List of Measures (continued)
National Healthcare Quality Report, 2003
2004 NHDR Final Access to Care Measures
Getting Into the Health Care System
Health Insurance Coverage / Usual Source of Care / Patient Perceptions of Need
Getting Care Within the System
Difficulty Getting Care
Patient Perceptions of Their Care
Patient-Provider Communication / Patient-Provider Relationship / Cultural Competency / Health Information
Health Care Utilization
General Medical Care / Ambulatory Care / Mental Health & Substance Abuse Treatment / HIV Care / Avoidable Admissions / Nursing Home and Home Health Care
Getting Into the Health Care System
| Topic | Measure | National Databasea |
|---|---|---|
| Health Insurance Coverage | People under 65 with health insuranceb | NHIS |
| People under 65 with any private insurance | NHIS | |
| People 65 and older with any private insurance | NHIS | |
| People under 65 with public insurance only | NHIS | |
| People uninsured all year | MEPS | |
| People with any period of public insurance during a year | MEPS | |
| People with any period of uninsurance during a year | MEPS | |
| Usual Source of Care | People who have a specific source of ongoing careb | NHIS |
| People in fair or poor health who have a specific source of ongoing care | NHIS | |
| People with hospital, emergency room, or clinic as a source of ongoing care | NHIS | |
| People without a usual source of care who indicate a financial or insurance reason for not having a source of care | MEPS | |
| People who have a usual primary care providerb | MEPS | |
| Adults with community health center as usual source of care | Commonwealth | |
| Adults who report very little or no choice in source of care | Commonwealth | |
| Adults who have not had their regular doctor for more than 5 years | Commonwealth | |
| Patient Perceptions of Need | Families that experience difficulties or delays in obtaining health care or do not receive needed careb | MEPS |
| Families that experience difficulties or delays in obtaining health care due to financial or insurance reasons | MEPS | |
| Families that did not receive a doctor's care or prescription medications because the family needed the money | MEPS | |
| Families not very satisfied that they can get health care if they need it | MEPS | |
| Adults who can always get appointments for routine care as soon as wanted | MEPS | |
| Adults who can usually get appointments for routine care as soon as wanted | MEPS | |
| Adults who can sometimes or never get appointments for routine care as soon as wanted | MEPS | |
| Adults who can always get care for illness or injury as soon as wanted | MEPS | |
| Adults who can usually get care for illness or injury as soon as wanted | MEPS | |
| Adults who can sometimes or never get care for illness or injury as soon as wanted | MEPS |
Return to 2004 NHDR Access Measures
Getting Care Within the System
| Topic | Measure | National Databasea |
|---|---|---|
| Difficulty Getting Care | People with provider who has office hours at night or on weekends | MEPS |
| People with difficulty getting appointments with provider on short notice | MEPS | |
| People with difficulty contacting provider over the telephone | MEPS | |
| Adults without problems getting referral to a specialist in past year | MEPS | |
| People not very satisfied with professional staff at provider's office | MEPS | |
| People who usually wait > 30 minutes before seeing provider | MEPS | |
| Emergent/urgent emergency department visits with wait > 1 hour | NHAMCS-ED | |
| Semi-urgent/non-urgent emergency department visits with wait > 1 hour | NHAMCS-ED | |
| Emergency department visits in which the patient left without being seen | NHAMCS-ED |
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Patient Perceptions of Their Care
| Topic | Measure | National Databasea |
|---|---|---|
| Patient-Provider Communication | People with provider who usually asks about medications and treatments other doctors may give | MEPS |
| Adults whose providers always listened carefully to them | MEPS | |
| Adults whose providers usually listened carefully to them | MEPS | |
| Adults whose providers sometimes or never listened carefully to them | MEPS | |
| Adults whose providers always explained things in a way they could understand | MEPS | |
| Adults whose providers usually explained things in a way they could understand | MEPS | |
| Adults whose providers sometimes or never explained things in a way they could understand | MEPS | |
| Adults whose providers always showed respect for what they had to say | MEPS | |
| Adults whose providers usually showed respect for what they had to say | MEPS | |
| Adults whose providers sometimes or never showed respect for what they had to say | MEPS | |
| Adults with one or more indicators of poor communication at their last visit | Commonwealth | |
| Patient-Provider Relationship | People not satisfied with quality of care received from provider | MEPS |
| Adults whose providers always spent enough time with them | MEPS | |
| Adults whose providers usually spent enough time with them | MEPS | |
| Adults whose providers sometimes or never spent enough time with them | MEPS | |
| Adults who rate their health care in the past year 0 to 6 on a scale from 0 to 10 | MEPS | |
| Adults who rate their health care in the past year 7 to 8 on a scale from 0 to 10 | MEPS | |
| Adults who rate their health care in the past year 9 to 10 on a scale from 0 to 10 | MEPS | |
| Adults not treated with a great deal of dignity and respect | Commonwealth | |
| Adults not involved as much as wanted in decisionmaking | Commonwealth | |
| Adults with not as much time as wanted with doctor | Commonwealth | |
| Adults with incident in past 2 years when they did not follow doctor's advice | Commonwealth | |
| Adults who report that they or a family member got sick due to doctor or hospital mistake | Commonwealth | |
| Cultural Competency | Adults who believe they would have gotten better care if different race/ethnicity | Commonwealth |
| Adults who felt treated with disrespect because of race/ethnicity | Commonwealth | |
| Adults who do not strongly agree that doctor understands background and values | Commonwealth | |
| Health Information | Adults who did not find prescription bottle very easy to understand | Commonwealth |
| Adults who did not find information from doctor's office very easy to understand | Commonwealth | |
| Adults who do not use Web for health information | Commonwealth | |
| Adults who do not use printed material for health information | Commonwealth | |
| Adults who do not call their doctor for health information | Commonwealth |
Return to 2004 NHDR Access Measures
Health Care Utilization
| Topic | Measure | National Databasea |
|---|---|---|
| General Medical Care | People with office or outpatient visit in the past year | MEPS |
| People with a prescription medication in the past year | MEPS | |
| People with a dental visit in the past year | MEPS | |
| People with an emergency room visit in the past year | MEPS | |
| People with inpatient discharge | MEPS | |
| Outpatient visits per 100 population | NAMCS/NHAMCS-OPD | |
| Emergency department visits per 100 population | NHAMCS-ED | |
| Total hospitalizations per 100 population | NHDS | |
| Ambulatory Care | Outpatient visits where patient was seen before in clinic or practice | NAMCS/NHAMCS-OPD |
| Outpatient visits where patient was seen by patient's primary care provider | NAMCS/NHAMCS-OPD | |
| Outpatient visits where patient was seen for non-illness care | NAMCS/NHAMCS-OPD | |
| Outpatient visits with counseling or education about diet or nutrition | NAMCS/NHAMCS-OPD | |
| Outpatient visits with counseling or education about exercise | NAMCS/NHAMCS-OPD | |
| Outpatient visits with counseling or education about tobacco use and exposure | NAMCS/NHAMCS-OPD | |
| Outpatient visits where physician spent >30 minutes with patient | NAMCS/NHAMCS-OPD | |
| Emergency department visits for injury or poisoning per 10,000 population | NHAMCS-ED | |
| Emergency department visits for asthma per 10,000 populationb | NHAMCS-ED | |
| Emergency department visits where patient was seen by intern/resident only | NHAMCS-ED | |
| Outpatient visits where patient was referred by another physician or by a health plan | NAMCS/NHAMCS-OPD | |
| Outpatient visits where patient was referred to another physician | NAMCS/NHAMCS-OPD | |
| Mental Health Care and Substance Abuse Treatment | Adults who received mental health treatment or counseling in the past year | NHSDA |
| Adults who received outpatient mental health treatment or counseling | NHSDA | |
| Adults who received prescription medications for mental health treatment | NHSDA | |
| Adults who received inpatient mental health treatment or counseling | NHSDA | |
| Adults with serious mental illness who received� mental health treatment or counseling | NHSDA | |
| People 12 and older who received illicit drug or alcohol abuse treatment in the past year | NHSDA | |
| People 12 and older who needed treatment at a specialty facility for illicit drug use and who received such treatment in the past year | NHSDA | |
| Inpatient admissions to specialty mental health organizations per 100,000 population | CPSS | |
| Residential care admissions to specialty mental health organizations per 100,000 population | CPSS | |
| <24 hour care admissions to specialty mental health organizations per 100,000 population | CPSS | |
| HIV Care | Hospitalizations for HIV per 10,000 population | NHDS |
| HIV patients� with 4 or more ambulatory visits in the past year | HIV Research Network | |
| HIV patients with CD4 <50� with 4 or more ambulatory visits in the past year | HIV Research Network | |
| HIV patients with inpatient hospitalization in the past year | HIV Research Network | |
| HIV patients with CD4 <50 with inpatient hospitalization in the past year | HIV Research Network | |
| Avoidable Admissions� | Avoidable admissions for bacterial pneumonia per 100,000 population | HCUP SID |
| Avoidable admissions for hypertension per 100,000 population 18 and older | HCUP SID | |
| Avoidable admissions for angina per 100,000 population 18 and older | HCUP SID | |
| Avoidable admissions for chronic obstructive pulmonary disease (COPD) per 100,000 population 18 and older | HCUP SID | |
| Perforated appendices per 1,000 admissions with appendicitis | HCUP SID | |
| Nursing Home and Home Health Care | Medicare beneficiaries under 65 with Medicare-covered home health care in the past year | MCBS |
| Medicare beneficiaries 65 and older with Medicare-covered home health care in the past year | MCBS | |
| Medicare beneficiaries under 65 with nursing home care in the past year | MCBS | |
| Medicare beneficiaries 65 and older with nursing home care in the past year | MCBS | |
| Adult nursing home discharges who received at least one rehabilitative service | NNHS | |
| Adult nursing home discharges who received mental health services | NNHS | |
| Adult nursing home discharges who were discharged either recovered or stabilized | NNHS | |
| Hospice discharges per 100,000 population | NHHCS |
Return to 2004 NHDR Access Measures
a Key to national database acronyms:
Commonwealth = The Commonwealth Fund 2001 Health Care Quality Survey
CPSS = Client-Patient Sample Survey (Substance Abuse and Mental Health Services Administration)
HCUP SID = Healthcare Cost and Utilization Project State Inpatient Databases (Agency for Healthcare Research and Quality)
MCBS = Medicare Current Beneficiary Survey (Centers for Medicare & Medicaid Services)
MEPS = Medical Expenditure Panel Survey (Agency for Healthcare Research and Quality)
NAMCS = National Ambulatory Medical Care Survey (Centers for Disease Control and Prevention, National Center for Health Statistics)
NHAMCS-ED = National Hospital Ambulatory Medical Care Survey-Emergency Department (Centers for Disease Control and Prevention, National Center for Health Statistics)
NHAMCS-OPD = National Hospital Ambulatory Medical Care Survey-Outpatient Department (Centers for Disease Control and Prevention, National Center for Health Statistics)
NHDS = National Hospital Discharge Survey (Centers for Disease Control and Prevention, National Center for Health Statistics)
NHHCS = National Home and Hospice Care Survey (Centers for Disease Control and Prevention, National Center for Health Statistics)
NHIS = National Health Interview Survey (Centers for Disease Control and Prevention, National Center for Health Statistics)
NHSDA = National Household Survey on Drug Abuse (Substance Abuse and Mental Health Services Administration)
NNHS = National Nursing Home Survey (Centers for Disease Control and Prevention, National Center for Health Statistics)
b Consensus process: Healthy People 2010 (HP2010)
Return to 2004 NHDR Access Measures
Current as of May 2005
Internet Citation:
National Healthcare Disparities Report: List of Measures. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/qual/nhdrmeasures/listmeasure.htm
5600 Fishers Lane Rockville, MD 20857