Center for Population Health

For the CT SIM dashboard, hospital admissions focused on "ambulatory care sensitive conditions" (ACSCs). ACSCs are conditions for which good outpatient care can potentially prevent the need for hospitalization, or for which early intervention can prevent complications or more severe disease.

Overall

• The overall hospital admissions composite is a rate per 100,000 population that includes individuals ages 18 years and older with one of the following ACSCs: diabetes with short-term complications, diabetes with long-term complications, uncontrolled diabetes without complications, diabetes with lower-extremity amputation, chronic obstructive pulmonary disease, asthma, hypertension, heart failure, dehydration, bacterial pneumonia, or urinary tract infection.
• The information below presents population level results for years 2012 through 2018. In the years prior to SIM (2012 to 2015), the rate of hospital admissions per 100,000 was on a downward trend resulting in a 5.7% reduction from 2012 (1,479) to 2015 (1,394). In 2016, the first year of SIM implementation, the observed rate of 1,351 was a decrease of 3% from 2015 (1,394). By 2018, the last year for which data are available, the observed rate of 1335 was a decrease of 4.2% from 2015 (1,394).
• Target values were established to set annual reduction goals for the SIM implementation years (2016 to 2018). The reduction in target values range from 3.5% to 3.7%.  In 2016, the observed rate was comparable to the target rate. However, in 2017 the observed rate was almost 5% greater than the target rate for that year, and in 2018 the observed rate was 7.7% greater than the target rate.

Acute

• The composite score of acute conditions includes: dehydration, bacterial pneumonia, or urinary tract infection.
• In the years prior to SIM (2012 to 2015), the rate of hospital admissions per 100,000 was on a downward trend resulting in a 19.9% reduction from 2012 (643) to 2015 (515). In 2016, the first year of SIM implementation, the observed rate of 496 was a decrease of 3.6% from 2015 (515). By 2018, the observed rate of 415 was a decrease of 19.4% from 2015.
• The percent reduction in target values range from 10.5% to 12.9%. In 2016, the observed rate was 7.8% greater than the target rate. By 2017 the observed rate was only 1.2% greater than the target rate, however, in 2018 the observed rate was 14.6% greater than the target rate.

Chronic

• The composite score for chronic conditions includes: diabetes with short-term complications, diabetes with long-term complications, uncontrolled diabetes without complications, diabetes with lower-extremity amputation, chronic obstructive pulmonary disease, asthma, hypertension, or heart failure without a cardiac procedure.
• In the years prior to SIM (2012 to 2015), the rate of hospital admissions per 100,000 was on an upward trend increasing by 5.1%. In 2016, the first year of SIM implementation, the observed rate of 855 was a 2.7% decrease from the 2015 observed rate of 879. By 2018, the observed rate of 920 was an increase of 4.7% from 2015.
• The target values range from 877 in 2016 to 878 in 2018. Although this is an increase of 2 percentage points, it is a slower increase in the rate than predicted. In 2016, the observed rate was 2.5% less than the target rate. However, by 2018 the observed rate increased by 65 percentage points and was 4.8% greater than the target rate.

Information Source