ADULT POTENTIALLY PREVENTABLE HOSPITALIZATIONS IN TEXAS

1. ADULT POTENTIALLY PREVENTABLE HOSPITALIZATIONS IN TEXAS House Public Health Committee May 10, 2010 Mike Gilliam, Jr., M.S.W., M.P.H. Assessment & Benchmarking Specialist Centers for Program Coordination, Policy & Innovation Texas Department of State Health Services

2. Adult Potentially Preventable Hospitalizations in Texas Hospitalizations for the following ten conditions are called “potentially preventable,” because if the individual had access to and cooperated with outpatient health care, the hospitalization would likely not have happened: • Bacterial Pneumonia; • Dehydration; • Urinary Tract Infection; • Angina (without Procedures; • Congestive Heart Failure; • Hypertension (High Blood Pressure); • Asthma; • Chronic Obstructive Pulmonary Disease; • Diabetes Short-Term Complications; and • Diabetes Long-Term Complications.

3. Adult Potentially Preventable Hospitalizations in Texas

4. Adult Potentially Preventable Hospitalizations in Texas

5. Adult Potentially Preventable Hospitalizations in Texas Examples of evidence based strategies to prevent some of the potentially preventable hospitalization conditions: • Vaccination (Bacterial Pneumonia); • Smoking Cessation; • Behavior Risk Reduction (Nutrition & Physical Activity); • Blood Pressure Control; • Glycemic Control; and • Diabetes Self Management Education.

6. Adult Potentially Preventable Hospitalizations in Texas • From 2005-2008, adult residents (18+) of Texas received $24.9 billion in hospital charges for these ten conditions. This amount equals $1,418 for every adult Texan. • Bacterial Pneumonia and Congestive Heart Failure make up 52% of these charges. • Where hospital charges were billed: Medicare 64.3% ($16.0 billion) Private Health Insurance 17.5% ($4.4 billion) Uninsured 08.9% ($2.2 billion) Medicaid 06.8% ($1.7 billion) Other 02.5% ($600 million)

7. Adult Potentially Preventable Hospitalizations in Texas • The data comes from the Center for Health Statistics at the Texas Department of State Health Services (www.dshs.state.tx.us/thcic). • The preventable hospitalization conditions were selected by the Agency for Healthcare Research and Quality (AHRQ). AHRQ (www.ahrq.gov) is the lead federal agency responsible for research on healthcare quality, costs, outcomes and patient safety. • The purpose of this information is to assist in improving health care and reducing health care costs. This information is not an evaluation of hospitals or other health care providers.

8. Potentially Preventable Hospitalizations(2005-2008) Source: Center for Health Statistics, Texas Department of State Health Services

9. Adult Potentially Preventable Hospitalizations in Texas • For more information on adult preventable hospitalizations in Texas, please go to www.dshs.state.tx.us/ph. This website includes profiles on all 254 counties in Texas. • The state profile and the following 16 county profiles are attached as examples: Angelina, Brazos, Cherokee, Collin, Fort Bend, Galveston, Harris, Hidalgo, Liberty, Lubbock, Montgomery, Nueces, Tarrant, Taylor, Travis and Washington. • A recent map titled “Potentially Preventable Hospitalizations for Adult Non-Medicare Texans (2005-2008)” is also attached.