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Diabetes Care Quality Improvement: Resource Guide

Table D.2. National averages for diabetes care measures, available in the NHDR by race/ethnicity and income

Measure National Totala Racial/ethnic group averagea Income group averageb National consensus-based goal (HP2010, Target/
Baseline)
(All races/
ethnicities)
White Black Non-Hispanic Hispanic Negative or poor (MEPS) Poor or low (MEPS) $25k-$35k (HCUP) Middle (MEPS) $35k-$45k (HCUP) High (MEPS) > $45k (HCUP)
Rate SE Rate SE Rate SE Rate SE Rate SE Rate SE Rate SE Rate SE
Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in the past year (MEPS) 89.8 1.3 91.1 1.4 86.0 3.7 85.7 3.2 86.8 3.4 88.8 2.8 90.1 2.1 91.4 2.2 TBD/59 (BRFSS 2000)
Percent of patients with diabetes who had a lipid profile in past two years (MEPS) 94.3 0.9 94.6 1.0 94.8 1.7 91.2 2.1 86.7 2.9 94.0 1.6 94.1 1.4 94.1 1.4 n/a
Percent of adults with diabetes who had a retinal eye examination in past year (MEPS) 66.5 1.8 67.8 2.2 65.8 4.7 58.3 4.3 63.4 3.4 64.4 3.5 60.9 3.7 74.5 2.6 75/47 (NHIS 2000)
Percent of adults with diabetes who had a foot examination in past year (MEPS) 66.4 1.7 67.9 2.4 60.4 4.4 66.2 4.1 60.3 4.3 68.2 3.2 65.4 2.8 68.7 3.0 75/55 (BRFSS 1998)
Percent of adults with diabetes who had an influenza immunization in past year (MEPS) 54.8 2.2 59.2 2.5 43.4 4.9 46.6 3.6 48.1 5.3 57.6 3.7 51.3 3.8 58.7 3.2 n/a
Hospital admissions for uncontrolled uncomplicated diabetes per 100,000 population (HCUP) 26.9 0.2 16.7 0.2 83.6 0.9 41.6 0.7 69.9 1.2 42.7 0.5 29.6 0.3 15.8 0.2 54/72 (HCUP 1996)
Hospital admissions for short-term complications of diabetes per 100,000 population (HCUP) 48.1 0.2 38.8 0.2 129.1 1.1 40.2 0.6 96.7 1.4 68.1 0.6 53.6 0.5 33.9 0.2 n/a
Hospital admissions for long term complications of diabetes per 100,000 population (HCUP) 117.4 0.3 88.1 0.3 291.0 1.7 176.2 1.4 235.8 2.2 158.1 0.9 127.9 0.7 86.9 0.4 n/a
Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population (NHDS) 4.8 0.4 3.5 0.4 7.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a 1.8/4.1 (NHDS 1997)

a Total and racial/ethnic estimates are from MEPS or HCUP, expect the last measure which is from NHDS.
b Income group values for HCUP (and BRFSS) are based on median income of the patient's ZIP Code

Source: National Healthcare Disparities Report, 2003.

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