This appendix provides
information about all measures analyzed for the National Healthcare Disparities
Report. It includes both measures
included in the main text of the report as well as other measures that were
examined but not included in the main text.
Summary data tables organized by topic are presented first followed by
detailed data tables for each measure; select each table name to link to
appropriate information. For general
information about all databases included in the report, see Appendix A. For detailed methods, see Appendix B. For specifications of each measure, see
Appendix C.
Summary Data Tables
Quality of Health Care
Effectiveness of Care:
Cancer
1.
Racial
and ethnic differences
Effectiveness of Care:
End Stage Renal Disease
3.
Racial
and ethnic differences
Effectiveness of Care:
Diabetes
4.
Racial
and ethnic differences
Effectiveness of Care:
Heart Disease
6.
Racial
and ethnic differences
Effectiveness of Care:
HIV/AIDS
8.
Racial
and ethnic differences
Effectiveness of Care:
Maternal and Child Health
10. Racial
and ethnic differences
Effectiveness of Care:
Mental Health
12. Racial
and ethnic differences
Effectiveness of Care:
Respiratory Diseases
14. Racial
and ethnic differences
Effectiveness of Care:
Nursing Home and Home Health Care
16. Racial
and ethnic differences
Patient Safety
17. Racial
and ethnic differences
Timeliness
19. Racial
and ethnic differences
Patient-centeredness
21. Racial
and ethnic differences
Access to Health
Care
Entry into the Health
Care System
23. Racial
and ethnic differences
Structural Barriers
25. Racial
and ethnic differences
Patients’ Perceptions
27. Racial
and ethnic differences
Health Care Utilization
29. Racial
and ethnic differences
Health Care Expenditures
31. Racial
and ethnic differences
Detailed Data Tables
Quality of Health Care
Measures
·
Effectiveness of Care: Cancer
·
Effectiveness of Care: End Stage Renal Disease
·
Effectiveness of Care: Diabetes
·
Effectiveness of Care: Heart Disease
·
Effectiveness of Care: HIV/AIDS
·
Effectiveness of Care: Maternal and Child Health
·
Effectiveness of Care: Mental Health
·
Effectiveness of Care: Respiratory Diseases
·
Effectiveness of Care: Nursing Home and Home Health Care
Access to Health Care
Measures
· Entry into the Health Care System
Quality of Health Care Measures
Screening for Breast
Cancer
1. Women (40 and over) who report they had a mammogram within the past 2 years
Screening for
Cervical Cancer
2. Women (18 and over) who report they had a Pap smear within the past 3 years
Screening for
Colorectal Cancer
3. Men and women (50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy
Cancer Treatment
5. Cancer deaths per 100,000 persons per year for all cancers
6. Cancer deaths per 100,000 persons per year for most common cancers, prostate cancer
7. Cancer deaths per 100,000 persons per year for most common cancers, breast cancer
8. Cancer deaths per 100,000 persons per year for most common cancers, lung cancer
9. Cancer deaths per 100,000 persons per year for most common cancers, colorectal cancer
Palliative Care
10. Persons who died of cancer who died in hospice
11. Median length of stay for cancer patients who received hospice care
Effectiveness:
End Stage Renal Disease
Management of
End-Stage Renal Disease
12. Hemodialysis patients with urea reduction ratio 65% or higher
13. Hemodialysis patients with hemoglobin 11 or higher
Renal Transplantation
14. Dialysis patients registered on the waiting list for transplantation
Management of
Diabetes
16. Adults with diabetes who had a hemoglobin A1c measurement at least once in past year
17. Adults with diabetes who had a lipid profile in past two years
18. Adults with diabetes who had a retinal eye examination in past year
19. Adults with diabetes who had a foot examination in past year
20. Adults with diabetes who had an influenza immunization in past year
21. Hospital admissions for uncontrolled diabetes per 100,000 population
22. Hospital admissions for short term complications of diabetes per 100,000 population
23. Hospital admissions for long term complications of diabetes per 100,000 population
24. Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population
Screening for High
Blood Pressure
Screening for High
Cholesterol
26. Adults who have had their blood cholesterol checked within the preceding 5 years
Counseling on Risk
Factors
27. Smokers receiving advice to quit smoking
Management of
Congestive Heart Failure
28. Hospital admissions for congestive heart failure per 100,000 population
AIDS Prevention
29. New AIDS cases per 100,000 population 13 and over
Management of
HIV/AIDS
30. HIV-infection deaths per 100,000 population
Effectiveness:
Maternal and Child Health
Maternity Care
31. Pregnant women receiving prenatal care in first trimester
32. Live born infants with low birth weight (<2500 grams)
33. Live born infants with very low birth weight (<1500 grams)
34. Infant mortality per 1000 live births, all
35. Infant mortality per 1000 live births, birth weight <1500 grams
36. Infant mortality per 1000 live births, birth weight 1500-2499 grams
37. Infant mortality per 1000 live births, birth weight >2499 grams
38. Maternal deaths per 100,000 live births
Immunization,
Childhood
39. Children 19-35 months who received all recommended vaccines
40. Children 19-35 months who received 4 doses of diphtheria-pertussis-tetanus vaccine
41. Children 19-35 months who received 3 doses of polio vaccine
42. Children 19-35 months who received 1 dose of measles-mumps-rubella vaccine
43. Children 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine
44. Children 19-35 months who received 3 doses of hepatitis B vaccine
45. Children 19-35 months who received 1 dose of varicella vaccine
Immunization,
Adolescent
46. Adolescents (13-15) who received 3 or more doses of hepatitis B vaccine
47. Adolescents (13-15) who received 2 or more doses of measles-mumps-rubella vaccine
48. Adolescents (13-15) who received 1 or more doses of tetanus-diphtheria booster
49. Adolescents (13-15) who received 1 or more doses of varicella vaccine
Childhood Dental Care
50. Children 2-17 with a dental visit
Treatment of Pediatric Gastroenteritis
51. Hospital admissions for pediatric gastroenteritis per 100,000 population
Treatment of
Depression
52. Suicide deaths per 100,000 population
Effectiveness:
Respiratory Diseases
Influenza
Immunization
53. High risk persons 18-64 who received influenza vaccine in past year
54. Persons 65 and over who received influenza vaccine in the past year
55. Adult nursing home residents who received influenza vaccine in past year
56. Hospital admissions for influenza per 100,000 population 65 and over
Pneumococcal Immunization
57. High risk persons 18-64 who ever received pneumococcal vaccination
58. Persons 65 and over who ever received pneumococcal vaccination
59. Adult nursing home residents who ever received pneumococcal vaccination
Treatment of Upper
Respiratory Infection
60. Courses of antibiotics prescribed for sole diagnosis of common cold per population
Management of Asthma
61. Hospital admissions for asthma per 100,000 population under 18
62. Hospital admissions for asthma per 100,000 population 18 and over
Treatment of
Tuberculosis
Effectiveness:
Nursing Home and Home Health Care
Nursing Facility Care
64. Nursing home residents with pain
65. Nursing home residents with pressure sores
66. Nursing home residents in physical restraints
Nosocomial Infections
67. Infection due to intravenous lines or catheters per 1000 selected discharges
68. Postoperative septicemia per 1000 elective surgical discharges of 4+ days
Complications of Care
70. Postoperative pulmonary embolus or deep vein thrombosis per 1000 surgical discharges
71. Postoperative respiratory failure per 1000 elective surgical discharges
72. Postoperative physiologic/metabolic derangements per 1000 elective surgeries
73. Complications of anesthesia per 1000 surgical discharges
74. Decubitus ulcers per 1000 selected stays of 4 or more days
75. Postoperative hip fractures per 1000 surgical discharges age 18+ years
Injuries or Adverse
Events Due to Technical Errors
76. Accidental laceration or puncture during procedure per 1000 discharges
77. Iatrogenic pneumothorax per 1000 relevant discharges
78. Postoperative abdominal wound dehiscence per 1000 relevant discharges
79. Foreign body left in during procedure per 1000 discharges
80. Transfusion reactions per 1000 selected discharges
Birth Related Trauma
1. Birth trauma injury per 1000 selected live births
2. Obstetric trauma per 1000 instrument-assisted deliveries
3. Obstetric trauma per 1000 vaginal deliveries without instrument assistance
4. Obstetric trauma per 1000 Cesarean deliveries
Potentially Avoidable
Death
5. Deaths per 1000 admissions in low-mortality DRGs
Medication Safety
Access to Health Care Measures
Entry
into the Health Care System
Health Insurance
Coverage
6.
People, ages
<65, with health insurance.
7.
People, ages
<65, with public health insurance only
8.
People, ages
<65, with any private health insurance
9.
People, ages 65+,
with any private health insurance
10. People uninsured
all year.
11. People with any
period of uninsurance during the year
12. People with any
period of public insurance during the year
Usual Source of Care
13. People who have a
specific source of ongoing care
14. People in fair or
poor health who have a specific source of ongoing care
15. People with a
hospital, emergency room, or clinic as source of ongoing care
16. People with a
community health center as source of ongoing care.
18. People who have a
usual primary care provider
19. Adults who report
very little or no choice in source of care
20. Adults who have
not had their regular doctor for more than 5 years
Patient Perceptions of
Their Care
24. Families not very
satisfied that they can get health care if they need it
25. People who can
always get appointments for routine care as soon as wanted.
26.
People who can
always get care for illness or injury as soon as wanted
Difficulty Getting
Care
27. People who usually
use public transportation to get to provider
28. People with
provider who has office hours nights or weekends
29. People with
difficulty getting appointments on short notice
30. People with difficulty
contacting provider over the telephone
31. Adults without
problems getting referral to a specialist in past year.
32. People not very
satisfied with professional staff at provider’s office
33. People who usually
wait >30 minutes before seeing provider
34. Emergent/urgent
emergency department visits with wait >=1
hour.
35. Semi-urgent/non-urgent
emergency department visits with wait >=1 hour
36. Emergency
department visits in which the patient left without being seen
Patient-Provider
Communication
37. People with
provider who generally listens and gives needed information about health/health
care.
38. People with
provider who usually asks about medications and treatments other doctors may
give
39. Adults whose
providers always listened carefully to them.
40. Adults whose providers always explained things in a way
they could understand
41. Adults whose
providers always showed respect for what they had to say
42. Adults with one or
more indicators of poor communication at their last visit.
Patient-Provider
Relationship
43. People not
satisfied with quality of care received from provider
44. People not
confident in provider’s help when they have a medical problem
45. Adults whose
providers always spent enough time with them
46. Adults who rate
their health care in the past year <6 on a scale from 0 to 10
47. Adults not treated
with a great deal of dignity and respect
48. Adults not
involved as much as wanted in decision-making
49. Adults not with as
much time as wanted with doctor
50. Adults with
incident in past two years when they did not follow doctor’s advice
51. Adults who report that
they or family member got sick due to doctor or hospital mistake
Cultural Competency
52. Adults who believe
they would have gotten better care if different race/ethnicity
53. Adults who felt
treated with disrespect because of race/ethnicity
54. Adults who do not
strongly agree that doctor understands background and values
Health Information.
55. Adults who did not
find prescription bottle very easy to understand
56. Adults who did not
find information from doctor’s office very easy to understand
57. Adults who do not
use Web for health information
58. Adults who do not
use printed material for health information
59. Adults who do not
call their doctor for health information
Overall Health Care Utilization.
60. People with
office or outpatient visit
61. People with
prescription medications
63. People with
emergency room visit
64. People with
inpatient discharge
65. People with home
health visit
Care in Doctor’s
Offices and Hospital Outpatient Departments.
66. Outpatient
visits per 100 population
67. Outpatient
visits where patient was seen before in clinic or practice
68. Outpatient
visits where patient was seen by patient’s primary care provider
69. Outpatient
visits where patient was seen for non-illness care
70. Outpatient
visits with counseling or education about diet and nutrition
71. Outpatient
visits with counseling or education about exercise
72. Outpatient
visits with counseling or education about tobacco use and exposure
73. Outpatient
visits where physician spent more than 30 minutes with patient
Referred Care
74. Outpatient
visits where patient was referred by another physician or health plan
75. Outpatient
visits where patient was referred to another physician
Emergency Care
76. Emergency
department visits per 100 population
77. Emergency department
visits related to injuries per 10,000 population
78. Emergency
department visits for asthma per 10,000 population
79. Emergency
department visits where patient was seen by intern/resident only
Mental Health Care and Substance Abuse Treatment
80. Adults who
received mental health treatment or counseling in the past year.
81. Adults who
received outpatient mental health treatment or counseling
82. Adults who
received prescription medications for mental health treatment
83. Adults who
received inpatient mental health treatment or counseling
84. Adults with
serious mental illness who received mental health treatment or counseling
85. People 12 and
older who received illicit drug or alcohol abuse treatment in the past year
87. Inpatient admissions
to specialty mental health organizations per 100,000 population
88. Residential care
admissions to specialty mental health organizations per 100,000 population
89. <24 hour care
admissions to specialty mental health organizations per 100,000 population
HIV Care
90. Hospitalizations
for HIV per 10,000 population.
91. HIV patients
with 4+ ambulatory visits in the past year.
92. HIV patients
with CD4 <50 with 4+ ambulatory visits in the past year
93. HIV patients
with inpatient hospitalization in the past year
94. HIV patients
with CD4 <50 with inpatient hospitalization in the past year
Inpatient Care
95. Total hospitalizations per 100 population.
96. Avoidable admissions for hypertension per 100,000 population 18 and older.
97. Avoidable admissions for angina per 100,000 population 18 and older
98. Avoidable admissions for chronic obstructive pulmonary disease per 100,000 population 18 and older
99. Avoidable admissions for bacterial pneumonia per 100,000 population
100. Perforated appendices per 1,000 admissions with appendicitis
101. Admissions for PTCA per 100,000 population 40 and older
102. Admissions for coronary artery bypass graft surgery per 100,000 population 40 and older
103. Admissions for hysterectomy per 100,000 female population 18 and older
104. Admissions for laminectomy or spinal fusion per 100,000 population 18 and older
105. Cesarean deliveries per 1,000 deliveries
106. Vaginal births per 1,000 women with previous Cesarean deliveries
Chronic Care
107. Home Health Care Discharges per 10,000 Population
108. Nursing Home Discharges per 10,000 Population
109. Nursing Home Discharges Who Received Rehabilitative Services
110. Nursing Home Discharges Who Received Mental Health Services
111. Nursing Home Discharges Who Were Discharged Either Recovered or Stabilized
112. Hospice Discharges per 100,000 Population
Overall Expenditures.
113. People with any
health care expenditures
114. Mean total health
care expenditures among persons with expenditures
Mean Expenditures among Users by Type of Service
115. Mean office or
outpatient expenditures
116. Mean
prescription medication expenditures
118. Mean emergency
room expenditures
119. Mean inpatient
expenditures
Percent of Expenditure Paid by Medicaid
120. Total health
care expenditures paid by Medicaid
121. Office or
outpatient expenditures paid by Medicaid
122. Prescription
medication expenditures paid by Medicaid
123. Dental
expenditures paid by Medicaid
124. Emergency room
expenditures paid by Medicaid
125. Inpatient
expenditures paid by Medicaid
Percent of Expenditure Paid Out of Pocket
126. Total health
care expenditures paid out of pocket
127. Office or
outpatient expenditures paid out of pocket
128. Prescription
medication expenditures paid out of pocket
129. Dental
expenditures paid out of pocket
130. Emergency room
expenditures paid out of pocket
131. Inpatient
expenditures paid out of pocket
Medicare Expenditures in the Last Year of Life.
132. Mean total
Medicare expenditures in the last year of life