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INDICATOR NAME
Name
ACSC admissions: total
Alternate Name
Ambulatory Care Sensitive Conditions (ACSC) admissions: total
 
INDICATOR DESCRIPTION
Description
Adjusted rate of hospital admissions for one or more of the following conditions: asthma, CHF, COPD and diabetes per 1,000 patients
Indicator Status
Active
HQO Reporting tool/product
Personalized/Custom Reports (includes Practice Reports)
Dimension
Effective
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Rate per 1,000 patients
Calculation Methods
Numerator/ Denominator * 1,000
Numerator including inclusion/exclusion

The number of acute care hospital admissions for the following ACSCs: asthma, COPD, CHF, or diabetes (see codes below) in the previous year Includes (by ICD 10 diagnosis): Hospital admissions with ICD 10 code(s) for

  • Asthma: codes beginning with J45
  • COPD: J41, J42, J43, J44, J47
  • CHF: I500, J81; excluding cases with cardiac procedures and that are not coded as abandoned on onset
  • Diabetes: E10.1, E10.6, E10.7, E10.9, E11.0, E11.1, E11.6, E11.7, E11.9, E13.0, E13.1, E13.6, E13.7, E13.9, E14.0, E14.1, E14.6, E14.7, E14.9
  • All discharges from acute care hospitals

Excludes:

  • In-hospital complications (i.e. DXTYPE M and 2)
  • Admissions with the following CCI codes: 1IJ50, 1IJ76, 1HB53, 1HD53, 1HZ53, 1HB55, 1HD55, 1HZ55, 1HZ85, 1HB54, 1HD54
  • Cases were death occurs before discharge
Denominator including inclusion/exclusion
Total number of patients aged 75 years and younger as of March 31st the previous year
Adjustment (risk, age/sex standardization)- detailed
This indicator has been risk adjusted for age, sex and co-morbidities. Risk adjustment takes into account the differences among patient populations to allow for fairer comparisons between your patients and other populations. Unadjusted data is also provided to inform your quality improvement efforts.
Data Source
Discharge Abstract Database (DAD)
Data provided to HQO by
Institute for Clinical Evaluative Sciences (ICES)
 
TAGS
Sector
Acute Care/Hospital, Primary Care
Type
Outcome
Topic
Access, Chronic Disease
Dimension
Effective
Source
Discharge Abstract Database (DAD)
 
PUBLISH
Publish Datetime
11/04/2016 16:07:00