National Healthcare Quality Report, 2005
This appendix provides detailed data tables for all measures
analyzed for the 2005
National Healthcare Quality Report. Tables are included for measures discussed
in the main text
of the report as well as for other measures that were examined but not included
in the main text.
Select each table name to link to appropriate information. Unless otherwise
specified in tables, data are not age adjusted and include all ages. Unless
specific age groups are specified, children include individuals age 0-17 and
adults include individuals age 18 and older.
Detailed Data Tables
Quality of Health Care Measures
Effectiveness of Care: Cancer
Effectiveness of Care: Diabetes
Effectiveness of Care: End Stage Renal Disease
Effectiveness of Care: Heart Disease
Effectiveness of Care: HIV/AIDS
Effectiveness of Care: Maternal and Child Health
Effectiveness of Care: Mental Health and Substance Abuse
Effectiveness of Care: Respiratory Diseases
Effectiveness of Care: Nursing Home and Home Health Care
Patient Safety
Timeliness
Patient Centeredness
Overall
Quality of Health Care Measures
Effectiveness: Cancer
Screening for Breast Cancer
1.1. Women age 40 and over who report they had a mammogram within the past 2 years: United States, State
1.2. Rate of breast cancers diagnosed at advanced stage: United States, State
Screening for Cervical Cancer
1.3. Women age 18 and over who report they had a Pap smear within the past 3 years: United
States, State
1.4. Rate cervical cancers diagnosed as invasive (includes local, regional, and distant disease except in situ disease): United
States, State
Screening for Colorectal Cancer
1.5. Men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy: United
States, State
1.6. Men and women age 50 and over who report they had a fecal occult blood test (FOBT) within the past 2 years: United States, State
1.7. Rate of colorectal cancers diagnosed as regional or distant staged cancers: United States, State
Cancer Treatment
1.8. Cancer deaths per 100,000 population per year for all cancers: United States, State
1.9. Cancer deaths per 100,000 male population per year for prostate cancer: United
States, State
1.10. Cancer deaths per 100,000 female population per year for breast cancer: United States, State
1.11. Cancer deaths per 100,000 population per year for lung cancer: United
States, State
1.12. Cancer deaths per 100,000 population per year for colorectal cancer: United
States, State
1.13. Deaths per 1000 admissions with esophageal resection for cancer: United
States
1.14. Deaths per 1000 admissions with pancreatic resection for cancer: United
States
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Effectiveness: Diabetes
Management of Diabetes
1.15. Adults with diabetes who had all (3) recommended services: United
States
1.16. Adults with diabetes who had a hemoglobin A1c measurement at least once in past year: United
States, State
1.17. Adults with diabetes who had a lipid profile in past 2 years: United
States
1.18. Adults with diabetes who had a retinal eye examination in past year: United
States, State
1.19. Adults with diabetes who had a foot examination in past year: United
States, State
1.20. Adults with diabetes who had an influenza immunization in past year: United
States, State
1.21. Adults with diagnosed diabetes with HbA1c level > 9.0% (poor control); < 7.0%
(optimal): United
States
1.22. Adults (18 years and over) with diagnosed diabetes whose total cholesterol
is < 200 mg/dl: United
States
1.23. Adults with diagnosed diabetes with most recent blood pressure < 140/90
mm/Hg: United
States
1.24. Hospital admissions for uncontrolled diabetes per 100,000 population: United
States, State
1.25. Hospital admissions for short-term complications of diabetes per 100,000
population: United
States, State
1.26. Hospital admissions for long-term complications of diabetes per 100,000
population: United
States, State
1.27. Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population: United
States
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Effectiveness: End Stage Renal Disease
Management of End Stage Renal Disease
1.28. Dialysis patients registered on the waiting list for transplantation: United
States, State
1.29. Patients with treated chronic kidney failure who receive a transplant within 3 years of date of renal failure: United
States, State
1.30. Hemodialysis patients with urea reduction ratio 65% or higher: United
States, State
1.31. Hemodialysis patients with hemoglobin 11 or higher: United
States, State
1.32. Patient survival rate: State
1.33. Hemodialysis patients with arteriovenous fistula as primary mode of vascular access: United
States
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Effectiveness: Heart Disease
Screening for High Blood Pressure
1.34. Adults who have had their blood pressure measured within the preceding 2 years and can state whether their blood pressure was normal or high: United
States
Screening for High Cholesterol
1.35. Adults who have had their blood cholesterol checked within the preceding 5 years: United
States, State
Counseling on Risk Factors
1.36. Current smokers age 18 and over receiving advice to quit smoking: United
States, State
Treatment of Acute Myocardial Infarction (AMI)
1.37. AMI composite: United States
1.38. AMI patients with aspirin within 24 hours of admission: United
States, State (2002, 2003), State
(2004)
1.39. AMI patients with aspirin prescribed at discharge: United
States, State (2002,
2003), State (2004)
1.40. AMI patients administered beta blocker within 24 hours of admission: United
States, State (2002,
2003), State (2004)
1.41. AMI patients with beta blocker prescribed at discharge: United
States, State (2002,
2003), State (2004)
1.42. AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge: United
States, State (2002, 2003), State (2004)
1.43. AMI patients given smoking cessation counseling while hospitalized: United
States, State (2002, 2003), State (2004)
1.44. Median time in minutes to thrombolysis. Time from arrival to initiation
of a thrombolytic agent in patients with ST segment elevation or left bundle
branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital
arrival time: United
States, State (2002, 2003)
1.45. Median time in minutes to PTCA. Median time from arrival to percutaneous
transluminal coronary angioplasty (PTCA) in patients with ST segment elevation or
left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to
hospital arrival time: United
States, State (2002, 2003), State (2004)
Treatment of Acute Heart Failure
1.46. Heart failure composite: United
States
1.47. Heart failure patients having evaluation of left ventricular ejection fraction: United
States, State (2002, 2003), State (2004)
1.48. Heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge: United
States, State (2002, 2003), State (2004)
1.49. Adults age 18 and over with hypertension whose blood pressure is under control: United
States
1.50. Hospital admissions for congestive heart failure: (United States per 1,000 population), State (per 100,000 population)
Heart Disease Treatment
1.51. Pediatric heart surgery mortality rate (number of deaths per 1,000 heart surgeries in patients under age 18 years): United
States
1.52. Abdominal aortic aneurysm (AAA) repair mortality rate (number of deaths per 1,000 AAA repairs): United
States
1.53. Coronary artery bypass graft (CABG) mortality rate (number of deaths per 1,000 CABG procedures): United
States
1.54. Percutaneous transluminal coronary angioplasty (PTCA) mortality rate (number of deaths per 1,000 PTCAs): United
States
1.55. Acute myocardial infarction (AMI) mortality rate (number of deaths per 1,000 discharges for AMI): United
States
1.56. Congestive heart failure (CHF) mortality rate (number of deaths per 1,000
discharges for CHF): United
States
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Effectiveness: HIV/AIDS
AIDS Prevention
1.57. New AIDS cases per 100,000 population 13 and over: United
States
Management of HIV/AIDS
1.58. HIV infection deaths per 100,000 population: United
States, State
1.59. HIV patients with CD4 < 200 who received PCP prophylaxis: United
States
1.60. HIV patients with CD4 < 50 who received MAC prophylaxis: United
States
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Effectiveness: Maternal and Child Health
Maternity Care
1.61. Pregnant women receiving prenatal care in first trimester: United
States, State
1.62. Liveborn infants with low birthweight (less than
2,500 grams): United States, State
1.62. Liveborn infants with very low birthweight (less than
1,500 grams): United States, State
1.63. Infant mortality per 1000 live births: United
States, less than 1,500
grams, 1,500-2,499 grams, more than 2,499 grams
1.63. Infant mortality per 1000 live births: State
(1998, 2002), less
than 1,500 grams (2002),
1,500-2,499 grams (2002), more
than 2,499 grams (2002)
1.64. Maternal deaths per 100,000 live births: United
States, State
Immunization, Childhood
1.65. Children age 19-35 months who received all recommended vaccines: United
States, State
Immunization, Adolescent
1.66. Adolescents age 13-15 who received 3 or more doses of hepatitis B vaccine: United
States
1.67. Adolescents age 13-15 who received 2 or more doses of measles-mumps-rubella vaccine: United
States
1.68. Adolescents age 13-15 who received 1 or more doses of tetanus-diphtheria booster: United
States
1.69. Adolescents age 13-15 who received 1 or more doses of varicella vaccine: United
States
Childhood dental care
1.70. Children age 2-17 who report dental visit in last year: United
States
Treatment of Pediatric Gastroenteritis
1.71. Hospital admissions for pediatric gastroenteritis per 100,000 population: United
States, State
Childhood Screening and Counseling
1.72. Children under age 18 who had their height and weight measured by a doctor
or other health provider: United
States (2002), United States
(2001)
1.73. Children age 2-17 for whom a doctor or other health provider gave advice
about amount and kind of physical activity: United
States (2002), United States
(2001)
1.74. Children age 2-17 for whom a doctor or other health provider gave advice
about eating healthy: United
States (2002), United States
(2001)
1.75. Children age 3-6 whose vision was checked by a doctor or other health provider: United
States
1.76. Children under age 18 for whom a doctor or other health provider gave advice
about how smoking in the house can be harmful: United
States (2002), United States
(2001)
1.77. Children under age 18 for whom a doctor or other health provider gave advice
about using car safety restraints: United
States (2002), United States
(2001)
1.78. Children age 2-17 for whom a doctor or other health provider gave advice
about using a helmet when riding a bicycle or motorcycle: United
States (2002), United States
(2001)
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Effectiveness: Mental Health and Substance Abuse
Treatment of Depression
1.79. Adults diagnosed with a new episode of depression who had optimal practitioner
contacts for medication management during the acute treatment phase: United
States
1.80. Adults diagnosed with a new episode of depression and initiated on an antidepressant
drug who received a continuous trial of medication treatment during the acute
treatment phase: United
States
1.81. Adults diagnosed with a new episode of depression and initiated on an antidepressant
drug who remained on an antidepressant medication through the continuation phase
of treatment: United
States
1.82. Deaths due to suicide per 100,000 population: United
States, State
Treatment of Serious Mental Illness
1.83. Adults with serious mental illness who receive mental health treatment: United
States
1.84. Adults who receive treatment for serious mental illness who experience improvement: United
States
Treatment of Substance Abuse
1.85. People 12 and older with substance abuse problem who receive treatment: United
States
1.86. People who receive substance abuse treatment who complete treatment course: United
States
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Effectiveness: Respiratory Diseases
Influenza Immunization
1.87. High risk adults age 18-64 who received influenza vaccine in past year: United
States, State
1.88. Noninstitutionalized adults age 65 and over who received influenza vaccine
in the past year: United
States, State
1.89. Hospital admissions for influenza per 100,000 population 65 and over: United
States, State
Pneumococcal Immunization
1.90. High risk adults age 18-64 who ever received pneumococcal vaccination: United
States, State
1.91. Noninstitutionalized adults age 65 and over who ever received pneumococcal
vaccination: United
States, State
Treatment of Pneumonia
1.92. Pneumonia composite: United States
1.93. Patients with pneumonia who have blood cultures collected before antibiotics
are administered: United
States, State (2002, 2003), State
(2004)
1.94. Patients with pneumonia who receive the initial antibiotic dose within 4 hours of hospital arrival: United
States, State (2002, 2003), State (2004)
1.95. Patients with pneumonia who receive the initial antibiotic consistent with current recommendations: United
States, State (2002, 2003)
1.96. Patients with pneumonia who receive influenza screening or vaccination: United
States, State (2002, 2003)
1.97. Patients with pneumonia who receive pneumococcal screening or vaccination: United
States, State (2002, 2003), State (2004)
1.98. Pneumonia mortality rate (number of deaths per 1000 discharges for pneumonia): United
States
Treatment of Upper Respiratory Infection
1.99. Antibiotics prescribed at visits with a diagnosis of common cold per 10,000 population: United
States
Management of Asthma
1.100. People with persistent asthma who are prescribed medications acceptable
as primary therapy for long-term control of asthma (inhaled corticosteroids): United
States
1.101. Hospital admissions for pediatric asthma (under age 18): United
States, State
1.102. Hospital admissions for asthma age 18 and over: United
States, State
1.103. Hospital admissions for asthma age 65 and over: United
States, State
Treatment of Tuberculosis
1.104. Tuberculosis patients who complete a curative course of treatment within 12 months of initiation of treatment: United
States
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Effectiveness: Nursing Home and Home Health Care
Nursing Facility Care
1.105. Residents whose need for help with daily activities has increased: State
1.106. Long stay nursing home residents who have moderate to severe pain: State
1.107. Long stay nursing home residents who were physically restrained: State
1.108. Long stay nursing home residents who spend most of their time in bed or in a chair: State
1.109. Residents whose ability to move about in and around their room got worse: State
1.110. Long stay nursing home residents who had a urinary tract infection: State
1.111. Long stay nursing home residents who are more depressed or anxious: State
1.112. High risk residents who have pressure sores: State
1.113. Low risk residents who have pressure sores: State
1.114. Low risk long stay nursing home residents who lose control of their bowels or bladder: State
1.115. Low risk long stay nursing home residents who had a catheter inserted and left in the bladder: State
1.116. Short stay nursing home residents who have moderate to severe pain: State
1.117. Short stay nursing home residents with delirium:
State
1.118. Short stay nursing home residents who have pressure sores: State
1.119. Residents who lose too much weight: State
Home Health Care
1.120. Improvement in upper body dressing: State
1.121. Improvement in management of oral medications: State
1.122. Improvement in bathing: State
1.123. Stabilization in bathing: State
1.124. Improvement in transferring: State
1.125. Improvement in ambulation/locomotion: State
1.126. Improvement in toileting: State
1.127. Improvement in pain interfering with activity: State
1.128. Improvement in dyspnea: State
1.129. Improvement in urinary incontinence: State
1.130. Improvement in confusion frequency: State
1.131. Acute care hospitalization: State
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Patient Safety
Complications of care
2.1. Birth trauma—injury to neonate: United States
2.2. Death in low mortality DRGs: United States
2.3. Failure to rescue: United States
2.4. Transfusion reactions per 100,000 population: United States
2.5. Foreign body accidentally left in during procedure, United States (2001, 2002): per 1000 medical and surgical discharges, per 100,000 population
2.6. Central line-associated bloodstream infection in ICU patients: United States
2.7. Central line-associated bloodstream infection in infants weighing 1000 grams or less at birth in intensive care: United States
2.8. Complications of anesthesia: United States
2.9. Decubitus ulcers: United States
2.10. Iatrogenic pneumothorax, United States (2001, 2002): per 1000 discharges, per 100,000 population
2.11. Selected infections due to medical care, United States (2001, 2002): per 1000 discharges, per 100,000 population
2.12. Postoperative hip fractures: United States
2.13. Postoperative hemorrhage or hematoma: United States
2.14. Postoperative physiologic and metabolic derangements: United States
2.15. Postoperative respiratory failure: United States
2.16. Postoperative pulmonary embolism or deep vein thrombosis: United
States
2.17. Postoperative sepsis: United States
2.18. Accidental puncture or laceration during procedures, United States (2001, 2002): per 1000 discharges, per 100,000 population
2.19. Reclosure of postoperative disruption of abdominal wall, United States (2001, 2002): per 1000 abdominopelvic-surgery discharges, per 100,000 population
2.20. Obstetric trauma—vaginal with instrument: United States
2.21. Obstetric trauma—vaginal without instrument: United
States
2.22. Obstetric trauma—Cesarean delivery: United States
2.23. Intensive care unit patients—catheter-associated urinary tract infection: United States
2.24. Intensive care unit patients—ventilator-associated pneumonia: United States
2.25. Infants weighing 1,000 g or less at birth in intensive care—ventilator-associated
pneumonia: United States
2.26. Postoperative venous thromboembolic events: United States
2.27. Postoperative pneumonia events: United States
2.28. Mechanical adverse events associated with central vascular catheters: United
States
2.29. Insertion-site infections associated with central vascular catheters: United
States
2.30. Bloodstream infections associated with central vascular catheters: United
States
2.31. Postoperative urinary tract Infections: United
States
2.32. Ventilator-associated pneumonia events: United
States
2.33. Hospital-acquired bloodstream infections: United
States
2.34. Adverse events associated with hip joint replacement due to degenerative conditions: United States
2.35. Adverse events associated with hip joint replacement due to fracture: United States
2.36. Adverse events associated with hip joint replacement due to fracture or degenerative conditions: United States
2.37. Adverse events associated with knee replacement: United States
Prescribing Medications
2.38. Community-dwelling elderly who had at least 1 prescription
(from a list of 11 medications and from a list of 33 medications) that is potentially
inappropriate for the elderly: United States
2.39. Adults who report that usual source of care asks about prescription
medications and treatments from other providers: United
States
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Timeliness
Basic Access
3.1A. Persons who have a specific source of ongoing care: United
States
3.1B. Persons with a hospital, emergency room, or clinic as source
of ongoing care: United States
3.1C. Persons in fair or poor health who have a specific source of
ongoing care: United States
3.2A. Families unable or delayed in receiving needed medical care, dental care,
or prescription medications, by main reasons: United
States
3.2B. Families unable or delayed in receiving needed medical care,
by main reasons: United States
3.2C. Families unable or delayed in receiving needed dental care, by
main reasons: United States
3.2D. Families unable or delayed in receiving needed prescription
medications, by main reasons: United States
Getting Appointments for Care
3.3. Among adults age 18 and over who reported making an appointment for routine
health care in the last 12 months, percent distribution of how often they got
an appointment as soon as wanted: United States
(2002), United States (2000), Medicaid,
State, Medicare fee for service, State, Medicare
managed care, State
3.4. Among children under age 18 who had appointments reported for routine health
care in the last 12 months, percent distribution of how often they got an appointment
as soon as wanted: United States (2002), United
States (2001), Medicaid, State
3.5. Among adults age 18 and over who reported making an appointment for an
illness or injury in the last 12 months, percent distribution of how often they
got an appointment as soon as wanted: United States
(2002), United States (2000), State
Medicaid, Medicare fee for service, State, Medicare
managed care, State
3.6. Among children under age 18 who had appointments reported for an illness
or injury in the last 12 months, percent distribution of how often they got an
appointment as soon as wanted: United States (2002), United
States (2001), Medicaid, State
Waiting Time
3.7. Emergency department (ED) visits: ED visits where patient was admitted
to the hospital or transferred to other facility whose ED visit was greater
than
or
equal to
6 hours: United States
3.8. Emergency department (ED) visits: ED visits where patients left
before being seen: United States
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Patient Centeredness
Patient Experience of Care
4.1. Among adults age 18 and over who had a doctor's office or clinic visit in
the last 12 months, percent distribution of how often their health providers
listened
carefully, explained things clearly, showed respect for what they had to say,
and spent enough time with them: United States
(2002), United States (2000), State
Medicaid (2004), Medicare
fee for service, State, Medicare
managed care, State
4.2. Among children under age 18 who had a doctor's office or clinic visit in
the
last
12 months, percent distribution of how often their health providers listened
carefully, explained things clearly to their parents, showed respect for what
their parents had to say, and spent enough time with them: United
States (2002), United States (2001), State
Medicaid
4.3. Among adults age 18 and over who reported going to a doctor's office or
clinic in the last 12 months, percent distribution of how often their health
providers listened carefully to them: United States
(2002), United States (2000), State
Medicaid, State
Medicare fee for service, State Medicare
managed care
4.4. Among children under age 18 who had a doctor's office or clinic visit reported
in the last 12 months, percent distribution of how often their health providers
listened carefully to their parents: United States
(2002), United States (2001), State Medicaid
4.5. Among adults age 18 and over who reported going to a doctor's office or
clinic in the last 12 months, percent distribution of how often their health
providers explained things clearly: United
States (2002), United States (2000), State Medicaid, State
Medicare fee for service, State Medicare
managed care
4.6. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers explained things clearly: United States (2002), United States (2001), State Medicaid
4.7. Among adults age 18 and over who reported going to a doctor's office or
clinic in the last 12 months, percent distribution of how often their health
providers showed respect for what they had to say: United
States (2002), United States (2000), State
Medicaid, State Medicare fee for service, State
Medicare managed care
4.8. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers showed respect for what their parents had to say: United
States (2002), United States (2001), State Medicaid
4.9. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers spent enough time with them: United
States (2002), United States (2000), State
Medicaid, State Medicare fee for service, State Medicare managed care
4.10. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers spent enough time with them and their parents: United
States (2002), United States (2001), State Medicaid
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Overall Measures
5.1. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent giving a best rating for health care received: United
States (2002), United States (2000), State Medicaid, State Medicare fee for service, State Medicare managed care
5.2. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent of parents giving a best rating for health care received: United
States (2002), United States (2001), State Medicaid
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Current as of January 2006
Internet Citation:
Data Tables Appendix. National Healthcare Quality Report, 2005. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/nhqr05/
540 Gaither Road Rockville, MD 20850