Change Indicator

Ambulatory care: emergency visits in Pennsylvania

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Why This Indicator Matters

Some emergency room visits, especially those not resulting in hospitalization, may have been unnecessary and could have been more appropriately handled by a primary care provider/medical home/clinical setting.
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Definition and Source



This indicator reflects the number of visits for a physical health service that were provided in an emergency room that did not result in an inpatient stay regardless of the intensity and duration of the visit.  The rate represents the number of emergency visits divided by 1,000 member months.

Data Source

PPC's report & source documentation can be found at


A weighted average is calculated for this indicator to provide a reflection of the actual rate within each age group.

The year represents when the PPC or HEDIS reports were published.

Updated December 2022.

Last Updated

December 2022