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2005 National Healthcare Quality Report

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Chapter 2. Effectiveness

As noted in Chapter 1, effectiveness of care is presented under nine clinical condition/care setting areas: cancer, diabetes, end stage renal disease (ESRD), heart disease, HIV and AIDS, maternal and child health, mental health and substance abuse, respiratory diseases, and nursing home and home health care. The nine individual sections of this chapter highlight a small number of core measures; results for all core measures are found in the List of Core Report Measures at the end of this report.

To facilitate identifying the measures discussed below as related to the patient's need for preventive care, treatment of acute illness, or chronic disease management, the core measures highlighed on the following pages are categorized as follows:

Section Measure
   
Prevention:
Cancer Mammography
Cancer Newly diagnosed advanced stage breast cancer
Cancer Breast cancer mortality
Heart disease Counseling smokers to quit smoking
HIV and AIDS New AIDS cases
HIV and AIDS Eligible AIDS patients receiving PCP and MAC prophylaxis*
Maternal and child health Receipt of prenatal care in the first trimester
Maternal and child health Receipt of all recommended immunizations by young children
Maternal and child health Receipt of hepatitis B vaccine by adolescents
Maternal and child health Untreated dental caries in children*
Maternal and child health Dental visits by children
Maternal and child health Receipt of counseling about physical activity by children
Respiratory diseases Pneumococcal vaccination
   
Treatment:
Heart disease Receipt of recommended care for acute heart failure
Heart disease Receipt of recommended care for heart attack
Heart disease Inpatient mortality following heart attack
Maternal and child health Hospital admissions for pediatric gastroenteritis
Mental health and substance abuse Degree of helpfulness of mental health care
Mental health and substance abuse Receipt of needed substance abuse treatment
Mental health and substance abuse Completion of substance abuse treatment
Respiratory diseases Receipt of recommended care for pneumonia
Respiratory diseases Receipt of antibiotics for the common cold
   
Management:
Diabetes Receipt of three recommended diabetic services
Diabetes Controlled hemoglobin, cholesterol, and blood pressure
Diabetes State variation in hemoglobin A1c testing*
End stage renal disease (ESRD) Adequacy of hemodialysis
End stage renal disease (ESRD) Registration for transplantation
Heart disease Blood pressure monitoring and control*
Respiratory diseases Hospital admissions for pediatric asthma
Nursing home and home health care Use of restraints among chronic care nursing home residents
Nursing home and home health care Presence of pressure ulcers among nursing home residents
Nursing home and home health care Improvement in ambulation in home health episodes
Nursing home and home health care Acute care hospitalization of home health patients

* Supplemental measure

Return to Contents

Importance and Measures Chapter 1. Introduction and Methods

 

 

The information on this page is archived and provided for reference purposes only.

 
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