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Description
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Age-standardized acute care hospitalization rate for conditions where appropriate ambulatory care prevents or reduces the need for admission to hospital, per 100,000 population younger than age 75.

For further details, please see the General Methodology Notes.

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Calculation: Description
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(Total number of acute care hospitalizations for ambulatory care sensitive conditions in patients younger than age 75 ÷ total mid-year population younger than age 75) × 100,000 (age-adjusted)
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Calculation: Geographic Assignment
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Place of residence

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Calculation: Type of Measurement
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Rate - per 100,000

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Calculation: Adjustment Applied
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Age-adjusted

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Calculation: Method of Adjustment
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Direct Standardization
Standard Population:
Canada 2011

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Denominator
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Description:
Total mid-year population younger than age 75

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Numerator
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Description:
Total number of acute care hospitalizations for ambulatory care sensitive conditions in patients younger than age 75
Inclusions:
1. Hospitalization for an ambulatory care sensitive condition is identified as any most responsible diagnosis code of

–Grand – Grand mal status and other epileptic convulsions
ICD-9/9-CM: 345
ICD-10-CA: G40, G41

–Chronic – Chronic obstructive pulmonary disease (COPD)

a. Any most responsible diagnosis (MRDx) code of
ICD-9/9-CM: 491, 492, 494, 496
ICD-10-CA: J41, J42, J43, J44, J47

b. MRDx of acute lower respiratory infection, only when a secondary diagnosis* of J44 in
ICD-10-CA or 496 in ICD-9/9-CM is also present
ICD-9/9-CM: 466, 480–486, 487.0
ICD-10-CA: J10.0, J11.0, J12–J16, J18, J20, J21, J22

*Secondary diagnosis refers to a diagnosis other than the most responsible one.

–Asthma– Asthma
ICD-9/9-CM: 493
ICD-10-CA: J45

–Diabetes– Diabetes
ICD-9: 250.0, 250.1, 250.2, 250.7
ICD-9-CM: 250.0, 250.1, 250.2, 250.8
ICD-10-CA: E10.0, E10.1, E10.63, E10.64, E10.9
E11.0, E11.1, E11.63, E11.64, E11.9
E13.0, E13.1, E13.63, E13.64, E13.9
E14.0, E14.1, E14.63, E14.64, E14.9

–Heart – Heart failure and pulmonary edema
ICD-9/9-CM: 428, 518.4
ICD-10-CA: I50, J81

–Hypertension– Hypertension
ICD-9/9-CM: 401.0, 401.9, 402.0, 402.1, 402.9
ICD-10-CA: I10.0, I10.1, I11

–Angina– Angina
ICD-9: 411, 413
ICD-9-CM: 411.1, 411.8, 413
ICD-10-CA: I20, I23.82, I24.0, I24.8, I24.9

Excluding cases with cardiac procedures.

List of cardiac procedure codes for exclusion:
CCP: 47^^, 480^–483^, 489.1, 489.9, 492^–495^, 497^, 498^
ICD-9-CM: 336, 35^^, 36^^, 373^, 375^, 377^, 378^, 379.4–379.8
CCI: 1.HA.58.^^, 1.HA.80.^^, 1.HA.87.^^, 1.HB.53.^^, 1.HB.54.^^, 1.HB.55.^^, 1.HB.87.^^, 1.HD.53.^^, 1.HD.54.^^, 1.HD.55.^^, 1.HH.59.^^, 1.HH.71.^^, 1.HJ.76.^^, 1.HJ.82.^^, 1.HM.57.^^, 1.HM.78.^^, 1.HM.80.^^, 1.HN.71.^^, 1.HN.80.^^, 1.HN.87.^^, 1.HP.76.^^, 1.HP.78.^^, 1.HP.80.^^, 1.HP.82.^^, 1.HP.83.^^, 1.HP.87.^^, 1.HR.71.^^, 1.HR.80.^^, 1.HR.84.^^, 1.HR.87.^^, 1.HS.80.^^, 1.HS.90.^^, 1.HT.80.^^, 1.HT.89.^^, 1.HT.90.^^, 1.HU.80.^^, 1.HU.90.^^, 1.HV.80.^^, 1.HV.90.^^, 1.HW.78.^^, 1.HW.79.^^, 1.HX.71.^^, 1.HX.78.^^, 1.HX.79.^^, 1.HX.80.^^, 1.HX.83.^^, 1.HX.86.^^, 1.HX.87.^^, 1.HY.85.^^, 1.HZ.53 rubric (except 1.HZ.53.LA-KP), 1.HZ.54.^^, 1.HZ.55 rubric (except 1.HZ.55.LA-KP), 1.HZ.56.^^, 1.HZ.57.^^, 1.HZ.59.^^, 1.HZ.80.^^, 1.HZ.85.^^, 1.HZ.87.^^, 1.IF.83.^^, 1.IJ.50.^^, 1.IJ.54.GQ-AZ, 1.IJ.55.^^, 1.IJ.57.^^, 1.IJ.76.^^, 1.IJ.80.^^, 1.IJ.86.^^, 1.IK.50.^^, 1.IK.57.^^, 1.IK.80.^^, 1.IK.87.^^, 1.IN.84.^^, 1.LA.84.^^, 1.LC.84.^^, 1.LD.84.^^, 1.YY.54.LA-NJ, 1.YY.54.LA-FS, 1.YY.54.LA-NM

Note: Code may be coded in any position. Procedures coded as abandoned after onset (Intervention Status Attribute = A) are excluded.

2. Admission to an acute care institution (Facility Type Code = 1)

3. Age at admission younger than 75

34. Sex recorded as male or female

Exclusions:
1. Records with discharge as death (Discharge Disposition Code = 07)

2. Newborn, stillbirth or cadaveric donor records (Admission Category Code = N, R or S)

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Data Sources
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DAD, Demography division, Statistics Canada, HMDB

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Available Data Years
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Type of Year:
Fiscal
First Available Year:
2010
Last Available Year:
2015 2017

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Geographic Coverage
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All provinces/territories

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Reporting Level/Disaggregation
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National, Province/Territory, Region, Neighbourhood Income Quintile

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Update Frequency
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Every year

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Indicator Results
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Web Tool:
Your Health System: In Depth
URL:
Accessing Indicator Results on Your Health System: In Depth

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Updates
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Beginning with the 2006–2007 rate, the definition of the ambulatory care sensitive conditions indicator was refined to better align it as a measure of primary health care. In the revised definition, the diabetes component includes diabetes with short-term complications and diabetes without mention of complication; angina, hypertension and heart failure components exclude records where cardiac procedures were also coded. Not applicable

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Caveats and Limitations
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Not applicable

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Trending Issues
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Beginning with the 2006–2007 rate, the definition of the ambulatory care sensitive conditions indicator was refined. Rates based on the new definition were calculated for the previous years to allow for comparisons over time.Not applicable

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Comments
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Indicator results are also available in

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