Health Highlight Report for San Juan County
Asthma Hospital Discharges - Children: Hospitalizations per 10,000 Population, 2013-2017 Combined
San Juan County14.5 95% Confidence Interval(12.8 - 16.3)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "DNA" (Data Not Available) will appear if the confidence interval was not published with the IBIS indicator data for this measure.
Statistical StabilityStableDescription of Statistical Stability
- Stable = This count or rate is relatively stable and should provide a good estimate of your community risk.
- Unstable = This count or rate is statistically unstable (RSE >0.30), and may fluctuate widely due to random variation (chance).
- Very Unstable = This count or rate is extremely unstable (RSE >0.50). This value should not be used to represent your population risk. You should combine years or otherwise increase the population denominator in this calculation.
- DNA = Data Not Available. The required community value and/or confidence interval was not available for this measure.
New Mexico14.4 U.S. DNADNA=Data not available.
San Juan County Compared to State
Description of Dashboard Gauge
Description of the Dashboard GaugeThis "dashboard" type graphic is based on the community data on the right. It compares the community value on this indicator to the state overall value.
The community value is considered statistically significantly different from the state value if the state value is outside the range of the community's 95% confidence interval. If the community's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the community's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the community and state values. When selecting priority health issues to work on, a community should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the community number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The community's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The community's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The community's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The community's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Asthma is one of the common chronic diseases in New Mexico, with an estimated 45,503 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.
Risk and Resiliency FactorsObesity and exposure to or use of Tobacco are asthma triggers.
How Are We Doing?New Mexico children asthma hospitalization rates fluctuate from 2007 to 2017 but starting in 2015, these rates appear to be declining.
What Is Being Done?The New Mexico Department of Health Asthma Control Program collects, analyzes, and disseminates asthma data in order to identify populations that have a high burden of asthma. The Asthma Control 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 homes to limit exposures to potential asthma triggers, and offering provider training on the National Asthma Education and Prevention Program (NAEPP) asthma medical guidelines.
Evidence-based PracticesAsthma and its symptoms can be controlled and related impairments or hospitalizations can be prevented. According to the Centers for Disease Control and Prevention, the NAEPP of the National Institutes of Health-National Heart, Lung, and Blood Institute have issued guidelines for the diagnosis and management of asthma. These guidelines translated advances in scientific and clinical research into practical advice for people with asthma, for the health care providers who look after them, and for the communities where they live.
Healthy People Objective RD-2.1:Reduce hospitalizations for asthma: Children under age 5 years
U.S. Target: 18.1 hospitalizations per 10,000
Relevant Population Characteristics:
- Asthma Mortality
- Asthma Emergency Department Visits among Children
- Asthma Hospital Admissions
- Asthma Hospital Discharges - Children
- Asthma Prevalence among Children
- Chronic Obstructive Pulmonary Disease (COPD) Hospital Admissions
- Chronic Obstructive Pulmonary Disease (COPD) Prevalence
- Health Care Access - Primary Medical Provider
- New Mexico Population - Median Household Income
- New Mexico Population - Language Other Than English Spoken at Home
- Obesity - Adolescent Prevalence
- Tobacco Use - Adult Smoking Prevalence
- Tobacco Use - Youth Smoking Prevalence
- Tobacco Use - Youth Frequent Smoking
Data SourcesHospital Inpatient Discharge Data, New Mexico Department of Health. Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
Measure Description for Asthma Hospital Discharges - Children
Definition: An asthma hospitalization is a hospital discharge that occurs in state with asthma listed as the primary (first-listed) diagnosis of a New Mexico resident 0 to 17 year-old. A diagnosis of asthma includes the ICD-9 codes 493.0-493.92 and the ICD-10 code J45.
Numerator: Number of child hospital discharges where asthma is the primary (first-listed) diagnosis.
Denominator: Estimated total number of New Mexico residents in a specified population over a specified time period.