DefinitionAn asthma hospitalization is an admission to the hospital by a New Mexico resident that occurs in state with asthma listed as the primary (first-listed) diagnosis. Asthma hospitalizations include those with ICD-9 codes 493.0-493.92 and ICD-10-CM J45 after 10/2015.
NumeratorAdmission: Number of hospital admissions where asthma is the primary (first-listed) diagnosis.
Discharge:Number of hospital discharge where asthma is the primary (first-listed) diagnosis.
DenominatorEstimated total number of New Mexico residents in a specified population over a specified time period.
Data Interpretation IssuesThese data include inpatient hospitalizations of individuals who are admitted (for the admission related charts) and discharged (for the discharge related charts) from non-federal hospitals. Therefore, these data do not include hospitalizations from Veterans Affairs or Indian Health Service hospitals. In addition, hospitalizations among New Mexico residents that occur out of state are not reported.
Figures may vary between hospitalization admission and discharge due to the potential transfers of the same patient to other hospitals for the same event and differences in counts by year or month because length of stay may result in an admission in one period and a discharge in a subsequent period.
Using an indicator of all asthma hospitalizations will include some transfers between hospitals for the same individual for the same asthma event. Variations in the number of transfers or re-admissions for the same asthma event may vary by geographic area and affect rates.
Why Is This Important?Asthma is one of the most common chronic diseases in New Mexico, with an estimated 150,000 adults and 47,000 children currently having the disease. People with asthma are more likely to miss school or work, report feelings of depression, and experience an overall reduced quality of life. Asthma is also costly, with expenses from routine checkups, emergency department visits, hospitalizations, and medications putting a significant burden on families, the health care sector, and the economy. Though it cannot be cured, asthma can be controlled through quality health care, appropriate medications, and good self-management skills. When asthma is controlled, people with the disease have few, if any, symptoms, and can live normal and productive lives. Admission date is used in order to bring healthcare event and outcome closer to event(s) related to trigger or cause of condition.
Healthy People Objective: Reduce hospitalizations for asthmaU.S. Target: Not applicable, see subobjectives in this category
Other ObjectivesCDC Environmental Public Health Tracking, Nationally Consistent Data and Measures (EPHT NCDM)
New Mexico Community Health Status Indicator (CHSI)
How Are We Doing?New Mexico age-adjusted hospitalization rates have remained somewhat steady since 2000, until the last two years where shart decrese is observed.
How Do We Compare With the U.S.?The National Environmental Public Health Tracking (NEPHT) program developed consistent methods for collecting data and reporting results so that participating states may compare asthma measures, see version 3.0 (https://ephtracking.cdc.gov/docs/CDC_NCDM_v3.pdf) and the EPHT How-to-Guide for Data Submission: Asthma Hospitalizations, July 2018. The New Mexico Health Department collects patient record level data from all individual non-federal licensed facilities in the state. The U.S. hospitalization rate is estimated using the National Hospital Ambulatory Medical Care Survey.
What Is Being Done?The New Mexico Department of Health Asthma Program collects, analyzes, and disseminates asthma data in order to identify populations that have high hospitalization rates. The Asthma Program also works with partners throughout the state (such as hospitals, physician groups, insurance plans, and schools) to design and implement health interventions to lessen the disease burden. Current interventions include providing asthma self-management education to pediatric patients, supporting indoor air quality assessments of schools to limit exposures to potential asthma triggers, and offering provider training on the NAEPP asthma medical guidelines.
Health Program InformationEnvironmental Public Health Tracking program, New Mexico Department of Health, P.O. Box 26110, 1190 St. Francis Drive, Suite N1300, Santa Fe, NM 87505. Heidi Krapfl, Principal Investigator and Bureau Chief, (505) 476-3577, Heidi.Krapfl@state.nm.us.