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Indicator Report - Ambulatory Care Sensitive Conditions: Diabetes Hospitalization Among Adults

Why Is This Important?

Ambulatory care sensitive (ACS) conditions are conditions for which effective outpatient care can prevent hospitalizations. Diabetes is a disease for which regular physician visits can help to control blood sugar (glucose), fats (lipids), and blood pressure; screen for diabetes-related eye, foot, and kidney problems; and provide early treatment and patient education in self-management. Physician visits and early treatment can prevent otherwise avoidable hospitalizations and serious illness and injuries to patients. Diabetes complications include loss of consciousness, heart disease, stroke, circulation, kidney and nerve damage, impotence, blindness, amputation of extremities, and death.

Adult Hospitalization Rate for Diabetes, Lower Extremity Amputation by Patient County of Residence, Utah, 2011

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For Diabetes, Lower Extremity Amputation (PQI 16) in 2011, among the 29 counties, no county rate was significantly lower than the rate for Utah overall. Carbon county had an annual rate that was significantly higher than the rate for Utah overall, based on 95% confidence intervals.

Data Notes

For Diabetes, Lower Extremity Amputation (PQI 16), the numerator includes principal or secondary diagnosis codes for: (1) uncontrolled diabetes (250.00-250.03), (2) diabetes short-term complications (250.10-250.13, 250.20-250.23, 250.30-250.33), (3) diabetes long-term complications (250.40-250.43, 250.50-250.53, 250.60-250.63, 250.70-250.73, 250.80-250.83, 250.90-250.93), plus ICD-9-CM procedure codes for lower extremity amputation (84.10-84.19, toe amputation - except due to trauma - through abdominopelvic amputation). Risk-adjusted rates are adjusted for age and gender.

Data Sources

Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau. National Healthcare Quality and Research. Healthcare Cost and Utilization Project (HCUP), AHRQ.

Other Views


Definition

Ambulatory care sensitive (ACS) conditions refer to those conditions for which hospitalizations could have been avoided, or conditions that could have been less serious, if they had been treated early and appropriately. Good outpatient management dramatically reduces the risk of hospitalization. For diabetes, an ACS condition refers to uncontrolled diabetes (type 1 and type 2), diabetes short-term and long-term complications, and amputations of lower extremities due to diabetes among adults aged 18 years and older.

As of November 2004, the IBIS diabetes information is based on four diabetes indicators (PQI 1, PQI 3, PQI 14, PQI 16) developed by the Agency for Healthcare Research and Quality Prevention Quality Indicators. National Healthcare Quality and Research provided the values for the national rate based on the National Inpatient Sample.

How We Calculated the Rates

Numerator: Number of hospitalizations among persons aged 18 years and older with diabetes complications as the principal or secondary diagnosis code. Maternal, newborn, and transfer cases are excluded.
Denominator: Number of Utah residents aged 18 years and older.

Page Content Updated On 04/01/2013, Published on 04/09/2013
The information provided above is from the Utah Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.utah.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Wed, 23 July 2014 17:57:37 from Utah Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.utah.gov".

Content updated: Tue, 19 Nov 2013 23:09:22 MST