Hospitalisation for Ambulatory Care Sensitive Conditions for Dual Eligible Beneficiaries: Chronic Conditions Composite
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
For dual eligible beneficiaries age 18 years and older, state-level observed and risk-adjusted rates of hospital admissions for ambulatory care sensitive conditions (ACSC) per 1,000 beneficiaries for ACSC by chronic conditions.
Numerator
Number of acute inpatient hospital admissions in the measurement year for diabetes short term complications, diabetes long-term complications, uncontrolled diabetes, low-extremity amputation, chronic obstructive pulmonary disease (COPD), asthma, hypertension, and heart failure.
Denominator
Dual eligible adults age 18 years and older within each state
Exclusions
Acute hospital transfers, hospice and hospitalisations for obstetrics.
Use of Risk Adjustment
Risk Adjustments
Stratifications
By population: (1) community-dwelling home and community-based services (HCBS) users; (2) community-dwelling non-HCBS users; or, (3) non-community-dwelling (institutionalised) population.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Reporting is specific to sub-program