage points 95% CI − 0.026 to 0.009). Only 33% of patients had a follow-up visit for mental illness within 30 days. 31% of index ED principal diagnoses were for major depressive disorder, 3% schizophrenia, 5% bipolar disorder, 34% anxiety disorder, 0.6% post-traumatic stress disorder, 8% other psychoses, and 19% other mental illness diagnoses. 63,814 index ED visits were included (56.5% female, mean age 38.0 years, 48% Medicaid covered). Multivariate regression analysis estimated associations between follow-up within 30 days after an ED visit for mental illness with costs, hospitalizations, and additional ED visits in 180 days following the index visit. Using Massachusetts all payer claims data, we identified insured individuals with an ED visit for mental illness. However, no empirical evidence validates associations between follow-up and subsequent utilization based outcomes.

Follow-up within 30 days of an emergency department (ED) visit for mental illness is a new and widely-used quality measure.

Best care for follow ed visits