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Discharge rate among the Medicare population for diagnoses that are amenable to non-hospital based care.

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Preventable Hospitalizations

United States Preventable Hospitalizations (2001-2014) see more
  • Discharge rate among the Medicare population for diagnoses that are amenable to non-hospital based care.
Ranking Value State
1 28.2 Hawaii
2 34 Utah
3 36.4 Idaho
4 37.7 Oregon
5 38.2 Colorado
6 39.3 Washington
7 44.9 Minnesota
8 45.2 Arizona
9 45.3 California
10 46.7 Alaska
11 47 Montana
12 48.3 Vermont
13 50.1 New Mexico
14 50.6 Wisconsin
15 50.7 New Hampshire
16 52 Nevada
17 52.7 Wyoming
18 53.8 Maryland
19 53.9 Delaware
20 54.1 South Carolina
21 55.1 Maine
22 55.2 Virginia
23 55.7 Iowa
24 55.8 Nebraska
25 56.1 North Dakota
26 56.7 Connecticut
26 56.7 North Carolina
28 57.5 South Dakota
29 59.2 New York
30 59.3 Florida
31 59.9 Kansas
32 60.4 Rhode Island
33 60.6 Georgia
34 60.8 New Jersey
35 62.6 Pennsylvania
36 62.7 Massachusetts
37 62.9 Texas
38 64.5 Michigan
39 64.7 Missouri
40 65.2 Illinois
41 70 Indiana
42 71.4 Oklahoma
43 71.5 Alabama
44 71.6 Arkansas
45 71.7 Ohio
46 73.1 Tennessee
47 78.5 Mississippi
48 80.3 Louisiana
49 93.3 West Virginia
50 94.4 Kentucky

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Preventable Hospitalizations
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Preventable Hospitalizations
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Preventable Hospitalizations
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Overview

Preventable Hospitalizations is a measure of the discharge rate of Medicare enrollees aged 65 to 99 years with full Part A entitlement and no health maintenance organization (HMO) enrollment from hospitals for ambulatory care-sensitive conditions. Ambulatory care–sensitive conditions are optimally treated with outpatient care, potentially preventing the need for hospitalization or conditions in which early intervention can prevent complications or more severe disease.[1] These conditions are based on ICD-9-CM diagnosis codes and include: convulsions, chronic obstructive pulmonary disease (COPD), bacterial pneumonia, asthma, congestive heart failure (CHF), hypertension, angina, cellulitis, diabetes, gastroenteritis, kidney/urinary infection, and dehydration. The 2014 ranks are based on 2012 data from The Dartmouth Atlas of Health Care.

The rate of preventable hospitalizations ranges from a low of 28.2 discharges per 1,000 Medicare enrollees in Hawaii to over 90 discharges per 1,000 Medicare enrollees in Kentucky and West Virginia. The national average is 62.9 discharges per 1,000 Medicare enrollees, down from 64.9 discharges last year.  The decline in preventable hospitalizations has been relatively steady over the last 13 years from a rate of 82.5 discharges per 1,000 Medicare enrollees in the 2001 Edition.

 

Preventable hospitalizations reflect how efficiently a population uses the various health care delivery options as well as the quality of the primary health care received. Preventable hospitalizations often occur as a result of a failure to treat conditions early in an outpatient setting due to limited availability.[1] These discharges are also highly correlated with general admissions and reflect the tendency for a population to overuse the hospital setting as a site for care. Preventable hospitalizations are more common in those who are uninsured, which often leads to large unpaid medical bills.[2] They also financially burden health care systems, as these hospitalizations could have been avoided with earlier less costly interventions. Hospital care makes up the largest component of health care spending in the United States, totaling over $750 billion.[3] Of that total, $25 billion is directly attributed to preventable hospitalizations.[4]



[1] Billings J. Recent findings on preventable hospitalizations. Health Aff. 1996;15(3):239.

[2] Weissman JS. Rates of avoidable hospitalization by insurance status in Massachusetts and Maryland. JAMA. 1992;268(17):2388.

[3] The Kaiser Family Foundation. Trends in Health Care Costs and Spending. 2009;7692-02.

[4] Nyweide DJ, Anthony DL, Bynum JP, et al. Continuity of care and the risk of preventable hospitalization in older adults. JAMA Intern Med. 2013;173(20):1879-1885.