Short Term Diabetes Complications Admission
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Hospitalisations for a principal diagnosis of diabetes with short-term complications (ketoacidosis, hyperosmolarity, or coma) per 100,000 population, ages 18 years and older. Excludes obstetric hospitalisations and transfers from other institutions.
Numerator
Hospital discharges, for patients ages 18 years and older, with a principal ICD-10-CM diagnosis code for diabetes with short-term complications (ketoacidosis, hyperosmolarity, or coma) (ACDIASD* )
Denominator
Population ages 18 years and older in the metropolitan area1 or county. Discharges 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. May be combined with uncontrolled diabetes as a single indicator as a simple sum of the rates to form the Healthy People 2010 indicator (note that the AHRQ QI software excludes transfers to avoid double-counting discharges).
Exclusions
Exclude discharges: with admission source for transferred from a different hospital or other health care facility (Appendix A) (UB04 Admission source - 2, 3), with a point of origin code for transfer from a hospital, skilled nursing facility (SNF) or intermediate care facility (ICF), or other healthcare facility (Appendix A) (UB04 Point of Origin - 4, 5, 6), with an ungroupable DRG (DRG=999), with missing gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing), principal diagnosis (DX1=missing), or county (PSTCO=missing)