- 8.09 MB]2012 National Healthcare Quality Report
Chapter 6, Text Descriptions for Figures
Figure 6.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions, by age and gender, 2005-2010
| Age Group | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 |
|---|---|---|---|---|---|---|
| <65 | 56.7 | 68 | 75.4 | 81.8 | 86.2 | 89.7 |
| 65-74 | 57.2 | 68.6 | 75.8 | 81.8 | 86.1 | 89.3 |
| 75-84 | 58.2 | 69.3 | 76.5 | 82.4 | 86.5 | 89.8 |
| 85+ | 57.5 | 68.9 | 76.4 | 82.1 | 86.8 | 90 |
| Gender | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 |
|---|---|---|---|---|---|---|
| Female | 56.4 | 67.8 | 75.1 | 81.3 | 85.9 | 89.4 |
| Male | 58.3 | 69.6 | 76.8 | 82.7 | 86.9 | 90 |
Source: Centers for Medicare & Medicaid Services, Quality Improvement Organization Program, 2005-2010.
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.
Figure 6.2. State variation: Readmissions for congestive heart failure, by State quartile
| Quartile | States |
|---|---|
| No hospital worse than national average | Alaska, Hawaii, Washington, Oregon, Nevada, Idaho, Montana, Wyoming, Utah, Colorado, New Mexico, North Dakota, South Dakota, Minnesota, Iowa, Wisconsin, Alabama, Georgia, Delaware, Connecticut, Rhode Island, Vermont, New Hampshire, Maine |
| Between 0-5 percent of hospitals worse than national average | California, Arizona, Nebraska, Kansas, Oklahoma, Texas, Missouri, Arkansas, Louisiana, Mississippi, Tennessee, Indiana, Ohio, West Virginia, Virginia, North Carolina, South Carolina, Pennsylvania, Massachusetts |
| More than 5 percent of hospitals worse than national average | Michigan, Illinois, Kentucky, Florida, New York, Maryland, District of Columbia, New Jersey, Puerto Rico |
Source: Centers for Medicare and Medicaid Services, HospitalCompare.
Figure 6.3. People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors, by family income and insurance (adults under age 65), United States, 2002-2009
| Income | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|
| High Income | 76.8 | 77.4 | 78.3 | 79.3 | 79.5 | 80.8 | 81.3 | 80.8 |
| Middle Income | 72.9 | 75.7 | 76.9 | 77.2 | 78.7 | 79.6 | 80.7 | 78.6 |
| Low Income | 75.2 | 76.6 | 78.8 | 75.8 | 78.4 | 81 | 78.5 | 78.6 |
| Poor | 75.5 | 74.2 | 76.8 | 76.4 | 79 | 78 | 79.8 | 77.4 |
| Insurance | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|
| Any Private | 75.3 | 76.4 | 78.1 | 78.6 | 79.4 | 80.6 | 81.2 | 79.9 |
| Public Only | 75.2 | 74.3 | 76.3 | 74.8 | 78.5 | 78.3 | 78.3 | 76.9 |
| Uninsured | 76.0 | 77.2 | 80.4 | 78.4 | 79.5 | 79.9 | 79.6 | 79.3 |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2009.
Denominator: Civilian noninstitutionalized population who report a usual source of care.
Figure 6.4. Hospitals with electronic exchange of patient information on medication history, by ownership and bed size, 2009 and 2010, electronic exchange with hospitals outside their system (top) and electronic exchange with ambulatory providers outside their system (bottom)
| Hospital Type | 2009 | 2010 |
|---|---|---|
| Total | 13.4 | 19.4 |
| For Profit | 9.4 | 12.9 |
| Nonprofit | 13.6 | 19.7 |
| Federal | 27.7 | 26.4 |
| Non-Federal | 12.0 | 20.6 |
| <100 Beds | 14.8 | 17.9 |
| 100-399 Beds | 12.1 | 18.9 |
| 400+ Beds | 13.9 | 25.6 |
| Hospital Type | 2009 | 2010 |
|---|---|---|
| Total | 28.2 | 32.1 |
| For Profit | 19.6 | 20.8 |
| Nonprofit | 32.0 | 36.0 |
| Federal | 13.2 | 20.5 |
| Non-Federal | 23.0 | 28.1 |
| <100 Beds | 23.7 | 26.4 |
| 100-399 Beds | 30.4 | 35.5 |
| 400+ Beds | 32.9 | 37.5 |
Source: American Hospital Association Annual Survey Information Technology Supplement, 2009 and 2010.
Figure 6.5. Effective care coordination among children with special health care needs, overall and by age and insurance status, 2009-2010
| Age Group / Insurance Status | 2009-2010 |
|---|---|
| Total | 56 |
| 0-5 | 58.8 |
| 6-11 | 54.9 |
| 12-17 | 55.5 |
| Private | 60.8 |
| Public | 51.4 |
| Private and Public | 53.1 |
| Uninsured | 37.7 |
Source: Health Resources and Services Administration, Maternal and Child Health Bureau; Centers for Disease Control and Prevention, National Center for Health Statistics, National Survey of Children With Special Health Care Needs (CSHCN), 2009-2010.
Denominator: CSHCN who were reported to use more than one service during the survey period.
Figure 6.6. Children with special health care needs with a medical home, overall and by age and insurance, 2009-2010
| Age Group / Insurance | 2009-2010 |
|---|---|
| Total | 43 |
| 0 to 5 | 44.2 |
| 6 to 11 | 42.1 |
| 12 to 17 | 43.1 |
| Private | 51.2 |
| Public | 34 |
| Private and Public | 35.3 |
| Uninsured | 24.2 |
Source: Health Resources and Services Administration, Maternal and Child Health Bureau; Centers for Disease Control and Prevention, National Center for Health Statistics, National Survey of Children With Special Health Care Needs (CSHCN), 2009-2010.
Denominator: Civilian noninstitutionalized population ages 0-17 with special health care needs.
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