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National Healthcare Quality Report - part 10 pot

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List of Core Report MeasuresEFFECTIVENESS OF CARE CANCER Screening for breast cancer: Women age 40 and over who reported they had a mammogram within the past Rate of breast cancer incide

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1 Institute of Medicine, Committee on Quality of Health Care in America Crossing the quality chasm: a new health system for the 21st century Washington, DC: National Academy Press; 2001

2 Institute of Medicine Envisioning the national health care quality report Washington, DC: National Academy Press; 2001

3 Institute of Medicine, Committee on Guidance for Designing a National Healthcare Disparities Report Guidance for the National Healthcare Disparities Report (Swift EK, Ed.) Washington, DC: National Academies Press; 2002

4 RAND Corporation Identifying, categorizing, and evaluating healthcare efficiency measures (Final report prepared for the Agency for Healthcare Research and Quality under Contract No 282-00-0005-21); October 2007

5 RTI International Cost of poor quality or waste in integrated delivery system settings (Final report prepared for the Agency for Healthcare Research and Quality under Contract No 290-00-0018-11); September 2006

6 Agency for Healthcare Research and Quality Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions Version 3.1 (March 12, 2007) Available at: http://www.qualityindicators.ahrq.gov/pqi_download.htm

7 Rosko M, Mutter R Stochastic frontier analysis of hospital inefficiency: a review of empirical issues and an assessment of robustness Med Care Res Rev 2007 First published online November 28, 2007 Available at:

http://mcr.sagepub.com/cgi/content/abstract/1077558707307580v1

8 Fisher ES, Wennberg DE, Stukel TA, et al The implications of regional variations in Medicare spending Part 1: the content, quality, and accessibility of care Ann Intern Med 2003 Feb 18;138(4):273-87

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List of Core Report Measures

EFFECTIVENESS OF CARE

CANCER

Screening for breast cancer:

Women age 40 and over who reported they

had a mammogram within the past

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

Cancer treatment:

Breast cancer deaths per 100,000 female

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

Hospital admissions for lower extremity

amputations per 1,000 adult patients

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 1.35 2005 88 ESRD Clinical U.Michigan

Measures Project

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Measure Measure Year of National National State

HEART DISEASE

Counseling on risk factors:

Percent of smokers receiving

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

Treatment of acute heart failure:

Composite measure: Percent of adult patients

who received recommended hospital care for

Heart disease treatment:

Deaths per 1,000 adult admissions with acute

HIV and AIDS

AIDS prevention:

New AIDS cases per 100,000 population

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

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Measure Measure Year of National National State

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

Percent of children age 2-17 with a dental

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

SAMHSA-facility in the past year 1.94 2005 17.0 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

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Treatment of upper respiratory

infection (URI):

Visit rates where antibiotics were prescribed

for a diagnosis of common cold per 10,000

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

Percent of high-risk residents who have

Percent of short-stay residents with pressure

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

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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

NAMCS-in which the patient left before beNAMCS-ing seen 3.11 2004-2005 2.0 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

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Key to abbreviations:

AHRQ-QI = AHRQ Quality Indicators

BRFSS = Behavioral Risk Factor Surveillance System

CDC AIDS = Centers for Disease Control and Prevention HIV/AIDS Surveillance System

CDC TB = Centers for Disease Control and Prevention National Tuberculosis Surveillance System

CMS = Centers for Medicare & Medicaid Services

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

HP2010 = Healthy People 2010

ESRD = End Stage Renal Disease

MEPS = Medical Expenditure Panel Survey

MPSMS = Medicare Patient Safety Monitoring System

MDS = Minimum Data Set

NAMCS-NHAMCS = National Ambulatory Medical Care Survey-National Hospital Ambulatory Medical Care Survey NCBD = National CAHPS® Benchmarking Database

NCQA = National Committee for Quality Assurance HEDIS ® measure set

NHDS = National Hospital Discharge Survey

NHIS = National Health Interview Survey

NIS = National Immunization Survey

NNIS = National Nosocomial Infections Surveillance

NPCR = National Program of Cancer Registries

NSDUH = National Survey on Drug Use and Health

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

OASIS = Outcome and Assessment Information Set

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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U.S Department of

Health and Human Services

Agency for Healthcare Research and Quality

540 Gaither Road

Rockville, MD 20850

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