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PREVENTABLE HOSPITALIZATIONS dshs.state.tx

The purpose of this presentation is to provide information that can be used to: Identify potential health care access problems; Identify potential unmet health care needs; Monitor the degree to which hospitalizations are avoided and dollars saved; and Assist in developing strategies to improve health care and reduce costs..

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PREVENTABLE HOSPITALIZATIONS dshs.state.tx

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    1. PREVENTABLE HOSPITALIZATIONS www.dshs.state.tx.us/ph Texas Indigent Health Care Association Conference Austin, TX November 20, 2008

    2. The purpose of this presentation is to provide information that can be used to: Identify potential health care access problems; Identify potential unmet health care needs; Monitor the degree to which hospitalizations are avoided and dollars saved; and Assist in developing strategies to improve health care and reduce costs.

    3. Adult hospitalizations for the following conditions are called “preventable hospitalizations,” because if the individual had access to and cooperated with outpatient health care, hospitalization for these conditions could potentially have been prevented: 1. Bacterial Pneumonia; 2. Dehydration; 3. Urinary Tract Infection; 4. Perforated Appendix; 5. Low Birth Weight; 6. Angina (without Procedures); 7. Congestive Heart Failure; 8. Hypertension (High Blood Pressure); 9. Adult Asthma; 10. Chronic Obstructive Pulmonary Disease; 11. Diabetes Short-Term Complications; 12. Diabetes Long-Term Complications; 13. Uncontrolled Diabetes; and 14. Lower Extremity Amputation among Patients with Diabetes.

    4. In 2005, adult residents of Texas received $6,595,967,945 in hospital charges for these “preventable hospitalization” conditions: 1. Bacterial Pneumonia; 2. Dehydration; 3. Urinary Tract Infection; 4. Perforated Appendix; 5. Low Birth Weight; 6. Angina (without Procedures); 7. Congestive Heart Failure; 8. Hypertension (High Blood Pressure); 9. Adult Asthma; 10. Chronic Obstructive Pulmonary Disease; 11. Diabetes Short-Term Complications; 12. Diabetes Long-Term Complications; 13. Uncontrolled Diabetes; and 14. Lower Extremity Amputation among Patients with Diabetes.

    5. Low rates of preventable hospitalizations can mean outpatient health care providers are doing a good job in diagnosing, educating and treating patients. Additionally, low rates can mean patients are participating in their care and adopting healthy lifestyle behaviors.

    6. In 2005, adult Texas residents had fewer hospitalizations than was expected, based on national trends, for the following conditions: ?Bacterial Pneumonia ?Dehydration ?Perforated Appendix ?Low Birth Weight ?Angina (without Procedures) ?Adult Asthma ?Chronic Obstructive Pulmonary Disease (COPD) ?Diabetes Short-Term Complications ?Uncontrolled Diabetes In 2005, adult Texas residents had more hospitalizations than was expected, based on national trends, for the following conditions: ?Urinary Tract Infection ?Congestive Heart Failure ?Hypertension (High Blood Pressure) ?Diabetes Long-Term Complications ?Lower Extremity Amputation among Patients with Diabetes

    7. In 2005, the following counties received at least 5 times less the amount of “preventable hospitalization” charges, per adult county resident, as compared to the state average: Burnet, Cass, Collin, Comal, Fort Bend, Hood, Kerr, McLennan, Travis, and Williamson. In 2005, the following counties received at least 5 times more the amount of “preventable hospitalization” charges, per adult county resident, as compared to the state average: Angelina, Atascosa, Bee, Brewster, Brown, Caldwell, Cameron, Camp, Ector, Fannin, Freestone, Galveston, Gray, Grayson, Gregg, Hill, Houston, Hunt, Jefferson, Jim Wells, Johnson, Kaufman, Kleberg, Lamar, Lampasas, Liberty, Limestone, Maverick, Nacogdoches, Orange, Polk, Red River, Rusk, San Augustine, Shelby, Trinity, Upshur, Victoria, Walker, and Webb.

    8. Examples of Recent Activities to Reduce Preventable Hospitalizations Red River County In 2008, a county health coalition has focused on reducing Bacterial Pneumonia among senior citizens in Red River County. So far, in 2008, more than twice the amount of Bacterial Pneumonia Vaccinations have been given as compared to the total amount given from 2003 to 2007. Lamar County In 2008, two hospitals in Paris jointly funded a Coordinator of Community Health Services position at the Paris-Lamar County Health Department to coordinate health efforts in the county.

    9. Preventable Hospitalizations Website www.dshs.state.tx.us/ph Maps of Preventable Hospitalizations in Texas County Profiles Rates of Preventable Hospitalizations Best Practice Clinical Interventions Policy Options Pediatric Preventable Hospitalizations (Spring 2009) Mental Health & Substance Abuse Preventable Hospitalizations (Summer 2009) 2008 Data (Summer 2009) Annual Data (Beginning in 2008)

    10. DSHS Preventable Hospitalizations Project Team Wendy Andreades Stephanie Atkins Sylvia Cook Angie Estwick Jan Maberry Mike Messinger Glenna Stewart Mike Gilliam, Jr. (Project Lead)

    11. “Who can I contact if my county wants to work on reducing one or more of the preventable hospitalization conditions?” Mike Gilliam, Jr. (512)458-7111 (Ext. 2708) mike.gilliam@dshs.state.tx.us

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