National Healthcare Quality Report 2005

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2005 National Healthcare Quality Report

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List of Core Report Measures

MEASURE	Measure number	Measure specifications	National database	State database
EFFECTIVENESS OF CARE
CANCER
Screening for breast cancer:
Women age 40 and over who had a mammogram within the past 2 years	1.1	HP2010(3-13)	NHIS	BRFSS
Rate of breast cancers diagnosed at late stage	1.2	SEER program	SEER	NPCR
Cancer treatment:
Cancer deaths per 100,000 female population per year for breast cancer	1.10	HP2010(3-3)	NVSS-M	NVSS-M
DIABETES
Management of diabetes:
Composite measure: Adults with diabetes who had hemoglobin A1c measurement, retinal eye exam, and foot exam in the past year	1.15	Specs for MEPS	MEPS	n.a.
Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population	1.27	HP 2010(5-10)	NHDS	HCUP SID
END STAGE RENAL DISEASE
Management of End Stage Renal Disease:
Dialysis patients registered on the waiting list for transplantation	1.28	HP2010 4-5	USRDS	USRDS
Hemodialysis patients with urea reduction ratio 65% or higher	1.30	CMS	ESRD Clinical Performance Measures Project	U.Michigan
HEART DISEASE
Counseling on risk factors:
Current smokers age 18 and over receiving advice to quit smoking	1.36	HP2010(1-3c)	MEPS	BRFSS
Treatment of acute myocardial infarction (AMI):
Composite measure: Hospital care for heart attack patients	1.37	QIO scope of work	QIO	n.a.
Treatment of acute heart failure:
Composite measure: Hospital care for heart failure patients	1.46	QIO scope of work	QIO	n.a.
Heart Disease Treatment:
Deaths per 1,000 adult admissions with acute myocardial infarction	1.55	AHRQ-QI	HCUP NIS	n.a.
HIV and AIDS
AIDS prevention:
New AIDS cases per 100,000 population 13 and over	1.57	HP2010(13-1)	CDC-AIDS	n.a.
Management of HIV/AIDS:
HIV patients with CD4 <200 who receive PCP prophylaxis	1.59		HIV Research Network	n.a.
MATERNAL AND CHILD HEALTH
Maternity care:
Pregnant women receiving prenatal care in first trimester	1.61	HP2010(16-6a)	NVSS-N	NVSS-N
Infant mortality per 1,000 live births, by birth weight	163	HP2010(16-1c)	NVSS-I	NVSS-I
Immunization, childhood:
Children 19-35 months who received all recommended vaccines	1.65	HP2010(14-24a)	NIS	NIS
Immunization, adolescent:
Adolescents (13-15) who received 3 or more doses of hepatitis B vaccine	1.66	HP2010(14-27a)	NHIS	n.a.
Childhood dental care:
Children 2-17 with a dental visit in last year	1.70	HP 2010(21-10)	MEPS	n.a.
Treatment of pediatric gastroenteritis:
Hospital admissions for pediatric gastroenteritis per 100,000 population less than 18 years of age	1.71	AHRQ-QI	HCUP NIS	HCUP SID
Childhood preventive care
Children 2-17 with advice about physical activity	1.73	Specs for MEPS	MEPS	n.a.
MENTAL HEALTH AND SUBSTANCE ABUSE
Treatment of mental illness:
Adults diagnosed with a new episode of depression and initiated on an antidepressant drug who remained on an antidepressant medication through the continuation phase of treatment	1.81	NCQA	HEDIS	n.a.
Suicide deaths per 100,000 population	1.82	HP2010(18-1)	NVSS-M	NVSS-M
Adults with serious psychological distress who receive mental health treatment or counseling	1.83	SAMHSA	SAMHSA	n.a.
Treatment of substance abuse
Persons age 12 and over who needed treatment for substance abuse who received such treatment	1.85	SAMHSA	SAMHSA	n.a.
Patients receiving substance abuse treatment who completed treatment	1.86	TEDS	TEDS	n.a.
RESPIRATORY DISEASES
Immunization, pneumonia:
Persons 65 and over who ever received pneumococcal vaccination	1.91	HP2010(14-29b)	NHIS	BRFSS
Treatment of pneumonia:
Composite measure: Hospital care for pneumonia patients	1.92	QIO scope of work	QIO	n.a.
Treatment of upper respiratory infection (URI):
Rate antibiotics prescribed at visits with a diagnosis of common cold per 10,000 population	1.99	HP2010(14-19)	NAMCS-NHAMCS	n.a.
Management of asthma:
People with persistent asthma prescribed medications acceptable as primary therapy for long-term control of asthma (inhaled corticosteroids)	1.100	NCQA	HEDIS	n.a.
Hospital admissions for asthma per 100,000 population under 18	1.101	AHRQ-QI	HCUP NIS	HCUP SID
Treatment of TB:
Tuberculosis patients who complete course of treatment within 12 months of treatment initiation	1.104	HP2010 (14-12)	CDC, TB	n.a.
NURSING HOME AND HOME HEALTH CARE
Nursing facility care:
Long-stay nursing home residents who were physically restrained	1.107	CMS	n.a.
High risk long-stay nursing home residents with pressure sores	1.112	CMS	n.a.
Low risk long-stay nursing home residents with pressure sores	1.113	CMS	n.a.	MDS
Short-stay nursing home residents who have pressure sores	1.118	CMS	n.a.	MDS
Home health care:
Home health care patients who get better at walking or moving around	1.125	CMS	n.a.	OASIS
Home health care patients who had to be admitted to the hospital	1.131	CMS	n.a.	OASIS
SAFETY
Complications of care:
Central line-associated bloodstream infection in intensive care unit (ICU) patients	2.6	HP2010(14-20b)	NNIS	n.a.
Intensive care unit patients-ventilator-associated pneumonia	2.24	CDC	NNIS	n.a.
Medicare beneficiaries with postoperative pulmonary embolus or deep vein thrombosis	2.26	CMS	MPSMS	n.a.
Medicare beneficiaries with central venous catheter-associated mechanical complication	2.28	CMS	MPSMS	n.a.
Prescribing medications:
Elderly with inappropriate medications	2.38	AHRQ	MEPS	n.a.
TIMELINESS
Getting appointments for care:
Adults who always can get care for illness or injury as soon as wanted	3.5	Specs for MEPS	MEPS	NCBD
Waiting time:
Emergency department visits in which the patient left without being seen	3.8	NCHS	NAMCS-NHAMCS	n.a.
PATIENT CENTEREDNESS
Patient experience of care:
Composite measure: Adults whose health providers always listened carefully, explained things, showed respect, and spent enough time with them	4.1	Specs for MEPS	MEPS	n.a.
Composite measure: Children whose health providers always listened carefully, explained things, showed respect, and spent enough time with them	4.2	Specs for MEPS	MEPS	n.a.

Key to abbreviations:

AHRQ-QI = AHRQ Quality Indicators

BRFSS = Behavioral Risk Factor Surveillance System

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

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

CMS = Centers for Medicare & Medicaid Services

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

HEDIS = Health Plan Employer Data and Information Set

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

NHIS = National Health Interview Survey

NHDS = National Hospital Discharge Survey

NIS = National Immunization Survey

NNIS = National Nosocomial Infections Surveillance

NPCR = National Program of Cancer Registries

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

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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