Appendix F: NHQR Quality Measures for All Conditions by State
This appendix lists quality measures for all conditions and topics in the NHQR. It includes the national
estimate and then an indicator for whether or not the State estimate (not shown due to space limitation) is
statistically greater, lower, or no different from the national average. The measures for which State-level
data are not reported in the NHQR are noted as not available (n/a). This resource can help States identify
which diseases and treatments, including and outside of diabetes, may be in need of attention. Many of
the same data issues described in Module 2: Data and Module 3: Information are applicable to other disease topics, although different data sources and limitations may apply to them.
Contents
Table F.1. NHQR quality measures for all conditions when available by State, alphabetically Alabama through Missouri
Table F.2. NHQR quality measures for all conditions when available by State, alphabetically Montana through Wyoming
Table F.1. NHQR quality measures for all conditions when available by State, alphabetically Alabama through Missouri
Part 1 - Alabama-Florida
National Healthcare Quality Report (2003) Measures, National Estimate, and State Significance Test (Sig.)a for Difference from the National Average
Measure Title |
Year |
Metric |
U.S. Est. |
AL Sig. |
AK Sig. |
AZ Sig. |
AR Sig. |
CA Sig. |
CO Sig. |
CT Sig. |
DE Sig. |
DC Sig. |
FL Sig. |
Source |
NHQR Table |
1. Effectiveness of Care |
Cancer |
Screening for breast cancer |
Process: Percent of women (age 40 and over) who report they had a mammogram within the past 2 years |
2001 |
Percent |
76.00 |
n/a |
n/a |
ns |
- |
n/a |
ns |
n/a |
n/a |
n/a |
n/a |
BRFSS |
1.1b |
2000 |
Percent |
76.70 |
ns |
ns |
+ |
- |
ns |
ns |
+ |
+ |
+ |
ns |
BRFSS |
1.1c |
Screening for cervical cancer: |
Process: Percent of women (age 18 and over) who report that they had a Pap smear within the past 3 years |
2001 |
Percent |
84.80 |
n/a |
n/a |
ns |
- |
n/a |
ns |
n/a |
n/a |
n/a |
n/a |
BRFSS |
1.3b |
2000 |
Percent |
83.70 |
ns |
+ |
ns |
- |
ns |
ns |
+ |
+ |
+ |
ns |
BRFSS |
1.3c |
Screening for colorectal cancer: |
Process: Percent of men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy |
2001 |
Percent |
47.60 |
ns |
ns |
ns |
- |
ns |
ns |
+ |
+ |
+ |
ns |
BRFSS |
1.5b |
Process: Percent of men and women (age 50 and over) who report they had a fecal occult blood test (FOBT) within the past 2 years |
2001 |
Percent |
35.30 |
- |
- |
ns |
- |
ns |
ns |
+ |
- |
+ |
+ |
BRFSS |
1.6b |
Chronic Kidney Disease |
Management of End Stage Renal Disease: |
Process: Percent of dialysis patients registered on waiting list for transplantationd |
2000 |
Percent |
21 |
ns |
ns |
- |
- |
+ |
+ |
ns |
+ |
- |
- |
USRDS |
1.15b |
Process: Percent of patients with treated chronic kidney failure who receive a transplant within three years of renal failuree-h |
1997 |
Percent |
20 |
ns |
ns |
ns |
ns |
- |
+ |
ns |
ns |
- |
ns |
USRDS |
1.16b |
Diabetes |
Management of Diabetes: |
Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in the past year |
2001 |
Percent |
79.4 |
ns |
n/a |
ns |
ns |
ns |
ns |
+ |
n/a |
ns |
ns |
BRFSS |
1.20c |
Management of Diabetes: |
Percent of adults with diabetes who had a retinal eye examination in past year |
2001 |
Percent |
66.7 |
ns |
n/a |
ns |
ns |
ns |
ns |
+ |
n/a |
ns |
ns |
BRFSS |
1.22b |
Percent of adults with diabetes who had a foot examination in past year |
2001 |
Percent |
64.6 |
ns |
n/a |
ns |
- |
ns |
- |
ns |
n/a |
ns |
ns |
BRFSS |
1.23b |
Percent of adults with diabetes who had an influenza immunization in past year |
2001 |
Percent |
37.4 |
ns |
n/a |
- |
ns |
ns |
- |
ns |
ns |
ns |
ns |
BRFSS |
1.24b |
Heart Disease |
Screening for high cholesterol: |
Process: Percent of adults 18 and over receiving cholesterol measurement within 5 years |
2001 |
Percent |
73 |
ns |
- |
ns |
- |
- |
ns |
+ |
+ |
+ |
+ |
BRFSS |
1.32b |
Counseling on risk factors: |
Process: Percent of smokers (age 18 and over) receiving advice to quit smoking |
2001 |
Percent |
71 |
n/a |
ns |
ns |
ns |
n/a |
n/a |
- |
ns |
n/a |
n/a |
BRFSS |
1.33b |
Treatment of AMI: |
Process: Percent of AMI patients administered aspirin within 24 hours of admissionj |
2000-2001 |
Percent |
85 |
- |
ns |
ns |
- |
ns |
+ |
ns |
ns |
ns |
- |
QIO |
1.34bjj |
Process: Percent of AMI patients with aspirin prescribed at dischargej |
2000-2001 |
Percent |
86 |
ns |
ns |
ns |
ns |
ns |
+ |
ns |
+ |
+ |
- |
QIO |
1.35bjj |
Process: Percent of AMI patients administered beta blocker within 24 hours of admissionj |
2000-2001 |
Percent |
69 |
- |
ns |
ns |
- |
ns |
ns |
+ |
ns |
ns |
ns |
QIO |
1.36bjj |
Process: Percent of AMI patients with beta blocker prescribed at dischargej |
2000-2001 |
Percent |
79 |
ns |
ns |
ns |
- |
- |
+ |
ns |
ns |
ns |
ns |
QIO |
1.37bjj |
Process: Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej |
2000-2001 |
Percent |
74 |
ns |
+ |
ns |
ns |
ns |
ns |
ns |
ns |
ns |
- |
QIO |
1.38bjj |
Process: Percent of AMI patients given smoking cessation counseling while hospitalizedj |
2000-2001 |
Percent |
43 |
ns |
ns |
ns |
ns |
- |
ns |
ns |
ns |
ns |
ns |
QIO |
1.39bjj |
Process: Median Time to thrombolysis. Time on arrival to initiation of a thrombolytic agent patients with ST segment elevation or left branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival timej-k |
1999-2000 |
Median |
62 |
- |
ns |
ns |
ns |
ns |
ns |
ns |
+ |
n/a |
ns |
QIO |
1.40bjj |
Process: Median time to PTCA. Median time from arrival to percutaneous transluminal angioplasty (PTCA) in patients with ST segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.j, l |
1999-2000 |
Median |
186 |
ns |
+ |
+ |
+ |
ns |
ns |
+ |
+ |
ns |
ns |
QIO |
1.41bjj |
Treatment of acute heart failure: |
Process: Percent of heart failure patients having evaluation of left ventricular ejection fractionj |
2000-2001 |
Percent |
69 |
ns |
ns |
+ |
- |
ns |
ns |
+ |
+ |
ns |
+ |
QIO |
1.42bjj |
Process: Percent of heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej |
2000-2001 |
Percent |
66 |
ns |
ns |
ns |
- |
ns |
ns |
ns |
+ |
ns |
ns |
QIO |
1.43bjj |
Part 2: Georgia-Kansas
Measure Title |
Year |
Metric |
U.S. Est. |
GA Sig. |
HI Sig. |
ID Sig. |
IL Sig. |
IN Sig. |
IA Sig. |
KS Sig. |
Source |
NHQR Table |
1. Effectiveness of Care |
Cancer |
Screening for breast cancer |
Process: Percent of women (age 40 and over) who report they had a mammogram within the past 2 years |
2001 |
Percent |
76.00 |
+ |
+ |
n/a |
n/a |
n/a |
n/a |
n/a |
BRFSS |
1.1b |
2000 |
Percent |
76.70 |
ns |
ns |
- |
ns |
- |
ns |
ns |
BRFSS |
1.1c |
Screening for cervical cancer: |
Process: Percent of women (age 18 and over) who report that they had a Pap smear within the past 3 years |
2001 |
Percent |
84.80 |
+ |
+ |
n/a |
n/a |
n/a |
n/a |
n/a |
BRFSS |
1.3b |
2000 |
Percent |
83.70 |
+ |
+ |
- |
- |
ns |
ns |
ns |
BRFSS |
1.3c |
Screening for colorectal cancer: |
Process: Percent of men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy |
2001 |
Percent |
47.60 |
ns |
ns |
- |
- |
ns |
ns |
- |
BRFSS |
1.5b |
Process: Percent of men and women (age 50 and over) who report they had a fecal occult blood test (FOBT) within the past 2 years |
2001 |
Percent |
35.30 |
ns |
+ |
- |
+ |
- |
ns |
ns |
BRFSS |
1.6b |
Chronic Kidney Disease |
Management of End Stage Renal Disease: |
Process: Percent of dialysis patients registered on waiting list for transplantationd |
2000 |
Percent |
21 |
- |
ns |
ns |
+ |
- |
+ |
ns |
USRDS |
1.15b |
Process: Percent of patients with treated chronic kidney failure who receive a transplant within three years of renal failuree-h |
1997 |
Percent |
20 |
- |
ns |
+ |
+ |
ns |
+ |
ns |
USRDS |
1.16b |
Diabetes |
Management of Diabetes: |
Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in the past year |
2001 |
Percent |
79.4 |
ns |
+ |
+ |
n/a |
n/a |
ns |
ns |
BRFSS |
1.20c |
Management of Diabetes: |
Percent of adults with diabetes who had a retinal eye examination in past year |
2001 |
Percent |
66.7 |
ns |
ns |
- |
n/a |
n/a |
+ |
ns |
BRFSS |
1.22b |
Percent of adults with diabetes who had a foot examination in past year |
2001 |
Percent |
64.6 |
ns |
+ |
ns |
n/a |
n/a |
ns |
ns |
BRFSS |
1.23b |
Percent of adults with diabetes who had an influenza immunization in past year |
2001 |
Percent |
37.4 |
ns |
+ |
ns |
ns |
ns |
+ |
ns |
BRFSS |
1.24b |
Heart Disease |
Screening for high cholesterol: |
Process: Percent of adults 18 and over receiving cholesterol measurement within 5 years |
2001 |
Percent |
73 |
+ |
+ |
- |
- |
ns |
- |
- |
BRFSS |
1.32b |
Counseling on risk factors: |
Process: Percent of smokers (age 18 and over) receiving advice to quit smoking |
2001 |
Percent |
71 |
n/a |
n/a |
n/a |
n/a |
ns |
n/a |
n/a |
BRFSS |
1.33b |
Treatment of AMI: |
Process: Percent of AMI patients administered aspirin within 24 hours of admissionj |
2000-2001 |
Percent |
85 |
- |
+ |
+ |
ns |
ns |
ns |
ns |
QIO |
1.34bjj |
Process: Percent of AMI patients with aspirin prescribed at dischargej |
2000-2001 |
Percent |
86 |
ns |
ns |
ns |
- |
ns |
ns |
ns |
QIO |
1.35bjj |
Process: Percent of AMI patients administered beta blocker within 24 hours of admissionj |
2000-2001 |
Percent |
69 |
- |
ns |
ns |
ns |
ns |
+ |
ns |
QIO |
1.36bjj |
Process: Percent of AMI patients with beta blocker prescribed at dischargej |
2000-2001 |
Percent |
79 |
ns |
ns |
ns |
ns |
ns |
+ |
ns |
QIO |
1.37bjj |
Process: Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej |
2000-2001 |
Percent |
74 |
ns |
ns |
ns |
ns |
ns |
ns |
ns |
QIO |
1.38bjj |
Process: Percent of AMI patients given smoking cessation counseling while hospitalizedj |
2000-2001 |
Percent |
43 |
ns |
ns |
ns |
ns |
+ |
ns |
ns |
QIO |
1.39bjj |
Process: Median Time to thrombolysis. Time on arrival to initiation of a thrombolytic agent patients with ST segment elevation or left branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival timej-k |
1999-2000 |
Median |
62 |
ns |
ns |
+ |
ns |
ns |
ns |
ns |
QIO |
1.40bjj |
Process: Median time to PTCA. Median time from arrival to percutaneous transluminal angioplasty (PTCA) in patients with ST segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.j, l |
1999-2000 |
Median |
186 |
n/a |
+ |
+ |
ns |
ns |
+ |
ns |
QIO |
1.41bjj |
Treatment of acute heart failure: |
Process: Percent of heart failure patients having evaluation of left ventricular ejection fractionj |
2000-2001 |
Percent |
69 |
ns |
+ |
- |
ns |
ns |
ns |
- |
QIO |
1.42bjj |
Process: Percent of heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej |
2000-2001 |
Percent |
66 |
ns |
ns |
ns |
ns |
ns |
ns |
ns |
QIO |
1.43bjj |
Part 3- Kentucky to Missouri
Measure Title |
Year |
Metric |
U.S. Est. |
KY Sig. |
LA Sig. |
ME Sig. |
MD Sig. |
MA Sig. |
MI Sig. |
MN Sig. |
MS Sig. |
MO Sig. |
Source |
NHQR Table |
1. Effectiveness of Care |
Cancer |
Screening for breast cancer |
Process: Percent of women (age 40 and over) who report they had a mammogram within the past 2 years |
2001 |
Percent |
76.00 |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
- |
n/a |
BRFSS |
1.1b |
2000 |
Percent |
76.70 |
ns |
ns |
ns |
+ |
+ |
+ |
- |
- |
ns |
BRFSS |
1.1c |
Screening for cervical cancer: |
Process: Percent of women (age 18 and over) who report that they had a Pap smear within the past 3 years |
2001 |
Percent |
84.80 |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
ns |
n/a |
BRFSS |
1.3b |
2000 |
Percent |
83.70 |
ns |
ns |
ns |
+ |
+ |
ns |
ns |
ns |
ns |
BRFSS |
1.3c |
Screening for colorectal cancer: |
Process: Percent of men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy |
2001 |
Percent |
47.60 |
- |
- |
ns |
+ |
+ |
+ |
+ |
- |
- |
BRFSS |
1.5b |
Process: Percent of men and women (age 50 and over) who report they had a fecal occult blood test (FOBT) within the past 2 years |
2001 |
Percent |
35.30 |
- |
- |
+ |
+ |
+ |
ns |
ns |
- |
- |
BRFSS |
1.6b |
Chronic Kidney Disease |
Management of End Stage Renal Disease: |
Process: Percent of dialysis patients registered on waiting list for transplantation d |
2000 |
Percent |
21 |
- |
- |
ns |
+ |
+ |
+ |
+ |
- |
ns |
USRDS |
1.15b |
Process: Percent of patients with treated chronic kidney failure who receive a transplant within three years of renal failuree-h |
1997 |
Percent |
20 |
+ |
- |
ns |
+ |
+ |
ns |
+ |
- |
+ |
USRDS |
1.16b |
Diabetes |
Management of Diabetes: |
Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in the past year |
2001 |
Percent |
79.4 |
+ |
n/a |
ns |
n/a |
ns |
ns |
+ |
n/a |
n/a |
BRFSS |
1.20c |
Management of Diabetes: |
Percent of adults with diabetes who had a retinal eye examination in past year |
2001 |
Percent |
66.7 |
ns |
n/a |
+ |
n/a |
ns |
ns |
ns |
n/a |
n/a |
BRFSS |
1.22b |
Percent of adults with diabetes who had a foot examination in past year |
2001 |
Percent |
64.6 |
ns |
n/a |
ns |
n/a |
ns |
ns |
+ |
n/a |
n/a |
BRFSS |
1.23b |
Percent of adults with diabetes who had an influenza immunization in past year |
2001 |
Percent |
37.4 |
ns |
- |
ns |
ns |
ns |
- |
ns |
- |
ns |
BRFSS |
1.24b |
Heart Disease |
Screening for high cholesterol: |
Process: Percent of adults 18 and over receiving cholesterol measurement within 5 years |
2001 |
Percent |
73 |
ns |
ns |
+ |
+ |
+ |
ns |
+ |
- |
- |
BRFSS |
1.32b |
Counseling on risk factors: |
Process: Percent of smokers (age 18 and over) receiving advice to quit smoking |
2001 |
Percent |
71 |
ns |
+ |
+ |
n/a |
n/a |
n/a |
n/a |
ns |
ns |
BRFSS |
1.33b |
Treatment of AMI: |
Process: Percent of AMI patients administered aspirin within 24 hours of admissionj |
2000-2001 |
Percent |
85 |
ns |
ns |
+ |
ns |
ns |
ns |
ns |
- |
ns |
QIO |
1.34bjj |
Process: Percent of AMI patients with aspirin prescribed at dischargej |
2000-2001 |
Percent |
86 |
ns |
- |
+ |
ns |
ns |
ns |
ns |
ns |
ns |
QIO |
1.35bjj |
Process: Percent of AMI patients administered beta blocker within 24 hours of admissionj |
2000-2001 |
Percent |
69 |
ns |
ns |
+ |
ns |
+ |
ns |
+ |
- |
ns |
QIO |
1.36bjj |
Process: Percent of AMI patients with beta blocker prescribed at dischargej |
2000-2001 |
Percent |
79 |
ns |
ns |
+ |
ns |
+ |
+ |
ns |
- |
ns |
QIO |
1.37bjj |
Process: Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej |
2000-2001 |
Percent |
74 |
ns |
ns |
ns |
ns |
ns |
+ |
ns |
ns |
ns |
QIO |
1.38bjj |
Process: Percent of AMI patients given smoking cessation counseling while hospitalizedj |
2000-2001 |
Percent |
43 |
ns |
- |
ns |
- |
ns |
ns |
ns |
ns |
+ |
QIO |
1.39bjj |
Process: Median Time to thrombolysis. Time on arrival to initiation of a thrombolytic agent patients with ST segment elevation or left branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival timej-k |
1999-2000 |
Median |
62 |
+ |
ns |
ns |
+ |
ns |
ns |
+ |
ns |
ns |
QIO |
1.40bjj |
Process: Median time to PTCA. Median time from arrival to percutaneous transluminal angioplasty (PTCA) in patients with ST segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.j, l |
1999-2000 |
Median |
186 |
n/a |
ns |
n/a |
ns |
ns |
+ |
ns |
ns |
ns |
QIO |
1.41bjj |
Treatment of acute heart failure: |
Process: Percent of heart failure patients having evaluation of left ventricular ejection fractionj |
2000-2001 |
Percent |
69 |
- |
ns |
ns |
+ |
+ |
ns |
ns |
- |
ns |
QIO |
1.42bjj |
Process: Percent of heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej |
2000-2001 |
Percent |
66 |
- |
ns |
ns |
ns |
ns |
ns |
ns |
- |
ns |
QIO |
1.43bjj |
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