Effectiveness of Care |
Cancer |
Screening for colorectal cancer: |
Composite measure: Adults age 50 and over who received colorectal cancer screening (colonoscopy, sigmoidoscopy, proctoscopy, or (in the last 2 years) fecal occult blood test [FOBT]) |
1.3.1 |
2005 |
55.5 |
NHIS |
BRFSS |
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over |
1.3.4 |
2005 |
80.8 |
SEER |
NPCR |
Cancer treatment: |
Colorectal cancer deaths per 100,000 population per year |
1.3.6 |
2005 |
17.5 |
NVSS-M |
NVSS-M |
Diabetes |
Management of diabetes: |
Composite measure: Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination) |
2.1.1 |
2005 |
40.1 |
MEPS |
n.a. |
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes |
2.3.4 |
2004-2006 |
3.8 |
NHDS |
n.a. |
End Stage Renal Disease |
Management of end stage renal disease: |
Dialysis patients under age 70 who were registered on a waiting list for transplantation |
3.1.1 |
2004 |
15.4 |
USRDS |
USRDS |
Adult hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater) |
3.1.3 |
2006 |
87.0 |
ESRD Clinical Performance Measures Project |
U Michigan |
Heart Disease |
Counseling on risk factors: |
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking |
4.1.4 |
2005 |
64.5 |
MEPS |
BRFSS |
Adults with obesity who ever received advice from a health provider to exercise more |
4.1.6 |
2005 |
58.3 |
MEPS |
n.a |
Treatment of acute myocardial infarction (AMI): |
Composite measure: Hospital patients with heart attack who received recommended hospital care (aspirin and beta blocker within 24 hours of admission, aspirin and beta blocker prescriptions at discharge, and smoking cessation counseling while hospitalized) |
4.2.1 |
2006 |
95.2 |
QIO |
QIO+HC |
Treatment of acute heart failure: |
Composite measure: Hospital patients with heart failure who received recommended hospital care (evaluation of left ventricular ejection fraction and ACE inhibitor or ARB prescription at discharge, if indicated, for left ventricular systolic dysfunction) |
4.3.1 |
2006 |
89.2 |
QIO |
QIO+HC |
Heart disease treatment: |
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) |
4.2.8 |
2005 |
77.5 |
HCUP NIS |
n.a |
HIV and AIDS |
AIDS prevention: |
New AIDS cases per 100,000 population age 13 and over |
5.2.1 |
2006 |
14.9 |
CDC AIDS |
n.a |
Maternal and Child Health |
Maternity care: |
Women who completed a pregnancy in the last 12 months who first received prenatal care in the first trimester |
6.1.1 |
2005 |
83.9 |
NVSS-N |
NVSS-N |
Infant deaths per 1000 live births, birth weight <1,500 g |
6.1.3 |
2004 |
6.8 |
NVSS |
NVSS |
Childhood immunization: |
Composite measure: Children ages 19-35 months who received all recommended vaccines |
6.2.1 |
2006 |
80.6 |
NIS |
NIS |
Childhood preventive care: |
Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have |
6.3.2 |
2005 |
34.8 |
MEPS |
n.a. |
Children ages 2-17 for whom a health provider ever gave advice about healthy eating |
6.3.3 |
2005 |
54.5 |
MEPS |
n.a. |
Children ages 3-6 who ever had their vision checked by a health provider |
6.3.4 |
2005 |
60.2 |
MEPS |
n.a. |
Mental Health and Substance Abuse |
Treatment of depression: |
Suicide deaths per 100,000 population |
7.1.1 |
2005 |
10.9 |
NVSS-M |
NVSS-M |
Adults with major depressive episode in the last 12 months who received treatment |
7.1.5 |
2006 |
69.1 |
SAMHSA-NSDUH |
n.a. |
Treatment of substance abuse: |
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months |
7.2.1 |
2006 |
20.3 |
SAMHSA-NSDUH |
n.a. |
Respiratory Diseases |
Pneumococcal vaccination: |
Adults age 65 and over who ever received pneumococcal vaccination |
8.1.5 |
2006 |
57.3 |
NHIS |
BRFSS |
Treatment of pneumonia: |
Composite measure: Hospital patients with pneumonia who received recommended hospital care (blood cultures collected before antibiotics are administered, initial antibiotic dose within 4 hours of hospital arrival and consistent with current recommendations, and influenza and pneumococcal screening or vaccination) |
8.2.1 |
2006 |
80.4 |
QIO |
QIO |
Treatment of upper respiratory infection: |
Visits with antibiotics prescribed for a diagnosis of common cold per 10,000 population |
8.2.8 |
2005-2006 |
90.9 |
NAMCS-NHAMCS- |
n.a. |
Treatment of tuberculosis: |
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment |
8.2.9 |
2004 |
81.9 |
CDC TB |
n.a. |
Management of asthma: |
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) |
8.3.1 |
2005 |
32.2 |
MEPS |
n.a. |
Nursing Home and Home Health Care |
Nursing facility care: |
Long-stay nursing home residents with physical restraints |
9.1.2 |
2006 |
6.0 |
MDS |
MDS |
High-risk, long-stay nursing home residents with pressure sores |
9.1.8 |
2006 |
12.5 |
MDS |
MDS |
Short-stay nursing home residents with pressure sores |
9.1.15 |
2006 |
2.4 |
MDS |
MDS |
Home health care: |
Adult home health care patients whose ability to walk or move around improved |
9.2.4 |
2006 |
41.2 |
OASIS |
OASIS |
Adult home health care patients who were admitted to the hospital |
9.2.8 |
2006 |
28.3 |
OASIS |
OASIS |
Patient Safety |
Postoperative complications: |
Composite measure: Adult surgery patients with postoperative complications (postoperative pneumonia or venous thromboembolic event) |
10.1.1 |
2006 |
2.7 |
MPSMS |
n.a. |
Composite measure: Adult surgery patients who received appropriate timing of antibiotics (prophylactic antibiotics begun at the right time and ended at the right time) |
10.1.5 |
2006 |
80.9 |
QIO |
QIO |
Composite measure: Bloodstream infections or mechanical adverse events per 1,000 central venous catheter placements |
10.2.1 |
2006 |
5.8 |
MPSMS |
n.a. |
Complications of medication: |
Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year |
10.3.1 |
2005 |
17.1 |
MEPS |
n.a. |
Timeliness |
Getting appointments for care: |
Adults who sometimes or never got care right away for an illness, injury or condition in the last 12 months |
11.1.3 |
2005 |
15.1 |
MEPS |
NCBD |
Waiting time: |
Emergency department visits in which patients left without being seen |
11.2.2 |
2005-2006 |
2.0 |
NHAMCS |
n.a. |
Patient Centeredness |
Patient experience of care: |
Composite measure: Adult ambulatory patients who reported poor communication with health providers |
12.1.1 |
2005 |
9.7 |
MEPS |
NCBD |
Composite measure: Children with ambulatory visits whose parents reported poor communication with health providers |
12.1.2 |
2005 |
5.5 |
MEPS |
NCBD |