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Preventable Hospitalizations - Ages 65-74 in North Dakota
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North Dakota Value:

1,429

Discharges following hospitalization for ambulatory care-sensitive conditions (PQI 90) per 100,000 Medicare beneficiaries ages 65-74 enrolled in the fee-for-service program

North Dakota Rank:

26

Preventable Hospitalizations - Ages 65-74 in depth:

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Preventable Hospitalizations - Ages 65-74 by State

Discharges following hospitalization for ambulatory care-sensitive conditions (PQI 90) per 100,000 Medicare beneficiaries ages 65-74 enrolled in the fee-for-service program

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Preventable Hospitalizations - Ages 65-74 in

Data from U.S. HHS, Centers for Medicare & Medicaid Services, Office of Minority Health, Mapping Medicare Disparities Tool, 2022

<= 1,105

1,106 - 1,308

1,309 - 1,517

1,518 - 1,704

>= 1,705

• Data Unavailable
Top StatesRankValue
Your StateRankValue
Bottom StatesRankValue
481,978
491,980

Preventable Hospitalizations - Ages 65-74

1782
2801
4856
7988
81,032
91,096
101,105
111,135
121,136
131,165
141,177
161,234
171,258
181,260
211,322
221,326
231,342
271,445
291,512
301,517
311,522
321,539
331,557
351,576
361,596
371,637
381,665
391,673
401,704
411,717
421,726
431,729
451,831
461,915
481,978
491,980
Data Unavailable
Source:
  • U.S. HHS, Centers for Medicare & Medicaid Services, Office of Minority Health, Mapping Medicare Disparities Tool, 2022

Preventable Hospitalizations - Ages 65-74 Trends

Discharges following hospitalization for ambulatory care-sensitive conditions (PQI 90) per 100,000 Medicare beneficiaries ages 65-74 enrolled in the fee-for-service program

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About Preventable Hospitalizations - Ages 65-74

US Value: 1,452

Top State(s): Hawaii: 782

Bottom State(s): West Virginia: 2,526

Definition: Discharges following hospitalization for ambulatory care-sensitive conditions (PQI 90) per 100,000 Medicare beneficiaries ages 65-74 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.

Unnecessary hospitalizations can lead to additional morbidity and mortality, loss of functional abilities and increased health care expenditures. The number of potentially preventable hospitalizations measures the use of primary care outpatient services and the quality of those services. 

Beyond the health implications, avoidable hospitalizations place financial burdens on patients, insurance providers and hospitals. In 2017, the total cost of potentially preventable hospitalizations among adults in the United States was $33.7 billion. Patients age 65 and older have by far the highest rate of preventable hospitalizations.

According to America’s Health Rankings analysis, the prevalence of preventable hospitalizations is higher among: 

  • Older men compared with older women.
  • American Indian/Alaska Native and Black older adults compared with Asian/Pacific Islander and white older adults. 

Additional research has found that older adults who live in low-income neighborhoods and older adults with dementia are also disproportionately affected by preventable hospitalizations.

Some hospital admissions related to chronic conditions or acute illnesses may be prevented through adequate management and treatment in outpatient settings. For older adults, continuous care with a physician is associated with fewer preventable hospitalizations. Strategies that target populations at high risk of hospitalization — such as older adults, patients taking multiple medications and those with multiple conditions or functional impairments — are effective at reducing the risk of 30-day hospital readmission. 

There are individual steps older adults can take to help prevent unnecessary hospitalization, including

  • Staying physically and mentally active. 
  • Eating a well-balanced diet.
  • Getting regular doctor visits.
  • Improving visibility and reducing fall hazards in the home.
  • Properly managing chronic conditions.

Healthy People 2030 has an objective to reduce the proportion of preventable hospitalizations in older adults with dementia.

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.

Kripalani, Sunil, Cecelia N. Theobald, Beth Anctil, and Eduard E. Vasilevskis. “Reducing Hospital Readmission Rates: Current Strategies and Future Directions.” Annual Review of Medicine 65, no. 1 (January 14, 2014): 471–85. https://doi.org/10.1146/annurev-med-022613-090415.

Mahmoudi, Elham, Neil Kamdar, Allison Furgal, Ananda Sen, Phillip Zazove, and Julie Bynum. “Potentially Preventable Hospitalizations Among Older Adults: 2010-2014.” The Annals of Family Medicine 18, no. 6 (November 2020): 511–19. https://doi.org/10.1370/afm.2605.

Maslow, Katie, and Joseph G. Ouslander. “Measurement of Potentially Preventable Hospitalizations.” White paper. Washington, D.C.: Long-Term Quality Alliance, February 2012. https://ltqastg.wpengine.com/wp-content/themes/ltqaMain/custom/images//PreventableHospitalizations_021512_2.pdf.

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.

Moy, Ernest, Eva Chang, and Marguerite Barrett. “Potentially Preventable Hospitalizations - United States, 2001-2009.” MMWR Supplements 62, no. 3 (November 22, 2013): 139–43. https://www.cdc.gov/mmwr/preview/mmwrhtml/su6203a23.htm.

Nyweide, David J., Denise L. Anthony, Julie P. W. Bynum, Robert L. Strawderman, William B. Weeks, Lawrence P. Casalino, and Elliott S. Fisher. “Continuity of Care and the Risk of Preventable Hospitalization in Older Adults.” JAMA Internal Medicine 173, no. 20 (November 11, 2013): 1879–85. https://doi.org/10.1001/jamainternmed.2013.10059.

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