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Appendix A: Outcome Data


     The goal of the statewide asthma plan is - Reduce the burden of asthma in Indiana. The three
     primary indicators that will be used to measure progress toward the goal are:


          1)       Reduce the asthma-related emergency department visit rate.
          2)       Reduce the asthma-related hospitalization rate.
          3)       Increase the percent of Hoosiers with well-controlled asthma.


     In October 2015 the coding for hospital discharge data was updated from the International
     Classification of Disease (ICD) -9 to ICD-10. The change makes it impossible at this point to
     compare the data prior to 2015 with the data after 2015. ISDH and InJAC will continue monitor
     the data as they receive national guidance on ways to measure change over time comparing ICD-
                                                                                         9 to ICD-10 data.


                                                                                         Emergency Department
                                                                                         Discharge Rate
                                                                                         When people with asthma
                                                                                         have an exacerbation that
                                                                                         they cannot control on their
                                                                                         own they often go a hospital
                                                                                         emergency department to
                                                                                         stabilize their breathing.
                                                                                         Emergency department
                                                                                         discharge data is one measure
                                                                                         of uncontrolled asthma. The
                                                                                         discharge data included below
                                                                                         for emergency department
                                                                                         and inpatient discharge show
                                                                                         the trends between 2011
                                                                                         and 2014.  The emergency
                                                                                         department discharge rate
                                                                                         increased from 467.7 to 490.5
                                                                                         between 2011 and 2014.
                                                                                         (Figure 1)
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