ED Episodes of Care

With support from MEDIC, the Michigan Value Collaborative (MVC) - another BCBSM-funded Collaborative Quality Improvement (CQI) program - produces a suite of emergency department (ED)-based episodes of care reports designed to help Michigan hospitals and health systems improve ED care. A key goal of these reports is to provide insight into healthcare utilization following index ED visits for a set of selected conditions. MVC currently offers data for 15 ED-based index conditions, including abdominal pain, asthma, atrial fibrillation, cellulitis, unspecified chest pain, COPD, CHF, deep venous thrombosis, diabetes mellitus (short- and long-term complications), gastrointestinal bleed, pneumonia, pulmonary embolism, pyelonephritis/urinary tract infections, and syncope. The 30-day ED episodes are created using medical claims data from BCBSM PPO Commercial and Medicare Advantage (MA) plans, BCN HMO Commercial and MA, Medicare Fee-for-Service, and Michigan Medicaid. Along with information on healthcare utilization, the episodes feature data on price-standardized and risk-adjusted claim payments for episode components. Additional specifics about what the reports entail can be found here. 

To learn more about these reports, or to request one for your hospital or health system please visit michiganvalue.org/mvc-data/.