The Health Index initiative tracks and monitors a variety of data sources to measure progress being made to decrease preventable hospitalizations. In 2016, MaineHealth leaders set bold, aggressive targets for two of these measures as a way to challenge MaineHealth organizations to continue achieving positive steps toward the MaineHealth vision.
Short-term measure and target:
- As of September 30, 2018, the annual rate of hospitalization for COPD and Heart Failure for MaineHealth Accountable Care Organization’s Medicare Shared Savings Program will be equal to or less than 8.31 and 10.0 per 1,000 beneficiaries, respectively.
Long-term measure and target:
- In 2019, the most recent annual rate of hospitalizations for ambulatory care-sensitive conditions will be ≤30/1,000 Medicare enrollees.
Within the MaineHealth Accountable Care Organization (MaineHealth ACO), the hospitalization rates for COPD/asthma were slightly higher in both 2016 and 2017 than in 2014 and 2015. Similarly, the hospitalization rates for COPD/asthma were higher in 2017 than in 2014-2016. However, for both conditions, the 2017 rates for beneficiaries were lower than the respective rates for enrollees in all Medicare Shared Savings Programs in the United States.
One metric often used to monitor potentially preventable hospitalizations is the rate of admissions for ambulatory care-sensitive conditions (ACSC). For these health issues, high-quality outpatient care often can avoid hospitalizations, or early intervention can prevent complications or more severe disease.
The ACSC hospitalization rate in the MaineHealth service area and for Maine overall increased from 2014 to 2015. The service area's ACSC rate remains lower than the U.S. rate, although the U.S. rate decreased more from 2012 to 2015 than the service area rate did.