The percentage of emergency department (ED) visits for members 13 years of age and older with a principal diagnosis of alcohol or other drug (AOD) abuse or dependence, who had a follow up visit for AOD. Two rates are reported: - The percentage of ED visits for which the member received follow-up within 30 days of the ED visit (31 total days). - The percentage of ED visits for which the member received follow-up within 7 days of the ED visit (8 total days).
The numerator consists of two rates: - 30-day follow-up: A follow-up visit with any practitioner, with a principal diagnosis of AOD within 30 days after the ED visit (31 total days). Include visits that occur on the date of the ED visit. - 7-day follow-up: A follow-up visit with any practitioner, with a principal diagnosis of AOD within 7 days after the ED visit (8 total days). Include visits that occur on the date of the ED visit.
These rates are stratified by age (13–17, 18 and older, total).
Denominator
1.15 Denominator
Emergency department (ED) visits with a primary diagnosis of alcohol or other drug abuse or dependence on or between January 1 and December 1 of the measurement year where the member was 13 years or older on the date of the visit.
Exclusions
Exclusions
Patients in hospice.
Measure Record
Most Recent Endorsement Activity
Endorsed Behavioral Health and Substance Use Spring Cycle 2019
Initial Endorsement
Last Updated
Point of Contact
Steward Organization
National Committee for Quality Assurance
Steward POC email
measureendorsement@ncqa.org
Steward Organization Copyright
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