Ready, Risk, Reward: Improving Care for Patients with Chronic Conditions

Key Questions Answered
  • When is it possible to avoid emergency department (ED) visits for patients with chronic and behavioral health conditions?
  • What are some effective strategies for reducing the frequency of these preventable visits?
Key Themes and Takeaways

This resource analyzes preventable ED visits and identifies mechanisms for preventing them.

  • To identify opportunities to prevent ED visits, Premier, a health care improvement company, analyzed nearly 24 million emergency department visits across 750 hospitals.
  • They found that approximately 4.3 million visits associated with patients who have at least one of six common chronic conditions were potentially preventable.
  • Keys to preventing these visits include care management infrastructure, patient activation, and technology and analytics.
  • Such a patient-centric, physician-aligned care management model can be effective in reducing preventable emergency department visits, with a savings potential of up to $8.3 billion annually.
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Expert Opinion
Uploaded to The Playbook