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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: Vermont

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

Preventable Hospitalizations

United States Preventable Hospitalizations (2001-2013) see more
  • Discharge rate among the Medicare population for diagnoses that are amenable to non-hospital based care.
Ranking Value State
0 51.2 District of Columbia
1 27.4 Hawaii
2 37.2 Utah
3 41.4 Idaho
4 42.2 Oregon
5 43.7 Colorado
6 44.2 Washington
7 49.4 Minnesota
8 49.9 California
9 51.1 Vermont
10 51.4 Arizona
11 51.7 Montana
12 53.1 Alaska
13 53.2 New Mexico
14 55.0 Wisconsin
15 55.2 Wyoming
16 57.3 Nevada
17 57.4 Delaware
18 58.2 New Hampshire
19 59.0 Virginia
20 59.2 North Dakota
21 59.4 South Carolina
22 59.8 Connecticut
23 60.2 North Carolina
24 60.2 Maryland
25 60.5 Iowa
26 62.4 Maine
27 63.0 South Dakota
28 63.5 Florida
29 63.8 Nebraska
30 64.5 Kansas
31 64.8 New York
32 65.2 Georgia
33 66.7 New Jersey
34 67.9 Texas
35 69.7 Pennsylvania
36 70.3 Michigan
37 70.3 Rhode Island
38 70.8 Massachusetts
39 72.4 Missouri
40 73.1 Illinois
41 76.0 Indiana
42 76.4 Alabama
43 76.9 Oklahoma
44 77.0 Arkansas
45 78.5 Ohio
46 80.8 Tennessee
47 85.8 Mississippi
48 87.5 Louisiana
49 102.9 Kentucky
50 103.1 West Virginia

Highlights

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Core Measure Impact
Preventable Hospitalizations
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Related Measures
Preventable Hospitalizations
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Thematic Map
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 2013 ranks are based on 2011 data from The Dartmouth Atlas of Health Care.

Preventable hospitalizations reflect how efficiently a population uses the various health care delivery options for necessary care as well as the quality of the primary health care received. Hospital care is expensive and makes up the largest component of health care spending in the United States, 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 health care systems as they could have been avoided with earlier less costly interventions. Preventable hospitalizations are more common in those who are uninsured, which often leads to large unpaid medical bills.[4]

The rate of preventable hospitalizations ranges from a low of 27.4 discharges per 1,000 Medicare enrollees in Hawaii to 103 discharges per 1,000 Medicare enrollees in Kentucky and West Virginia. The national average is 64.9 discharges per 1,000 Medicare enrollees, down from 66.6 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.



[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.