Proportion of Patients With a Chronic Condition That Have a Potentially Avoidable Complication During a Calendar Year
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percent of adult population aged 18+ years who were identified as having at least one of the following six chronic conditions: Asthma, Chronic Obstructive Pulmonary Disease (COPD), Coronary Artery Disease (CAD), Heart Failure (HF), Hypertension (HTN), or Diabetes Mellitus (DM), were followed for at least one-year, and had one or more potentially avoidable complications (PACs) during the most recent 12 months.
Numerator
Number of patients with at least one of the following six chronic conditions: Asthma, Chronic Obstructive Pulmonary Disease (COPD), Coronary Artery Disease (CAD), Heart Failure (HF), Hypertension (HTN), or Diabetes Mellitus (DM), and had one or more potentially avoidable complications (PACs), during the most recent 12 months.
Denominator
Adult patients aged 18+ years who were identified as having at least one of the following six chronic conditions: Asthma, Chronic Obstructive Pulmonary Disease (COPD), Coronary Artery Disease (CAD), Heart Failure (HF), Hypertension (HTN), or Diabetes Mellitus (DM), and were followed for at least 12 months.
Exclusions
Patients are excluded from the measure if they are less than 18 years of age, have an incomplete episode of care (less than 18 months of claims), have an enrolment gap of more than 30 days, or have outlier costs for the most recent 12 months of claim costs. Claims are excluded from the episode if they are for services that are not relevant to the chronic condition.
Use of Risk Adjustment
Risk Adjustments
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Reporting is specific to sub-program