National Healthcare Quality Report, 2013
Chapter 7: Text Descriptions
Figure 7.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions, by age and sex, 2005-2011
| 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | |
|---|---|---|---|---|---|---|---|
| <65 | 56.7% | 68% | 75.4% | 81.8% | 86.2% | 89.7% | 92% |
| 65-74 | 57.2% | 68.6% | 75.8% | 81.8% | 86.1% | 89.3% | 91.9% |
| 75-84 | 58.2% | 69.3% | 76.5% | 82.4% | 86.5% | 89.8% | 92.1% |
| 85+ | 57.5% | 68.9% | 76.4% | 82.1% | 86.8% | 90% | 92% |
| Female | 56.4% | 67.8% | 75.1% | 81.3% | 85.9% | 89.4% | 91.7% |
| Male | 58.3% | 69.6% | 76.8% | 82.7% | 86.9% | 90% | 92.3% |
Source: Centers for Medicare & Medicaid Services, Quality Improvement Organization Program, 2005-2011.
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.
2010 Achievable Benchmark: 94%
Figure 7.2. People under age 65 with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors, by insurance and activity limitations, 2002-2010
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | |
|---|---|---|---|---|---|---|---|---|---|
| Total | 75.1% | 76.4% | 77.8% | 77.7% | 79.0% | 80.1% | 80.5% | 79.3% | 82.8% |
| Any Private | 75.3% | 76.4% | 78.1% | 78.6% | 79.4% | 80.6% | 81.2% | 79.9% | 84.1% |
| Public Only | 75.2% | 74.3% | 76.3% | 74.8% | 78.5% | 78.3% | 78.3% | 76.9% | 79.5% |
| Uninsured | 76.0% | 77.2% | 80.4% | 78.4% | 79.5% | 79.9% | 79.6% | 79.3% | 81.3% |
| Basic limitations | 74.5% | 78.9% | 78.9% | 79.5% | 79.2% | 82.1% | 80.3% | 78.4% | 82.7% |
| Complex limitations | 75.9% | 79.2% | 80.5% | 81.0% | 81.0% | 81.8% | 80.8% | 77.5% | 82.3% |
| Neither limitation | 77.2% | 77.6% | 79.7% | 78.8% | 80.4% | 81.4% | 82.3% | 81.1% | 84.0% |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2010.
Denominator: Civilian noninstitutionalized population who report a usual source of care.
Note: Basic activity limitations include problems with mobility, self-care, domestic life, or activities that depend on sensory functioning. Complex activity limitations include limitations experienced in work or in community, social, and civic life.
Figure 7.3. Hospitals with electronic exchange of patient information on medication history, by ownership and bed size, 2009-2011, electronic exchange with hospitals outside their system and with ambulatory providers outside their system
| Hospitals Outside System | 2009 | 2010 | 2011 |
|---|---|---|---|
| Total | 13.4% | 19.4% | 25.2% |
| For Profit | 9.4% | 12.9% | 16.0% |
| Nonprofit | 13.6% | 19.7% | 28.3% |
| Federal | 27.7% | 26.4% | 33.3% |
| Non-Federal | 12.0% | 20.6% | 21.8% |
| <100 Beds | 14.8% | 17.9% | 21.7% |
| 100-399 Beds | 12.1% | 18.9% | 26.4% |
| 400+ Beds | 13.9% | 25.6% | 34.8% |
| Ambulatory Providers Outside System | 2009 | 2010 | 2011 |
| Total | 28.2% | 32.1% | 31.8% |
| For Profit | 19.6% | 20.8% | 19.7% |
| Nonprofit | 32.0% | 36.0% | 37.7% |
| Federal | 13.2% | 20.5% | 22.2% |
| Non-Federal | 23.0% | 28.1% | 24.2% |
| <100 Beds | 23.7% | 26.4% | 24.9% |
| 100-399 Beds | 30.4% | 35.5% | 35.8% |
| 400+ Beds | 32.9% | 37.5% | 46.2% |
Source: American Hospital Association Annual Survey Information Technology Supplement, 2009-2011.
Figure 7.4. Information gathering by home health care providers among adults receiving home health care, by language spoken at home, 2011-2012
| Talk with you about all the medicines you take | Ask to see all the medicines you take | Always seemed informed about all the care you get at home | |
|---|---|---|---|
| Total | 83.8% | 78.8% | 62.2% |
| English | 83.7% | 78.1% | 63.0% |
| Spanish | 89.3% | 91.6% | 57.7% |
| Other | 85.9% | 87.6% | 53.7% |
Source: Centers for Medicare & Medicaid Services, Home Health Care CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey, 2011-2012.
Denominator: Adults who had at least two visits from a Medicare-certified home health agency during a 2-month look-back period. Patients receiving hospice care and who had "maternity" as the primary reason for receiving home health care are excluded.
Figure 7.5. Effective care coordination among children with special health care needs, overall and by age, insurance status, and income, 2009-2010
| Percent | |
|---|---|
| Total | 56.0 |
| 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 |
| Poor | 51.6 |
| Low | 52.1 |
| Middle | 57.4 |
| High | 61.2 |
Source: Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health Web site, using the 2005/06 and 2009/10 National Survey of Children With Special Health Care Needs.
Denominator: CSHCN who were reported to use more than one service during the survey period.
Figure 7.6. Children with special health care needs with a medical home, by age, insurance, and income, 2009-2010
| Percent | |
|---|---|
| Total | 43.0 |
| 0-5 | 44.2 |
| 6-11 | 42.1 |
| 12-17 | 43.1 |
| Private | 51.2 |
| Public | 34.0 |
| Private and Public | 35.3 |
| Uninsured | 24.2 |
| Poor income | 30.9 |
| Low income | 37.5 |
| Middle income | 47.4 |
| High income | 52.2 |
Source: Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health Web site using the 2005/06 and 2009/10 National Survey of Children With Special Health Care Needs.
Denominator: Civilian noninstitutionalized population ages 0-17 with special health care needs. Medical home outcome is defined by having at least one personal doctor or nurse; family-centered care in previous 12 months; no referral problems; usual source or sources of sick and well care; and received effective care coordination.
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