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

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Eleven 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 May 13, tracks the percentage of patients who left an ED before being seen between January and December 2024. 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 2024 — the same level as it was in 2023.

Compared to 2023 data, more states have reduced their left without being seen rate. In 2023, eight states had a 1% left without being seen rate, compared to 11 states in 2024. In 2023, three states had a rate of 5% and five states had a 4% rate, compared to one state and two states in 2024. The District of Columbia still leads the nation with the highest rate at 6%.

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%

Alaska 

Colorado 

Florida 

Hawaii 

Idaho 

Nebraska 

Nevada 

South Dakota 

Texas 

Utah 

Wyoming

2%

Alabama 

Arizona 

Arkansas 

California 

Connecticut 

Georgia 

Indiana 

Kansas 

Kentucky 

Louisiana 

Minnesota 

Montana 

New Jersey 

New York 

North Carolina 

Ohio 

Oklahoma 

Pennsylvania 

South Carolina 

Virginia 

West Virginia 

Wisconsin

3%

Illinois 

Iowa 

Maine 

Maryland 

Michigan 

Mississippi 

Missouri 

New Hampshire 

New Mexico 

North Dakota 

Oregon 

Tennessee 

Vermont 

Washington

4%

Massachusetts 

Rhode Island

5%

Delaware

6%

District of Columbia

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