 
						
					
					
											December 2020 - December 2025
					
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						Funders:
						
							
							
								Health Data Research Network
							
											
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						Partners:
						
							
							
								Participating Practice-Based Research Networks: Manitoba: MaPCRen, British Columbia: BC-PHCRN, Ontario: UTOPIAN, EON, OPEN
							
						
					
				
				About
Hospitalizations related to ambulatory care sensitive conditions (ACSC) are common, costly, to some degree preventable with high-quality primary care, and are thus used as a health system performance indicator in Canada. We aim to develop and evaluate predictive algorithms for one-year non-elective ACSC hospitalizations among community dwelling adults using primary care EMR data in British Columbia, Manitoba and Ontario. Our algorithm could be used by primary care providers to identify high-risk patients who may benefit from more proactive models of care aimed at preventing health decline and the undue distress of an avoidable hospitalization.