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National Healthcare Disparities Report, 2006

Priority Populations

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Racial and Ethnic Minorities: American Indians and Alaska Natives
Hospitalizations for uncontrolled diabetes in Indian Health Service areas
Admissions for perforated appendix to Indian Health Service hospitals per 1,000 population in Indian Health Service areas
Elderly
Medicare beneficiaries age 65 and older who had an eye examination in the past year
Female Medicare beneficiaries age 65 and older who had a mammogram in the past year
Medicare beneficiaries age 65 and older who had an influenza vaccination in the past year
Medicare beneficiaries age 65 and older with delayed care due to cost
Disabled Medicare beneficiaries under age 65 who received dental care


Racial and Ethnic Minorities: American Indians and Alaska Natives

Measure Title

Hospitalizations for uncontrolled diabetes in Indian Health Service areas.

Measure Source

Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators.

Table

246. Hospitalizations for uncontrolled diabetes per 100,000 population age 18 and older in Indian Health Service and Tribal hospitals, 2004.

Data Source

Indian Health Service (IHS), National Patient Information Reporting System (NPIRS).

Denominator

Population in Indian Health Service areas.

Numerator

Subset of population hospitalized with principal diagnosis of uncontrolled diabetes, without mention of a short-term (ketoacidosis, hyperosmolarity, coma) or long-term complication (renal, eye, neurological, circulatory, other unspecified).

Comments

This measure is adapted from the AHRQ Prevention Quality Indicators. The ICD-9-CM codes used to identify discharges for uncontrolled diabetes are the same as used for the corresponding AHRQ measure, but the format of NPIRS did not allow for exclusion of transfers.

The numerator includes hospitalizations in IHS Service hospitals and contract hospitals with admissions during 2004. Because of concerns about the quality of the data, hospitalizations from some regions are deleted; the denominator is correspondingly reduced.

The total estimates are age adjusted using the total U.S. population for 2000 as the standard population.

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Racial and Ethnic Minorities: American Indians and Alaska Natives

Measure Title

Admissions for perforated appendix to Indian Health Service hospitals per 1,000 population in Indian Health Service areas.

Measure Source

Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators.

Table

247 Hospitalizations for perforated appendix per 1,000 hospitalizations with appendicitis in Indian Health Service and Tribal hospitals, 2004.

Data Source

Indian Health Service (IHS), National Patient Information Reporting System (NPIRS).

Denominator

Population in Indian Health Service areas.

Numerator

Subset of the denominator with principal or secondary diagnosis code for perforation or abscess of appendix.

Comments

This measure is adapted from the AHRQ Prevention Quality Indicators where it is referred to as indicator 2. The ICD-9-CM codes used to identify discharges for uncontrolled diabetes are the same as AHRQ Prevention Quality Indicator 2, but the format of NPIRS did not allow for exclusion of transfers.

The numerator includes hospitalizations in IHS Service hospitals and contract hospitals with admissions during 2004. Because of concerns about the quality of the data, hospitalizations from the California and Portland regions are deleted; the denominator is correspondingly reduced.

The total estimates are age adjusted using the total U.S. population for 2000 as the standard population.

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Elderly

Measure Title

Medicare beneficiaries age 65 and older who had an eye examination in the past year.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

248. Medicare beneficiaries age 65 and over who had an eye examination in the past year, 2002, by

  • Race
  • Ethnicity
  • Family income

Data Source

CMS, MCBS.

Denominator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year who reported having had an eye examination in the past year.

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Elderly

Measure Title

Female Medicare beneficiaries age 65 and older who had a mammogram in the past year.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

249. Female Medicare beneficiaries age 65 and over who had a mammogram in the past year, 2002, by

  • Race
  • Ethnicity
  • Family income

Data Source

CMS, MCBS.

Denominator

Number of female Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year who reported having a mammogram in the past year.

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Elderly

Measure Title

Medicare beneficiaries age 65 and older who had an influenza vaccination in the past year.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

250. Medicare beneficiaries age 65 and over who had an influenza vaccination in the past year, 2002, by

  • Race
  • Ethnicity
  • Family income

Data Source

CMS, MCBS.

Denominator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year who had a influenza vaccination in the past year.

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Elderly

Measure Title

Medicare beneficiaries age 65 and older with delayed care due to cost.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

251. Medicare beneficiaries age 65 and over with delayed care due to cost, 2002, by

  • Race
  • Ethnicity
  • Family income

Data Source

CMS, MCBS.

Denominator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of Medicare beneficiaries age 65 and older residing in the community for the full year with delayed care due to cost.

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Elderly

Measure Title

Disabled Medicare beneficiaries under age 65 who received dental care.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Medicare Current Beneficiary Survey (MCBS).

Tables

252. Disabled Medicare beneficiaries under age 65 who received dental care, 2002, by

  • Race
  • Ethnicity
  • Family income

Data Source

CMS, MCBS.

Denominator

Number of disabled Medicare beneficiaries age 65 and older residing in the community for the full year.

Numerator

Number of disabled Medicare beneficiaries age 65 and older residing in the community for the full year who reported they received dental care in the past year.

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