Concept: Avoidable Hospitalizations
Last Updated: 2017-03-02
Avoidable Hospitalizations are a set of 12 conditions for which hospitalization can be avoided if ambulatory care is provided in a timely and effective manner. (Weissman et al. 1992.) The conditions which are included in the grouping were those agreed upon by a panel of physicians and represent important health problems, which would be affected by appropriate ambulatory care, and have been used in previous studies.
NOTE: Only PRIMARY hospital diagnoses are used in identifying conditions.
ICD-9-CM Diagnoses Codes for Avoidable Hospitalizations
The following list identifies the Avoidable Hospitalization conditions and ICD-9-CM diagnoses codes that were used in the
Population Health: Health Status Indicators
Cohen MM and MacWilliam L.
in 1994. The list of codes is available in Appendix A, Table A2 in the deliverable Volume II: Tables and Figures.
|Ruptured appendix||540.0, 540.1|
|Congestive heart failure||428, 402.01, 402.11, 402.91|
|Diabetes||250.1, 250.2, 250.3, 251.0|
|Immunizable conditions||032, 033, 037, 072, 045, 055|
|Malignant hypertension||401.0, 402.0, 403.0, 404.0, 405.0, 437.2|
|Pneumonia||481, 482, 483, 485, 486|
|Pyelonephritis||590.0, 590.1, 590.8|
|Perforated or bleeding ulcer||531.0, 531.2, 531.4, 531.6, 532.0, 532.2, 532.4, 532.6, 533.0, 533.1, 533.2, 533.4, 533.5, 633.6|
SAS Formats and Code
Formats are available from MCHP for preparing the datasets.
- avoid.lab (label)
Available from MCHP, developed by Leonard MacWilliam.
- Health Status Indicators
- Health Status Indicators - Recommended for Monitoring Regional Health Authority (RHA) Performance and Planning Delivery of Service
- Black C, Burchill C. An assessment of the potential for repatriating care from urban to rural Manitoba. Med Care 1999;37(6 Suppl):JS167-JS186. [Abstract] (View)
- Cohen MM, MacWilliam L. Measuring the health of the population. Med Care 1995;33(12 Suppl):DS21-DS42. [Abstract] (View)
- Cohen MM, MacWilliam L. Population Health: Health Status Indicators. Volume II: Tables and Figures. Winnipeg, MB: Manitoba Centre for Health Policy and Evaluation, 1994. [Report] (View)
- Cohen MM, MacWilliam L. Population Health: Health Status Indicators. Volume I: Key Findings. Winnipeg, MB: Manitoba Centre for Health Policy & Evaluation, 1994. [Report] (View)
- Roos LL, Traverse D, Turner D. Delivering prevention: the role of public programs in delivering care to high-risk populations. Med Care 1999;37(6 Suppl):JS264-JS278. [Abstract] (View)
- Roos NP, Burchill CA, Black CD. Utilization of hospital resources. Med Care 1995;33 (12 Suppl):55-72. [Abstract] (View)
- Roos NP, Mustard CA. Variation in health and health care use by socioeconomic status in Winnipeg, Canada: does the system work well? Yes and no. Milbank Q 1997;75(1):89-111. [Abstract] (View)
- Weissman JS, Gatsonis C, Epstein AM. Rates of avoidable hospitalization by insurance status in Massachusetts and Maryland. JAMA 1992;268(17):2388-2394. [Abstract] (View)
- ambulatory care
- ambulatory care sensitive
- Health Measures
- health status indicators
Manitoba Centre for Health Policy
Community Health Sciences, Max Rady College of Medicine,
Rady Faculty of Health Sciences,
Room 408-727 McDermot Ave.
University of Manitoba
Winnipeg, MB R3E 3P5 Canada