• Accreditation
    • Systems Accreditation
    • Quality Assurances Accreditation
    • Person-Centered Excellence Accreditation
    • Person-Centered Excellence Accreditation, With Distinction
    • Network Accreditation
    • Accredited Organizations
    • Accreditation Inquiry
  • Training
    • Personal Outcome Measures® Training
    • Basic Assurances® Training
    • Person-Centered Training
    • Enhancing Supports Training
    • Accreditation Preparation Training
    • E-Learning Courses
    • Training Inquiry
  • Certification
  • Research
    • Research Projects
    • Research Articles
    • PORTAL Data System
  • Consultation
  • Tools
    • Personal Outcome Measures®
    • Basic Assurances®
    • PORTAL Data System
  • Resources
    • Articles
    • Capstone Newsletters
    • Guides
    • Manuals
    • Webinars
    • Projects
    • Events
    • Rights Conversation Cards
    • Sex & Relationships Conversation Cards
    • The CQL POST App
  • About Us
  • Partnerships
  • Pay Fees

A Decrease font size. A Reset font size. A Increase font size.

Contact Us
  • About Us
  • Partnerships
  • Pay Fees

A Decrease font size. A Reset font size. A Increase font size.

The Council on Quality and Leadership
Contact Us
MENU
  • Accreditation
    • Systems Accreditation
    • Quality Assurances Accreditation
    • Person-Centered Excellence Accreditation
    • Person-Centered Excellence Accreditation, With Distinction
    • Network Accreditation
    • Accredited Organizations
    • Accreditation Inquiry
  • Training
    • Personal Outcome Measures® Training
    • Basic Assurances® Training
    • Person-Centered Training
    • Enhancing Supports Training
    • Accreditation Preparation Training
    • E-Learning Courses
    • Training Inquiry
  • Certification
  • Research
    • Research Projects
    • Research Articles
    • PORTAL Data System
  • Consultation
  • Tools
    • Personal Outcome Measures®
    • Basic Assurances®
    • PORTAL Data System
  • Resources
    • Articles
    • Capstone Newsletters
    • Guides
    • Manuals
    • Webinars
    • Projects
    • Events
    • Rights Conversation Cards
    • Sex & Relationships Conversation Cards
    • The CQL POST App
Contact Us
Resources | Articles | Community Participation and Continuity and Security Reduce Emergency Department Visits

Community Participation and Continuity and Security Reduce Emergency Department Visits

We examined the relationship between quality outcomes and emergency department utilization

Share This Post

Community Participation and Continuity and Security Reduce Emergency Department Visits

Posted on February 9, 2021

By Carli Friedman, CQL Director of Research

Although alternative payment models, such as Medicaid managed care, are becoming more common for Long-Term Services and Supports (LTSS) for people with intellectual and developmental disabilities (IDD), there is less research and evidence-base about standards for people with IDD. This is particularly true regarding value-based payment (VBP) models for people with IDD. Traditionally there has been a focus on the number of services provided (called fee-for-service), but VBP emphasizes the quality of the services provided – the outcomes. VBP theorizes that by emphasizing quality there will a reduction in health care costs.

As a result of the limited IDD-specific evidenced-base for VBP, as well as the fact that alternative payment models are becoming more common for people with IDD, this study conducted by CQL | The Council on Quality and Leadership examined the relationship between emergency room utilization – one of the most common VBP metrics in acute care – and quality of life outcomes. To do so, we analyzed Personal Outcome Measures® quality of life data and emergency department data from a random sample of 251 people with IDD.

According to our findings, regardless of people with IDD’s support needs (i.e., clinical ID level, dual diagnosis, daily support needed), the quality of life outcomes that most significantly reduced emergency department utilization were People Participate in the Life of the Community and People Experience Continuity and Security (see figure).

Emergency Department Visits and Outcomes

Graph that shows that people who participate in the life of the community and experience continuity and security visit the ER significantly less often.

Controlling for all other variables, people who did not experience continuity and security visited the emergency department 1.19 times a year on average, while people who experienced continuity and security visited 0.40 times a year. In addition, people who did not participate in the life of the community visited the emergency department 1.19 times a year on average, while people who participated in the life of the community visited the emergency room 0.12 times a year on average.

Our findings suggest “health services alone do not equate quality LTSS for people with IDD. Instead, many other factors and social determinants impact the health and quality of life of people with IDD. As such, there must be a recognition that the whole person must be supported, and doing so can ultimately translate into financial savings, including through reduced emergency department visits” (Friedman, 2020, p. 21).

DOWNLOAD FULL STUDY

Related Resources

Telehealth in HCBS for People with Intellectual and Developmental Disabilities

Telehealth in HCBS for People with Intellectual and Developmental Disabilities

June 14, 2022

We examined telehealth service delivery in Medicaid HCBS

Article
Occupational Therapy Graduates’ Reflections on the COVID-19 Pandemic

Occupational Therapy Graduates’ Reflections on the COVID-19 Pandemic

May 9, 2022

We examined occupational therapy graduates’ perspectives on the impact of COVID-19

Article
Continuity and Security: An Important Aspect of Quality of Life

Continuity and Security: An Important Aspect of Quality of Life

April 13, 2022

We examine the impact of continuity and security on quality of life

Article
People with Disabilities’ Use of Telehealth During the Pandemic

People with Disabilities’ Use of Telehealth During the Pandemic

January 5, 2022

We examined differences in telehealth use among people with disabilities

Article
Disparities in Social Determinants of Health Outcomes

Disparities in Social Determinants of Health Outcomes

December 13, 2021

We examined social determinants of health outcomes of people with disabilities

Article
The Mental Health of Medicare Beneficiaries with Disabilities During the Pandemic

The Mental Health of Medicare Beneficiaries with Disabilities During the Pandemic

November 10, 2021

We examined anxiety and depression among Medicare beneficiaries with disabilities.

Article
Ableism of Occupational and Physical Therapy Assistants

Ableism of Occupational and Physical Therapy Assistants

October 14, 2021

We examined the disability attitudes of occupational and physical therapy assistants.

Article
Anti-Fat Bias in Health Care

Anti-Fat Bias in Health Care

September 7, 2021

We examined the anti-fat biases of occupational and physical therapy assistants

Article
Community Participation Reduces ER Visits for People with Behavior Support Needs

Community Participation Reduces ER Visits for People with Behavior Support Needs

August 12, 2021

Explore the relationship between community integration, higher support needs, and emergency department use.

Article
CQL Announces COVID Safety Protocols For In-Person Service Activities

CQL Announces COVID Safety Protocols For In-Person Service Activities

August 9, 2021

Learn about our precautions in 2022 for in-person services involving accreditation, training, and certification.

Article
View All Resources

CONTACT US

100 West Road, Suite 300
Towson, Maryland 21204

(410) 275-0488

CONNECT WITH CQL

NEWSLETTER SIGNUP

Expertise, insight and tips to help you improve the quality of your supports.
  • This field is for validation purposes and should be left unchanged.

CQL AFFILIATE

The National Leadership Consortium is an affiliate of CQL.

© 2022 The Council on Quality and Leadership Inc. All Rights Reserved. Designed by Top Floor

  • Privacy Policy
  • Terms of Use