National Healthcare Quality Report 2005

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Chapter 2. Effectiveness

As noted in Chapter 1, effectiveness of care is presented under nine clinical condition/care setting areas: cancer, diabetes, end stage renal disease (ESRD), heart disease, HIV and AIDS, maternal and child health, mental health and substance abuse, respiratory diseases, and nursing home and home health care. The nine individual sections of this chapter highlight a small number of core measures; results for all core measures are found in the List of Core Report Measures at the end of this report.

To facilitate identifying the measures discussed below as related to the patient's need for preventive care, treatment of acute illness, or chronic disease management, the core measures highlighed on the following pages are categorized as follows:

Section	Measure

Prevention:
Cancer	Mammography
Cancer	Newly diagnosed advanced stage breast cancer
Cancer	Breast cancer mortality
Heart disease	Counseling smokers to quit smoking
HIV and AIDS	New AIDS cases
HIV and AIDS	Eligible AIDS patients receiving PCP and MAC prophylaxis^*
Maternal and child health	Receipt of prenatal care in the first trimester
Maternal and child health	Receipt of all recommended immunizations by young children
Maternal and child health	Receipt of hepatitis B vaccine by adolescents
Maternal and child health	Untreated dental caries in children^*
Maternal and child health	Dental visits by children
Maternal and child health	Receipt of counseling about physical activity by children
Respiratory diseases	Pneumococcal vaccination

Treatment:
Heart disease	Receipt of recommended care for acute heart failure
Heart disease	Receipt of recommended care for heart attack
Heart disease	Inpatient mortality following heart attack
Maternal and child health	Hospital admissions for pediatric gastroenteritis
Mental health and substance abuse	Degree of helpfulness of mental health care
Mental health and substance abuse	Receipt of needed substance abuse treatment
Mental health and substance abuse	Completion of substance abuse treatment
Respiratory diseases	Receipt of recommended care for pneumonia
Respiratory diseases	Receipt of antibiotics for the common cold

Management:
Diabetes	Receipt of three recommended diabetic services
Diabetes	Controlled hemoglobin, cholesterol, and blood pressure
Diabetes	State variation in hemoglobin A1c testing^*
End stage renal disease (ESRD)	Adequacy of hemodialysis
End stage renal disease (ESRD)	Registration for transplantation
Heart disease	Blood pressure monitoring and control^*
Respiratory diseases	Hospital admissions for pediatric asthma
Nursing home and home health care	Use of restraints among chronic care nursing home residents
Nursing home and home health care	Presence of pressure ulcers among nursing home residents
Nursing home and home health care	Improvement in ambulation in home health episodes
Nursing home and home health care	Acute care hospitalization of home health patients

^* Supplemental measure

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