The Great Plains QIN team strives to improve healthcare quality and patient outcomes. We work with partners and community coalitions to identify areas for improvement, which include reducing avoidable hospital admissions and readmissions, and high utilizers of the healthcare system. Individuals who are high utilizers of the healthcare system, known as multi-visit patients (MVPs), drive up readmission rates and tie up resources.
The Great Plains QIN team of data analysts created a report for North Dakota and South Dakota gathered from Medicare claims Fee-for-Service data on multi-visit patient utilization. Use these reports to view data and insights about ‘MVP’ hospital utilization in your state.
Within the report, an ‘MVP’ classification is based on the prior year’s utilization, which included at least 4 inpatient claims or at least 5 emergency department (ED), observation stay (ObS) and inpatient (Inp) claims combined. Of these MVPs, beneficiaries with at least one ED visit in the current report timeframe were included in this report. The report captures total visits (including emergency room visits, observation stays and inpatient claims) and the top 5 primary and secondary diagnoses.
Often times, multiple visits may be a symptom of a deeper problem. Please take the time to review these reports to help identify opportunities for improvement, address gaps and lend to a reduction in over-utilization of services. As clinicians, if we can identify and rectify underlying problems, we can work to end the cycle of care utilization overuse which reduces a burden on the healthcare system and ultimately, leading to better care and health outcomes for the individual.
The Great Plains QIN team will update these reports quarterly and share with partners. For questions, please contact a member of our team; visit the Who We Are page for a listing of team members and contact information.