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Vermont
Preventable Hospitalizations
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Preventable Hospitalizations is a measure of the discharge rate of Medicare enrollees age 65-99 with full Part A entitlement and no HMO enrollment from hospitals for ambulatory care-sensitive conditions. Ambulatory care–sensitive conditions are those “for which good outpatient care can potentially prevent the need for hospitalization, or for 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. Ranks are based on the most recently available data from the Dartmouth Atlas of Health Care.  

 

Preventable hospitalizations reflect how efficiently a population uses the various healthcare delivery options for necessary care. Hospital care is expensive and makes up the largest component of health care spending in the U.S., totaling over $750 billion[2]. Preventable hospitalizations often occur as a result of a failure to treat conditions early in an outpatient setting due to limited availability.[3] 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 place a financial burden on heath care systems as they could have been avoided with earlier less costly interventions. Preventable hospitalizations are more common in those that are uninsured, which often leads to large unpaid medical bills[4].  



[1] Agency for Health Care Research and Quality. Prevention quality indicators overview.http://www.qualityindicators.ahrq.gov/. Updated 2003. Accessed August 3, 2012.

[2] The Kaiser Family Foundation. Trends in health care costs and spending. . 2009;7692-02.

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

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

 

VT Preventable Hospitalizations (2001-2013) see more
  • Discharge rate among the Medicare population for diagnoses that are amenable to non-hospital based care.

The measures tracked by America's Health Rankings are those actions that can affect the future health of the population. For a state to improve the health of its population, efforts must focus on these measures, these determinants of health.

STATE RANKINGS

State Changes
Over Time
Rank Value Take Action
2001 - Vermont graph 11 66.2 View Actions
2002 - Vermont graph 13 66.9 View Actions
2003 - Vermont graph 12 65.0 View Actions
2004 - Vermont graph 8 59.7 View Actions
2005 - Vermont graph 8 59.6 View Actions
2006 - Vermont graph 8 58.4 View Actions
2007 - Vermont graph 7 58.1 View Actions
2008 - Vermont graph 7 58.1 View Actions
2009 - Vermont graph 7 55.2 View Actions
2010 - Vermont graph 10 56.8 View Actions
2011 - Vermont graph 10 54.7 View Actions
2012 - Vermont graph 7 50.6 View Actions
  • 1990 - 2013
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