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Home Research Research Library Variation over time in preventable hospitalization rates across counties Variation over time in preventable hospitalization rates across counties 2011 Author(s) Sumner, W, and Hagen, Michael D Topic(s) Achieving Health System Goals, Education & Training, and Role of Primary Care Keyword(s) Quality Of Care Volume 24(6):639-646 Source Journal of the American Board of Family Medicine BACKGROUND: The Agency for Health Care Research and Quality developed 14 prevention quality indicators (PQIs), including four PQIs related to preventable hospitalizations for diabetes and one to asthma. Quality indicators vary across counties, but variation over time has not been described. METHODS: The Kentucky Cabinet for Health and Family Services published PQI data for each county in Kentucky in each of the 3 years from 2006 to 2008. Variation and correlations among PQI measures were calculated. RESULTS: PQI rates often varied 10-fold between counties. Repeated measures of four PQIs were highly correlated, suggesting local health care processes that are stable over time. Some PQIs, such as PQI01–emergent complications of blood glucose control–correlated poorly with other measures. Other PQIs are correlated over geography and time, including PQI03 (long-term complications of diabetes); PQI14 (poorly controlled diabetes); and PQI15 (asthma). CONCLUSIONS: These county PQI measures were stable over time. Stability implies that PQI measures were not the result of random processes and did not rapidly shift. However, some health improvement needs varied between counties. Although tailoring health promotion interventions to each county’s needs may be complex, stable needs afford time to undertake targeted quality improvement efforts. Read More ABFM Research Read all 2019 Facilitating Practice Transformation in Frontline Health Care Go to Facilitating Practice Transformation in Frontline Health Care 2020 Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges Go to Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges 2021 Family Medicine Billing for Point-of-Care Ultrasound (POCUS) Go to Family Medicine Billing for Point-of-Care Ultrasound (POCUS) 2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community
Author(s) Sumner, W, and Hagen, Michael D Topic(s) Achieving Health System Goals, Education & Training, and Role of Primary Care Keyword(s) Quality Of Care Volume 24(6):639-646 Source Journal of the American Board of Family Medicine
ABFM Research Read all 2019 Facilitating Practice Transformation in Frontline Health Care Go to Facilitating Practice Transformation in Frontline Health Care 2020 Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges Go to Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges 2021 Family Medicine Billing for Point-of-Care Ultrasound (POCUS) Go to Family Medicine Billing for Point-of-Care Ultrasound (POCUS) 2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community
2019 Facilitating Practice Transformation in Frontline Health Care Go to Facilitating Practice Transformation in Frontline Health Care
2020 Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges Go to Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges
2021 Family Medicine Billing for Point-of-Care Ultrasound (POCUS) Go to Family Medicine Billing for Point-of-Care Ultrasound (POCUS)
2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community