States with highest, lowest ED ‘left without being seen’ rates

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Eight states tied for having the lowest rates of patients who left hospital emergency departments without being seen, at 1%, CMS data showed.

CMS’ Timely and Effective Care dataset, updated Aug. 6, tracks the percentage of patients who left an ED before being seen between January and December 2023. The measures apply to children and adults treated at hospitals paid under the inpatient or the outpatient prospective payment systems, as well as hospitals that voluntarily report data on relevant measures for Medicare, Medicare-managed care and non-Medicare patients. Averages include data for Department of Veterans Affairs and Defense Department hospitals. Read the methodology here

The national average showed 2% of patients left EDs before being seen in 2023. This is returning to prepandemic levels, after the rate went up to 3% in 2022. 

Here are the states and the District of Columbia by the percentage of patients who left before being seen, listed from lowest to highest:

1%

Colorado

Florida

Idaho

Nebraska

Nevada

South Dakota

Utah

Wyoming

2%

Alaska

Arkansas

California

Connecticut

Georgia

Hawaii

Indiana

Kansas

Kentucky

Louisiana

Montana

New Jersey

Oklahoma

Pennsylvania

Tennessee

Texas

Virginia

Vermont

Wisconsin

West Virginia

3%

Alabama

Arizona

Iowa

Maine

Michigan

Minnesota

North Carolina

North Dakota

New Hampshire

New Mexico

New York

Ohio

South Carolina

Washington

4%

Illinois

Maryland

Missouri

Mississippi

Oregon

5%

Delaware

Massachusetts

Rhode Island

6%

District of Columbia 

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