Visits for Chronic Ambulatory Care Sensitive Conditions in ED
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Emergency Department (ED) visits for chronic ambulatory care sensitive conditions, for individuals ages 40 years and older, per 100,000 population. Includes asthma, chronic obstructive pulmonary disease (COPD), heart failure, acute diabetic hyper- and hypoglycaemic complications, and chronic kidney disease. A first listed diagnosis of lower respiratory infection with a secondary diagnosis of COPD or asthma is also included
Numerator
ED visits of patients ages 40 years and older residing in a community who visit any ED (within state) with ANY of the following first-listed diagnoses: Asthma (ASTHMA* ), COPD ( COPD* ) , heart failure ( HEARTFAILURE* ) , acute diabetic hyper- and hypoglycaemic complications (DMSTC X), or chronic kidney disease (CKD) . Also included is a first-listed diagnosis of lower respiratory infection (LOWERRESPINFECTION*) with a secondary diagnosis of COPD or asthma.
Denominator
Population ages 40 years and older in the metropolitan area or county. Visits in the numerator are assigned to the denominator based on the metropolitan area or county of the patient residence, not the metropolitan area or county of the hospital where the discharge occurred.
Exclusions
Exclude visits: • With missing gender (SEX=missing), age (AGE=missing), first-listed diagnosis (DX1=missing), or county (PSTCO=missing)
Use of Risk Adjustment
Risk Adjustments
By age and sex.
Stratifications
None