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2006 National Healthcare Quality Report

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Figure H.4 Improvement rate by phase of care (Text Description)

Figure H.4 is a vertical bar graph comparing nine phases or varieties of care, and their relative rankings by median percent of improvement.

The first group of three vertical bars represents the 17 acute care settings studied. Acute care is short-term medical care and the NHQR includes measures for heart disease, pneumonia, and patient safety. The first bar in the group indicates a 4.3 percent median rate of improvement across all of the acute care settings where measures of quality were surveyed. Moving left, the second and tallest vertical bar in the group represents the subset of seven acute-hospital care settings where measures of quality were surveyed, and indicates a 7.8 percent rate of improvement. The third and shortest vertical bar in this group represents the subset of 10 acute-ambulatory care settings where measures of quality were surveyed, and indicates a 3.1 percent rate of improvement.

The middle group of three vertical bars represents the 12 preventative care settings studied. Preventive care measures include vaccinations, screenings, prenatal care, and counseling about healthy lifestyle behaviors and medical screenings to diagnose diseases at as early a stage as possible. The first bar in the group indicates a 2.4 median percent rate of improvement across all of the preventative care settings where measures of quality were surveyed. Moving left, the second and tallest vertical bar in the group represents the subset of three preventative-vaccination settings where measures of quality were surveyed, and indicates a 6.8 percent rate of improvement. The third and shortest vertical bar in this group represents the subset of nine remaining preventative-care settings where measures of quality were surveyed, and indicates a 1.7 percent rate of improvement.

The final group of three vertical bars represents the 11 chronic care settings studied. Chronic care is long-term medical care. The NHQR includes measures for nursing home, home health, and hospice care and for chronic diseases such as diabetes, asthma, end stage renal disease (ESRD), and cancer. The first bar in the group indicates a 1.8 median percent rate of improvement across all of the settings where chronic care measures were surveyed. Moving left, the second and tallest vertical bar in the group represents the subset of four settings at which chronic-ambulatory care measures were surveyed, and indicates a 3.6 percent rate of improvement. The third and shortest vertical bar in this group represents the subset of seven nursing home/home health settings at which ambulatory care measures were studied, and indicates a 1.0 percent rate of improvement.

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