Effectiveness of Care |
Cancer |
Screening for breast cancer: |
Women age 40 and over who reported they had a mammogram within the past 2 years (percent) |
1.1 |
2005 |
66.6 |
NHIS |
BRFSS |
Rate of breast cancer incidence per 100,000 women age 40 and over diagnosed at advanced stage (regional, distant stage, or local stage w/tumor greater than 2 cm) |
1.2 |
2004 |
92.8 |
SEER |
NPCR |
Cancer treatment: |
Breast cancer deaths per 100,000 female population per year |
1.11 |
2004 |
24.4 |
NVSS-M |
NVSS-M |
Diabetes |
Management of diabetes: |
Composite measure: Percent of adults age 40 and over with diagnosed diabetes who had all three exams in the past year: hemoglobin A1c test, a retinal eye examination, and a foot examination |
1.16 |
2004 |
46.7 |
MEPS |
BRFSS |
Hospital admissions for lower extremity amputations per 1,000 adult patients with diabetes |
1.28 |
2003-2005 |
4.1 |
NHDS |
HCUP SID |
End Stage Renal Disease |
Management of end stage renal disease: |
Percent of dialysis patients registered on the waiting list for transplantation |
1.33 |
2003 |
15.0 |
USRDS |
USRDS |
Percent of hemodialysis patients with urea reduction ratio 65% or higher |
1.35 |
2005 |
8.8 |
ESRD Clinical Performance Measures Project |
U.Michigan |
Heart Disease |
Counseling on risk factors: |
Percent of smokers receiving advice to quit smoking |
1.41 |
2004 |
63.7 |
MEPS |
BRFSS |
Percent of obese adults age 18 and older who were given advice about exercise |
1.63 |
2004 |
58.8 |
MEPS |
n.a |
Treatment of acute myocardial infarction (AMI): |
Composite measure: Percent of adult patients who received recommended hospital care for heart attack |
1.42 |
2005 |
93.5 |
QIO |
QIO+HC |
Treatment of acute heart failure: |
Composite measure: Percent of adult patients who received recommended hospital care for heart failure |
1.51 |
2005 |
86.9 |
QIO |
QIO+HC |
Heart disease treatment: |
Deaths per 1,000 adult admissions with acute myocardial infarction |
1.60 |
2004 |
81.7 |
HCUP NIS |
n.a |
HIV and AIDS |
AIDS prevention: |
New AIDS cases per 100,00 0 population age 13 and over |
1.65 |
2005 |
18.1 |
CDC AIDS |
n.a |
Maternal and Child Health |
Maternity care: |
Percent of pregnant women receiving prenatal care in first trimester |
1.72 |
2004 |
83.9 |
NVSS-N |
NVSS-N |
Infant mortality per 1,000 live births, birthweight <1,500 grams |
1.74 |
2004 |
244.5 |
NVSS-I |
NVSS-I |
Immunization, childhood: |
Percent of children 19-35 months who received all recommended vaccines |
1.76 |
2005 |
80.8 |
NIS |
NIS |
Treatment of pediatric gastroenteritis: |
Hospital admissions for pediatric gastroenteritis per 100,000 population less than 18 years of age |
1.77 |
2004 |
178.7 |
HCUP NIS |
HCUP SID |
Childhood preventive care: |
Percent of children age 2-17 for whom a doctor or other health provider gave advice about healthy eating |
1.80 |
2004 |
53.3 |
MEPS |
n.a. |
Percent of children ages 2-17 with a dental visit in the past year |
1.81 |
2004 |
51.6 |
MEPS |
n.a. |
Mental Health and Substance Abuse |
Treatment of depression: |
Deaths due to suicide per 100,000 population |
1.91 |
2004 |
10.9 |
NVSS-M |
NVSS-M |
Percent of adults age 18-64 with past year major depressive episode who received treatment for the depression in the past year |
1.92 |
2005 |
65.6 |
SAMHSA |
n.a. |
Treatment of substance abuse: |
Percent of persons age 12 or older who needed treatment for any illicit drug use and who received such treatment at a specialty facility in the past year |
1.94 |
2005 |
1 70 |
SAMHSA-NSDUH |
n.a. |
Percent of persons age 12 or older who received substance abuse treatment who completed treatment course |
1.95 |
2004 |
44.2 |
TEDS |
n.a. |
Respiratory Diseases |
Immunization, pneumonia: |
Percent of persons age 65 and over who ever received a pneumococcal vaccination |
1.100 |
2005 |
56.3 |
NHIS |
BRFSS |
Treatment of pneumonia: |
Composite measure: Percent of adult patients who received recommended hospital care for pneumonia |
1.101 |
2005 |
74.1 |
QIO |
QIO |
Treatment of upper respiratory infection (URI): |
Visit rates where antibiotics were prescribed for a diagnosis of common cold per 10,000 population |
1.108 |
2004-2005 |
137 |
NAMCS-NHAMCS- |
n.a. |
Management of asthma: |
Hospital admissions for pediatric asthma per 100,000 population age 2-17 |
1.110 |
2004 |
155.5 |
HCUP NIS |
HCUP SID |
Treatment of TB: |
Percent of patients who complete a curative course of TB treatment within 12 months of initiation of treatment |
1.113 |
2003 |
81.5 |
CDC TB |
n.a. |
Nursing Home, Home Health, and Hospice Care |
Nursing facility care: |
Percent of long-stay residents who were physically restrained |
1.116 |
2005 |
6.6 |
CMS MDS |
CMS MDS |
Percent of high-risk residents who have pressure sores |
1.121 |
2005 |
13.1 |
CMS MDS |
CMS MDS |
Percent of short-stay residents with pressure sores |
1.127 |
2005 |
20.7 |
CMS MDS |
CMS MDS |
Home health care: |
Percent of home health care patients who get better at walking or moving around |
1.136 |
2005 |
38.8 |
CMS OASIS |
CMS OASIS |
Percent of home health care patients who had to be admitted to the hospital |
1.140 |
2005 |
28.0 |
CMS OASIS |
CMS OASIS |
Patient Safety |
Postoperative complications: |
Composite measure: Surgical patients with postoperative pneumonia, urinary tract infection, and venous thromboembolic event (percent) |
2.1 |
2005 |
6.55 |
MPSMS |
n.a. |
Composite measure: Appropriate timing of antibiotics received by adult Medicare patients having surgery (percent) |
2.5 |
2005 |
75.2 |
QIO |
QIO+HC |
Composite measure: Complications of central venous catheters (percent) |
2.18 |
2005 |
4.1 |
MPSMS |
n.a. |
Complications of medication: |
Percent of community dwelling elderly who had at least 1 prescription (from a list of 11 medications and from a list of 33 medications) potentially inappropriate for the elderly |
2.35 |
2005 |
16.6 |
MEPS |
n.a. |
Timeliness |
Getting appointments for care: |
Percent of adults age 18 and over who reported sometimes or never getting care for illness or injury as soon as wanted |
2.35 |
2004 |
14.2 |
MEPS |
NCBD |
Waiting time: Percent of emergency department (ED) visits in which the patient left before being seen |
3.11 |
2004-2005 |
2.0 |
NAMCS-NHAMCS |
n.a. |
Patient Centeredness |
Patient experience of care: |
Composite measure: Percent of adults whose health providers sometimes or never listened carefully, explained things, showed respect, and spent enough time with them |
4.1 |
2004 |
9.6 |
MEPS |
NCBD |
Composite measure: Percent of children whose health providers sometimes or never listened carefully, explained things, showed respect, and spent enough time with them |
4.2 |
2004 |
5.7 |
MEPS |
NCBD |