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Data Tables Appendix

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National Healthcare Quality Report, 2005


This appendix provides detailed data tables for all measures analyzed for the 2005 National Healthcare Quality Report. Tables are included for measures discussed in the main text of the report as well as for other measures that were examined but not included in the main text.

Select each table name to link to appropriate information. Unless otherwise specified in tables, data are not age adjusted and include all ages. Unless specific age groups are specified, children include individuals age 0-17 and adults include individuals age 18 and older.


Detailed Data Tables

Quality of Health Care Measures
Effectiveness of Care: Cancer
Effectiveness of Care: Diabetes
Effectiveness of Care: End Stage Renal Disease
Effectiveness of Care: Heart Disease
Effectiveness of Care: HIV/AIDS
Effectiveness of Care: Maternal and Child Health
Effectiveness of Care: Mental Health and Substance Abuse
Effectiveness of Care: Respiratory Diseases
Effectiveness of Care: Nursing Home and Home Health Care
Patient Safety
Timeliness
Patient Centeredness
Overall

Quality of Health Care Measures

Effectiveness: Cancer

Screening for Breast Cancer
1.1. Women age 40 and over who report they had a mammogram within the past 2 years: United States, State
1.2. Rate of breast cancers diagnosed at advanced stage: United States, State

Screening for Cervical Cancer
1.3. Women age 18 and over who report they had a Pap smear within the past 3 years: United States, State
1.4. Rate cervical cancers diagnosed as invasive (includes local, regional, and distant disease except in situ disease): United States, State

Screening for Colorectal Cancer
1.5. Men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy: United States, State
1.6. Men and women age 50 and over who report they had a fecal occult blood test (FOBT) within the past 2 years: United States, State
1.7. Rate of colorectal cancers diagnosed as regional or distant staged cancers: United States, State

Cancer Treatment
1.8. Cancer deaths per 100,000 population per year for all cancers: United States, State
1.9. Cancer deaths per 100,000 male population per year for prostate cancer: United States, State
1.10. Cancer deaths per 100,000 female population per year for breast cancer: United States, State
1.11. Cancer deaths per 100,000 population per year for lung cancer: United States, State
1.12. Cancer deaths per 100,000 population per year for colorectal cancer: United States, State
1.13. Deaths per 1000 admissions with esophageal resection for cancer: United States
1.14. Deaths per 1000 admissions with pancreatic resection for cancer: United States

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Effectiveness: Diabetes

Management of Diabetes
1.15. Adults with diabetes who had all (3) recommended services: United States
1.16. Adults with diabetes who had a hemoglobin A1c measurement at least once in past year: United States, State
1.17. Adults with diabetes who had a lipid profile in past 2 years: United States
1.18. Adults with diabetes who had a retinal eye examination in past year: United States, State
1.19. Adults with diabetes who had a foot examination in past year: United States, State
1.20. Adults with diabetes who had an influenza immunization in past year: United States, State
1.21. Adults with diagnosed diabetes with HbA1c level > 9.0% (poor control); < 7.0% (optimal): United States
1.22. Adults (18 years and over) with diagnosed diabetes whose total cholesterol is < 200 mg/dl: United States
1.23. Adults with diagnosed diabetes with most recent blood pressure < 140/90 mm/Hg: United States
1.24. Hospital admissions for uncontrolled diabetes per 100,000 population: United States, State
1.25. Hospital admissions for short-term complications of diabetes per 100,000 population: United States, State
1.26. Hospital admissions for long-term complications of diabetes per 100,000 population: United States, State
1.27. Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population: United States

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Effectiveness: End Stage Renal Disease

Management of End Stage Renal Disease
1.28. Dialysis patients registered on the waiting list for transplantation: United States, State
1.29. Patients with treated chronic kidney failure who receive a transplant within 3 years of date of renal failure: United States, State
1.30. Hemodialysis patients with urea reduction ratio 65% or higher: United States, State
1.31. Hemodialysis patients with hemoglobin 11 or higher: United States, State
1.32. Patient survival rate: State
1.33. Hemodialysis patients with arteriovenous fistula as primary mode of vascular access: United States

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Effectiveness: Heart Disease

Screening for High Blood Pressure
1.34. Adults who have had their blood pressure measured within the preceding 2 years and can state whether their blood pressure was normal or high: United States

Screening for High Cholesterol
1.35. Adults who have had their blood cholesterol checked within the preceding 5 years: United States, State

Counseling on Risk Factors
1.36. Current smokers age 18 and over receiving advice to quit smoking: United States, State

Treatment of Acute Myocardial Infarction (AMI)
1.37. AMI composite: United States
1.38. AMI patients with aspirin within 24 hours of admission: United States, State (2002, 2003), State (2004)
1.39. AMI patients with aspirin prescribed at discharge: United States, State (2002, 2003), State (2004)
1.40. AMI patients administered beta blocker within 24 hours of admission: United States, State (2002, 2003), State (2004)
1.41. AMI patients with beta blocker prescribed at discharge: United States, State (2002, 2003), State (2004)
1.42. AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge: United States, State (2002, 2003), State (2004)
1.43. AMI patients given smoking cessation counseling while hospitalized: United States, State (2002, 2003), State (2004)
1.44. Median time in minutes 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: United States, State (2002, 2003)
1.45. Median time in minutes 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: United States, State (2002, 2003), State (2004)

Treatment of Acute Heart Failure
1.46. Heart failure composite: United States
1.47. Heart failure patients having evaluation of left ventricular ejection fraction: United States, State (2002, 2003), State (2004)
1.48. Heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge: United States, State (2002, 2003), State (2004)
1.49. Adults age 18 and over with hypertension whose blood pressure is under control: United States
1.50. Hospital admissions for congestive heart failure: (United States per 1,000 population), State (per 100,000 population)

Heart Disease Treatment
1.51. Pediatric heart surgery mortality rate (number of deaths per 1,000 heart surgeries in patients under age 18 years): United States
1.52. Abdominal aortic aneurysm (AAA) repair mortality rate (number of deaths per 1,000 AAA repairs): United States
1.53. Coronary artery bypass graft (CABG) mortality rate (number of deaths per 1,000 CABG procedures): United States
1.54. Percutaneous transluminal coronary angioplasty (PTCA) mortality rate (number of deaths per 1,000 PTCAs): United States
1.55. Acute myocardial infarction (AMI) mortality rate (number of deaths per 1,000 discharges for AMI): United States
1.56. Congestive heart failure (CHF) mortality rate (number of deaths per 1,000 discharges for CHF): United States

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Effectiveness: HIV/AIDS

AIDS Prevention
1.57. New AIDS cases per 100,000 population 13 and over: United States

Management of HIV/AIDS
1.58. HIV infection deaths per 100,000 population: United States, State
1.59. HIV patients with CD4 < 200 who received PCP prophylaxis: United States
1.60. HIV patients with CD4 < 50 who received MAC prophylaxis: United States

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Effectiveness: Maternal and Child Health

Maternity Care
1.61. Pregnant women receiving prenatal care in first trimester: United States, State
1.62. Liveborn infants with low birthweight (less than 2,500 grams): United States, State
1.62. Liveborn infants with very low birthweight (less than 1,500 grams): United States, State
1.63. Infant mortality per 1000 live births: United States, less than 1,500 grams, 1,500-2,499 grams, more than 2,499 grams
1.63. Infant mortality per 1000 live births: State (1998, 2002), less than 1,500 grams (2002), 1,500-2,499 grams (2002), more than 2,499 grams (2002)
1.64. Maternal deaths per 100,000 live births: United States, State

Immunization, Childhood
1.65. Children age 19-35 months who received all recommended vaccines: United States, State

Immunization, Adolescent
1.66. Adolescents age 13-15 who received 3 or more doses of hepatitis B vaccine: United States
1.67. Adolescents age 13-15 who received 2 or more doses of measles-mumps-rubella vaccine: United States
1.68. Adolescents age 13-15 who received 1 or more doses of tetanus-diphtheria booster: United States
1.69. Adolescents age 13-15 who received 1 or more doses of varicella vaccine: United States

Childhood dental care
1.70. Children age 2-17 who report dental visit in last year: United States

Treatment of Pediatric Gastroenteritis
1.71. Hospital admissions for pediatric gastroenteritis per 100,000 population: United States, State

Childhood Screening and Counseling
1.72. Children under age 18 who had their height and weight measured by a doctor or other health provider: United States (2002), United States (2001)
1.73. Children age 2-17 for whom a doctor or other health provider gave advice about amount and kind of physical activity: United States (2002), United States (2001)
1.74. Children age 2-17 for whom a doctor or other health provider gave advice about eating healthy: United States (2002), United States (2001)
1.75. Children age 3-6 whose vision was checked by a doctor or other health provider: United States
1.76. Children under age 18 for whom a doctor or other health provider gave advice about how smoking in the house can be harmful: United States (2002), United States (2001)
1.77. Children under age 18 for whom a doctor or other health provider gave advice about using car safety restraints: United States (2002), United States (2001)
1.78. Children age 2-17 for whom a doctor or other health provider gave advice about using a helmet when riding a bicycle or motorcycle: United States (2002), United States (2001)

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Effectiveness: Mental Health and Substance Abuse

Treatment of Depression
1.79. Adults diagnosed with a new episode of depression who had optimal practitioner contacts for medication management during the acute treatment phase: United States
1.80. 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: United States
1.81. 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: United States
1.82. Deaths due to suicide per 100,000 population: United States, State

Treatment of Serious Mental Illness
1.83. Adults with serious mental illness who receive mental health treatment: United States
1.84. Adults who receive treatment for serious mental illness who experience improvement: United States

Treatment of Substance Abuse
1.85. People 12 and older with substance abuse problem who receive treatment: United States
1.86. People who receive substance abuse treatment who complete treatment course: United States

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Effectiveness: Respiratory Diseases

Influenza Immunization
1.87. High risk adults age 18-64 who received influenza vaccine in past year: United States, State
1.88. Noninstitutionalized adults age 65 and over who received influenza vaccine in the past year: United States, State
1.89. Hospital admissions for influenza per 100,000 population 65 and over: United States, State

Pneumococcal Immunization
1.90. High risk adults age 18-64 who ever received pneumococcal vaccination: United States, State
1.91. Noninstitutionalized adults age 65 and over who ever received pneumococcal vaccination: United States, State

Treatment of Pneumonia
1.92. Pneumonia composite: United States
1.93. Patients with pneumonia who have blood cultures collected before antibiotics are administered: United States, State (2002, 2003), State (2004)
1.94. Patients with pneumonia who receive the initial antibiotic dose within 4 hours of hospital arrival: United States, State (2002, 2003), State (2004)
1.95. Patients with pneumonia who receive the initial antibiotic consistent with current recommendations: United States, State (2002, 2003)
1.96. Patients with pneumonia who receive influenza screening or vaccination: United States, State (2002, 2003)
1.97. Patients with pneumonia who receive pneumococcal screening or vaccination: United States, State (2002, 2003), State (2004)
1.98. Pneumonia mortality rate (number of deaths per 1000 discharges for pneumonia): United States

Treatment of Upper Respiratory Infection
1.99. Antibiotics prescribed at visits with a diagnosis of common cold per 10,000 population: United States

Management of Asthma
1.100. People with persistent asthma who are prescribed medications acceptable as primary therapy for long-term control of asthma (inhaled corticosteroids): United States
1.101. Hospital admissions for pediatric asthma (under age 18): United States, State
1.102. Hospital admissions for asthma age 18 and over: United States, State
1.103. Hospital admissions for asthma age 65 and over: United States, State

Treatment of Tuberculosis
1.104. Tuberculosis patients who complete a curative course of treatment within 12 months of initiation of treatment: United States

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Effectiveness: Nursing Home and Home Health Care

Nursing Facility Care
1.105. Residents whose need for help with daily activities has increased: State
1.106. Long stay nursing home residents who have moderate to severe pain: State
1.107. Long stay nursing home residents who were physically restrained: State
1.108. Long stay nursing home residents who spend most of their time in bed or in a chair: State
1.109. Residents whose ability to move about in and around their room got worse: State
1.110. Long stay nursing home residents who had a urinary tract infection: State
1.111. Long stay nursing home residents who are more depressed or anxious: State
1.112. High risk residents who have pressure sores: State
1.113. Low risk residents who have pressure sores: State
1.114. Low risk long stay nursing home residents who lose control of their bowels or bladder: State
1.115. Low risk long stay nursing home residents who had a catheter inserted and left in the bladder: State
1.116. Short stay nursing home residents who have moderate to severe pain: State
1.117. Short stay nursing home residents with delirium: State
1.118. Short stay nursing home residents who have pressure sores: State
1.119. Residents who lose too much weight: State

Home Health Care
1.120. Improvement in upper body dressing: State
1.121. Improvement in management of oral medications: State
1.122. Improvement in bathing: State
1.123. Stabilization in bathing: State
1.124. Improvement in transferring: State
1.125. Improvement in ambulation/locomotion: State
1.126. Improvement in toileting: State
1.127. Improvement in pain interfering with activity: State
1.128. Improvement in dyspnea: State
1.129. Improvement in urinary incontinence: State
1.130. Improvement in confusion frequency: State
1.131. Acute care hospitalization: State

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Patient Safety

Complications of care
2.1. Birth trauma—injury to neonate: United States
2.2. Death in low mortality DRGs: United States
2.3. Failure to rescue: United States
2.4. Transfusion reactions per 100,000 population: United States
2.5. Foreign body accidentally left in during procedure, United States (2001, 2002): per 1000 medical and surgical discharges, per 100,000 population
2.6. Central line-associated bloodstream infection in ICU patients: United States
2.7. Central line-associated bloodstream infection in infants weighing 1000 grams or less at birth in intensive care: United States
2.8. Complications of anesthesia: United States
2.9. Decubitus ulcers: United States
2.10. Iatrogenic pneumothorax, United States (2001, 2002): per 1000 discharges, per 100,000 population
2.11. Selected infections due to medical care, United States (2001, 2002): per 1000 discharges, per 100,000 population
2.12. Postoperative hip fractures: United States
2.13. Postoperative hemorrhage or hematoma: United States
2.14. Postoperative physiologic and metabolic derangements: United States
2.15. Postoperative respiratory failure: United States
2.16. Postoperative pulmonary embolism or deep vein thrombosis: United States
2.17. Postoperative sepsis: United States
2.18. Accidental puncture or laceration during procedures, United States (2001, 2002): per 1000 discharges, per 100,000 population
2.19. Reclosure of postoperative disruption of abdominal wall, United States (2001, 2002): per 1000 abdominopelvic-surgery discharges, per 100,000 population
2.20. Obstetric trauma—vaginal with instrument: United States
2.21. Obstetric trauma—vaginal without instrument: United States
2.22. Obstetric trauma—Cesarean delivery: United States
2.23. Intensive care unit patients—catheter-associated urinary tract infection: United States
2.24. Intensive care unit patients—ventilator-associated pneumonia: United States
2.25. Infants weighing 1,000 g or less at birth in intensive care—ventilator-associated pneumonia: United States
2.26. Postoperative venous thromboembolic events: United States
2.27. Postoperative pneumonia events: United States
2.28. Mechanical adverse events associated with central vascular catheters: United States
2.29. Insertion-site infections associated with central vascular catheters: United States
2.30. Bloodstream infections associated with central vascular catheters: United States
2.31. Postoperative urinary tract Infections: United States
2.32. Ventilator-associated pneumonia events: United States
2.33. Hospital-acquired bloodstream infections: United States
2.34. Adverse events associated with hip joint replacement due to degenerative conditions: United States
2.35. Adverse events associated with hip joint replacement due to fracture: United States
2.36. Adverse events associated with hip joint replacement due to fracture or degenerative conditions: United States
2.37. Adverse events associated with knee replacement: United States

Prescribing Medications
2.38. Community-dwelling elderly who had at least 1 prescription (from a list of 11 medications and from a list of 33 medications) that is potentially inappropriate for the elderly: United States
2.39. Adults who report that usual source of care asks about prescription medications and treatments from other providers: United States

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Timeliness

Basic Access
3.1A. Persons who have a specific source of ongoing care: United States
3.1B. Persons with a hospital, emergency room, or clinic as source of ongoing care: United States
3.1C. Persons in fair or poor health who have a specific source of ongoing care: United States
3.2A. Families unable or delayed in receiving needed medical care, dental care, or prescription medications, by main reasons: United States
3.2B. Families unable or delayed in receiving needed medical care, by main reasons: United States
3.2C. Families unable or delayed in receiving needed dental care, by main reasons: United States
3.2D. Families unable or delayed in receiving needed prescription medications, by main reasons: United States

Getting Appointments for Care
3.3. Among adults 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: United States (2002), United States (2000), Medicaid, State, Medicare fee for service, State, Medicare managed care, State
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: United States (2002), United States (2001), Medicaid, State
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: United States (2002), United States (2000), State Medicaid, Medicare fee for service, State, Medicare managed care, State
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: United States (2002), United States (2001), Medicaid, State

Waiting Time
3.7. Emergency department (ED) visits: ED visits where patient was admitted to the hospital or transferred to other facility whose ED visit was greater than or equal to 6 hours: United States
3.8. Emergency department (ED) visits: ED visits where patients left before being seen: United States

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Patient Centeredness

Patient Experience of Care
4.1. Among adults age 18 and over who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them: United States (2002), United States (2000), State Medicaid (2004), Medicare fee for service, State, Medicare managed care, State
4.2. 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 listened carefully, explained things clearly to their parents, showed respect for what their parents had to say, and spent enough time with them: United States (2002), United States (2001), State Medicaid
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 listened carefully to them: United States (2002), United States (2000), State Medicaid, State Medicare fee for service, State Medicare managed care
4.4. 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: United States (2002), United States (2001), State Medicaid
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 explained things clearly: United States (2002), United States (2000), State Medicaid, State Medicare fee for service, State Medicare managed care
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 explained things clearly: United States (2002), United States (2001), State Medicaid
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 showed respect for what they had to say: United States (2002), United States (2000), State Medicaid, State Medicare fee for service, State Medicare managed care
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 showed respect for what their parents had to say: United States (2002), United States (2001), State Medicaid
4.9. 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: United States (2002), United States (2000), State Medicaid, State Medicare fee for service, State Medicare managed care
4.10. 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: United States (2002), United States (2001), State Medicaid

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Overall Measures

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: United States (2002), United States (2000), State Medicaid, State Medicare fee for service, State Medicare managed care
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: United States (2002), United States (2001), State Medicaid

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Current as of January 2006

 

 

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