Appendix F: NHQR Quality Measures for All Conditions by State

Diabetes Care Quality Improvement: A Resource Guide for State Action

This appendix lists quality measures for all conditions and topics in the NHQR. It includes the national estimate and then an indicator for whether or not the State estimate (not shown due to space limitation) is statistically greater, lower, or no different from the national average. The measures for which State-level data are not reported in the NHQR are noted as not available (n/a). This resource can help States identify which diseases and treatments, including and outside of diabetes, may be in need of attention. Many of the same data issues described in Module 2: Data and Module 3: Information are applicable to other disease topics, although different data sources and limitations may apply to them.

 

Contents

Table F.1. NHQR quality measures for all conditions when available by State, alphabetically Alabama through Missouri
Table F.2. NHQR quality measures for all conditions when available by State, alphabetically Montana through Wyoming

 

Table F.1. NHQR quality measures for all conditions when available by State, alphabetically Alabama through Missouri

Part 1 - Alabama-Florida

National Healthcare Quality Report (2003) Measures, National Estimate, and State Significance Test (Sig.)a for Difference from the National Average

Measure TitleYearMetricU.S. Est.AL Sig.AK Sig.AZ Sig.AR Sig.CA Sig.CO Sig.CT Sig.DE Sig.DC Sig.FL Sig.SourceNHQR Table
1. Effectiveness of Care
Cancer
Screening for breast cancer
Process: Percent of women (age 40 and over) who report they had a mammogram within the past 2 years2001Percent76.00n/an/ans-n/ansn/an/an/an/aBRFSS1.1b
2000Percent76.70nsns+-nsns+++nsBRFSS1.1c
Screening for cervical cancer:
Process: Percent of women (age 18 and over) who report that they had a Pap smear within the past 3 years2001Percent84.80n/an/ans-n/ansn/an/an/an/aBRFSS1.3b
2000Percent83.70ns+ns-nsns+++nsBRFSS1.3c
Screening for colorectal cancer:
Process: Percent of men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy2001Percent47.60nsnsns-nsns+++nsBRFSS1.5b
Process: Percent of men and women (age 50 and over) who report they had a fecal occult blood test (FOBT) within the past 2 years2001Percent35.30--ns-nsns+-++BRFSS1.6b
Chronic Kidney Disease
Management of End Stage Renal Disease:
Process: Percent of dialysis patients registered on waiting list for transplantationd2000Percent21nsns--++ns+--USRDS1.15b
Process: Percent of patients with treated chronic kidney failure who receive a transplant within three years of renal failuree-h1997Percent20nsnsnsns-+nsns-nsUSRDS1.16b
Diabetes
Management of Diabetes:
Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in the past year2001Percent79.4nsn/ansnsnsns+n/ansnsBRFSS1.20c
Management of Diabetes:
Percent of adults with diabetes who had a retinal eye examination in past year2001Percent66.7nsn/ansnsnsns+n/ansnsBRFSS1.22b
Percent of adults with diabetes who had a foot examination in past year2001Percent64.6nsn/ans-ns-nsn/ansnsBRFSS1.23b
Percent of adults with diabetes who had an influenza immunization in past year2001Percent37.4nsn/a-nsns-nsnsnsnsBRFSS1.24b
Heart Disease
Screening for high cholesterol:
Process: Percent of adults 18 and over receiving cholesterol measurement within 5 years2001Percent73ns-ns--ns++++BRFSS1.32b
Counseling on risk factors:
Process: Percent of smokers (age 18 and over) receiving advice to quit smoking2001Percent71n/ansnsnsn/an/a-nsn/an/aBRFSS1.33b
Treatment of AMI:
Process: Percent of AMI patients administered aspirin within 24 hours of admissionj2000-2001Percent85-nsns-ns+nsnsns-QIO1.34bjj
Process: Percent of AMI patients with aspirin prescribed at dischargej2000-2001Percent86nsnsnsnsns+ns++-QIO1.35bjj
Process: Percent of AMI patients administered beta blocker within 24 hours of admissionj2000-2001Percent69-nsns-nsns+nsnsnsQIO1.36bjj
Process: Percent of AMI patients with beta blocker prescribed at dischargej2000-2001Percent79nsnsns--+nsnsnsnsQIO1.37bjj
Process: Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej2000-2001Percent74ns+nsnsnsnsnsnsns-QIO1.38bjj
Process: Percent of AMI patients given smoking cessation counseling while hospitalizedj2000-2001Percent43nsnsnsns-nsnsnsnsnsQIO1.39bjj
Process: Median Time to thrombolysis. Time on arrival to initiation of a thrombolytic agent patients with ST segment elevation or left branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival timej-k1999-2000Median62-nsnsnsnsnsns+n/ansQIO1.40bjj
Process: Median time to PTCA. Median time from arrival to percutaneous transluminal angioplasty (PTCA) in patients with ST segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.j, l1999-2000Median186ns+++nsns++nsnsQIO1.41bjj
Treatment of acute heart failure:
Process: Percent of heart failure patients having evaluation of left ventricular ejection fractionj2000-2001Percent69nsns+-nsns++ns+QIO1.42bjj
Process: Percent of heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej2000-2001Percent66nsnsns-nsnsns+nsnsQIO1.43bjj
Part 2: Georgia-Kansas
Measure TitleYearMetricU.S. Est.GA Sig.HI Sig.ID Sig.IL Sig.IN Sig.IA Sig.KS Sig.SourceNHQR Table
1. Effectiveness of Care
Cancer
Screening for breast cancer
Process: Percent of women (age 40 and over) who report they had a mammogram within the past 2 years2001Percent76.00++n/an/an/an/an/aBRFSS1.1b
2000Percent76.70nsns-ns-nsnsBRFSS1.1c
Screening for cervical cancer:
Process: Percent of women (age 18 and over) who report that they had a Pap smear within the past 3 years2001Percent84.80++n/an/an/an/an/aBRFSS1.3b
2000Percent83.70++--nsnsnsBRFSS1.3c
Screening for colorectal cancer:
Process: Percent of men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy2001Percent47.60nsns--nsns-BRFSS1.5b
Process: Percent of men and women (age 50 and over) who report they had a fecal occult blood test (FOBT) within the past 2 years2001Percent35.30ns+-+-nsnsBRFSS1.6b
Chronic Kidney Disease
Management of End Stage Renal Disease:
Process: Percent of dialysis patients registered on waiting list for transplantationd2000Percent21-nsns+-+nsUSRDS1.15b
Process: Percent of patients with treated chronic kidney failure who receive a transplant within three years of renal failuree-h1997Percent20-ns++ns+nsUSRDS1.16b
Diabetes
Management of Diabetes:
Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in the past year2001Percent79.4ns++n/an/ansnsBRFSS1.20c
Management of Diabetes:
Percent of adults with diabetes who had a retinal eye examination in past year2001Percent66.7nsns-n/an/a+nsBRFSS1.22b
Percent of adults with diabetes who had a foot examination in past year2001Percent64.6ns+nsn/an/ansnsBRFSS1.23b
Percent of adults with diabetes who had an influenza immunization in past year2001Percent37.4ns+nsnsns+nsBRFSS1.24b
Heart Disease
Screening for high cholesterol:
Process: Percent of adults 18 and over receiving cholesterol measurement within 5 years2001Percent73++--ns--BRFSS1.32b
Counseling on risk factors:
Process: Percent of smokers (age 18 and over) receiving advice to quit smoking2001Percent71n/an/an/an/ansn/an/aBRFSS1.33b
Treatment of AMI:
Process: Percent of AMI patients administered aspirin within 24 hours of admissionj2000-2001Percent85-++nsnsnsnsQIO1.34bjj
Process: Percent of AMI patients with aspirin prescribed at dischargej2000-2001Percent86nsnsns-nsnsnsQIO1.35bjj
Process: Percent of AMI patients administered beta blocker within 24 hours of admissionj2000-2001Percent69-nsnsnsns+nsQIO1.36bjj
Process: Percent of AMI patients with beta blocker prescribed at dischargej2000-2001Percent79nsnsnsnsns+nsQIO1.37bjj
Process: Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej2000-2001Percent74nsnsnsnsnsnsnsQIO1.38bjj
Process: Percent of AMI patients given smoking cessation counseling while hospitalizedj2000-2001Percent43nsnsnsns+nsnsQIO1.39bjj
Process: Median Time to thrombolysis. Time on arrival to initiation of a thrombolytic agent patients with ST segment elevation or left branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival timej-k1999-2000Median62nsns+nsnsnsnsQIO1.40bjj
Process: Median time to PTCA. Median time from arrival to percutaneous transluminal angioplasty (PTCA) in patients with ST segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.j, l1999-2000Median186n/a++nsns+nsQIO1.41bjj
Treatment of acute heart failure:
Process: Percent of heart failure patients having evaluation of left ventricular ejection fractionj2000-2001Percent69ns+-nsnsns-QIO1.42bjj
Process: Percent of heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej2000-2001Percent66nsnsnsnsnsnsnsQIO1.43bjj
Part 3- Kentucky to Missouri
Measure TitleYearMetricU.S. Est.KY Sig.LA Sig.ME Sig.MD Sig.MA Sig.MI Sig.MN Sig.MS Sig.MO Sig.SourceNHQR Table
1. Effectiveness of Care
Cancer
Screening for breast cancer
Process: Percent of women (age 40 and over) who report they had a mammogram within the past 2 years2001Percent76.00n/an/an/an/an/an/an/a-n/aBRFSS1.1b
2000Percent76.70nsnsns+++--nsBRFSS1.1c
Screening for cervical cancer:
Process: Percent of women (age 18 and over) who report that they had a Pap smear within the past 3 years2001Percent84.80n/an/an/an/an/an/an/ansn/aBRFSS1.3b
2000Percent83.70nsnsns++nsnsnsnsBRFSS1.3c
Screening for colorectal cancer:
Process: Percent of men and women (age 50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy2001Percent47.60--ns++++--BRFSS1.5b
Process: Percent of men and women (age 50 and over) who report they had a fecal occult blood test (FOBT) within the past 2 years2001Percent35.30--+++nsns--BRFSS1.6b
Chronic Kidney Disease
Management of End Stage Renal Disease:
Process: Percent of dialysis patients registered on waiting list for transplantationd2000Percent21--ns++++-nsUSRDS1.15b
Process: Percent of patients with treated chronic kidney failure who receive a transplant within three years of renal failuree-h1997Percent20+-ns++ns+-+USRDS1.16b
Diabetes
Management of Diabetes:
Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in the past year2001Percent79.4+n/ansn/ansns+n/an/aBRFSS1.20c
Management of Diabetes:
Percent of adults with diabetes who had a retinal eye examination in past year2001Percent66.7nsn/a+n/ansnsnsn/an/aBRFSS1.22b
Percent of adults with diabetes who had a foot examination in past year2001Percent64.6nsn/ansn/ansns+n/an/aBRFSS1.23b
Percent of adults with diabetes who had an influenza immunization in past year2001Percent37.4ns-nsnsns-ns-nsBRFSS1.24b
Heart Disease
Screening for high cholesterol:
Process: Percent of adults 18 and over receiving cholesterol measurement within 5 years2001Percent73nsns+++ns+--BRFSS1.32b
Counseling on risk factors:
Process: Percent of smokers (age 18 and over) receiving advice to quit smoking2001Percent71ns++n/an/an/an/ansnsBRFSS1.33b
Treatment of AMI:
Process: Percent of AMI patients administered aspirin within 24 hours of admissionj2000-2001Percent85nsns+nsnsnsns-nsQIO1.34bjj
Process: Percent of AMI patients with aspirin prescribed at dischargej2000-2001Percent86ns-+nsnsnsnsnsnsQIO1.35bjj
Process: Percent of AMI patients administered beta blocker within 24 hours of admissionj2000-2001Percent69nsns+ns+ns+-nsQIO1.36bjj
Process: Percent of AMI patients with beta blocker prescribed at dischargej2000-2001Percent79nsns+ns++ns-nsQIO1.37bjj
Process: Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej2000-2001Percent74nsnsnsnsns+nsnsnsQIO1.38bjj
Process: Percent of AMI patients given smoking cessation counseling while hospitalizedj2000-2001Percent43ns-ns-nsnsnsns+QIO1.39bjj
Process: Median Time to thrombolysis. Time on arrival to initiation of a thrombolytic agent patients with ST segment elevation or left branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival timej-k1999-2000Median62+nsns+nsns+nsnsQIO1.40bjj
Process: Median time to PTCA. Median time from arrival to percutaneous transluminal angioplasty (PTCA) in patients with ST segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.j, l1999-2000Median186n/ansn/ansns+nsnsnsQIO1.41bjj
Treatment of acute heart failure:
Process: Percent of heart failure patients having evaluation of left ventricular ejection fractionj2000-2001Percent69-nsns++nsns-nsQIO1.42bjj
Process: Percent of heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at dischargej2000-2001Percent66-nsnsnsnsnsns-nsQIO1.43bjj
Current as of August 2008
Internet Citation: Appendix F: NHQR Quality Measures for All Conditions by State: Diabetes Care Quality Improvement: A Resource Guide for State Action. August 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/diabguide/diabqguideapf.html