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National Healthcare Disparities Report, 2007

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Access to Care: Health Care Utilization


General Medical Care
People with an office-based or outpatient department visit in the past year
People with a prescription medication in the past year
People with a dental visit in the past year
People with an emergency room visit in the past year
People with an inpatient discharge in the past year
Outpatient visits per 100 population
Emergency department visits per 100 population
Hospitalizations per 100 population
Avoidable Admissions
Avoidable admissions for hypertension per 100,000 population age 18 and older
Avoidable admissions for angina per 100,000 population age 18 and older
Avoidable admissions for chronic obstructive pulmonary disease per 100,000 population age 18 and older
Avoidable admissions for bacterial pneumonia per 100,000 population
Perforated appendixes per 1,000 admissions with appendicitis
Mental Health Care and Substance Abuse Treatment
Adults who received mental health treatment/counseling in the past year
Adults who received outpatient mental health treatment or counseling
Adults who received prescription medications for mental health treatment
Adults who received inpatient mental health treatment or counseling
Persons age 12 or older who received illicit drug or alcohol abuse treatment in the past year
Adults age 18 and over with past year major depressive episode who received treatment for the depression in the past year
Children ages 12-17 with a major depressive episode in the past year who received treatment in the past year
Ambulatory Care
Outpatient visits where the patient was seen before in a clinic or practice
Outpatient visits where the patient was seen by the patient's primary care provider
Outpatient visits where the patient was seen for non-illness care
Outpatient visits with counseling or education about diet and nutrition
Outpatient visits with counseling or education about exercise
Outpatient visits with counseling or education about tobacco use and exposure
Outpatient visits where the physician spent more than 30 minutes with the patient
Referred Care
Outpatient visits where the patient was referred by another physician or health plan
Outpatient visits where the patient was referred to another physician
Emergency Care
Emergency department visits related to injury per 10,000 population
Emergency department visits for asthma per 10,000 population
Emergency department visits where the patient was seen by an intern/resident only

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General Medical Care

Measure Title

People with an office-based or outpatient department visit in the past year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

230 People with an office or outpatient visit, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one office-based/outpatient department visit.

Comments

Office-based/outpatient department visits include the following:

  • Office-based visits (physician and nonphysician).
  • Outpatient department visits (physician and nonphysician).
  • Inpatient visits where the admission date was the same as the discharge date (i.e., "zero-night" stays).

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General Medical Care

Measure Title

People with a prescription medication in the past year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

231 People with prescription medication, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one prescribed medication.

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General Medical Care

Measure Title

People with a dental visit in the past year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

232 People with a dental visit, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one dental visit.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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General Medical Care

Measure Title

People with an emergency room visit in the past year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

University of California, Los Angeles (UCLA), Center for Health Policy Research (CHPR), California Health Interview Survey (CHIS).

National Tables

233a People with an emergency room visit, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

U.S. civilian noninstitutionalized population who reported at least one emergency room visit.

State Tables

233b People with an emergency room visit within the past year, California, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Asian ethnicity.

State Data Source

UCLA, CHIS.

State Denominator

California civilian population age 65 and over, excluding people residing in group quarters..

State Numerator

U.S. civilian noninstitutionalized population who reported at least one emergency room visit.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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General Medical Care

Measure Title

People with an inpatient discharge in the past year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

234 People with an inpatient discharge, United States, 2004, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one inpatient discharge.

Comments

Inpatient discharges exclude inpatient visits where the admission date was the same as the discharge date (i.e., "zero-night" stays).

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General Medical Care

Measure Title

Outpatient visits per 100 population.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

235 Office-based physician and hospital outpatient department visits per 100 population, United States, 2004-2005, by

  • Race.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS).

Denominator

U.S. civilian population.

Numerator

Number of visits to office-based physicians and hospital outpatient departments.

Comments

Estimates of the civilian noninstitutionalized population are from special tabulations developed by the Population Division, U.S. Census Bureau, using estimates as of July 1 of the period of study, and are based on Census 2000 data.

Estimates of metropolitan and nonmetropolitan statistical areas used in calculating visit rates are preliminary figures based on Census 2000 data and were obtained through the Office of Research and Methodology and Division of Health Interview Statistics, NCHS. They are based on U.S. Census Bureau estimates of the civilian noninstitutionalized population of the United States as of July 1 of the period of study.

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General Medical Care

Measure Title

Emergency department visits per 100 population.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

236 Emergency department visits per 100 population, United States, 2004-2005, by

  • Race.

Data Source

CDC, NCHS, National Hospital Ambulatory Medical Care Survey (NHAMCS).

Denominator

U.S. civilian population.

Numerator

Number of visits to hospital emergency departments.

Comments

Estimates of the civilian noninstitutionalized population are from special tabulations developed by the Population Division, U.S. Census Bureau, using estimates as of July 1 of the period of study, and are based on Census 2000 data.

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General Medical Care

Measure Title

Hospitalizations per 100 population.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

237 Hospitalizations per 100 population, United States, 2005, by

  • Race.

Data Source

CDC, NCHS, National Hospital Discharge Survey (NHDS).

Denominator

U.S. civilian population.

Numerator

Number of hospitalizations.

Comments

Estimates of the civilian noninstitutionalized population are from special tabulations developed by the Population Division, U.S. Census Bureau, using estimates as of July 1 of the period of study, and are based on Census 2000 data.

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Avoidable Admissions

Measure Title

Avoidable admissions for hypertension per 100,000 population age 18 and older.

Measure Source

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

Table

238 Admissions for hypertension (excluding patients with cardiac procedures, obstetric conditions, and transfers from other institutions) per 100,000 population, age 18 and over, United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

Adult U.S. population age 18 and older by subcategory (i.e., race, age group, gender, median household income level, urbanization, and region).

Numerator

Adult non-maternal discharges age 18 and over with principal diagnosis of hypertension, excluding patients with cardiac procedures and transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

This table was created using version 2.1, release 2, of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 7 in the AHRQ Prevention Quality Indicators software documentation.

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Avoidable Admissions

Measure Title

Avoidable admissions for angina per 100,000 population age 18 and older.

Measure Source

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

Table

239 Admissions for angina without procedure (excluding patients with cardiac procedures, transfers from other institutions, and obstetric admissions) per 100,000 population, age 18 and over, United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

Adult U.S. population age 18 and older by subcategory (i.e., race, age group, gender, median household income level, urbanization, and region).

Numerator

Adult non-maternal discharges age 18 and over with principal diagnosis of angina, excluding patients with cardiac procedures and transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

This table was created using version 2.1, release 2, of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 13 in the AHRQ Prevention Quality Indicators software documentation.

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Avoidable Admissions

Measure Title

Avoidable admissions for chronic obstructive pulmonary disease per 100,000 population age 18 and older.

Measure Source

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

Table

240 Admissions for chronic obstructive pulmonary disease (COPD) (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 and over, United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

Adult U.S. population age 18 and older by subcategory (i.e., race, age group, gender, median household income level, urbanization, and region).

Numerator

Adult non-maternal discharges age 18 and over with principal diagnosis of chronic obstructive pulmonary disease (COPD), excluding transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

This table was created using version 2.1, release 2, of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 5 in the AHRQ Prevention Quality Indicators software documentation.

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Avoidable Admissions

Measure Title

Avoidable admissions for bacterial pneumonia per 100,000 population.

Measure Source

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

Table

241 Bacterial pneumonia admissions (excluding sickle cell or hemoglobin-S conditions, transfers from other institutions, and obstetric admissions) per 100,000 population, age 18 and over, United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

Adult U.S. population age 18 and older by subcategory (i.e., race, age group, gender, median household income level, urbanization, and region).

Numerator

Non-maternal/non-neonatal discharges with principal diagnosis of bacterial pneumonia, excluding sickle cell or hemoglobin-S conditions and transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

This table was created using version 2.1, release 2, of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 11 in the AHRQ Prevention Quality Indicators software documentation.

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Avoidable Admissions

Measure Title

Perforated appendixes per 1,000 admissions with appendicitis.

Measure Source

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

Table

242 Admissions with perforated appendix per 1,000 admissions, age 18 and over, with appendicitis (excluding obstetric admissions and transfers from other institutions), United States, 2004, by

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP).

Denominator

Non-maternal/non-neonatal discharges with principal or secondary diagnosis of appendicitis, excluding transfer from other institutions.

Numerator

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

Comments

Rates are adjusted by age and gender using the total U.S. inpatient population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

The disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, RI, SC, TN, TX, VA, VT, and WI.

This table was created using version 2.1, release 2, of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 2 in the AHRQ Prevention Quality Indicators software documentation.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received mental health treatment/counseling in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

243 Adults age 18 and over who received mental health treatment or counseling in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons age 18 or older.

Numerator

Persons age 18 or older who reported receipt of mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received outpatient mental health treatment or counseling.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

244 Adults age 18 and over who received outpatient mental health treatment or counseling in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons age 18 or older.

Numerator

Persons age 18 or older who reported receipt of outpatient mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received prescription medications for mental health treatment.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

245 Adults age 18 and over who received prescription medications for mental health treatment or counseling in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons age 18 or older.

Numerator

Persons age 18 or older who reported receipt of prescription medications for mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received inpatient mental health treatment or counseling.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

246 Adults age 18 and over who received inpatient mental health treatment or counseling in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons age 18 or older.

Numerator

Persons age 18 or older who reported receipt of inpatient mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Persons age 12 or older who received illicit drug or alcohol abuse treatment in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

247 Persons age 12 and over who received any illicit drug or alcohol abuse treatment in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons age 12 or older.

Numerator

Persons age 12 or older who received any illicit drug or alcohol abuse treatment in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults age 18 and over with past year major depressive episode who received treatment for the depression in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

99 Adults age 18 and over with past year major depressive episode who received treatment for the depression in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons age 18 or older with a major depressive episode in the past year.

Numerator

Subset of the denominator who received treatment or counseling in the past year.

Comments

Major depressive episode (MDE) is defined as a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of the symptoms for depression as described in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Respondents with unknown data for past year MDE measures were excluded.

Negative or poor refers to household incomes below the Federal poverty line; near poor/low, over the poverty line to just below 200 percent of the poverty line; middle, 200 percent to just below 400 percent of the poverty line; and high, 400 percent of the poverty line and over.

This measure and its tables are also presented in other relevant sections of the report.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Children ages 12-17 with a major depressive episode in the past year who received treatment in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

100 Children ages 12-17 with past year major depressive episode who received treatment for the depression in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons ages 12-17 with a major depressive episode in the past year.

Numerator

Subset of the denominator who received treatment in the past year.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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Ambulatory Care

Measure Title

Outpatient visits where the patient was seen before in a clinic or practice.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), Outpatient Departments.

Denominator

Number of visits to office-based physicians and hospital outpatient departments.

Numerator

Number of visits to office-based physicians and hospital outpatient departments where patient was seen before in a clinic or practice.

Comments

The NAMCS/NHAMCS question is: "Has patient been seen in this clinic before?" or "Have you or anyone in your practice/department seen patient before?"

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Ambulatory Care

Measure Title

Outpatient visits where the patient was seen by the patient's primary care provider.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), Outpatient Departments.

Denominator

Number of visits to office-based physicians and hospital outpatient departments.

Numerator

Number of visits to office-based physicians and hospital outpatient departments where the patient was seen by the patient's primary care provider.

Comments

The NAMCS/NHAMCS question is: "Are you the patient's primary care physician?"

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Ambulatory Care

Measure Title

Outpatient visits where the patient was seen for non-illness care.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), Outpatient Departments.

Denominator

Number of visits to office-based physicians and hospital outpatient departments.

Numerator

Number of visits to office-based physicians and hospital outpatient departments where the patient was seen for non-illness care.

Comments

The NAMCS/NHAMCS question is: "Major reason for this visit" with response "Non-illness care (e.g., routine, prenatal, general exam, well baby)."

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Ambulatory Care

Measure Title

Outpatient visits with counseling or education about diet and nutrition.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), Outpatient Departments.

Denominator

Number of visits to office-based physicians and hospital outpatient departments.

Numerator

Number of visits to office-based physicians and hospital outpatient departments with counseling or education about diet and nutrition.

Comments

The NAMCS/NHAMCS question is: "Therapeutic and preventive services ordered or provided at this visit" with response "Counseling/education: diet/nutrition."

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Ambulatory Care

Measure Title

Outpatient visits with counseling or education about exercise.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), Outpatient Departments.

Denominator

Number of visits to office-based physicians and hospital outpatient departments.

Numerator

Number of visits to office-based physicians and hospital outpatient departments with counseling or education about exercise.

Comments

The NAMCS/NHAMCS question is: "Therapeutic and preventive services ordered or provided at this visit" with response "Counseling/education: exercise."

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Ambulatory Care

Measure Title

Outpatient visits with counseling or education about tobacco use and exposure.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), Outpatient Departments.

Denominator

Number of visits to office-based physicians and hospital outpatient departments.

Numerator

Number of visits to office-based physicians and hospital outpatient departments with counseling or education about tobacco use and exposure.

Comments

The NAMCS/NHAMCS question is: "Therapeutic and preventive services ordered or provided at this visit" with response "Counseling/education: tobacco use/exposure."

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Ambulatory Care

Measure Title

Outpatient visits where the physician spent more than 30 minutes with the patient.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), Outpatient Departments.

Denominator

Number of visits to office-based physicians and hospital outpatient departments.

Numerator

Number of visits to office-based physicians and hospital outpatient departments where the physician spent more than 30 minutes with the patient.

Comments

The NAMCS/NHAMCS question is: "Time spent with physician (in minutes)" with response recoded to 30 or more minutes.

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Referred Care

Measure Title

Outpatient visits where the patient was referred by another physician or health plan.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), Outpatient Departments.

Denominator

Number of visits to office-based physicians and hospital outpatient departments.

Numerator

Number of visits to office-based physicians and hospital outpatient departments where the patient was referred by another physician or health plan.

Comments

The NAMCS/NHAMCS question is: "Was patient referred by another physician or by a health plan for this visit?"

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Referred Care

Measure Title

Outpatient visits where the patient was referred to another physician.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), Outpatient Departments.

Denominator

Number of visits to office-based physicians and hospital outpatient departments.

Numerator

Number of visits to office-based physicians and hospital outpatient departments where the patient was referred to another physician.

Comments

The NAMCS/NHAMCS question is: "Visit disposition" with response "Referred to other physician."

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Emergency Care

Measure Title

Emergency department visits related to injury per 10,000 population.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Table

Data source does not support detailed table.

Data Source

CDC, NCHS, National Hospital Ambulatory Medical Care Survey (NHAMCS), Emergency Departments.

Denominator

U.S. civilian population.

Numerator

Number of visits to hospital emergency departments related to injury or poisoning.

Comments

Estimates of the civilian noninstitutionalized population are from special tabulations developed by the Population Division, U.S. Census Bureau, using estimates as of July 1 of the period of study, and are based on Census 2000 data.

Estimates of metropolitan and nonmetropolitan statistical areas used in calculating visit rates are preliminary figures based on Census 2000 data and were obtained through the Office of Research and Methodology and Division of Health Interview Statistics, NCHS. They are based on U.S. Census Bureau estimates of the civilian noninstitutionalized population of the United States as of July 1 of the period of study.

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Emergency Care

Measure Title

Emergency department visits for asthma per 10,000 population.

Measure Source

Healthy People 2010.

Table

Data source does not support detailed table.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Hospital Ambulatory Medical Care Survey (NHAMCS), Emergency Departments.

Denominator

U.S. civilian population.

Numerator

Number of visits to hospital emergency departments with first-listed diagnosis of asthma (ICD-9-CM code 493).

Comments

Estimates of the civilian noninstitutionalized population are from special tabulations developed by the Population Division, U.S. Census Bureau, using estimates as of July 1 of the period of study, and are based on Census 2000 data.

Estimates of metropolitan and nonmetropolitan statistical areas used in calculating visit rates are preliminary figures based on Census 2000 data and were obtained through the Office of Research and Methodology and Division of Health Interview Statistics, NCHS. They are based on U.S. Census Bureau estimates of the civilian noninstitutionalized population of the United States as of July 1 of the period of study.

This measure is referred to as measure 24-3 in Healthy People 2010 documentation.

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Emergency Care

Measure Title

Emergency department visits where the patient was seen by an intern/resident only.

Measure Source

Healthy People 2010.

Table

Data source does not support detailed table.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Hospital Ambulatory Medical Care Survey (NHAMCS), Emergency Departments.

Denominator

Number of visits to hospital emergency departments (EDs).

Numerator

Number of visits to hospital emergency departments where the patient was seen by an intern/resident only.

Comments

The NHAMCS ED question is: "Providers seen this visit" with response "Resident/intern."

This measure is referred to as measure 24-3 in Healthy People 2010 documentation.

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