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

Timeliness: Getting Appointments for Care

 

Measures

Adults who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted
Adults with Medicare or Medicaid who had an appointment for routine health care who sometimes or never got appointments for routine care as soon as wanted
Children who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted
Children who had an appointment for routine health care in the last 6 months who sometimes or never got appointments for routine care as soon as wanted
Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted
Adults with Medicare or Medicaid who needed care right away for an illness, injury, or condition who sometimes or never got care as soon as wanted
Children who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted
Children with Medicaid who needed care right away for an illness, injury, or condition who sometimes or never got care as soon as wanted
Emergency department visits where the patient was transferred or admitted to the hospital and length of visit was six hours or more
 


 

Measure Title

Adults who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted

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

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

National AHRQ, CFACT, MEPS

Denominator

Adults age 18 and over who made an appointment for regular or routine health care in the past 12 months and had a valid response to the MEPS question, "In the last 12 months, how often did you get an appointment for regular or routine health care as soon as you wanted?"

Numerator

Subset of the denominator who answered "Sometimes" or "Never."

Comments

National Table Description report data from the MEPS Self-Administered Questionnaire (SAQ).

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Measure Title

Adults with Medicare or Medicaid who had an appointment for routine health care who sometimes or never got appointments for routine care as soon as wanted

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)

Data Source

State

AHRQ, CQuIPS, CAHPS

Denominator

For Medicaid, respondents who answered "Yes" to the question, "In the last 6 months did you make any appointments with a doctor or other health care provider for regular or routine health care?"

For Medicare managed care and Medicare fee for service, respondents who answered "Yes" to the question, "In the last 12 months did you make any appointments with a doctor or other health care provider for regular or routine health care?"

Numerator

For Medicaid, subset of the denominator population who answered "Sometimes" or "Never" to the question, "In the last 6 months, not counting times you needed health care right away, how often did you get an appointment for health care as soon as you wanted?"

For Medicare managed care and Medicare fee for service, subset of the denominator population who answered "Sometimes" or "Never" to the question, "In the last 12 months, not counting times you needed health care right away, how often did you get an appointment for health care as soon as you wanted?"

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

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Measure Title

Children who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

National AHRQ, CFACT, MEPS

Denominator

Children who had an appointment for regular or routine health care in the past 12 months and with a valid response to the question "In the last 12 months, how often did [the person] get an appointment for regular or routine health care as soon as you wanted?"

Numerator

Subset of the denominator who, according to their parents or guardians, answered the above question "Sometimes" or "Never."

Comments

Data are from the MEPS Child Health section. The MEPS entry in the Data Sources appendix has more information.

Nonrespondents and "Don’t Know" responses were excluded.

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Measure Title

Children who had an appointment for routine health care in the last 6 months who sometimes or never got appointments for routine care as soon as wanted

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid)

Data Source

State: AHRQ, CQuIPS, CAHPS

Denominator

Children with Medicaid benefits who had appointments with a doctor or other health care provider for regular or routine health care in the last 6 months

Numerator

Subset of the denominator population with their parent or guardian’s answer of "Sometimes" or "Never" to the question, "In the last 6 months, not counting times you needed health care right away, how often did you get an appointment for health care as soon as you wanted?"

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted

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

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Sources

National AHRQ, CFACT, MEPS

Denominator

Adults age 18 and over who in the past 12 months had an illness or injury who needed care right away and had a valid response to the question, "In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?"

Numerator

Subset of the denominator who responded "Sometimes" or "Never" to the above question

Comments

Nonrespondents and "Don’t Know" responses were excluded.

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Measure Title

Adults with Medicare or Medicaid who needed care right away for an illness, injury, or condition who sometimes or never got care as soon as wanted

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)

Data Source

State: AHRQ, CQuIPS, CAHPS

Denominator

For Medicaid, adults who reported having an illness, injury, or condition that needed care right away in a clinic, emergency room, or doctor’s office in the last 6 months.

For Medicare managed care and Medicare fee for service, adults who reported having an illness, injury, or condition that needed care right away in a clinic, emergency room, or doctor’s office in the last 12 months.

Numerator

For Medicaid, subset of the denominator who answered "Sometimes" or "Never" to the question, "In the last 6 months, when you needed care right away for an illness, injury, or condition, how often did you get care as soon as you wanted?"

For Medicare managed care and Medicare fee for service, subset of the denominator who answered "Sometimes" or "Never" to the question, "In the last 12 months, when you needed care right away for an illness, injury, or condition, how often did you get care as soon as you wanted?"

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Children who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted

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, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Sources

AHRQ, CFACT, MEPS

Denominator

Children under age 18 who had an illness or injury that needed care right away in the past 12 months with a valid response to the question, "In the last 12 months, when [the person] needed care right away for an illness or injury, how often did [person] get care as soon as you wanted?"

Numerator

Subset of the denominator whose parents or guardians’ answered the above question "Sometimes" or "Never."

Comments

Nonrespondents and respondents indicating "Don’t Know" were excluded.

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Measure Title

Children with Medicaid who needed care right away for an illness, injury, or condition who sometimes or never got care as soon as wanted

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid)

Data Source

State

AHRQ, CQuIPS, CAHPS

Denominator

Children under age 18 with Medicaid benefits who had an illness, injury, or condition that needed care right away in a clinic, emergency room, or doctor’s office in the last 6 months

Numerator

Subset of the denominator with their parent or guardian’s answer of "Sometimes" or "Never" to the question, "In the last 6 months, when you needed care right away for an illness, injury, or condition, how often did you get care as soon as you wanted?"

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Emergency department visits where the patient was transferred or admitted to the hospital and length of visit was six hours or more

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Hospital Ambulatory Medical Care Survey (NHAMCS)

Table Description

Geographic Representation

National

Years Available

2010-2011

Population Subgroups

Age, gender, geographic location (hospital), health insurance, race/ethnicity

Data Sources

National Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Hospital Ambulatory Medical Care Survey (NHAMCS)

Denominator

Number of visits to emergency departments where the patient disposition status was listed as transferred or admitted

Numerator

Number of visits for which the length of visit was six hours or more among the population represented by the denominator

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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/timeliness-appts.html

 

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

 

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