Preventable Hospitalizations in Iowa
Iowa
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Iowa Value:
2,395
Discharges following hospitalization for ambulatory care sensitive conditions (PQI 90) per 100,000 Medicare beneficiaries age 18 and older enrolled in the fee-for-service program
Iowa Rank:
18
Preventable Hospitalizations in depth:
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About Preventable Hospitalizations
US Value: 2,665
Top State(s): Hawaii: 1,430
Bottom State(s): West Virginia: 3,859
Definition: Discharges following hospitalization for ambulatory care sensitive conditions (PQI 90) per 100,000 Medicare beneficiaries age 18 and older enrolled in the fee-for-service program
Data Source and Years(s): U.S. HHS, Centers for Medicare & Medicaid Services, Office of Minority Health, Mapping Medicare Disparities Tool, 2022
Suggested Citation: America's Health Rankings analysis of U.S. HHS, Centers for Medicare & Medicaid Services, Office of Minority Health, Mapping Medicare Disparities Tool, United Health Foundation, AmericasHealthRankings.org, accessed 2024.
Some hospital admissions related to chronic conditions or acute illnesses are avoidable through adequate management and treatment in outpatient settings. The measure of preventable hospitalizations reflects the overuse of the hospital as a primary source of care. It provides insight into issues with accessibility and quality of outpatient primary care services.
Preventable hospitalizations place financial burdens on patients, insurance providers and hospitals. In 2017, preventable hospitalizations cost the United States an estimated $33.7 billion, the majority for chronic conditions such as heart failure, diabetes and chronic obstructive pulmonary disease.
Populations that experience higher rates of preventable hospitalizations include:
- Women compared with men.
- Black and American Indian/Alaska Native adults compared with Asian/Pacific Islander adults.
- Adults age 65 and older, who have a rate of preventable hospitalization more than 12 times that of adults ages 18-44.
- Adults from lower-income communities.
Continuous outpatient care for acute or chronic conditions can prevent complications, worsening disease and the need for hospitalization.
Healthy People 2030 has numerous objectives related to hospitals and emergency services that focus on reducing preventable hospital stays and improving hospital care.
Kao, Yu-Hsiang, Wei-Ting Lin, Wan-Hsuan Chen, Shiao-Chi Wu, and Tung-Sung Tseng. “Continuity of Outpatient Care and Avoidable Hospitalization: A Systematic Review.” The American Journal of Managed Care 25, no. 4 (April 1, 2019): e126–34. https://www.ajmc.com/view/continuity-of-outpatient-care-and-avoidable-hospitalization-a-systematic-review.
Kringos, Dionne S., Wienke G. W. Boerma, Allen Hutchinson, Jouke van der Zee, and Peter P. Groenewegen. “The Breadth of Primary Care: A Systematic Literature Review of Its Core Dimensions.” BMC Health Services Research 10, no. 1 (December 2010): 65. https://doi.org/10.1186/1472-6963-10-65.
McDermott, Kimberly W., and H. Joanna Jiang. “Characteristics and Costs of Potentially Preventable Inpatient Stays, 2017.” HCUP Statistical Brief #259. Healthcare Cost and Utilization Project. Rockville, MD: Agency for Healthcare Research and Quality, June 2020. https://www.hcup-us.ahrq.gov/reports/statbriefs/sb259-Potentially-Preventable-Hospitalizations-2017.jsp.
Rosano, Aldo, Christian Abo Loha, Roberto Falvo, Jouke van der Zee, Walter Ricciardi, Gabriella Guasticchi, and Antonio Giulio de Belvis. “The Relationship between Avoidable Hospitalization and Accessibility to Primary Care: A Systematic Review.” European Journal of Public Health 23, no. 3 (May 29, 2012): 356–60. https://doi.org/10.1093/eurpub/cks053.
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