Construction and validation of risk-adjusted rates of emergency department visits for long-stay nursing home residents

February 1, 2020


  • Huiwen Xu
  • John R. Bowblis
  • Yue Li
  • Thomas V. Caprio
  • Orna Intrator

Long-stay nursing home (NH) residents are at high risk of having emergency department (ED) visits, but current knowledge regarding risk-adjusted ED rates is limited. In this study, the authors calculated quarterly NH risk-adjusted ED rates from 2011 Q2 to 2013 Q3 national Medicare claims and Minimum Data Set data, validated these rates against Nursing Home Compare overall 5-star quality ratings, and examined their associations with hospitalization rates to provide a quality context. 

Medical Care, doi:10.1097/MLR.0000000000001246


  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Research Methods