National Healthcare Quality Report 2006

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List of Core Report Measures

Measure	Measure number 2006	Year of most recent data	National average	National data base	State data base
EFFECTIVENESS OF CARE
CANCER
Screening for colorectal cancer:
Composite measure: Percent of men and women age 50 and over who report having ever received a colonoscopy, sigmoidoscopy, or proctoscopy, or a fecal occult blood test in the past 2 years	1.5	2003	51.7	NHIS	BRFSS
Rate of colorectal cancer incidence per 100,000 men and women age 50 and over diagnosed at advanced stage (tumors diagnosed at regional or distant stage)	1.8	2003	85.3	SEER	NPCR
Cancer treatment:
Cancer deaths per 100,000 persons per year for most common cancers: colorectal cancer	1.13	2003	19.1	NVSS-M	NVSS-M
DIABETES
Management of diabetes:
Composite measure: Percent of adults age 40 and over with diabetes who had all three exams in last year: hemoglobin A1c test, a retinal eye examination, and a foot examination	1.16	2003	47.8	MEPS	BRFSS
Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population	1.28	2002-2004	4.4	NHDS	HCUP SID
END STAGE RENAL DISEASE
Management of end stage renal disease:
Percent of dialysis patients registered on the waiting list for transplantation	1.29	2003	16.8	USRDS	USRDS
Percent of hemodialysis patients with urea reduction ratio 65% or higher	1.31	2004	87	ESRD Clinical Performance Measures Project	U.Michigan
HEART DISEASE
Counseling on risk factors:
Percent of smokers receiving advice to quit smoking	1.37	2003	66.14	MEPS	BRFSS
Percent of obese adults age 18 and older who were given advice about exercise	1.59	2003	58.2	MEPS	n.a.
Treatment of acute myocardial infarction (AMI):
Composite measure: Percent of recommended hospital care received by heart attack patients	1.38	2004	85.56	QIO	QIO+HC
Treatment of acute heart failure:
Composite measure: Percent of recommended hospital care received by heart failure patients	1.47	2004	77.66	QIO	QIO+HC
Heart disease treatment:
Deaths per 1,000 adult admissions with acute myocardial infarction	1.56	2003	86.88	HCUP NIS	n.a.
HIV and AIDS
AIDS prevention:
New AIDS cases per 100,000 population 13 and over	1.61	2004	17.1	CDC-AIDS	n.a.
MATERNAL AND CHILD HEALTH
Maternity care:
Percent of pregnant women receiving prenatal care in first trimester	1.65	2003	84.1	NVSS-N	NVSS-N
Infant mortality per 1,000 live births, birthweight <1,500 grams	1.67	2003	252	NVSS-I	NVSS-I
Immunization, childhood:
Percent of children 19-35 months who received all recommended vaccines	1.69	2004	80.9	NIS	NIS
Immunization, adolescent:
Percent of adolescents age 13-15 reported to have received 3 or more doses of hepatitis B vaccine	1.70	2003	80.5	NHIS	n.a.
Treatment of pediatric gastroenteritis:
Hospital admissions for pediatric gastroenteritis per 100,000 population less than 18 years of age	1.75	2003	90.82	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	1.78	2003	51.60	MEPS	n.a.
Percent of children age 3-6 whose vision was checked by a doctor or other health provider	1.79	2003	60.70	MEPS	n.a.
MENTAL HEALTH AND SUBSTANCE ABUSE
Treatment of depression:
Deaths due to suicide per 100,000 population	1.87	2003	10.8	NVSS-M	NVSS-M
Percent of adults age 18 and over with past year major depressive episode who received treatment for the depression in the past year	1.88	2004	65.1	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	1.90	2004	17.7	SAMHSA	n.a.
Percent of persons age 12 or older who received substance abuse treatment who completed treatment course	1.91	2003	43.9	TEDS	n.a.
RESPIRATORY DISEASES
Immunization, pneumonia:
Percent of persons age 65 and over who ever received a pneumococcal vaccination	1.96	2004	57	NHIS	BRFSS
Treatment of pneumonia:
Composite measure: Percent of recommended hospital care received by pneumonia patients	1.97	2004	64.37	QIO	QIO
Treatment of upper respiratory infection (URI):
Visit rates where antibiotics were prescribed for a diagnosis of common cold per 10,000 population	1.104	2003-2004	142.4	NAMCS-NHAMCS	n.a.
Management of asthma:
Hospital admissions for pediatric asthma per 100,000 population (under age 18)	1.106	2003	216.92	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	1.109	2002	80.9	CDC-TB	n.a.
NURSING HOME, HOME HEALTH, AND HOSPICE CARE
Nursing facility care:
Percent of residents who were physically restrained	1.112	2004	7.25	CMS MDS	CMS MDS
Percent of high-risk residents who have pressure sores	1.117	2004	13.48	CMS MDS	CMS MDS
Percent of short-stay residents with pressure sores	1.123	2004	21.16	CMS MDS	CMS MDS
Home health care:
Percent of home health care patients who get better at walking or moving around	1.128	2004	37.23	CMS OASIS	CMS OASIS
Percent of home health care patients who had to be admitted to the hospital	1.132	2004	27.9	CMS OASIS	CMS OASIS
PATIENT SAFETY
Postoperative complications
Composite measure: Percent of surgical patients with postoperative pneumonia, urinary tract infection, and venous thromboembolic event	2.1	2004	6.26	MPSMS	n.a.
Composite measure: Appropriate timing of antibiotics received by adult Medicare patients having surgery (percent)	2.5	2004	57.7	QIO	QIO + HC
Composite measure: Percent of central venous catheter placements with complications	2.18	2004	2.95	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	2.41	2003	18.7	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	3.5	2003	14.3	MEPS	NCBD
Waiting time: Percent of emergency department (ED) visits in which the patient left before being seen	3.8	2003-2004	1.8	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	2003	9.8	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	2003	6.1	MEPS	NCBD

Key to databases:
BRFSS = Behavioral Risk Factor Surveillance System
CDC TB = Centers for Disease Control and Prevention National Tuberculosis Surveillance System
CDC AIDS = Centers for Disease Control and Prevention HIV/AIDS Surveillance System
CMS MDS = Centers for Medicare & Medicaid Services Minimum Data Set
CMS OASIS = Centers for Medicare & Medicaid Services Outcome and Assessment Information Set
HCUP NIS = Healthcare Cost and Utilization Project Nationwide Inpatient Sample
HCUP SID = Healthcare Cost and Utilization Project State Inpatient Databases
ESRD = End Stage Renal Disease
MEPS = Medical Expenditure Panel Survey
MPSMS = Medicare Patient Safety Monitoring System
NAMCS-NHAMCS = National Ambulatory Medical Care Survey-National Hospital Ambulatory Medical Care Survey
NCBD = National CAHPS® Benchmarking Database
NHIS = National Health Interview Survey
NHDS = National Hospital Discharge Survey
NIS = National Immunization Survey
NNIS = National Nosocomial Infections Surveillance
NPCR = National Program of Cancer Registries
NTBSS = National TB Surveillance System
NVSS-I = National Vital Statistics System—Linked Birth and Infant Death Data
NVSS-M = National Vital Statistics System, Mortality
NVSS-N = National Vital Statistics System, Natality
QIO = Quality Improvement Organization program
QIO+HC = Quality Improvement Organization program + Hospital Compare
SAMSHA = Substance Abuse and Mental Health Services Administration
SEER = Surveillance, Epidemiology, and End Results Program
TEDS = Treatment Episode Data Set
USRDS = United States Renal Data System
U.Michigan = University of Michigan Kidney Epidemiology and Cost Center
n.a. = Not applicable

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AHRQ Publication No. 07-0013
Current as of December 2006

Internet Citation:

National Healthcare Quality Report, 2006. Full Report. AHRQ Publication No. 07-0013, December 2006. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/nhqr06/report/