Page 51 - Bird RFP Response_Burnham Benefits
P. 51
Emergency Room Utilization Dashboard
Population: Book of Business
Paid Amount - Member vs. Plan Benchmark Comparison
Visits/1000 Allowed
Member
$457 237 $2,469
237 28% ↑ 185
$2,469 Visits per 1000 vs Benchmark
Avg Allowed
$2,469 18% ↑ $2,097
Plan Allowed / Visit vs Benchmark
$2,012
Actual Benchmark
ER Visits / 1000 by Severity
90
77.50
80
68.48 66.52 Most Common
70 Diagnosis Trauma/Accidents,
60 Grouper
50
40
30 Most Common
20 Avoidable Strains/Sprains, 23%
6.40
10 0.52 Diagnosis
0
Minor Low Moderate High Very High
Emergency Room Visits by Month
200
179
180 172 173 165
159
153
160 147
138 135 142
140 131
120
120
100
80
60
40
20
-
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2018
16 members had 6 or more ER visits. These members 20% of ER visits were potentially avoidable.
accounted for 135 visits, 7% of the total.
Reporting Period: Paid January 2018 to December 2018
Benchmark: Commercial February 15, 2019
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