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12.14.2018 Mental Health Utilization When reporting ED or observation visits the measures states to exclude ED/observation visits that result in an inpatient stay. Should the ED/observation visit be excluded if the inpatient stay does not contain a principal mental health diagnosis?

The intent of excluding ED/observation visits that result in an inpatient stay is to not double count events. For example, an ED visit with a principal mental health diagnosis that resulted in an inpatient stay for a principal diagnosis of mental health is reported only once in the “Inpatient Stay” category. An ED visit with a principal mental health diagnosis that resulted in an inpatient stay with a principal diagnosis for something other than mental health (e.g., heart attack) is reported only once in the “ED” category.

ALL 2019