Follow-Up After Emergency Department Visit for Mental Illness (FUM)

Assesses emergency department (ED) visits for adults and children 6 years of age and older with a diagnosis of mental illness and who received a follow-up visit for mental illness.

Two rates are reported:

  • ED visits for which the member received follow-up within 30 days of the ED visit (31 total days).
  • ED visits for which the member received follow-up within 7 days of the ED visit (8 total days).

Why It Matters

Mental illness can affect people of all ages. In the United States, 18% of adults and 13%–20% of children under 18 years of age experience mental illness.1,2 Research suggests that follow-up care for people with mental illness is linked to fewer repeat ED visits, improved physical and mental function and increased compliance with follow-up instructions.3,4,5

Results

Follow-Up within 7 days of ED Visit
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2017 45.9 44.9 40 32 29
Follow-Up withing 30 days of ED Visit
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2017 60.2 60.1 54.7 48 45.8

References

  1. Substance Abuse and Mental Health Services Administration. (2017). Key substance use and mental health indicators in the United States: Results from the 2016 National Survey on Drug Use and Health (HHS Publication No. SMA 17-5044, NSDUH Series H-52). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/
  2. Perou, R. et al. (2013). Mental Health Surveillance Among Children — United States, 2005–2011. Centers for Disease Control and Prevention- Morbidity and Mortality Weekly Report, 62(02), 1-35. Retrieved from: https://www.cdc.gov/mmwr/preview/mmwrhtml/su6202a1.htm?s_cid=su6202a1_w
  3. Bruffaerts, R.., Sabbe, M., Demyffenaere, K. (2005). Predicting Community Tenure in Patients with Recurrent Utilization of a Psychiatric Emergency Service. General Hospital Psychiatry, 27, 269-74.
  4. Griswold, K.S., Zayas, L.E., Pastore, P.A., Smith, S.J., Wagner, C.M., Servoss, T.J. (2018) Primary Care After Psychiatric Crisis: A Qualitative Analysis. Annals of Family Medicine, 6(1), 38-43. doi:10.1370/afm.760.
  5. Kyriacou, D.N., Handel, D., Stein, A.C., Nelson, R.R. (2005). Brief Report: Factors Affecting Outpatient Follow-up Compliance of Emergency Department Patients. Journal of General Internal Medicine, 20(10), 938-942. doi:10.1111/j.1525-1497.2005.0216_1.x.

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