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
Trang 11 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
Trang 2List 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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Trang 3Measure 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
Trang 4Measure 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
of Cor
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Trang 5Treatment 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
Trang 6of Cor
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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
Trang 7Key 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
Trang 9U.S Department of
Health and Human Services
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850