|
|
Welcome to Diabetes Statistics:
Statistics
and data are valuable tools to help prove that the
work you are doing impacts upon patient care. Please
use this section to access statistics, data sources, and
analytical tools to improve your ability to report on the
statistical impact of your health care services for chronic
disease management.
The
Massachusetts Division of Health
Care Finance and Policy collects, analyzes, and disseminates information
with the goal of improving the quality, efficiency, and effectiveness of the
health care delivery system in MA.
One approach to assessing our health care delivery system is to
look at health care outputs or outcomes. Traditional outcome
measures include mortality and morbidity rates. Another
outcome measure is "preventable hospitalization" (PH)
rates. Because lack of primary care for particular medical
conditions often leads to hospitalization, it is possible to
measure preventable hospitalization rates as a way of assessing
primary care delivery, thereby identifying appropriate areas to
improve in the health care delivery system. Certain ambulatory
care sensitive conditions such as diabetes, if treated in a timely
fashion with adequate primary care and managed properly on an
outpatient basis, should not advance to the point where
hospitalization is required. Preventable
hospitalization is the term used by the Division to describe
inpatient hospital admissions for ambulatory care sensitive
conditions.
Information and data on preventable hospitalization is designed to
serve as a tool for improving the health status of Massachusetts
residents. It is also a tool for containing costs.
This tool promotes the efficient use of health care resources
primarily because encouraging appropriate delivery of primary care
reduces the need for costly inpatient care.
The statistical tables, courtesy of the Division
of Health Care Finance & Policy, listed below are based on FY
1998 Preventable Hospitalizations (PH) per 1,000 population for diabetes
in the categories of geographic area, age breakdown, and payor source. The addition of a payor source code allows
for comparisons in performance among insurance plans and other Health
Maintenance Organizations (HMO).
|
Links to Other State and Federal Statistics are Listed Below the Division of Heath Care Finance & Policy
Data Tables. |
|
Massachusetts
Division of Health Care Finance & Policy |
|
|
|
Diabetes Preventable Hospitalizations (PH)
Massachusetts Residents (ZIP Code 01001 - 02791)
FY 98, All Ages |
|
FY 1998, Diabetes, All Ages
|
|
Top 10
|
ZIP Code
|
City / Town
|
Counts
|
|
1
|
02124
|
Dorchester South
|
77
|
|
2
|
02401
|
Brockton
|
68
|
|
3
|
02119
|
Roxbury
|
63
|
|
4
|
01040
|
Holyoke
|
60
|
|
5
|
02169
|
Quincy
|
59
|
|
6
|
02740
|
New Bedford
|
58
|
|
7
|
02155
|
Medford
|
58
|
|
8
|
01109
|
Springfield
|
58
|
|
9
|
01902
|
Lynn
|
49
|
|
10
|
02148
|
Malden
|
48
|
|
Statewide
|
4,749
|
|
Massachusetts Residents
(ZIP Codes 01001 - 02791)
Preventable Hospitalizations (PH)
FY 1998 - Age Breakdown
|
|
Ages
0 - 17
|
|
Ages
18 - 64
|
|
Condition
|
Counts
|
Population¹
|
PH
Rate²
|
|
Condition
|
Counts
|
Population
|
PH
Rate
|
|
Diabetes
|
411
|
1,408,527
|
0.29
|
|
Diabetes
|
2,563
|
3,840,348
|
0.67
|
|
Ages
65+
|
|
All
Ages
|
|
Condition
|
Counts
|
Population
|
PH
Rate
|
|
Condition
|
Counts
|
Population
|
PH
Rate
|
|
Diabetes
|
1,775
|
878,634
|
2.02
|
|
Diabetes
|
4,749
|
6,127,510
|
0.78
|
|
¹ -Population
figures are from Claritas, Inc.
² - ph rates are per one thousand population.
PH rate = counts/pop x 1,000 |
|
Massachusetts Residents
(Zip Codes 01001 - 02791)
Asthma & Diabetes Preventable Hospitalizations
Observation Stay Discharges
FY 1998, All Ages |
|
FY 1998, PH
Observation Stays, All Ages |
Counts |
% |
| Asthma |
3,611 |
18.37% |
| Diabetes |
852 |
4.33% |
| Other
PH Conditions (22) |
15,192 |
77.29% |
|
Statewide |
19,655 |
100.00% |
|
Massachusetts Residents Zip Codes (01001
- 02791)
Diabetes Preventable Hospitalizations
FY 1998 - Age Breakdown/Payor Source |
| Diabetes,
Ages 0 -17 |
| Payor
Type |
Counts |
% |
| HMO |
154 |
37.47% |
| Blue
Cross Managed Care |
51 |
12.41% |
| Medicaid
Managed Care |
43 |
10.46% |
| Medicaid
non-Managed Care |
37 |
9.00% |
| Commercial
non-Managed Care |
34 |
8.27% |
| Blue
Cross non-Managed Care |
28 |
6.81% |
| PPO
and other Managed Care Plan |
17 |
4.14% |
| Self-Pay |
13 |
3.16% |
| Not
Valid Code |
11 |
2.68% |
| Free
Care |
11 |
2.68% |
| Others |
12 |
2.92% |
| TOTAL |
411 |
100.00% |
|
|
|
|
|
Diabetes,
Ages 18 - 64 |
| Payor
Type |
Counts |
% |
| HMO |
535 |
20.87% |
| Medicare
non-Managed Care |
475 |
18.53% |
| Medicaid
non-Managed Care |
349 |
13.62% |
| Blue
Cross Managed Care |
191 |
7.45% |
| Self-Pay |
181 |
7.06% |
| Medicaid
non-Managed Care |
154 |
6.01% |
| Commercial
non-Managed Care |
147 |
5.74% |
| Blue
Cross non-Managed Care |
146 |
5.70% |
| Free
Care |
130 |
5.07% |
| PPO
and other Managed care Plan |
72 |
2.81% |
| Not
Valid Code |
61 |
2.38% |
| Medicare
Managed Care |
37 |
1.44% |
| Commercial
Managed Care |
26 |
1.01% |
| Other
non-Managed Care Plan |
22 |
0.86% |
| Other
Government Payor |
21 |
0.82% |
| Point
of Service Plan |
12 |
0.47% |
| Others |
4 |
0.16% |
| TOTAL |
2,563 |
100.00% |
| |
|
|
| Diabetes,
Ages 65 + |
| Payor
Type |
Counts |
% |
|
Medicare non-Managed Care |
1,331 |
74.99% |
| Medicare
Managed Care |
216 |
12.17% |
| Not
Valid Code |
61 |
3.44% |
|
HMO |
58 |
3.27% |
| Blue
Cross Managed Care |
31 |
1.75% |
| Commercial
non-Managed Care |
24 |
1.35% |
| Blue
Cross non-Managed Care |
11 |
0.62% |
| PPO
and other Managed Care Plan |
10 |
0.56% |
| Medicaid
non-Managed Care |
9 |
0.51% |
| Self-Pay |
7 |
0.39% |
| Other
Government Payor |
7 |
0.39% |
| Free
Care |
7 |
0.39% |
| Others |
3 |
0.17% |
|
TOTAL |
1,775 |
100.00%
|
|
|
|
Diabetes, All
Ages |
|
Payor Type |
Counts |
% |
|
Medicare non-Managed Care |
1,806 |
38.03% |
|
HMO |
747 |
15.73% |
|
Medicaid non-Managed Care |
395 |
8.32% |
|
Blue Cross Managed Care |
273 |
5.75% |
|
Medicare Managed Care |
253 |
5.33% |
|
Commercial non-Managed Care |
205 |
4.32% |
|
Self Pay |
201 |
4.23% |
|
Medicaid non-Managed Care |
197 |
4.15% |
|
Blue Cross non-Managed Care |
185 |
3.90% |
|
Free Care |
148 |
3.12% |
|
Not Valid Code |
133 |
2.80% |
|
PPO and other Managed Care Plan |
99 |
2.08% |
|
Other Government Payor |
33 |
0.69% |
|
Commercial Managed Care |
30 |
0.63% |
|
Other non-Managed Care Plan |
24 |
0.51% |
|
Point of Service Plan |
15 |
0.32% |
|
Others |
5 |
0.11% |
|
Total |
4,749 |
100.00% |
Links to Other State Diabetes-Related Statistics:
|
The
Burden of Diabetes in Massachusetts, 1993-1995 |
This report
summarizes the burden of diabetes in the Commonwealth of
Massachusetts between 1993 and 1995. It draws on a variety
of data sources that are regularly collected at the state
and federal level, and which comprise the Massachusetts
Diabetes Control Program’s surveillance system. The
report addresses the prevalence of diabetes, its associated
morbidities, and the cost of health care spent on
hospitalizations related to the disease. |
|
Diabetes
in Massachusetts:
Results from the Behavioral Risk Factor Surveillance System,
1994-1996
(BRFSS) |
The BRFSS is a statewide
random telephone survey of MA adults, 18 years of
age or older, conducted annually since 1986 as part of a
cooperative agreement between the national Centers for
Disease Control and Prevention and the Massachusetts
Department of Public Health (MDPH). BRFSS collects information about a wide variety of
health issues, ranging from health-related behavior and
access to medical care to opinions on health- health policy
issues. This information helps identify the need for health
interventions, monitor effectiveness of prevention and
intervention programs, develop health policy and
legislation, and measure progress toward attaining state and
national health objectives.
|
|
Mass
Community Health
Information Profile (MassCHIP)
|
MassCHIP was developed by
the Massachusetts Department of Public Health to assist
communities and professionals with health planning. It
currently has over 550 active users working in a variety of
settings, including hospitals, HMOs, government agencies,
universities, community health centers, and local boards of
health. |
|
Massachusetts
Health
Data Consortium |
The Massachusetts Health Data Consortium
was founded in 1978 by the state's major public and private
health care organizations. They recognized the need for a
neutral agency, an "honest broker," independent of
special interests, to collect, analyze and disseminate
health care information. The Consortium's information
products, services and special projects support health
policy development, technology planning and implementation,
and improved decision making in the allocation and financing
of health care. |
|