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National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013

Effectiveness of Care: Diabetes

 

Measures 

Adults age 40 and over with diabetes whose condition was diagnosed
Adults age 40 and over with diagnosed diabetes with an HbA1c level under optimal control
Adults age 40 and over with diagnosed diabetes who have a total cholesterol level less than or equal to 200 mg/dL
Adults age 40 and over with diagnosed diabetes with blood pressure less than 140/80 mm Hg
Hospital admissions for uncontrolled diabetes among adults
Hospital admissions for short-term complications of diabetes
Hospital admissions for short-term complications of diabetes, pediatric
Hospital admissions for long-term complications of diabetes
Adults age 40 and over with diagnosed diabetes who received all four recommended services for diabetes in the calendar year
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c tests in the calendar year
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year
Adults age 40 and over with diagnosed diabetes who received an influenza vaccination
Hospital admissions for uncontrolled diabetes among adults
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes
Incidence of end stage renal disease (ESRD) due to diabetes
 


 

Measure Title

Adults age 40 and over with diabetes whose condition was diagnosed

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National

Years Available

1999-2010

Population Subgroups

Age, education, sex, income, ethnicity

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition Examination Survey (NHANES)

Denominator

Adults age 40 and over who have physician-diagnosed or undiagnosed diabetes (fasting blood glucose level ≥126 mg/dL)

Numerator

Subset of denominator who report that they have ever been diagnosed with diabetes

Comments

Estimates are age adjusted to the 2000 U.S. standard population using two age groups, 40-59 and 60 and over, except where indicated. Women who reported having diabetes only during pregnancy (gestational diabetes) are excluded. This measure is referred to as measure D-15 in Healthy People 2020 documentation.

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Measure Title

Adults age 40 and over with diagnosed diabetes with an HbA1c level under optimal control

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition Examination Survey (NHANES)

Table Description

Geographic Representation

National

Years Available

1999-2010

Population Subgroups

Age, education, sex, income, ethnicity

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition Examination Survey (NHANES)

Denominator

Adults age 40 and over with diabetes

Numerator

Subset of the denominator who had hemoglobin A1c level less than 70% at examination

Comments

Optimal control is defined as having an HbA1c less than 7%.

Estimates are age adjusted to the 2000 U.S. standard population using two age groups, 40-59 and 60 and over. The criteria for selecting the diabetes population from NHANES have changed; reported rates may not be comparable with those found in prior years' editions of the NHQR and NHDR.

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Measure Title

Adults age 40 and over with diagnosed diabetes who have a total cholesterol level less than or equal to 200 mg/dL

Measure Source

National Diabetes Quality Improvement Alliance, National Quality Forum

Table Description

Geographic Representation

National

Years Available

1999-2010

Population Subgroups

Age, education, sex, income, ethnicity

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition Examination Survey (NHANES)

Denominator

Adults age 40 and over with diabetes

Numerator

Subset of the denominator with most recent total cholesterol level less than 200 mg/dL at examination

Comments

The criteria for selecting the diabetes population from NHANES have changed; reported rates may not be comparable with those found in prior years' editions of the NHQR and NHDR. Estimates are age adjusted to the 2000 U.S. standard population using two age groups: 40-59 and 60 and over.

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Measure Title

Adults age 40 and over with diagnosed diabetes with blood pressure less than 140/80 mm Hg

Measure Source

National Alliance for Diabetes Quality Improvement, National Quality Forum

Table Description

Geographic Representation

National

Years Available

1999-2010

Population Subgroups

Age, education, sex, income, ethnicity

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition Examination Survey (NHANES)

Denominator

Adults age 40 and over with diagnosed diabetes

Numerator

Subset of denominator who have blood pressure less than 140/80 mm Hg at examination

Comments

The criteria for selecting the diabetes population from NHANES have changed; reported rates may not be comparable with those found in prior years' editions of the NHQR and NHDR. Estimates are age adjusted to the 2000 U.S. standard population using two age groups, 40-59, and 60 and over.

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Measure Title

Hospital admissions for uncontrolled diabetes among adults

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators (PQIs)

Table Description

Geographic Representation

National, State

Years Available

National: 2000-2001; 2004-2010

State: 2000; 2004; 2007-2010

Population Subgroups

Age, sex, income, location of residence, region, persons served by the Indian Health Service (IHS)

Data Sources

National

AHRQ, CDOM, HCUP Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, modified version 4.1

State

AHRQ, CDOM, HCUP, State Inpatient Databases (SID)

Other: Indian Health Service (IHS), Office of Information Technology/National Patient Information Reporting System, National Data Warehouse, Workload and Population Data Mart

Denominator

National and State

U.S. population residing in a metropolitan area or county, age 18 years and over.

Other: IHS service population, age 18 years and over. Service population does not include the Portland and California regions.

Numerator

Subset of denominator with discharges with a principal diagnosis of uncontrolled diabetes and without mention of short-term or long-term complications

Comments

Short-term complications include ketoacidosis, hyperosmolarity, and coma. Long-term complications include renal, eye, neurologic, circulatory, and other unspecified. Obstetric admissions and transfers from other institutions are excluded.

Rates are adjusted by age and gender using the total U.S. resident 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, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multistate comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 37 States: AK, AR, AZ, CA, CO, CT, FL, GA, HI, IA, IL, IN, KS, KY, MA, MD, MI, MO, MS, NC, NJ, NM, NV, NY, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, and WY.

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Measure Title

Hospital admissions for short-term complications of diabetes

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators (PQIs)

Table Description

Geographic Representation

National, State

Years Available

National: 2000-2001; 2004-2010

State: 2000; 2004; 2007-2010

Population Subgroups

Age, sex, income, location of residence, region

Data Sources

National

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, modified version 4.1

State

AHRQ, CDOM, HCUP, State Inpatient Databases (SID)

Denominator

U.S. population age 18 and over

Numerator

Adult discharges age 18 and over with a principal diagnosis of diabetes with short-term complications. Consistent with the AHRQ PQI software, diabetes must be the principal diagnosis and short-term complications include ketoacidosis, hyperosmolarity, and coma. Transfers from other institutions are excluded.

Comments

Rates are adjusted by age and gender using the total U.S. resident 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, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multistate comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 37 States: AK, AR, AZ, CA, CO, CT, FL, GA, HI, IA, IL, IN, KS, KY, MA, MD, MI, MO, MS, NC, NJ, NM, NV, NY, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, and WY.

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Measure Title

Hospital admissions for short-term complications of diabetes, pediatric

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Pediatric Quality Indicators (PDIs)

Table Description

Geographic Representation

National, State

Years Available

National: 2000-2001; 2004-2010

State: 2000; 2004; 2007-2010

Population Subgroups

Age, sex, income, location of residence, region

Data Sources

National

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, modified version 4.1

State

AHRQ, CDOM, HCUP, State Inpatient Databases (SID)

Denominator

U.S. population ages 6-17

National Numerator

Pediatric discharges ages 6-17 with a principal diagnosis of diabetes with short-term complications. Consistent with the AHRQ PDI software, diabetes must be the principal diagnosis and short-term complications include ketoacidosis, hyperosmolarity, and coma. Transfers from other institutions are excluded.

Comments

Rates are adjusted by age and gender using the total U.S. resident 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, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multistate comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 37 States: AK, AR, AZ, CA, CO, CT, FL, GA, HI, IA, IL, IN, KS, KY, MA, MD, MI, MO, MS, NC, NJ, NM, NV, NY, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, and WY.

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Measure Title

Hospital admissions for long-term complications of diabetes

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators (PQIs)

Table Description

Geographic Representation

National, State

Years Available

National: 2000-2001; 2004-2010

State: 2000; 2004; 2007-2010

Population Subgroups

Age, sex, income, location of residence, region

Data Sources

National

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, modified version 4.1

State

AHRQ, CDOM, HCUP, State Inpatient Databases (SID)

National Denominator

U.S. population age 18 and over

National Numerator

Subset of the denominator with hospital inpatient discharges with a principal diagnosis code for diabetes with long-term complications. Consistent with the AHRQ PQI software, diabetes must be the principal diagnosis and long-term complications include renal, eye, neurologic, circulatory, and other unspecified complications. Transfers from other institutions and obstetric admissions are excluded.

Comments

Rates are adjusted by age and gender using the total U.S. resident 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, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multistate comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 37 States: AK, AR, AZ, CA, CO, CT, FL, GA, HI, IA, IL, IN, KS, KY, MA, MD, MI, MO, MS, NC, NJ, NM, NV, NY, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, and WY.

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Measure Title

Adults age 40 and over with diagnosed diabetes who received all four recommended services for diabetes in the calendar year

Measure Source

National Diabetes Quality Improvement Alliance

Table Description

Geographic Representation

National

Years Available

2008-2010

Population Subgroups

Age, sex, race/ethnicity, activity limitation, employment status, income, perceived health status, preferred language, insurance, U.S. born, education, location of residence

Data Sources

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

Denominator

U.S. civilian noninstitutionalized population age 40 and over with diabetes and a positive Diabetes Care Survey weight. Cases with missing values were excluded.

Numerator

Subset of the denominator who responded "Yes" to each of the four items related to receipt of diabetes services: (1) received two or more HbA1c measurements, (2) received dilated eye exam, (3) received foot exam, and (4) received flu shot.

Comments

The criteria for selecting the diabetes population from MEPS and the methodology for calculating the diabetes composite measure have changed over time. Reported rates may not be comparable with those found in prior years' editions of the NHQR and NHDR. The composite measure for this year's edition of the reports contains four measures whereas the composite measure for the 2010 reports contained three measures (at least one hemoglobin A1c measurement, dilated eye examination, and foot examination within the calendar year).

Cases with any missing values for the measures that make up the composite were excluded from the analysis.

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Measure Title

Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c tests in the calendar year

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

State: 2001-2010

National: 2002-2010

Population Subgroups

Age, sex, race/ethnicity, activity limitation, employment status, income, perceived health status, preferred language, insurance, U.S. born, education, location of residence

Data Sources

National

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

State

Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS)

National Denominator

U.S. civilian noninstitutionalized population age 40 and over with diabetes who had a positive Diabetes Care Survey (DCS) weight and who responded to the DCS question, "How many times did a doctor, nurse, or other health professional check for glycosylated hemoglobin or ‘hemoglobin A-one-C'?" Nonrespondents and "Don't Know" responses were excluded.

National Numerator

Subset of the denominator who had a positive DCS weight and who had a hemoglobin A1c test at least twice in the last calendar year

Comments

The criteria for selecting the diabetes population from MEPS have changed; reported national rates may not be comparable with those found in prior years' editions of the NHQR and NHDR. The National Table reports data from the MEPS DCS. The MEPS entry in the Data Sources appendix and http://www.meps.ahrq.gov/ provide more information on the DCS and MEPS panels. Estimates are age adjusted to the 2000 U.S. standard population with two age-groups, 40-59 and 60 and over. This measure is referred to as measure D-11 in Healthy People 2020 documentation.

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Measure Title

Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

State: 2001-2010

National: 2002-2010

Population Subgroups

Age, sex, race/ethnicity, activity limitation, employment status, income, perceived health status, preferred language, insurance, U.S. born, education, location of residence

Data Sources

National

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

State

Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS)

National Denominator

U.S. civilian noninstitutionalized population age 40 and over with diabetes who responded to the Diabetes Care Survey (DCS) question: "When was the last time you had an eye exam in which the pupils were dilated? This would have made you temporarily sensitive to light."

National Numerator

Subset of denominator who indicated they had at least one retinal eye examination in the calendar year

State Denominator

Adults age 40 and over with diabetes

State Numerator

Adults with diabetes who had at least one retinal eye examination in the survey year

Comments

The method for defining the numerator and denominator for this measure changed beginning with the 2008 edition of the reports; rates may not be comparable with those reported in earlier editions.

The MEPS entry in the Data Sources appendix and http://www.meps.ahrq.gov/ provide more information on the DCS and MEPS panels.

Nonrespondents and "Don't Know" responses to the DCS question were excluded from the analysis.

Estimates are age adjusted to the 2000 U.S. standard population with two age groups, 40-59 and 60 and over.

This measure is referred to as measure D-10 in Healthy People 2020 documentation.

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Measure Title

Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

State: 2001-2010

National: 2002-2010

Population Subgroups

Age, sex, race/ethnicity, activity limitation, employment status, income, perceived health status, preferred language, insurance, U.S. born, education, location of residence

Data Sources

National

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

State

Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS)

National Denominator

U.S. civilian noninstitutionalized population age 40 and over with diabetes who responded to the question: "How many times did a health professional check your feet for any sores or irritations?" Nonrespondents and "Don't Know" responses were excluded.

National Numerator

Subset of denominator who had a foot examination one or more times in the calendar year

State Denominator

Adults age 40 and over with diabetes

State Numerator

Subset of denominator who had one or more foot examinations in the survey year

Comments

Estimates are age adjusted to the 2000 U.S. standard population with two age groups: 40-59 and 60 and over.

The criteria for selecting the diabetes population from MEPS have changed; reported national rates may not be comparable with those found in prior years' editions of the NHQR and NHDR.

The MEPS entry in the Data Sources appendix and http://www.meps.ahrq.gov/ provide more information on the DCS and MEPS panels.

This measure is referred to as measure D-9 in Healthy People 2020 documentation.

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Measure Title

Adults age 40 and over with diagnosed diabetes who received an influenza vaccination

Measure Source

National Diabetes Quality Improvement Alliance, National Quality Forum

Table Description

Geographic Representation

National, State

Years Available

State: 2009-2010

National: 2008-2010

Population Subgroups

Age, sex, race/ethnicity, activity limitation, employment status, income, perceived health status, preferred language, insurance, U.S. born, education, location of residence

Data Sources

National

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

State

Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS)

National Denominator

U.S. civilian noninstitutionalized adults age 40 and over with diabetes who responded to the question: "How long since you had a flu shot?" Nonrespondents and "Don't Know" responses were excluded.

National Numerator

Subset of the denominator who had an influenza immunization in the past year

State Denominator

Adults age 40 and over with diabetes

State Numerator

Subset of the denominator who had an influenza immunization in the survey year

Comments

The criteria for selecting the diabetes population from MEPS have changed; reported national rates may not be comparable with those found in prior years' editions of the NHQR and NHDR. The MEPS entry in the Data Sources appendix and http://www.meps.ahrq.gov/ provide more information on the DCS and MEPS panels.

Top of Page


 

Measure Title

Hospital admissions for uncontrolled diabetes among adults

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators (PQIs)

Table Description

Geographic Representation

National

Years Available

National: 2000-2011

Population Subgroups

Age, sex, persons served by the Indian Health Service

Data Sources

National

AHRQ, CDOM, HCUP Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, version 4.3

State

AHRQ, CDOM, HCUP, State Inpatient Databases (SID)

Other: Indian Health Service (IHS), Office of Information Technology/National Patient Information Reporting System (NPIRS), National Data Warehouse (NDW), Workload and Population Data Mart

Denominator

National and State

U.S. population in metropolitan area or county, age 18 years and over.

Other: IHS service population, age 18 years and over. Service population does not include the Portland and California regions because no IHS inpatient facilities are in these regions.

Numerator

Subset of denominator with discharges with a principal diagnosis of uncontrolled diabetes and without mention of short-term or long-term complications

Comments

Short-term complications include ketoacidosis, hyperosmolarity, and coma. Long-term complications include renal, eye, neurologic, circulatory, and other unspecified. Excludes obstetric admissions and transfers from other institutions.

Rates are adjusted by age and gender using the total U.S. resident 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, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multistate comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 37 States: AK, AR, AZ, CA, CO, CT, FL, GA, HI, IA, IL, IN, KS, KY, MA, MD, MI, MO, MS, NC, NJ, NM, NV, NY, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, and WY.

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Measure Title

Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National

Years Available

1999-2008

Population Subgroups

Age, race, sex

Data Sources

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

Denominator

Number of persons in the National Health Interview Survey population who report that they have ever been diagnosed with diabetes, excluding women age 18 and over who report that the only time they have been diagnosed with diabetes was during pregnancy (gestational diabetes)

Numerator

Number of hospital discharges among U.S. civilian persons with diabetes (ICD-9-CM code 250) as any listed diagnosis and amputation of the lower limb (ICD-9-CM procedure code 84.1) as any listed procedure. Amputations due to trauma are excluded.

Comments

Estimates are age adjusted to the 2000 U.S. standard population using three age groups: 0-64, 65-74, and 75 and over, except where indicated. This measure is referred to as objective D-4 in Healthy People 2020 documentation.

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Measure Title

Incidence of end stage renal disease (ESRD) due to diabetes

Measure Source

National Institutes of Health (NIH), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), United States Renal Data System (USRDS)

Table Description

Geographic Representation

National, State

Years Available

National: 2000-2010

State: 2010

Population Subgroups

Age, sex, race/ethnicity

Data Sources

National & State

NIH, NIDDK, USRDS

Denominator

U.S. civilian noninstitutionalized population

Numerator

Subset of denominator with ESRD due to diabetes

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Page last reviewed July 2014
Page originally created July 2014
Internet Citation: National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013. Content last reviewed July 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/measurespec/diabetes.html

 

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

 

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