Report

Rhode Island: Potentially Preventable Emergency Room Visits

Published by State of Rhode Island Department of Health, 2019.

While Rhode Island emergency rooms provide vital services to our community, the data analyzed using 3M Potentially Preventable Events grouping software indicate that many emergency room visits are potentially preventable. The lower rate of potentially preventable emergency room visits for patients with private insurance may reflect gains from ongoing efforts to improve coordination of care, such as through Rhode Island’s patient-centered medical home program. Rhode Island has an opportunity to improve patient care and health outcomes, and lower costs, by reducing potentially preventable visits. This is a target for several initiatives being implemented as part of Rhode Island’s Reinventing Medicaid Act of 2015, including the creation of accountable entities to improve care coordination and the establishment of integrated health homes to improve treatment and care coordination for members with serious and persistent mental illness, who have among the highest rates of preventable hospitalizations and emergency room visits. In addition, Rhode Island’s Medicaid office will regularly convene a group that includes the state’s Medicaid managed care organizations to monitor trends and develop interventions to reduce preventable visits.

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Source: Rhode Island Department of Health. Potentially Preventable Emergency Room Visits.