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NHDR

Appendices

Data Sources

CHIS

Commonwealth Fund Healthcare Quality Survey

HCUP

HIV Research Network Data

MEPS

MCBS

Medicare Claims Data

Medicare Quality Improvement Organizations (QIO) Program

MDS

NAMCS

NHANES

NHIS

National HIV/AIDS Surveilance System

NHHCS

NHAMCS

NHDS

NHSDA

NIS

NNHS

NTBSS

NVSS-I

NVSS-M

NVSS-N

CPSS

SEER

USRDS

Detailed Methods

CHIS

CHIS 2001 Sample Design

Response Rate

Weighting

Selection of CHIS Data Relevant to NHDR

Data Files

Analysis

HCUP

Introduction

QI Software Review and Modification

Acquisition of Population Based Data

Preparation of HCUP Data

Special Methods for Race/Ethnicity Reporting

Statistical Methods

Caveats

Data Collection Differences Among States

Table 1

Table 2

Table 3

Table 4

References

MEPS

Background

Time Period

Population Characteristics

Healthcare Measures

Additional Information

Medicare Claims

MCBS

Overview of MCBS

MCBS Files Used for the NHDR

MCBS Table Notes

MCBS Sample for NHDR

Contrast (Column) Variables

Other (Row) Variables

Types of Data

Measure Specifications

Quality of Healthcare Measures

Effectiveness of Care

Cancer

Screening for Beast Cancer

Percent of women (age 40 and over) who report they had a mammogram within the past 2 years

Percent of breast cancers diagnosed at late stage

Screening for Cervical Cancer

Percent of women (age 18 and over) who report that they had a Pap smear within the past 3 years

Percent of cervical cancers diagnosed at late stage

Screening for Colorectal Cancer

Percent of men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy

Percent of men and women (age 50 and over) who reported they had a fecal occult blood test (FOBT) within the past 2 years

Percent of colorectal cancers diagnosed as regional or distant staged cancers

Cancer Treatment

Cancer deaths per 100,000 persons per year for all cancers

Cancer deaths per 100,000 persons per year for most common cancers, prostate cancer

Cancer deaths per 100,000 persons per year for most common cancers, breast cancer

Cancer deaths per 100,000 persons per year for most common cancers, lung cancer

Cancer deaths per 100,000 persons per year for most common cancers, colorectal cancer

Palliative Care

Percent of people who died of cancer who received hospice care

Median length of stay for cancer patients who received hospice care (reflects delayed referrals).

End Stage Renal Disease

Management of End Stage Renal Disease

Percent of dialysis patients registered on waiting list for transplantation

Percent of patients with treated chronic kidney failure who receive a transplant within three years of renal failure

Percent of hemodialysis patients with URR 65 or greater

Percent of patients with hematocrit 33 or greater

Diabetes

Management of diabetes

Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in the past year

Percent of adults with diabetes who had a lipid profile in the past two years

Percent of adults with diabetes who had a retinal eye examination in the past year.

Percent of adults with diabetes who had a foot examination in the past year.

Percent of adults with diabetes who had an influenza immunization in the past year.

Hospital admissions for uncontrolled diabetes per 100,000 population

Hospital admissions for short-term complications of diabetes per 100,000 population

Hospital admissions for long-term complications of diabetes per 100,000 population

Hospital admissions for lower extremity amputations in patients with diabetes per 100,000 population

Heart Disease

Screening for High Blood Pressure

Percent of people age 18 and over who have had blood pressure measured within preceding 2 years and can state whether their blood pressure is normal or high

Screening for High Cholesterol

Percent of adults 18 and over receiving cholesterol measurement within 5 years.

Counseling on Risk Factors

Percent of smokers receiving advice to quit smoking

Treatment of AMI

Percent of AMI patients administered aspirin within 24 hours of admission.

Percent of AMI patients with aspirin prescribed at discharge

Percent of AMI patients administered beta blocker within 24 hours of admission.

Percent of AMI patients with beta blocker prescribed at discharge

Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge.

Percent of AMI patients given smoking cessation counseling while hospitalized

Treatment of Acute Heart Failure

Percent of heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge

Management of Hypertension

Percent of people with hypertension who have blood pressure under control

Management of CHF

Hospital admissions for congestive heart failure (CHF) per 1,000 population.

HIV/AIDS

AIDS Prevention

New AIDS cases per 100,000 population (age 13 or over).

Management of HIV/AIDS

HIV-infection deaths per 100,000 population.

Maternal and Child Health

Maternity Care

Percent of mothers receiving prenatal care in first trimester.

Percent of liveborn infants with low and very low birthweight (less than 2,500 grams, less than 1,500 grams).

Infant mortality per 1,000 live births

Maternal deaths per 100,000 live births.

Immunization, Childhood

Percent of children 19-35 months who received all recommended vaccines

Percent of children 19-35 months who received 4 doses of DPaT vaccine

Percent of children 19-35 months who received 3 doses of polio vaccine

Percent of children 19-35 months who received 1 dose of MMR vaccine.

Percent of children 19-35 months who received 3 doses of Hib vaccine.

Percent of children 19-35 months who received 3 doses of hepatitis B vaccine

Percent of children 19-35 months who received 1 dose of varicella vaccine.

Immunization, Adolescent

Percent of adolescents (age 13 – 15) reported to have received 3 or more doses of hepatitis B vaccine.

Percent of adolescents (age 13 – 15) reported to have received 2 or more doses of MMR vaccine.

Percent of adolescents (age 13 – 15) reported to have received 1 or more doses of tetanus-diphtheria booster.

Percent of adolescents (age 13 – 15) reported to have received one or more doses of varicella vaccine.

Childhood Dental Care

Percent of children age 2 -17 who report dental visit in last year

Treatment of Pediatric Gastroenteritis

Hospital admissions for pediatric gastroenteritis per 100,000 population less than 18 years of age

Mental Health

Treatment of Depression

Deaths due to suicide per 100,000 population

Respiratory Diseases

Immunization, Influenza

Percent of high risk persons (e.g. COPD) age 18-64 who received an influenza vaccination in the past 12 months

Percent of persons age 65 and over who received an influenza vaccination in the past 12 months.

Percent of institutionalized adults (persons in long-term care or nursing homes) age 18 and over who received influenza vaccination in past 12 months.

Hospital admissions for immunization-preventable influenza per 100,000 population

Immunization, Pneumonia

Percent of high risk persons (e.g. COPD) age 18-64 who ever received a pneumococcal vaccination

Percent of persons, age 65 and over who ever received a pneumococcal vaccination.

Percent of institutionalized adults (persons in long-term care or nursing homes) who ever received pneumococcal vaccination

Treatment of Pneumonia

Percent of patients with pneumonia who have blood cultures collected before antibiotics are administered

Percent of patients with pneumonia who receive the initial antibiotic dose within 8 hours of hospital arrival.

Percent of patients with pneumonia who receive the initial antibiotic consistent with current recommendations.

Percent of patients with pneumonia who receive influenza screening or vaccination

Percent of patients with pneumonia who receive pneumococcal screening or vaccination.

Treatment of URI

Percent of visits where antibiotic was prescribed for the diagnosis of a common cold, adults and children.

Management of Asthma

Hospital admissions for pediatric asthma per 10,000 population under age 18.

Hospital admissions for asthma per 10,000 population.

Treatment of TB

Percent of TB patients who complete a curative course of TB treatment within 12 months of initiation of treatment.

Nursing Home and Home Health Care

Nursing Facility Care

Chronic care: Percent of residents with pain

Chronic care: Stage 1-4 pressure ulcer prevalence

Chronic care: Restraint use prevalence

Safety

Complications of Care

Birth trauma.

Death in low mortality DRGs

Transfusion reactions.

Foreign body left in body during procedure.

Complications of anesthesia.

Decubitus ulcers.

Iatrogenic pneumothorax.

Infection due to intravenous lines or catheters.

Postoperative hip fractures.

Postoperative hemorrhage or hematoma.

Postoperative physiologic and metabolic derangements.

Postoperative respiratory failure

Postoperative pulmonary embolism or deep venous thrombosis.

Postoperative septicemia.

Technical difficulty with procedure.

Postoperative wound dehiscence.

Obstetric trauma - vaginal with instrument.

Obstetric trauma - vaginal without instrument.

Obstetric trauma - Cesarean delivery

Prescribing Medications

Percent of community dwelling elderly who had at least one prescription (from a list of 11 medications and from a list of 33 medications) that is potentially inappropriate for the elderly.

Percent of persons with provider who usually asks about medications and treatments other doctors may give.

Timeliness

Basic Access

Percent of persons who report that they have a usual source of medical care, by place of care.

Percent of families that experience difficulties or delays in obtaining health care or do not receive needed care.

Getting Appointments for Care

Percent of adults who can always get appointments for routine care as soon as wanted.

Percent of adults who can always get care for illness or injury as soon as wanted

Waiting Time

ED visits: Percent of patients with waiting time to be seen by physician greater than or equal to one hour (presented separately for emergent/urgent and semi-urgent/non-urgent visits).

ED visits: Percent of patients who left without being seen.

Patient Centeredness

Patient Experience of Care

Percent of adults whose providers always listened carefully to them.

Percent of adults whose providers always explained things in a way they could understand.

Percent of adults whose providers always showed respect for what they had to say.

Percent of adults whose providers always spend enough time with them.

Access to Health Care Measures

Entry into the Health Care System

Health Insurance Coverage

Persons under age 65 with health insurance.

Persons under age 65 with public health insurance only

Persons under age 65 with any private health insurance.

Persons age 65 and over with any private health insurance.

Percent of persons under age 65 who were uninsured all year.

Percent of persons under age 65 who were uninsured for any period of time during the year.

Percent of persons under age 65 with any period of public insurance during the year.

Usual Source of Care

Persons who have a specific source of ongoing care.

Persons in fair or poor health who have a specific source of ongoing care.

Persons with a hospital, emergency room or clinic as source of ongoing care.

Adults with a community health center as source of ongoing care.

Percent of persons without a usual source of care who indicate a financial or insurance reason for not having a source of care.

Percent of persons who have a usual primary care provider.

Persons who report very little or no choice in source of care.

Adults who have not had their regular doctor for more than 5 years.

Unmet Need

Percent of families that experience difficulties or delays in obtaining health care or do not receive needed care.

Percent of families that experience difficulties or delays in obtaining health care due to financial or insurance reasons.

Percent of families that did not receive a doctor’s care or prescription medications because the family needed the money.

Percent of families not very satisfied that they can get health care if they need it.

Percent of adults who can always get appointments for routine care as soon as wanted.

Percent of adults who can always get care for illness or injury as soon as wanted.

Structural Barriers

Barriers to Getting Care

Percent of persons who usually use public transportation to get to provider.

Percent of persons with provider who has office hours nights or weekends.

Percent of persons with difficulty getting appointments on short notice.

Percent of persons with difficulty contacting provider over the telephone.

Percent of adults without problems getting referral to a specialist in past year.

Percent of persons not very satisfied with professional staff at provider’s office.

Wait Time

Percent of persons who usually wait >30 minutes before seeing provider.

Emergent/urgent emergency department visits with wait >= 1 hour.

Semi-urgent/non-urgent emergency department visits with wait >= 1 hour.

Emergency departments visits in which the patient left without being seen.

Patients’ Perceptions

Patient-Provider Communication

Percent of persons with provider who generally listens and gives needed information about health and health care.

Percent of persons with provider who usually asks about medications and treatments other doctors may give.

Percent of adults whose providers always listened carefully to them.

Percent of adults whose providers always explained things in a way they could understand.

Percent of adults whose providers always showed respect for what they had to say.

Adults with one or more indicators of poor communication at their last visit.

Patient-Provider Relationship

Percent of persons not very satisfied with quality of care received from provider.

Percent of persons confident in provider’s ability to help when they have a medical problem.

Percent of adults whose providers always spend enough time with them.

Percent of adults who rate their health care in the past year as <6 on a scale from 0 to 10.

Percent of adults who rate their health care in the past year as 7-8 on a scale from 0 to 10.

Percent of adults who rate their health care in the past year as 9-10 on a scale from 0 to 10.

Adults not treated with a great deal of dignity and respect.

Adults not involved as much as wanted in decision-making.

Adults with not as much time as wanted with doctor.

Adults with incident in past two years when they did not follow doctor’s advice.

Adults who got sick or had a family member get sick due to doctor or hospital mistake.

Cultural Competency

Adults who believe they would have gotten better care if different race/ethnicity.

Adults who felt treated with disrespect because of race/ethnicity.

Adults who do not strongly agree that doctor understands their background and values.

Health Information

Adults who do not find prescription bottle very easy to understand.

Adults who do not find information from doctor’s office very easy to understand.

Adults who do not use Web for health information.

Adults who do not use printed material for health information.

Adults who do not call their doctor for health information

Receipt of Care

Health Care Utilization

Overall Health Care Utilization

Percent of persons with an office-based or outpatient department visit.

Percent of persons with prescription medication.

Percent of persons with dental visit.

Percent of persons with emergency room visit.

Percent of persons with inpatient discharge.

Percent of persons with home health visit.

Care in Doctor’s Offices and Hospital Outpatient Departments

Outpatient visits per 100 population.

Outpatient visits where patient was seen before in clinic or practice.

Outpatient visits where patient was seen by patient’s primary care provider.

Outpatient visits where patient was seen for non-illness care.

Outpatient visits with counseling or education about diet and nutrition.

Outpatient visits with counseling or education about exercise.

Outpatient visits with counseling or education about tobacco use and exposure.

Outpatient visits where physician spent more than 30 minutes with patient.

Referred Care

Outpatient visits where patient was referred by another physician or health plan.

Outpatient visits where patient was referred to another physician.

Emergency Care

Emergency department visits per 100 population.

Emergency department visits related to injury per 10,000 population.

Emergency department visits for asthma per 10,000 population.

Emergency department visits where patient was seen by intern/resident only

Mental Health Care and Substance Abuse Treatment

Persons age 18 or older who received mental health treatment or counseling in the past year.

Persons age 18 or older who received outpatient mental health treatment or counseling in the past year.

Persons age 18 or older who received prescription medications for mental health treatment or counseling in the past year.

Persons age 18 or older who received inpatient mental health treatment or counseling in the past year.

Persons age 18 or older with serious mental illness who received mental health treatment or counseling in the past year.

Persons age 12 or older who received any illicit drug or alcohol abuse treatment in the past year.

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.

Inpatient admissions to specialty mental health organizations per 100,000 population.

Residential care admissions to specialty mental health organizations per 100,000 population.

Less than 24-hour care admissions to specialty mental health organizations per 100,000 population.

HIV Care

Hospitalizations for HIV per 10,000 population

HIV patients with 4 or more ambulatory visits in the past year.

HIV patients with CD4 < 50 with 4 or more ambulatory visits in the past year.

HIV patients with inpatient hospitalization in the past year.

HIV patients with CD4 < 50 with inpatient hospitalization in the past year.

Inpatient Care

Hospitalizations per 100 population.

Admissions for hypertension per 100,000 population.

Admissions for angina (without procedures) per 100,000 population.

Admissions for chronic obstructive pulmonary disease per 100,000 population.

Admissions for bacterial pneumonia per 100,000 population.

Admissions for perforated appendix per 1,000 admissions with appendicitis.

Number of percutaneous transluminal coronary angioplasties (PTCA) procedures per 100,000 population.

Number of coronary artery bypass grafts (CABG) per 100,000 population.

Number of hysterectomies per 100,000 population.

Number of laminectomies or spinal fusions per 100,000 population.

Number of Cesarean deliveries.

Vaginal births per 1,000 women with previous Cesarean deliveries.

Chronic Care

Adult home health care discharges per 10,000 population.

Adult nursing home discharges per 10,000 population.

Adult nursing home discharges that received at least one rehabilitative service.

Adult nursing home discharges that received mental health services.

Adult nursing home discharges that were discharged either recovered or stabilized.

Adult hospice discharges per 10,000 population.

Health Care Expenditures

Overall Expenditures

Percent of persons with any health care expenditures.

Mean total expenditures among persons with expenditures.

Mean Expenditures among Users by Type of Service

Mean office-based/outpatient department expenditures among persons with office-based/outpatient department expenditures.

Mean prescription expenditures among persons with prescription expenditures.

Mean dental expenditures among persons with dental expenditures.

Mean emergency room expenditures among persons with emergency room expenditures.

Mean inpatient expenditures among persons with inpatient expenditures.

Percent of Expenditure Paid by Medicaid

Proportion of total health care expenditures paid by Medicaid.

Proportion of office-based/outpatient department expenditures paid by Medicaid.

Proportion of prescription expenditures paid by Medicaid.

Proportion of dental expenditures paid by Medicaid.

Proportion of emergency room expenditures paid by Medicaid.

Proportion of inpatient expenditures paid by Medicaid.

Percent of Expenditure Paid Out-of-Pocket

Proportion of total health care expenditures paid out-of-pocket.

Proportion of office-based/outpatient department expenditures paid out-of-pocket.

Proportion of prescription expenditures paid out-of-pocket.

Proportion of dental expenditures paid out-of-pocket.

Proportion of emergency room expenditures paid out-of-pocket.

Proportion of inpatient expenditures paid out-of-pocket.

Medicare Expenditures in the Last Year of Life

Mean total Medicare expenditures in the last year of life.

Data Tables

Summary Data Tables

Quality of Healthcare

Effectiveness of Care

Cancer

Racial and ethnic differences

Socioeconomic differences

End Stage Renal Disease

Racial and ethnic differences

Diabetes

Racial and ethnic differences

Socioeconomic differences

Heart Disease

Racial and ethnic differences

Socioeconomic differences

HIV/AIDS

Differences in HIV care

Maternal and Child Health

Racial and ethnic differences

Socioeconomic differences

Mental Health

Differences in Mental Health Care

Respiratory Diseases

Racial and ethnic differences

Socioeconomic differences

Nursing Home and Home Health Care

Racial and ethnic differences

Patient Safety

Racial and ethnic differences

Socioeconomic differences

Timeliness

Racial and ethnic differences

Socioeconomic differences

Patient-centeredness

Differences in Patient Centeredness

Access to Healthcare

Entry into the Health Care System

Racial and ethnic differences

Socioeconomic differences

Structural Barriers

Racial and ethnic differences

Socioeconomic differences

Patients’ Perceptions

Racial and ethnic differences

Socioeconomic differences

Health Care Utilization

Racial and ethnic differences

Socioeconomic differences

Health Care Expenditures

Racial and ethnic differences

Socioeconomic differences

Detailed Data Tables

Quality of Health Care Measures

Effectiveness of Care

Cancer

Screening for Breast Cancer

Women (40 and over) who report they had a mammogram within the past 2 years

Table 1a: Race

Table 1b: Ethnicity

Table 1c: Income

Screening for Cervical Cancer

Women (18 and over) who report they had a Pap smear within the past 3 years

Table 2a: Race

Table 2b: Ethnicity

Table 2c: Income

Screening for Colorectal Cancer

Men and women (50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy

Table 3a: Race

Table 3b: Ethnicity

Table 3c: Income

Men and women (50 and over) who report they had a fecal occult blood test (FOBT) within the past 2 years

>Table 4a: Race

Table 4b: Ethnicity

Table 4c: Income

Cancer Treatment

Cancer deaths per 100,000 persons per year for all cancers

Table 5a: Race

Table 5b: Ethnicity

Table 5c: Education

Cancer deaths per 100,000 persons per year for most common cancers, prostate cancer

Table 6a: Race

Table 6b: Ethnicity

Table 6c: Education

Cancer deaths per 100,000 persons per year for most common cancers, breast cancer

Table 7a: Race

Table 7b: Ethnicity

Table 7c: Education

Cancer deaths per 100,000 persons per year for most common cancers, lung cancer

Table 8a: Race

Table 8b: Ethnicity

Table 8c: Education

Cancer deaths per 100,000 persons per year for most common cancers, colorectal cancer

Table 9a: Race

Table 9b: Ethnicity

Table 9c: Education

Palliative Care

Persons who died of cancer who died in hospice

Table 10a: Race

Median length of stay for cancer patients who received hospice care

Table 11a: Race

End Stage Renal Disease

Management of End-Stage Renal Disease

Hemodialysis patients with urea reduction ratio 65% or higher

Table 12a: Race

Table 12b: Ethnicity

Hemodialysis patients with hemoglobin 11 or higher

Table 13a: Race

Table 13b: Ethnicity

Renal Transplantation

Dialysis patients registered on the waiting list for transplantation

Table 14a: Race

Table 14b: Ethnicity

Patients with treated chronic kidney failure who receive a transplant within 3 years of registration on the waiting list

Table 15a: Race

Table 15b: Ethnicity

Diabetes

Management of Diabetes

Adults with diabetes who had a hemoglobin A1c measurement at least once in past year

Table 16a: Race

Table 16b: Ethnicity

Table 16c: Income

Table 16d: Education

Adults with diabetes who had a lipid profile in past two years

Table 17a: Race

Table 17b: Ethnicity

Table 17c: Income

Table 17d: Education

Adults with diabetes who had a retinal eye examination in past year

Table 18a: Race

Table 18b: Ethnicity

Table 18c: Income

Table 18d: Education

Adults with diabetes who had a foot examination in past year

Table19a: Race

Table 19b: Ethnicity

Table 19c: Income

Table 19d: Education

Adults with diabetes who had an influenza immunization in past year

Table 20a: Race

Table 20b: Ethnicity

Table 20c: Income

Table 20d: Education

Hospital admissions for uncontrolled diabetes per 100,000 population

Table 21a: Race

Hospital admissions for short term complications of diabetes per 100,000 population

Table 22a: Race

Hospital admissions for long term complications of diabetes per 100,000 population

Table 23a: Race

Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population

Table 24a: Race

Heart Disease

Screening for High Blood Pressure

Adults who have had their blood pressure measured within the preceding 2 years and can state whether their blood pressure was normal or high

Table 25a: Race

Table 25b: Ethnicity

Table 25c: Income

Screening for High Cholesterol

Adults who have had their blood cholesterol checked within the preceding 5 years

Table 26a: Race

Table 26b: Ethnicity

Table 26c: Income

Counseling on Risk Factors

Smokers receiving advice to quit smoking

Table 27a: Race

Table 27b: Ethnicity

Table 27c: Income

Table 27d: Education

Management of Congestive Heart Failure

Hospital admissions for congestive heart failure per 100,000 population

Table 28a: Race

HIV/AIDS

AIDS Prevention

New AIDS cases per 100,000 population 13 and over

Table 29a: Race

Management of HIV/AIDS

HIV-infection deaths per 100,000 population

Table 30a: Race

Table 30b: Ethnicity

Table 30c: Education

Maternal and child Health

Maternity Care

Pregnant women receiving prenatal care in first trimester

Table 31a: Race

Table 31b: Ethnicity

Table 31c: Education

Live born infants with low birth weight (<2500 grams)

Table 32a: Race

Table 32b: Ethnicity

Table 32c: Education

Live born infants with very low birth weight (<1500 grams)

Table 33a: Race

Table 33b: Ethnicity

Table 33c: Education

Infant mortality per 1000 live births, all

Table 34a: Race

Table 34b: Ethnicity

Table 34c: Education

Infant mortality per 1000 live births, birth weight <1500 grams

Table 35a: Race

Table 35b: Ethnicity

Table 35c: Education

Infant mortality per 1000 live births, birth weight 1500-2499 grams

Table 36a: Race

Table 36b: Ethnicity

Table 36c: Education

Infant mortality per 1000 live births, birth weight >2499 grams

Table 37a: Race

Table 37b: Ethnicity

Table 37c: Education

Maternal deaths per 100,000 live births

Table 38a: Race

Table 38b: Ethnicity

Table 38c: Education

Immunization, Childhood

Children 19-35 months who received all recommended vaccines

Table 39a: Race

Table 39b: Ethnicity

Table 39c: Income

Children 19-35 months who received 4 doses of diphtheria-pertussis-tetanus vaccine

Table 40a: Race

Table 40b: Ethnicity

Table 40c: Income

Children 19-35 months who received 3 doses of polio vaccine

Table 41a: Race

Table 41b: Ethnicity

Table 41c: Income

Children 19-35 months who received 1 dose of measles-mumps-rubella vaccine

Table 42a: Race

Table 42b: Ethnicity

Table 42c: Income

Children 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine

Table 43a: Race

Table 43b: Ethnicity

Table 43c: Income

Children 19-35 months who received 3 doses of hepatitis B vaccine

Table 44a: Race

Table 44b: Ethnicity

Table 44c: Income

Children 19-35 months who received 1 dose of varicella vaccine

Table 45a: Race

Table 45b: Ethnicity

Table 45c: Income

Immunization, Adolescent

Adolescents (13-15) who received 3 or more doses of hepatitis B vaccine

Table 46a: Race

Table 46b: Ethnicity

Table 46c: Income

Adolescents (13-15) who received 2 or more doses of measles-mumps-rubella vaccine

Table 47a: Race

Table 47b: Ethnicity

Table 47c: Income

Adolescents (13-15) who received 1 or more doses of tetanus-diphtheria booster

Table 48a: Race

Table 48b: Ethnicity

Table 48c: Income

Adolescents (13-15) who received 1 or more doses of varicella vaccine

Table 49a: Race

Table 49b: Ethnicity

Table 49c: Income

Childhood Dental Care

Children 2-17 with a dental visit

Table 50a: Race

Table 50b: Ethnicity

Table 50c: Income

Table 50d: Education

Treatment of Pediatric Gastroenteritis

Hospital admissions for pediatric gastroenteritis per 100,000 population

Table 51a: Race

Mental Health

Treatment of Depression

Suicide deaths per 100,000 population

Table 52a: Race

Table 52b: Ethnicity

Table 52c: Education

Respiratory Diseases

Influenza Immunization

High risk persons 18-64 who received influenza vaccine in past year

Table 53a: Race

Table 53b: Ethnicity

Table 53c: Income

Persons 65 and over who received influenza vaccine in the past year

Table 54a: Race

Table 54b: Ethnicity

Table 54c: Income

Adult nursing home residents who received influenza vaccine in past year

Table 55a: Race

Hospital admissions for influenza per 100,000 population 65 and over

Table 56a: Race

Pneumococcal Immunization

High risk persons 18-64 who ever received pneumococcal vaccination

Table 57a: Race

Table 57b: Ethnicity

Table 57c: Income

Persons 65 and over who ever received pneumococcal vaccination

Table 58a: Race

Table 58b: Ethnicity

Table 58c: Income

Adult nursing home residents who ever received pneumococcal vaccination

Table 59a: Race

Treatment of Upper Respiratory Infection

Courses of antibiotics prescribed for sole diagnosis of common cold per population

Table 60a: Race

Management of Asthma

Hospital admissions for asthma per 100,000 population under 18

Table 61a: Race

Hospital admissions for asthma per 100,000 population 18 and over

Table 62a: Race

Treatment of Tuberculosis

Completion of TB Therapy

Table63a: Race

Table 63b: Ethnicity

Table 63c: Race, Foreign Born

Table 63d: Ethnicity, Foreign Born

Nursing Home and Home Health Care

Nursing Facility Care

Nursing home residents with pain

Table 64a: Race

Nursing home residents with pressure sores

Table 65a: Race

Nursing home residents in physical restraints

Table 66a: Race

Patient Safety

Nosocomial Infections

Infection due to intravenous lines or catheters per 1000 selected discharges

Table 67a: Race

Postoperative septicemia per 1000 elective surgical discharges of 4+ days

Table 68a: Race

Complications of Care

Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1000 surgical discharges

Table 69a: Race

Postoperative pulmonary embolus or deep vein thrombosis per 1000 surgical discharges

Table 70a: Race

Postoperative respiratory failure per 1000 elective surgical discharges

Table: Race

Postoperative physiologic/metabolic derangements per 1000 elective surgeries

Table 72a: Race

Complications of anesthesia per 1000 surgical discharges

Table 73a: Race

Decubitus ulcers per 1000 selected stays of 4 or more days

Table 74a: Race

Postoperative hip fractures per 1000 surgical discharges age 18+ years

Table 75a: Race

Injuries or Adverse Events Due to Technical Errors

Accidental laceration or puncture during procedure per 1000 discharges

Table 76a: Race

Iatrogenic pneumothorax per 1000 relevant discharges

Table 77a: Race

Postoperative abdominal wound dehiscence per 1000 relevant discharges

Table 78a: Race

Foreign body left in during procedure per 1000 discharges

Table 79a: Race

Transfusion reactions per 1000 selected discharges

Table 80a: Race

Birth Related Trauma

Birth trauma injury per 1000 selected live births

Table81a: Race

Obstetric trauma per 1000 instrument-assisted deliveries

Table 82a: Race

Obstetric trauma per 1000 vaginal deliveries without instrument assistance

Table 83a: Race

Obstetric trauma per 1000 Cesarean deliveries

Table 84a: Race

Potentially Avoidable Death

Deaths per 1000 admissions in low-mortality DRGs

Table 85a: Race

Medication Safety

Persons with provider who does not usually ask about medications and treatments other doctors may give

Table 118a: Race

Table 118b: Ethnicity

Table 118c: Income

Table 118d: Education

Access to Health Care Measures

Entry into the Health Care System

Health Insurance Coverage

People, ages <65, with health insurance.

Table 86a: Race

Table 86b: Ethnicity

Table 86c: Income

People, ages <65, with public health insurance only

Table 87a: Race

Table 87b: Ethnicity

Table 87c: Income

People, ages <65, with any private health insurance

Table 88a: Race

Table 88b: Ethnicity

Table 88c: Income

People, ages 65+, with any private health insurance

Table 89a: Race

Table 89b: Ethnicity

Table 89c: Income

People uninsured all year.

Table 90a: Race

Table 90b: Ethnicity

Table 90c: Income

Table 90d: Education

People with any period of uninsurance during the year

Table 91a: Race

Table 91b: Ethnicity

Table 91c: Income

Table 91d: Education

People with any period of public insurance during the year

Table 92a: Race

Table 92b: Ethnicity

Table 92c: Income

Table 92d: Education

Usual Source of Care

People who have a specific source of ongoing care

Table 93a: Race

Table 93b: Ethnicity

Table 93c: Income

People in fair or poor health who have a specific source of ongoing care

Table 94a: Race

Table 94b: Ethnicity

Table 94c: Income

People with a hospital, emergency room, or clinic as source of ongoing care

Table 95a: Race

Table 95b: Ethnicity

Table 95c: Income

People with a community health center as source of ongoing care.

Table 96a: Race

Table 96b: Ethnicity

Table 96c: Income

Table 96d: Education

People without a usual source of care who indicate a financial or insurance reason for not having a source of care

Table 97a: Race

Table 97b: Ethnicity

Table 97c: Income

Table 97d: Education

People who have a usual primary care provider

Table 98a: Race

Table 98b: Ethnicity

Table 98c: Income

Table 98d: Education

Adults who report very little or no choice in source of care

Table 99a: Race

Table 99b: Ethnicity

Table 99c: Income

Table 99d: Education

Adults who have not had their regular doctor for more than 5 years

Table 100a: Race

Table 100b: Ethnicity

Table 100c: Income

Table 100d: Education

Patient Perceptions of Their Care

Families that experience difficulties or delays in obtaining health care or do not receive needed care.

Table 101a: Race

Table 101b: Ethnicity

Table 101c: Income

Table 101d: Education

Families that experience difficulties or delays in obtaining health care due to financial or insurance reasons

Table 102a: Race

Table 102b: Ethnicity

Table 102c: Income

Table 102d: Education

Families that did not receive a doctor’s care or prescription medications because the family needed the money

Table 103a: Race

Table 103b: Ethnicity

Table 103c: Income

Table 103d: Education

Families not very satisfied that they can get health care if they need it

Table 104a: Race

Table 104b: Ethnicity

Table 104c: Income

Table 104d: Education

People who can always get appointments for routine care as soon as wanted.

Table 105a: Race

Table 105b: Ethnicity

Table 105c: Income

Table 105d: Education

People who can always get care for illness or injury as soon as wanted

Table 106a: Race

Table 106b: Ethnicity

Table 106c: Income

Table 106d: Education

Structural Barriers

Difficulty Getting Care

People who usually use public transportation to get to provider

Table 107a: Race

Table 107b: Ethnicity

Table 107c: Income

Table 107d: Education

People with provider who has office hours nights or weekends

Table 108a: Race

Table 108b: Ethnicity

Table 108c: Income

Table 108d: Education

People with difficulty getting appointments on short notice

Table 109a: Race

Table 109b: Ethnicity

Table 109c: Income

Table 109d: Education

People with difficulty contacting provider over the telephone

Table 110a: Race

Table 110b: Ethnicity

Table 110c: Income

Table 110d: Education

Adults without problems getting referral to a specialist in past year.

Table 111a: Race

Table 111b: Ethnicity

Table 111c: Income

Table 111d: Education

People not very satisfied with professional staff at provider’s office

Table 112a: Race

Table 112b: Ethnicity

Table 112c: Income

Table 112d: Education

People who usually wait >30 minutes before seeing provider

Table 113a: Race

Table 113b: Ethnicity

Table 113c: Income

Table 113d: Education

Emergent/urgent emergency department visits with wait >=1 hour.

Table 114a: Race

Semi-urgent/non-urgent emergency department visits with wait >=1 hour

Table 115a: Race

Emergency department visits in which the patient left without being seen

Table 116a: Race

Patients’ Perceptions

Patient-Provider Communication

People with provider who generally listens and gives needed information about health/health care.

Table 117a: Race

Table 117b: Ethnicity

Table 117c: Income

Table 117d: Education

People with provider who usually asks about medications and treatments other doctors may give

Table 118a: Race

Table 118b: Ethnicity

Table 118c: Income

Table 118d: Education

Adults whose providers always listened carefully to them.

Table 119a: Race

Table 119b: Ethnicity

Table 119c: Income

Table 119d: Education

Adults whose providers always explained things in a way they could understand

Table 120a: Race

Table 120b: Ethnicity

Table 120c: Income

Table 120d: Education

Adults whose providers always showed respect for what they had to say

Table 121a: Race

Table 121b: Ethnicity

Table 121c: Income

Table 121d: Education

Adults with one or more indicators of poor communication at their last visit.

Table 122a: Race

Table 122b: Ethnicity

Table 122c: Income

Table 122d: Education

Patient-Provider Relationship

People not satisfied with quality of care received from provider

Table 123a: Race

Table 123b: Ethnicity

Table 123c: Income

Table 123d: Education

People not confident in provider’s help when they have a medical problem

Table 124a: Race

Table 124b: Ethnicity

Table 124c: Income

Table 124d: Education

Adults whose providers always spent enough time with them

Table 125a: Race

Table 125b: Ethnicity

Table 125c: Income

Table 125d: Education

Adults who rate their health care in the past year <6 on a scale from 0 to 10

Table 126a: Race 0-6

Table 126b: Ethnicity 0-6

Table 126c: Income 0-6

Table 126d: Education 0-6

Table 126e: Race +7

Table 126f: Ethnicity +7

Table 126g: Income +7

Table 126h: Education +7

Table 126i: Race 9+

Table 126j: Ethnicity 9+

Table 126k: Income 9+

Table 126l: Education 9+

Adults not treated with a great deal of dignity and respect

Table 127a: Race

Table 127b: Ethnicity

Table 127c: Income

Table 127d: Education

Adults not involved as much as wanted in decision-making

Table 128a: Race

Table 128b: Ethnicity

Table 128c: Income

Table 128d: Education

Adults not with as much time as wanted with doctor

Table 129a: Race

Table 129b: Ethnicity

Table 129c: Income

Table 129d: Education

Adults with incident in past two years when they did not follow doctor’s advice

Table 130a: Race

Table 130b: Ethnicity

Table 130c: Income

Table 130d: Education

Adults who report that they or family member got sick due to doctor or hospital mistake

Table 131a: Race

Table 131b: Ethnicity

Table 131c: Income

Table 131d: Education

Cultural Competency

Adults who believe they would have gotten better care if different race/ethnicity

Table 132a: Race

Table 132b: Ethnicity

Table 132c: Income

Table 132d: Education

Adults who felt treated with disrespect because of race/ethnicity

Table 133a: Race

Table 133b: Ethnicity

Table 133c: Income

Table 133d: Education

Adults who do not strongly agree that doctor understands background and values

Table 134a: Race

Table 134b: Ethnicity

Table 134c: Income

Table 134d: Education

Health Information

Adults who did not find prescription bottle very easy to understand

Table 135a: Race

Table 135b: Ethnicity

Table 135c: Income

Table 135d: Education

Adults who did not find information from doctor’s office very easy to understand

Table 136a: Race

Table 136b: Ethnicity

Table 136c: Income

Table 136d: Education

Adults who do not use Web for health information

Table 137a: Race

Table 137b: Ethnicity

Table 137c: Income

Table 137d: Education

Adults who do not use printed material for health information

Table 138a: Race

Table 138b: Ethnicity

Table 138c: Income

Table 138d: Education

Adults who do not call their doctor for health information

Table 139a: Race

Table 139b: Ethnicity

Table 139c: Income

Table 139d: Education

Health Care Utilization

Overall Health Care Utilization

People with office or outpatient visit

Table 140a: Race

Table 140b: Ethnicity

Table 140c: Income

Table 140d: Education

People with prescription medications

Table 141a: Race

Table 141b: Ethnicity

Table 141c: Income

Table 141d: Education

People with dental visit

Table 142a: Race

Table 142b: Ethnicity

Table 142c: Income

Table 142d: Education

People with emergency room visit

Table 143a: Race

Table 143b: Ethnicity

Table 143c: Income

Table 143d: Education

People with inpatient discharge

Table 144a: Race

Table 144b: Ethnicity

Table 144c: Income

Table 144d: Education

People with home health visit

Table 145a: Race

Table 145b: Ethnicity

Table 145c: Income

Table 145d: Education

Care in Doctor’s Offices and Hospital Outpatient Departments

Outpatient visits per 100 population

Table 146a: Race

Outpatient visits where patient was seen before in clinic or practice

Table 147a: Race

Outpatient visits where patient was seen by patient’s primary care provider

Table 148a: Race

Outpatient visits where patient was seen for non-illness care

Table 149a: Race

Outpatient visits with counseling or education about diet and nutrition

Table 150a: Race

Outpatient visits with counseling or education about exercise

Table 151a: Race

Outpatient visits with counseling or education about tobacco use and exposure

Table 152a: Race

Outpatient visits where physician spent more than 30 minutes with patient

Table 153a: Race

Referred Care

Outpatient visits where patient was referred by another physician or health plan

Table 154a: Race

Outpatient visits where patient was referred to another physician

Table 155a: Race

Emergency Care

Emergency department visits per 100 population

Table 156a: Race

Emergency department visits related to injuries per 10,000 population

Table 157a: Race

Emergency department visits for asthma per 10,000 population

Table 158a: Race

Emergency department visits where patient was seen by intern/resident only

Table 159a: Race

Mental Health Care and Substance Abuse Treatment

Adults who received mental health treatment or counseling in the past year.

Table 160a: Race

Table 160b: Ethnicity

Table 160c: Education

Adults who received outpatient mental health treatment or counseling

Table 161a: Race

Table 161b: Ethnicity

Table 161c: Education

Adults who received prescription medications for mental health treatment

Table 162a: Race

Table 162b: Ethnicity

Table 162c: Education

Adults who received inpatient mental health treatment or counseling

Table 163a: Race

Table 163b: Ethnicity

Table 163c: Education

Adults with serious mental illness who received mental health treatment or counseling

Table 164a: Race

Table 164b: Ethnicity

Table 164c: Education

People 12 and older who received illicit drug or alcohol abuse treatment in the past year

Table 165a: Race

Table 165b: Ethnicity

Table 165c: Education

People 12 and older who needed treatment at a specialty facility for illicit drug use and who received such treatment in the past year

Table 166a: Race

Table 166b: Ethnicity

Table 166c: Education

Inpatient admissions to specialty mental health organizations per 100,000 population

Table 167a: Race

Table 167b: Ethnicity

Residential care admissions to specialty mental health organizations per 100,000 population

Table 168a: Race

Table 168b: Ethnicity

<24 hour care admissions to specialty mental health organizations per 100,000 population

Table 169a: Race

Table 169b: Ethnicity

HIV Care

Hospitalizations for HIV per 10,000 population.

Table 170a: Race

HIV patients with 4+ ambulatory visits in the past year.

Table 171a: Race

HIV patients with CD4 <50 with 4+ ambulatory visits in the past year

Table 172a: Race

HIV patients with inpatient hospitalization in the past year

Table 173a: Race

HIV patients with CD4 <50 with inpatient hospitalization in the past year

Table 174a: Race

Inpatient Care

Total hospitalizations per 100 population.

Table 175a: Race

Avoidable admissions for hypertension per 100,000 population 18 and older.

Table 176a: Race

Avoidable admissions for angina per 100,000 population 18 and older

Table 177a: Race

Avoidable admissions for chronic obstructive pulmonary disease per 100,000 population 18 and older

Table 178a: Race

Avoidable admissions for bacterial pneumonia per 100,000 population

Table 179a: Race

Perforated appendices per 1,000 admissions with appendicitis

Table 180a: Race

Admissions for PTCA per 100,000 population 40 and older

Table 181a: Race

Admissions for coronary artery bypass graft surgery per 100,000 population 40 and older

Table 182a: Race

Admissions for hysterectomy per 100,000 female population 18 and older

Table 183a: Race

Admissions for laminectomy or spinal fusion per 100,000 population 18 and older

Table 184a: Race

Cesarean deliveries per 1,000 deliveries

Table 185a: Race

Vaginal births per 1,000 women with previous Cesarean deliveries

Table 186a: Race

Chronic Care

Home Health Care Discharges per 10,000 Population

Table 187a: Race

Nursing Home Discharges per 10,000 Population

Table 188a: Race

Nursing Home Discharges Who Received Rehabilitative Services

Table 189a: Race

Nursing Home Discharges Who Received Mental Health Services

Table 190a: Race

Nursing Home Discharges Who Were Discharged Either Recovered or Stabilized

Table 191a: Race

Hospice Discharges per 100,000 Population

Table 192a: Race

Health Care Expenditures

Overall Expenditures

People with any health care expenditures

Table 193a: Race

Table 193b: Ethnicity

Table 193c: Income

Table 193d: Education

Mean total health care expenditures among persons with expenditures

Table 194a: Race

Table 194b: Ethnicity

Table 194c: Income

Table 194d: Education

Mean Expenditures among Users by Type of Service

Mean office or outpatient expenditures

Table 194a: Race

Table 194b: Ethnicity

Table 194c: Income

Table 194d: Education

Mean prescription medication expenditures

Table 196a: Race

Table 196b: Ethnicity

Table 196c: Income

Table 196d: Education

Mean dental expenditures

Table 197a: Race

Table 197b: Ethnicity

Table 197c: Income

Table 197d: Education

Mean emergency room expenditures

Table 198a: Race

Table 198b: Ethnicity

Table 198c: Income

Table 198d: Education

Mean inpatient expenditures

Table 199a: Race

Table 199b: Ethnicity

Table 199c: Income

Table 199d: Education

Percent of Expenditure Paid by Medicaid

Total health care expenditures paid by Medicaid

Table 200a: Race

Table 200b: Ethnicity

Table 200c: Income

Table 200d: Education

Office or outpatient expenditures paid by Medicaid

Table 201a: Race

Table 201b: Ethnicity

Table 201c: Income

Table 201d: Education

Prescription medication expenditures paid by Medicaid

Table 202a: Race

Table 202b: Ethnicity

Table 202c: Income

Table 202d: Education

Dental expenditures paid by Medicaid

Table 203a: Race

Table 203b: Ethnicity

Table 203c: Income

Table 203d: Education

Emergency room expenditures paid by Medicaid

Table 204a: Race

Table 204b: Ethnicity

Table 204c: Income

Table 204d: Education

Inpatient expenditures paid by Medicaid

Table 205a: Race

Table 205b: Ethnicity

Table 205c: Income

Table 205d: Education

Percent of Expenditure Paid Out of Pocket

Total health care expenditures paid out of pocket

Table 206a: Race

Table 206b: Ethnicity

Table 206c: Income

Table 206d: Education

Office or outpatient expenditures paid out of pocket

Table 207a: Race

Table 207b: Ethnicity

Table 207c: Income

Table 207d: Education

Prescription medication expenditures paid out of pocket

Table 208a: Race

Table 208b: Ethnicity

Table 208c: Income

Table 208d: Education

Dental expenditures paid out of pocket

Table 209a: Race

Table 209b: Ethnicity

Table 209c: Income

Table 209d: Education

Emergency room expenditures paid out of pocket

Table 210a: Race

Table 210b: Ethnicity

Table 210c: Income

Table 210d: Education

Inpatient expenditures paid out of pocket

Table 211a: Race

Table 211b: Ethnicity

Table 211c: Income

Table 211d: Education

Medicare Expenditures in the Last Year of Life

Mean total Medicare expenditures in the last year of life

Table 212a: Race

© 2004 Quality Tools Date Modified: 9/1/2004
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