Figure 6.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions, by age and gender, 2005-2009
| Age | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|
| <65 | 56.7% | 68.0% | 75.4% | 81.8% | 86.2% |
| 65-74 | 57.2% | 68.6% | 75.8% | 81.8% | 86.1% |
| 75-84 | 58.2% | 69.3% | 76.5% | 82.4% | 86.5% |
| 85+ | 57.5% | 68.9% | 76.4% | 82.1% | 86.8% |
| Gender | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|
| Male | 58.3% | 69.6% | 76.8% | 82.7% | 86.9% |
| Female | 56.4% | 67.8% | 75.1% | 81.3% | 85.9% |
Source: Centers for Medicare & Medicaid Services, Quality Improvement Organization Program, 2005-2009.
Denominator: Hospitalized adult patients with a principal discharge diagnosis of heart failure.
Note: Complete written discharge instructions needed to address all of the following: activity level, diet, discharge medications, followup appointment, weight monitoring, and actions to take if symptoms worsen.
2008 achievable benchmark: 88%.
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Figure 6.2. Patients who reported that they always received test results, that their personal doctor always seemed informed and up to date about care received from specialist doctors, and that other providers at their doctor's office always had all the information they needed, commercially insured adults ages 18-64, Massachusetts, 2007 and 2009
| Information Provided | 2007 | 2009 |
|---|
| Patient Informed of Test Results | 68% | 69% |
| Doctor Informed About Care From Specialists | 57% | 59% |
| Other Providers Given Enough Information | 51% | 55% |
Source: Massachusetts Health Quality Partners, Patient Experience Survey, 2007 and 2009.
Denominator: Commercially insured adults ages 18-64 in primary care practices with at least three doctors.
Note: Respondents limited to patients who received particular services in the past year: had a test, had a referral to a specialist, or saw another provider in their doctor's office.
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Figure 6.3. Parents who reported that they always received test results for their child, that their child's personal doctor always seemed informed and up to date about care received from specialist doctors, and that other providers at their child's doctor's office always had all the information they needed, commercially insured children under age 18, Massachusetts, 2007 and 2009
| Information Provided | 2007 | 2009 |
|---|
| Parent informed of child's test results | 69% | 70% |
| Doctor informed about care from specialists | 61% | 64% |
| Other providers given enough information | 59% | 61% |
Source: Massachusetts Health Quality Partners, Patient Experience Survey, 2007 and 2009.
Denominator: Commercially insured children under age 18 in primary care practices with at least three doctors.
Note: Respondents limited to parents of patients who received particular services in the past year: had a test, had a referral to a specialist, or saw another provider in their doctor's office.
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Figure 6.4. Rehospitalization for congestive heart failure, by age and State, 15 States, 2008
| State | Total | 18-64 | 65+ |
|---|
| All States | 21.2% | 21.4% | 21.1% |
| State A | 13.9% | 16.0% | 13.2% |
| State B | 16.9% | 15.5% | 17.3% |
| State C | 17.7% | 21.7% | 16.9% |
| State D | 18.5% | 19.4% | 18.3% |
| State E | 18.8% | 18.8% | 18.8% |
| State F | 18.8% | 14.9% | 20.6% |
| State G | 20.0% | 20.4% | 19.8% |
| State H | 20.5% | 19.6% | 20.8% |
| State I | 21.2% | 22.2% | 20.9% |
| State J | 21.4% | 21.2% | 21.5% |
| State K | 21.5% | 22.6% | 21.1% |
| State L | 21.6% | 20.4% | 22.1% |
| State M | 21.7% | 22.3% | 21.4% |
| State N | 22.6% | 22.3% | 22.7% |
| State O | 22.8% | 21.9% | 23.0% |
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases, 2008.
Denominator: Patients hospitalized for congestive heart failure.
Note: For this measure, lower rates are better.
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Figure 6.5. People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors, by age and insurance, United States, 2002-2008
| Age | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 |
|---|
| Total | 75.1% | 76.4% | 77.8% | 77.7% | 79.0% | 80.1% | 80.5% |
| 0-17 | 71.1% | 72.8% | 73.8% | 74.5% | 75.9% | 76.6% | 76.8% |
| 18-44 | 77.4% | 78.4% | 80.4% | 79.6% | 81.4% | 83.0% | 82.5% |
| 45-64 | 77.5% | 77.1% | 79.9% | 79.7% | 80.4% | 80.8% | 82.3% |
| 65+ | 74.1% | 77.8% | 76.6% | 76.3% | 77.6% | 79.9% | 80.2% |
| Insurance Type | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 |
|---|
| Medicare and Private | 75.0% | 78.0% | 76.5% | 77.0% | 78.0% | 80.7% | 82.2% |
| Medicare and Other Public | 75.3% | 80.0% | 80.0% | 80.8% | 78.6% | 80.2% | 80.8% |
| Medicare Only | 72.0% | 76.6% | 75.5% | 73.0% | 76.4% | 78.1% | 77.2% |
Source: Agency for Healthcare Research and Quality, Center for Financing, Access, and Cost Trends, Medical Expenditure Panel Survey, 2002-2008.
Denominator: Civilian noninstitutionalized population who report a usual source of care.
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Figure 6.6. Hospitals with electronic exchange of patient information on medication history, by ownership, teaching status, and bed size, 2009
| Hospital Types | Hospitals in System | Hospitals Outside System | Ambulatory Providers Outside System |
|---|
| Total | 79.8% | 12.7% | 36.3% |
| For Profit | 72.6% | 9.4% | 19.6% |
| Nonprofit | 74.7% | 13.6% | 32.0% |
| Federal | 96.0% | 27.7% | 13.2% |
| Non-Federal | 59.6% | 12.0% | 23.0% |
| GME | 82.0% | 16.2% | 31.2% |
| No GME | 68.8% | 12.3% | 27.1% |
| <100 Beds | 68.2% | 14.8% | 23.7% |
| 100-399 Beds | 73.6% | 12.1% | 30.4% |
| 400+ Beds | 82.5% | 13.9% | 32.9% |
Key: GME = graduate medical education program (also knows as residency program).
Source: American Hospital Association Annual Survey Information Technology Supplement, 2009.
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Figure 6.7. Potentially avoidable emergency department encounters for asthma among adults, by age, and among children, by gender and by age, 2008
| Age | Adult ED Visit Plus Hospitalization | Adult ED Visit No Hospitalization |
|---|
| Total (rate per 100,000 pop.) | 106.8 | 406.5 |
| 18-44 (rate per 100,000 pop.) | 61.7 | 518 |
| 45-64 (rate per 100,000 pop.) | 130.2 | 338.6 |
| 65-69 (rate per 100,000 pop.) | 167 | 218.2 |
| 70-74 (rate per 100,000 pop.) | 194.9 | 193.9 |
| 75-79 (rate per 100,000 pop.) | 215.8 | 169.6 |
| 80-84 (rate per 100,000 pop.) | 240.3 | 163.3 |
| 85+ (rate per 100,000 pop.) | 239 | 126.2 |
| Gender / Age | Children ED Visit Plus Hospitalization | Children ED Visit No Hospitalization |
|---|
| Total (rate per 100,000 pop.) | 93.1 | 759.4 |
| Female (rate per 100,000 pop.) | 73.1 | 602.5 |
| Male (rate per 100,000 pop.) | 112.1 | 909.1 |
| 0-4 (rate per 100,000 pop.) | 200.7 | 1233.1 |
| 5-9 (rate per 100,000 pop.) | 106.0 | 872.9 |
| 10-14 (rate per 100,000 pop.) | 54.0 | 555.9 |
| 15-17 (rate per 100,000 pop.) | 35.0 | 461.7 |
Key: ED = emergency department.
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2008.
Denominator: U.S. population.
Note: Annual rates are adjusted for age and gender.
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