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Priority Populations: Children

2008 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Children
Composite measure: Children ages 19-35 months who received all recommended vaccines
Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have
Children ages 3-6 who ever had their vision checked by a health provider
Accidental puncture or laceration during procedure per 1,000 discharges, children under 18
Perforated appendixes per 1,000 admissions with appendicitis, ages 1-17
People under age 65 with health insurance

Children

Measure Title

Composite measure: Children ages 19-35 months who received all recommended vaccines.

Measure Source

Healthy People 2010.

Tables

6_2_1.2 Children ages 19-35 months who received all recommended vaccines (4:3:1:3:3), United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Center for Immunization and Respiratory Diseases (NCHS-NCIRD), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 4 doses of diphtheria-tetanus-acellular pertussis (DTaP), at least 3 doses of polio, at least 1 dose of measles-mumps-rubella (MMR), at least 3 doses of Haemophilus influenza B (Hib), and at least 3 doses of hepatitis B antigens.

Comments

This objective is one of the measures used to track the Immunization Leading Health Indicator.

This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.

This measure is referred to as measure 14-24a in Healthy People 2010 documentation

The vaccines included in this measure are based on the corresponding Healthy People 2010 objective. These include at least 4 doses of diphtheria, tetanus, and pertussis vaccine; at least 3 doses of polio vaccine; at least 1 dose of measles, mumps, and rubella vaccine; at least 3 doses of Haemophilus influenzae type B vaccine; and at least 3 doses of hepatitis B vaccine. Between 1998 and 2005, the following vaccines were added to the list of recommended vaccines for children up to 35 months of age but were not added to this measure: pneumococcal conjugate vaccine (PCV) added in 2001 and influenza vaccine added in 2004. Varicella vaccine and vaccines added after 1998 to the recommended schedule for children up to 35 months of age are not included in this measure.

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Children

Measure Title

Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

6_3_2.3 Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have, United States, 2005, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 2-17, excluding nonrespondents to the question, “Has a doctor or other health provider ever given advice about amount and kind of exercise, sports, or physically active hobbies (person) should have?”

Numerator

Children ages 2-17 for whom a doctor or other health provider had ever given advice about amount and kind of physical activity.

Comments

This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.

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Children

Measure Title

Children ages 3-6 who ever had their vision checked by a health provider.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

6_3_4.2 Children ages 3-6 who ever had their vision checked by a health provider, United States, 2005, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 3-6. Nonresponses and “Don't know” responses were excluded.

Numerator

Children ages 3-6 whose vision had ever been checked by a doctor or other health provider.

Comments

This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.

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Children

Measure Title

Accidental puncture or laceration during procedure per 1,000 discharges, children under 18.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators (PSIs).

Table

16_6_4.1 Accidental puncture or laceration during procedure per 1,000 discharges (excluding obstetric admissions, normal newborns, and neonates with a birth weight less than 500 grams), under age 18, United States, 2005, by:

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases (SID), disparities analysis file.

Denominator

Hospital medical and surgical discharges under age 18, excluding obstetric admissions.

Numerator

Subset of the denominator with secondary diagnosis denoting accidental cut, puncture, perforation, or laceration during a procedure (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] codes E870.0-E870.9, 998.2).

Comments

Also excludes admissions specifically for such problems, such as cases from earlier admissions or from other hospitals.

Rates are adjusted by age, gender, diagnosis-related group (DRG) and major diagnostic category (MDC) groups, and comorbidities and stratified by six clinical categories and seven procedure types (distinguishing minor and major procedures and quantity).

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 23 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, VT, and WI.

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Children

Measure Title

Perforated appendixes per 1,000 admissions with appendicitis, ages 1-17.

Measure Source

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

Table

16_6_5.1 Admissions with perforated appendix per 1,000 admissions with appendicitis (excluding transfers from other institutions, obstetric admissions, normal newborns, and neonates), ages 1-17, United States, 2005, by:

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases (SID), disparities analysis file.

Denominator

Nonmaternal discharges ages 1-17 with principal or secondary diagnosis of appendicitis, excluding transfers from other institutions.

Numerator

Subset of the denominator with principal or secondary diagnosis code for perforation or abscess of appendix.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 23 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, VT, and WI.

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Children

Measure Title

People under age 65 with health insurance.

Measure Source

Healthy People 2010.

Tables

14_1_1.1 People under age 65 with health insurance, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

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

Denominator

U.S. civilian noninstitutionalized population under age 65.

Numerator

People under age 65 who reported coverage by any type of public or private health insurance.

Comments

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

This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.

This measure is referred to as measure 1-1 in Healthy People 2010 documentation.

Return to Measure Specifications

Current as of September 2009
Internet Citation: Priority Populations: Children: 2008 National Healthcare Quality and Disparities Reports. September 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr08/measurespec/children.html

 

The information on this page is archived and provided for reference purposes only.

 

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