Utilization Results

To assess trends in health care utilization, the ACO measured rates of emergency department utilization, hospital admissions and 30-day readmissions among the beneficiaries of its value-based contracts. Displayed here are the last three complete years of data available for these domains.

Avoidable Emergency Department Visits

Bars represent quarterly rate per 1,000 beneficiaries.

Avoidable ED visits are defined by the NYU Emergency Department ED Classification Algorithm (v.2.0).  This algorithm estimates likelihood that an ED visit is 1) non emergent, 2) emergent, but primary care treatable or 3) emergent ED needed, but preventable/avoidable.

Admissions

Bars represent quarterly rate per 1,000 beneficiaries.

30-day Readmissions

Bars represent quarterly rate per 1,000 beneficiaries.

Rob Chamberlin, MD
CMO, MaineHealth ACO
Commentary from Rob Chamberlin, MD:

Between 2017 and 2019, we saw an impressive net reduction in avoidable emergency department utilization and hospital admissions.

This was during a time when MaineHealth and practices focused significant effort on educating patients about where to go for care, and when the ACO’s care management teams started to focus more specifically on patients at significant risk of emergency department visits and hospitalizations.  In addition, primary care practices across our network have made notable increases in after-hours access for patients to help reduce high-cost utilization of our hospitals.

2020 Annual Report

Rob Chamberlin, MD
CMO, MaineHealth ACO

Commentary from Rob Chamberlin, MD:

Between 2017 and 2019, we saw an impressive net reduction in avoidable emergency department utilization and hospital admissions.

This was during a time when MaineHealth and practices focused significant effort on educating patients about where to go for care, and when the ACO’s care management teams started to focus more specifically on patients at significant risk of emergency department visits and hospitalizations.  In addition, primary care practices across our network have made notable increases in after-hours access for patients to help reduce high-cost utilization of our hospitals.