Ambulatory Care Sensitive Hospitalizations and Rates per 10,000 Population
For Patients Age 65 Years and Older
Michigan Residents, 2016-2021

View ICD-CM Codes
Number for
2021 Average
Rate for
 ALL AMBULATORY CARE SENSITIVE CONDITIONS 151,872 138,627 4831.4± 10.9 760.6± 4.0
 Diabetes 27,256 30,139 867.1± 4.6 165.4± 1.9
 Congestive Heart Failure 14,617 11,503 465.0± 3.4 63.1± 1.2
 Bacterial Pneumonia 10,558 7,885 335.9± 2.9 43.3± 1.0
 Chronic Obstructive Pulmonary 13,364 6,535 425.1± 3.2 35.9± 0.9
 Cellulitis 4,299 3,327 136.8± 1.8 18.3± 0.6
 Grand Mal & Other Epileptic Conditions 2,046 1,977 65.1± 1.3 10.8± 0.5
 Dehydration 2,125 1,652 67.6± 1.3 9.1± 0.4
 Gastroenteritis 1,417 1,198 45.1± 1.1 6.6± 0.4
 Convulsions 618 700 19.6± 0.7 3.8± 0.3
 Kidney/Urinary Infections 694 594 22.1± 0.7 3.3± 0.3
 All Other Ambulatory Care Sensitive Conditions 74,880 73,117 2382.1± 7.6 401.2± 2.9


Ambulatory Care Sensitive Hospitalizations are hospitalizations for conditions where timely and effective ambulatory care can decrease hospitalizations by preventing the onset of an illness or condition, controlling an acute episode of an illness or managing a chronic disease or condition.

Hospitalizations are inpatient hospital stays as measured by stays that were completed during the specified year. The number of hospitalizations is often greater than the number of persons hospitalized since some persons are hospitalized more than once during a year.

Rates are per 10,000 population in the area for the specified year or years. Adding and subtracting the number shown after � symbol from the rate creates an interval indicating that the true rate lies between the lower and upper bounds with 95% statistical confidence. A rate is not calculated and is shown by an "*" if there were less than 6 cases for the specified period and given diagnosis.

Population estimates are from the U.S. Census Bureau.

Leading Ambulatory Care Sensitive Conditions in the table are based on primary diagnosis only.

All Other Ambulatory Care Sensitive Conditions include primary and secondary diagnoses for iron deficiency anemia and nutritional deficiency, by secondary diagnosis for dehydration, and by primary diagnosis for all other conditions.

Source: Michigan Resident Inpatient Files created by the Division for Vital Records and Health Statistics, Michigan Department of Health & Human Services, using data from the Michigan Inpatient Database obtained with permission from the Michigan Health & Hospital Association Service Corporation (MHASC).

Usage rights: Portions of this data are taken from a proprietary database owned and maintained by the MHASC. All rights reserved. This data may not be used for commercial purposes without first obtaining written permission from the MHASC. Contact MHASC at for more information.

Last Updated: 08/09/2023

Ambulatory Care Sensitive Index
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