1
Access to Quality Health Services
Clinical Preventive Care
Primary Care
Emergency Services
Long-Term Care and Rehabilitative Services
Clinical Preventive Care
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National Data Source
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National Health Interview Survey
(NHIS), CDC, NCHS.
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State Data Source
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Behavioral Risk Factor
Surveillance System (BRFSS), CDC, NCCDPHP.
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Healthy People 2000 Objective
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Adapted from 21.4 (Clinical
Preventive Services).
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Leading Health Indicator
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Access to Health Care.
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Measure
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Percent (age adjusted—see
Comments).
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Baseline
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83 (1997).
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Numerator
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Number persons under age 65 years
who report coverage by any type of public or private health insurance.
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Denominator
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Number of persons under age 65
years.
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Population Targeted
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U.S. civilian,
noninstitutionalized population.
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Questions Used To Obtain the
National Data
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For questions from the 1997
National Health Interview Survey, Family core, Section IV, Health Insurance,
see:
ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Survey_Questionnaires/
NHIS/1997/qfamilyx.pdf.
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Expected Periodicity
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Annual.
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Comments
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Health care coverage includes any type of health insurance or health
care plan, including those obtained by employment, direct purchase, and Government
programs, including Medicare, Medi-Gap, military healthcare/VA, Medicaid,
CHAMPUS/TRICARE/CHAMP-VA, Indian Health Service, State-sponsored health
plans, or other public hospital or physician programs.
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More information on the definition
of health insurance coverage is provided by Health, United States, 2000.1
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Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For a discussion on age adjustment, see Part A, section 5.
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This measure is a modification of
its comparable Healthy People 2000 objective 21.4, which proposed to improve
the financing and delivery of clinical preventive services. Healthy People
2000 objective 21.4 was tracked by a proxy measure: the proportion of persons
with no health care coverage.2 This objective tracks the
converse measure, the proportion of persons with health care coverage and
does not specifically address delivery of clinical preventive services (see
objective 1-2). Also, this objective is age adjusted; the Healthy People 2000
objective was not.
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This objective is one of the
measures used to track the Access to Health Care Leading Health Indicator.
See Appendix H for a complete listing.
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See Part C for a description of
NHIS and BRFSS and Appendix A for focus area contact information.
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Comments
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An operational definition could
not be specified at the time of publication.
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The proposed data source is the
Medical Expenditure Panel Survey (MEPS), AHRQ (formerly AHCPR). The 1996 MEPS
data are currently being analyzed and may provide baseline data on percent of
persons with coverage for selected preventive services (well-child visits,
immunizations, mammograms, cervical cancer screening, and adult physicals).
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The numerator will be the number
of persons who have coverage for clinical preventive services as part of
their health insurance. The denominator will be the number of insured
persons.
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These data are based on an
abstract of the respondents’ insurance policies, rather than household reports.
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This objective is a modification
of Healthy People 2000 objective 21.4, which proposed to improve the
financing and delivery of clinical preventive services (see Comments provided
with objective 1-1 for more information).
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Data will be collected periodically, with as much as a 3-year lag
time in reporting these data.
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Data that are collected periodically
from policy booklets obtained from MEPS household respondents could be
modified to collect information on a broader set of preventive services.
Recommended services to track include childhood and adult immunizations;
recommended cancer screening (breast, cervix, and colon); smoking cessation
counseling; and contraceptive services.
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See Part C for a description of
MEPS and Appendix A for focus area contact information.
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1-3a. (Developmental)
Physical activity or exercise (adults aged 18 years and older).
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Comments
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An operational definition could
not be specified at time of publication.
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The proposed national data source
is the National Health Interview Survey (NHIS), CDC, NCHS.
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The proposed State data source is
the Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP.
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This objective is a modification
of Healthy People 2000 objective 1.12, which tracked the proportion of
clinicians who counseled 81 to 100 percent of their patients about physical
activity and was tracked using the Primary Care Providers Surveys, OPHS,
ODPHP, and the Prevention in Primary Care Study, American College of
Preventive Medicine. This measure will track adults aged 18 years and older
with a physician visit in the past year and is scheduled to be tracked using
NHIS, CDC, NCHS.
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The proposed questions to be used
to obtain the data are scheduled for inclusion in the 2001 NHIS.
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See Part C for a description of
NHIS and Appendix A for focus area contact information.
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1-3b. (Developmental)
Diet and nutrition (adults aged 18 years and older).
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Comments
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An operational definition could
not be specified at time of publication.
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The proposed national data source
is the National Health Interview Survey (NHIS), CDC, NCHS.
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The proposed State data source is
the Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP.
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This objective is a modification
of Healthy People 2000 objective 2.21, which tracked the proportion of
clinicians who counseled 81 to 100 percent of their patients about nutrition
and diet; it was tracked using the Primary Care Providers Surveys, OPHS,
ODPHP and the Prevention in Primary Care Study, American College of Preventive
Medicine. This measure will track adults aged 18 years and older with a
physician visit in the past year, who received counseling on diet and
nutrition; the measure is scheduled to be tracked using the National Health
Interview Survey, CDC, NCHS.
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The proposed questions to be used
to obtain the data are scheduled for inclusion in the 2001 NHIS.
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See Part C for a description of
NHIS and Appendix A for focus area contact information.
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1-3c. (Developmental)
Smoking cessation (adult smokers aged 18 years and older).
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Comments
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An operational definition could
not be specified at time of publication.
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The proposed national data source
is the National Health Interview Survey (NHIS), CDC, NCHS.
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The proposed State data source is
the Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP.
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This objective is a modification
of Healthy People 2000 objective 3.16, which tracked the proportion of
clinicians who counseled 81 to 100 percent of their patients about smoking
cessation, and was tracked using the Primary Care Providers Surveys, OPHS,
ODPHP and the Prevention in Primary Care Study, American College of Preventive
Medicine. This measure will track adults aged 18 years and older with a
physician visit in the past year who are current smokers or who have quit smoking
in the past 12 months; the measure is scheduled to be tracked using the National
Health Interview Survey, CDC, NCHS.
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The proposed questions to be used
to obtain the data are scheduled for inclusion in the 2001 NHIS.
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See Part C for a description of
NHIS and Appendix A for focus area contact information.
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1-3d. (Developmental)
Reduced alcohol consumption (adults aged 18 years and older with excessive
alcohol consumption).
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Comments
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An operational definition could
not be specified at time of publication.
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The proposed national data source
is the National Health Interview Survey (NHIS), CDC, NCHS.
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The proposed State data source is
the Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP.
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This objective is a modification
of Healthy People 2000 objective 4.19, which tracked the proportion of
clinicians who counseled 81 to 100 percent of their patients about drug and
alcohol use; it was tracked using the Primary Care Providers Surveys, OPHS,
ODPHP and the Prevention in Primary Care Study, American College of
Preventive Medicine. This measure will track adults aged 18 years and older
with a physician visit in the past year who have reported excessive alcohol
consumption; the measure is scheduled to be tracked using the National Health
Interview Survey, CDC, NCHS.
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The proposed questions to be used
to obtain the data are scheduled for inclusion in the 2001 NHIS.
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See Part C for a description of
NHIS and Appendix A for focus area contact information.
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1-3e. (Developmental)
Childhood injury prevention: vehicle
restraints and bicycle helmets (children aged 17 years and under).
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Comments
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An operational definition could
not be specified at time of publication.
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The proposed national data source
is the National Health Interview Survey (NHIS), CDC, NCHS.
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The proposed State data source is
the Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP.
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This objective is a modification
of Healthy People 2000 objective 9.21, which tracked the proportion of
clinicians who counseled 81 to 100 percent of their patients about injury
prevention; the objective was tracked using the Primary Care Providers
Surveys, OPHS, ODPHP and the Prevention in Primary Care Study, American
College of Preventive Medicine. This measure will track children aged 17
years and under who are reported to have had a physician visit in the past
year and received counseling on the use of vehicle restraints and bicycle
helmets, using the National Health Interview Survey, CDC, NCHS.
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The proposed questions to be used
to obtain the data are scheduled for inclusion in the 2001 NHIS.
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See Part C for a description of
NHIS and Appendix A for focus area contact information.
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1-3f. Unintended
pregnancy (females aged 15 to 44 years).
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National Data Source
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National Survey on Family Growth
(NSFG), CDC, NCHS.
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State Data Source
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Not identified.
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Healthy People 2000 Objective
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Adapted from 14.12 (Maternal and
Infant Health) (also 5.10).
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Measure
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Percent.
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Baseline
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19 (1995).
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Numerator
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Number of women aged 15 to 44 years
with a physician visit in the past 12 months who received counseling on
either birth control or getting sterilized.
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Denominator
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Number of women aged 15 to 44
years with a physician visit in the past 12 months.
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Population Targeted
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U.S. civilian, noninstitutionalized
population.
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Questions Used To Obtain the
National Data
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From the 1995 National Survey on
Family Growth:
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Ø
In the past 12 months, that is since (month/year),
have you received any of the following birth control services from a doctor
or other health care provider?
Counseling
about birth control or a prescription for a method?
Counseling about getting sterilized?
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Expected Periodicity
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Periodic.
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Comments
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Women were considered to receive
counseling if they responded “yes” to either receiving counseling about birth
control or getting sterilized.
This objective is a modification
of Healthy People 2000 objective 14.12, which tracked the proportion of clinicians
who counseled 81 to 100 percent of their patients about family planning; it
was tracked using the Primary Care Providers Surveys, OPHS, ODPHP and the
Prevention in Primary Care Study, American College of Preventive Medicine.
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See Part C for a description of
NSFG and Appendix A for focus area contact information.
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1-3g. (Developmental)
Prevention of sexually transmitted diseases (males aged 15 to 49 years,
females aged 15 to 44 years).
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Comments
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An operational definition could
not be specified at time of publication.
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The proposed national data source
is the National Survey on Family Growth (NSFG), CDC, NCHS.
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This objective is a modification
of Healthy People 2000 objective 18.9 (also 19.14), which tracked the
proportion of clinicians who counseled 81 to 100 percent of their patients
about prevention of HIV and other sexually transmitted diseases; the
objective was tracked using the Primary Care Providers Surveys, OPHS, ODPHP
and the Prevention in Primary Care Study, American College of Preventive
Medicine.
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The 2001 NSFG will collect data on
STD counseling for men aged 15 to 49 years. While the NSFG does collect data
on family planning services for women aged 15 to 44 years [including the
receipt of birth control services (including condoms)], specific questions on
STD counseling among women currently are not included.
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See Part C for a description of
NSFG and Appendix A for focus area contact information.
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1-3h. (Developmental)
Management of menopause (females aged 46 to 56 years).
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Comments
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An operational definition could
not be specified at time of publication.
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The proposed national data source
is the National Health Interview Survey (NHIS), CDC, NCHS. The proposed State
data source is the Behavioral Risk Factor Surveillance System (BRFSS), CDC,
NCCDPHP.
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This measure is a modification of
Healthy People 2000 objective 17.18, which tracked the proportion of perimenopausal
women aged 40 to 60 years who were counseled about estrogen replacement therapy.
This measure will track women aged 46 to 56 years who have had a physician
visit in the past year and report that they have received counseling on
management of menopause.
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The proposed questions to be used
to obtain the data are scheduled for inclusion in the 2001 NHIS.
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See Part C for a description of
NHIS and Appendix A for focus area contact information.
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Primary Care
1-4a. All
ages.
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National Data Source
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National Health Interview Survey
(NHIS), CDC, NCHS.
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State Data Source
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Not identified.
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Healthy People 2000 Objective
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Adapted from 21.3 (Clinical
Preventive Services), age adjusted to the 2000 standard population.
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Leading Health Indicator
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Access to Health Care.
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Measure
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Percent (age adjusted—see
Comments).
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Baseline
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87 (1998).
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Numerator
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Number of persons who report
having a specific source of primary care.
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Denominator
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Number of persons.
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Population Targeted
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U.S. civilian,
noninstitutionalized population.
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Questions Used To Obtain the
National Data
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From the 1998 National Health
Interview Survey:
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Ø Is
there a place that you usually go when you are sick or need advice about your
health?
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Ø
What kind of place is it: a clinic, doctor’s office,
emergency room, or some other place?
(a)
Hospital emergency room
(b) Urgent care/walk-in clinic
(c) Doctor’s office
(d) Clinic
(e) Health center facility
(f) Hospital outpatient clinic
(g) HMO (Health Maintenance Organization)/
Pre-paid group
(h) Military or other VA healthcare
(i) Some other place
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Expected Periodicity
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Annual.
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Comments
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A specific source of primary care
includes responses (b) through (i) listed above. A hospital emergency room
(a) is not included as a specific source of primary care.
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Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For a discussion on age adjustment, see Part A, section 5.
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This measure is modified from its
comparable Healthy People 2000 objective 21.3, which tracked persons aged 18
years and older. This measure tracks persons of all ages and is age adjusted
to the 2000 standard population.
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This objective is one of the
measures used to track the Access to Health Care Leading Health Indicator.
See Appendix H for a complete listing.
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See Part C for a description of
NHIS and Appendix A for focus area contact information.
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1-4b. Children
and youth aged 17 years and under.
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National Data Source
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National Health Interview Survey
(NHIS), CDC, NCHS.
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State Data Source
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Not identified.
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Healthy People 2000 Objective
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Adapted from 21.3 (Clinical
Preventive Services).
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Measure
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Percent (age adjusted—see
Comments).
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Baseline
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93 (1998).
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Numerator
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Number of children and youth aged
17 years and under who report having a specific source of primary care.
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Denominator
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Number of children and youth aged
17 years and under.
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Population Targeted
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U.S. civilian,
noninstitutionalized population.
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Questions Used To Obtain the
National Data
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See Questions Used To Obtain the
National Data provided with objective 1-4a.
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Expected Periodicity
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Annual.
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Comments
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A specific source of primary care
includes responses (b) through (i) listed in the Questions Used To Obtain the
National Data provided with objective 1-4a, above. A hospital emergency room
(a) is not included as a specific source of primary care.
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Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For a discussion on age adjustment, see Part A, section 5.
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This measure is modified from its
comparable Healthy People 2000 objective 21.3, which tracked persons aged 18
years and older. This measure tracks children and youth aged 17 years and
under and is age adjusted to the 2000 standard population.
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See Part C for a description of
NHIS and Appendix A for focus area contact information.
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1-4c. Adults
aged 18 years and older.
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National Data Source
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National Health Interview Survey
(NHIS), CDC, NCHS.
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State Data Source
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Behavioral Risk Factor
Surveillance System (BRFSS), CDC, NCCDPHP.
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Healthy People 2000 Objective
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21.3 (Clinical Preventive
Services), age adjusted to the 2000 standard population.
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Measure
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Percent (age adjusted—see
Comments).
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Baseline
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85 (1998).
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Numerator
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Number adults aged 18 years and
older who report having a specific source of primary care.
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Denominator
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Number of adults aged 18 years
and older.
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Population Targeted
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U.S. civilian,
noninstitutionalized population.
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Questions Used To Obtain the
National Data
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See Questions Used To Obtain the
National Data provided with objective 1-4a.
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Expected Periodicity
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Annual.
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Comments
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A specific source of primary care
includes responses (b) through (i) listed in the Questions Used To Obtain
the National Data provided with objective 1-4a above. A hospital emergency
room (a) is not included as a specific source of primary care.
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|
Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For a discussion on age adjustment, see Part A, section 5.
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|
See Part C for a description of
NHIS and BRFSS, and Appendix A for focus area contact information.
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v v v
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National Data Source
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Medical Expenditure Panel Survey
(MEPS), AHRQ (formerly AHCPR).
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State Data Source
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Not identified.
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Healthy People 2000 Objective
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Not applicable.
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Measure
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Percent.
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Baseline
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77 (1996).
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Numerator
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Number of persons who report that
they have a usual primary care provider.
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Denominator
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Number of persons.
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Population Targeted
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U.S. civilian,
noninstitutionalized population.
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Questions Used To Obtain the
National Data
|
From the 1996 Medical Expenditure
Panel Survey:
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Ø Is
there a particular doctor’s office, health center, or other place that (Person)
usually goes if (Person) is sick or needs advice about (Person)’s
health?
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Ø
Is (Provider) the (person/place) they would go
for new health problems?
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Ø
Is (Provider) the (person/place) they would go
for preventive health care, such as general checkups, examinations, and
immunizations?
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Ø
Is (Provider) the (person/place) they would go
for referrals to other health professionals when needed?
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Expected Periodicity
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Annual.
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Comments
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Persons were determined to have a usual primary care provider if they
reported that they would usually go to the same health professional for all
four of the following situations: if they were sick or needed advice about
their health; if they had new health problems; if they needed preventive care
such as general checkups, examinations, and immunizations; and if they needed
referrals to other health professionals. Persons who reported an emergency
room as their usual source of care were classified as not having a usual
primary care provider.
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See Part C for a description of MEPS and Appendix A for focus area
contact information.
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National Data Source
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Medical Expenditure Panel Survey
(MEPS), AHRQ (formerly AHCPR).
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State Data Source
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Not identified.
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Healthy People 2000 Objective
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Not applicable.
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Measure
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Percent.
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Baseline
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12 (1996).
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Numerator
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Number of families that report
that at least one family member had difficulty or delay in obtaining health
care or did not receive needed care.
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Denominator
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Number of families.
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Population Targeted
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U.S. civilian, noninstitutionalized
population.
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Questions Used To Obtain the
National Data
|
From the 1996 Medical Expenditure
Panel Survey:
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Ø
In the last 12 months, did anyone in the family experience
difficulty in obtaining any type of health care, delay in obtaining care, or
not receive health care they thought they needed due to any of the reasons
listed below?
(1)
Couldn’t afford care
(2) Insurance company wouldn't approve, cover, or pay for care
(3) Pre-existing condition
(4) Insurance required a referral, but couldn't get one
(5) Doctor refused to accept family's insurance plan
(6) Medical care too far away
(7) Can't drive/don't have car/ no public transportation available
(8) Too expensive to get there
(9) Hearing impairment or loss
(10) Different language
(11) Hard to get into building
(12) Hard to get around inside building
(13) No appropriate equipment in office
(14) Couldn't get time off work
(15) Didn't know where to go to get care
(16) Was refused services
(17) Couldn't get child care
(18) Didn't have time or took too long
(19) Other
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Expected Periodicity
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Annual.
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Comments
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A family is considered having
difficulty in obtaining care if the head of household responds “yes” to any
of the options (1 through 19) listed in the question above.
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See Part C for a description of
MEPS and Appendix A for focus area contact information.
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Comments
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An operational definition could
not be specified at the time of publication.
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The proposed national data source
is the Adaptation of the Prevention Self-Assessment Analysis, ATPM.
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See Appendix A for focus area
contact information.
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1-8a. American
Indian or Alaska Native—health professions and allied and associated health
profession fields.
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National Data Sources
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association; Profile of Pharmacy
Students, American Association of Colleges of Pharmacy; AAMC Data Book, Association of American Medical Colleges; Annual
Data Report, Association of Schools of Public Health.
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State Data Sources
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association; Profile of Pharmacy
Students, American Association of Colleges of Pharmacy; AAMC Data Book, Association of American Medical Colleges; Annual
Data Report, Association of Schools of Public Health.
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Healthy People 2000 Objective
|
21.8 (Clinical Preventive
Services).
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Measure
|
Percent.
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Baseline
|
0.6 (1996–97).
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Numerator
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Number of degrees in the health
professions (medicine, dentistry, pharmacy, and public health) and allied and
associated health profession fields awarded to American Indian or Alaska
Native persons.
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Denominator
|
Number of degrees awarded by
accredited schools to all persons in the health professions and allied and
associated health profession fields.
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Population Targeted
|
Students in accredited health
professions and allied and associated health profession schools.
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Questions Used To Obtain the
National Data
|
Not applicable for data collected
on pharmacy degrees and public health degrees.
For medical degrees, see AAMC Data Book.2
For dental degrees, from the
1997–98 Survey of Predoctoral Dental Education Institutions:
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Ø
How many students received a D.D.S. or D.M.D. degree
between October 1, 1996 and September 30, 1997?
(Total must equal the total number of graduates listed on the graduate class
list.)
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|
Ø
How many students received a D.D.S. or D.M.D. degree
between October 1, 1996 and September 30, 1997 in each of the following
race/ethnicity categories?
| |
Male |
Female |
Total |
| a. White |
_____ |
_____ |
_____ |
| b. Black |
_____ |
_____ |
_____ |
| c. Hispanic |
_____ |
_____ |
_____ |
| d. Native American |
_____ |
_____ |
_____ |
| e. Asian |
_____ |
_____ |
_____ |
| f. Not Indicated |
_____ |
_____ |
_____ |
| Total |
|
|
_____ |
(Total must equal the total number of graduates listed on the graduate class
list.)
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Expected Periodicity
|
Annual.
|
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Comments
|
This measure includes only U.S.
citizens in its tabulation of public health degrees.3 Dental degrees include both D.D.S.
and D.M.D.4 Pharmacy degrees include both doctor of pharmacy degrees
awarded as the first professional degree and postbaccalaureate degrees.5 Medical degrees include only M.D.
graduates.2
|
|
This measure combines data from
four sources that collect data on accredited schools; the data are tabulated
by the Bureau of Health Professions (BHPr), HRSA.
|
|
See Appendix A for focus area
contact information.
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1-8b. Asian
or Pacific Islander—health professions and allied and associated health
profession fields.
|
National Data Sources
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association; Profile of Pharmacy
Students, American Association of Colleges of Pharmacy; AAMC Data Book, Association of American Medical Colleges; Annual
Data Report, Association of Schools of Public Health.
|
|
State Data Sources
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association; Profile of Pharmacy
Students, American Association of Colleges of Pharmacy; AAMC Data Book, Association of American Medical Colleges; Annual
Data Report, Association of Schools of Public Health.
|
|
Healthy People 2000 Objective
|
21.8 (Clinical Preventive
Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
16.2 (1996–97).
|
|
Numerator
|
Number of degrees in the health
professions (medicine, dentistry, pharmacy, and public health) and allied
and associated health profession fields awarded to Asian and Pacific
Islander persons.
|
|
Denominator
|
Number of degrees awarded by
accredited schools to all persons in the health professions and allied and
associated health profession fields.
|
|
Population Targeted
|
Students in accredited health
professions and allied and associated health profession schools.
|
|
Questions Used To Obtain the
National Data
|
See Questions Used To Obtain the
National Data provided with objective 1-8a.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8a for more information.
|
v v v
1-8c. Black
or African American—health professions and allied and associated health
profession fields.
|
National Data Sources
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association; Profile of Pharmacy
Students, American Association of Colleges of Pharmacy; AAMC Data Book, Association of American Medical Colleges; Annual
Data Report, Association of Schools of Public Health.
|
|
State Data Sources
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association; Profile of Pharmacy
Students, American Association of Colleges of Pharmacy; AAMC Data Book, Association of American Medical Colleges; Annual
Data Report, Association of Schools of Public Health.
|
|
Healthy People 2000 Objective
|
21.8 (Clinical Preventive
Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
6.7 (1996–97).
|
|
Numerator
|
Number of degrees in the health
professions (medicine, dentistry, pharmacy, and public health) and allied
and associated health profession fields awarded to black or African American
persons.
|
|
Denominator
|
Number of degrees awarded by
accredited schools to all persons in the health profession and allied and
associated health profession fields.
|
|
Population Targeted
|
Students in accredited health
professions and allied and associated health profession schools.
|
|
Questions Used To Obtain the
National Data
|
See Questions Used To Obtain the
National Data provided with objective 1-8a.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8a for more information.
|
v v v
1-8d. Hispanic
or Latino—health professions and allied and associated health profession
fields.
|
National Data Sources
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association; Profile of Pharmacy
Students, American Association of Colleges of Pharmacy; AAMC Data Book, Association of American Medical Colleges; Annual
Data Report, Association of Schools of Public Health.
|
|
State Data Sources
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association; Profile of Pharmacy
Students, American Association of Colleges of Pharmacy; AAMC Data Book, Association of American Medical Colleges; Annual
Data Report, Association of Schools of Public Health.
|
|
Healthy People 2000 Objective
|
21.8 (Clinical Preventive
Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
4.0 (1996–97).
|
|
Numerator
|
Number of degrees in the health
professions (medicine, dentistry, pharmacy, and public health) and allied
and associated health profession fields awarded to black or African American
persons.
|
|
Denominator
|
Number of degrees awarded by
accredited schools to all persons in the health professions and allied and
associated health profession fields.
|
|
Population Targeted
|
Students in accredited health
professions and allied and associated health profession schools.
|
|
Questions Used To Obtain the
National Data
|
See Questions Used To Obtain the
National Data provided with objective 1-8a.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8a for more information.
|
v v v
1-8e. American
Indian or Alaska Native—nursing.
|
National Data Source
|
Annual Survey of RN (Registered
Nurse) Programs, National League for Nursing, Center for Research in Nursing
Education and Community Health.
|
|
State Data Source
|
Annual Survey of RN (Registered
Nurse) Programs, National League for Nursing, Center for Research in Nursing
Education and Community Health.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8a (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
0.7 (1995–96).
|
|
Numerator
|
Number of degrees in nursing
awarded by accredited schools to American Indian or Alaska Native persons.
|
|
Denominator
|
Number of degrees awarded by
accredited schools to all persons in nursing.
|
|
Population Targeted
|
Students in accredited nursing
schools.
|
|
Questions Used To Obtain the
National Data
|
From the 1999 Annual Survey of RN
(Registered Nurse) Programs:
|
|
Ø
Total Enrollments
Ethnic/Racial
distribution (all students):
______ American Indian/Alaskan Native
______ Asian/Pacific Islander
______ Black, Non-Hispanic
______ Hispanic
______ White, Non-Hispanic
______ Unknown
(The total of the numbers above should equal the total enrollment.)
|
|
Ø Total
Graduations
Ethnic/Racial
distribution (number):
______ American Indian/Alaskan Native
______ Asian/Pacific Islander
______ Black, Non-Hispanic
______ Hispanic
______ White, Non-Hispanic
______ Unknown
(The total of the numbers above should equal the total graduations.)
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Nursing degrees in basic nursing
education include diploma, associates degree, and basic baccalaure- ate
degree.6 Data exclude degrees awarded to stu- dents in American
Samoa, Guam, and Puerto Rico.
|
|
This measure is modified from its
comparable Healthy People 2000 objective 21.8a, which tracked the number of
people enrolled in schools of nursing. This measure tracks the degrees
awarded by nursing schools to unrepresented racial and ethnic minority
groups.
|
|
See Appendix A for focus area
contact information.
|
v v v
1-8f. Asian
or Pacific Islander—nursing.
|
National Data Source
|
Annual Survey of RN (Registered
Nurse) Programs, National League for Nursing, Center for Research in Nursing
Education and Community Health.
|
|
State Data Source
|
Annual Survey of RN (Registered
Nurse) Programs, National League for Nursing, Center for Research in Nursing
Education and Community Health.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8a (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
3.2 (1995–96).
|
|
Numerator
|
Number of degrees in nursing
awarded by accredited schools to Asian or Pacific Islander persons.
|
|
Denominator
|
Number of degrees awarded by
accredited schools to all persons in nursing.
|
|
Population Targeted
|
Students in accredited nursing
schools.
|
|
Questions Used To Obtain the
National Data
|
See Questions Used To Obtain the
National Data provided with objective 1-8e.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8e for more information.
|
v v v
1-8g. Black
or African American—nursing.
|
National Data Source
|
Annual Survey of RN (Registered
Nurse) Programs, National League for Nursing, Center for Research in Nursing
Education and Community Health.
|
|
State Data Source
|
Annual Survey of RN (Registered
Nurse) Programs, National League for Nursing, Center for Research in Nursing
Education and Community Health.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8a (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
6.9 (1995–96).
|
|
Numerator
|
Number of degrees in nursing
awarded by accredited schools to black or African American persons.
|
|
Denominator
|
Number of degrees awarded by
accredited schools to all persons in nursing.
|
|
Population Targeted
|
Students in accredited nursing
schools.
|
|
Questions Used To Obtain the
National Data
|
See Questions Used To Obtain the
National Data provided with objective 1-8e.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8e for more information.
|
v v v
1-8h. Hispanic
or Latino—nursing.
|
National Data Source
|
Annual Survey of RN (Registered
Nurse) Programs, National League for Nursing, Center for Research in Nursing
Education and Community Health.
|
|
State Data Source
|
Annual Survey of RN (Registered
Nurse) Programs, National League for Nursing, Center for Research in Nursing
Education and Community Health.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8a (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
3.4 (1995–96).
|
|
Numerator
|
Number of degrees in nursing
awarded by accredited schools to Hispanic or Latino persons.
|
|
Denominator
|
Number of degrees awarded by
accredited schools to all persons in nursing.
|
|
Population Targeted
|
Students in accredited nursing
schools.
|
|
Questions Used To Obtain the
National Data
|
See Questions Used To Obtain the
National Data provided with objective 1-8e.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8e for more information.
|
v v v
1-8i. American
Indian or Alaska Native—medicine.
|
National Data Source
|
AAMC Data Book, Association of American Medical Colleges.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
0.6 (1996–97).
|
|
Numerator
|
Number of degrees awarded by
accredited allopathic medical schools to American Indian or Alaska Native
persons.
|
|
Denominator
|
Number of degrees awarded by
accredited allopathic medical schools to all persons.
|
|
Population Targeted
|
Students in accredited allopathic
medical schools.
|
|
Questions Used To Obtain the
National Data
|
See AAMC Data Book.2
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Data are obtained through annual
surveys completed by accredited medical schools and are aggregate counts of
the number of graduates with an M.D. degree.2
|
|
This objective is a modification
of the Healthy People 2000 objective 21.8, which tracked the proportion of
degrees awarded in all health professions (medicine, pharmacy, dentistry, and
public health). This measure tracks the proportion of degrees awarded in
medicine only.
|
|
See Appendix A for focus area
contact information.
|
v v v
1-8j. Asian
or Pacific Islander—medicine.
|
National Data Source
|
AAMC Data Book, Association of American Medical Colleges.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
15.9 (1996–97).
|
|
Numerator
|
Number of degrees awarded by
accredited allopathic medical schools to Asian or Pacific Islander persons.
|
|
Denominator
|
Number of degrees awarded by
accredited allopathic medical schools to all persons.
|
|
Population Targeted
|
Students in accredited allopathic
medical schools.
|
|
Questions Used To Obtain the
National Data
|
See AAMC Data Book.2
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8i for more information.
|
v v v
1-8k. Black
or African American—medicine.
|
National Data Source
|
AAMC Data Book, Association of American Medical Colleges.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
7.3 (1996–97).
|
|
Numerator
|
Number of degrees awarded by
accredited allopathic medical schools to black or African American persons.
|
|
Denominator
|
Number of degrees awarded by
accredited allopathic medical schools to all persons.
|
|
Population Targeted
|
Students in accredited allopathic
medical schools.
|
|
Questions Used To Obtain the
National Data
|
See AAMC Data Book.2
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8i for more information.
|
v v v
1-8l. Hispanic
or Latino—medicine.
|
National Data Source
|
AAMC Data Book, Association of American Medical Colleges.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
4.6 (1996–97).
|
|
Numerator
|
Number of degrees awarded by
accredited allopathic medical schools to Hispanic or Latino persons.
|
|
Denominator
|
Number of degrees awarded by
accredited allopathic medical schools to all persons.
|
|
Population Targeted
|
Students in accredited allopathic
medical schools.
|
|
Questions Used To Obtain the
National Data
|
See AAMC Data Book.2
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8i for more information.
|
v v v
1-8m. American
Indian or Alaska Native—dentistry.
|
National Data Source
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association.
|
|
State Data Source
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
0.5 (1996–97).
|
|
Numerator
|
Number of degrees from accredited
dental schools awarded to American Indian or Alaska Native persons.
|
|
Denominator
|
Number of degrees from accredited
dental schools awarded to all persons.
|
|
Population Targeted
|
Students in accredited dental
schools.
|
|
Questions Used To Obtain the
National Data
|
From the 1997–98 Survey of Predoctoral Dental Educational
Institutions:
|
|
Ø
How many students received a D.D.S. or D.M.D. degree
between October 1, 1996 and September 30, 1997?
(Total must equal the total number of graduates listed on the graduate class
list.)
|
|
Ø
How many students received a D.D.S. or D.M.D. degree
between October 1, 1996 and September 30, 1997 in each of the following
race/ethnicity categories?
Male FemaleTotal
a.
White _____ _____ _____
b. Black _____ _____ _____
c. Hispanic _____ _____ _____
d. Native American _____ _____ _____
e. Asian _____ _____ _____
f. Not Indicated _____ _____ _____
Total _____
(Total must equal the total number of graduates listed on the graduate class
list.)
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Dental degrees include both
D.D.S. and D.M.D.4
|
|
This objective is a modification
of the Healthy People 2000 objective 21.8, which tracked the proportion of
degrees awarded in all health professions (medicine, pharmacy, dentistry,
and public health). This measure tracks the proportion of degrees awarded in
dentistry only.
|
|
See Appendix A for focus area
contact information.
|
v v v
1-8n. Asian
or Pacific Islander—dentistry.
|
National Data Source
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association.
|
|
State Data Source
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
19.5 (1996–97).
|
|
Numerator
|
Number of degrees from accredited
dental schools awarded to Asian or Pacific Islander persons.
|
|
Denominator
|
Number of degrees from accredited
dental schools awarded to all persons.
|
|
Population Targeted
|
Students in accredited dental
schools.
|
|
Questions Used To Obtain the
National Data
|
See Questions Used To Obtain the
National Data provided with objective 1-8m.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8m for more information.
|
v v v
1-8o. Black or African American—dentistry.
|
National Data Source
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association.
|
|
State Data Source
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
5.1 (1996–97).
|
|
Numerator
|
Number of degrees from accredited
dental schools awarded to black or African American persons.
|
|
Denominator
|
Number of degrees from accredited
dental schools awarded to all persons.
|
|
Population Targeted
|
Students in accredited dental
schools.
|
|
Questions Used To Obtain the
National Data
|
See Questions Used To Obtain the
National Data provided with objective 1-8m.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8m for more information.
|
v v v
1-8p. Hispanic
or Latino—dentistry.
|
National Data Source
|
Survey of Predoctoral Dental
Educational Institutions, American Dental Association.
|
|
State Data Source
|
Survey of Predoctoral Dental Educational
Institutions, American Dental Association.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
4.7 (1996–97).
|
|
Numerator
|
Number of degrees from accredited
dental schools awarded to Hispanic or Latino persons.
|
|
Denominator
|
Number of degrees from accredited
dental schools awarded to all persons.
|
|
Population Targeted
|
Students in accredited dental
schools.
|
|
Questions Used To Obtain the
National Data
|
See Questions Used To Obtain the
National Data provided with objective 1-8m.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8m for more information.
|
v v v
1-8q. American
Indian or Alaska Native—pharmacy.
|
National Data Source
|
Profile of Pharmacy Students,
American Association of Colleges of Pharmacy.
|
|
State Data Source
|
Profile of Pharmacy Students,
American Association of Colleges of Pharmacy.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
0.4 (1996–97)
|
|
Numerator
|
Number of degrees awarded by
accredited pharmacy schools to American Indian or Alaska Native persons.
|
|
Denominator
|
Number of degrees awarded by
accredited pharmacy schools to all persons.
|
|
Population Targeted
|
Students in accredited pharmacy
schools.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Pharmacy degrees include both
doctor of pharmacy degrees awarded as the first professional degree and
postbaccalaureate degrees.5
|
|
This objective is a modification
of the Healthy People 2000 objective 21.8, which tracked the proportion of
degrees awarded in all health professions (medicine, pharmacy, dentistry,
and public health). This measure tracks the proportion of degrees awarded in
pharmacy only.
|
|
See Appendix A for focus area
contact information.
|
v v v
1-8r. Asian
or Pacific Islander—pharmacy.
|
National Data Source
|
Profile of Pharmacy Students,
American Association of Colleges of Pharmacy.
|
|
State Data Source
|
Profile of Pharmacy Students,
American Association of Colleges of Pharmacy.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
17.5 (1996–97).
|
|
Numerator
|
Number of degrees awarded by
accredited pharmacy schools to Asian or Pacific Islander persons.
|
|
Denominator
|
Number of degrees awarded by
accredited pharmacy schools to all persons.
|
|
Population Targeted
|
Students in accredited pharmacy
schools.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8q for more information.
|
v v v
1-8s. Black or African American—pharmacy.
|
National
Data Source
|
Profile of Pharmacy Students,
American Association of Colleges of Pharmacy.
|
|
State Data Source
|
Profile of Pharmacy Students,
American Association of Colleges of Pharmacy.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
5.7 (1996–97).
|
|
Numerator
|
Number of degrees awarded by
accredited pharmacy schools to black or African American.
|
|
Denominator
|
Number of degrees awarded by
accredited pharmacy schools to all persons.
|
|
Population Targeted
|
Students in accredited pharmacy
schools.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8q for more information.
|
v v v
1-8t. Hispanic
or Latino—pharmacy.
|
National Data Source
|
Profile of Pharmacy Students,
American Association of Colleges of Pharmacy.
|
|
State Data Source
|
Profile of Pharmacy Students,
American Association of Colleges of Pharmacy.
|
|
Healthy People 2000 Objective
|
Adapted from 21.8 (Clinical
Preventive Services).
|
|
Measure
|
Percent.
|
|
Baseline
|
2.8 (1996–97).
|
|
Numerator
|
Number of degrees awarded by
accredited pharmacy schools to Hispanic or Latino persons.
|
|
Denominator
|
Number of degrees awarded by
accredited pharmacy schools to all persons.
|
|
Population Targeted
|
Students in accredited pharmacy
schools.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-8q for more information.
|
v v v
1-9a. Pediatric
asthma—persons under age 18 years.
|
National Data Source
|
Healthcare Cost and Utilization
Project (HCUP), AHRQ (formerly AHCPR).
|
|
State Data Source
|
See Comments.
|
|
Healthy People 2000 Objective
|
Adapted from 11.1b (Environmental
Health).
|
|
Measure
|
Rate per 10,000 population.
|
|
Baseline
|
23.0 (1996) (selected States—see
Comments).
|
|
Numerator
|
Number of hospitalizations among
persons under 18 years with asthma (ICD-9-CM code 493) as the first-listed
(principal) diagnosis.
|
|
Denominator
|
Number of persons under age 18
years.
|
|
Population Targeted
|
Resident persons (selected
States—see Comments).
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
HCUP contains a hospital
inpatient discharge database that includes 100 percent of hospitals and 100
percent of discharges from 19 States in 1996 and 22 States in 1997. A sample
of hospitals has been drawn from this that can be used to derive estimates
for the U.S. population.
|
|
Data by race and ethnicity are
not available, although State-level data are available for 7 of the 22
States that participated in HCUP in 1997. AHRQ is developing a Minority
National Inpatient Sample as part of HCUP that will provide national
estimates of disparities in avoidable hospitalization rates by race and
ethnicity.
|
|
This measure is a modification of
Healthy People 2000 objective 11.1b, which tracked asthma hospitalizations
among children under age 14 years, using data from the National Hospital
Discharge Survey, CDC, NCHS. This measure tracks persons aged 18 years and
under, using data from the Healthcare Cost and Utilization Project (HCUP),
AHRQ (formerly AHCPR).
|
|
See Appendix A for focus area
contact information.
|
v
v
v
1-9b. Uncontrolled
diabetes—persons aged 18 to 64 years.
|
National Data Source
|
Healthcare Cost and Utilization
Project (HCUP), AHRQ (formerly AHCPR).
|
|
State Data Source
|
See Comments.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 10,000 population.
|
|
Baseline
|
7.2 (1996) (selected States—see
Comments).
|
|
Numerator
|
Number of hospitalizations among
persons aged 18 to 64 years with uncontrolled diabetes (ICD-9-CM codes
250.02-250.03, 250.10-250.13, 250.20-250.23, 250.30-250.33) as the
first-listed (principal) diagnosis.
|
|
Denominator
|
Number of persons aged 18 to 64
years.
|
|
Population Targeted
|
Resident persons (selected
States—see Comments).
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-9a for more information.
|
v v v
1-9c. Immunization-preventable
pneumonia or influenza—persons aged 65 years and older.
|
National Data Source
|
Healthcare Cost and Utilization
Project (HCUP), AHRQ (formerly AHCPR).
|
|
State Data Source
|
See Comments.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 10,000 population.
|
|
Baseline
|
10.6 (1996) (selected States—see
Comments).
|
|
Numerator
|
Number of hospitalizations among
persons aged 65 years and older with preventable pneumonia or influenza
(ICD-9-CM codes 481, 487) as the first-listed (principal) diagnosis.
|
|
Denominator
|
Number of persons aged 65 years
and older.
|
|
Population Targeted
|
Resident persons (selected
States—see Comments).
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
See Comments provided with
objective 1-9a for more information.
|
v v v
Emergency Services
|
|
|
Comments
|
An operational definition could not
be specified at the time of publication.
|
|
The proposed national data source
is the National Health Interview Survey (NHIS), CDC, NCHS.
|
|
The proposed numerator is the
number of persons who report that they delayed or had difficulty getting emergency
medical care because of any one of several possible barriers, including
unsure if emergency medical care needed; needed to contact health care
provider or health plan; could not take time off from work; needed child
care; did not have transportation; ambulance did not arrive quickly; no
health insurance; health plan requires co-payment; health plan requires
pre-authorization; concerned that health plan would not pay for emergency
visit; referred out of the emergency room without treatment; long wait in
the emergency room/ or emergency medical facility; or an other specified
reason.
|
|
The proposed denominator is the
number of adults in the survey population aged 18 years and older weighted
to the U.S. civilian, noninstitutionalized population.
|
|
The proposed questions to be used
to obtain the data are scheduled to be included in the 2001 NHIS.
|
|
See Part C for a description of
NHIS and Appendix A for focus area contact information.
|
v v v
|
|
|
Comments
|
An operational definition could
not be specified at the time of publication.
|
|
The proposed national data source
is the Annual Survey of EMS Operations, International Association of Firefighters.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
American Association of Poison
Control Centers Survey, U.S. Poison Centers.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Percent.
|
|
Baseline
|
15 (1999).
|
|
Numerator
|
Number of Poison Control Centers
(PCCs) that report the same single toll-free telephone number for immediate
information and treatment advice about poisonings and toxic exposures.
|
|
Denominator
|
Number of PCCs nationwide.
|
|
Questions Used To Obtain the
National Data
|
From the 1999 American
Association of Poison Control Centers Survey:
|
|
|
Ø
What emergency telephone numbers do you advertise?
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
The numerator is based on the
number of PCCs that report the same toll-free telephone number that is
advertised to provide immediate information and treatment advice about
poisonings and toxic exposures.
|
|
For the denominator, the total
number of PCCs nationwide for 1999 is 74.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
State EMS Directors Survey,
National Association of State EMS Directors.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Number.
|
|
Baseline
|
5 (1998).
|
|
Numerator
|
Number of States and the District
of Columbia that satisfied all eight trauma care system criteria.
|
|
Denominator
|
Not applicable.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 National
Association of State EMS Directors Survey of EMS directors:
|
|
Ø Does
someone in your State have legal authority to “designate, certify, identify,
or categorize” trauma centers?
|
|
Ø Is
there a formal process to designate or otherwise identify trauma centers?
|
|
Ø What
standards are used for designating/identifying trauma centers?
|
|
Ø As
part of the designation process, are the trauma centers surveyed through
on-site evaluations for the purpose of verifying compliance with standards?
|
|
Ø Is
there authority to limit the number of trauma centers based on need?
|
|
Ø Are
there written prehospital triage protocols/criteria to transport seriously
injured patients directly to a trauma center, bypassing other facilities
that are not trauma centers?
|
|
Ø Is
there a process for monitoring trauma center performance?
|
|
Ø Does
your State’s system of trauma care consist of a single statewide trauma
system?
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
The eight criteria for State
trauma care systems used in the National Association of State EMS Directors
Survey of EMS directors in all 50 States and the District of Columbia are
legal authority exists to designate, certify, identify, or categorize trauma
centers; a formal process exists to designate or otherwise identify trauma
centers; the American College of Surgeons (ACS) standards are used to
designate or identify trauma centers; trauma center compliance with the ACS
standards is verified through on-site evaluations; legal authority exists to
limit the number of trauma centers based on the need for trauma services;
existence of prehospital triage protocols for trauma patients, allowing
providers to bypass nontrauma center hospitals and transport seriously
injured patients directly to a trauma center; a process for monitoring
trauma center performance exists; and trauma system coverage extends to the
entire geographic area of the State.
|
|
Data for Tribes are
developmental. The proposed data source is the Indian Health Service.
|
|
See Appendix A for focus area
contact information.
|
v v v
1-14a. Increase
the number of States and the District of Columbia that have implemented
statewide pediatric protocols for online
medical direction.
|
National Data Source
|
Emergency Medical Services for
Children Annual Grantees Survey, HRSA.
|
|
State Data Source
|
Emergency Medical Services for
Children Annual Grantees Survey, HRSA.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Number of States and the District
of Columbia.
|
|
Baseline
|
18 (1997).
|
|
Numerator
|
Number of States that have
pediatric protocols for both online medical direction of emergency medical
technicians (EMTs) and paramedics at the scene of an emergency and overall
medical direction in the development of written pediatric protocols, medical
policies, and guidelines.
|
|
Denominator
|
Not applicable.
|
|
Questions Used To Obtain the
National Data
|
From the 1997 Emergency Medical
Services for Children Annual Grantees Survey:
|
|
Ø Does
your State have a designated pediatric health professional involved in the
development of guidelines, protocols, procedures, and policies, as well as
planning for training in and evaluation of their use?
|
|
Ø Does
your State provide for online medical direction by a professional trained in
the unique emergency medical services needs of children?
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
This measure tracks the level of
overall medical direction provided to States by physicians trained in the
special needs of children when developing guidelines, protocols, procedures,
and policies, as well as planning the training for and participating in the
evaluation of their use.
|
|
This measure also tracks the
number of States that have EMS medical directors available to communicate
directly with EMTs at the scene and during transport. Both overall medical
direction and online direction must be available to respond "yes"
to this measure.
|
|
Online medical direction involves
direct communication (for example, voice) between EMS medical directors and
EMTs and paramedics to authorize and guide the care of patients during transport.
|
|
The Emergency Medical Services
for Children Annual Grantees Survey surveys a grantee from each of the 50
States, the District of Columbia, and 6 U.S. Territories.
|
|
See Appendix A for focus area
contact information.
|
v v v
1-14b. Increase
the number of States and the District of Columbia that have adopted and
disseminated pediatric guidelines that
categorize acute care facilities with the equipment, drugs, trained personnel,
and other resources necessary to provide varying levels of pediatric emergency
and critical care.
|
National Data Source
|
Emergency Medical Services for
Children Annual Grantees Survey, HRSA.
|
|
State Data Source
|
Emergency Medical Services for
Children Annual Grantees Survey, HRSA.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Number of States and the District
of Columbia.
|
|
Baseline
|
11 (1997).
|
|
Numerator
|
Number of States and the District
of Columbia that have adopted and disseminated pediatric guidelines that
categorize acute care facilities with the equipment, drugs, trained
personnel, and resources necessary to provide varying levels of pediatric
emergency and critical care.
|
|
Denominator
|
Not applicable.
|
|
Questions Used To Obtain the
National Data
|
From the 1997 Emergency Medical Services for Children Annual
Grantees Survey:
|
|
Ø Does
your State have pediatric guidelines that categorize acute care facilities
with the equipment, drugs, trained personnel, and resources necessary to
provide varying levels of pediatric emergency and critical care?
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
This measure tracks the number of
States with either a mandatory or voluntary system with written guidelines
and procedures for identifying acute care facilities with the appropriate
equipment, drugs, trained personnel, and resources necessary to provide
varying levels of pediatric emergency care.
|
|
The Emergency Medical Services
for Children Annual Grantees Survey surveys a grantee from each of the 50
States, the District of Columbia, and 6 U.S. Territories.
|
|
See Appendix A for focus area
contact information.
|
Long-Term Care and
Rehabilitative Services
|
|
|
Comments
|
An operational definition could
not be supplied at the time of publication.
|
|
Proposed national data sources
are the National Long-Term Care Survey, Medicare Current Beneficiary Survey,
HCFA; National Health Interview Survey (NHIS), CDC, NCHS; or the Medical
Expenditure Panel Survey (MEPS), AHRQ (formerly AHCPR).
|
|
A continuum of care includes
nursing home care, home health care, adult day care, assisted living, and
hospice care.
|
|
Long-term care needs are defined
as needing the help of another person with personal care such as eating,
bathing, dressing, and getting around in the home or needing the help of
other persons with routine needs such as everyday chores, doing necessary
business, shopping, or getting around for other purposes are also included.
Persons without access to the continuum of long-term care services are those
with long-term care needs who report needing long-term care services but not
receiving them in the past 12 months.
|
|
See Appendix A for focus area
contact information.
|
v v v
|
|
|
National Data Source
|
National Nursing Home Survey
(NNHS), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 1,000 population.
|
|
Baseline
|
16 (1997).
|
|
Numerator
|
Number of nursing home residents
reported to have a current diagnosis of a stage II or greater pressure ulcer
(ICD-9-CM codes 707.0-707.1 or 454.0).
|
|
Denominator
|
Number of nursing home residents.
|
|
Population Targeted
|
U.S. resident population.
|
|
Questions Used To Obtain the
National Data
|
From the 1997 National Nursing
Home Survey:
|
|
Ø
According to (nursing home resident’s name)
medical record, what were (nursing home resident’s name) the primary
and other diagnoses at the time of admission on (patient’s date of
admission)?
Primary
diagnosis: 1 _________________
Others: 2 _________________
3 _________________
4 _________________
5 _________________
6 _________________
|
|
Ø
According
to (nursing home resident’s name) medical record, what are (nursing
home resident’s name) current primary and other diagnoses?
Same as above ¨
(If not the same:)
Primary diagnosis: 1 _________________
Others: 2 _________________
3 _________________
4 _________________
5 _________________
6 _________________
|
|
Expected Periodicity
|
Biennial.
|
|
Comments
|
This measure includes any mention
of a stage II or greater pressure ulcer, as either the “Primary” or “Other”
diagnosis.
|
|
Tracking the rate of new cases is
the most appropriate way to measure problems with pressure ulcers, however,
such data are not currently available at the national level. The current
NNHS measure tracks the total number of cases at the time of interview.
|
|
See Appendix A for focus area
contact information.
|
v v v
References
1. National Center for Health Statistics (NCHS). Health,
United States, 2000 with Adolescent Health Chartbook. Hyattsville, MD:
NCHS, 2000, Table 128.
2. Association of American Medical Colleges (AAMC). AAMC Data Book: Statistical Information Related to Medical Schools and Teaching
Hospitals. Washington, DC: AAMC, 1999.
3. Association of Schools of Public Health (ASPH). 1998
Annual Data Report: Applications, New Enrollments, and Students. Fall 1998,
Graduates and Expenditures, 1997–98 With Trend Analysis 1987–88 through Fall
1998. Washington, DC: ASPH, 1999.
4. American Dental Association (ADA). 1997/98 Survey of
Predoctoral Dental Educational Institutions: Academic Programs, Enrollment, and
Graduates. Vol. 1. Chicago, IL: ADA, 1999.
5. American Association of Colleges of Pharmacy (AACP). Institutional
Research Report Series: Profile of Pharmacy Health Students. Alexandria, VA: AACP, 1999.
6. National League for Nursing (NLN). Nursing DataSource
1997. Vol. 1—Trends in Contemporary RN Nursing Education. New York, NY:
NLN, 1997.
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