Reduce Preventable Hospitalizations by 10% by the End of 2015

Overall Progress

11.5% Decrease in Hospitalizations/100,000 People since 2011

On Track

Overall Composite Hospitalizations

2013
1420
Hospitalizations/100,000 People
2011
1605
Hospitalizations/100,000 People
11.5% Decrease

Chronic Hospitalizations

2013
907
Hospitalizations/100,000 People
2011
1019
Hospitalizations/100,000 People
11.0% Decrease

Acute Hospitalizations

2013
514
Hospitalizations/100,000 People
2011
586
Hospitalizations/100,000 People per Year
12.3% Decrease
This site was last updated on December 14, 2014.

Preventable Hospitalizations per 100,000 People

Preventable Hospitalizations: Total Cost

Acute & Chronic Preventable Hospitalizations per 100,000 People

Maps

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In-State Renewable Energy Generating Capacity (Actual and Projected)

Are We Meeting Our Goals?

Together, with the help of the Department of Health and Mental Hygiene, the O’Malley-Brown Administration set a goal to reduce the rate of preventable hospitalizations by 10 percent by 2015. The overall risk-adjusted rate of preventable hospitalizations in Maryland was 1,605/100,000 in 2011(baseline). Our goal is to reduce that rate to 1,444/100,000 by 2015.*

StateStat calculates reductions in preventable hospitalizations on a quarterly basis using the Prevention Quality Indicator (PQI) Composite Measure of Preventable Hospitalization developed by the Agency for Healthcare Research and Quality (AHRQ).  The PQI tracks the number of hospitalizations that occurred for ambulatory care sensitive conditions (ACSCs); ACSCs are conditions for which effective outpatient care can prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease.

In 2012 the State of Maryland exceeded the goal of reducing preventable hospitalizations by 2015. In response, the Department of Health and Mental Hygiene is in the process of reevaluating the goal and plans to set a new preventable hospitalizations goal in the near future.

 

*NOTE: In 2014, DHMH revised the methodology for producing this data in order to address innaccuracies. The revisions did not result in signficant changes to the data or trends though data on this page have been revised to reflect the data produced from the new, more accurate methodology. 

Actions Taken Towards Goal

  • In January 2014, the Centers for Medicare & Medicaid Services approved Maryland’s waiver application to implement a groundbreaking new system of health care delivery limiting growth in hospital spending per capita and tying spending to growth in the state’s economy.  Under Maryland’s current Medicare waiver, Maryland has set its own rates for hospital services for 36 years. Maryland is the only state in the nation to operate an all-payer hospital rate setting system, under which all patients pay the same rate for services at the state’s hospitals. The new model will allow Maryland to set global budgets and other alternative approaches to payment that reward systems of care that provide improved outcomes at lower cost.
  • Launched in January, Maryland’s Prescription Drug Monitoring Program (PDMP) monitors the prescribing and dispensing of Schedule II-V Controlled Dangerous Substances including the most commonly used opioid analgesics and makes a patient’s prescription history available in real-time to healthcare providers. Among other things, the PDMP will make obtaining prescription drugs illegally more difficult and will help prevent harmful prescription drug interactions.
  • The first five Health Enterprise Zones (HEZs) were designated in January 2013.  Created by the Maryland Health Improvement and Disparities Reduction Act of 2012, HEZs are contiguous geographic areas that have documented evidence of health disparities, economic disadvantage and poor health outcomes. The State's first HEZs are: Capitol Heights in Prince George’s County, Greater Lexington Park in St. Mary’s County, Dorchester and Caroline Counties, West Baltimore, and Annapolis.  Across all five zones, a total of eight care delivery sites have been opened or expanded and all five zones are providing clinical and other support services.
  • In 2012, the O’Malley-Brown Administration achieved our goal of connecting all 46 acute care hospitals and medical centers with lab results and lap results via the Health Information Exchange.  The Exchange uses a live VPN to instantly and securely share health information among approved users. 
  • Designated as the State of Maryland’s Health Information Exchange in 2009, the Chesapeake Regional Information System (CRISP) connects Maryland’s physicians, hospitals, and labs with real-time information ensuring continuity of care for their patients. CRISP sends roughly 10,000 notifications a month to physicians when their patients are admitted, discharged or transferred to any hospital in Maryland. 
  • To further aid them in their care coordination efforts, over 100 clinical data feeds (such as lab result, radiology reports, and discharge summaries) are also live and available to treating providers through CRISP as of December 2012. 

How Can I Get Involved?

  • Click here to find out what your local health improvement coalition is doing to prevent avoidable hospitalizations and get involved! 
  • Visit the Health Care Delivery Reform Subcommittee’s website to learn more about what Maryland is doing to lower health care delivery costs, improve patients’ care experience, and improve their outcomes
  • Learn more about promising innovations in health care delivery and financing by visiting the Health Care Innovations website 

 

For Patients and their Families

 

For Health Care Providers

Additional Information

Where Did We Get Our Data?

Here is the main backing data set for this page. It contains all of the data used to make the tables and graphs, plus even more numbers. Please explore and share the data; it's all public!

How Can I Get Involved?

  • Click here to find out what your local health improvement coalition is doing to prevent avoidable hospitalizations and get involved! 
  • Visit the Health Care Delivery Reform Subcommittee’s website to learn more about what Maryland is doing to lower health care delivery costs, improve patients’ care experience, and improve their outcomes
  • Learn more about promising innovations in health care delivery and financing by visiting the Health Care Innovations website 

 

For Patients and their Families

 

For Health Care Providers

Where Did We Get Our Data?

Here is the main backing data set for this page. It contains all of the data used to make the tables and graphs, plus even more numbers. Please explore and share the data; it's all public!

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