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Asthma Care Quality Improvement: Resource Guide

Table E.1. Selected Quality Measures for Asthma by State, District of Columbia, and U.S. Territory, 2003

States Process Measures Outcome Measures—Daily life Outcome Measures—Avoidable health care use
Routine care
(in the past 12 months)		 Smoking
(counseling in the past 12 months)		 Flu shots
(in the past 12 months)		 Medications
(in the past month)		 Limited activity days
(in the past 12 months)		 Sleep difficulty
(none in the past month)		 Symptom-free
(in the past 2 weeks)		 Urgent care visits
(in the past 12 months)		 Emergency room visits
(in the past 12 months)
% SE % SE % SE % SE Average SE % SE Average SE % SE % SE
Total U.S. average 28.3 0.861 82.2 1.613 40.3 0.635 71.1 0.867 10.9 0.903 53.9 1.126 9.7 0.096 28.1 0.888 17.7 0.754
Best-in-class average 40.4 2.964 87.9 3.005 53.3 1.547 75.3 1.844 3.3 0.857 63.6 2.486 10.5 0.295 19.4 1.952 12.2 1.464
Worst performing States average 17.4 1.91 75.8 4.069 27.9 1.804 62.1 2.782 18.2 2.028 39.6 2.549 9.0 0.197 35.5 1.863 22.3 2.107
Number of States reporting 19   15   54   19   19   19   19   19   19  
Alabama         41.3 3.741                        
Alaska         45.71 4.699                        
Arizona         42.5 4.371                        
Arkansas     75.51 5.771 46.81 3.142                        
California         36.8 2.853                        
Colorado     83.61 5.261 43.7 3.079                        
Connecticut 33.21 2.691 89.61 4.633 45.3 2.648 73.21 2.413 16.13 2.063 58.81 3.292 10.21 0.274 30.1 2.579 17.3 2.037
Delaware 41.11 3.666     39.6 3.519 74.21 3.121 8.11 2.661 64.41 4.001 10.11 0.359 33.2 3.517 18.8 2.984
District of Columbia 38.91 5.035     31.8 4.37 69.21 4.504 18.4 5.484 42.0 5.731 10.51 0.485 27.61 4.5 26.5 4.737
Florida         41.6 4.027                        
Georgia 32.71 3.166     36.0 3.503 76.11 2.895 11.2 3.472 44.03 4.194 9.91 0.368 26.1 2.778 20.8 2.577
Hawaii 29.42 3.543     43.4 3.929 69.71 3.851 4.11 0.881 45.7 4.838 10.41 0.372 40.03 4.044 13.21 2.544
Idaho         37.5 2.93                        
Illinois         37.6 2.678                        
Indiana 34.81 2.506     40.0 2.521 74.31 2.404 8.0 1.881 48.9 2.920 9.13 0.287 31.2 2.402 20.4 2.099
Iowa 22.03 2.661 83.31 6.397 40.5 3.244 74.31 3.108 6.81 3.242 58.21 3.880 9.1 0.364 24.01 3.003 12.51 2.035
Kansas         37.4 2.98                        
Kentucky     81.01 4.532 37.5 2.522                        
Louisiana     77.11 6.601 43.1 3.208                        
Maine         46.41 3.691                        
Maryland 24.2 3.103     43.7 3.54 62.93 3.712 13.7 3.117 55.01 4.787 10.11 0.399 28.1 3.259 18.91 3.289
Massachusetts         43.1 2.312                        
Michigan 29.0 2.888     39.5 3.062 70.91 2.99 9.91 4.138 61.41 3.579 9.3 0.323 26.31 2.955 16.71 2.511
Minnesota 21.33 2.987     45.81 3.64 71.41 3.366 3.01 1.112 59.81 4.413 9.81 0.356 19.11 3.154 15.31 2.914
Mississippi         35.6 3.286                        
Missouri         38.9 3.557                        
Montana         52.91 3.677                        
Nebraska     76.31 5.698 51.61 3.004                        
Nevada         32.7 4.415                        
New Hampshire 21.93 2.234 81.21 7.81 43.3 2.751 69.21 2.739 11.3 2.001 63.01 3.163 10.01 0.264 25.11 2.466 16.81 2.271
New Jersey 35.81 2.088 82.01 4.411 37.6 2.004 71.01 2.018 18.23 2.174 52.0 2.714 10.31 0.205 34.0 2.086 17.7 1.771
New Mexico 23.8 2.806     46.61 3.085 66.5 3.11 14.1 3.056 59.21 3.699 9.71 0.357 20.01 2.336 13.71 2.193
New York         44.3 2.689                        
North Carolina     84.51 5.238 41.3 2.813                        
North Dakota         49.61 3.749                        
Ohio         36.9 3.446                        
Oklahoma 30.0 2.3 87.21 3.822 44.1 2.472 74.51 2.328 10.4 2.599 39.13 2.849 9.03 0.269 27.8 2.241 21.2 2.349
Oregon         40.5 2.904                        
Pennsylvania         40.4 3.289                        
Rhode Island     86.51 6.718 46.1 2.938                        
South Carolina         48.71 3                        
South Dakota         56.01 3.603                        
Tennessee         37.1 3.736                        
Texas 25.2 2.783 83.91 4.479 38.0 2.848 73.61 2.631 8.6 2.149 53.3 3.385 9.6 0.289 31.3 2.994 17.31 2.378
Utah 16.93 3.199     35.6 3.474 61.23 4.15 8.81 3.809 51.4 4.6 10.01 0.401 27.31 4.046 12.61 2.450
Vermont 17.83 2.199     36.9 3.055 69.41 3.006 3.51 1.257 57.41 3.782 9.71 0.321 19.61 2.46 12.11 2.096
Virginia 29.8 2.947 80.51 6.18 39.4 3.391 67.1 2.908 17.2 3.099 55.8 3.562 9.71 0.376 28.8 2.817 20.0 2.814
Washington         41.7 1.465                        
West Virginia     76.31 5.923 45.9 3.225                        
Wisconsin 23.6 2.958     43.5 3.377 65.8 3.533 8.71 4.64 56.01 4.086 9.91 0.364 22.51 2.915 15.71 2.651
Wyoming         55.01 3.198                        
Guam         31.3 6.9                        
Puerto Rico         25.63 2.482                        
Virgin Islands         18.83 6.433                        

Source: Behavioral Risk Factor Surveillance System (BRFSS), Centers for Disease Control and Prevention (CDC), 2003

1 Indicates that the State estimate is not significantly different from the best in class average (P<0.05).
2 Indicates that the State estimate is statistically better than the national average (P<0.05).
3 Indicates that the State estimate is statistically worse than the national average (P<0.05)

Note: No symbol indicates that the State estimate is no different than the national average.

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