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2011 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.

Table 2_3_5.2
Deaths per 1,000 hospital admissions with congestive heart failure,a age 18 and over,b by race/ethnicity, United States, 2008
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
65 and over35.
  85 and over49.20.451.00.433.61.449.12.941.52.0
Median income of patient's ZIP CodeFirst quartile (lowest income)28.80.333.40.420.80.527.12.824.20.9
Second quartile28.50.330.20.319.90.832.52.323.71.3
Third quartile27.50.329.00.419.
Fourth quartile (highest income)28.70.329.80.420.
Location of patient residenceLarge central metropolitan25.50.328.40.419.60.625.31.523.80.8
Large fringe metropolitan26.10.327.70.319.80.825.12.617.11.7
Medium metropolitan27.50.429.10.417.
Small metropolitan29.90.530.70.622.31.539.36.742.02.7
Expected payment sourcePrivate insurance34.70.538.40.624.
Other insurance55.21.562.61.835.43.472.811.543.75.7
Uninsured/self-pay/no charge29.31.343.71.914.32.2DSUDSU22.23.5
Region of inpatient treatmentNortheast32.20.333.40.424.
Ownership/control of hospitalPrivate, not for profit27.
Private, for profit28.80.430.90.523.
Teaching status of hospitalTeaching25.80.328.40.318.60.630.31.722.21.1
Location of hospitalLarge central metropolitan26.00.328.70.319.90.625.01.524.30.8
Large fringe metropolitan25.50.327.20.319.30.823.92.716.11.7
Medium metropolitan27.20.428.60.418.
Small metropolitan29.70.530.80.521.31.338.37.536.92.6
Bed size of hospitalLess than 10040.80.442.10.530.71.838.53.528.92.4
500 or more25.60.328.00.418.60.727.

a. Consistent with the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators (IQI) software, congestive heart failure must be the principal diagnosis and the following cases are excluded: obstetric admissions and transfers to another hospital.

b. Rates are adjusted by age, gender, age-gender interactions, major diagnostic category (MDC), all patient refined-diagnosis related group (APR-DRG) risk of mortality score, and transfers into the hospital.� When reporting is by age, the adjustment is by gender, MDC, APR-DRG risk of mortality score, and transfers into the hospital; when reporting is by gender, the adjustment is by age, MDC, APR-DRG risk of mortality score, and transfers into the hospital.� The AHRQ IQI software was modified to not use the present on admission (POA) indicators (or estimates of the likelihood of POA for secondary diagnosis).

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: API: Asian or Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2007, and AHRQ Quality Indicators, modified version 4.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Missouri, New Hampshire, New Jersey, Nevada, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.


Page last reviewed October 2014
Internet Citation: T2_3_5_2: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD.


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