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National Healthcare Disparities Report, 2004

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Racial and Ethnic Minorities

Admissions for uncontrolled diabetes to Indian Health Service hospitals per 100,000 population in Indian Health Service areas

Measure Source

Healthy People 2010, measure 1-9c.

Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators.

Tables

219 Adult admissions for uncontrolled diabetes without complication (excluding obstetric and neonatal admissions) to Indian Health Service hospitals per 100,000 population age 18 and older in Indian Health Service areas, United States, 2002.

Data Source

Indian Health Service (IHS), National Patient Information Reporting System (NPIRS).

Denominator

Population in Indian Health Service areas, age 18 and over.

Numerator

Adult non-maternal discharges age 18 and over from Indian Health Service and contract hospitals with principal diagnosis of uncontrolled diabetes, without mention of a short-term (ketoacidosis, hyperosmolarity, coma) or long-term complication (renal, eye, neurological, circulatory, other unspecified).

Comments

This measure is adapted from the AHRQ Prevention Quality Indicators where this measure is referred to as indicator 14. The ICD-9-CM codes used to identify discharges for uncontrolled diabetes are the same as AHRQ Prevention Quality Indicator 14 but the format of NPIRS did not allow for exclusion of transfers.

The numerator includes hospitalizations in IHS Service hospitals and contract hospitals with admission dates from January 1, 2002 to December 31, 2002 inclusive. Because of concerns about the quality of the data, hospitalizations from the California and Portland regions are deleted; the denominator is correspondingly reduced.

Data for the total is age-adjusted using a standard population provided by NCHS: http://www.cdc.gov/nchs/data/statnt/statnt20.pdf (PDF Help).

 

 

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