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2004 National Healthcare Quality Report

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NHQR 2004 Trend Data Summary

Msr # Measure List 2003 NHQR estimate Year 2004 NHQR estimate Year Sign
1.1 Percent of women (age 40 and over) who report they had a mammogram within the past 2 years 70.30 2000      
1.2 Rate of breast cancers diagnosed at advanced stage 149.40 2000 149.70 2001  
1.3 Percent of women (age18 and over) who report that they had a Pap smear within the past 3 years 81.40 2000      
1.4 Rate of cervical cancers diagnosed as invasive (includes local, regional, and distant disease except in situ disease) 12.20 2000 12.10 2001  
1.5 Percent of men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy 38.90 2000      
1.6 Percent of men and women (age 50 and over) who report they had a fecal occult blood test (FOBT) within the past 2 years 33.30 2000      
1.7 Rate of colorectal cancers diagnosed as regional or distant staged cancers 95.60 2000 91.90 2001 *
1.8 Cancer deaths per 100,000 persons per year for all cancers 200.80 1999 196.00 2001 *
1.9 Cancer deaths per 100,000 persons per year for most common cancers, prostate cancer 31.30 1999 29.10 2001 *
1.10 Cancer deaths per 100,000 persons per year for most common cancers, breast cancer 26.60 1999 26.00 2001 *
1.11 Cancer deaths per 100,000 persons per year for most common cancers, lung cancer 55.50 1999 55.30 2001  
1.12 Cancer deaths per 100,000 persons per year for most common cancers, colorectal cancer 20.90 1999 20.10 2001 *
1.13 Esophageal resection mortality rate 105.96 1994 89.41 2001  
1.14 Pancreatic resection mortality rate 77.07 1994 67.30 2001  
1.15 Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in past year 89.90 2000 90.00 2001  
1.16 Percent of patients with diabetes who had a lipid profile in past two years 94.30 2000 93.80 2001  
1.17 Percent of adults with diabetes who had a retinal eye examination in past year 66.50 2000 69.70 2001  
1.18 Percent of adults with diabetes who had a foot examination in past year 66.40 2000 66.30 2001  
1.19 Percent of adults with diabetes who had an influenza immunization in past year 54.80 2000 56.50 2001  
1.20 Percent of adults with diagnosed diabetes with HbA1c level >9.0 % (poor control); <7.0 % (optimal) : (use '<7%' for significant test) 43.20 1988-1994 38.30 1999-2000  
1.21 Percent of adults with diagnosed diabetes with most recent LDL-C level < 130 mg/dL(minimally acceptable); <100 (optimal) (use '<130' for significant test) 41.80 1988-1994 60.00 1999-2000  
1.22 Percent of adults with diagnosed diabetes with most recent blood pressure <140/90 mm/Hg 59.30 1999-2000      
1.23 Hospital admissions for uncontrolled diabetes per 100,000 population 40.72 1994 26.82 2001 *
1.24 Hospital admissions for short term complications of diabetes per 100,000 population 46.88 1994 52.37 2001 *
1.25 Hospital admissions for long term complications of diabetes per 100,000 population 115.48 1994 117.10 2001  
1.26 Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population 6.60 1997-1999 5.60 1999-2001  
1.27 Percent of dialysis patients registered on waiting list for transplantation 14.68 1998 14.83 2001  
1.28 Percent of patients with treated chronic kidney failure who receive a transplant within three years of renal failure 24.39 1992-1994 19.35 1998 *
1.29 Percent of hemodialysis patients with URR 65 or greater     86.00 2002  
1.30 Percent of patients with hematocrit 33 or greater or hemoglobin 11 or greater     79.00 2002  
1.31 Patient survival rate 0.99 2000 0.98 2002  
1.32 Use of arteriovenous fistulas - new hemodialysis patients (aged 18 years and over)     33.00 2002  
1.33 Percent of people age 18 and over who have had blood pressure measured within preceding 2 years and can state whether their blood pressure is normal or high 90.10 1998      
1.34 Percent of adults 18 and over receiving cholesterol measurement within 5 years 67.00 1998      
1.35 Percent of smokers receiving advice to quit smoking (use 'total stop' for significant test) 61.90 2000 60.90 2001  
1.36 Percent of AMI patients administered aspirin within 24 hours of admission 85.14 2000-2001 85.34 2002  
1.37 Percent of AMI patients with aspirin prescribed at discharge 85.87 2000-2001 87.45 2002  
1.38 Percent of AMI patients administered beta-blocker within 24 hours of admission 69.29 2000-2001 76.26 2002 *
1.39 Percent of AMI patients with beta-blocker prescribed at discharge 78.54 2000-2001 81.54 2002 *
1.40 Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge 73.91 2000-2001 66.82 2002 *
1.41 Percent of AMI patients given smoking cessation counseling while hospitalized 42.73 2000-2001 49.52 2002 *
1.42 Median Time to Thrombolysis. Time from arrival to initiation of a thrombolytic agent in patients with ST segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time 43.00 2000-2001 47.00 2002  
1.43 Median time to PTCA. Median time from arrival to percutaneous transluminal coronary angioplasty (PTCA) in patients with ST segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time. 108.00 2000-2001 187.50 2002  
1.44 Percent of heart failure patients having evaluation of left ventricular ejection fraction 69.13 2000-2001 76.04 2002 *
1.45 Percent of heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge 66.09 2000-2001 64.94 2002  
1.46 Percent of people with hypertension who have blood pressure under control 23.10 1988-1994 26.80 1999-2000  
1.47 Hospital admissions for congestive heart failure (CHF) 3.70 1998 3.50 2001  
1.48 Pediatric heart surgery mortality rate (number of deaths per 1,000 heart surgeries in patients under age 18 years) 77.12 1994 49.77 2001 *
1.49 Abdominal aortic aneurysm (AAA) repair mortality rate (number of deaths per 1,000 AAA repairs) 122.00 1994 100.69 2001 *
1.50 Coronary artery bypass graft (CABG) mortality rate (number of deaths per 1,000 CABG procedures) 39.63 1994 33.00 2001 *
1.51 Percutaneous transluminal coronary angioplasty (PTCA) mortality rate (number of deaths per 1,000 PTCAs) 15.24 1994 14.42 2001  
1.52 Acute myocardial infarction (AMI) mortality rate (number of deaths per 1,000 discharges for AMI) 121.21 1994 99.05 2001 *
1.53 Congestive heart failure (CHF) mortality rate (number of deaths per 1,000 discharges for CHF) 60.45 1994 44.70 2001 *
1.54 New AIDS cases per 100,000 population (age 13 and over) 18.00 1998 17.20 2002  
1.55 HIV-infection deaths per 100,000 population 5.30 1999 5.00 2001  
1.56 Percent of pregnant women receiving prenatal care in first trimester 82.80 1998 83.40 2001  
1.57 Percent of live-born infants with low and very low birthweight (less than 2,500 grams, less than 1,500 grams) (use '<2500' for significant test.) 7.60 1998 7.70 2001  
1.58 Infant mortality per 1,000 live births 7.20 1998 6.80 2001  
1.59 Maternal deaths per 100,000 live births 9.90 1999 9.90 2001  
1.60 Percent of children 19-35 months who received all recommended vaccines 72.70 1998 74.80 2002 *
1.61 Percent of adolescents (age 13-15) reported to have received 3 or more doses of hepatitis B vaccine 67.20 2000 74.40 2001 *
1.62 Percent of adolescents (age 13-15) reported to have received 2 or more doses of MMR vaccine 91.10 2000 93.00 2001  
1.63 Percent of adolescents (age 13-15) reported to have received 1 or more doses of tetanus-diphtheria booster 90.20 2000 92.00 2001  
1.64 Percent of adolescents (age 13-15) reported to have received 3 or more doses of varicella vaccine 57.60 2000 56.60 2001  
1.65 Percent of children age 2-17 who report dental visit in last year 47.70 2000 47.60 2001  
1.66 Hospital admissions for pediatric gastroenteritis per 100,000 population less than 18 years of age 129.59 1994 106.29 2001 *
1.67 Percent of children under age 18 who had their height and weight measured by a doctor or other health provider     90.30 2001  
1.68 Percent of children age 2-17 for whom a doctor or other health provider gave advice about amount and kind of physical activity     28.00 2001  
1.69 Percent of children age 2-17 for whom a doctor or other health provider gave advice about eating healthy     47.70 2001  
1.70 Percent of children age 3-6 whose vision was checked by a doctor or other health provider     59.30 2001  
1.71 Percent of children under age 18 for whom a doctor or other health provider gave advice about how smoking in the house can be harmful     42.80 2001  
1.72 Percent of children under age 18 for whom a doctor or other health provider gave advice about using car safety restraints     36.10 2001  
1.73 Percent of children age 2-17 for whom a doctor or other health provider gave advice about using a helmet when riding a bicycle or motorcycle     32.10 2001  
1.74 Percent of adults diagnosed with a new episode of depression who had optimal practitioner contacts for medication management during the acute treatment phase 19.60 2001 20.60 2003  
1.75 Percent of adults diagnosed with a new episode of depression and initiated on an antidepressant drug who received a continuous trial of medication treatment during the acute treatment phase 61.80 2001 65.10 2003  
1.76 Percent of adults diagnosed with a new episode of depression and initiated on an antidepressant drug who remained on an antidepressant medication through the continuation phase of treatment 45.40 2001 48.80 2003  
1.77 Deaths due to suicide per 100,000 population 10.50 1999 10.70 2001  
1.78 Percent of high risk persons (e.g. COPD) age 18-64 who received an influenza vaccination in the past 12 months 28.00 2000 25.10 2001 *
1.79 Percent of persons age 65 and over who received an influenza vaccination in the past 12 months 64.50 2000 63.10 2001  
1.80 Percent of institutionalized adults (persons in long-term care or nursing homes) who received influenza vaccination in past 12 months 59.30 1997 57.30 1999  
1.81 Hospital admissions for immunization-preventable influenza per 100,000 population 44.24 1994 13.36 2001 *
1.82 Percent of high risk persons (e.g. COPD) age 18-64 who ever received a pneumococcal vaccination 15.40 2000 14.20 2001  
1.83 Percent of persons age 65 and over who ever received a pneumococcal vaccination 53.20 2000 54.00 2001  
1.84 Percent of institutionalized adults (persons in long-term care or nursing homes) who ever received pneumococcal vaccination 24.90 1997 32.70 1999 *
1.85 Percent of patients with pneumonia who have blood cultures collected before antibiotics are administered 81.21 2000-2001 80.95 2002  
1.86 Percent of patients with pneumonia who receive the initial antibiotic dose within 4 hours of hospital arrival     63.09 2002  
1.87 Percent of patients with pneumonia who receive the initial antibiotic consistent with current recommendations 84.45 2000-2001 67.95 2002 *
1.88 Percent of patients with pneumonia who receive influenza screening or vaccination 26.22 2000-2001 27.67 2002  
1.89 Percent of patients with pneumonia who receive pneumococcal screening or vaccination 24.76 2000-2001 26.13 2002  
1.90 Pneumonia mortality rate (number of deaths per 1,000 discharges for pneumonia) 98.17 1994 84.70 2001 *
1.91 Visit rates where antibiotic were prescribed for a diagnosis of common cold per 10,000 population 232.53 1997-1998 184.28 2000-2001  
1.92 Percent of people with persistent asthma who are prescribed medications acceptable as primary therapy for long-term control of asthma (inhaled corticosteroids) 65.00 2001 69.70 2003  
1.93 Hospital admissions for pediatric asthma (under age 18) 24.20 1998 26.20 2001  
1.94 Hospital admissions for asthma age 18 and over 12.50 1998 12.50 2001  
1.95 Hospital admissions for asthma age 65 and over 220.14 171 170.64 2001 *
1.96 Percent of TB patients that complete a curative course of TB treatment within 12 months of initiation of treatment 79.90 1999 80.20 2000  
1.97 Percent of residents whose need for help with daily activities has increased 15.44 2002 15.24 2003 *
1.98 Percent of residents who have moderate to severe pain 10.66 2002 6.73 2003 *
1.99 Percent of residents who were physically restrained 9.73 2002 8.01 2003 *
1.100 Percent of residents who spent most of their time in bed or in a chair     4.40 2003  
1.101 Percent of residents whose ability to move about in and around their room got worse     11.98 2003  
1.102 Percent of residents with a urinary tract infection     8.39 2003  
1.103 Percent of residents who have become more depressed or anxious     14.56 2003  
1.104 Percent of high risk residents who have pressure sores     13.83 2003  
1.105 Percent of low risk residents who have pressure sores     2.77 2003  
1.106 Percent of low risk residents who lose control of their bowels or bladder     46.35 2003  
1.107 Percent of residents who have/had a catheter inserted and left in their bladder     5.66 2003  
1.108 Percent of short stay residents who had moderate to severe pain 25.44 2002 22.11 2003 *
1.109 Percent of short stay residents with delirium 3.82 2002 3.26 2003 *
1.110 Percent of short stay residents with pressure sores     20.14 2003  
1.111 Improvement in upper body dressing 61.29 2002 63.40 2003 *
1.112 Improvement in management of oral medications 35.02 2002 36.46 2003 *
1.113 Improvement in bathing 56.76 2002 58.46 2003 *
1.114 Stabilization in bathing 90.76 2002 91.59 2003 *
1.115 Improvement in transferring 48.49 2002 49.40 2003 *
1.116 Improvement in ambulation/locomotion 33.86 2002 35.09 2003 *
1.117 Improvement in toileting 59.27 2002 61.01 2003 *
1.118 Improvement in pain interfering with activity 56.82 2002 58.32 2003 *
1.119 Improvement in dyspnea 53.23 2002 55.06 2003 *
1.120 Improvement in urinary incontinence 47.14 2002 47.37 2003 *
1.121 Improvement in confusion frequency 39.89 2002 41.11 2003 *
1.122 Acute care hospitalization 27.77 2002 27.87 2003 *
2.37 Percent of community dwelling elderly who had at least one prescription (from a list of 11 medications and from a list of 33 medications) that is potentially inappropriate for the elderly. (use 'list of 33 medications' for significant test.) 21.30 1996 13.50 2000 *
2.38 Percent of adults who report that usual source of care asks about prescription medications and treatments from other providers 81.70 2000 77.60 2001 *
3.1 Percent of persons who report that they have a usual source of medical care, by place of care 87.10 2000 88.20 2001 *
3.2 Percent of families who experienced difficulty in obtaining care, by reason 57.70 2000 57.80 2001  
3.3 Among persons age 18 and over who reported making an appointment for routine health care in the last 12 months, percent distribution of how often they got an appointment as soon as wanted 43.10 2000 43.80 2001  
3.4 Among children under age 18 who had appointments reported for routine health care in the last 12 months, percent distribution of how often they got an appointment as soon as wanted     67.60 2001  
3.5 Among adults age 18 and over who reported making an appointment for an illness or injury in the last 12 months, percent distribution of how often they got an appointment as soon as wanted 54.10 2000 57.10 2001 *
3.6 Among children under age 18 who had appointments reported for an illness or injury in the last 12 months, percent distribution of how often they got an appointment as soon as wanted     76.90 2001  
3.7 ED visits: Percent ED visits where patient was admitted to the hospital or transferred to other facility whose ED visit was greater than or equal to six hours * * 25.94 2000-2001  
3.8 ED visits: Percent of patients who left without being seen 1.21 1997-1998 1.61 2000-2001 *
4.1 Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers listened carefully to them 56.58 2000 55.00 2001  
4.2 Among children under age 18 who had a doctor's office or clinic visit reported in the last 12 months, percent distribution of how often their health providers listened carefully to their parents     71.90 2001  
4.3 Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers explained things clearly 58.75 2000 56.40 2001 *
4.4 Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers explained things clearly     74.70 2001  
4.5 Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers showed respect for what they had to say 58.60 2000 57.40 2001  
4.6 Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers showed respect for what their parents had to say     74.30 2001  
4.7 Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers spent enough time with them 45.50 2000 44.00 2001  
4.8 Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers spent enough time with them and their parents     67.70 2001  
5.1 Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent giving a best rating for health care received 48.12 2000 45.90 2001 *
5.2 Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent of parents giving a best rating for health care received     64.00 2001  
5.3 Life expectancy (at birth, at age 65) 11.40 2000 11.50 2001  

 

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