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

Effectiveness Across the Lifespan: Maternal and Child Health

Measures

Children ages 2-17 with untreated dental caries
Birth trauma—injury to newborn
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance
Children ages 19-35 months who received 3 or more doses of Haemophilus influenzae type B vaccine, depending on product type received
Children ages 19-35 months who received 4 or more doses of pneumococcal conjugate vaccine
Adolescents ages 13-15 years who received at least 2 doses of varicella vaccine
Cesarean deliveries
Cesarean delivery among low risk women with no prior cesarean births
Preterm births
Late preterm or live births at 34 to 36 weeks of gestation
Very preterm or live births at 32 to 33 weeks of gestation
Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care
Infant deaths per 1,000 live births
Maternal deaths
Obstetric trauma per 1,000 instrument-assisted deliveries
Children who had their height and weight measured by a health provider within the past 2 years
Children ages 2-17 who had a dental visit in the calendar year
Children age 17 and under with a wellness checkup in the past 12 months
Children ages 3-6 who ever had their vision checked by a health provider
Children for whom a health provider gave advice in the past 2 years about how smoking in the house can be bad for a child
Children 0-40 lb for whom a health provider gave advice in the past 2 years about using child safety seats when riding in a car
Children 41-80 lb for whom a health provider gave advice within the past 2 years about using booster seats when riding in a car
Children over 80 lb for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car
Children ages 2-17 years for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle
Children who visited the emergency department for asthma
Children ages 19-35 months who received all recommended vaccines
Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine
Children ages 19-35 months who received 3 or more doses of polio vaccine
Children ages 19-35 months who received at least 1 dose of measles-mumps-rubella vaccine
Children ages 19-35 months who received 3 doses of hepatitis B vaccine
Children ages 19-35 months who received 1 dose of varicella vaccine
Adolescents who received at least 1 dose of meningococcal conjugate vaccine
Adolescents ages 13-15 who received at least three doses of human papillomavirus vaccine, either quadrivalent or bivalent
Adolescents ages 13-15 who received at least 1 dose of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of 10 years
Low-birth-weight births
Children with a well-child visit in the last 12 months
 


 

Measure Title

Children ages 2-17 with untreated dental caries

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National

Years Available

1999-2008

Population Subgroups

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

Children ages 5-11, 12-17, and 13-17 years, as appropriate

Numerator

Subset of denominator with a clinical diagnosis of dental decay in at least one tooth that has not been restored

Comments

This measure is referred to as measure OH-2 in Healthy People 2020 documentation. The age ranges have been modified from the original specification.

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Measure Title

Birth trauma—injury to newborn

Measure Source

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

Table Description

Geographic Representation

National, State

Years Available

National: 2000; 2004-2010

State: 2004; 2007-2010

Population Subgroups

Sex, bed size of hospital, insurance, location of hospital, location of residence, median income of patient’s ZIP code, control of hospital, region, teaching status

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

All newborns

National Numerator

Subset of the denominator with any diagnosis of birth trauma, excluding preterm infants with a birth weight less than 2,000 grams, infants with any diagnosis of injury to brachial plexus, and infants with any diagnosis code of osteogenesis imperfecta

Comments

Estimates are observed rates and are not adjusted for gender or severity.

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

Obstetric trauma per 1,000 vaginal deliveries without instrument assistance

Measure Source

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

Table Description

Geographic Representation

National, State

Years Available

National: 2000-2001; 2004-2010

State: 2000; 2004; 2007-2010

Population Subgroups

Age, bed size of hospital, insurance, location of hospital, location of residence, median income of patient’s ZIP code, control of hospital, region, teaching status

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

All hospital discharges with a diagnosis of vaginal delivery without instrument assistance

Numerator

Subset of the denominator with any diagnosis or procedure indicating obstetric trauma with 3rd or 4th degree lacerations

Comments

Rates are adjusted by age and comorbidities.

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

Children ages 19-35 months who received 3 or more doses or 4 or more doses of Haemophilus influenzae type B vaccine, depending on product type received

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2009-2011

State: 2011

Population Subgroups

Income, race/ethnicity, sex

Data Sources

National & State

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

Denominator

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

Numerator

Subset of the denominator receiving at least 3 doses or at least 4 doses of the Haemophilus influenzae B antigen, depending on product type received

Comments

This measure is referred to as measure IID-7.2 in Healthy People 2020 documentation.

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Measure Title

Children ages 19-35 months who received 4 or more doses of pneumococcal conjugate vaccine

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2010-2011

State: 2011

Population Subgroups

Income, race/ethnicity, sex

Data Sources

National & State

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

Denominator

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

Numerator

Subset of the denominator receiving 4 or more doses of pneumococcal conjugate

Comments

This measure is referred to as measure IID-7.7 in Healthy People 2020 documentation.

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Measure Title

Adolescents ages 13-15 years who received at least 2 doses of varicella vaccine

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2008-2011

State: 2008-2011

Population Subgroups

Income, race/ethnicity, sex

Data Sources

National & State

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

Denominator

U.S. civilian noninstitutionalized population of adolescents ages 13-15 years

Numerator

Subset of the denominator receiving at least 2 doses of varicella vaccine

Comments

This measure is referred to as measure IID-11.2 in Healthy People 2020 documentation.

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Measure Title

Cesarean deliveries

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Table Description

Geographic Representation

National

Years Available

2009-2010

Population Subgroups

Age, geographic location (residence), race/ethnicity, sex

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Denominator

Live births to U.S. residents

Numerator

Subset of the denominator who were born via cesarean delivery

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Measure Title

Cesarean delivery among low risk women with no prior cesarean births

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Table Description

Geographic Representation

National

Years Available

2009-2010

Population Subgroups

Age, geographic location (residence), race/ethnicity, sex

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Denominator

Live births to U.S. residents

Numerator

Children born via cesarean delivery to mothers who were low risk

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Measure Title

Preterm births

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Table Description

Geographic Representation

National

Years Available

2009-2010

Population Subgroups

Age, geographic location (residence), race/ethnicity, sex

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Denominator

Live births to U.S. residents

Numerator

Subset of the denominator who were preterm

Comments

Preterm birth is the birth of an infant prior to 37 weeks of pregnancy.

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Measure Title

Late preterm or live births at 34 to 36 weeks of gestation

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Table Description

Geographic Representation

National

Years Available

2009-2010

Population Subgroups

Age, geographic location (residence), race/ethnicity, sex

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Denominator

Live births to U.S. residents

Numerator

Subset of the denominator who were born at 34 to 36 weeks of gestation

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Measure Title

Very preterm or live births at 32 to 33 weeks of gestation

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Table Description

Geographic Representation

National

Years Available

2009-2010

Population Subgroups

Age, geographic location (residence), race/ethnicity, sex

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Denominator

Live births to U.S. residents

Numerator

Subset of the denominator who were born at 32 to 33 weeks of gestation

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Measure Title

Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Table Description

Geographic Representation

State

Years Available

2009-2010

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Denominator

Live births occurring to residents in those States that use the 2003 revised birth certificate

Numerator

Subset of the denominator who received prenatal care in the first trimester

Comments

Excluded from these analyses are the following States that did not use the 2003 Revision to Birth Certificate: Alabama, Alaska, Arizona, Arkansas, Connecticut, Hawaii, Louisiana, Maine, Massachusetts, Minnesota, Mississippi, New Jersey, North Carolina, Rhode Island, Virginia, West Virginia, and Wisconsin.

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Measure Title

Infant deaths per 1,000 live births

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)—Linked Birth and Infant Death Data

Table Description

Geographic Representation

National, State

Years Available

State: 2002-2005

National: 2000-2009

Population Subgroups

Age, sex, location, race, ethnicity

Data Sources

National and State

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

National Denominator

As appropriate to the birth weight:

  • For all birth weights, population of live births, all birth weights.
  • For birth weights less than 1500 grams, population of live births, birth weight less than 1,500 grams.
  • For birth weights 1,500-2,499 grams, population of live births, birth weights 1,500-2,499 grams.
  • For birth weights more than 2,499 grams, population of live births, birth weights more than 2,499 grams.

National Numerator

Subset of the denominator who died within the first year

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Measure Title

Maternal deaths

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)—Linked Birth and Infant Death Data

Table Description

Geographic Representation

National, State

Years Available

State: 2000-2005

National: 2000-2005

Population Subgroups

Age, sex, location, race, ethnicity, education

Data Sources

National and State

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS

Denominator

Population of mothers with a live birth

Numerator

Subset of the denominator who died

Comments

Estimates are age adjusted to the 2000 U.S. standard population.

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Measure Title

Obstetric trauma per 1,000 instrument-assisted deliveries

Measure Source

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

Table Description

Geographic Representation

National, State

Years Available

National: 2000-2001; 2004-2010

State: 2000; 2004; 2007-2010

Population Subgroups

Age, bed size of hospital, insurance, location of hospital, location of residence, median income of patient’s ZIP code, control of hospital, region, teaching status

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

All instrument-assisted vaginal deliveries discharged from hospital

Numerator

Subset of the denominator with any diagnosis or procedure indicating obstetric trauma with 3rd or 4th degree lacerations

Comments

Rates are adjusted by age.

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

Children who had their height and weight measured by a health provider within the past 2 years

Measure Source

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

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, sex, race, ethnicity, income, perceived health status, preferred language, insurance, U.S. born, location of residence, children with special health care needs

Data Sources

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

Denominator

Children under age 18

Numerator

Subset of the denominator who had both height and weight measurements taken within the past 2 years by a health provider

Comments

This is a composite measure combining responses to both height and weight measurements.

"Don’t Know" responses to the questions of when the weight and height were measured were excluded.

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Measure Title

Children ages 2-17 who had a dental visit in the calendar year

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, sex, race, ethnicity, income, perceived health status, preferred language, insurance, U.S. born, location of residence, children with special health care needs

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. population ages 2-17 years

Numerator

Subset of denominator who had a dental visit in the survey year

Comments

The age used to subset the child population for the "children with special health care needs" category is the age at the interview rounds when the questions about special health care needs were asked. For other categories, it is the age at the end of the year.

This measure is referred to as measure OH-7 in Healthy People 2020 documentation.

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Measure Title

Children age 17 and under with a wellness checkup in the past 12 months

Measure Source

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

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National

Years Available

2009-2011

Population Subgroups

Age, ethnicity, race, sex, income, insurance, location of residence

Data Sources

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

Denominator

Children ages 10-17 and under 17 years, where appropriate

Numerator

Subset of the denominator who received a wellness checkup in the past 12 months

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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)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, sex, race, ethnicity, income, perceived health status, preferred language, insurance, U.S. born, location of residence, children with special health care needs

Data Sources

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

Denominator

Children ages 3-6 years

Numerator

Subset of the denominator whose vision had ever been checked by a doctor or other health provider

Comments

Estimates exclude nonrespondents as well as "Don’t Know" responses.

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Measure Title

Children for whom a health provider gave advice in the past 2 years about how smoking in the house can be bad for a child

Measure Source

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

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, sex, race, ethnicity, income, perceived health status, preferred language, insurance, U.S. born, location of residence, children with special health care needs

Data Sources

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

Denominator

Children under age 18

Numerator

Subset of the denominator for whom a doctor or other health provider within the past 2 years had given advice about how smoking in the house can be harmful

Comments

Estimates exclude nonrespondents and "Don’t Know" responses.

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Measure Title

Children 0-40 lb for whom a health provider gave advice in the past 2 years about using child safety seats when riding in a car

Measure Source

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

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, sex, race, ethnicity, income, perceived health status, preferred language, insurance, U.S. born, location of residence, children with special health care needs

Data Sources

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

Denominator

Population of U.S. children weighing 0-40 lb

Numerator

Subgroup of the denominator for whom a doctor or other health provider had given advice within the past 2 years about using child car safety seats

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Measure Title

Children 41-80 lb for whom a health provider gave advice within the past 2 years about using booster seats when riding in a car

Measure Source

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

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, sex, race, ethnicity, income, perceived health status, preferred language, insurance, U.S. born, location of residence, children with special health care needs

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. children weighing 41-80 lb

Numerator

Subset of the denominator for whom a doctor or other health provider had given advice in the past 2 years about using booster seats

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Measure Title

Children over 80 lb for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car

Measure Source

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

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, sex, race, ethnicity, income, perceived health status, preferred language, insurance, U.S. born, location of residence, children with special health care needs

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. population of children weighing over 80 lb

Numerator

Subset of the denominator for whom a doctor or other health provider had given advice within the past 2 years about using lap and shoulder belts

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Measure Title

Children ages 2-17 years for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle

Measure Source

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

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, sex, race, ethnicity, income, perceived health status, preferred language, insurance, U.S. born, location of residence, children with special health care needs

Data Sources

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

Denominator

Children ages 2-17 years

Numerator

Subset of the denominator for whom a doctor or other health provider had given advice within the past 2 years about using a helmet when riding a bicycle or motorcycle

Comments

Estimates exclude nonrespondents and "Don’t Know" responses.

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Measure Title

Children who visited the emergency department for asthma

Measure 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)

Table Description

Geographic Representation

National

Years Available

2005-2009

Population Subgroups

Ethnicity, race, sex, insurance

Data Sources

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

Population of children ages 2-19, 2-9, and 10-19, where appropriate

Numerator

Subset of the denominator with a hospital emergency department visit for asthma

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Measure Title

Children ages 19-35 months who received all recommended vaccines

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2000-2011

State: 2010-2011

Population Subgroups

Race, ethnicity, sex, income

Data Sources

National and State

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

Denominator

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

Numerator

Number of children ages 19-35 months receiving at least 4 doses of diphtheria-tetanus-acellular pertussis (DTaP) vaccine; at least 3 doses of polio vaccine; at least 1 dose of measles-mumps-rubella (MMR) vaccine; at least 3 doses or at least 4 doses of Haemophilus influenzae B (Hib) vaccine, depending on product type received; at least 3 doses of hepatitis B vaccine; at least 1 dose of varicella vaccine; and at least 4 doses of pneumococcal conjugate vaccine (PCV).

Comments

This is a composite measure; it is referred to as measure IID-8 in Healthy People 2020 documentation. The vaccines included in this measure are based on the corresponding Healthy People 2020 objective. These include at least 4 doses of DTaP vaccine; at least 3 doses of polio vaccine; at least 1 dose of MMR vaccine; at least 3 or at least 4 doses of Hib vaccine, depending on type of vaccine received; at least 3 doses of hepatitis B vaccine; at least 1 dose of varicella vaccine; and at least 4 doses of PCV. 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: influenza vaccine (added in 2004) and hepatitis A vaccine and rotavirus vaccine (both added in 2006).

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Measure Title

Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2001-2011

State: 2000-2001; 2003-2009; 2011

Population Subgroups

Race, ethnicity, sex, income

Data Sources

National and State

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

Denominator

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

Numerator

Subset of the denominator receiving at least 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens

Comments

This measure is referred to as measure IID-7.1 in Healthy People 2020 documentation.

This baseline measure tracks the number of children ages 19-35 months receiving 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens, as well as those children who received the combination of diphtheria, tetanus, and pertussis antigens.

Statistical adjustments are made to minimize bias due to (1) lower coverage among children living in households without telephones, (2) discrepancies between vaccinations reported by household compared with immunization providers, and (3) differences in racial/ethnic population distribution in the sample compared with racial/ethnic population distribution at birth.

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Measure Title

Children ages 19-35 months who received 3 or more doses of polio vaccine

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2001-2011

State: 2000-2001; 2003-2009; 2011

Population Subgroups

Race, ethnicity, sex, income

Data Sources

National and State

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

Denominator

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

Numerator

Subset of the denominator receiving at least 3 doses of the polio antigen

Comments

This measure is referred to as measure IID-7.5 in Healthy People 2020 documentation.

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Measure Title

Children ages 19-35 months who received at least 1 dose of measles-mumps-rubella vaccine

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2001-2011

State: 2000-2001; 2003-2009; 2011

Population Subgroups

Race, ethnicity, sex, income

Data Sources

National and State

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

Denominator

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

Numerator

Subset of the denominator receiving at least 1 dose of the combination of measles, mumps, and rubella antigens

Comments

This measure is referred to as measure IID-7.4 in Healthy People 2020 documentation.

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Measure Title

Children ages 19-35 months who received 3 doses of hepatitis B vaccine

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2001-2011

State: 2000-2001; 2003-2009; 2011

Population Subgroups

Race, ethnicity, sex, income

Data Sources

National and State

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

Denominator

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

Numerator

Subset of denominator receiving at least 3 doses of the hepatitis B antigen

Comments

This measure is referred to as measure IID-7.3 in Healthy People 2020 documentation.

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Measure Title

Children ages 19-35 months who received 1 dose of varicella vaccine

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2001-2011

State: 2000-2001; 2003-2009; 2011

Population Subgroups

Race, ethnicity, sex, income

Data Sources

National and State

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

Denominator

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

Numerator

Subset of denominator receiving at least 1 dose of the varicella antigen

Comments

This measure is referred to as measure IID-7.6 in Healthy People 2020 documentation.

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Measure Title

Adolescents ages 13-15 years who received at least 1 dose of meningococcal conjugate vaccine

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2008-2011

State: 2008-2011

Population Subgroups

Race, ethnicity, sex, income

Data Sources

National and State

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

Denominator

U.S. civilian noninstitutionalized population ages 13-15 years

Numerator

Subset of the denominator who received at least 1 dose of meningococcal conjugate vaccine

Comments

This measure is referred to as measure IID-11.3 in Healthy People 2020.

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Measure Title

Adolescents ages 13-15 who received at least three doses of human papillomavirus vaccine, either quadrivalent or bivalent

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2008-2011

State: 2008-2011

Population Subgroups

Race, ethnicity, sex, income

Data Sources

National and State

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

Denominator

U.S. civilian noninstitutionalized population of females ages 13-15 years

Numerator

Subset of the denominator who received 3 or more doses of human papillomavirus vaccine

Comments

This measure is referred to as measure IID-11.4 in Healthy People 2020 documentation.

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Measure Title

Adolescents ages 13-15 who received at least 1 dose of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of 10 years

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

National: 2008-2011

State: 2008-2011

Population Subgroups

Race, ethnicity, sex, income

Data Sources

National and State

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

Denominator

U.S. civilian noninstitutionalized population ages 13-15 years

Numerator

Subset of the denominator who received 1 or more doses of Tdap vaccine

Comments

This measure is referred to as measure IID-11.1 in Healthy People 2020 documentation.

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Measure Title

Low-birth-weight births

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Table Description

Geographic Representation

National

Years Available

2007-2010

Population Subgroups

Age, sex, location, race, ethnicity

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)

Denominator

Population of live-born infants

Numerator

Subset of the denominator who were low birth weight or very low birth weight

Comments

Excluded from these analyses are States that did not use the 2003 Revision to Birth Certificate: Alabama, Alaska, Arizona, Arkansas, Connecticut, District of Columbia, Hawaii, Illinois, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, Oklahoma, Rhode Island, Utah, Virginia, West Virginia, and Wisconsin.

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Measure Title

Children with a well-child visit in the last 12 months

Measure Source

Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB) and Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Survey of Children’s Health (NSCH)

Table Description

Geographic Representation

National

Years Available

2011-2012

Population Subgroups

Age, geographic location (residence), insurance, preferred language, race/ethnicity

Data Sources

Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB) and Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Survey of Children Health (NSCH)

Denominator

U.S. civilian noninstitutionalized population ages 0-17

Numerator

Subset of the denominator who had a well-child visit in the last 12 months

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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/maternal_and_child_health.html

 

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

 

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