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National Healthcare Quality Report, 2007

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List of Core Report Measures

Measure Measure number 2007 Year of most recent data National estimate National database State database
Effectiveness of Care
Cancer
Screening for breast cancer:
Women age 40 and over who reported they had a mammogram within the past 2 years (percent) 1.1 2005 66.6 NHIS BRFSS
Rate of breast cancer incidence per 100,000 women age 40 and over diagnosed at advanced stage (regional, distant stage, or local stage w/tumor greater than 2 cm) 1.2 2004 92.8 SEER NPCR
Cancer treatment:
Breast cancer deaths per 100,000 female population per year 1.11 2004 24.4 NVSS-M NVSS-M
Diabetes
Management of diabetes:
Composite measure: Percent of adults age 40 and over with diagnosed diabetes who had all three exams in the past year: hemoglobin A1c test, a retinal eye examination, and a foot examination 1.16 2004 46.7 MEPS BRFSS
Hospital admissions for lower extremity amputations per 1,000 adult patients with diabetes 1.28 2003-2005 4.1 NHDS HCUP SID
End Stage Renal Disease
Management of end stage renal disease:
Percent of dialysis patients registered on the waiting list for transplantation 1.33 2003 15.0 USRDS USRDS
Percent of hemodialysis patients with urea reduction ratio 65% or higher 1.35 2005 8.8 ESRD Clinical Performance Measures Project U. Michigan
Heart Disease
Counseling on risk factors:
Percent of smokers receiving advice to quit smoking 1.41 2004 63.7 MEPS BRFSS
Percent of obese adults age 18 and older who were given advice about exercise 1.63 2004 58.8 MEPS n.a
Treatment of acute myocardial infarction (AMI):
Composite measure: Percent of adult patients who received recommended hospital care for heart attack 1.42 2005 93.5 QIO QIO+HC
Treatment of acute heart failure:
Composite measure: Percent of adult patients who received recommended hospital care for heart failure 1.51 2005 86.9 QIO QIO+HC
Heart disease treatment:
Deaths per 1,000 adult admissions with acute myocardial infarction 1.60 2004 81.7 HCUP NIS n.a
HIV and AIDS
AIDS prevention:
New AIDS cases per 100,00 0 population age 13 and over 1.65 2005 18.1 CDC AIDS n.a
Maternal and Child Health
Maternity care:
Percent of pregnant women receiving prenatal care in first trimester 1.72 2004 83.9 NVSS-N NVSS-N
Infant mortality per 1,000 live births, birthweight <1,500 grams 1.74 2004 244.5 NVSS-I NVSS-I
Immunization, childhood:
Percent of children 19-35 months who received all recommended vaccines 1.76 2005 80.8 NIS NIS
Treatment of pediatric gastroenteritis:
Hospital admissions for pediatric gastroenteritis per 100,000 population less than 18 years of age 1.77 2004 178.7 HCUP NIS HCUP SID
Childhood preventive care:
Percent of children age 2-17 for whom a doctor or other health provider gave advice about healthy eating 1.80 2004 53.3 MEPS n.a.
Percent of children ages 2-17 with a dental visit in the past year 1.81 2004 51.6 MEPS n.a.
Mental Health and Substance Abuse
Treatment of depression:
Deaths due to suicide per 100,000 population 1.91 2004 10.9 NVSS-M NVSS-M
Percent of adults age 18-64 with past year major depressive episode who received treatment for the depression in the past year 1.92 2005 65.6 SAMHSA n.a.
Treatment of substance abuse:
Percent of persons age 12 or older who needed treatment for any illicit drug use and who received such treatment at a specialty facility in the past year 1.94 2005 1 70 SAMHSA-NSDUH n.a.
Percent of persons age 12 or older who received substance abuse treatment who completed treatment course 1.95 2004 44.2 TEDS n.a.
Respiratory Diseases
Immunization, pneumonia:
Percent of persons age 65 and over who ever received a pneumococcal vaccination 1.100 2005 56.3 NHIS BRFSS
Treatment of pneumonia:
Composite measure: Percent of adult patients who received recommended hospital care for pneumonia 1.101 2005 74.1 QIO QIO
Treatment of upper respiratory infection (URI):
Visit rates where antibiotics were prescribed for a diagnosis of common cold per 10,000 population 1.108 2004-2005 137 NAMCS-NHAMCS- n.a.
Management of asthma:
Hospital admissions for pediatric asthma per 100,000 population age 2-17 1.110 2004 155.5 HCUP NIS HCUP SID
Treatment of TB:
Percent of patients who complete a curative course of TB treatment within 12 months of initiation of treatment 1.113 2003 81.5 CDC TB n.a.
Nursing Home, Home Health, and Hospice Care
Nursing facility care:
Percent of long-stay residents who were physically restrained 1.116 2005 6.6 CMS MDS CMS MDS
Percent of high-risk residents who have pressure sores 1.121 2005 13.1 CMS MDS CMS MDS
Percent of short-stay residents with pressure sores 1.127 2005 20.7 CMS MDS CMS MDS
Home health care:
Percent of home health care patients who get better at walking or moving around 1.136 2005 38.8 CMS OASIS CMS OASIS
Percent of home health care patients who had to be admitted to the hospital 1.140 2005 28.0 CMS OASIS CMS OASIS
Patient Safety
Postoperative complications:
Composite measure: Surgical patients with postoperative pneumonia, urinary tract infection, and venous thromboembolic event (percent) 2.1 2005 6.55 MPSMS n.a.
Composite measure: Appropriate timing of antibiotics received by adult Medicare patients having surgery (percent) 2.5 2005 75.2 QIO QIO+HC
Composite measure: Complications of central venous catheters (percent) 2.18 2005 4.1 MPSMS n.a.
Complications of medication:
Percent of community dwelling elderly who had at least 1 prescription (from a list of 11 medications and from a list of 33 medications) potentially inappropriate for the elderly 2.35 2005 16.6 MEPS n.a.
Timeliness
Getting appointments for care:
Percent of adults age 18 and over who reported sometimes or never getting care for illness or injury as soon as wanted 2.35 2004 14.2 MEPS NCBD
Waiting time: Percent of emergency department (ED) visits in which the patient left before being seen 3.11 2004-2005 2.0 NAMCS-NHAMCS n.a.
Patient Centeredness
Patient experience of care:
Composite measure: Percent of adults whose health providers sometimes or never listened carefully, explained things, showed respect, and spent enough time with them 4.1 2004 9.6 MEPS NCBD
Composite measure: Percent of children whose health providers sometimes or never listened carefully, explained things, showed respect, and spent enough time with them 4.2 2004 5.7 MEPS NCBD

Key to abbreviations:
AHRQ-QI = AHRQ Quality Indicators
BRFSS = Behavioral Risk Factor Surveillance System
CDC AIDS = Centers for Disease Control and Prevention HIV/AIDS Surveillance System
CDC TB = Centers for Disease Control and Prevention National Tuberculosis Surveillance System
CMS = Centers for Medicare & Medicaid Services
CMS OASIS = Centers for Medicare & Medicaid Services Outcome and Assessment Information Set
HCUP NIS = Healthcare Cost and Utilization Project Nationwide Inpatient Sample
HCUP SID = Healthcare Cost and Utilization Project State Inpatient Databases
HP2010 = Healthy People 2010
ESRD = End Stage Renal Disease
MEPS = Medical Expenditure Panel Survey
MPSMS = Medicare Patient Safety Monitoring System
MDS = Minimum Data Set
NAMCS-NHAMCS = National Ambulatory Medical Care Survey-National Hospital Ambulatory Medical Care Survey
NCBD = National CAHPS® Benchmarking Database
NCQA = National Committee for Quality Assurance HEDIS® measure set
NHDS = National Hospital Discharge Survey
NHIS = National Health Interview Survey
NIS = National Immunization Survey
NNIS = National Nosocomial Infections Surveillance
NPCR = National Program of Cancer Registries
NSDUH = National Survey on Drug Use and Health
NTBSS = National TB Surveillance System
NVSS-I = National Vital Statistics System—Linked Birth and Infant Death Data
NVSS-M = National Vital Statistics System, Mortality
NVSS-N = National Vital Statistics System, Natality
OASIS = Outcome and Assessment Information Set
QIO = Quality Improvement Organization program
QIO+HC = Quality Improvement Organization program + Hospital Compare
SAMSHA = Substance Abuse and Mental Health Services Administration
SEER = Surveillance, Epidemiology, and End Results Program
TEDS = Treatment Episode Data Set
USRDS = United States Renal Data System
U.Michigan = University of Michigan Kidney Epidemiology and Cost Center
n.a. = Not applicable

Chapter 6. Efficiency

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