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2006 National Healthcare Quality Report

Effectiveness of Care: Respiratory Diseases

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Immunization, Influenza
High-risk persons (e.g., COPD) age 18-64 who received an influenza vaccination in the past 12 months
Persons age 65+ who received an influenza vaccination in the past 12 months
Hospital admissions for immunization-preventable influenza per 100,000 population age 65+
Immunization, Pneumonia
High-risk persons (e.g., COPD) age 18-64 who ever received a pneumococcal vaccination
Persons age 65+ who ever received a pneumococcal vaccination
Treatment of Pneumonia
Composite measure: Patients with pneumonia who have blood cultures collected before antibiotics are administered, receive the initial antibiotic dose within 4 hours of hospital arrival and consistent with current recommendations, and receive influenza and pneumococcal screening or vaccination
Patients with pneumonia who have blood cultures collected before antibiotics are administered
Patients with pneumonia who receive the initial antibiotic dose within 4 hours of hospital arrival
Patients with pneumonia who receive the initial antibiotic consistent with current recommendations
Patients with pneumonia who receive influenza screening or vaccination
Patients with pneumonia who receive pneumococcal screening or vaccination
Pneumonia mortality rate
Treatment of URI
Visit rates where antibiotics were prescribed for a diagnosis of common cold per 10,000 population
Management of Asthma
People with persistent asthma who are prescribed medications acceptable as primary therapy for long-term control of asthma
Hospital admissions for pediatric asthma under 18
Hospital admissions for asthma age 18+
Hospital admissions for asthma age 65+
Treatment of TB
TB patients who complete a curative course of TB treatment within 12 months of initiation of treatment


Immunization, Influenza

Measure Title

Percent of high-risk persons (e.g., COPD) age 18-64 who received an influenza vaccination in the past 12 months.

Measure Source

Healthy People 2010, measure 14-29c.

National Table

1.92a. Percent of high-risk persons age 18-64 who received an influenza vaccination in the past 12 months, United States, 1999 and 2004.

National Data Source

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

National Denominator

U.S. population: high-risk adults age 18-64.

National Numerator

A subset of denominator who report receiving an influenza vaccination in the past 12 months.

State Table

1.92b. Percent of high-risk persons age 18-64 who received an influenza vaccination in the past 12 months, by State, 2001 and 2004.

State Data Source

CDC, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS).

State Denominator

Number of high-risk persons age 18-64.

State Numerator

Number of high-risk persons age 18-64 who answered "Yes" to the question "During the past 12 months, have you had a flu shot?"

Comments

High-risk conditions include diabetes, heart disease, lung disease, kidney disease, liver disease, and cancer. Not all high-risk conditions for complications of influenza and pneumococcal disease can be ascertained by NHIS (e.g., immunocompromised), and the sample size may be too small for some groups.

Percents are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.

Race categories have changed since 2001. Data for 2001 and later years may not be comparable to data from previous years.

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Immunization, Influenza

Measure Title

Percent of persons age 65 and over who received an influenza vaccination in the past 12 months.

Measure Source

Healthy People 2010, measure 14-29a.

National Table

1.93a. Percent of persons age 65 and over who received an influenza vaccination in the past 12 months, United States, 1999 and 2004.

National Data Source

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

National Denominator

U.S. population, age 65 and over.

National Numerator

Number of adults age 65 and over who report receiving an influenza vaccination in the past 12 months.

State Table

1.93b. Percent of persons age 65 and over who received an influenza vaccination in the past 12 months, by State, 2001 and 2004.

State Data Source

CDC, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS).

State Denominator

Number of adults age 65 and over.

State Numerator

Number of adults age 65 and over who reported receiving an influenza vaccination in the past 12 months.

Comments

Percents are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.

Race categories in the national table have changed since 2001. Data for 2001 and later years may not be comparable to data from previous years.

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Immunization, Influenza

Measure Title

Hospital admissions for immunization-preventable influenza per 100,000 population age 65 and over.

Measure Source

Healthy People 2010, measure 1-9c.

Tables

1.94a. Immunization-preventable influenza admissions (excluding transfers from other institutions) per 100,000 population, age 65 years and older, United States, 2001 and 2003.

1.94b. Immunization-preventable influenza admissions (excluding transfers from other institutions) per 100,000 population, age 65 years and older, by State, 2002 and 2003.

Data Source

AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP). Nationwide Inpatient Sample and State Inpatient Databases.

Denominator

U.S. population age 65 and over.

Numerator

Non-maternal hospital discharges age 65 and over with any diagnosis of immunization-preventable influenza (ICD-9-CM codes 487.0, 487.1, and 487.8), 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.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community, non-rehabilitation hospitals in the American Hospital Association Annual Survey of Hospitals.

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Immunization, Pneumonia

Measure Title

Percent of high-risk persons (e.g., COPD) age 18-64 who ever received a pneumococcal vaccination.

Measure Source

Healthy People 2010, measure 14-29d.

National Table

1.95a. Percent of high-risk persons age 18-64 who ever received a pneumococcal vaccination, United States, 1999 and 2004.

National Data Source

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

National Denominator

U.S. population: high-risk persons age 18-64.

National Numerator

A subset of the denominator who answered "Yes" to the question "Have you ever had a pneumonia vaccination, sometimes called a pneumonia shot? This shot is usually given only once in a person's lifetime and is different from the flu shot."

State Table

1.95b. Percent of high-risk persons age 18-64 who ever received a pneumococcal vaccination, by State, 2001 and 2004.

State Data Source

CDC, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS).

State Denominator

Number of high-risk persons age 18-64.

State Numerator

Number of high-risk persons age 18-64 who answered "Yes" to the question "Have you ever had a pneumonia vaccination?"

Comments

See Appendix H of Tracking Healthy People 2010 for a complete listing of Leading Health Indicators. High-risk conditions include diabetes, heart disease, lung disease, kidney disease, liver disease, and cancer.

Percents are age adjusted to the 2000 standard population. Age-adjusted percents are weighted sums of age-specific percents. For a discussion of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.

Race categories in the national table have changed since 2001. Data for 2001 and later years may not be comparable to data from previous years.

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Immunization, Pneumonia

Measure Title

Percent of persons age 65 and over who ever received a pneumococcal vaccination.

Measure Source

Healthy People 2010, measure 14-29b.

National Table

1.96a. Percent of adults age 65 and over who ever received a pneumococcal vaccination, United States, 1999 and 2004.

National Data Source

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

National Denominator

U.S. population: age 65 and over.

National Numerator

Number of adults age 65 and over who had a pneumonia vaccination.

State Table

1.96b. Percent of adults age 65 and over who ever received a pneumococcal vaccination, by State, 2001 and 2004.

State Data Source

CDC, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS).

State Denominator

Number of adults age 65 and over.

State Numerator

Number of adults age 65 and over who had a pneumonia vaccination.

Comments

Race categories in the national table have changed since 2001. Data for 2001 and later years may not be comparable to data from previous years.

State tables are age adjusted to the 2000 standard population.

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Treatment of Pneumonia

Measure Title

Composite measure: Percent of patients with pneumonia who have blood cultures collected before antibiotics are administered, receive the initial antibiotic dose within 4 hours of hospital arrival and consistent with current recommendations, and receive influenza and pneumococcal screening or vaccination.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Tables

1.97a. Percent of recommended hospital care received by Medicare patients with pneumonia, United States, 2002 and 2004.

1.97b. Percent of recommended hospital care received by Medicare patients with pneumonia, by State, 2004.

Data Source

CMS, Medicare Quality Improvement Organization Program.

Denominator

Medicare hospital discharges age 65 and over meeting either of the following criteria:

  1. Principal diagnosis of pneumonia (ICD-9-CM codes: 480-483.8, 485-486, 487.0)
  2. Secondary diagnosis of pneumonia and a principal diagnosis of either septicemia (ICD-9-CM code of 038.0-038.9) or respiratory failure (acute or chronic, ICD-9-CM code 518.81)

Numerator

Subset of the denominator population who received all recommended care, if indicated and appropriate: blood cultures collected before antibiotics are administered, initial antibiotic dose within 4 hours of hospital arrival and consistent with current recommendations, and influenza and pneumococcal screening or vaccination.

Comments

Further information about this and other pneumonia measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

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Treatment of Pneumonia

Measure Title

Percent of patients with pneumonia who have blood cultures collected before antibiotics are administered.

Measure Source

Centers for Medicare and Medicaid Services (CMS) Health Care Quality Improvement Program Quality Indicator.

Tables

1.98a. Percent of pneumonia patients who had blood cultures collected before antibiotics were administered, Medicare beneficiaries, United States, 2002 and 2004.

1.98b. Percent of pneumonia patients who had blood cultures collected before antibiotics were administered, Medicare beneficiaries, by State, 2002 and 2004.

1.98c. Percent of pneumonia patients who had blood cultures collected before antibiotics were administered, all payers, by State, 2004 and 2005.

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

Denominator

Discharged hospital patients with a blood culture performed, meeting either of the following criteria:

  1. Principal diagnosis of pneumonia (ICD-9-CM codes: 480-483.8, 485-486, 487.0)
  2. Secondary diagnosis of pneumonia and a principal diagnosis of either septicemia (ICD-9-CM code of 038.0-038.9) or respiratory failure (acute or chronic, ICD-9-CM code 518.81)

Numerator

Subset of the denominator population who had blood cultures performed prior to antibiotic administration.

Comments

Further information about this and other pneumonia measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

The State average percents on table 1.98c were pre-calculated and supplied as part of the Hospital Compare database.

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Treatment of Pneumonia

Measure Title

Percent of patients with pneumonia who receive the initial antibiotic dose within 4 hours of hospital arrival.

Measure Source

Centers for Medicare and Medicaid Services (CMS) Health Care Quality Improvement Program Quality Indicator.

Tables

1.99a. Percent of pneumonia patients who received the first dose of antibiotics within 4 hours of arrival at the hospital, Medicare beneficiaries, United States, 2002 and 2004.

1.99b. Percent of pneumonia patients who received the first dose of antibiotics within 4 hours of arrival at the hospital, Medicare beneficiaries, by State, 2002 and 2004.

1.99c. Percent of pneumonia patients who received the first dose of antibiotics within 4 hours of arrival at the hospital, all payers, by State, 2004 and 2005.

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

Denominator

Discharged hospital patients meeting either of the following criteria:

  1. Principal diagnosis of pneumonia (ICD-9-CM codes: 480-483.8, 485-486, 487.0)
  2. Secondary diagnosis of pneumonia and a principal diagnosis of either septicemia (ICD-9-CM code of 038.0-038.9) or respiratory failure (acute or chronic, ICD-9-CM code 518.81)

Numerator

Subset of the denominator population who received their first dose of antibiotics within 4 hours after arrival at the hospital.

Comments

Further information about this and other pneumonia measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

The State average percents on table 1.99c were pre-calculated and supplied as part of the Hospital Compare database.

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Treatment of Pneumonia

Measure Title

Percent of patients with pneumonia who receive the initial antibiotic consistent with current recommendations.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Tables

1.100a. Percent of immunocompetent pneumonia patients (either ICU or non-ICU) who received the recommended empirical antibiotic regimen during the first 24 hours that is consistent with current guidelines, Medicare beneficiaries, United States, 2002 and 2004.

1.100b. Percent of immunocompetent pneumonia patients (either ICU or non-ICU) who received the recommended empirical antibiotic regimen during the first 24 hours that is consistent with current guidelines, Medicare beneficiaries, by State, 2002 and 2004.

1.100c Percent of immunocompetent pneumonia patients (either ICU or non-ICU) who received the recommended empirical antibiotic regimen during the first 24 hours that is consistent with current guidelines, all payers, by State, 2005.

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

Denominator

Discharged hospital patients meeting either of the following criteria:

  1. Principal diagnosis of pneumonia (ICD-9-CM codes: 480-483.8, 485-486, 487.0)
  2. Secondary diagnosis of pneumonia and a principal diagnosis of either septicemia (ICD-9-CM code of 038.0-038.9) or respiratory failure (acute or chronic, ICD-9-CM code 518.81)

Numerator

Subset of the denominator population who received an initial antibiotic regimen consistent with current guidelines during the first 24 hours of their hospitalization.

Comments

Further information about this and other pneumonia measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

The State average percents on table 1.100c were pre-calculated and supplied as part of the Hospital Compare database.

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Treatment of Pneumonia

Measure Title

Percent of patients with pneumonia who receive influenza screening or vaccination.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Tables

1.101a. Percent of pneumonia patients, age 50 years and older, discharged during October-February who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated, Medicare beneficiaries, United States, 2002 and 2004.

1.101b. Percent of pneumonia patients, age 50 years and older, discharged during October-February who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated, Medicare beneficiaries, by State, 2002 and 2004.

Data Source

CMS, Medicare Quality Improvement Organization Program.

Denominator

Medicare hospital discharges age 50 and over during October, November, December, January and February meeting either of the following criteria:

  1. Principal diagnosis of pneumonia (ICD-9-CM codes: 480-483.8, 485-486, 487.0)
  2. Secondary diagnosis of pneumonia and a principal diagnosis of either septicemia (ICD-9-CM code of 038.0-038.9) or respiratory failure (acute or chronic, ICD-9-CM code 518.81)

Numerator

Subset of the denominator population who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated.

Comments

Further information about this and other pneumonia measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

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Treatment of Pneumonia

Measure Title

Percent of patients with pneumonia who receive pneumococcal screening or vaccination.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Tables

1.102a. Percent of pneumonia patients, age 65 and older, who were screened for pneumococcal vaccine status and vaccinated prior to discharge, if indicated, Medicare beneficiaries, United States, 2002 and 2004.

1.102b. Percent of pneumonia patients, age 65 and older, who were screened for pneumococcal vaccine status and vaccinated prior to discharge, if indicated, Medicare beneficiaries, by State, 2002 and 2004.

1.102c. Percent of pneumonia patients, age 65 and older, who were screened for pneumococcal vaccine status and vaccinated prior to discharge, if indicated, all payers, by State, 2004 and 2005.

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

Denominator

Discharged hospital patients age 65 and over meeting either of the following criteria:

  1. Principal diagnosis of pneumonia (ICD-9-CM codes: 480-483.8, 485-486, 487.0)
  2. Secondary diagnosis of pneumonia and a principal diagnosis of either septicemia (ICD-9-CM code of 038.0-038.9) or respiratory failure (acute or chronic, ICD-9-CM code 518.81)

Numerator

Subset of the denominator population who were screened for pneumococcal vaccine status and were vaccinated prior to discharge, if indicated.

Comments

Further information about this and other pneumonia measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

The State average percents on table 1.102c were pre-calculated and supplied as part of the Hospital Compare database.

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Treatment of Pneumonia

Measure Title

Pneumonia mortality rate (number of deaths per 1,000 discharges for pneumonia).

Measure Source

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

Table

1.103. Deaths per 1,000 admissions with pneumonia as principal diagnosis, age 18 and older (excluding obstetric and neonatal admissions and transfers to another hospital), United States, 2001 and 2003.

Data Source

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

Denominator

All discharges age 18 and older with principal diagnosis code of pneumonia. Exclude patients transferring to another short-term hospital and obstetric and neonatal admissions.

Numerator

Number of deaths with a principal diagnosis code of pneumonia.

Comments

Rates are adjusted by age, gender, age-gender interactions, and APR-DRG risk of mortality score. When reporting is by age, the adjustment is by gender and APR-DRG risk of mortality score; when reporting is by gender, the adjustment is by age and APR-DRG risk of mortality score. See Guide to Inpatient Quality Indicators at http://qualityindicators.ahrq.gov for a discussion of this measure, including a complete list of ICD-9-CM codes.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community, non-rehabilitation hospitals in the American Hospital Association Annual Survey of Hospitals.

This table was created using version 2.1, revision 3, of the AHRQ Inpatient Quality Indicators software. This measure is referred to as indicator 20 in the software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

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Treatment of URI

Measure Title

Visit rates where antibiotics were prescribed for a diagnosis of common cold per 10,000 population.

Measure Source

Healthy People 2010, measure 14-19 (modified age group).

Table

1.104. Rate antibiotics prescribed at visits with a diagnosis of common cold per 10,000 population, United States, 2000-2001 and 2003-2004.

Data Source

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

Denominator

Number of hospital-based and office-based outpatient visits.

Numerator

Number of antibiotic courses ordered, supplied, administered, or continued at a specific visit for persons diagnosed with the common cold (ICD-9-CM codes 460.0, 465, or 472.0).

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Management of Asthma

Measure Title

Percent of people with persistent asthma who are prescribed medications acceptable as primary therapy for long-term control of asthma (inhaled corticosteroids).

Measure Source

National Committee for Quality Assurance (NCQA), Health Plan Employer Data Information Set (HEDIS) measure.

Table

1.105. Percent of people age 5-56 with persistent asthma who were prescribed medications acceptable as primary therapy for long-term control of asthma, United States, 2005.

Data Source

NCQA, HEDIS data.

Denominator

Eligible members of NCQA accredited health plans with persistent asthma, defined as meeting at least one of four criteria during both the measurement year and the year prior to the measurement year:

  • at least one emergency department visit with a principal diagnosis of asthma.
  • at least one acute inpatient discharge with a principal diagnosis of asthma.
  • at least four outpatient asthma visits, with any listed diagnosis of asthma and at least two asthma medication dispensing events.
  • at least four asthma medication dispensing events; additional criteria apply if only leukotriene modifiers were dispensed.

Criteria need not be the same in both years.

Numerator

Members with persistent asthma who are prescribed medications acceptable as primary therapy for long-term control of asthma: inhaled corticosteroids, nedocromil, cromolyn sodium, leukotriene modifiers or methylxanthines.

Comments

The specifications for this measure have changed; 2005 reported rates may not be comparable with rates reported in prior years of the NHQR. Refer to HEDIS 2006 technical specifications for a more thorough discussion of measure requirements.

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Management of Asthma

Measure Title

Hospital admissions for pediatric asthma under age 18.

Measure Source

Healthy People 2010, measure 24-2 (modified age group).

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

Tables

1.106a. Pediatric asthma admissions (excluding obstetric and neonatal admissions and transfers from other institutions) per 100,000 population, age less than 18 years, United States, 2001 and 2003.

1.106b. Pediatric asthma admissions (excluding obstetric and neonatal admissions and transfers from other institutions) per 100,000 population, age less than 18 years, by State, 2002 and 2003.

Data Source

AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample and State Inpatient Databases.

Denominator

U.S. population: children under age 18.

Numerator

Number of discharges with principal diagnosis of asthma (ICD-9-CM code 493) among children under age 18, excluding obstetric and neonatal admissions 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.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community, non-rehabilitation hospitals in the American Hospital Association Annual Survey of Hospitals.

These tables were created using version 2.1, revision 3, of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 4 in the software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

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Management of Asthma

Measure Title

Hospital admissions for asthma age 18 and over.

Measure Source

Healthy People 2010, measure 24-2 (modified age group).

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

Tables

1.107a. Adult asthma admissions (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 years and older, United States, 2001 and 2003.

1.107b. Adult asthma admissions (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 years and older, by State, 2002 and 2003.

Data Source

AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample and State Inpatient Databases.

Denominator

U.S. population age 18 and over.

Numerator

Number of discharges with first listed diagnosis of asthma (ICD-9-CM code 493) among adults age 18 and over. Excludes obstetric admissions 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.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community, non-rehabilitation hospitals in the American Hospital Association Annual Survey of Hospitals.

These tables were created using version 2.1, revision 3, of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 15 in the software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

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Management of Asthma

Measure Title

Hospital admissions for asthma age 65 and over.

Measure Source

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

Tables

1.108a. Asthma admissions (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 65 years and older, United States, 2001 and 2003.

1.108b. Asthma admissions (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 65 years and older, by State, 2002 and 2003.

Data Source

AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample and State Inpatient Databases.

Denominator

U.S. population age 65 and over.

Numerator

Non-maternal hospital discharges age 65 and over with a principal diagnosis code of asthma (ICD-9-CM codes 493.00-493.02, 493.10-493.12, 493.20-493.22, and 493.90-493.92). Exclude obstetric admissions and patients transferred 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.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community, non-rehabilitation hospitals in the American Hospital Association Annual Survey of Hospitals.

These tables were created using version 2.1, revision 3, of the AHRQ Prevention Quality Indicators software. This measure is a modified version of indicator 15 in the software documentation. It excludes all patients under age 65. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

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Treatment of TB

Measure Title

Percent of TB patients who complete a curative course of TB treatment within 12 months of initiation of treatment.

Measure Source

American Thoracic Society/Centers for Disease Control and Prevention (CDC) treatment guidelines.

Table

1.109. Percent of tuberculosis patients who completed a curative course of treatment within 12 months of initiation of treatment, United States, 1998 and 2002.

Data Source

CDC, National TB Surveillance System.

Denominator

U.S. resident population with verified tuberculosis (TB).

Numerator

TB cases completing therapy within 1 year.

Comments

See American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America: Treatment of Tuberculosis, Am J Respir Crit Care Med, 2003, vol. 167 pp. 603-662 for further information regarding current tuberculosis treatment guidelines.

See Appendix A of CDC publication Reported Tuberculosis in the United States, 2000 for a discussion of completion of TB therapy.

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