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

Report
February 2019

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.
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Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
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?
Level of Evidence
Expert Opinion
What does this mean?