Emergency Medicine

The ED sees the patients everyone else missed

Every avoidable ED visit is a failure of outpatient care — a missed follow-up, an unfilled prescription, a care gap that widened until it became a crisis. In value-based care, the ED is both the most expensive point of contact and the best early warning system for patients falling through the cracks. When an attributed patient walks into your ED, it is an opportunity to reconnect them with the care they need.

Glance identifies attributed patients at ED arrival, surfaces their open care gaps and outpatient care team, tracks avoidable ED utilization patterns, and coordinates follow-up after the ED visit to prevent return visits.

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Glance — ED VBC View
ED — Attributed Patient Alerts
ED Census
34
Attributed
8
Frequent ED
3
No PCP
12
Attributed Patients in ED Now
Wright, D. — SOB/CHF
4th ED visit in 60 days · PCP: Dr. Martinez · No f/u after last DC
Jackson, R. — DKA
A1c 11.2 · Insulin PDC 34% · PCP: Dr. Patel · 3 open gaps
Foster, L. — Ankle sprain
Attributed to ACO · Mammogram overdue · PHQ-9 not done

VBC intelligence at the point of emergency contact

The ED encounter is a critical moment to identify care failures, capture data, and reconnect patients with outpatient care — if you have the right information.

Attributed Patient Identification

When an attributed patient presents to the ED, Glance identifies them immediately via roster match. See their PCP, their attributed payer, their care team, their open care gaps, and their utilization history — all before the workup begins. This is information the ED physician normally never sees.

Avoidable ED Utilization Tracking

Track ED visit rates for your attributed population over time. Identify patients with 3+ ED visits in 90 days (frequent utilizers). Categorize visits as potentially avoidable (conditions manageable in primary care) vs. necessary (true emergencies). Quantify the cost of avoidable ED visits against your VBC contract benchmarks.

Care Gap Identification at ED Contact

The ED visit is an opportunity to identify care gaps in patients who may not be engaged in outpatient care. See open screening gaps (mammography, A1c, colonoscopy), lapsed medications, and missed follow-up appointments. While you may not close these gaps in the ED, you can flag them for the outpatient care team and include them in discharge instructions.

Follow-Up Coordination

After the ED visit, track whether the patient completes outpatient follow-up within 7 days. Generate alerts to the PCP and care coordinator when an attributed patient is discharged from the ED. Track the HEDIS Follow-Up After Emergency Department Visit measure for mental health and substance use presentations.

ED Cost & Utilization Analytics

ED visits are the single largest driver of avoidable cost in most VBC contracts. Track PMPM ED costs, benchmark against national and regional rates, identify the diagnoses driving the most ED utilization, and model the financial impact of reducing avoidable ED visits by 10-20%. This is where shared savings are won.