Despite having 24-hour access to health care professionals, nursing home residents have disproportionately high rates of emergency department (ED) visits, a large portion of which are potentially preventable.1,2 These acute care visits, often classified as potentially preventable using ambulatory care sensitive conditions (ACSCs), can be harmful to residents’ functional outcomes relative to treatment in their familiar setting.3 Given the increase in reporting and enforcement of the Centers for Medicare & Medicaid Services’ regulations about nursing home quality, we hypothesized that the rate of ED visits for ACSCs by elderly nursing home patients had declined during the last decade.
Visit numbers and corresponding visit rates from 2001 to 2004 were adjusted by 0.92 to account for non–nursing home, institutionalized patients (see the eMethods in the Supplement).
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