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Reduce the rate of pressure ulcer-related hospital admissions among older adults — OA‑04 Data Methodology and Measurement

About the National Data

Data

Baseline: 836.9 pressure ulcer-related hospitalizations per 100,000 adults aged 65 years and over occurred in 2016

Target: 753.2 per 100,000

Numerator
Number of discharges from community, non-rehabilitation hospitals for adults aged 65 years and over with a principal or secondary diagnosis of pressure ulcer at discharge.

Based on ICD-10 codes: L89.000-L89.95, including all stages and unstageable.
Denominator
Number of adults aged 65 years and over.
Target-setting method
Percent improvement
Target-setting method details
10 percent improvement from the baseline.
Target-setting method justification
Trend data were not available for this objective. A 10 percent improvement from the baseline was used to calculate a target. This method was used because it was a statistically significant improvement from the baseline.

Methodology

Methodology notes

The population denominator is estimated by the US Census Data. The denominator assumes that all older individuals are at risk for developing pressure ulcers, and that access to quality care can minimize the likelihood of older adults being discharged with a pressure ulcer. Exclusions include: Transfer from a hospital (different facility) to avoid double counting, and missing gender, age, quarter, year and principal diagnosis. Community hospitals are defined by the American Hospital Association (AHA) as "non-Federal, short-term, general, and other specialty hospitals, excluding hospital units of institutions." The specialty hospitals included in the AHA definition of community hospitals include: obstetrics-gynecology, ear-nose-throat, orthopedic, and pediatric institutions. The AHA also groups public hospitals and academic medical centers with community hospitals. The population estimates used to track this measure are based on estimates produced by the U.S. Census Bureau. Nielsen, a vendor that compiles and adds value to the Census estimates using intra-census methods to estimate household and demographic statistics for geographic areas by year, provided the denominator data.

History

Comparable HP2020 objective
Retained, which includes core objectives that are continuing from Healthy People 2020 with no change in measurement.