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Model Practices ( 8 )

Emergency Department Visits Related to Mental Health Conditions

This indicator shows the rate of emergency department visits related to mental health disorders* (per 100,000 population). Mental health problems can place a heavy burden on the healthcare system, particularly when persons in crisis utilize emergency departments instead of other sources of care when available. In Maryland, there were 207,650 mental health disorder-related emergency department visits in 2014.

*Diagnoses include adjustment disorders, anxiety disorders, attention deficit disorders, disruptive behaviour disorders, mood disorders, personality disorders, schizophrenia and other psychotic disorders, suicide and intentional self-inflicted injury and miscellaneous mental disorders.

Measurement Period: 2014

State Chart State Historic Chart County Chart All Charts

HP 2020:

Data Trend

3152.6

Jurisdiction	2008	2009	2010	2011	2012	2013	2014
Maryland	2393	2550.9	2780.8	3211.2	3500.6	3318.5	3442.6

Jurisdiction	2008	2009	2010	2011	2012	2013	2014
Allegany	3363.4	3523.1	2320.6	2797.5	3107.8	4318.2	4722.9
Anne Arundel	3392	3405.2	3397.7	3530.2	3803.4	3829	4509.9
Baltimore City	4236.6	4500.7	5131.2	5851	6323.8	6301.7	6782
Baltimore County	2912.5	2981.8	2959.4	3412.8	3665	2883.2	2967.5
Calvert	1217.9	1390.4	1795.7	2014.6	2501.5	2478.2	2859.1
Caroline	3659.1	4339.9	4222.8	4581.1	4587.7	4484.5	4369.6
Carroll	1336.5	1642.4	2755.9	3812.2	3087.7	3368.5	3140.8
Cecil	4670.4	5808	7085.5	9974.8	10570.8	8901.6	5501.6
Charles	1913.4	2482.4	2561.2	1845.7	2586.6	3033	2346.9
Dorchester	5219.8	6723.6	6870.5	6762.9	10089.4	8571	8551.1
Frederick	1229.8	1371.1	1448.1	3126.6	5282.6	3788.9	3892
Garrett	1409.7	1864.7	1764.3	1525.4	3106.1	6910	7826.4
Harford	3829.7	4312.4	4082.5	4257.5	4625	3003.9	2853.4
Howard	2023.5	1889.8	2068.3	2249.2	2266	2222.3	2613.8
Kent	2599	2887.4	2786.4	3327.2	3335.4	3420.4	3590.3
Montgomery	997.2	1050.5	1111.3	1290.9	1339.4	1527.6	1791.7
Prince George's	971.2	1110.9	1206.2	1304.3	1314.5	1379.5	1539.3
Queen Anne's	2072	2420.3	2159.5	2989.8	3280.3	2986.2	3435.4
Saint Mary's	1254.1	1826.2	4817.3	5916.2	6162.3	6789.5	7006.8
Somerset	4042.3	4168.7	4606.5	4605.4	5008.8	5009.1	5665.2
Talbot	3772.2	4892.6	4301.3	4698.8	4918	4151	4444.2
Washington	5171.8	4968.9	6730.6	7318.2	7472.1	7168.4	5785.3
Wicomico	3705.1	4208.3	4662.9	5569.5	6130.3	6163.5	6207.9
Worcester	2412.2	2744.3	3149.1	6132.7	6446.1	6659.3	7509.3

Data Details

Source	Maryland Health Services Cost Review Commission (HSCRC), Research Level Statewide Outpatient Data Files
Numerator	Number of emergency department visits related to mental health disorders (Number of emergency department visits for which any diagnosis code was mental health disorders by the Agency for Healthcare Research and Quality (AHRQ), 2007 HCUP Fact Book No. 10. AHRQ Publication No. 07-0008. These diagnoses included adjustment disorders, anxiety disorders, attention deficit disorders, disruptive behaviour disorders, mood disorders, personality disorders, schizophrenia and other psychotic disorders, suicide and intentional self-inflicted injury and miscellaneous mental disorders.)
Denominator	NCHS Vintage Bridged-Race Postcensal Population Estimates (same as DHMH Vital Statistics Administration pop estimates)
Reporting Threshold (*)	Numerator <50 OR Denominator <1000
Calculation	(Numerator/Denominator)*100,000; Single-year calculation age-adjusted to 2000 U.S. standard population
Race/ ethnicity	All races/ ethnicities (aggregated) Black White Asian/ Pacific Islander
Other	The methodology used to identify race in the HSCRC data files changed in 2013. Therefore, data reports in 2013 and beyond may not be comparable to data reports released in earlier years. Data are of Maryland residents seeking care at a Maryland hospital. Data may be underreported, especially in counties contiguous to DC. HSCRC data prior to 3Q (3rd quarter, October) 2015 is not coded for ICD 10. It is only coded for ICD 9. HSCRC data after 3Q 2015 is only coded in ICD 10 not ICD 9. Therefore data before and after this time period (October 2015) is incomparable. OPHI has decided that due to this SHIP will display 2015 as a """"cut"""" in the data. 2015 data will not be displayed. Rather measures for 2014 and 2016 will be treated and displayed separately. (NOTE: ICD 10 data will not be available in the near term given the constraints of the current data set and lack of data definition). If SHIP users require 2015 data for reporting or planning purposes, they will be directed to communicate directly with the SHIP data analyst for technical assistance.