Health Indicator Report of Diabetes as Primary Diagnosis for Hospitalization
Diabetes is an enormous burden on the health care system. The direct and indirect costs of diabetes nationally are estimated to be at least $327 billion per year. (Centers for Disease Control and Prevention: Diabetes Fast Facts, 2020 [https://www.cdc.gov/diabetes/basics/quick-facts.html]).
More rural and frontier local health districts have higher age-adjusted rates of hospitalizations due to diabetes.
Diabetes Hospital Discharges (Age-adjusted Rates) by Local Health District, Utah, 2019-2020
NotesICD-10 codes E10-E14. Prior to 2015, ICD-9 codes 250.0-250.9. Age-adjusted to the U.S. 2000 standard population. [[br]] [[br]] *Use caution in interpreting the rate for Wasatch County. The estimate has a relative standard error greater than 30 percent and does not meet UDOH standards for reliability.
- 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, IBIS Version 2020
Data Interpretation IssuesHospital records may contain up to 10 diagnosis codes. The first listed diagnosis is generally considered the primary reason for the hospitalization.
DefinitionInpatient hospital discharges with an ICD-10 code as the primary diagnosis that ranges between E10-E14. ICD-10-CM/PCS code sets took effect on October 1, 2015. Prior to October 1, 2015 the follow ICD-9 codes were used as the primary diagnosis 250.0-250.9.
NumeratorNumber of hospital discharges listing diabetes as the primary diagnosis.
DenominatorAll Utah residents.
Healthy People Objective D-5:Improve glycemic control among persons with diabetes
U.S. Target: Not applicable, see subobjectives in this category
How Are We Doing?The crude rate of hospital discharges listing diabetes as the primary diagnosis per 10,000 Utah population has been fairly consistent during the past 5 years, between 9 and 11 discharges per 10,000 population. In 2020 the crude rate was 10.29 (9.95-10.65) diabetes discharges per 10,000 population, or 3,345 discharges.
How Do We Compare With the U.S.?Rates of hospitalization for discharges listing diabetes as the primary diagnosis for the U.S. are substantially higher than those for Utah. The overall rate of hospital discharges with diabetes as the primary diagnosis was 20.8 per 10,000 population for the U.S. Source: U.S. data from 2007 National Hospital Discharge Survey (http://www.cdc.gov/nchs/data/nhsr/nhsr029.pdf).
What Is Being Done?The Healthy Environments Active Living (HEAL) program encourages people with diabetes to enroll in a diabetes self-management education class. These classes have been shown to help individuals develop the skills they need to manage their diabetes and are usually taught by dietitians, nurses, or pharmacists, who may also hold the status of Certified Diabetes Educator (CDE). CDEs have considerable expertise in diabetes management and understand what the individual with diabetes is going through. The Utah Arthritis Program supports Chronic Disease Self-Management Programs and Diabetes Self-Management Programs throughout the state, this program is also called the Living Well with Chronic Conditions Program. This six-week program is available throughout the state at no cost and taught by community members. Information is available from Nichole Shepard, 801-538-6259, email@example.com. More information is available on the [http://livingwell.utah.gov/ Living Well Utah website]. The HEAL program is working statewide to increase the number of locations that offer DSME and also promote DSME to eligible participants. The National DPP is also an evidence-based program to prevent type 2 diabetes. The HEAL program works with statewide partners to promote the National DPP to eligible Utahns and also is working to expand National DPP sites across the state.
Evidence-based PracticesDiabetes Self-Management Classes have been shown to improve blood sugar control among participants. In Utah, programs are available that are recognized by the American Diabetes Association or certified by the American Association of Diabetes Educators. Information on classes in Utah is available on the [http://livingwell.utah.gov/ Living Well Utah website].
Available ServicesThe American Diabetes Association (ADA) is an excellent resource for all types of information on diabetes. Call 1-800-DIABETES or visit the [http://www.diabetes.org website]. [https://www.niddk.nih.gov/health-information/communication-programs/ndep The National Diabetes Education Program] has resources for diabetes management for professionals, businesses, and patients. Most materials are available upon request at no charge. [https://www.cdc.gov/diabetes/prevention/index.html The National Diabetes Prevention Program] has resources for diabetes prevention for employers, insurers, health care professionals, program providers, and individuals. [https://health.utah.gov/ The Utah Department of Health] has a Health Resource hotline: 1-888-222-2542. Please call this number for information about self-management programs in Utah. The Healthy Living through Environment, Policy and Improved Clinical Care (EPICC) website provides information of [http://www.choosehealth.utah.gov/your-health/lifestyle-change/dsme.php diabetes self-management classes]. [http://www.diabeteseducator.org Association of Diabetes Educators][[br]] 800-338-3633[[br]] Local Chapter Facebook Page: [https://www.facebook.com/aadeutah/] [http://www.heart.org American Heart Association][[br]] 1937 S. 300 W. #120[[br]] Salt Lake City, UT 84115[[br]] (801) 484-3838 or[[br]] 1-800-242-8721
Health Program InformationThe Utah Department of Health Resource Line can provide information about enrolling in diabetes self-management classes. Call 1-888-222-2542 for more information. Originally known as EPICC, (The Healthy Living through Environment, Policy, and Improved Clinical Care Program), the Healthy Environments Active Living (HEAL) Program is a program within the Utah Department of Health Bureau of Health Promotion. HEAL focuses on enabling education and engaged change for public health by engaging its three main audiences: individuals, partners, and decision makers. HEAL champions public health initiatives and addresses the challenges of making health awareness and access truly universal and equitable in eight key areas: nutrition, heart health, diabetes, physical activity, schools, child care, community health workers, and worksites. The HEAL Program aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control. [[br]] The primary program strategies include: *Increasing healthy nutrition and physical activity environments in K-12 schools *Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool) *Increasing healthy nutrition and physical activity environments in worksites *Improving awareness of prediabetes and hypertension for Utahns *Improving the quality of medical care for people with diabetes and hypertension *Improving the linkages between health care providers and supporting community programs for Utahns with diabetes and hypertension *Improving access and availability to community health programs for Utahns with diabetes, hypertension, and obesity. *Improving care and management of students with chronic conditions in Utah schools
Page Content Updated On 11/16/2021, Published on 11/18/2021