Table 3 Percentage (%) of admissions with Principal Diagnoses falling under CMS-defined Potentially Avoidable Conditions
2011 | 2012 | 2013 | 2014 | 2015 | Overall | |
|---|---|---|---|---|---|---|
Number of admissions | n = 783 | n = 924 | n = 964 | n =1160 | n = 1427 | N = 5258 |
Non-avoidable | 65.9 | 66.3 | 64.8 | 60.5 | 60.2 | 63.0 |
Potentially avoidable* | 34.1 | 33.7 | 35.2 | 39.5 | 39.8 | 37.0 |
* Institutional and non-institutional settings + institutional settings only conditions | ||||||
Conditions for both institutional and non-institutional settings | ||||||
Overall | 18.1 | 17.9 | 21.8 | 24.0 | 22.1 | 21.1 |
Congestive heart failure | 5.0 | 4.4 | 5.8 | 6.7 | 7.4 | 6.1 |
COPD, chronic bronchitis, and asthma | 4.3 | 4.9 | 6.8 | 6.6 | 4.3 | 5.4 |
Urinary tract infection | 3.6 | 2.7 | 3.1 | 3.6 | 4.8 | 3.7 |
Dehydration, volume depletion including acute renal failure and hyponatremia | 2.6 | 3.6 | 3.2 | 4.1 | 2.5 | 3.2 |
Hypertension and hypotension | 1.3 | 1.3 | 1.0 | 1.7 | 1.1 | 1.3 |
Seizures | 0.8 | 0.9 | 1.2 | 0.7 | 0.6 | 0.8 |
Poor glycemic control | 0.3 | 0 | 0.1 | 0.1 | 0.9 | 0.3 |
Constipation, fecal impaction, and obstipation | 0.1 | 0.1 | 0.3 | 0.2 | 0.1 | 0.2 |
Weight loss (failure to thrive) and nutritional deficiencies | 0.3 | 0 | 0.1 | 0.3 | 0.4 | 0.2 |
Conditions for institutional settings only | ||||||
Overall | 16.0 | 15.8 | 13.4 | 15.5 | 17.7 | 15.8 |
Falls and trauma | 6.0 | 6.8 | 4.4 | 6.6 | 7.9 | 6.5 |
Pneumonia and bronchitis (lower respiratory illness) | 4.6 | 4.5 | 4.4 | 5.0 | 4.8 | 4.7 |
Skin ulcers and cellulitis | 2.6 | 2.1 | 2.1 | 1.7 | 1.8 | 2.0 |
Diarrhea, gastroenteritis, and C.difficile | 2.2 | 1.6 | 2.1 | 1.4 | 2.2 | 1.9 |
Anemia | 0.3 | 0.5 | 0.5 | 0.7 | 0.4 | 0.5 |
Psychosis, severe agitation, and organic brain syndrome | 0.3 | 0.1 | 0 | 0 | 0.4 | 0.2 |
Altered mental status, acute confusion, and delirium | 0.1 | 0.1 | 0 | 0.2 | 0.2 | 0.1 |